Latest Comments by BostonFNP

Latest Comments by BostonFNP

BostonFNP Guide 35,518 Views

Joined Apr 4, '11 - from 'Northshore, MA'. BostonFNP is a Primary Care. Posts: 4,211 (59% Liked) Likes: 9,667

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  • 0

    Dual certification has both significant benefits and drawbacks.

    That's not much clinical hours in each and 540 would barely make the minimum requirement for board certification.

  • 0

    You are making a huge investment both personally and financially in what will likely be your terminal career: balance that with the thought of taking a day off a week for the next two years. The sacrifice for the best perpetration possible may be well worth it in the long run.

  • 0

    Honestly neither is a fantastic option. Definitely talk to local NPs and see what the local preference is in hiring. They are likely not going to be considered the same by employers.

    Preceptorships are a very important part of your training and schools can and should have preferences on how that requirement is fulfilled. Both strategies are compromises made by schools that have relinquished full control of securing preceptor placements. I don't see a strong positive or negative to either strategy.

    I have concerns about not having a in-person health assessment course or ideally a structured patent experience, though this seems to becoming more common.

    Instead of saying that input "won't change your mind" try and stay open to responses prior to making a large personal and financial investment.

  • 0

    Spend some time shadowing before you make any serious decisions.

  • 0

    Interesting you are seeing more LPN jobs posted. Seems like most outpatient clinics are reducing the number of LPNs in favor of MAs.

  • 2
    HouTx and tacticool like this.

    Life in the Fast Lane has great EKG reference material.

    Remember EKGs are electrical so has nothing to do with murmurs.

  • 0

    Quote from Buyer beware
    And while I'm at it, SHAME on the nurse practitioners that REFUSE to take NP students under their wings.
    The vast majority of NPs that don't take students is not due to personal preference rather their facility policies. Many NPs that do take students are selective in whom they take and where they take them from.

    I don't have any "bitterness" to those NPs that choose not to take students as it decreases productivity and ultimately their bottom line. On the opposite side, I don't think all NPs should take students, especially novice NPs.

    How long have you been a practicing NP? In what setting? How many students do you take per semester? From any school?

  • 4
    scprncess, LadyFree28, Lisa.fnp, and 1 other like this.

    Quote from avengingspirit1
    It was supported and backed by grants and funding mostly from the AACN. If you can't figure out how they benefited from the pre-determined and paid for results, then I know you're going to be in trouble when your organization downsizes. I presented the facts from the lie itself which you chose to ignore because you and your like-minded associates knew it was the truth. Just a couple to remind you: the data pool for the study on BSN staffing and mortality rates was used for an earlier study about staffing levels and mortality. The information was just copied onto another template for the BSN study. The authors then said they would simply factor out the results from first study for the subsequent study. It wasn't even an original study. They only applied data that was first manipulated 133 times (according to the authors’ own admission) to hypothetical situations, not real conditions. They ran the data through a logistical regression model to see what might happen in a hospital if it had a 10% increase of BSN nurses. They did not even attempt to compare the relative levels of RN education in real hospital situations; which is supposed to be the reason for the study in the first place. Just those two facts alone render the fabrication (I won't even call it a study anymore because there was nothing scientific about it) worthless. And above I've shown that JAMA is not the scientific trust-worthy organization they were held out to be. You can continue to be venal and ignore the facts in front of your face. I know your wife has worked for a college and your probably still getting some kind of tuition reimbursement through some school affiliation. I still remember three years ago when you were bragging in a smug way about whether to go for a doctorate in psychology or the DNP. You did so because you knew you wouldn't have to pay the full tuition. That was on a different thread. I never cared about your opinions. I care about the plights of real working nurses and patients and getting the truth in front of them. These are the nurses in their 40ss and 50s who have demonstrated expertise along with certifications in specialty areas of nursing who are being told by idiot nurse managers and administrators that they must go and spend $15,000 to $20,000 to write APA papers on nursing theory so a bunch of portly middle-aged nurses in academia and on boards can have positions till they retire. The BSN deception is unraveling on it's own as most lies do. Myself and others are just expediting the process.
    It was funded almost entirely by a grant from the NINR which is a division of the NIH with additional funding from the RWJF.

    They used extant survey data, what's the problem with that? Hundreds of studies a year use data from surveys like the NAHANES. That means nothing for validity of a study. Again, take some classes so you can understand.

    I don't think you really have any understanding what "manipulation" means in the context you are using it. Of course data is controlled for other factors. It has to be in order to study a single variable. And you are talking about an entirely different study with the 10% model.

    I have no idea what you mean about "real" versus "hypothetical" hospital situations. It doesn't make any sense.

    JAMA is one of the most trusted scientific journals in the world. If you don't like the results then please keep ready your conspiracy theory blogs. Just don't cite them here as "evidence".

    You insult others education because our haven't finished anything on your own. You can continue to call names and dismiss others but the vast majority of others here have invested in themselves and have accomplished that which I am sure deep down you wish you had.

    And to be very clear, my wife works in an undergrad institution that does not have a nursing program and in no way involves my education. I worked for or paid for all of my education. Just like you should have. It's never too late.

  • 3
    Lisa.fnp, LadyFree28, and elkpark like this.

    Quote from avengingspirit1
    The conclusion that BSNs save more lives and are better nurses is an outright deception. Anyone who believes this this deception should also believe that someone with a doctorate in nursing would provide the ultimate in patient care.
    Again, cite some legitimate sources (not blogs or forum posts or opinion pieces). If you are so passionate about this, why not invest in some research classes so you could better understand what you are talking about.

  • 3
    Lisa.fnp, LadyFree28, and elkpark like this.

    Quote from avengingspirit1
    The Aiken and report and everything related to it were just promotional pieces backed and funded by the very institutions that stood to benefit. No amount of academic BS jargon will change that fact. That researcher hit the nail on the head with his critique and people like you can't stand that. Again, I'll do what I must. And you're right; the same phony data was laundered and recycled to be used again in many other unscientific printings that would have made P.T. Barnum proud.
    Who do you think funded the Akien study? And how exactly do they benefit from the results?

    Again, there is you and your ranting on one side and the full breadth of the extant scientific data on the other side.

  • 2

    The relationship might not work out. The job might not work out. Live in the moment, go for it.

  • 3

    It's never just one thing at a time!

  • 3
    LadyFree28, emtb2rn, and elkpark like this.

    Quote from avengingspirit1
    I had you pegged three years ago; someone who they them-self or spouse works for academia and someone who didn't have to pay for their higher education.
    I actually paid quite a bit, probably more than you did for your education. It was by no means "free".

    You can make as many personal attacks as you'd like, but it doesn't change the fact that on one side is a plethora of scientific evidence and on the other side is you and your anecdotes.

    Calling the full scope of scientific data a "lie" because it doesn't support your agenda does not make it true. You cited a forum post as your evidence. That forum post addressed concerns about a single study; those concerns noted are conjecture, they are not substantiated. This data has been replicated more than a dozen times both nationally and internationally and published in major peer-reviewed publications. The OP of that post went on, in 2007, to say "this flawed and un-reproducible study is worthless" yet it has been reproduced more than a dozen times by different authors in different countries using different designs.

  • 3
    scprncess, emtb2rn, and LadyFree28 like this.

    You didn't answer the questions, let me detail them for you:

    You are very concerned with who we all paid for our degrees. Did you lose your job due to not having a BSN?

    You mention you are "too busy" with your job. What is it that you do?

    Do you believe in chemtrails?

  • 4
    scprncess, emtb2rn, TiffyRN, and 1 other like this.

    Quote from avengingspirit1
    And this coming from someone who may have had their NP program partly if not all paid for without having to pay back loans like most of us.
    I was on an academic scholarship for half of my masters tuition. My doctorate was done largely using academic credits from precepting NP students. What's your point? My personal education, which took a tremendous amount of work and sacrifice, has nothing to do with the overwhelming scientific data being presented as I had no role in any of it. Your personal story I bet does play into this little discussion as you only post anecdotal "evidence".

    Quote from avengingspirit1
    On allnurses, I have given you sources from Time, The Standard, Nurse.com, The AACC just to name a few.
    Exactly. Those are editorials. They are not scientific studies and are not peer-reviewed. They are opinion pieces. This is where classes like research methods benefit nurses.


    Quote from avengingspirit1
    Again, the only garbage you have tried to peddle was from those organizations that stood to benefit.
    Right above this post I just cited five more multi-national studies that have been published in the past 2 years. They are all peer-reviewed studies.


    Quote from avengingspirit1
    You obviously have not read the critiques of the Aiken study because that is the biggest piece of pseudo junk science out there next to global climate change.
    This statement is just more evidence of your conspiracy theorist bias.


    Quote from avengingspirit1
    i was told that if I oppose the BSN push, these representing academia would come out like flies swarming to excrement.
    By who? And in this analogy you are the what....



    Quote from avengingspirit1
    The behaviors of yourself and those associated with big education was not only predictable but expected. i have been talking to those in the media but I don't have a staff or starry-eyed students i can get to do some of my work. So I can't devote all of my time doing research like you as I have to make a living.
    Yes, the behaviors of scientists are always predictable by looking at the data. What exactly is your job? My job is clinical practice, not academia or research.


    Quote from avengingspirit1
    Everything I sad was the truth and you all know it which is why you keep responding on this site to do damage control.
    Yes, they ('big education') pays me my shill bucks to confront pseudoscience on the internets. You have done zero "damage" and you have flapped your arms and shouted about your opinion but have spoken not fact or truth, at least in a scientific sense.

    Quote from avengingspirit1
    We'll see who who has more to lose in the long-run. Two things I know for certain, people are sick of big government and sick of over-priced education.
    I still have my job, it pays really well, and I love it. Plus the shill bucks.

    People are also sick of chemtrails and vaccine-population-control.


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