Difference between nursing in the UK vs nursing in the US? - page 4
Seems everyone's legging it from the UK to the US. What's the deal?... Read More
Nov 13, '06Quote from Skwidwardactually this post, i feel does compare uk nurses to cna, medsurg nurseOh there's no denying the fact that life in the US kicks ass, especially Florida.
Are there any differences between the job itself though besides the pay?
I heard nursing in the UK was a lot more CNA type stuff and less, I don't know, delegating and pt care management type stuff.
EDIT: pt ratios and stuff like that?
Nov 13, '06Quote from arys1075Depends on the course - I did a one year, university based Postgraduate Diploma of Advanced Nursing in Critical Care, and CGFNS just said "we have no equivalent" - so it doesn't count!I've completed my anaesthetic course, Im an operating theatre staff nurse in one NHS in Lancashire, UK. I don't know if my extension course would be valid in United States.
Nov 13, '06Quote from Silverdragon102Thankyou.
In the county where I live there is a programme run by the universities for Nurse Practitioners but is aimed for nurses who work in general prctitioner surgeries. I will post a link at the end of this reply of courses provided by my local university. It is at masters level but nurse qualifies and is able to work at the end of the 2 years but won't get masters unless they do the third year and dissitation. I have also added a link to the extended formulary course so people can see what sort of course it is. This is open to everyone that meets the criteria regardless of where they work ie Acute or Community.
Nurse Practitioner (Primary Care) MSc
Module -- HMH1032
The nurse prescribing course can be either masters or BSc level, the one that I completed last year had a mixture of the 2 groups. Not all are attached to advanced practice courses although it is generally advanced practice nurses who attend. It is essential with these courses that you have a medic (independent prescriber) to mentor you and assess your clinical and prescribing practice which is probably why it tends to be APN that do the training. THe course is run over 6 months, covers history taking, physical examination and pharmacology, and my portfolio submission at masters level was in excess of 10,000 words. THe BSc ones I think had a 5000 word limit.
Nov 14, '06Quote from XB9SI just added links to what is available in my area. My NP did her extended course as part of her NP course but it was a trial and was extra on top of the work they was already doing and had to do it in a shorter time.The nurse prescribing course can be either masters or BSc level, the one that I completed last year had a mixture of the 2 groups. Not all are attached to advanced practice courses although it is generally advanced practice nurses who attend. It is essential with these courses that you have a medic (independent prescriber) to mentor you and assess your clinical and prescribing practice which is probably why it tends to be APN that do the training. THe course is run over 6 months, covers history taking, physical examination and pharmacology, and my portfolio submission at masters level was in excess of 10,000 words. THe BSc ones I think had a 5000 word limit.
Nov 14, '06Quote from Silverdragon102Yeah a friend of mine did a similar thing, prescribing on top of a NP course she too found it very hard because there was no extra time given for the extra work. I enjoyed the one that I did but I did it as an elective part of an MSc so the time was allocated specifically for that.I just added links to what is available in my area. My NP did her extended course as part of her NP course but it was a trial and was extra on top of the work they was already doing and had to do it in a shorter time.
Nov 15, '06Quote from StNeotserHi,So, say you needed an order for something in the UK, say an ATB. How does this get done if you don't chase up the Dr for an order?
I know I've had to chase up Drs for d/c foley orders, Tylenol orders (yes really!) and sillly stuff. Also, the D/C home with home help, PT & OT meds and narcotics are fun.
We have standing orders with some Drs, then house orders but some Drs have none whatsoever. Is there some sort of list in the UK where everyone can have Tylenol, Mylanta, MOM and general OTC meds?
This is the first time I have read this thread and its really highlighted to me the misconceptions other cultures have about their nursing practices.
Im a Registered General Nurse and Registered Midwife. Here in the UK, I practice as an autonomous practitioner in both roles.
As a midwife I make descisions regarding a womans care throughout her pregnancy, I make the desciision whether or not to refer to an obstetricrian. In conjunction with the woman, we decide upon a plan of birth, there is no involvement with a doctor unless I feel it necessary. I support a woman throughout her pregnancy and conduct the delivery myself without the input of an MD, again, unless I feel it is needed. The focus here is very much on normal birth with as little medical intervention as possible. In my experience most doctors want as little as possible to do with pregnancy and birth as possible, unless things go wrong. If I feel the woman needs a foley, I make that choice, I dont need to chase an MD up for an "order". If I feel her labour needs accelerating with oxytocin, again I make that choice, I do not need an MD telling me what I can or cant do.
The same pretty much applies in my role as a nurse. I am a nurse practitioner and nurse prescriber. I am able to prescribe any medication without the "order" of an MD. I make my own descisions on patient care and I only consult a doctor, who I see as an equal, a valuable member of the multidisciplinary team, if I feel his/her input to be beneficial for my patient. I do not follow anyones orders. My practice is governed by the NMC and I am accountable for my own actions.
Obviously, it has taken a lot a studying and work on my part to get to this level, but it shows you an example of what a nurse in the UK is able to do.
I am going to the US because my husband is American, and I know the practice I am used to here will be very much restricted over there and my pay will be substantially cut. I am certainly not used to having to ask permission before doing something and needed an MD's signature before I can do anything will be very alien to me.
I am a UK trained nurse and proud to be that. Working in the States will be an eye opener to me, I know that, but it wont be the first time I have worked in a country other than my own and am looking forward to the experience.
Nov 15, '06TanviTusti - is your NP transferrable to the US? Since the UK has socialized medicine, does that cut down on the amount of lawsuits that you have to deal with? Do you have your own?
Nov 15, '06Nurses in the UK tend to join a union and the fees you pay monthly cover your. People do sue but not to the extent over here in the US.
I too am a midwife and my dissertation for my batchelors degree was 10000 words. I believe in the UK for a masters degree your dissertation is around 25000 words. Even the education is so different
Nov 15, '06Quote from traumaRUsIn the UK most nurses belong to a union such as the Royal College of Nursing which offers indemnity insurance. If you work in a hospital most trusts accept vicarious liabilty for negligent acts or omissions of their employee, but there is very little in the way of sueing here in the UK health service. It usually makes the news if a health worker is sued!TanviTusti - is your NP transferrable to the US? Since the UK has socialized medicine, does that cut down on the amount of lawsuits that you have to deal with? Do you have your own malpractice insurance?
And yes, I have a masters degree so in theory I could work as an NP over there, in practice, however I believe I would need experience in general nursing in the USA in order to take on that role. My MSc in nursing involved taking 3 core courses in advanced professional practice, research methods for health care professionals and using evidence in practice and a 40,000 word dissertation, although 30,000 words would have been acceptable. I just like to talk a lot lol.Last edit by Tanvi Tusti on Nov 15, '06
Nov 19, '06Hi was reading this post and i find it quite interesting...I am RGN here in UK been here for almost 2years before I came i was in Singapore..anyway, In my opinion there are differences really with UK nursing and US nursing based on my friends stories..Money wise US paid nurses well..
Nov 21, '06This is so weird that I am reading all of your comments. I am from the U.S. and am attending graduate nursing school at the University of Toledo. My group's cultural project is about this very subject. I found a journal article on this subject by some RNs from Northern Ireland-University of Ulster, Royal College of Nursing Institute, Oxford, UK, Univ. of Manchester, and the London School of Hygiene. The title is Quality of Care-A comparison of Perceptions of Health Professionals in Clinical Areas in the United Kingdom and the United States. Journal of Nursing Care Quality. Vol.21, No.4, pp. 344-351. 2006
Several items found differently from the UK end of nursing is that there is an appropriate skill mix on the ward. Another important item is that there is evidence of adequate resources, equipment, and services on the ward. These two items did not show up on the US scale (how they measured their study).
The items from the US end of nursing that did not have a UK equivalent relate to general attitude of staff toward patients and relatives in terms of courtesy, collaboration with multidisciplinary staff, accessibility of staff, and the attentiveness of staff to relieving patient discomfort. The items related to appearance, attitude, and approach of staff was considered important to U.S. correspondents and not UK because US healthcare is predominately through private healthcare insurance whereas UK healthcare is paid through taxation. The exact wording was "This may indicate an enduring paternalism with respect to the NHS. It also may indicate an assumption by staff that patients do not or should not have high expectations of the service b/c they do not pay for it at the point of delivery, ergo, they should be thankful for what they get-regardless of quality of care."
Seems kind of harsh to me coming from UK Nurse researchers, but a very interesting article. There is so much more to the article. I just picked out the things that I thought were interesting.
So, UK doesn't have LPNs. Do you have nurse aides? Are U.S. RNs called CNAs in UK?
Nov 22, '06Quote from JdasasWe have health care support workers or nursing assistants, and we don't have CNAs in the UK. A US RN would have to go through the Nursing and Midwifery council registration process and would then be an RN. THis is not an easy process and will be even more difficult now due to job situation in the UK
So, UK doesn't have LPNs. Do you have nurse aides? Are U.S. RNs called CNAs in UK?
Nov 22, '06Quote from XB9Syes, no jobs here generally infact my hospital has just banned overtime and bank staffWe have health care support workers or nursing assistants, and we don't have CNAs in the UK. A US RN would have to go through the Nursing and Midwifery council registration process and would then be an RN. THis is not an easy process and will be even more difficult now due to job situation in the UK
so in effect the patients will have to look after themselves :chuckle