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I HATE Nurse Practitioners

Posted

Specializes in Mental Health Nursing.

So the director of psychiatry and some senior psychiatrists at my hospital are in a funk. It appears surrounding hospitals are offering incentives (increased salary and other benefits) to attract psychiatrists to their institutions - and its working. So far, we have lost four psychiatrists in the past five months to nearby hospitals that are offering those incentives. Those facilities also hire FNPs and PMHNPs whereas my hospital doesn't. Clearly there is no way for my hospital to match the benefits of the other competitive institutions and there is a huge shortage of psychiatrists in the area. So... I suggested that we start hiring NPs.

Bad move.

I never seen so much hatred from health professionals. One of the senior psychiatrists actually shouted at me for coming up with "a stupid idea." He then proceeded to tell me how many years of schooling and training he's had out of some need to compare himself to a PMHNP. What really bothered me is that the director said, "I HATE Nurse Practitioners" as if that was a good enough reason for not hiring them in our facility. What they think is what they think; I can't change that. But would I be overstepping boundaries if I drew up a presentation at our next meeting to outline the benefits of hiring NPs? The chief director of psychiatry will be present at the next meeting and I really think its worth a mention.

I would let it go. You won't be able to change their minds. This is why I would never do NP. Nurses so really think twice before going NP. Alot of MD's have that opinion. Right or wrong. It's hard to work with someone that doesn't even see your degree as legit.

TheCommuter, BSN, RN

Specializes in Case mgmt., rehab, (CRRN), LTC & psych. Has 14 years experience.

Many MDs are resentful of NPs due to perceived and actual differences in educational preparation. Like the previous poster mentioned, I would not present anything at the next meeting because it seems they've made up their minds about this issue.

Sounds like your MDs are highly threatened by the NP profession, nothing new there. If those in charge of your practice share those feelings, then let them run their business into the ground, no skin off your back, plenty of hiring and expansion going on in your area it sounds like

orangepink, NP

Has 3 years experience.

In my current clinic, the doctor that I work for is the owner of the practice and he's very open to NPs for financial reasons hehe

Jules A, MSN

Specializes in Family Nurse Practitioner.

Clearly there is no way for my hospital to match the benefits of the other competitive institutions and there is a huge shortage of psychiatrists in the area.

While although I think adding Psych-NPs to an inpatient psychiatric team is a great idea what I'd really like to know is why the heck can't they offer a competitive salary? That is baloney.

The cost of operating in your local area is what it is and while I think we NPs enhance a team to bring us in because they aren't willing to pay enough to keep a decent doc is insulting. Plus trust me the hospital admins might be shocked at how much a decent psych-NP costs.

Like others have written you suggested it and they were short sighted enough to blow you off. Let it go especially because this wouldn't be doing NPs a favor. I find it insulting to think we would be brought in because they are too miserly to pay a decent rate for their doctors.

sounds like its time to go work for the other hospitals

You received that kind of response and you think it would be a good idea to bring it up again? Good luck with that, LOL!

anh06005, MSN, APRN, NP

Specializes in Cardiac, Home Health, Primary Care. Has 6 years experience.

I wouldn't bring it up.

Those hospitals may have something better to offer you too lol.

I don't know how long I could stand being around those people and doctors knowing their feelings towards nursing. If they hate NP's and don't trust them enough who is to say they trust or respect any nurses?

My hospital just recently (last couple of years) started hiring NP's and PA's in their clinics and to help the hospitalists. I was proud and thankful when they realized MD's can't do it all themselves and they can utilize other qualified professions.

WookieeRN, BSN, RN

Specializes in PACU. Has 3 years experience.

I can only see this mentality hurting them in the future, because there seems to be a couple underlying issues at the facility and the perception of NPs is only one part. If their psychiatrists are flocking now for better pay, etc and they're already short but haven't even thought to, or wont, raise their incentives as well to retain and recruit more psychiatrists then they will either have to suck up their pride and hire NPs or run into the ground. Not saying this will happen tomorrow but they could possibly expect this in the near future.

Angeljho, MSN, NP

Specializes in Mental Health Nursing.

I can only see this mentality hurting them in the future, because there seems to be a couple underlying issues at the facility and the perception of NPs is only one part. If their psychiatrists are flocking now for better pay, etc and they're already short but haven't even thought to, or wont, raise their incentives as well to retain and recruit more psychiatrists then they will either have to suck up their pride and hire NPs or run into the ground. Not saying this will happen tomorrow but they could possibly expect this in the near future.

Honestly, they're running themselves into the ground now. To make up for the Psychiatrists that we've lost, the current ones are doing more on-call time, taking on more patients, and covering more units because there's not enough coverage when a psychiatrist takes the day off.

Ruby Vee, BSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching. Has 40 years experience.

You've seen the handwriting on the wall. Can you read it? You'd be shooting yourself in the foot (or a more personal area of your anatomy a bit higher up) to bring it up again!

BostonFNP, APRN

Specializes in Adult Internal Medicine. Has 9 years experience.

I don't think the incentives are the only reason providers are leaving en masse.

Any director who basis their practice on bitterness and jealously rather evidence isn't worth working for or with.

Sent from my iPhone.

BostonFNP, APRN

Specializes in Adult Internal Medicine. Has 9 years experience.

I would let it go. You won't be able to change their minds. This is why I would never do NP. Nurses so really think twice before going NP. Alot of MD's have that opinion. Right or wrong. It's hard to work with someone that doesn't even see your degree as legit.

Nurses should absolutely "think twice": think twice about why the "opinion" of a minority of "MDs" that is in direct opposition of a myriad of published studies and the IOM bares even the slightest bit of weight.

Nurses should absolutely "think twice" about the "advice" of other nurses that simply assume the "MDs" must be right because...well because they say so.

Sent from my iPhone.

Nurses should absolutely "think twice": think twice about why the "opinion" of a minority of "MDs" that is in direct opposition of a myriad of published studies and the IOM bares even the slightest bit of weight.

Nurses should absolutely "think twice" about the "advice" of other nurses that simply assume the "MDs" must be right because...well because they say so.

Could not have said this better myself. Why should anyone let such pettiness get in the way of their goals and the patient care they want to be involved in? There are going to be naysayers no matter what profession you are in. Personally, I'd rather take into account those published studies than random opinions. This is a good time to brush up on that hierarchy of evidence we all learned about in research class. And yes, it's true... Not every single physician in America hates NPs. Despite what is going on in the political realm, many physicians value NP's as important healthcare professionals and respect what we do.

PMFB-RN, BSN, RN

Specializes in burn ICU, SICU, ER, Traum Rapid Response. Has 16 years experience.

While although I think adding Psych-NPs to an inpatient psychiatric team is a great idea what I'd really like to know is why the heck can't they offer a competitive salary? That is baloney.

No it makes sence. The OP already stated that the other facilities are both offering incentives AND they hire NPs. The use lower pain NPs (compaired the the MDs) to do some of the work, thus they are able to see far more patients (and bill them of course) than the faciliety that chooses not to use NPs.

Jules A, MSN

Specializes in Family Nurse Practitioner.

No it makes sence. The OP already stated that the other facilities are both offering incentives AND they hire NPs. The use lower pain NPs (compaired the the MDs) to do some of the work, thus they are able to see far more patients (and bill them of course) than the faciliety that chooses not to use NPs.

That doesn't explain why the OPs hospital is saying they aren't able to offer a competitive wage for providers. I haven't ever heard of a facility using that cheesy excuse. They will have to offer a competitive wage and hopefully they won't wait until all their present staff has left.

MA Nurse

Specializes in NICU, Telephone Triage.

If I were you, I would keep out of it. I worked with a NP who was not very friendly. It seemed as though she was in her own little world, not a doctor or a bedside nurse, so she wasn't easy to deal with. I don;t think they are all difficult, but if the doctors are resisting it, I wouldn't push it.