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| No. 40 | 
Sep 06, 2009, 04:02 PM
 Re: Entry into Practice: Direct Entry MSN Programs
Anise,
I think a direct entry psych NP program would be lucky to have you. And when you're done please come to Boston and work at my health center!!! Seriously, I wish you the best in whatever field you decide to pursue.
 | | Advertisement Sponsored Links | | | | No. 41 |
Sep 06, 2009, 05:30 PM
Re: Entry into Practice: Direct Entry MSN Programs Originally Posted by Anise1  !!!! (ahem) Where on earth are you?
Some days, it's just hard. I went back to school after several years with half an undergraduate degree; I had no family support whatsoever, many years of rehab after a near-fatal car accident where I had broken almost every bone, suffered neurological damage, and gone through 10 operations, and many people predicted I would never make it (I wasn't sure I would either). I got through and went all the way to graduating with a masters' degree... and then, nothing. 75 people in the class, and very few have a job except for those who were kept by their internships. Everything was going so well at mine (a large mental health provider), my hopes were high, and then, on literally the last day of the internship, over 1/3rd of the employees were laid off. So that was that. Thanks for letting me vent a bit. 
Nothing will ever make me give up, but I've always known that I would go on to additional higher education eventually-- it's just that I now believe it will not be a PhD in social work. If I can eventually work most effectively with my chosen population facilitated by something like a direct entry program, then I'll choose that.
Wow---what an inspirational story. I certainly hope either you find something in social work or do the ELMSN for psychiatric NP. I certainly think you will be an asset to whichever field you eventually enter.
Thank you for sharing. 
I think a lot depends on the individual who is going through an ELMSN program. I have learned a great deal from the posts from the current and prospective students choosing this particular path.
| | No. 42 |
Sep 06, 2009, 11:53 PM
Re: Entry into Practice: Direct Entry MSN Programs
BCGRADNURSE
If you want to see examples go to any Medical College Hospital settimg and See even the New MD starting in June each year. As you stand there and watch the Live Reality you will see all the Mistakes they make and what they have not grasp or been exposed to before. You will see their Peers, yes their Peers come and rescue the patient. DO no Harm! I do not know how you have a conscious to think a new EFP can hit the office acting as ARNP in Family Practice. We all Feel the same.
I was in Risk Management for Years and still work in Critical Care Arena I can not begin to tell the you Incidences that ARNP and MD have made and the other hand the Great Achievements they made.
I do not trust the medical judgement ENP practicing right out of college with no Healthcare experiance as a PA or RN or MD. FIU has a Program for Physician MD to BSN then MSN ARNP.This is my final note on the topic with you with input from a very wise and Intelligant Group of Nurses and a NUC MED Manager.GB >30yrsRN
| | No. 43 |
Sep 07, 2009, 06:03 AM
Re: Entry into Practice: Direct Entry MSN Programs
I have a quick question for those in DE MSN programs that do not award a BSN at the halfway point - If you do not go on to finish the program after completing phase 1(i.e., do not get the MSN at the end), do you keep your RN license or are you required to give up your RN license after a certain amount of time? Just curious...
| | No. 44 |
Sep 07, 2009, 08:16 AM
Re: Entry into Practice: Direct Entry MSN Programs Originally Posted by VickyRN I have a quick question for those in DE MSN programs that do not award a BSN at the halfway point - If you do not go on to finish the program after completing phase 1(i.e., do not get the MSN at the end), do you keep your RN license or are you required to give up your RN license after a certain amount of time? Just curious...
Oh, you keep the license absolutely. You just don't have a degree to support it. There are a handful of people from my program that aren't planning to go further at this point. One of them is now enrolled in another program to get her BSN. It's an odd position to be in to be a nurse, but to not have a BSN or associate's degree. I feel like many programs keep you from getting a BSN simply so they don't lose you. For example, my program was very expensive. When I started, I definitely wanted to go the Master's route since I already have a bachelor's. So even though traditional BSN programs were cheaper, my school seemed the better choice. By the time I completed phase one of my program, I had at least the equivalent of a BSN since I already had 4 years of college and research behind me, but I wasn't given a BSN. Had I chosen to stick with bedside nursing and not take out more loans to complete phase 2, then I would be stuck...licensed, but degree-less. And with more debt than I would have had from a BSN program (already).
So, programs that offer the BSN are nice in that you have that flexibility. As far as I know, all DE MSN programs are painfully expensive. I will be in debt for many years.
| | No. 45 |
Sep 07, 2009, 08:23 AM
Re: Entry into Practice: Direct Entry MSN Programs Originally Posted by >30yrsRN BCGRADNURSE
If you want to see examples go to any Medical College Hospital settimg and See even the New MD starting in June each year. As you stand there and watch the Live Reality you will see all the Mistakes they make and what they have not grasp or been exposed to before. You will see their Peers, yes their Peers come and rescue the patient. DO no Harm! I do not know how you have a conscious to think a new EFP can hit the office acting as ARNP in Family Practice. We all Feel the same.
I was in Risk Management for Years and still work in Critical Care Arena I can not begin to tell the you Incidences that ARNP and MD have made and the other hand the Great Achievements they made.
I do not trust the medical judgement ENP practicing right out of college with no Healthcare experiance as a PA or RN or MD. FIU has a Program for Physician MD to BSN then MSN ARNP.This is my final note on the topic with you with input from a very wise and Intelligant Group of Nurses and a NUC MED Manager.GB >30yrsRN
I think BCgrad can actually tell YOU what it's like to be new and in this position, since she's already doing it. You haven't done this before. What you've seen is only that--what you've seen. BCgrad has the experience in this case. You do not. FIU has a Program for Physician MD to BSN then MSN ARNP.This is my final note on the topic with you with input from a very wise and Intelligant Group of Nurses and a NUC MED Manager.GB >30yrsRN
What does this mean?
| | No. 46 |
Sep 07, 2009, 08:45 AM
Re: Entry into Practice: Direct Entry MSN Programs
So let me see if I have this right......nobody right out of school should be allowed to practice because they make mistakes...this includes RNs, MDs, PAs, NPs, PTs, etc. Again, you're not presenting concrete examples. And can I assume you have never made a mistake in your 30+ years of practice? You and your colleagues may be experienced and intelligent, but I don't think you speak for everyone in the nursing/medical world. Being stuck in the past and not being open to change and new ways does a disservice to your patients. I'm not sure where your bitterness and resentment is coming from, since you haven't yet given a specific example of where a DE NP caused harm. However, your attitude has only further inspired me to work harder to be an exceptional NP. Not because I have something to prove to those like you, but because that's what my patients deserve.
| | No. 48 |
Sep 07, 2009, 11:34 AM
Re: Entry into Practice: Direct Entry MSN Programs Originally Posted by >30yrsRN BCGRADNURSE
If you want to see examples go to any Medical College Hospital settimg and See even the New MD starting in June each year. As you stand there and watch the Live Reality you will see all the Mistakes they make and what they have not grasp or been exposed to before. You will see their Peers, yes their Peers come and rescue the patient. DO no Harm! I do not know how you have a conscious to think a new EFP can hit the office acting as ARNP in Family Practice. We all Feel the same.
I was in Risk Management for Years and still work in Critical Care Arena I can not begin to tell the you Incidences that ARNP and MD have made and the other hand the Great Achievements they made.
I do not trust the medical judgement ENP practicing right out of college with no Healthcare experiance as a PA or RN or MD. FIU has a Program for Physician MD to BSN then MSN ARNP.This is my final note on the topic with you with input from a very wise and Intelligant Group of Nurses and a NUC MED Manager.GB >30yrsRN
Well-- I really hope that this isn't your final note on this topic, because I think there are plenty of questions to still be answered if you would be willing to share from your experience.  For instance, the OSHU DE program is for psychiatric (and midwife) NP's only. (Midwifery isn't my area of interest, though, so I'm not even going to try to speak to that.) Even without knowing much about it and coming from an MSW's POV, I might agree with you about the MD example. I really don't know enough to say. I will have to leave it for others to judge and to speak to. But it seems to me that in any case, this would not apply in the same way to psych NP's-- not for those who already have considerable psych experience, and I am a psychiatric social worker. I think that there may be a reason why OSHU does it this way, although I can't say anything about what other programs do. But even if we say just for the sake of argument that your objections to other programs are valid, why paint the OSHU type of program with the same brush as the others?
| | No. 49 |
Sep 07, 2009, 01:25 PM
Re: Entry into Practice: Direct Entry MSN Programs Originally Posted by Moogie You have a very professional-looking blog!
Thanks! I just redesigned it a couple months ago. Originally Posted by Moogie I hope you don't think I'm nosey but I am curious: what got you interested in midwifery in the first place? Would you mind posting a little bit about your program?
I graduated from college several years ago. I was working in my field but somehow (I don't remember the precipitating factor) I got really interested in pregnancy, childbirth, natural living, etc. I became a Lamaze childbirth educator and at first, I thought I wanted to be a physician (OB/GYN). However, while I was applying to and preparing for medical school, I couldn't shake the idea that the philosophies I was teaching through Lamaze exemplified optimal maternity care and that modern obstetrical care was lacking. Through my experiences and training I became more convinced that the midwifery model of care was superior and so I switched my focus to midwifery.
My program is a 3-year DE APRN program. Among the roughly 87 students- 12-15 of us are future midwives. The remaining students are future FNPs, ACNPs, PNPs, and more. The first year is focused on nursing. My school is very direct and let us know that they are providing us the information that is crucial for Advanced Practice Nursing. Makes sense because upon completion of our program, we will be employed APRNs, not RNs. This school does not award a BSN- only an MSN. The second and third years are the specialty years during which your clinical hours are focused on your specialty. Originally Posted by Moogie Keep in mind, I am still skeptical of DE programs that prepare non-nurses to become clinical specialists, clinical leaders or nurse educators---but I would like to learn more about the DE NP programs because, for some people, they might be an excellent way to achieve their career goals.
Don't worry- I have no interest in trying to change your mind. Originally Posted by Moogie Learning more about the DE NP programs from students actually in those programs might make them a little less intimidating or controversial to those of us who went different educational routes.
And this is what I think it comes down to - RNs and traditionally trained APRNs feeling Intimidated. I can't understand the sentiment as I am not in your shoes. But, from where I am standing, IMO it doesn't make sense. We should be able to work together even though we had different educational pathways.
I can't speak for the other APRN specialties, but from my limited observational experience, it doesn't seem as though being a midwife is "the next step up" from being an L&D nurse. They are two different things. Two different roles and in my experience L&D nurses are often more aligned (in terms of philosophy) with OBs. And as we know, midwives are not OBs. Originally Posted by Moogie Thanks! And the best to you as you start your program.
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