What do you think about... - page 2
What do you think about nurses who become nurses just for the sake of becoming a nurse practitioner? Do you think one must enjoy being an RN in order to make a good nurse practitioner or do you... Read More
Jan 15, '05I'm in a direct entry NP program. For those that don't know, it's an accelerated program designed for people with non-nursing/medical degrees to come back to graduate school and become RNs and NPs.
MOST of the tracks do not require any working time as an RN prior to the NP clinicals and other advanced classes. But, most of those tracks are office care focused. I guess it's not as big of a deal there potentially.
My track (NNP) requires two years in the NICU before you can do any of your advance practice coursework. (I think that may be a national requirement) I am consistently surprised by the number of people who are put off by that, but I'm thrilled - this program was actually the way for me to get my RN the fastest, and the opportunity to become an NNP is icing - nursing is my first goal.
I would think that especially in any high acuity setting, there would be a benefit to having hands on experience as a nurse prior to taking the NP coursework.
Jan 15, '05Quote from FutureRN-PAI love it now... and yes it was worth it, but it certainly was a miserable experience.Every one has their opinions about nursing and reasons for going into nursing. No offense taken on my part. One last question...if you don't mind. Are you satisfied now in your field? Was all the nausea worth it?
Jan 15, '05Quote from stbernardclubYes. Yes. Yes.You wanted to learn more about ekg's, xrays and surgery Nursing stuff is crap????? So you are a N.P.?????
Jan 16, '05The entire reason I became an RN was to become an NP
I personally don't think that there is anything wrong with wanting to be an advanced practice nurse from the getgo. So what? Some people know what they want early on.
At the same time, I do enjoy the role of the RN, I just always knew I would never stop there (not that there is ANYTHING wrong without getting your MSN)
Jan 16, '05Quote from blueskySeveral reasons.So why didn't you just go to Med school, then?
1. (850/yr compared to tens of thousands a year).
2. No long, moneyless, work-your-a$$-off-for-pennies residency.
3. Started practicing as NP 6 years before I would've started as MD out of residency (get to start living normal life much earlier).
4. Saved about $900,000 in lost income/tuition/interest between now and the time that I would've got out of residency.
5. In primary care, I would've made the same amount of money I'm making now (especially as an employee). Soon, I'll make more than average PCP doc makes.
6. I have a baby girl, and don't want anything (including career) to come between us.
7. As NP (in my particular situation) I have no call, no weekends, no holidays, 40 hours/week.
Those reasons above made it an easy choice for me. Now, I'm fresh out of school and loving every minute of it. No regrets.
Jan 16, '05Thanks for your honest posts cgfnp...I don't think that make you anyless caring. IMO alot of the stuff they teach inIS crap. I don't think nursing is crap but there is alot of emphasis on the "touch feely, I love you, you love me" aspect of it and not as much on the scientific. Nurses...have to be very up on the "medicine" aspect of things as well. I think that is why when the general public thinks of nurse they think mostly of hand holding and hugs...I don't think the general public is truly aware of what nurses actually do and are responisble for...sorry for the rambling
Jan 16, '05Quote from jennyRNnicuvery true... I think the term "nursing" should be thrown out and RNs should be titled "Physician Guards".Thanks for your honest posts cgfnp...I don't think that make you anyless caring. IMO alot of the stuff they teach in nursing school IS crap. I don't think nursing is crap but there is alot of emphasis on the "touch feely, I love you, you love me" aspect of it and not as much on the scientific. Nurses...have to be very up on the "medicine" aspect of things as well. I think that is why when the general public thinks of nurse they think mostly of hand holding and hugs...I don't think the general public is truly aware of what nurses actually do and are responisble for...sorry for the rambling
Jan 16, '05There may be several benefits if the profession changed its name. I was driving one day and saw a car with a vanity plate that said "I LV 2 TCH." This was obviously a proud teacher and that made me imagine how I could do the same thing with the nursing profession, but I envisioned the wrong first image: "I LV 2 NURS."
Jan 17, '05Hi...I haven't read the replys to this posting in detail, but I wanted to give you the perspective of someone who started in an accelerated program, but stepped back a bit.
I started in a masters-entry program for the FNP. I did my research, and really thought that I would be sucessful as an FNP even if I had minimal RN experience (I planned to work as an RN while I studied the masters-level stuff.)
However, as things progressed, I ended up practically begging my institution to give me a BSN and allow me to take some time off from school to pursue to the RN aspect of nursing (which they did). There were a few reasons why this occured, but the biggest was that I fell in love with emergency nursing and, at the same time, felt so utterly clueless about nursing and health care in general that I decided that I wanted to get some experience under my belt. (The fact that every hospital in the area wouldn't hire me in the ER if I were to continue school was the final kick in the butt in that direction.) I've been working in an ER for the last four months and love it.
I still plan to go back to FNP stuff, but I'm in much less of a hurry. Even though I was prepared to do the FNP program, I really do think that I will be much much more confident and qualified to tackle primary care after my experience in the ED. And I think that this confidence is going to make me a lot more happier in the long term. I hate to admit it, but I do feel now that the learning curve might have been a little too steep for me if I had done the program straight through. (These feelings come from someone who considers herself pretty intelligent, but also someone who is deathly afraid of screwing things up--especially when people's lives are at stake.)
So, this is just a few things for you to think about. Personally, I still think it's possible to do the direct-entry stuff, but it didn't sit particularly well with my perfectionist personality. Life and my own personality has steered my career in an unexpected, but welcome, direction. I'm extremely happy, even if things aren't going quite as planned.
Jan 17, '05Quote from blueskyVery good point. Only an educational program that provided sufficient clinical education could do the job well -- and most do not. Either that or the employers should take the lack of clinical experience into consideration when developing positions, planning orienation and staff development programs, etc. The vast majority assume an NP has the experience and are not prepared to provide that much nurturing of a new grad with so little experience.Well, I guess a great program can create an environment in which a student learns the fundamental values of nursing. But then you're left with the clinical question. ........ Whereas Doctors have years and years of supervised training AFTER school, NPs only have clinicals and a paltry mentorship. This is why practice as an RN is so heavily valued when assessing the CV of an NP.
I know someone who did a direct enty Neonatal NP program. She chose to practice as a staff nurse for a couple of years before taking the NNP exam and actually practicing as an NNP. I respect her for that. She was very honest and realistic about what she could and could not do well.
llgLast edit by llg on Jan 17, '05
Jan 17, '05You shouldn't get "flamed" for this one. I agree. My experience as an RN before becoming an NP has only enhanced my practice. I am a better NP because of the experiences and knowledge I have had while being a staff RN. My RN experience is priceless, I learned things that none of my graduate courses could have ever taught me. I'm not saying that one can not be a good NP without being an RN first, my point: it's an added benefit.
Jan 29, '05The reason I choose to see NPs is because I hope they have a different attitude than PAs and physicians. They have been there on the patient side. I always ask the office staff if the NP I am planning on seeing worked as a nurse first and for how long. I don't want to see someone who just want to school to be an NP. They often don't know, but will get back to me with the answer.
Given the choice of an MD and a NP with no nursing experience, I will take the MD. At least I know he did a lot of hours of residency. I know that nurses aren't diagnosing, etc when working as a nurse, but they are still gaining the experience and are oftentimes quicker to diagnose something than the docs who are taking care of the patient because they are there all day long with their patients. Someone who goes to NP school just doesn't have those instincts or experience, IMHO.