Latest Comments by newboy

Latest Comments by newboy

newboy, MSN, RN 5,227 Views

Joined Oct 2, '09 - from 'Eastside USA'. newboy is a Psychiatric RN. He has '5' year(s) of experience and specializes in 'Mental Health Nursing'. Posts: 391 (67% Liked) Likes: 1,198

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  • 8
    mystory, dream'n, Nurse Leigh, and 5 others like this.

    Male nurse here (since everyone is shouting out their gender lol). Anyway, I don't get many opportunities to do catheterizations at my job. Sucks, I know. Therefore, whenever a male or female needs to be catheterized, I jump at the chance to do it so I can develop my skills in that area. Of course if a female patient is uncomfortable with a male nurse, a female nurse will be provided.

    It really sounds like YOU'RE the uncomfortable one OP. You have the right to your beliefs, but you can't speak for women and think they would be better off with a female nurse because "all women prefer a female nurse for that type of care."

  • 0

    Greetings, everyone.

    I am so devastated. To start off, I have a previous MSN degree in leadership/management. I am currently in a post MSN program for PMHNP; I started last month and I'm still in my first class. Long story short, I was notified by the school that I can no longer be considered as a post MSN student since my MSN degree is non-clinical. Therefore, I will have to take the full MSN track including the theory, research, and organizational leadership courses I already took.

    This is not cost-effective at all for me. My employer reimburses me for tuition, but they are not willing to reimburse me for classes I already took . Not only that, I JUST finished my previous MSN program in January 2015. After doing my research, I figured another two years wouldn't be too much, especially since I was going to take one or two classes at a time. However, now it will take me 3.5 years to finish this PMHNP program and it will be much longer if I don't group more than two classes together in some semesters.

    I'm at a complete loss of what to do. This wasn't an oversight of some kind. I did my research with this school and met all the criteria for a post MSN student which is why I was accepted as such. The school just simply changed it's standards, and I'm too close to the beginning to be grandfathered in.

    I really, really want to be a PMHNP but I don't know if I have it in me to financially burden or carry myself through another full MSN degree program. I know the decision is up to me, but I really want to know what others would do if they were in my shoes.

  • 1
    CBlover likes this.

    Going to school was more stressful for me because of everything that comes with it. Committing time to study, balancing rent/bills/other expenses with tuition, giving up certain life pleasures because of school. Work is just work; you go, make your 8 or 12 hours, and then go home.

  • 2
    Get2theChoppa and BCgradnurse like this.

    Quote from BCgradnurse
    What do you mean by a "down and dirty" RN program? Our RN portion of the program was the same as any ADN program (I do not have a BSN). We had to have the basic science pre-reqs (A+P, chemistry, micro, etc) finished before we could even apply to the DE program. We all had at least a Bachelors in another discipline, so we didn't have to take any of the Gen Ed courses. We took Health Assessment, Theory, Patho, Pharm, Ethics, Research, etc. and did the same number of clinical hours and synthesis as the undergrad BSN students. We took NCLEX after all of those requirements were completed, just like any other RN student.

    I don't feel like I started "further behind" as an NP because I didn't work as an RN. To be honest, I use very little of what I learned in the RN part of my program. I'm not saying it wasn't valuable and necessary, but most of it isn't relevant to what I do on a daily basis.
    Thank you for coming and sharing your experience . It really helps to see the other side of things realistically rather than just talk about it theoretically. I know that DE programs only accept the best of the best and it sounds like your program molded you into a confident and competent NP.

  • 0

    When did you hear back? I applied to the PMHNP program.

  • 6

    I'm a contracted tech that draws blood 6am in these type of living assistant home. I've found many aides sleeping, nurses not even on the same floor they need to be. They hire the most lazy, non educated people so they can pay them as low as possible. I've walked into patients room, with patients laid on the floor. I've walked into patients room that have passed away for several hours. Most of these nurses or aides that I've seen at these living assistance places should have license be taken away. I've reported these types of incidents to upper management as I see them occur. I hope they have bettwr back ground checks and random visits from higher people that gives them jobs.

    This did it. I have no more neurons left.

  • 2

    Quote from Pitt2Philly
    Call me old-fashioned, but I would not want a convicted murderer working along side me in the hospital or taking care of me or my family.
    My thoughts exactly. Leave me and my family out of the sequel to that movie .

  • 1
    Anonymous1257 likes this.

    Quote from jlmPMHNPstudent
    Good for you! I get very tired of the argument that for some reason nurse practitioners desperately need RN experience, but MDs, DOs, and PAs are good to go. No one is saying it isn't beneficial, but RN experience is in no way necessary to be a safe and effective healthcare provider.
    I fully agree.

  • 4

    Quote from MKIVSupraRN
    Only reason I listed my clinical hours on my resume was due to the fact fellow cohort who got jobs had listed their clinical hours and told me to do it as well.
    I will never forget my first nursing job interview. My clinical hours were listed on my resume. As the nursing director was reading my resume, her eyes widened, and her tone of voice immediately changed from sweet to serious director mode. She goes, "You have all of these jobs listed here! This is a serious red flag!" We both laughed after I clarified that those were my nursing school clinical experiences (even though it clearly stated that on my resume ).

    Anyways, it took me 10 freaking months to find a job. I did lose a little hope every now then, and I played some awesome frisby with my nursing license around the 6th month... but I never gave up and it all worked out.

  • 0

    Wait... Murse = Male Nurse? That's a slap to me for going completely over my head.

    I noticed that individuals with no healthcare background tend to specify "male nurse." It never really bothered me, but I do see how it can tick some nurses off.

  • 2
    ohgirn1 and CCuser like this.

    PsychGuy, I get what you're asking but as another poster answered, the DNP is the terminal degree for nursing clinical practice. There is no other terminal practice based degree that offers what you're asking because it would NOT be nursing. Think about it, if the courses that many consider "fluff" were removed and more scientific-based courses were added, what would be the difference between medicine and nursing? I do agree that more scientific-based courses make a more competent provider, but there's a reason why people say APRNs practice advanced nursing and PAs/MDs practice medicine.

    Anyways, I was just giving you my understanding of it. I do agree with you and feel that the nursing educational model needs to change. I am entering PMHNP school, and I'm expecting to know neurophysiology to the "T." I see a lot of APRNs on here who have complained that they did not feel prepared upon completion of school. I did not know it was to the extent of not knowing what hippocampus is.

  • 1
    Jules A likes this.

    Quote from Jules A
    Got it, thanks, although it took me nearly an hour to get into my OVID account, lol. Did you get the article from this message board? Its been posted here more than once.

    I really can't find much out there that directly addresses this topic. This although exactly the kind of information we need was rather luke warm imo. That it was based on a very small self-report by NPs and physicians who have a relationship and invested interest in them being competent so I question the objectivity. If someone asked me if I were competent I'd fill in the circles indicating hell yes as would my boss. I would really like to see an outcomes measure but again heading in the right direction I guess. To be fair I'm not usually a huge fan of nursing research.

    Something interesting to consider regarding the original article was a commentary:

    "In our study, "Improving the Effectiveness of Primary Health Care Delivery through Nurse Practitioner/Family Physician Structured Collaborative Practice"1, qualitative findings stressed the correlation between physician perception of NP competence and the establishment of a relationship with that NP. This finding was also observed in the Ontario Medical Association/Registered Nurses Association of Ontario study2where recognition of expertise was based on personal experience with their NP rather than on a view of all NPs as primary health-care experts. We therefore support the statement that physicians may have been influenced by their personal relationships and also would like to ask if the collaborating physicians in Dr. Rich's study had served as preceptors to the NPs that they were now evaluating?"
    Linda Jones, RN(EC), BSN, CFNP
    No, I got it from an integrative review. There isn't much research on this topic, but that article was the only one that somewhat relates to our discussion. Here is the integrative review if you wish to take a look at it; it's in html format:

    Some of the cited works are really interesting. Not sure if the link is working on mobile platforms.

  • 5
    Get2theChoppa, hakhama, joanna73, and 2 others like this.

    Quote from MunoRN
    Is it possible to summarize the findings (I don't have a Lippincott log-in).
    Sure thing. The article found a negative correlation between years of RN experience and NP clinical practice skills based on assessment by collaborating physicians. Also longer RN experience was related to lower rankings of NP skills. The article brings forth the issue that the more one is a RN, the more one THINKS like a RN, even when the thinking changes in the advanced practice role.

    Keep in mind that this is only one article, though. And there were many limitations to the study. Also, this study could have suffered from major bias based on the individuals who did or didn't respond.

  • 2
    Jules A and PA_RN87 like this.

    Rich, E.R. (2005). Does RN experience relate to NP clinical skills? The Nurse Practitioner, 30(12), 53-56

    Read this.

  • 5

    Quote from Jules A
    I am so appreciative for all the participation! I wish NewBoy wasn't the only one with the cojones to add an opposing view because even though overall I am convinced of my assertions there is much value in considering other views especially because we can probably all agree this is not going away. Perhaps now is the time to come up with and lobby for additions to all NP programs that will ensure a better quality product?
    Lol I'm just being realistic, Jules. Things won't change just because people think it SHOULD happen based on their own experiences. Arguing that NPs with prior RN experience are better is just a matter of opinion, and a very generalized one I might add. If you go looking for a problem, you're going to find one - even if there's no problem to be found. The only way things will change is if research actually demonstrated that direct entry graduates weren't prepared enough, and patient outcomes suffered because of it. I believe research DOES exist that shows there is no difference in care provided between direct entry NPs and NPs with prior RN experience.

    Im not against gaining RN experience before going into NP school; I'm against mandating it. If nurses feel NP schools aren't preparing them enough, then fight for better curriculums and a better care model in NP schools. The average program is already 3 years long, so why not one more year of sciences that are actually needed? In all honesty, I think the biggest fight should be for NP residencies.

    Experience is not the same for everyone, and everyone won't get the same "gut" feeling you do out of it. If you want better NPs, something has to be done at the NP educational level.

    Lastly, I think everyone is making a mountain out of a molehill. There are only a few direct entry programs (most of which are at prestigious institutions) and their admission requirements are brutal. They take the best of the best. There are no direct entry mills.


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