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.
I do not think that having more education is a bad thing at all. I do feel that the NCLEX for the ADN and BSN should be different. Right now they are essentially the same thing except the BSN has some more general ed credits under their belts. I will be starting out with my ADN and going from there. I have been toying with the idea of going for my MSN someday. Just a few thoughts going through my head and I have been checking out different programs. I honestly think they need to decide on what they want from nurses. By "they" I am talking about the BON and heads of hospitals. There seems to be much confusion on the subject.
First, they need to define the difference between an ADN and BSN. Just decide already and stop telling us that there are better outcomes with BSNs and we want magnet status. That is a bunch of horse pucky. I have extensively researched this subject and from what I have seen as of this time an ADN gets more hands on experience and they have the same 2 year program that a BSN gets. The NCLEX is the same and the pay rates are only slightly different. Please define the difference for us and what you are going to hire.
Second, these for profit schools need to go. The fact that these are popping up everywhere says to the public anyone can be a nurse. Nursing is a profession and should remain as such. With anyone and everyone going to nursing school these days it's not as prestigious as it should be. There is lots of confusion amongst the public as to what nursing entails and its not as respected as it should be.
Third, I see what you are saying about care plans but I have to disagree here. I have seen many people coming in here for assistance with their care plans. And I get what they are about. Just from reading what Esme and GrnTea write it has helped me to think differently. I think that is what they are all about. Getting you to think differently. I think we all know nursing school does not really prepare for nursing. It is supposed to prepare you to take the NCLEX. Your first job will get you the nursing experience that you need. The real world of nursing is much different than nursing school world.
Also, the reason you pay money for licensing in different states is it provides money to the BON. The money has to come from somewhere. This is not specific to the nursing profession. My sister is a PT and she used to work for a company and did traveling. She had to apply for licensing in each state she went to. It was a giant pain in the butt, but it's a fact of life. And I don't think $220 for a license is a whole lot of money. Do you have any idea what I pay just to plate my car every year? Close to $700 in my state. Now that is a lot of money and I have to do it every year. And that is with the "lottery" discount they give us. It's a racket.
Nursing is a profession and people need to stay abreast of all of the new stuff that changes every year. Education is not a bad thing and I don't think it overcomplicates things. I think if we didn't have MSNs and DNPs then the profession would have very little to no respect at all.
Specializes in LTC,Hospice/palliative care,acute care.
"Often these folks lack practical experience in actual nursing. Instead they live in a world filled with research papers, statistical analysis, and academic fluff. This leads to them imposing their nonsense on bedside nurses through regulatory requirements, thus clogging the workplace and and actually impeding patient care."
OMG ooh yes! The "book knowledge" nurses. The patient will likely die before they run through all of the protocols and algorhythyms. Example, i was pulled from ICU to "stay" with a brand new BSN on the post op floor that had only 2 patients. Both patients fresh out of surgery. Since i spent some years floating in the units (I'm an LPN) I was the first one pulled. This BSN was real nice, had ooodles of book smarts, and zero (first job as a healthcare ANYTHING) experience. When I say it was her first....I mean it was her first time on the floor being licensed. I was ok with that. Our patient's was a 40ish woman, post op cholecystectomy. The other, a girl of 21 that broke her femur in a skying accident. About 2 hours into our shift (3-11) and after assessing etc. The 21 year old's call light went on. The BSN answered and I followed her in prepared to just grab some ice water or such... When I walked in, I immediately grabbed the 02 because this girl was gasping, pale and was turning blue. I told my partner to push the code button. She started to argue with me that we need to assess and maybe call the doctor. I threw the 02 on the girl..... pushed the code button myself and pushed the BSN into the hallway.....told her to grab the code cart. She was still arguing about calling the doctor. i told her.... we don't have time. I told her to think very hard about what she knew about fat emboli, broken femurs and PE's. I didn't mean to be so rough...but really. Stop and think how much your procedural guidelines go out the window in situations like this.
That's as simple as your "ABC's" .It's a good example of an inexperienced nurse overthinking.
Chillnurse: Why are you even a nurse? Every post I read from you is purely derogatory to nurses and the profession in general. If you took the time to read one of the many medical or nursing journal articles written by these "overinflated" PhD nurses, you might be able to generate a more informed opinion.
I even tried reaching out to you in another thread to offer you some resources to help broaden your viewpoint, no response. I stand by that offer. I would be happy to mentor you or talk more about the topic. I hate to think that you are so active on a nursing forum when you really don't even seem to like nurses or being a nurse.
I sincerely hope you take the time to answer the question. Why are you a nurse? If you are surrounded in a profession of idiots, why not move on?
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I think the OP had a moment of frustration and needed to vent. Venting is perfectly acceptable sometimes....we have ALL had those moments..
Venting is fine, but the name calling and the ageism make it very difficult to take the vent seriously. The three "facts" are nothing more than opinions, and the whole post is so nasty it makes me question the writer's entire premise.
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
And of course, I wouldn't say "the patient is *in* cardiac tamponade..." I'd say, "the patient *has* a tamponade"
though I generally don't make a definitive dx... I usually say, "is showing signs of ___, including ___"
I usually say, "Based on _______, _______ and _______, do you think we should call the surgeon NOW, Doctor?" That and the open chest cart usually get them moving in the right direction.
Specializes in Internal medicine/critical care/FP.
I read nursing journals in school. Never will again. I'll stick to epocrates and uptodate. Where they leave out the fluff and to straight to the point. If we followed all of the stuff they put in those nursing journals, I'd admit like 1/2 of a patient per night because I'd be questioning him about his deep spiritual needs and asking him about his childhood problems all evening. I shall pass.
I don't hate nurses BTW, am just not a fan of the ridiculous amount of theory which very little is useful to practice. Again, all of this theory stuff is why a lot of fnp grads have trouble finding jobs. The MD looks at his resume and sees theory theory theory and goes ROFLMAO.
Venting is fine, but the name calling and the ageism make it very difficult to take the vent seriously. The three "facts" are nothing more than opinions, and the whole post is so nasty it makes me question the writer's entire premise.
I just peeked at the OP's posts on other threads. I have to agree. She seems to hate older women and is incredibly burnt out considering her stated age of 25.
OP... you need to figure out what's going on with yourself. You self report that you are a nurse practitioner. Are you burnt out on school and your professors? What made you so bitter? You are only 25 and, compared to the rest of the world have it made.
OP gave him/her-self away in the original post. Anti-nursing education. Bizarre "3 simple facts" which aren't facts. Very strange post. And I'm very surprised at those who bit.
I read nursing journals in school. Never will again. I'll stick to epocrates and uptodate. Where they leave out the fluff and to straight to the point. If we followed all of the stuff they put in those nursing journals, I'd admit like 1/2 of a patient per night because I'd be questioning him about his deep spiritual needs and asking him about his childhood problems all evening. I shall pass.
I don't hate nurses BTW, am just not a fan of the ridiculous amount of theory which very little is useful to practice. Again, all of this theory stuff is why a lot of fnp grads have trouble finding jobs. The MD looks at his resume and sees theory theory theory and goes ROFLMAO.
I wasn't referring to nursing journals. Up to date is based on current EBM research, much of which is published in journals. UTD and Epocrates are great tools in practice but are based on research. I definitely use online medical databases for decision-making at times (often) but I am ultimately responsible for those decisions. If they are not based on sound research, that's my fault--not the school of uptodate.com.
But you knew that already...
*and I am responding to a different thread. Something about the size or quantity of books...
Lol at everyone up in arms about an opinion. Nursing is full of fluff and that is a fact. Sure I have a BSN which means I spent countless hours doing nursing research and other inane BS to fulfill care plan quotas that no one in reality cares about. After 1-2 months on the job it is all common sense (unless you lack that).
I don't mind bedside nursing most of the time but what drives me away from this profession (matriculating into PA school soon) is the self-important chest thumping and ridiculous nursing dogma (pushing care plans, ridiculous QC checks that increase work load and patient satisfaction scores) that gets worse every year.
OP is on point. Literally the ridiculousness that nursing academia brings makes patient care WORSE more often then not.
Specializes in Internal medicine/critical care/FP.
medical journals, not nursing journals. I agree that the PA education is better than many NP schools also. *GASP* I have stated this in previous posts. I still went NP though due to less restrictions on us, which I am all for of course, but still puts patients in dangerous situations with all of these theory based roflmao courses provided in the ever so popular for profit online programs. Sad thing is students and graduates of these courses couldn't diagnose themselves out of a paper bag since they lack the understanding of anatomy and phys that many of these for profit online programs LACK and replace with PHD level theory trash. I do not hate nurses, nursing, or the profession, actually I don't hate anything, but I do disagree with the over theoretical-ness or whatever you want to call it of the nursing profession.
I also almost did fail theory in graduate school bc i told the dean theory was a bunch of worthless bunk to put into a masters program based on CLINICAL PRACTICE.
Specializes in Psych, Corrections, Med-Surg, Ambulatory.
Maybe I posted this story another thread....maybe I didn't. Can't remember.
I had a 3rd-semester nursing student with me taking the patient to get an ultrasound for potential DVTs done. Had A fib/other cardiac hx. I figured I would use this opportunity to help her on her care plan/concept map/ whatever papers
she had to do for clinical that day. I started asking questions about his plan of care and why he was getting an ultrasound.
She shrugged her shoulders and proceeded to play on her smartphone. I didn't expect a perfect explanation, but at the very least
I wanted to hear some basic background and what she was doing to further his recovery, especially from someone who would be graduating in another semester. At the very least I'd expect her to have some medical dx, critical lab values, meds, and some nursing diagnoses/plans if she was on the floor taking care of this patient.
I was so appalled about her lack of participation and information I informed both her nursing instructor and the patient's care nurse about it. No wonder schools are losing clinical placements in hospitals.
NurseGirl525, ASN, RN
3,663 Posts
I do not think that having more education is a bad thing at all. I do feel that the NCLEX for the ADN and BSN should be different. Right now they are essentially the same thing except the BSN has some more general ed credits under their belts. I will be starting out with my ADN and going from there. I have been toying with the idea of going for my MSN someday. Just a few thoughts going through my head and I have been checking out different programs. I honestly think they need to decide on what they want from nurses. By "they" I am talking about the BON and heads of hospitals. There seems to be much confusion on the subject.
First, they need to define the difference between an ADN and BSN. Just decide already and stop telling us that there are better outcomes with BSNs and we want magnet status. That is a bunch of horse pucky. I have extensively researched this subject and from what I have seen as of this time an ADN gets more hands on experience and they have the same 2 year program that a BSN gets. The NCLEX is the same and the pay rates are only slightly different. Please define the difference for us and what you are going to hire.
Second, these for profit schools need to go. The fact that these are popping up everywhere says to the public anyone can be a nurse. Nursing is a profession and should remain as such. With anyone and everyone going to nursing school these days it's not as prestigious as it should be. There is lots of confusion amongst the public as to what nursing entails and its not as respected as it should be.
Third, I see what you are saying about care plans but I have to disagree here. I have seen many people coming in here for assistance with their care plans. And I get what they are about. Just from reading what Esme and GrnTea write it has helped me to think differently. I think that is what they are all about. Getting you to think differently. I think we all know nursing school does not really prepare for nursing. It is supposed to prepare you to take the NCLEX. Your first job will get you the nursing experience that you need. The real world of nursing is much different than nursing school world.
Also, the reason you pay money for licensing in different states is it provides money to the BON. The money has to come from somewhere. This is not specific to the nursing profession. My sister is a PT and she used to work for a company and did traveling. She had to apply for licensing in each state she went to. It was a giant pain in the butt, but it's a fact of life. And I don't think $220 for a license is a whole lot of money. Do you have any idea what I pay just to plate my car every year? Close to $700 in my state. Now that is a lot of money and I have to do it every year. And that is with the "lottery" discount they give us. It's a racket.
Nursing is a profession and people need to stay abreast of all of the new stuff that changes every year. Education is not a bad thing and I don't think it overcomplicates things. I think if we didn't have MSNs and DNPs then the profession would have very little to no respect at all.