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OneDNP 1,552 Views

Joined: Sep 19, '12; Posts: 7 (43% Liked) ; Likes: 5

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  • Dec 1 '12

    I am a former CNS. I think the CNS role became doomed years ago when people tried to merge it with the NP role. By blurring the lines between the two roles, it made the NP role the more attractive of the two. CNS students decreased in number ... schools focused more on the NP role ... and gradually, the CNS role as a unique role in hospital-based nursing practice became an easy target for budget-cutters. Add in the schools' creation of the CNL role ... and now the old CNS niche is being eroded from both sides.

    I made the switch to Nursing Professional Development years ago.

  • Dec 1 '12

    Elkpark beat me to it.

    I do not plan on practicing under the guise of being a doctor, whether I get a DNP down the road or not. I don't necessarily feel the need to do the nursing song and dance that we practice something ENTIRELY different and non-medical as NPs (there is overlap and we are performing similar, sometimes identical, functions for our patients), but we do have a different pathway that has been validated by many years of successful practice as part of the healthcare team. If I have a patient who wishes me to justify my training, I may give them some basic education but beyond that they are free to seek an MD. To fill a "gap" in training seems odd - if we make NP training into MD training then what's the point of having NP training?

    My feeling is, I will likely be taking more of the bread and butter patients in a practice so the MD can use their refined expertise to take on more complex cases. This will depend on the setting, the specialty, the patient population, etc. But really, lots of this will be on-the-job training. I see practicing newer MDs on a daily basis that don't know quite what they're doing. Med school doesn't really prepare them for practice - their residency and further experience does. For the NP, it's the clinical and the practice in their initial jobs. I am confident I will be able to care for my patients adequately once I get over my novice period. In some cases, maybe even better, as I don't believe I know everything or ever will - I will continue to learn, research, update my EBM, and respond to my patients' outcomes and needs.

    Why so much ire directed towards the very program you just completed? Well, not just the program as you may have justified reasons for being disappointed in it, but the profession as a whole? I'm puzzled that you chose an NP program if you feel it's inherently inadequate. I personally feel NP training is far from perfect, but it provides a practical way for me to advance my skills and care for my patients. My abilities as a provider will be founded on my schooling, but developed by continued mentoring and self-study as I move into practice.

  • Dec 1 '12

    Quote from mahaandai
    Adenium, how do you justify the quality of training to your patients when you tell them you have not been to medical school? The point is that there is big gap between MD and NP training, and that void has to be filled in NP schools by bringing more M.D., Ph.D.s in schools as faculties, clinicians and instructors.
    Advanced practice nurses do not have to "justify the quality of training" to clients on the basis on not having attended medical school. We are not educated as physicians, and we do not present ourselves to the public as having been educated as physicians. We are educated as advanced practice nurses, with our own, entirely separate system of education, licensure, practice, and regulation. Nursing schools do not use many physicians as faculty, and there is no reason to do so. We study nursing, we practice nursing, and we are eduated by nurses.

    It's not that there is a "gap between" physician and nursing education that needs to be filled; they are two different entities entirely. If there were some issue with advanced practice nurses' practice being unsafe due to inadequate education, there might be some point to be made here. But I'm not aware of any evidence suggesting that that is the case.