Advanced Practice: Still nursing and holistic or medical model with nursing approach?

Specialties NP

Published

I read an article today for an assignment I have that stimulated my thinking regarding our role (my future role). It describes Watson's holistic model and goes on to say that the five domains of primary practice are connection, consistency, commitment community, and change. I find this interesting because I like being part of a team and don't want to have a divisive perspective that one is better than the other. Unless I go to medical school, I will not have their knowledge and experience. But I will be prepared, and am being groomed to fulfill a role—call it physician or nurse extender. I am to practice in an advanced capacity and sure I will rely on more knowledgeable persons (physician and NP or PA alike) to attain competency and excellence. I want to add that I don't know why it has to be one or the other. I've seen very caring and holistic physicians. They may identify the problems from a medical standpoint, but they still assess the person-in-environment.

So, I was interested in your opinions regarding the nursing model versus the medical model or anything in between and if this article aligns with your opinion.

Jules A, I'm particularly keen to see your response because I admire your wisdom here.

Medscape: Medscape Access

Specializes in Psychiatric Nursing.

A locum tenens psych np (cns in my case) average hourly pay nation wide is $65-$75 per hour. A locum tenens psychiatrist pays $120-$160 per hour. Same job. Since reading this board ( thank you Jules) I now argue for 75 percent of psychiatrist pay.

Specializes in Family Nurse Practitioner.
A locum tenens psych np (cns in my case) average hourly pay nation wide is $65-$75 per hour. A locum tenens psychiatrist pays $120-$160 per hour. Same job. Since reading this board ( thank you Jules) I now argue for 75 percent of psychiatrist pay.

Some of my best paying negotiations have been the result of psychiatrist contacts telling me what they make. I'm fairly well known for no BS and have had no problem saying "even if you think you are overpaying me as a NP I know for a fact I'm still way cheaper than a psychiatrist". ;)

those quotes seem low for both, i don't know many psychiatrists that would travel for 120 bucks an hour. pretty sure the ones that where rotating through the psych unit i did medical h and ps on made like 2 grand per day for 8 hours. with everything paid for except their liquor and cigars

Specializes in Family Nurse Practitioner.
those quotes seem low for both, i don't know many psychiatrists that would travel for 120 bucks an hour. pretty sure the ones that where rotating through the psych unit i did medical h and ps on made like 2 grand per day for 8 hours. with everything paid for except their liquor and cigars

I'm sure its about the geographic area. I won't do any locum stuff for less than $125 an hour.

yeah its pretty rural here. probably contributes quite a bit. also a crappy place to live lol

of all the rural turds in america we are the C diff

+ Add a Comment