Boatswain2PA 817 Views
Joined Aug 14, '10.
Posts: 23 (43% Liked)
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.
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.
Actually nurses are the real lifesavers. I'll leave it to others to explain why.
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...
Deep south explains everything. My condolences.
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.
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.
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.
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.
Nurse Tammy - your DNP from Duke has given you the skills to create a program and a chaired position, and has taught you how to do research.
If this is what you wanted to do with your career, I'm curious why you chose a DNP degree versus a degree in health care administration?
Practicing medicine means your mistakes can have dire consequences, including killing someone. Unfortunately, those who practice medicine are mere humans, which means they are imperfect and will make mistakes.
Offer your profound apologies to the child/family (if allowed in your state), accept the administrative consequences, look for systemic changes which could prevent this mistake from happening again, and, most importantly, learn from your mistake so you are less likely to make this mistake again.
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