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NRSKarenRN, BSN, RN Moderator 152,473 Views

Joined: Oct 10, '00; Posts: 27,462 (22% Liked) ; Likes: 13,677
Utilization Review, prior Intake Mgr Home Care; from PA , US
Specialty: 40 year(s) of experience in Home Care, Vents, Telemetry, Home infusion

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  • Jun 9

    Well, I wouldn't claim to have the expertise on both fields but being a PMHNP and being a researcher with a PhD in Neurosciences are related but are entirely different career trajectories. PMHNP's are providers working in a mental health clinical setting.

    At a minimum a PhD is not required for an NP in that setting. The only setting I could see both fields merging into one role would be as a faculty member in academia where you may be allowed a percentage devoted to clinical practice (let's say 50%) and the other half devoted to your research in Neuroscience.

    It can be a prestige thing to some institutions if you could attract the kind of funding for research as a member of the faculty and have significant yield of research output as a result. I don't know if doing both is indeed do-able because my understanding of nursing faculty with PhD's who are also NP's but are heavily involved in research is that they are left with very few time devoted to clinical practice anymore if at all.

  • Jun 9

    Quote from Orion81RN
    Perhaps it's your wording. Either way, the person needs to know. Leave how they take it to them, and if serious enough, management. Try to make it less about the nurse, and more about patient safety. If someone can't handle constructive criticism, that's not your problem, and you can move forward with a clear conscience knowing you did the right thing by advocating for the patients receiving sub par care.
    I don't think this is about the nurse who still "aspirates" an IM, or rubs the spot after, or uses Trendelenburg, or does a Valsava vs a Modified valsalva.....

    This is about missing basic concepts, and lacking either the aptitude or ambition to understand them.

    No amount of constructively crafted feedback will create aptitude.

    I am not a good dancer. I lack rhythm. And grace. It does not matter how you speak to me about dancing, I will still not be a good dancer. Ever. I do not have the aptitude. Even if I passed a 2 year dancing course, and somehow passed my national dance exam, I would suck at dancing, and you would wonder how the heck I made it this far.

    Now substitute "nurse" for "dance".

    That is what this vent started as.

    Oh- I forgot to mention- I think I am a great dancer. In school, some of the instructors picked on me, and all 6 choreographers who fired me were ignorant.

  • Jun 9

    In my "previous life" I was a manager for one of the two large delivery companies here in the 'States. Part of my job involved teaching new drivers how to drive the trucks. If I had a dollar for every time I had an employee tell me how nervous they were to get behind the wheel of the truck I would always point out that: 1. this truck is a lot smaller than the big rigs, and 2. have you actually seen some of the folks that drive those big rigs? If they can do it so can you!

    Needless to say, as an adult learner studying for my BSN I experienced this in nursing school- "if that person can have an MSN/DNP and be a professor..." as well as in work- "if this person made it this many years as a nurse..." then I think I'm going to be okay.

    That said, no amount of preparation can prevent the slight bewilderment when encountering someone else that fits the criteria.

  • Jun 9

    I have no idea why the OP would get any kick back on this vent. It is obviously true, and can be frustrating.

    Q.- What do you call the guy who finished last place in medical school?
    A.- Doctor

    There is no getting around it. In every field, there are people at at bottom. A guy with an IQ of 130 may sound pretty smart hanging out at the TGI Fridays bar, but over at the Mensa meeting, people wonder who let him in.

    Look at it this way: About half the nurse out there are below average. Here is another scary statistic. Think of a unit with 10 nurses- One of those nurses is in the bottom 10%. (Technically, s/he is the bottom 10%.) And, this nurse is responsible for the same level of work as everybody else.

    As far as confronting or educating these folks- generally ineffective. Some people simply lack ability, or ambition, and no amount of constructive feedback will change that. And, there is a complete lack of recognition. In fact, the worse you are at something, the better you think you are. This has been studied, and referred to as the Dunning Kruger Effect. This is not a situation amenable to constructive feedback.

    If you talk to those folks, the ones you wonder how they even got through school, about school, I can pretty well tell you how most will respond. They will tell you what was wrong with their school, the unfairness of the tests, and the teachers who were out to get them. A lot of focus on external forces. Pretty rare to find somebody who says: "Honestly, I am as dumb as a box of rocks. Also, I am truly lazy. And, come to think of it, I am really self centered."

    Of course, I could have this all wrong. Assuming the Dunning Kruger study has merit, and I think it does, I could be one of these people, and there is no way I would know it.

  • Jun 9

    I am glad she is safe!

  • Jun 8

    Thanks for the comments. Yes age is referring to nurses that as we age we might not be as able to keep up the fast pace, be on our feet for 12 hours, etc.. and thus might leave the workforce. Retirement refers to the more traditional reason to leave the workforce such as not working at all.

  • Jun 8

    June 8, 1968, I graduated from Nursing School. An old-fashioned Catholic hospital school, with plenty of time in the hospital. I worked for 42 of those years, mostly in NICU.

  • Jun 8

    Quote from prmenrs
    June 8, 1968, I graduated from Nursing School. An old-fashioned Catholic hospital school, with plenty of time in the hospital. I worked for 42 of those years, mostly in NICU.
    Admirable!!!!

    Congratulations, prmenrs.

  • Jun 8

    Wow, walkmansky- to be scolded in the workplace by patients, not have done anything wrong, and be comforted by doctors sounds like an excellent opportunity for learning and growth!

    I, for one, would be interested in details and outcome!

    Welcome to AN.com!

  • Jun 8

    Part 1 of the 2018 allnurses Salary Survey Results contains the demographics of the more than 16,800 nurse participants. In Part 2, we looked at the staffing conditions and nurse-patient ratios of the workplaces of the participants compared to some recommended nurse-patient ratios by clinical area. Part 3 addressed data that will have an effect on the nursing shortage by looking at when and why nurses are leaving the workforce.

    While all of the above-mentioned data is definitely of interest, most people are even more interested in finding out just how much nurses are making. The salary figures found in the interactive images below are based on data received from almost 17,000 respondents who were asked to submit salaries as reported to the IRS. They do not take into consideration cost of living indexes, which can greatly affect the value of the salaries including the resulting purchasing power. In a future article, we will provide adjusted salaries that do account for the cost of living, taxes, etc. I think you will find those figures very interesting.

    Below are the results, provided in interactive charts that will allow you to customize your search. Several filters (State, Degree, License, Gender, Years of Experience, Specialty, Age) have been added. Be sure to click on the filters as they will affect the range of figures shown.

    You can use the filters to dig deeper into the data to see why some figures are higher or lower than expected. For example, just looking at the chart for Average Annual Pay by Degree for Full Time Employees, you will see that the average salary for Diploma Degree nurses is higher than ADN/ASN and BSN nurses. If you change the filters for a more customized view to the following - Highest Nursing Degree (Diploma) and Active Nursing License (RN), you will see that 75% of Diploma Nurses have more than 21 years of experience with 41% having over 35 years of experience. 66% of these nurses are over 50 years old. Way to go Diploma nurses!! These nurses deserve all of our respect.

    You can also see what specialties pay the highest salaries, which states pay the highest and lowest salaries, and more. But remember, these figures do not take into account the cost of living expenses which must be factored in. We will explore those figures in Part 5 of the Survey Results.

    Play around with the filters. After you review the results, please feel free to post your questions and comments below. Let us know what trends and other interesting facts you uncover. We can all learn from input from others.

    I almost forgot... Be sure to look at the map. As you hover over the states and Canadian Provinces, you will see the average annual full time salary for hourly and salaried employees.











    To see additional Salary Survey Results, go to:

    2018 Nursing Salary Survey Results Part 1 - Demographics

    Safe Staffing: How Does Your Workplace Stack Up? 2018 Salary Survey Results Part 2

    When and Why Nurses are Leaving the Workforce - 2018
    allnurses Salary Survey Results Part 3

  • Jun 8

    Quote from charisma00
    I am looking at two schools, ABSN program at a local state college (1 year, $36,000- 55,000), or MSN CNL program at a nearby private school (2 years, $100,000 -120,000). I want to be a Nurse practitioner. What is the best path I can take, I would love to be set as soon as possible so I can have a family and have the best return on my investment. I hear MSN nurses just have to go for certification to become NPs, while i guess as a BSN nurses I'd have to go for an MSN or DNP program? I also hear MSN nurse practitioners are no longer the standard but DNP? so then Id probably would go to school so that. As you can see, I am lost. Please help!
    Simple - Do not waste your money on the CNL program. It does not get you anywhere except in a lot of debt. Based on your post, you are incredibly confused even on the basics, so last thing you need is to waste $100k on a useless CNL degree.

    Get your ABSN and continue your research on NP programs.

  • Jun 7

    If you feel that he is deteriorating rapidly, and can't get the care he needs fast enough, I would go to the ER. They will figure it out quick, but the costs associated with this are another story. If you've lost faith in your current providers, I would find a new PCP. It's important to trust the person that you entrust your health to. I wish you and your husband a quick resolution to this unfortunate situation.

  • Jun 6

    I attended the world premiere of this film last year and met the film maker. Outstanding. See it and encourage your family to see it as well.

  • Jun 6

    The worst part of nursing? You will at best double your income from start to finish of your career. Meanwhile, your contemporaries will average 5 times their starting salary. Once you get to TOS, you really don't increase much at all. Take into account that you will wish to do less OT as you age, on average, and this becomes even more evident.

  • Jun 6

    Most employees get a small raise (about 2%) every 12 to 18 months. However, it is not based on anything concrete such as "seniority" or "cost of living." When you reach the top of the pay scale for your position, you don't get anything more until the entire pay range is changed. I haven't gotten a raise of any kind in about 5 years. So, I have been losing grounds against inflation.


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