Accelerated Masters with no Nursing background

Nursing Students Pre-Nursing

Published

Hello,

just wanted to see if anyone has taken this path and how it worked out.

My undergrad is Biomedical Engineering. I would have to take some of the prereqs.

Once I have a masters, would I be able to bypass bedside nursing? Due to an old foot injury, I would be unable to be a bedside nurse safely-for myself.

Thanks for for any input!

Specializes in Adult Internal Medicine.
I also think there needs to be a distinction between advanced practice nurses and nps. Because not all nps have that experience.

Call everyone that gets that degree an NP, but don't give them the Advanced Practice title.

Advanced practice nurse is a term for NPs, CNMWs, CNS, and CRNAs. All NPs are APNs but not all APNs are NPs.

Not all nurses with MSNs or DNPs/PhDs are NPs or APNs. Nurses with MSNs or DNPs that have completed the required didactic and clinical requirements, graduated from accredited APN programs, have passed national certification boards, and have applied for and been granted license in their state are considered APNs in their specialty.

It's Nursegirl's own private wealth of vast information. There's your source, cite it if you will. I'm not sure when personal knowledge of a subject became a bad thing? I agree it's not the scientific method, but really, is a healthy debate on AN the scientific method? Doubtful.

Lots of people read these posts and when some is stated as if it is fact it promotes confusion, as long as everyone knows it is anecdotal and opinion then everyone is entitled to that.

Sadly, one of the biggest hurdles (and devaluation as you put it) novice NPs face is other nurses who have passionate opinions on something they know very little about.

There are in fact programs that go "direct" to MSN/NP with little to no experience at all. There are facilities in remote areas that can not keep staff that will hire people on degree only.

There are NP programs that require clinicals, but can be "done" with "research nursing" or some other clinical time that is non-bedside related.

I know of at least a couple of people who got an accelerated BSN , went right into an NP program, and never stepped foot at bedside....

started as an informatics nurse. Then moved to the middle of nowhere-ville and is in practice seeing patients. Wonky but true. And scary, to say the least.

Cue the familiar refrain: "But the outcomes show . . . "

Specializes in Critical care.

To clarify my own position, I make a sharp distinction between the average APRN with nursing experience in the field they practice in vs. those from direct-entry programs. I also need to differentiate between those direct-entry programs that are quality-focused over profit-focused. As I've posted elsewhere on AN, my concern with NP practice didn't start until the proliferation of the direct-entry model. It's the data that includes these new practitioners that is weak and more time is needed to gauge their impact on th outcomes.

No reason msn10 shouldn't express his/her opinions/beliefs. This is a discussion between diverse people, which is the case on the internet. We don't need to censor people's opinions and experiences/beliefs just because they don't happen to be the same as our own.

English is my fourth language and it's entirely possible that I miss/misinterpret nuances in a conversation but in this case I have to wonder if your negative bias towards NPs isn't affecting your reading comprehension. When BostonFNP wrote "We should start a new thread and discuss this...", I took that as meaning that he was more than willing to discuss the topic but perhaps considered it off-topic to the OP's original query... I really didn't see an attempt to censor the debate. Judging by post history, it seems to me that BostonFNP is both willing and able to defend his position and trying to stop a healthy debate would as I see it be out of character.

Cue the familiar refrain: "But the outcomes show . . . "

I don't know what to make of this post. You've previously made it clear that you don't agree with the results of the studies. Are there any specific flaws or weaknesses you've identified in the studies that you wish to show us and discuss?

I'm not an NP so I don't really have a dog in this fight. I just think it would be nice to have a constructive exchange of opinions.

There is no good shortcut to experience. You can have all the book smarts and fail miserably without it. Personally, I would not want an NP caring for me who lacked real world nursing experience. You are biting off more than you can chew.

I work everyday with an 1 NP and 3 PAs who do the exact same job for a very busy specialty service at my 800+ Bed Level 1 Trauma/Urban/Teaching Hospital. Yes, the NP was a bedside nurse for a number of years (I would say 10 at most based on her age and length of time as an NP. She actually going to DNP school now.)

My point is this: The PAs were not nurses before they were PAs- I'm not sure what they were if anything, meaning maybe they went to PA school right after getting their BS/BA- yet they do the exact same job.

That puts it in perspective for me.

Some people are just lazy and want to take the easy way out. These "nurses" are dangerous in any given medical situation. Please I would work the whole floor by myself then have these nitwits coming to me to "fix" their patient.

Specializes in Critical care.
Some people are just lazy and want to take the easy way out. These "nurses" are dangerous in any given medical situation. Please I would work the whole floor by myself then have these nitwits coming to me to "fix" their patient.

Not fair to paint them all with the same brush.

I don't see them as lazy, I see them as products of a larger system that facilitates their advancement. Since they are direct-entry, they have little to no exposure to nursing culture and rely on the school's student advisor/enrollment specialist sales pitch.

Also, some of these people are absolute rock stars and function well in spite of their school reputation. My ire is directed at the average student from the 'worst offender' list of school that still maintain accreditation. I want the APRN model to continue to flourish and worry about the hit their reputation will take with the proliferation of this new crop of schools.

Specializes in allergy and asthma, urgent care.
There are in fact programs that go "direct" to MSN/NP with little to no experience at all. There are facilities in remote areas that can not keep staff that will hire people on degree only.

There are NP programs that require clinicals, but can be "done" with "research nursing" or some other clinical time that is non-bedside related.

I know of at least a couple of people who got an accelerated BSN , went right into an NP program, and never stepped foot at bedside....

started as an informatics nurse. Then moved to the middle of nowhere-ville and is in practice seeing patients. Wonky but true. And scary, to say the least.

What school has NP clinicals that can be done without hands on patient care??? I've never heard of such a thing.

Specializes in allergy and asthma, urgent care.
Some people are just lazy and want to take the easy way out. These "nurses" are dangerous in any given medical situation. Please I would work the whole floor by myself then have these nitwits coming to me to "fix" their patient.

Lazy? You obviously don't know how difficult a direct entry program is, and how selective the good programs are. I worked harder than I ever have in my life in my program. It was the most difficult thing I've ever done. Hours in class, hours at clinical, and then hours studying after both. Plus I worked, raised a family, and graduated with a 4.0. Passed NCLEX and FNP boards on the first try. Lazy didn't get me through all that. Super-motivated, incredibly hard working, and strong critical thinking skills did.

Specializes in Assistant Professor, Nephrology, Internal Medicine.
i appreciate your sentiments but medicine is evidenced based and the evidence suggests that nps provide not only equal care but superior outcomes. Please do a pubmed search and you will see how I am telling the truth!

Not my job to support your unfounded claim. What I found when I have done searches is that NP and MD outcomes are statistically similar. So, how about you put your research to the task. If you want to make a serious claim, let's see what supporting evidence you have.

Specializes in Adult Internal Medicine.
Not my job to support your unfounded claim. What I found when I have done searches is that NP and MD outcomes are statistically similar. So, how about you put your research to the task. If you want to make a serious claim, let's see what supporting evidence you have.

The article was already posted.

Stanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., ... & Weiner, J. P. (2013). The quality and effectiveness of care provided by nurse practitioners. The Journal for Nurse Practitioners, 9(8), 492-500.

Also a 2015 update.

Swan, M., Ferguson, S., Chang, A., Larson, E., & Smaldone, A. (2015). Quality of primary care by advanced practice nurses: a systematic review. International Journal for Quality in Health Care, mzv054.

Specializes in Behavioral Health.

It's worth noting that AAC.271 made much broader comments that would be difficult to support. The research has looked at a select number of measures and found NPs perform better than physicians in some of them, and for limited amounts of time (the 2015 article is a review and the longest follow-up is 2 years). Saying "nps provide not only equal care but superior outcomes," is a claim not supported by the evidence because it makes it sound like we outperform MDs on every measure. Within the specific measures that have been studied NPs only outperform on some, and clearly not all measures have been studied.

I believe NPs can provide high quality care and are competitive with MDs in many ways (and not in many others), but before I was a nurse I was a researcher, and inflating results of research is frowned upon. No one benefits from fudging results.

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