Now I get why experience means everything yet nothing - page 6

by bsnanat2

16,638 Views | 106 Comments

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... Read More


  1. 1
    Quote from Guttercat
    Thank you for that. I needed to hear it.
    Well tis true. People such as yourself prompted me to want to become a nurse. I will never forget the kindness and compassion shown to me by nurses when I was sick.

    I prefer the nursing model. I find the medical model to be a bit dehumanized. However, I hear this is changing and that med schools are placing much more focus on treating patients as humans and are working hard to improve bedside manner etc.....

    The answer probably, like all things lies somewhere in the middle.
    Guttercat likes this.
  2. 3
    Quote from mindlor
    I had a lengthy conversation with the dean of the FNP program at Columbia University. Her opinion is that every day working at the bedside is time and money lost......

    Just sayin
    Yes, time and money lost for THEM. <snort>

    I don't trust a word that comes out of any school administrator on the nursing shortage, on career opportunities for nurses, and how much bedside experience you need to become an NP.
    Purple_Scrubs, SHGR, and Guttercat like this.
  3. 1
    Quote from mindlor
    It will come down to personal preference for you. Do you prefer the nursing model or the medical model.

    To further complicate things, I am hearing rumblings that NANDA and nursing diagnoses may be going away relatively soon as studies have shown that this terminology confuses patients and causes issues with the delivery of care. The suggestion was that everyone get on the same page in regard to terminology.....we shall see.

    I haven't seen "nursing diagnoses" used in years at my workplace. Worthless and idiotic they are..."Potential for Infection..." Duh.

    However, they have not been done away with. No, they've merely been disassembled and then clumsily integrated throughout the unending and exponentially growing burden of hoop-jumping and check-boxes in any given E-chart .
    Rizz likes this.
  4. 0
    Quote from mindlor
    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.......

    Actually...no.

    Depends on state law. Something I'm trying to mete out in terms of the future.

    Again, nursing has sheer numbers and lobbyists on its side.
  5. 2
    Quote from Guttercat
    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."
    As a voracious reader of medical blogs - it would seem that patients very often see a nurse practitioner who works in a specialty team also have the positive attributes associated with nursing. Working in areas like oncology or nicu they are seen as more accessible, willing to spend more time explaining things, and able to help navigate the bewildering labrynth to those who are newly diagnosed and just lost, but not have to say "let me check with the doctor and get back to you" either.

    There are a lot of factors to consider. As I said earlier, I saw a transition period where many nurses felt ready to grow and expand beyond the bedside or unit manager roles, basically create these jobs for themselves and figure out what to call it later. Their roots in traditional nursing were deep, though. Maybe I subconsciously related it to that. Again, sorry for any misunderstandings!
    myelin and Guttercat like this.
  6. 1
    Hey Nursel56,

    I appreciate your comments. Usually, when people make disparaging remarks about NPs w/o RN experience I get all frustrated, but you've provided some interesting context for your comments. Still, as a DE NP-to-be, I've gotta say, these programs aren't going anywhere. And as others have already stated, some truly excellent nursing schools (Yale, Columbia, UCSF, Boston College, Penn, etc.) all have DE programs. It's true that the market can be tight, but that really depends on your specialty. I'm going into psych and everyone has told me I'll be able to write my own ticket. Haha, I guess I"ll see in 3 years...
    nursel56 likes this.
  7. 1
    Quote from nursel56
    As a voracious reader of medical blogs - it would seem that patients very often see a nurse practitioner who works in a specialty team also have the positive attributes associated with nursing. Working in areas like oncology or nicu they are seen as more accessible, willing to spend more time explaining things, and able to help navigate the bewildering labrynth to those who are newly diagnosed and just lost, but not have to say "let me check with the doctor and get back to you" either.

    There are a lot of factors to consider. As I said earlier, I saw a transition period where many nurses felt ready to grow and expand beyond the bedside or unit manager roles, basically create these jobs for themselves and figure out what to call it later. Their roots in traditional nursing were deep, though. Maybe I subconsciously related it to that. Again, sorry for any misunderstandings!
    No misunderstandings on my part, and thank you for your insight and thoughtful posts.
    nursel56 likes this.
  8. 1
    Thanks myelin - and I don't think DE programs should be abolished, lol. Best wishes to you.
    myelin likes this.
  9. 4
    We are NOT mid-level providers, Please expunge that word from your vocabulary.


    http://www.aanp.org/NR/rdonlyres/5AC.../0/AANPMLP.pdf
    Rizz, Tinabeanrn, myelin, and 1 other like this.
  10. 1
    Actually yes. There is NO state that allows PAs to practice independently. Many states allow NPs to practice independently.

    I'm not saying one is better than the other but that is just the way the laws are.

    Quote from Guttercat
    Actually...no.

    Depends on state law. Something I'm trying to mete out in terms of the future.

    Again, nursing has sheer numbers and lobbyists on its side.
    Guttercat likes this.


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