Little experience as an RN

[trein]

Is it feasible to get a job as a FNP in an office/ clinic setting with only one year hospital experience? I worked in medsurg for a year and hated it. Now I am going to work in a cardiology office. I want to get my FNP but refuse to work in the hospital. Is this possible?

[Mark Hill BSN]

What exactly was condescending? Is challenging you considered condescending ? Be prepared to be challenged frequently in advanced practice. And have some rationale for your defense. Obviously you are very defensive about this, but instead of fuming and calling me "sailor" you could think about the actual content of the post.

Part of making the transition into advanced practice is learning to make decisions based on evidence.

If you read the literature, you would see that there has been no quantitative data and limited qualitative data that supports the notion that RN experience plays a significant role in novice NP role socialization.

I have no doubt your 25 years of ED and unit experience will help you along the way. I also have no doubt it will lead you astray along the way. Overconfidence in advanced practice is dangerous. Soon you will step out into advanced practice and you may change your mind about me being a "sailor" with an "attitude".

Your entire statement was condescending from the jump. You "assumed" (and of curse you know what that does) that I have not read the evidence that is out there. Your assumption, of course, would be wrong. Your next assumption is that I will enter the advanced practice arena "over confident", another asinine assumption. As I stated before, when there have been several years, and hundreds of studies done, then we can argue the merits of evidence based research on this subject. Until then I will continue to feel the way I do on this subject, as I have seen what I have seen. I also doubt, I will ever change my mind about you being a sailor with an attitude when my first, and only, experience with you has been nothing but an exercise in condescension! You only have one chance to make a good first impression, my sailor friend.

[Mark Hill BSN]

Several hundred quantitative studies is what it would take to supersede your experience?

That pretty much rules out about every hot-topic issue in the past decade, as I can't think of any topic that has hundreds of relative studies in the course of 10 years.

As you should know, through all of you "extensive" research on the matter, if a subject does not have enough evidence base research, it requires more research! A definitive explanation of a phenomenon can cannot be reached if the research is inadequate.

[JeanettePNP, MSN, RN, NP]

As you should know, through all of you "extensive" research on the matter, if a subject does not have enough evidence base research, it requires more research! A definitive explanation of a phenomenon can cannot be reached if the research is inadequate.

This may be true that more research is needed. However, the research that HAS been done to date does not bear out your claim that NP's without RN experience were inadequate compared to NP's with experience.

[BostonFNP, APRN]

Your entire statement was condescending from the jump. You "assumed" (and of curse you know what that does) that I have not read the evidence that is out there. Your assumption, of course, would be wrong. Your next assumption is that I will enter the advanced practice arena "over confident", another asinine assumption. As I stated before, when there have been several years, and hundreds of studies done, then we can argue the merits of evidence based research on this subject. Until then I will continue to feel the way I do on this subject, as I have seen what I have seen. I also doubt, I will ever change my mind about you being a sailor with an attitude when my first, and only, experience with you has been nothing but an exercise in condescension! You only have one chance to make a good first impression, my sailor friend.[/quote

1. Please enlighten me on how "have you read the studies" implies assumption.

2. If you have read them then why not share your critical review of them?

3. I made no assumption about you entering practice overconfident, I just said that overconfidence is dangerous, as it comes up in the literature re: role socialization of experienced RNs. In retrospect, based on your comments here, it would be a concern for me. This is not an assumption but, rather, is based on comments like "I will continue to feel the way I do on this subject" and the lack of "merit" to any evidence that hasn't been duplicated hundreds of times because you know better.

4. You are entitled to your opinion on the topic. You continue to call me names rather than address the content. If you wish to address the content, great. If you would rather call names and talk about first impressions then we can just agree to disagree.

[Mark Hill BSN]

This may be true that more research is needed. However, the research that HAS been done to date does not bear out your claim that NP's without RN experience were inadequate compared to NP's with experience.

If you will try and remember, I stated, I think, and my opinion is, that a nurse will be doing themselves an injustice. It was not meant to be an evidence based, learning tool. I did not realize that in order to comment on this board, everything had to be backed up by peer reviewed evidence based research. My mistake. I thought it was an opinion board about the subject of nursing!

[Mark Hill BSN]

2. If you have read them then why not share your critical review of them?

Because the limited evidence I read does not line up with my own experiences, and I was expressing my opinion about my "own" experiences.

[Mark Hill BSN]

I also have no doubt it will lead you astray along the way. Overconfidence in advanced practice is dangerous.

This seems like a very assumptive statement to me....Just saying.

[Mark Hill BSN]

"You are entitled to your opinion on the topic. You continue to call me names rather than address the content. If you wish to address the content, great. If you would rather call names and talk about first impressions then we can just agree to disagree".

Yes I am entitled....thanks. As far as the content is concerned, if I knew was going to engage in a "philosophical" discussion about the importance (or lack there of) of experience as a nurse I would have come more prepared. As it is, I was simply commenting, and giving my opinion about a subject. I guess I didn't read the fine print where is states, "only evidence based comments allowed"....again, my mistake!

[BostonFNP, APRN]

Yes I am entitled....thanks. As far as the content is concerned if I knew was going to engage in a "philosophical" discussion about the importance (or lack there of) of experience as a nurse I would have come more prepared. As it is, I was simply commenting, and giving my opinion about a subject. I guess I didn't read the fine print where is states, "only evidence based comments allowed"....again, my mistake![/quote']

But you said you were prepared and had read the studies?

Everyone can have opinions but that doesn't mean they are left unchallenged.

I am sorry if you will always consider me a sailor with an attitude simply because I challenged your opinion, but I would rather you think bad of me than leave advice to a future NP that I don't agree with unchallenged.

Would you respond to a nursing student stating opinions about nursing when they have no experience nursing?

[Mark Hill BSN]

But you said you were prepared and had read the studies?

Everyone can have opinions but that doesn't mean they are left unchallenged.

I am sorry if you will always consider me a sailor with an attitude simply because I challenged your opinion, but I would rather you think bad of me than leave advice to a future NP that I don't agree with unchallenged.

Would you respond to a nursing student stating opinions about nursing when they have no experience nursing?

I have read some studies, but I already stated that I don't agree with the finding of the limited research based on my own experiences. Should I just disregard 23 years of nursing experience because I read a few limited studies? Your not making any sense.

Its is one thing to challenge an opinion on a subject, it is an entirely different thing to challenge an opinion in an aggressive, assumptive, and condescending manner. The irony for me, is that you come on with all this aggression, then you are astonished to get it right back. Intellectual, bullies are always amazed when they are met in the middle, and get a truck load of push back. I suggest the next time you pick a fight, choose your combatant a little more wisely. Did you assume I was just going to lay down and take my whoopin?

[Mark Hill BSN]

So your sample size of two and your clinical time as a student have demonstrated to you that novice NPs with little-to-no RN experience are disadvantaged?

I guess folks in Boston speak this offensively all the time....Not where I'm from. We prefer to disagree agreeably, especially when we don't know the person form Toms turkey!

[BostonFNP, APRN]

Mark, you are the one making this a "combative" and personal exchange.