Nurse practitioners

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Hello, Everyone

I would like to know your thoughts on a few controversial questions that I have to the profession.

I am very interest in knowing as a Nurse Practitioner (NP) would you consider learning the medical model if it would enhance your opporturnity of employment, knowledge and increase of salary?

As a NP, many health professionals argue that the NP's programs has a little to none clinical hours for the NP's students. How do you feel about that statement? If you could attend a residency program for a year to enhance your knowledge, clinical skills and learn about other diagnostic skills such as reading MRIs, X-rays, Ct scans, and etc?

As a NP, Do you feel that the adaquate amount of clinical skills has been given in your program? If so please explain and if not please explain?

As a NP, Do you feel confident and well-rounded as a NP regardless you may lack several of areas?

As a NP, what are your weakness after your graduate from your respecitive program? and did you increase your weakness while on the job?

As a NP, Do you feel overall that NPs are a large govern body under one main title? If not, what could you do to improve the large group of NP?

As a NP, do you feel neglectful by your peers, boss and the organization of NPs?

Lastly, as a NP, How do you feel being under two umbrellas (the state nursing board and the medical board)? What do you think about the state nursing boards conroll your salary and the medical board is the one that hires you? Do you feel that you are underpay? How would you resolve the issue about who should delagate your salary the state nursing board or the medical board

Thank you for your time and answering these important issues.

I am writing a paper on the "Economical see-saw of the nurse practitioners in the medical arena".

Have a great day and evening and look forward of hearing your replies.

Friends,

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Specializes in ICU, ER, HH, NICU, now FNP.

Are you writing a paper or something? Nobody posts questions like this without an ulterior motive!!!!! :rotfl: Well not all at once anyway!

Ok - Imissed the part about a paper there at the bottom...I was gonna say...

There are some threads around here that answer some of your questions. I would also check into the journal of medical economics.

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As an RN who will be starting an NP program in the fall of '06, I'd love to see some of the anwers to these questions too.

And, no, I'm not writing a paper ;-).

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Specializes in ICU, ER, HH, NICU, now FNP.

Yeah - Im not sure I am qualified to answer them since Im only halfway through mine. You might look at a book specifically geared to the NP reole - I know there are a couple out there -If I still had mine from last year, I'd tell you waht it was, but I loaned it to a classmate.

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Yeah - Im not sure I am qualified to answer them since Im only halfway through mine. You might look at a book specifically geared to the NP reole - I know there are a couple out there -If I still had mine from last year, I'd tell you waht it was, but I loaned it to a classmate.[/quote

I had asked myself these same questions over and over and I arrived at my answers through my experience, researching, comparing the physician assistants and nurse practitioner and the developement of the nurse practitioner profession. I present these to questions to the forum to see if my answers were similar or way off base and challenging as they were for me.

I am not a nurse practitioner student as of yet (waiting on my official letter to tell me if I am in or out). I want to be a well-rounded nurse practitioner and obtain the best knowledge in the medical profession. I do not care who is giving me the information as long I can receive it and place it in my knowledge bank. I do not want to receive the short end of the stick because the type of learning I am receiving in the nurse practioner program. I want to have the same opportunity as my other collegues in the medical career. Therefore, if I need to fight for the same opportunities as the others are receiving than I will.

I am trying to see if others are viewing the same as me. I would like to see if you notice the difference and how you feel about the differences through the questions I had asked above.

My goal is to write an article about it and if changes can occur by the out pour of nurse practitioners wanting to be recognize on the same grounds as the physician assistants and other medical professionals. In addition, I would love to see the nurse practitioners stand as one and show the united states we are powerful as a group.

In conclusion, it is not a negative to bring up an issue that has been existing for a long time. It is not fair for physicians and medical facilities to decide what model is better to have in their facilities. There are a variety of physicians in a medical facility and no one is limiting the DOs to one place and the MDs to another. It is a philosophy of learning and one does not override the other. If it did, is that call discrimination? Our we all being discriminated against because of the philosophy of study? I am just throwing it out there....Therefore, please assist me and trying to find out the truth of why this is occuring.

Thank you for your time and have a great evening/day.

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Specializes in Education, FP, LNC, Forensics, ED, OB.

i am an np and will answer some of your questions, but, first i ask that you clarify some of them. a few of the questions and statements are a little vague....may need to reword them.

or, it could be i am so dang tired, i cannot read them correctly.

maybe after some sleep the material will be clear??

siri, crnp, clnc, rlnc

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I am not under the medical board at all. Everything comes from the nursin board. I wouldn't want to be under the medical board because I can see what they do to restrain their PA's

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Hello, Everyone

I would like to know your thoughts on a few controversial questions that I have to the profession.

I am very interest in knowing as a Nurse Practitioner (NP) would you consider learning the medical model if it would enhance your opporturnity of employment, knowledge and increase of salary?

I think you have to as you are practicing medicine no matter what anyone says. You will be a better clinician if you do this which will make the last part of the question true.

As a NP, many health professionals argue that the NP's programs has a little to none clinical hours for the NP's students. How do you feel about that statement? If you could attend a residency program for a year to enhance your knowledge, clinical skills and learn about other diagnostic skills such as reading MRIs, X-rays, Ct scans, and etc?

This statement is true. Clinical experience is key, and there's too many assignment like the one you are doing now and not enough clinic. As for residency, do I think it's needed? Absolutely, especially if one is thinking of being on their own soon after school. Would I do one? Hell no (one of the big reasons for becoming NP instead of MD in the first place). Unless I got paid six figures during my residency (MDs don't even get that during res) it wouldn't be very cost-effective.

As a NP, Do you feel that the adaquate amount of clinical skills has been given in your program? If so please explain and if not please explain?

Not at all. See previous question. The extent of my training in EKG interpretation was, "buy a book".

As a NP, Do you feel confident and well-rounded as a NP regardless you may lack several of areas?

Not at all; I think this question answers itself.

As a NP, what are your weakness after your graduate from your respecitive program? and did you increase your weakness while on the job?

Weaknesses: practicing medicine. Practicing is the best way to learn. It's just dangerous in that if a NP thinks they know more than they do in the critical learning period (first few years at least) and the collaborating doc isn't around a lot. I haven't heard of this much but it's possible.

As a NP, Do you feel overall that NPs are a large govern body under one main title? If not, what could you do to improve the large group of NP?

There are some organizations that claim this, but none are really effective in my opinion. If they were, all the states in the nation would have equal practice rights. I think the biggest problem is the fact that there are several organizations and poor communication. If there were one organization that we all were very familiar with and paid dues to, it would simplify and unite all NPs who, for the most part, share common goals in legislation.

As a NP, do you feel neglectful by your peers, boss and the organization of NPs?

No, but I suspect that is highly individual.

Lastly, as a NP, How do you feel being under two umbrellas (the state nursing board and the medical board)? What do you think about the state nursing boards conroll your salary and the medical board is the one that hires you? Do you feel that you are underpay? How would you resolve the issue about who should delagate your salary the state nursing board or the medical board

First, different states have different governing methods. Some are only nursing, some only healing arts, some both, some even with pharmacy boards involved. I don't think it really makes that much difference, but it would be nice to be uniform across the nation. Ideally, I'd like to see a "Board of PCPs" that governs all primary care practitioners no matter what education track you took to become a PCP.

Second, salary has nothing to do with the any board except maybe the board at the hospital that is voting on staff salary. Salary, for NPs can be set by the hospital, but in most cases in clinics, it is between the NP and the owner of the clinic, physician or not. I'm personally not underpaid because I negotiated what I thought was fair. NPs as a whole may think they are underpaid by the salary survey results (average is around 70K/yr) but many NPs I know don't really work that hard to justify paying them much more because they aren't generating very much. I know one who sees about 15/day and is booked. If that's as much as they want to work, I can't sympathize with them if they b*tch about the money. The last part of that question is irrelevant as there is no such thing as "delegation of salary".

Hope this helps you with the painful crap you are going through. I know the feeling....

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Thank you very much for your thoughts and replying to the post. I thought many nps would had address my questions and a good discussion could had been develop. I wanted to hear from a wide range of nps and from different locations. Instead you and two others responded and I am greatly appreciated.

In addition, there is a challenge that will be given to the PA nursing board and one hospital in PA about the salary being control by the PA nursing board and hiring by the medical board. It should be interesting to read about and if changes will occur. Keep watching the papers and read about it. I hope this NP wins and show the unfairness in her hospital that allows the PA nursing board to dictate the nurse practitioner's salaries. Therefore, I support her a hundred percent for her job requirements are the same as physician assistants and she recieves less pay.

There are many nurse practitioners (depending where they work) has seen a large number of patients and improve the income of their practice by 80% or more. I feel the nurse practitioner should be given the same opportunity regardless of the nurse's model or medical model. Each of the nurse practitioner and physican assistant are working hard and desire the acknowledgement, salary and benefits from their coordinator or boss at the medical facilities. Therefore, let's give praise and equal pay to the nps as well as benefits.

Thank you one again,

Buttons

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Thank you very much for your thoughts and replying to the post. I thought many nps would had address my questions and a good discussion could had been develop. I wanted to hear from a wide range of nps and from different locations. Instead you and two others responded and I am greatly appreciated.

In addition, there is a challenge that will be given to the PA nursing board and one hospital in PA about the salary being control by the PA nursing board and hiring by the medical board. It should be interesting to read about and if changes will occur. Keep watching the papers and read about it. I hope this NP wins and show the unfairness in her hospital that allows the PA nursing board to dictate the nurse practitioner's salaries. Therefore, I support her a hundred percent for her job requirements are the same as physician assistants and she recieves less pay.

There are many nurse practitioners (depending where they work) has seen a large number of patients and improve the income of their practice by 80% or more. I feel the nurse practitioner should be given the same opportunity regardless of the nurse's model or medical model. Each of the nurse practitioner and physican assistant are working hard and desire the acknowledgement, salary and benefits from their coordinator or boss at the medical facilities. Therefore, let's give praise and equal pay to the nps as well as benefits.

Thank you one again,

Buttons

This is strange, and unheard of at least in Missouri. I can't imagine a state board having anything to do with salary and even if they have suggestions, who's going to listen? What authority do they have to say what XYZ Hospital should pay their employees? That would be like me walking into XYZ Hospital and saying "I am a NP and therefore I demand all NPs in this hospital be paid more" They'd laugh me out the door.

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This is strange, and unheard of at least in Missouri. I can't imagine a state board having anything to do with salary and even if they have suggestions, who's going to listen? What authority do they have to say what XYZ Hospital should pay their employees? That would be like me walking into XYZ Hospital and saying "I am a NP and therefore I demand all NPs in this hospital be paid more" They'd laugh me out the door.

Yes, it is happening in several hospitals not all in PA. It is ashame too, in my opinion and I was upset that the other nps is settling for less pay for the same amount of work the physician assistants do. However, this one np is going to challenge it as well and I support her one hundred percent. Therefore, it is not fair for one to be paid less because of a board that governs another group that is similar to another group.

Hmm, did I say that correctly????

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Specializes in Education, FP, LNC, Forensics, ED, OB.
yes, it is happening in several hospitals not all in pa. it is ashame too, in my opinion and i was upset that the other nps is settling for less pay for the same amount of work the physician assistants do. however, this one np is going to challenge it as well and i support her one hundred percent. therefore, it is not fair for one to be paid less because of a board that governs another group that is similar to another group.

hmm, did i say that correctly????

buttons

i understood you completely. in my state the bon and the med board do not negotiate salaries for np's. hospitals do not usually have pay grades for np's, either. clinics will set salaries after negotiations and contracts started. np's are under the bon and pa's the med board here.

siri, crnp, clnc, rlnc

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