Nursing service reaches higher level with doctorate | allnurses

Nursing service reaches higher level with doctorate

  1. 2 nursing service reaches higher level with doctorate

    by debra erdley
    pittsburgh tribune-review
    monday, december 20, 2010


    when lisa bratton-henry graduated from the shadyside hospital school of nursing in 1986 as a registered nurse at age 19, she had no idea nurses could be "doctors."

    "never in a million years," she said.

    now a cardiology nurse practitioner, she was part of the first doctoral class in carlow university's 81-year history. she and nine others were awarded doctorate of nursing practice degrees during a ceremony friday night.
    about 120 schools nationwide offer the degree program, which was endorsed by the american association of colleges of nursing in 2006. unlike the older doctoral degree in nursing, which focuses on research as well as defining and developing theory, the doctorate in nursing practice program looks at advancing the practice of nursing and developing the profession's standing.

    carlow's program, which can be completed in 16 months, is not specifically aimed at turning out nursing faculty. however, clare hopkins, associate dean and director of the school of nursing at carlow, said there's hope some graduates will help ease the nation's critical nursing faculty shortage. in 2009, the national association said nursing schools turned away nearly 55,000 qualified applicants. two-thirds of the schools cited faculty shortages as a reason.

    carlow's first doctoral class represented a cross-section of the nursing profession, hopkins said. some were in management and administration, some in education and some, like bratton-henry, in specialty practices.
  2. Visit  tokidoki7 profile page

    About tokidoki7, RN

    Joined Jul '09; Posts: 432; Likes: 128.

    84 Comments so far...

  3. Visit  lindarn profile page
    27
    This is all very nice, that nurses are seeking doctorate degrees- but when is nursing going to take the plunge and increase the entry into practice to a BSN.

    We are the least educated of all the health care professions, we are the laughing stock of the health care professions. They earn more money than we do, enjoy more prestige, and respect, and CHARGE FOR THEIR SERVICES!! Their professional services are not rolled into the room rate, the complimentary roll of toilet paper, or the houskeeping. They have their own cost center.

    Am I missing something? Are nurses thinking out side the box, to what is attainable, and doable? And truly in the best interest of the profession. All the while, our professional practice is being sold to the lowest bidder. And our professional practice is being downskilled to HS dropouts. Is it any wonder that the public cannot understand what is being missed by the minimally educated, "nurse extenders? And most of you cannot even educate the public why they need, "educated", profesisonal nurses at their bedside, not HS dropouts, because you fight unionizIng, and have no control over your practice!

    JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW
    MyGenesis, Ayvah, green33, and 24 others like this.
  4. Visit  elkpark profile page
    9
    The usual PR "puff piece." That and $1.00 will get you a cup of coffee ...
    SharonH, RN, keldorn, mdfog10, and 6 others like this.
  5. Visit  ♪♫ in my ♥ profile page
    13
    And the ever-present drivel out of the nursing schools about the "nation's critical nursing faculty shortage."

    Thank heavens that 55,000 qualified candidates were unable to matriculate into nursing schools in 2009 due to a lack of faculty... that's 55,000 fewer new grads to be fighting over the scraps.

    I agree with Linda, however... I'd prefer to see more attention to raising the appallingly low minimum standards-of-entry than to creating doctor-nurses.
    DC Collins, ToxicShock, KeyMaster, and 10 others like this.
  6. Visit  d'cm profile page
    4
    "Unlike the older doctoral degree in nursing, which focuses on research as well as defining and developing theory, the doctorate in nursing practice program looks at advancing the practice of nursing and developing the profession's standing."

    i.e. you don't learn anything useful but you get those cool letters after your name? Well, at least they are spared the wisdom of that wackadoodle Watson.
    nursejoed, coast2coast, RN1980, and 1 other like this.
  7. Visit  chuckster profile page
    4
    This is all very nice, that nurses are seeking doctorate degrees- but when is nursing going to take the plunge and increase the entry into practice to a BSN.
    This is already well underway in many parts of the country. In my corner of the world (SE PA), there are very few institutions that will hire new-grad associate degree RNs and some are requiring ADN-RNs presently on staff to get their BSN as a condition of continued employment. The days of associate degree and diploma program RNs are clearly numbered.

    Despite that obvious trend, there are at least six Junior, Community College and diploma programs in the Phila area that are at capacity and continue to churn out RNs that may turn out to be unemployable. Given the present job market, the fact that a shortage of nursing faculty has resulted in 55,000 less nurses would not seem to be particularly bad news.
    KeyMaster, Lovely_RN, cherryames1949, and 1 other like this.
  8. Visit  RN1980 profile page
    2
    you certainly hit the mark with your post lindarn.
    cherryames1949 and lindarn like this.
  9. Visit  merlee profile page
    8
    It is not the fault of the student that there are still diploma and ADN programs. This topic has been on the table for about 40 years. It's the indecisiveness of the nursing community. (sigh)

    I have always wondered who wants to pay 30-80 THOUSAND dollars for an education to work nights, weekends, holidays, mandatory overtime, etc., doing all the physical labor and taking all the disrespect?

    Which nurses RUN for the door to higher education when the doctors yell at them, the pts or family members make demands, or after they miss a family occassion?

    And who stays in the trenches?
    ok2bme, kcmylorn, joyouter, and 5 others like this.
  10. Visit  Freedom42 profile page
    3
    I agree that the educational standard for entry to practice needs to be raised. But I don't understand your post, Merlee. Are you suggesting that nurses who seek graduate-level education do so to avoid, as you put it, being in the trenches?
    mdfog10, JacobK, and lindarn like this.
  11. Visit  bigsick_littlesick profile page
    5
    Quote from lindarn
    This is all very nice, that nurses are seeking doctorate degrees- but when is nursing going to take the plunge and increase the entry into practice to a BSN.

    We are the least educated of all the health care professions, we are the laughing stock of the health care professions. They earn more money than we do, enjoy more prestige, and respect, and CHARGE FOR THEIR SERVICES!! Their professional services are not rolled into the room rate, the complimentary roll of toilet paper, or the houskeeping. They have their own cost center.

    Am I missing something? Are nurses thinking out side the box, to what is attainable, and doable? And truly in the best interest of the profession. All the while, our professional practice is being sold to the lowest bidder. And our professional practice is being downskilled to HS dropouts. Is it any wonder that the public cannot understand what is being missed by the minimally educated, "nurse extenders? And most of you cannot even educate the public why they need, "educated", profesisonal nurses at their bedside, not HS dropouts, because you fight unionizIng, and have no control over your practice!

    JMHO and my NY $0.02.

    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW
    It would be nice if the state colleges would accept more students for BSN but with the economy right now, students are just happy to get accepted to the college in general. Every year it seems state colleges are cutting down classes and the amount of students they accept and then raising the amount for tuition. At Sac State, my friend got accepted after much uncertainty, and then from there, he was finally able to get accepted into their BSN program. I don't believe they were going to accept those who weren't already Sac State students like they did in the past before this whole economic mess came about.

    I guess it stung a bit when you said the nursing profession is being handed to HS dropouts... I know you didn't specifically say or mean that all current nursing students are HS dropouts but it just kind of irked me. I don't think there's any problem with a HS dropout wanting to better their life. I feel it's an unfair, somewhat elitist thing to say about HS dropouts is all. I'm not sure if you meant it that way or not, hopefully not I know I can't be alone in feeling this way.

    I work at a local hospital and a lot of my friends there who are nurses or are going into nursing were HS graduates, as well as I. Although, I do know a lot of nursing students who want that ADN and will be happy there. Not me though, one day, I want my doctorate in nursing, maybe teach one day! And no, I will not eat my young So before I or anybody else who shares my dream want to embark on this journey, it would be nice to get our foot in the door and get that ADN first if BSN isn't available. (I just got in after four years of waiting so I'm still doing my happy dance )

    Also, an example of an allied health profession that makes less money than nursing but still has to go through a two year program are rad techs. In the state of CA, median hourly wage for RN is 40.22 while it's 30.43 for rad techs according to labor market info on CA EDD website. Least educated? What about medical assistants, phlebotomists, nurse's aides, ER techs, respiratory therapists, etc? They may not make as much but they don't have to go through as much schooling. I still don't think they're the butt of jokes around the hospital. Just us housekeepers j/k

    Again, I can only speak about the area that I live in, but being an RN here, you are most definitely not the laughing stock, you do have lots of prestige and for the most part, nurses are actually respected by other people :redpinkhe
    PMFB-RN, ohioSICUrn, kanzi monkey, and 2 others like this.
  12. Visit  NewTexasRN profile page
    0
    What would these nurses will be called? Should we call them Dr....?
  13. Visit  lindarn profile page
    12
    Quote from Nakgirl84
    It would be nice if the state colleges would accept more students for BSN but with the economy right now, students are just happy to get accepted to the college in general. Every year it seems state colleges are cutting down classes and the amount of students they accept and then raising the amount for tuition. At Sac State, my friend got accepted after much uncertainty, and then from there, he was finally able to get accepted into their BSN program. I don't believe they were going to accept those who weren't already Sac State students like they did in the past before this whole economic mess came about.

    I guess it stung a bit when you said the nursing profession is being handed to HS dropouts... I know you didn't specifically say or mean that all current nursing students are HS dropouts but it just kind of irked me. I don't think there's any problem with a HS dropout wanting to better their life. I feel it's an unfair, somewhat elitist thing to say about HS dropouts is all. I'm not sure if you meant it that way or not, hopefully not I know I can't be alone in feeling this way.

    I work at a local hospital and a lot of my friends there who are nurses or are going into nursing were HS graduates, as well as I. Although, I do know a lot of nursing students who want that ADN and will be happy there. Not me though, one day, I want my doctorate in nursing, maybe teach one day! And no, I will not eat my young So before I or anybody else who shares my dream want to embark on this journey, it would be nice to get our foot in the door and get that ADN first if BSN isn't available. (I just got in after four years of waiting so I'm still doing my happy dance )

    Also, an example of an allied health profession that makes less money than nursing but still has to go through a two year program are rad techs. In the state of CA, median hourly wage for RN is 40.22 while it's 30.43 for rad techs according to labor market info on CA EDD website. Least educated? What about medical assistants, phlebotomists, nurse's aides, ER techs, respiratory therapists, etc? They may not make as much but they don't have to go through as much schooling. I still don't think they're the butt of jokes around the hospital. Just us housekeepers j/k

    Again, I can only speak about the area that I live in, but being an RN here, you are most definitely not the laughing stock, you do have lots of prestige and for the most part, nurses are actually respected by other people :redpinkhe
    You misunderstand my letter entirely. The health care professionals who I am comparing nursing to, is the health care professionals who require at least a Bachelors degree as entry into practice. PT, OT, SLP. RTs are an Associates degree.Period. There is no Bachelors degree in Respiratory therapy, Radiology technology.

    In the military, RNs have at least a Bachelors Degree, and are OFFICERS, as are PT, OT, SLP, and Dieticians. Respiratory Therapy, all forms of X-Ray techs, and LPNs are ENLISTED. Do you get the difference? The military does.

    Nurses need to see themselves as OFFICERS! That is why we need to have a Bachelors Degree as entry into practice.

    PT ASSISTANTS, have a TWO year Associates degree as entry into practice. RECREATIONAL THERAPY, who spend their career in the travel industry, Recreational Therapy for children, etc, has a BACHELORS DEGREE AS ENTRY INTO PRACTICE!!

    Doesn't it seem strange, the RNs, who have patients' lives in their hands, can enter the profession with a Diploma, or a two year Associates Degree? Who do think is behind the fighting to increase the entry into practice? Is doesn't take a rocket scientist to figure out who is behind the fighting to maintain the status quo.

    Folks, the PTB, are terrifed that nurses will one day join into a single entry into practice, of a Bachelors Degree, speak with one voice, and take over and control of our profession. Wresting it from the Insurance Industry, Hospital Administrators, and Management.

    We can then INSIST on staffing ratios, higher pay and better benefits, and most of all, TAKE CONTROL OF OUR PROFESSION!
    We need to take control of our professsion from the bean counters, and do what is best for nursing.

    And for the record, the public does not respect nurses, or we would not be treated the way we do. They may have voted us the Number One trusted professionals, but wait until we take control of our profession- demand higher pay, take control of patient management, and the daily hospital routine, limiting visiting hours so they do not interfere with patient care, no more turing patient care areas into a campground, refuse to put up with verbal abuse, and call police on threatening visitors, the tide would change.

    Also, my statement about professional practice being given to HS dropouts, I mean the practice of taking people off the street, and turning them into nurses aides, Med Techs- giving them the PROFESSIONAL PRACTICE of passing medications to patients in nursing homes and ALFs, inserting NG Tubes, foleys, THAT is what I was talking about. I was not referring to RTs, and others in the hospitals, they are not professionals, they are considered techs- see my above statement about the military. Nurses need to start to see themselves as Officers, not enlisted. And realize that the others are enlisted, and conduct yourselves appropriately. In other words, nurses (officers), call the shots, not the techs (enlisted).

    Why would you think/interpret, my statements, to think that I meant nursing students? I cannot fathom how you could interpret that to mean nursing students. Look around you, in hospitals, nursing homes, ALFs doctors offices, etc, Nursing professional practice is being given to the minimally educated individuals. That is what I am talking about.

    I cannot, for the life of me, figure out why you thought that I was referring to present day nursing students as HS dropouts. And yes, I think that it is wonderful if HS students aspire to better themselves, but not at the expense of the Nursing profession.

    JMHO and my NY $0.02.
    Lindarn, RN, BSN, CCRN
    Somewhere in the PACNW
    Last edit by lindarn on Dec 24, '10
    joyouter, Mulan, kanzi monkey, and 9 others like this.
  14. Visit  ♪♫ in my ♥ profile page
    2
    Quote from NewTexasRN
    What would these nurses will be called? Should we call them Dr....?
    Uh oh, now you did it...
    nursejoed and lindarn like this.


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