Latest Comments by Boatswain2PA

Latest Comments by Boatswain2PA

Boatswain2PA 912 Views

Joined Aug 14, '10. Posts: 23 (43% Liked) Likes: 16

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  • 0

    Quote from zenman
    Nurses, who spend the most time at the patient's bedside, are the real lifesavers. Any idiot knows that. My last response to you, from a low-level source, was an attempt to match your level of reasoning. Do you not know what your name means still...or you just make up your own definition? Go elsewhere as I don't treat kids.
    Sorry Zen, you gotta dig deeper than Wikipedia to get the true answers to things. I do hope you use more than that when researching the latest Zen fashions to treat your patients.....

  • 1
    juan de la cruz likes this.

    This month's ADVANCE magazine had an article on this.

    In the PA world we are seeing a move toward specialization. Whether or not this is a "good" thing for the profession or the patient is arguable, but the move is afoot.

    It sounds like the NP world, which has already been ahead of the PA world in this movement, is heading further down that road.

    I don't really mind it, but I don't like the "portfolio" approach. It is tooooooo easy to pad portfolios without any real knowledge/experience to back it up.

  • 0

    Quote from zenman
    Actually nurses are the real lifesavers. I'll leave it to others to explain why.
    Try again Zen. Use your favorite academic source to learn about the U.S. Life-saving Service. It might help tie together some information you missed from the last time we discussed Wikipedia.
    Quote from Jeweles26
    I don't get what everyone has against the South. There are ignorant, bigoted people everywhere, although it seems to be a stereotype mostly associated with the South...
    I've lived all over the U.S., including the Northeast (Boston) and the South (Savannah). It always amazed me how predominate the elitist attitude was in the Northeast, and how they looked down their (often upward pointed noses) at those of us who preferred the rural areas (especially the rural southern areas). Sounds a lot like this:
    Quote from BlueDevil,DNP

    Deep south
    explains everything. My condolences.
    Quote from SycamoreStudent
    It depends on the state and city. All things being equal I believe salary is lower even when cost of living is taken into account.
    Yeah, but much, much, much higher when quality of living is taken into account (well, for many of us at least!) :-)
    Quote from SycamoreStudent
    I'm not sure there is a good term for both NPs And PAs. On the other hand I'm not sure NPs and PAs should be lumped together.
    We are similar enough to be lumped together most of the time, but then referred to separately other times. We do much the same job, at much the same pay, and patients shouldn't seen any difference between the two professions, therefore I don't have a problem with a generic term like Mid-level practitioner to describe a PA or NP. However, when you get down to the academic/experiential pathway one took to get to here, then the differences abound.
    I don't get bent about the term mid-level practitioner. Perhaps it is because I have a good understanding of how much better the physician level education is than what the best PA or NP receives.

  • 0

    I understand the argument about practicing nursing vs practicing medicine....although I do not agree that if a (real) medical doctor or PA places a central line it is considered practicing medicine, but if an AP nurse places a central line it is considered practicing nursing. In my opinion, AP nurses practice medicine in addition to nursing, and it is what makes them so effective clinically.

    And I understand your 2nd point - that the future DNP programs will likely be much different from the early ones. They may actually turn into the entry level for Nurse Practitioners, they may continue in their current state, or they may just die away if people do not think they offer what is needed.

    Your 3rd point - you first inferred that your DNP was clinical based, but then you say that your Masters gave you your clinical base but your DNP gave you your knowledge/skills to "develop programs" from nothing & such....hardly clinical (clinical = 1 patient, 1 provider) applications there.

    I still don't see why you would choose a DNP. You had the clinical education necessary to practice medicine/advanced nursing, but you apparently wanted something more to break into the administrative/management/political world of creating new programs & chairs. So why not a MPH?

    And please, do not compare medicine of today with the 1850s. We both know that today's medicine was barely beginning at that time in Europe and didn't make it to the US until Johns Hopkins opened decades later. Nobody will refute the enormous impacts nursing has had in both the history of national or global health care, or or the impacts on an individual patient.

  • 1
    oldiebutgoodie likes this.

    Quote from Dr. Tammy, FNP/GNP-C
    Two different animals. One is clinical-based and the other is not. One is within the field of nursing, uses nursing science, nursing philosophy, nursing paradigms and the nursing process (the same that many here scoff at yet without these to inform and direct practice, they would be technicians) and the other is not.
    So, I'm curious....do you think your DNP was more "clinical-based" than MS level NP programs? Did it teach you to practice medicine (nursing) better than a MS level NP program? If so, I would like to hear how it did that. And, if it was more "clinical-based", how did it prepare you for the admin/management aspects of creating positions, chairs, and programs.

    As to the management/administrative stuff that you have achieved and advertised here, I would propose that my MPH helped give me the tools to accomplish those same things (if I wanted to enter management/admin instead of practicing medicine (nursing)). Also, if what you wanted in your career was accomplishments such as successfully chairs, positions, and programs....why didn't you pursue a degree such as an MPH, or Health Care Admin, instead of a DNP?


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