I am looking for a little help with a homework assignment. I am currently working towards my MSN and eventually (hopefully) my AG ACNP or PNP. I have already searched scholarly resources and spoken to a local AG ACNP. I have looked at society websites for award winner bios. Now I'm wondering if anyone else has examples/ suggestions.
I will be properly citing any evidence given to me and will not plagerize. For reference, our professor is allowing us to use interview to obtain information for this paper. Here is the specific rubric prompt:
"What are some real-world
examples of contributions made by someone who currently practices in your specialty focus, and how have those contributions improved quality outcomes? You may speak with clinical colleagues, your supervisor, or others to obtain this information "
So I would be looking for contributions by MSN prepared RNs, AG ACNP or PNP.
Thanks in advance for any direction you can give me.
I had the pleasure of attending a conference recently at which all of the presenters were board certified psychiatrists. The keynote speaker, however, went on and on about some nurse theorist and her nurse theory. She presented a graphic -I suppose in effort to tout the worthiness of the theory - comparing their theory to Maslow's hierarchy and she had the audacity to say "as you can see it's almost the same thing" to which some nurses were nodding their heads about. I was like, #$%&, you're reinventing the wheel just to give your spectrum personality some sense of accomplishment and think you're fulfilling some nursing prophecy."
My overall and total view of nursing is that it exists to provide the treatments and environment ultimately ordered by licensed physicians or in some cases denists or podiatrists. What's a nursing intervention? "Therapeutic touch," a back rub, rolling someone over in bed, presence???? Anybody off the street can walk into the room and do all of those things. I think it's all a heaping load of excrement. If nursing wants to make itself a psychosocial discipline then forget learning anything about biology, medicine, or the provision of healthcare and become some pseudo psychology-sociology hybrid and stamp your feet over reimbursent, i.e. let me enter the room and provide billable "presence." I think it's totally off putting. They may as well be chanting with feathers and healing crystals and giving out herbal supplements but wait that would require a physician order.
On another note, I took a few sociology courses, at least a half dozen psychology courses, and and a couple of philosophy courses and in none of them did words like "construct" and "paradigm" show up like they do in explanations of nursing theory.
I'm so glad you became an NP about six months ago so that you could sit at the big boy's table and sneer at the nurses who are forever banned from a seat.
Good lord, between you, sauce, and occasionally Jules, the NP behind your names turned you all into senior frat boys on pledge night. Pretty pathetic. After all, in the provider world, you are the lowest rung in the ladder, but in the nursing world you're the highest rung. I think it's pretty clear why you still like to hang out here, rather than going over to SDN where your "peers" are.
Dudette--now I understand the negativity. I am proud of my nursing background of over 30 years and I always support inpatient nurses because these are really hard jobs. The responsibility without authority, having to work in a group, rotating weekend and holidays to cover units, and take care of patients. I like being a provider because it suits my personality but I always uphold nursing and good nurses help me. And nursing advocated for us so that we are providers APRNs. Under nursing. So what if there is an overlap to medicine. We came from nursing..maybe people could try to be more respectful.
Good lord, between you, sauce, and occasionally Jules, the NP behind your names turned you all into senior frat boys on pledge night. Pretty pathetic. After all, in the provider world, you are the lowest rung in the ladder, but in the nursing world you're the highest rung. I think it's pretty clear why you still like to hang out here, rather than going over to SDN where your "peers" are.
Very true in the provider world NPs are the lowest rung which I think is unfortunate. I have worked tirelessly to elevate my practice to the level expected of physicians and be a positive representative of our profession. Despite my criticism of what I believe are some embarrassingly silly tendencies of nursing and frustration that there are so many who don't manage their career as a business I have continued to hope that things would improve in our profession and have attempted to offer suggestions on how to negotiate for top dollar.
FWIW I never joined SDN because I don't think student docs are my peers but you are correct in that I don't seem to have many peers left here either. With complete sincerity, thank you for articulating what I have sensed for a while now.
Very true in the provider world NPs are the lowest rung which I think is unfortunate. I have worked tirelessly to elevate my practice to the level expected of physicians and be a positive representative of our profession. Despite my criticism of what I believe are some embarrassingly silly tendencies of nursing and frustration that there are so many who don't manage their career as a business I have continued to hope that things would improve in our profession and have attempted to offer suggestions on how to negotiate for top dollar.
FWIW I never joined SDN because I don't think student docs are my peers but you are correct in that I don't seem to have many peers left here either. With complete sincerity, thank you for articulating what I have sensed for a while now.
Aw, you don't feel you belong, huh? Well maybe it has more to do with you Three Stooges acting like *******s, rather than your role.
I'm so glad you became an NP about six months ago so that you could sit at the big boy's table and sneer at the nurses who are forever banned from a seat.
Good lord, between you, sauce, and occasionally Jules, the NP behind your names turned you all into senior frat boys on pledge night. Pretty pathetic. After all, in the provider world, you are the lowest rung in the ladder, but in the nursing world you're the highest rung. I think it's pretty clear why you still like to hang out here, rather than going over to SDN where your "peers" are.
Thank you for your challenge. It shows backbone.
To address your remarks, nursing isn't my first profession. True, I'm new to the field, however, I entered for the express purpose of doing what I now do so that shows gumption. What I'm not new to is tenacity, integrity, generating revenue, administering an organization, or leadership.
I believe someone has sold nursing this hugs and feel good pill and while someone ought to care a profession shouldn't be grounded on caring. Regardless of the nursing scope of practice, nurses would not exist if a higher echelon of provider (physician, dentist, podiatrist, and followed in tow by PAs and NPs). Sure, we're independently licensed, etc. and have our own scope, but just what the heck could most nurses move in and do without a physician run hospital, nursing home, clinic, or other entity?
You can bet NPs are at the lowest rung and will forever remain that way, however, despite being the lowest rung we can certainly become a stronger rung. I do hang out a SDN. I follow a lot of forums there. I enjoy the psychiatry forum and frequently learn from it. I interject my thoughts on occassion. I also follow the midlevel forum and whatever other thread happens to stand out. In fact, I had a SDN account that I followed going back to 2008 or 2009. Approaching NPdom I made a new one. My avatar is TR, and I chose him for a reason.
I became a nurse practitioner as a RN regulated by a nursing board so, yes, it's within my purview to interject my thoughts on the direction and misdirection of nursing. True, I find nursing theory to be vapid and shallow and most nursing interventions to be base. I'm not interested in your years of experience because you've merely endured.
Aw, you don't feel you belong, huh? Well maybe it has more to do with you Three Stooges acting like *******s, rather than your role.
I think most have historically thought of naysayers innovators as being stooges and ******s. We're not content with what we've got. The three of us would all love to be physicians but realized that too late. Frankly, I enjoyed my first line of work too much to have sacraficed that for anything else. We're all very much interested in turning our abilities to do something well into revenue. We could do that as physicians, but with cost v. benefit, I would never catch up with time and revenue lost if I put down everything and went to medical school followed by a period of indentured residency.
I think most have historically thought of naysayers innovators as being stooges and ******s. We're not content with what we've got. The three of us would all love to be physicians but realized that too late. Frankly, I enjoyed my first line of work too much to have sacraficed that for anything else. We're all very much interested in turning our abilities to do something well into revenue. We could do that as physicians, but with cost v. benefit, I would never catch up with time and revenue lost if I put down everything and went to medical school followed by a period of indentured residency.
Your ego certainly fits that of a Chief of Surgery. Innovator? Really? Your innovation extends as far as your wallet from what I've read. Nothing wrong with picking a career due to the income potential, but you sound sooooo misguided with the, "I gots myself a doctorin' degree on the cheap!" Yeah, that's what I want....a provider that celebrates choosing the path of least resistance to prescribe meds that affect my brain.
With that, I'm done here. Out of all the posters here, you and sauce give me the creeps with your mercenary hubris.
Your ego certainly fits that of a Chief of Surgery. Innovator? Really? Your innovation extends as far as your wallet from what I've read. Nothing wrong with picking a career due to the income potential, but you sound sooooo misguided with the, "I gots myself a doctorin' degree on the cheap!" Yeah, that's what I want....a provider that celebrates choosing the path of least resistance to prescribe meds that affect my brain.
With that, I'm done here. Out of all the posters here, you and sauce give me the creeps with your mercenary hubris.
Unfortunately, when I entered this endeavor, I was misled into believing that both RNs and NPs were better scientifically prepared. Nonetheless, I've made great gains to push myself beyond what nursing would expect of me. I'm glad you disagree with me because it shows the failures of nursing's past.
So sauce and psych guy are working below their level of interest expertise or something and want to discharge their frustration onto all of us. We need a "yuk" button. I think there is room to critique the nursing profession without talking about "excrement" "turds" etc. and I think it could be done respectfully.
Jules- you are one of my role models about the money. On my last locum tenens job I used the "I do the job of a psychiatrist, my reimbursement is 80 percent, I should get 80 percent of what they make." I got a higher rate than I would have otherwise.
I love psychiatry and I am so grateful to work as a provider. As a locums I am never burned out because I work in spurts, and I am a hard worker by nature.
I have had years of training in psychiatry and nursing before graduate school. I have observed many psychiatrists and others in action and learned from them. Now I learn from patients, from listening and thinking. I take advantage of any supervision I can because it can only help. But I love the intimacy of the therapeutic encounter and people sense that I care and tell me things that help in my case formulations, diagnoses, prescribing. I love clinical interviewing. I learned the base of this kind of approach as a nurse and the built on it with psychotherapy and then psychopharmacology. I don't hand-hold per say but I listen as deeply as I can. I am also very efficient. And I keep up with new meds and new thinking...
To the OP: Another approach to your assignment would be to look at specific aspects of care and review the research-- and see who the authors are. For example, in the clinical field of neonatal nursing, NNP's write a lot of the articles in their journals. Other nurses in other types of advanced roles do to. Pick any field and you will probably find much of the same thing. Pick a couple of topics that interest you and that you are sufficiently knowledgeable enough to make some judgments about the importance of articles you find. Look at the authors of those articles, and you will probably find lots of advanced practice nurses making lots of important contributions.
Ignore the bitter group of "physician wanna be's" who will never be happy with nursing because it wasn't the "medical" career they really wanted. Unfortunately, it appears they are not happy with their career choice and just want to bring the rest of us down with them. The nursing profession has a long and valued history -- and a bright future. Sure, it is not perfect (what is?) and there are those who don't value the same aspects of the profession. But you will find that in any profession. Don't let them drag you down.
Lol seems like this dudette person has been offended. I believe we have tarnished her golden trinket of nurseness that she ever so proudly wears along her neck. As I said before, we could care less if you have like 30 years of nursing experience. It just means your a very good follower. Because as psych dude said, nursing would be nothing without the physicians and other providers that tell them what to do. I mean what can you do without a Dr.s order? Wipe butt? ice packs? Orange juice? Roll the patient over? Tilt the bed? Start an iv? None of these skills require much thought, intelligence, or judgement. Probably the most difficult aspect of nursing is waking up that chief of surgery because you think something is wrong with his patient.
To be honest, a plumber, electrician, carpenter, etc have more freedom in the power of what they do. At least they can make decisions without have the Doctor of Carpentology paged so they can get some bigger nails to lay the floor with.
Nursing is and always will be nursing. it will never equal medicine, engineering, physics, or freshman level biology... no matter how hard you all try. It is called nursing for a reason.
Nursing would be a much better profession if they spent time teaching students important stuff, because to be honest, at the hospital I previously worked at as a hospitalist, NONE of the nurses with under 4 years experience had a clue on what to do, and continually paged me over stupid stuff and never had a clue what was going on with the patient, much less know what a normal set of vitals are. And to blame is most likely the wasted time on nursing diagnoses, theory, etc, for which that time would have been better spent teaching people actual job related skills, and not trying to fluff up the profession like a giant ball of cotton candy.
So sauce and psych guy are working below their level of interest expertise or something and want to discharge their frustration onto all of us. We need a "yuk" button. I think there is room to critique the nursing profession without talking about "excrement" "turds" etc. and I think it could be done respectfully.
Jules- you are one of my role models about the money. On my last locum tenens job I used the "I do the job of a psychiatrist, my reimbursement is 80 percent, I should get 80 percent of what they make." I got a higher rate than I would have otherwise.
I love psychiatry and I am so grateful to work as a provider. As a locums I am never burned out because I work in spurts, and I am a hard worker by nature.
I have had years of training in psychiatry and nursing before graduate school. I have observed many psychiatrists and others in action and learned from them. Now I learn from patients, from listening and thinking. I take advantage of any supervision I can because it can only help. But I love the intimacy of the therapeutic encounter and people sense that I care and tell me things that help in my case formulations, diagnoses, prescribing. I love clinical interviewing. I learned the base of this kind of approach as a nurse and the built on it with psychotherapy and then psychopharmacology. I don't hand-hold per say but I listen as deeply as I can. I am also very efficient. And I keep up with new meds and new thinking...
I'm not working below anything. I'm doing exactly what I hoped for and envisioned. I'm actually quite grateful.
dudette10, MSN, RN
3,530 Posts
I'm so glad you became an NP about six months ago so that you could sit at the big boy's table and sneer at the nurses who are forever banned from a seat.
Good lord, between you, sauce, and occasionally Jules, the NP behind your names turned you all into senior frat boys on pledge night. Pretty pathetic. After all, in the provider world, you are the lowest rung in the ladder, but in the nursing world you're the highest rung. I think it's pretty clear why you still like to hang out here, rather than going over to SDN where your "peers" are.