Cons of master's entry NP programs? - page 2

by t_heart | 12,435 Views | 23 Comments

Perhaps this has been posted before, but I am curious to know if I got accepted in a master's entry nurse practitioner program what my chances of finding a job after graduation would be having little experience in nursing. I... Read More


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    Quote from Adenium

    Sorry to drone on but it's a pet peeve of mine when folks hop all over the direct-entry or career-changing nurses without understanding how the various programs are set up. Yes, some produce an acting NP who's never worked with patients, but not all. And some of those with no prior experience seem to do well anyway......they have to be dedicated and do a lot of self-learning but they may do better than a nurse with experience who's a bit lazier.
    The one I have experience with absolutely does admit students in the NP program with little or no nursing experience in the speciality and their coursework is exactly the same. Speaking from what I have seen most of them will be unprepared which to me is frightening. Although as you wrote "some of those with no prior experience seem to do well anyway" I don't think that justifies graduating so many that won't and frankly when it comes to prescribing medication I'd much rather take my chances with that experienced but lazy nurse.
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    I'm a Direct Entry grad (2009). I had no problems finding an NP job, and I've done just fine, thank you very much. Also, Direct Entry programs do not take anyone who can pay the tuition. These programs are highly competitive and only admit a very small percent of applicants. They are not degree mills. My program was very intense and we were held to very high standards. Everyone in my program worked their butts off to ensure that we were prepared to enter the workforce as novice NPs.

    I work in the outpatient setting, so very little of what I learned in the RN portion of my program is applicable to my job. I am not trained to work as a hospitalist. I think you do need bedside RN experience to work in the acute care setting.

    Deciding to go the direct entry vs. the RN/BSN route is up to the individual. Some people prefer and perhaps need time as an RN before moving ahead with the MSN. Others prefer to go the direct route and are very successful. Two different paths, but neither is wrong.
  3. 0
    dancingnurse13,

    Thank you for sharing. You're the first person I've come across that was a direct-entry grad. Do you know if most of your graduating class found jobs as NPs or did some have to start out as RNs first? I know there's a bunch of nurses who have negative opinions of direct entry programs but I'm mostly wanting to know about job prospects and whether or not you and other grads feel adequately trained.

    By the way, congrats on your degree and job find.
  4. 0
    haha, its not me...is BCgradnurse that has finished the program and been a successful direct entry grad, i think you're question is directed at her But i'm on my way to start next summer.
  5. 0
    Oops, I have no idea how I made that mix-up!
  6. 0
    ademium, I cannot figure out how to PM you but I'd really appreciate your input...first off what MSN program did you attend? What are you doing now? I see in a lot of your threads you were conflicted about FNP, ANP, ACNP...I too am the same. However, I do not have my RN at this point am going for it now but considering just going for direct entry MSN with an accredited school since I also have a BA and have spent time in health care. I am wondering what you based your final decisions on? thanks so much
  7. 0
    I sent you a PM.
  8. 0
    I plan to apply to direct entry programs this year, and the biggest con (to me) is the cost.

    I plan to do psychiatric nursing and am already a Masters-level counselor, but I might have a different opinion if I, say, wanted to be an Acute Care NP. I don't really see the difference in prescribing abilities to PA programs, which are no longer than Grad Entry NP programs.
  9. 0
    For me, part of it was the ability to stop and work and earn money while gaining experience prior to going back for NP training. A PA program would have required more time not working. I agree, if you're looking at a full direct-entry program that has you getting a Master's without ever stopping to work as a nurse, then the parallel to a PA training is stronger. Then you have to look at their work opportunities and training differences and see what's the best fit for you.
  10. 0
    Yes, I agree. I'm mainly looking at UIC, and they encourage people to work as RNs during the NP portion of the program (the RN part is full time, but you can drop to part time during NP training). That's what I would prefer to do.

    I'm still considering getting my ADN then applying to an NP program later, though. It would be a LOT cheaper, and I already have one Masters to pay off.


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