Now I get why experience means everything yet nothing

Specialties NP

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Now I finally get why nursing experience can prove invaluable in NP school, yet actually means nothing. It appears that nursing experience gives a valuable base from which to relate but does absolutely nothing for helping one think through a disease process as a provider. I may be simply stating the obvious, but I am amazed at how different the two roles are. I am be no means an old pro, but some conditions I can take care of in my sleep - as a nurse. As a potential provider though, even a simple cold is not so simple. It is amazing how a myriad of disease processes and conditions can present with mostly the same symptoms, only differentiated by some seemingly obscure item in their history. I can see how some are making a mistake in pursuing a NP degree though. Listening to them, what they really want is to further their bedside nursing career. A degree as a NP CHANGES your career, not furthers it. The confusion manifests itself in the struggle to move away from the bedside nursing thinking process, to that of a provider. We all have that struggle, but some seem to not realize that their struggle is not with the material, but the role itself. All that being said, I love NP school. I can see one why, generally, a couple of year's experience nursing is good but also why decades of experience is not necessary. It truly does come down to the individual.

Specializes in Peds/outpatient FP,derm,allergy/private duty.

BCGradnurse -

I'm sorry for offending you with my post. I probably should've explained better what I meant. I was around when the nurse practitioner movement started. Back then it was the years of experience as a nurse that prepared one for a unique and expanded role as a practitioner. It has evolved since then but the name has stayed the same. What does the inclusion of the word mean to you if you've never worked as a nurse, though? I don't ask that out of hostility. I'm just curious.

To Nurse56,

Little schools such as Vanderbilt, Columbia University, Yale, Duke, Case Western, Johns Hopkins and many many more have direct entry or RN-MSN programs that require zero bedside nursing experience....

Your beef should be with the NLNAC that sanctions these programs.

I'm currently deciding between PA vs ANP route. I've been an RN for 19 years.

It just torques me off that I spent all these years in the trenches... and for what? :)

Appreciate your links here, and thanks.

My pleasure :) I am glad someone found them to be useful. There are hundreds more top schools that have such programs.

Specializes in PDN; Burn; Phone triage.

(they do very well bTW, with 6 figures to start being common, dependent upon geographic location.)

You mean depending on whether or not they get a job?

The new grad NP job situation is even worse here than it is for new grad RNs. Anecdotally, even worse for direct entry folks because they don't have the reference base that nurses who "put in their time" have. Although, let's face it, the mandatory bedside time is just nursing's desperate attempt to make the NP position look more than "I couldn't get into med school or didn't want to go med school but I still want to be a doctor."

I'm currently deciding between PA vs ANP route. I've been an RN for 19 years.

It just torques me off that I spent all these years in the trenches... and for what? :)

I will tell you for what.

How many lives did you change? How many times were you there for people in their deepest darkest hour of need? Those 19 years were WELL SPENT.

But, times, they are a changin

You mean depending on whether or not they get a job?

The new grad NP job situation is even worse here than it is for new grad RNs. Anecdotally, even worse for direct entry folks because they don't have the reference base that nurses who "put in their time" have. Although, let's face it, the mandatory bedside time is just nursing's desperate attempt to make the NP position look more than "I couldn't get into med school or didn't want to go med school but I still want to be a doctor."

Can you please link your reference that cites the difficulty new grad NPs are having finding work?

Thanks

The biggest and probably most significant difference between an NP and a PA is that an NP can bill medicare directly. A PA cannot.

Obamacare and its estimated effect on NPs and PA's

Health Care Future Bright for Nurses, Stinks for Doctors - Forbes

BCGradnurse -

Back then it was the years of experience as a nurse that prepared one for a unique and expanded role as a practitioner. It has evolved since then but the name has stayed the same. What does the inclusion of the word mean to you if you've never worked as a nurse, though? I don't ask that out of hostility. I'm just curious.

Yes.

NP's are as busy overcoming the word "nurse" as PA's are busy overcoming the word "assistant."

There's been a longtime, heated movement within the PA realm to change their title to "Physician Associate." MD's do not like it, as the term "Physician Associate" is too close to home, and thus it has been shot down.

Nurse Practitioners have a similar battle in public consciousness...that of getting rid of the stigma of the word "nurse." In other words, "can I start your IV and fetch you some pillows while I perform a full-on, differential diagnosis? Oh and btw, you have a pheochromocytoma."

Yes.

NP's are as busy overcoming the word "nurse" as PA's are busy overcoming the word "assistant."

There's been a longtime, heated movement within the PA realm to change their title to "Physician Associate." MD's do not like it, as the term "Physician Associate" is too close to home, and thus it has been shot down.

Nurse Practitioners have a similar battle in public consciousness...that of getting rid of the stigma of the word "nurse." In other words, "can I start your IV and fetch you some pillows while I perform a full-on, differential diagnosis? Oh and btw, you have a pheochromocytoma."[/quote

Not sure this will ever change as becoming an RN is imperative to become an NP.......

As for PA's

They are assistants in every sense of the word.

In fact, a PA cannot practice independent of a Physician.

In many instances NP's practice independently.......

The biggest and probably most significant difference between an NP and a PA is that an NP can bill medicare directly. A PA cannot.

That may change as the ACA plays out.

That's my conundrum...deciding which route to take in light of rapidly changing definition and scope of practice..

Nursing has the advantage in sheer numbers and lobby representation, but PA's have the (perceived) advantage in the medical model training.

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