Latest Likes For BostonFNP

BostonFNP Guide 45,334 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care NP. Posts: 4,884 (62% Liked) Likes: 11,911

Sorted By Last Like Received (Max 500)
  • 1:39 pm

    Quote from Susie2310
    The debate has already taken place. You're late to the party. Do a search on this site and you should find pages of discussion.
    Just like if you do searches on PubMed you'll find pages of studies.

  • 1:39 pm

    Quote from Susie2310
    You haven't answered my question. What is the level of evidence for the studies? Are the studies not qualitative in design? This is a fairly low level of evidence.
    Low level of evidence? These were major studies published in some of the most prestigious peer-reviewed (nursing and medical) journals in the world. Do you think that because studies are not RCTs they are not valid? The majority of published research is not RCT (nor could it be) and it is laughable to assert that retrospective cohort studies or observational studies hold no statistical weight.

    I have some concerns about how several of these studies were structured but that does not invalidate them.

    The truth of the matter here is you just don't want to believe it because of your personal bias, can we at least agree on that? There is nothing wrong with that, but we can drop this nirvana fallacy that because a study isn't perfect its not valid.

  • 1:38 pm

    Quote from Tonya36rn
    I have no desire for a BSN for the simple fact that it doesn't help you as a floor nurse..
    What makes you think it doesn't help you as a floor nurse?

    Quote from Susie2310
    And the level of evidence for the studies? Qualitative?

    Do we have a Randomized Control Trial yet?
    The data has been consistent across numerous studies and numerous countries. Given the extant data I am not sure a RCT would even be approved by an IRB as ethical (even if you could find a way to fund it). Lets be honest, even if there was a RCT with 3 million participants, would you believe the results if they didn't agree with you?

  • 1:36 pm

    Quote from Susie2310
    To the above poster re correlation: correlation is not causation. Also, there are many reasons for a relationship.
    To be clear, numerous studies have demonstrated statistical significance not just "a correlation".

  • 1:35 pm

    Quote from MunoRN
    I think you're confusing recently published with recent data. One of the more recent studies, the 2013 Aiken study, looked at ADN grads who on average graduated around 1985. Is the quality of non-BSN graduates in 1985 a reliable indicator of the quality of ADN programs in 2017? It might be if ADN programs haven't really changed any since then, but they've changed significantly during that time.

    Assuming the data on 1985 graduates is still an accurate measurement of today's programs is like saying you're patient who had a SBP of 180 ten hours ago, and has since received of a boatload of antihypertensive, is still hypertensive even though you haven't rechecked a BP since ten hours ago.
    I am not sure I really follow this argument: do you consider all of the extant studies invalid and obsolete because there have been recent changes to curriculum? That would make just about every study on every topic invalid.

    Aiken's landmark study in 2003 used data from 1998-1999. Aiken's JAMA study in 2011 used data from 2006-2008 (which is fairly contemporary in research terms). Aiken's Lancet study in 2014 used data from 2009-2010. There are consistent multinational studies using rather contemporary data.

    When were these major curriculum changes done?

  • 1:32 pm

    Quote from OrganizedChaos
    My bipolar disorder is honestly not getting any better in terms of me being able to hold down a job, so am I really able to work? Is it worth it to go through all the trouble of what you have stated (although it is really great advice!) or going back to school for me to just quit another job in 6 months or less? The last few jobs I've held I wasn't at for more than 3 months. Of course this one I didn't quit but I did have a melt down & wanted to quit.

    I'm in a good place mentally since my husband & I separated. I don't want to mess it up by adding more stress by working. So I have decided to apply for disability. I know it will take awhile but nothing has changed between then & now. Why keep torturing myself?
    Hang in there OC.

    In the end you need to do what is best for you. I will say that you have a lot to offer and, disability or not, I hope you can find an outlet for your talents. I am a big believer that engaging your mind and talents in overall wellness. Best of luck!

  • 1:32 pm

    Quote from morelostthanfound
    If I'm not mistaken, the OP is commenting about their perceived lack of value in the BSN program. Throughout the country, many seasoned nurses' clinical experiences are being discounted and devalued in lieu of the baccalaureate degree-hence, the 'education vs experience' is certainly apropos and applicable in this discussion. Perhaps your pomposity or need to defend your position and be right is responsible for your myopic view.
    I'll ignore the ad hominem.

    Explain how seasoned nurses’ clinical and experience is being discounted/devalued in lieu of education? The only one that has tried to make an education vs experience debate is you. It’s a red herring.

  • 8:39 am

    Quote from Susie2310
    The debate has already taken place. You're late to the party. Do a search on this site and you should find pages of discussion.
    Just like if you do searches on PubMed you'll find pages of studies.

  • Oct 17

    Quote from Susie2310
    You haven't answered my question. What is the level of evidence for the studies? Are the studies not qualitative in design? This is a fairly low level of evidence.
    Low level of evidence? These were major studies published in some of the most prestigious peer-reviewed (nursing and medical) journals in the world. Do you think that because studies are not RCTs they are not valid? The majority of published research is not RCT (nor could it be) and it is laughable to assert that retrospective cohort studies or observational studies hold no statistical weight.

    I have some concerns about how several of these studies were structured but that does not invalidate them.

    The truth of the matter here is you just don't want to believe it because of your personal bias, can we at least agree on that? There is nothing wrong with that, but we can drop this nirvana fallacy that because a study isn't perfect its not valid.

  • Oct 17

    Quote from Tonya36rn
    I have no desire for a BSN for the simple fact that it doesn't help you as a floor nurse..
    What makes you think it doesn't help you as a floor nurse?

    Quote from Susie2310
    And the level of evidence for the studies? Qualitative?

    Do we have a Randomized Control Trial yet?
    The data has been consistent across numerous studies and numerous countries. Given the extant data I am not sure a RCT would even be approved by an IRB as ethical (even if you could find a way to fund it). Lets be honest, even if there was a RCT with 3 million participants, would you believe the results if they didn't agree with you?

  • Oct 17

    Quote from Susie2310
    You haven't answered my question. What is the level of evidence for the studies? Are the studies not qualitative in design? This is a fairly low level of evidence.
    Low level of evidence? These were major studies published in some of the most prestigious peer-reviewed (nursing and medical) journals in the world. Do you think that because studies are not RCTs they are not valid? The majority of published research is not RCT (nor could it be) and it is laughable to assert that retrospective cohort studies or observational studies hold no statistical weight.

    I have some concerns about how several of these studies were structured but that does not invalidate them.

    The truth of the matter here is you just don't want to believe it because of your personal bias, can we at least agree on that? There is nothing wrong with that, but we can drop this nirvana fallacy that because a study isn't perfect its not valid.

  • Oct 17

    Honestly, you want to get your BSN first. It will open up far more options for you.

  • Oct 17

    Honestly, you want to get your BSN first. It will open up far more options for you.

  • Oct 17

    The more I read posts on this debate the more I think the crux of the issue really has nothing to do with degrees, coursework, application, or outcomes but rather with one group either feeling or being made to feel they are 1. left on the outside or 2. less of a nurse. It becomes so personal that way that implicit bias trumps any logical argument or data to the contrary.

  • Oct 17

    Quote from Susie2310
    To the above poster re correlation: correlation is not causation. Also, there are many reasons for a relationship.
    To be clear, numerous studies have demonstrated statistical significance not just "a correlation".


close