Bsn degree vs. Physician assistant certification/licensure??

[KAzurinM.Twin1]

Greetings!

This might not be much of a debate. Maybe someone can shed some light:

RN, BSN(degree), CEN, CFRN

...or...

RN, PA(certified/licensed Physician's Assistant), CEN, CFRN

Which credentials of a BSN or PA is much more appealing to an employer, and much more likely to pay higher raises(by very little or a lot)??

[JStyles1]

I'm not sure where you got your information, but that's not what I've heard all these years. The first NP program (it was a pediatric NP program, specifically) was started in 1965, by Dr. Henry Silver and Loretta Ford, PhD, RN, at the University of Colorado, to prepare experienced nurses to be primary care providers in rural areas. At about the same time, large numbers of medical corpsmen and combat medics were returning from Viet Nam, and med school faculty at Duke (among others) were interested in creating a program to enable them to make use of the considerable skills and knowledge they had acquired in the military in providing primary care in rural areas, and the PA concept was developed. There was never any "separation" of NPs and PAs -- the two roles were entirely different and separate from the very beginning, one developed within nursing and the other within medicine.

Hildegard Peplau developed the first Master's program in psychiatric nursing at Rutgers University in the mid-'50s (the psychiatric CNS was the original advanced practice role in nursing). I'm aware of Luther Christman and his many contributions to nursing, but I've never heard him mentioned before in connection with the development of the psych CNS, NP, or PA roles before.

Also, whether or not NPs can practice independently, without some degree of physician supervision, depends on the state -- different states have different rules for NPs.

it was in a book i referenced for a report on christman in school. it was all right about the same time. i'll see if i can find it. i think its one of those things that everyone wants to say they had the first one. the book was about him so it may have been a bit bias

a quick search nets this. not the book i used and not verbatim to it, but hints that duke didn't want any females/nurses involved in the program

"The program was modeled on the military medical corpsmen training and admitted four ex-corpsmen for the first class according to Fairman, who goes on to say that "women were not admitted during its early years, primarily to exclude nurses, since the nursing faculty refused to accept the new role".

[JStyles1]

State by state variability re: requirement for physician/BOM involvement

Pearson Report, pg 18

http://www.acnpweb.org/files/public/2008_Pearson_Report.pdf

as indicated by the big word of CAN. As in it is possible. I put no limitation making it exclusive to ever state