BostonFNP Guide 43,661 Views
Joined Apr 4, '11 - from 'Northshore, MA'.
BostonFNP is a Primary Care NP.
Posts: 4,744 (61% Liked)
First, I really did mean overrated, as in too much emphasis. Reason is this: a person who comes into a program with great undergrad or high school grades may not be as knowledgeable as they thought they were. A Youtube video of 2 brothers discussing college entrance, tells freshmen students not to talk about their 4.0.
There are many variables involved in pass rates for the boards, including how many people are taking boards in each specialty from each school. If only 3 people took boards in 1 year and 1 failed, you'll have a dismal pass rate. Are NPs practicing successfully without taking the boards? Not all states require you to be board certified prior to practicing. I'm not sure how you obtained the statistics for pass rates for each school. NP certification is not like the NCLEX. Please post your sources. My curiosity is peaked. The new NPs that I spoke to from on-line or for-profit schools have passed their boards on the first try and I saw the proof. They're happily practicing in their first jobs.
I will never say that I have not made an error. In fact, I assume that I make more errors than I am aware of. That's why I feel it's so important to be humble. I am not a novice in practice, so I definitely know that there's a lot to learn beyond school.
Maybe I'm protesting too much in order to save my own job!
All of us are familiar with the term evidence-based. Our opinion or our experience is of no consequence. Post the research. Post the numbers. It's easier to understand and accept. (I tried to get those numbers. So far the boards don't seem to have them readily available, but it will still be a little suspect, since not everyone takes the board).
OK, GPAs are overrated.
Passing or failing boards has nothing to do with the type of school you attended.
100% of the MDs I've seen giving incorrect diagnosis or treatment came from B&M schools. How's that for statistics? No one is perfect. We are all fallible.
Let's build each other up. And precept.
I even asked about anecdotal stories of unqualified NPs that seem to all come from the same "terrible" schools. If we don't have data that clearly points out that these terrible online (for profit) NP programs are truly turning out poor performing NPs, then it just sounds like a bunch of complaining because "those NPs are stealing our jobs" or some-such.
I'd have to agree with this. I've worked with various NP's of mixed stats in terms of RN experience, school attended, direct entry, etc. In the end, I feel that certain individuals have the knack, talent, intelligence, or whatever to succeed as NP's.
And then I think, "Holy crap, this person is, what, 25 years old with zero healthcare experience prior to NP school!" -- no wonder physicians are all up in arms about NPs.
I see a whole lot of hate for the online Nurse Practitioner programs. I'm wondering if anyone has any statistics regarding poor performance based on whether a NP went the traditional route versus online?
Or are we assuming that they are lesser simply because they "must be" inferior?
Personally, I don't think that anyone should be going through an NP program without at least 3-4 years of solid nursing experience. I'm far more concerned about a young NP straight out of school who has no real-world healthcare experience than I am about an experienced RN going the online route for their NP.
And to disclose, I am one of those online, for-profit school NP students that seem to draw all the negative attention. Of course, I've also been a nurse for about 14 years and have been in hospital administration for the last several years.
Just continuing the dialogue here not trying to pin you personally to anything.
I agree with you about your second point, but, to me, meh. The ones who didn't want to be identified said that it was because they were afraid of getting in trouble with their employers. I can see that as a concern.
"a highly qualified nurse who is trained to treat certain medical conditions ..." The author does refer to NPs as "highly qualified," and, yes, says that the NPs referred to studies that have shown similar outcomes -- but the author doesn't dispute the NP's statement about that, or, in my reading, suggest that there is a problem with the studies.
But, to each her or his own. I have no dog in this fight (perhaps that's why I don't find the article as slanted as some others do).
Strep throat can be added to the list.
The author refers to NPs as "highly qualified" and mentions that "that studies have shown there is no significant difference in outcomes between patients who are seen by nurse practitioners and those who are seen by medical doctors."
To be completely honest, the little anecdote sounded entirely fictitious like those made-up patients that drug reps use to try and sell you their drug.
I love the comments from "doctors" that wouldn't even use their real names. It's just poor journalism.
Please cite your source that those with actual nursing experience had worse clinical skills.
I wonder if she had gone to nursing school?
It has been interesting to read the feedback, especially from those with their own history on mental illness. It has made me consider my own thoughts on the matter.
I keep going back to the example the OP provided of a patient visiting the ED for a fracture. An admission for a decompensated psychiatric event is wholly different in my opinion, by the sheer nature of requiring inpatient level of care, so I started comparing a mental health admission to a CHF admission.
Does the nature of it being a psychiatric admission change the ethical consideration in this case? While I would argue that in either case there are ethical concerns, do the both sit at the same place in the spectrum?
I do feel that if we take the generic definition of decompendated metal illness that we all learned in school (a disturbance in thought, mood, or behavior) and we combine that with the fact a patient made their first connection with someone providing their care at that time, does that place the patient at higher risk than if a patient with decompensated heart failure does the same?
It upsets me that there is a blanket policy on all of this.
No authority can dictate my life.
As for my professionalism, I am a highly respected nurse in my field and work with great compassion and competency.
The fact that all of you are so disgusted makes me question your stigma. Right now, I'm saddened to think I work with people such as all of you.
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