why nursing is a mess. three simple facts

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If you are expecting an elaborate article, you won't get it here.

1. cost too much to transfer license from another state. About 220 bucks just for me to transfer my RN license since I am moving to another state. Lame. it's not like ive performed any crimes in the past few months.

2. Phd in nursing- LOL? Who would get a phd in nursing? it is not like it is as an elaborate field as chemistry, biology, or psychology. WHAT A JOKE. This is pretty much just a bullbeat way to try to OVERLEGITIMIZE the nursing profession. What are you performing double blind controlled studies on.... HOW TO GIVE A BEDBATH OR BREAK THE SEAL ON THE ASPIRIN TABLET???? Keep it simple folks.

3. Overcomplication- nurses are probably the worst at over complicating things. I remember back in undergraduate, we were taught those elaborate care plans. Do you know what care plans are? GARBAGE. You never use them and nobody cares about them. Unless you are one of those old hags with a Phd IN NURSING..... You know what else is dumb. NURSING DIAGNOSES. you know what those are? cheap copies of medical diagnoses, aka nurses trying to legitimize themselves with medicine. I remember having to come up with these stupid things. IMPAIRED NUTRITION SECONDARY TO DIFFICULTY SWALLOWING. ARE YOU KIDDING ME, NO CRAP, IF YOU CANT SWALLOW YOU CANT EAT. NO CRAP ROFL. I also remember the nursing skills manual. 10 pages on HOW TO FOLD A FREAKING WASHCLOTH AND MAKE A BED. Go home overcomplicators, go home.

I also remember having to learn indepth about diagnoses such as cardiac tamponade. WHENS THE LAST TIME YOU PAGED THE DOCTOR AT 3 AM "Hey I think this patient is in cardiac tamponade, you know when they stick the tampon in lemonaide???" ARE YOU KIDDING ME... NEVER.

I could go on and on about point 3.

Overcomplication is a simple way to try to self-legitimize. Something the PHD level nurses are professionals at. Good professionals simplify as much as they can, not do this garbage.

Bronze 4 has it... Remember doing a stint in Academia and had a peer (senior level faculty) who had MSN and 10 yrs in nursing acedemia and had 2-3 years of clinical experience working in a pediatrician's office and assisting an Opthomologist.

She would decide who was "not nurse material" and make sure that person didn't succeed in the program.

This person chastized me (10 yrs Cardiology Tech and 10 yrs CCU RN experience at the time) in front of students by asking me what I would do if my patient's HR was 60 at 0700 and then at noon was 83. I said I would look at the patient and take into consideration activity level and assessment and continue monitoring the patient. To the students this person said... "Well we can see Mrs... Hasn't read her Potter and Perry today!"

Need I say more...

Specializes in ED, Critical Care.

Personally I'd like a PhD so can say, "Hi I'm Dr. PPFD, I'll be your Nurse today!":roflmao:

Care plans, I used the same 3 or 4 during my time in nursing school, thats how much my clinical coordinator thought of them. Then again she worked as a Nurse full time and did clinical work on the side. Learned more from her than the teaching staff.

Use care plans? Unless there is a secret program I'm missing that charts information. In my years as a PT ED Nurse, never used/made one yet.

Rep to ya OP. A lot of nurses, take this way to serious, make nursing harder than it needs to be.

I am all for education, further learning, etc. Working on my BSN now.

But, I found Nursing school no harder than Paramedic school! :nailbiting: (did I say that?)

A lot more senseless BS in Nursing school by a long shot.

RIGHT ON !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Specializes in Oncology; medical specialty website.
Do you have any examples of these schools? I'm pretty sure you have to have a nursing license to get into NP school...even if the standards are otherwise low.

Well, here's one for example:

Direct Entry Program in Nursing (DEPN) : Department of Nursing : University of Vermont

Despite my criticism of the original post, this I will say:

As I finish my 5th year of nursing, the professional-development classes which have been most useful have been those which focus on MEDICAL and SURGICAL problems and interventions... ATCN, TCAR, TNCC, ACLS, STABLE, etc... all have us thinking and even acting more as PROVIDERS. I find the efforts to compartmentalize nursing and medicine to be contrived and forced, nonsensical, and counterproductive.

I have to agree that a substantial portion of what went on in nursing school was useless fluff... and probably more contributes than inhibits events like the one to which I was recently party. Every hour spent on (what I consider) fluff is an hour not spent on solid, practical knowledge.

I would truly love to be part of creating a nursing program from scratch...

Specializes in Cardiac step-down.
Specializes in SICU, trauma, neuro.
Bronze 4 has it... Remember doing a stint in Academia and had a peer (senior level faculty) who had MSN and 10 yrs in nursing acedemia and had 2-3 years of clinical experience working in a pediatrician's office and assisting an Opthomologist.

She would decide who was "not nurse material" and make sure that person didn't succeed in the program.

This person chastized me (10 yrs Cardiology Tech and 10 yrs CCU RN experience at the time) in front of students by asking me what I would do if my patient's HR was 60 at 0700 and then at noon was 83. I said I would look at the patient and take into consideration activity level and assessment and continue monitoring the patient. To the students this person said... "Well we can see Mrs... Hasn't read her Potter and Perry today!"

Need I say more...

And this is a prime example of why going from no practice to advanced practice is stupid. :facepalm:

Yeah, that's all fine and dandy if you're only licensed in one state. But, if you're a traveler like I am, and am license in eight states (and counting) and have to do continuing education in about half of those, my costs are about $1000 a year just for licensing alone, not counting certifications, CEUs et al. I would KILL to pay $100 a year!

Specializes in Pediatrics.

Over-complication is definitely the term I'd use to define the problem in today's nursing, especially in the area of academia. A PhD in nursing other than for purely teaching purposes is ridiculous, and even for that it is a stretch. Many engineering professors only have their master's, and those are at top schools! The DNP for nurse practitioner, for me personally, is a huge stretch. Looking at several programs, the DNP only seems to focus on how to prepare for reading, conducting and presenting research, not enhancing clinical experience. Three years of $100,000 for pure fluff? No thanks. I'm not saying research isn't necessary, in fact a nurse actually presented evidence solidifying the need for hand washing and made hand hygiene the way it is today (she had a PhD in micro though). For education, it should be focused on practical skills, time management and critical thinking, not time-consuming nursing care plans that no one could give two thoughts about.

Also, nursing should standardize its education. Either make it okay to be ADN or BSN and leave it be. Stop talking about it for the past twenty years because clearly it hasn't changed at all. It's infuriating.

I also seem to get the feeling that nursing is constantly trying to prove itself to the other professions, like we deserve to be at the table when really we already are. I dunno, just my two cents.

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.

Also, nursing should standardize its education. Either make it okay to be ADN or BSN and leave it be. Stop talking about it for the past twenty years because clearly it hasn't changed at all. It's infuriating.

To me it's interesting that multiply entry points only seems to be an issue for nurses, among nurses. Other health professions that have multiple entry points, physician (at least two), PAs (at least three), respiratory therapy (at least two), don't seem to be beating each other up about it like nurses do to each other.

Specializes in Home Health.
Yeah, that's all fine and dandy if you're only licensed in one state. But, if you're a traveler like I am, and am license in eight states (and counting) and have to do continuing education in about half of those, my costs are about $1000 a year just for licensing alone, not counting certifications, CEUs et al. I would KILL to pay $100 a year!

Well, no one is making you keep 8 licenses active. :p

Upon further research and reading, I'd have to say I can see OPs point of view, even if I don't agree with the delivery.

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