How long did it take to land your 1st NP job? Were there multiple offers? How much did negotiation improve the offer?
I am about to be a new NP and take my boards. I am in Georgia and moving to MN. I have been applying for positions in MN for a few months and even thought he recruiters tell me they are desperate for NPs I have yet to field a single interview. I do have a pretty decent collection of form rejection letters. All the while the positions remain open.
Sure, I am a billion miles away and no I have yet to sit for my boards - but not a single interview. Heck, I have had three offers here in GA.
Matters not as I am still moving and will be forced to take a position as an RN and hope that one day I can land an NP position or at least an interview. I would hate to think I have spent all this money and time earning a DNP and never get to use the dang thing.
Actually, facilities are moving toward nursing being a BSN only club. The NP programs are also moving towards a DNP without MS option. Still, you will see MS NPs for years to come but the eventual plan is to have DNP only nurse practitioners. You can't fight gravity or progress.
On the contrary; the DNP may die a slow death. Some colleges are already scrapping their dnp programs..
even rung up the ladder you go demonstrates an investment you have made in both your career and education. An RN with BSN should be paid more than an ADN. An RN with MSN again should make more than a BSN. A DNP holds a higher level of education than an MSN and has a right to expect to be paid in accordance. I am not talking large amounts here, but there is a difference.
No, this isn't about education. NPs are hired based on their ability to treat patients thus generate revenue. I really don't care if DNPs make more, but from a practical standpoint there's no reason to do that. They won't generate more revenue other things equal. This is akin to a hospitalist MD versus MD/MPH. How much more do you think that MPH is netting?
The only thing that should cause a MSN to make less than a DNP is poor negotiation.
Actually, facilities are moving toward nursing being a BSN only club. The NP programs are also moving towards a DNP without MS option. Still, you will see MS NPs for years to come but the eventual plan is to have DNP only nurse practitioners. You can't fight gravity or progress.
Because they see publications that tout improved outcomes (thus cheaper costs) with BSNs. If the ADN (or even LPN) results showed published material of producing as equally effective outcomes the push would be for more associate degree RNs (or LPNs).
There's no value added for the NP. Conceivably, if you're an institutional CNS or CNL then there's added value, but for a practicing NP that does nothing but evaluate and treat patients there is nothing to gain with much to lose. The opportunity cost is steep.
I don't quite understand how people on this site NEVER think of the business side of things, besides psych guy, jules, and a few others. DNP should not be paid more because there is no reason to be paid more for. The reasons have already been stated. So far the only argument for them getting paid more is because it is the RIGHT thing and they DESERVE more pay.
Sort of like saying having a masters in "insert worthless college degree here" should get you 5 bucks more an hour at the McDonalds.
I don't quite understand how people on this site NEVER think of the business side of things, besides psych guy, jules, and a few others. DNP should not be paid more because there is no reason to be paid more for. The reasons have already been stated. So far the only argument for them getting paid more is because it is the RIGHT thing and they DESERVE more pay.
Sort of like saying having a masters in "insert worthless college degree here" should get you 5 bucks more an hour at the McDonalds.
Degree inflation at its finest my friends.
LOL. I was going to get a BA in history the first time I was in college followed by a MA in the same! It was said "university graduate can think, reason, and write." Of course, I got a degree in general science whatever that is. An economic boon it was as well, lol.
Lol yeah lack of focus has haunted the best of us in times past.
But anyway, as I posted in a previous forum, most people are better of staying nurse compared to going back for a masters. The job market will start to suck in the near future for all but the good masters level providers. Docs can see through the veil and usually can easily pick out those who do not fit the provider role. In times past, all FNP got jobs, but now it is different.
Your best bet is to move to an unsaturated area to pick up a job and prove yourself. I do not know you personally but if the OP does not fit the provider role, you may be in for a rough ride. Most nurses should just stay nurses unfortunately.
OF course psych guy and I had prior careers and we are both male so we will probably never have this issue ^.^
I second this. I've run across a myriad of NPs who were little more than a bedside med-surg nurse with an algorithm and prescription pad. And they call physicians and pharmacists to corroborate their treatment plans. These are those are afraid of responsibility and lack the foresight to heed the science and economics that drive their profession. They miss "simpler" days of "bedside care," whatever that is.
As a NP, you are the patient's "doctor" -the leader of their health cavalry- so get the bugler on his horn, mount up, and lead the charge. If you don't like what staff, a physician, or the patient is doing sound off, shake things loose and get your way, take command, provide scientifically sound care, and make some money doing it.
The equation that most nurses run through their head before going to graduate school equates to something of the following likeness. Unfortunately it does not add up at all like psychguy says, and if people did what he says they would be pounding dollars into their pockets. but since when do seasoned nurses take advice from those "dudes" over in the corner, right, lol.
Worst case scenario they see some add from one of those silly for profit degree printing press universities (WGU, WALDEN, ETC), with the words "chase your dream, higher purpose, advance your career, be a leader, shine like a star, get your picture on the work refrigerator of awesomesauce, etc." This gets those purple Disney butterflies rolling, glittery flying, and emotions souring of how they can be awesome contributors to this fantasy world. Coupling this with their dreams of living it up like people do on Grey's anatomy (I hate TV dramas, especially ones related to medical stuff) they get sucked in to the white coat syndrome phenomena (WCSP), which will probably be listed in the DSM-VI when it comes out.
Better but still awful-case scenario they run a somewhat mathematical equation through their head: [(white coat+masters)/(debt x time)]+ [(more makeup and purses) + (acting like all those doctors we think we know better than) + (more pay +better hours so we can take care of our kids)^2 - (actually having to think and use reason + omg learning a little bit of science how terrible)]/4
in layman terms, they want better hours, more money, to act like doctors, to wear a white coat, but don't want to have to think or use logic. Overall, the decision to pursue a masters wins and they go back to school, take on more debt and ego, and come out with a terrible ability to diagnose and a job that pays FITTY CENT more than their nursing job.
Most people should just stay nurses, quit making these for profit schools money and making the rest of us look like moneys with stethoscopes. K thnx.
AllIcanbe
95 Posts
On the contrary; the DNP may die a slow death. Some colleges are already scrapping their dnp programs..