masters degrees without ever working at the bedside?!
- 0Nov 11, '12 by nightengalegoddessJust found out in my state that anyone....lawyer, baker, housewife...etc; may complete a quick, streamline program which makes them a Master Of Nursing Sciences without ever having been a bedside RN. Does this mean that there will be nursing professors who have no idea what it means to be a real nurse?! Just a bunch of book-schooled people who have no calling, love, nor understanding of patient populations and real time experience?! I am appalled and wondering how this is allowed by any nursing board. As well, this "Master" could go right on to become a PHD in nursing, practice as a nurse practioner without ever working at the bedside. Please comment on how you all think about this. I don't think anyone who has not been a real nurse at the bedside should be teaching nursing. I am appalled!!!!!!!! Help me understand the logic of this beyond the colleges wanting more money in any way they can get it.
- 4Nov 11, '12 by traumaRUs, MSN, APRN, CNS AdminThis isn't something new - been going on for many years. There are several sides to this: many of us who were very experienced nurses prior to becoming APNs feel that direct-entry APNs might be lacking.
However, others feel that there is no relationship between being a nurse and being an APN.
- 6Nov 11, '12 by llg GuideThis has been the case for decades. It's nothing new. Also, remember that physicians graduate from medical school, PA's graduate, etc. without having practiced at the bedside all the time -- except for the experience they get as a student. So do airline pilots, attorneys, etc. You go to school, you join the workforce as a novice.
Your worries about such people practicing in advanced roles are grounded in the belief that such new grads are immediately given advanced positions -- without any supervision -- immediately after graduation. That is not the intention of such direct-entry master's programs and it rarely happens in real life. Such nurses do not enter a world of independent practice. They work for employers ... and it is the employer's responsibility to assure that the people they hire are appropriate for the responsibilities they are being given. A responsible employer will choose to hire someone appropriate for the job and provide sufficient resources/supervision of those employees.
No reputable school would hire a new grad (regardless of their academic preparation) as a clinical instructor. No decent hospital would hire one as a manager, CNS, etc. Those graduates usually get jobs appropriate for their level of experience (often as staff nurses or in some other role where they will have the resources & supervision necessary to support their role transition) ... but move quickly into more advanced positions once they successfully make that transition. Their advanced education streamlines their career progression, but it does not eliminate the need for them to get some experience before they are ready to lead.
- 1Nov 11, '12 by nightengalegoddessThank you for clarification. I work at bedside in ICU and not pursuing degrees....rather pursuing advancement through certifications and employment at Level 1 hospitals. So when I found this out I was floored. Just not in the degree loop. Thanks!
- 1Nov 11, '12 by dirtyhippiegirlI think the issue of direct entry Masters holders who end up going into teaching or management is a more interesting issue, myself.
I went to school (BSN) with a second career woman who then directly went into a Masters program upon graduation. She had stated to our clinical group several times that her only intention was to go into management, without bedside experience, that she had "already done [her] time" in a previous job and that she was "too old to work from the ground up."
I do wonder where she is now, what she is doing, and if that management job will ever materialize given her complete lack of bedside experience. On the other hand, I had friends who went into LTC and we being promoted to ADON within six months of being hired...
- 3Nov 11, '12 by GrnTea, BSN, MSN, RNAlso, I would be astonished if a nursing school hired a MN with no bedside experience to be a clinical instructor. I mean, come on. You might not have thought that much of your faculty, but they get audited by the accrediting agencies and they aren't that dumb. OTOH, I have known nursing management people with MNs who are excellent, excellent nursing managers. They'd be lousy at the bedside, and would be the first to tell you that, but "calling and love" don't have that much to do with it.