I read a recent post regarding new graduates who cannot find work jumping on the NP bandwagon.
At work the other day, a new grad co-worker (less than 5 months experience) launched into a bitter tirade against a well known school for having the gall to expect her to have 2 years experience, have been involved in EBP, Committees and to have precepted before being allowed to even apply to join their ACNP program.....
Mind you, this nurse can barely handle her assignment... what makes her think that the NP is going to be an easy way out of floor nursing.... The courses take time and dedication and contrary to popular belief, graduation and subsequent employment are not a given..
I also wonder where all these NPs are going to find jobs. Going straight to NP school because the RN market is saturated? The NP market where I live is also saturated with new grads. Is it the same elsewhere? We have 4 brick and mortar schools churning out NPs plus all the online programs. The unit I work on staffs roughly 25ish full-time RNs. Five of those RNs are in NP school right now. I chat with other RNs who are either in NP school or have graduated and it's all the same mish-mash of information that new grad RNs get. Go rural. Be willing to relocate anywhere. Take any job. Accept that you may spend over a year looking for a job. Acute care swears that family practice is where all the jobs are at and vice versa. Instead, I work with many NPs who are still working full-time as RNs because they can't find a job. Or working part-time because the only NP job that they can find is PRN. Or working PRN because they aren't making nearly as much money as they thought they would as a NP.[/quote']
This is going to be a huge problem in the next 5-10 years.
Exactly as I suspected. Well I disagree with you that an RN with an app is able to diagnose and treat medical condition and so does the law and every board of nursing in this country and most others.
I never said anything about RN's diagnosing and treating medical conditions; please read my post again.
This is going to be a huge problem in the next 5-10 years.
I feel like it might be sooner than that. I graduated in 2011 and the first wave of my cohort is already starting to graduate from NP schools. And this is a class where easily 95% of the 120 graduates stated that they intended to pursue NP/CRNA. (Obviously goals and life changes but, still...)
Specializes in Oncology; medical specialty website.
There is a researched phenomenon in the literature on NP role socialization termed "role resistance" that is directly related to this topic, so there is some evidence it does exist, at least on a subconscious level.
Fine, then.
I am not sad that I didn't get the chance to become a NP, nor does my criticism of someone with no experience going straight into NP school equate "NETY."
You are an RN. You said if you wanted "cookbook" medicine you could use your iPod app. Does that not mean and RN + app = practicing medicine?
Here is part of my reply to another poster in which I made the comment you are referring to. I did not say if I wanted cookbook medicine I could use my ipod app. My actual words were:
"This is a pathetic argument. Your post is all about what's good for you. Yes, it's all about money, and sadly, because it's all about money, there is a demand for midlevel providers. Patients deserve to receive quality medical care from experienced physicians. Quite often lives are at stake. My family and I, and everyone we know, want to receive quality care from physicians, not from people who are not trained as physicians and are basically clueless (which is what we have experienced). If I want cookbook medicine I have a copy of an Emergency Medicine manual on my ipod."
You will note that I am talking about the fact that I and my family wish to receive our medical care from physicians because of their extensive level of education and training. In referring to the app on my ipod I am referring to the type of care I do not wish to receive, not stating that I as an RN intend to diagnose medically.
Not to discount your experiences and the experience of some student friends/colleagues that have yet to enter practice, but there are now a half-dozen major studies that show there is very little difference in outcomes.
I have seen studies showing similar outcomes but they were all from AANP studies. Research bias?
I am a numbers guy, so when I see:
NP: New RN + online/hybrid/on-campus NP school 3ish years 600-800 hours=attending provider
MD/DO: BA/BS + 4 years med school with thousands of clinical hours + 4-8 year residency+ fellowship= attending provider
From an objective stance there is no comparing. I don't have a problem with NPs but this whole " I can practice medicine and nursing without anyone second guessing me" is kind of ridiculous.
Fine then. I am not sad that I didn't get the chance to become a NP, nor does my criticism of someone with no experience going straight into NP school equate "NETY."[/quote']
Don't get me wrong, I wasn't implying that you were sad about your career.
This is going to be a huge problem in the next 5-10 years.
Then, when does modifying the standards start?
Otherwise, there may be a market for NPs; only time will tell...As someone who is considering becoming an NP after at LEAST 15 years into my current practice; I do hope that becoming an NP is selective; we know quality always outweighs quantity. Heck, at this point, it should be the same for nurses as well.
I have seen studies showing similar outcomes but they were all from AANP studies. Research bias? I am a numbers guy,
I don't have a problem with NPs but this whole " I can practice medicine and nursing without anyone second guessing me" is kind of ridiculous.
Take a read and see what you think.
Mundinger, M. O., Kane, R. L., Lenz, E. R., Totten, A. M., Tsai, W. Y., Cleary, P. D., ... & Shelanski, M. L. (2000). Primary care outcomes in patients treated by nurse practitioners or physicians. JAMA: the journal of the American Medical Association, 283(1), 59-68.
Mundinger, M. O., Kane, R. L., Lenz, E. R., Totten, A. M., Tsai, W. Y., Cleary, P. D., ... & Shelanski, M. L. (2000). Primary care outcomes in patients treated by nurse practitioners or physicians. JAMA: the journal of the American Medical Association, 283(1), 59-68.
I didn't read it but it's fairly old. Anything recent?
BostonFNP, APRN
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