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.
Would you want your unit run with 1 RN and 10 CNA's? Its the same concept.
Look you can presented all the "evidence" you want. I'm not buying it. That "evidence" is biased and years from now we will see the true cost of cheap labor.
Can CNAs provide the same care as RNs? Are they licensed to? Are there studies that show similar outcomes? It is not the same concept at all, that's exactly why I stated that you seem to only have a very superficial understanding of the issue.
Oh yes the "biased" research, which I am willing to bet you have never read. The biased research published in biased journals like the JAMA which clearly has a vested interest in promoting the nursing agenda. Maybe the aliens at Area 51 are behind it all.
Years from now we will see the "true cost" of what a shortage of more than 65,000 primary and mental health are providers will look like. Hope you stick to your guns and only see an MD/DO, even if you have to drive 200 miles and wait over six months to see one, and your insurance changes you 50% more to do so.
Nope that's how it is in my state. It's like how doctors can train medical assistants to perform tasks that nurses normally do. Is there really a difference between cheap and cost effective??? I mean really think about it before you buy into that propaganda. Dear lord what states allow NP to perform surgery? Because I never want to live there!
Okay, now I know you're trolling us. No way are you a nurse, nursing student, or CNA and actually believe this. By what you are saying, ANYONE can perform surgery because their practice acts don't specifically have wording that says, "no, you may not perform surgery."
That's the thing about "evidence". You can have your set of research to prove your point. And I can have my own set of research that totally contradicts yours. So who is right? Lol! I have to ask though. Who funded that study published in JAMA? I don't read any research article without first fact checking who funded it.
That's the thing about "evidence". You can have your set of research to prove your point. And I can have my own set of research that totally contradicts yours. So who is right? Lol! I have to ask though. Who funded that study published in JAMA? I don't read any research article without first fact checking who funded it.
What evidence have you presented? Alluding to a study having tainted interests proves nothing except the need for tin foil hats.
That's the thing about "evidence". You can have your set of research to prove your point. And I can have my own set of research that totally contradicts yours. So who is right? Lol! I have to ask though. Who funded that study published in JAMA? I don't read any research article without first fact checking who funded it.
Where is your "set of research"? "Mine" has been published in major peer-reviewed medical journals. Where is "yours"?
I do read research articles. I don't really feel it's necessary to post my set of research because you can just counter with your own. If you really want to go there I am more than willing to do so. But it's neither here nor there. That is why I have mainly been speaking about the general ideology of midlevels. The ideological is cheap labor.
I think part of the problem is that NP always try to compare themselves to MD. As if they are trying to prove themselves. And its not really even about that. But the powers that be have decided MD NP and PA are equal because after all it is a business. Is cheap really that different from cost effective? You know we had a staff meeting recently about linen and how we need to limit linen usage. Because its more "cost effective". In my head I was loling! Cost effective my butt! The hospital is just being cheap!
Crazynut, first rule of debate is be prepared and willing to defend your point of view with valid resources.
Anyway, this conversation is pointless. You've lost me at, "NPs are always trying to compare themselves to MDs." Clearly, you've missed the point of nursing altogether.
BostonFNP, APRN
2 Articles; 5,584 Posts
Can CNAs provide the same care as RNs? Are they licensed to? Are there studies that show similar outcomes? It is not the same concept at all, that's exactly why I stated that you seem to only have a very superficial understanding of the issue.
Oh yes the "biased" research, which I am willing to bet you have never read. The biased research published in biased journals like the JAMA which clearly has a vested interest in promoting the nursing agenda. Maybe the aliens at Area 51 are behind it all.
Years from now we will see the "true cost" of what a shortage of more than 65,000 primary and mental health are providers will look like. Hope you stick to your guns and only see an MD/DO, even if you have to drive 200 miles and wait over six months to see one, and your insurance changes you 50% more to do so.
Sent from my iPhone.