Ok I'm going to try and keep my thoughts and opinions in this post as organized as possible so it will be easy to follow.
Everyone that is currently practicing as an NP before 2015 knows that even though this DNP issue is a suggestion and not a mandate, "yet", that either way they will be grandfathered into the change. Which is great!
But what does that mean for those of us that will be graduating or planning to go back to school after 2015?
Well from the looks of it, and doing countless research and talking with hospitals and administration and colleagues, it looks like we will be pushed to pursue our DNP's and not only that but that they will be getting stricter and stricter about APRN's practicing within their scope of practice. So that means less and less FNP's will be seen in ER's and moreso in outpatient facilities and more and more ACNP's will be seen ONLY in inpatient facilities. Now of course this is not going to be enforced immediatley, and probably not even in the next 10 or 15 years BUT...just like the LPN-RN and ADN-BSN movement began and now is being pushed stronger than ever so will this "recommendation"(warning).
My aunt who has been an LPN for over 30 years is being forced to go back to school or being worked beyond normal hours to push her out of her current position because of the LPN-RN "suggestion." Not to mention the countless number of my co-workers that are in their 50's going back to school online to get their BSN's. I love learning, but I do not intend, nor want to, go back to school when I'm in my 50's or 60's because of something that was a "recommendation" 25 years ago that everyone said not to worry about. I don't want my job security to be on the line that far into my career. ::vent over::
So back to the advice I need. I must say in my frustration over this I do appreciate this movement and as much as I hate to admit it think it is overall safer for us to be practicing within our scope of practice, not because I think FNP's aren't competent to function in the ER or ACNP's in an office, but becasue a lawyer could EASILY chew your license and professional career to shreds if you got sued. I orginally was planning on getting my FNP with a DNP due to the flexibility to work outpatient and inpatient in the ER and also to be able to teach (since that is a strong passion of mines in nursing) down the line. BUT, with this movement occuring I see as more and more ACNP's are coming out they will be the one's in the place of the FNP's (and rightfully so). So I considered getting my ACNP, but I don't think I want to work in the hospital for the rest of my career, given I can teach with my DNP-ACNP but I don't want to just be restricted to hospital hours, weekends and holidays as I start my family and kids get older.
So needless to say I am overall confused about what path to take with this new movement occuring. FNP with mainly primary care or ACNP with hopsital care? I need some honest advice, not based on what has-been allowed with the criss-cross between roles, but what MY future looks like as a new NP post-2015. As of now I have almost given up on the idea of NP and am focusing my efforst towards my second passion and getting an MSNed with PhD in the furture (because they are pushing educators to go back for their PhD to teach on the university level now as well). So what are your thoughts and opinions. All are welcome with an open heart and ear to receive.
Thank you in advance!