Oversupply of Nurse Practitioners

Published

I recently received a published form from the State of Florida showing that ARNPs increased 22% over the past two years. RNs only increased by 7.4% If you are a new grad wondering why you can't find a position here is your answer. Our NP mills have pumped out too many graduates for the demand of society. I don't have the data to back it up but if this is happening in Florida I would assume it is happening around the nation.

I'm licensed in Florida but moved to California years ago because I could see the tsunami of new graduates slowly starting to erode the wages of established NPs. It's now happening here in California and I have been directly affected. I can count at least another dozen of my NP colleagues around the nation who are complaining of wage deflation happening because new grads will accept a position at almost any wage. Starting wages are below those for RNs in some cases.

For those of you thinking of becoming a NP think and long and hard before you commit your money and your time. The job is enjoyable but the return on investment is declining year after the year with the flooding of the markets. Maybe one day the leaders of our nursing schools will open a book on economics and understand the relationship between supply and demand rather than stuff another useless nursing theory down our throats.

Specializes in NICU/Neonatal transport.

Right, and I live in a liquifaction zone, so earthquake insurance is not likely to happen for property. And maybe, for four years, but I'd still have to live somewhere in the meanwhile, which takes money still. What do you think is a reasonable amount of rent in the city? If you say anything less than 3k, I will laugh.

My kids are older, I don't need roots for them to put down. I want to be able to pick up and move, and I've been burned with home ownership before.

I invest in index funds, which are stocks, if you didn't know. For many people, they are the better choice.

5 hours ago, Spadeforce said:

I was an NP in my last year of med school and can say the two degrees are vastly different an nP school is mostly a joke

How were you an NP in your last year of med school? (not being sarcastic, am really curious how that happened..how old were you when entering med school, how long had you been an NP, and how you handled that workload..feel free not to answer all of these questions if they seem too prying)

Specializes in APRN / Critical Care Neuro.
On ‎2‎/‎16‎/‎2019 at 3:28 PM, Spadeforce said:

Nurses teach residents some stuff but most of it is superficial how to use equipment or which PRN order is best for this basic issue. A vast majority of resident teaching comes from attending, other residents, what they learn in med school.

I guess our experience is VASTLY different as this is very much not my experience. The critical thinking most bedside nurses do in critical care situations and in the ICU go far beyond working equipment. I don't know who you worked with, where you worked or learned from, but this is absolutely not true of the very large Academic center I worked in or the small community hospital I work in now where nurses are stretched to their absolute limits of practice with minimal resources and then some. We do a lot more for our residents than teach them equipment....in fact I have never taught a resident how to work a tube feed, do CVVH or a ventilator. haha

Specializes in NICU/Neonatal transport.

Honestly, most of the real teaching that happens on my unit for the residents comes from the NPs to the residents.

Specializes in ER.

Honestly part to the reason so many people do go back to NP school is the lack of wage increases for nursing. In the northeast TN area, wages for nurses are horrible. I started at $18 when I finished in 2009.

Specializes in APRN / Critical Care Neuro.

I am going back, not so much for the pay, because I don't think being a nurse anyone is ever going to get rich....no matter if you teach or whatever. Maybe if you REALLY go to the dark side and join hospital administration. haha

I am going back because I am feeling really passionate about making some change. I have been in healthcare for greater than 20 years and a nurse greater than 5 years. I feel like my unique experience and the opportunity I have for the program I want to be in will set me up quite nicely to do some much needed educational work in my community.

I think it is a mistake to make this kind of investment just for money or trying to get away from the bedside, though both of those are strong motivators....but if those are your ONLY reasons you will quickly find that you have hard time finding your place or your niche and you will eventually still be disappointed with what you are doing. Just my opinion anyway.

Same rule applies as when we were kids....Do what you love and then try to get paid for it. Satisfaction will figure itself out.

Specializes in BSN, RN, CCRN - ICU & ER.

I'm curious to see how the demand for AG-ACNP's compares to FNP's? As previously mentioned, about 75% of new NP grads are completing their FNP. As a critical care nurse with years of clinical experience attending a reputable in-person brick and mortar program that finds my preceptors for me at level 1 trauma facilities, should I be concerned about being able to find a job after graduation?

It seems like there are way fewer nurses going the AG-ACNP route, so I'm hoping that makes a difference....

Specializes in NICU/Neonatal transport.

I'm willing to bet it will make a difference. I didn't have any issue getting a job any of the times I've looked.

On 2/18/2019 at 3:39 AM, LilPeanut said:

Honestly, most of the real teaching that happens on my unit for the residents comes from the NPs to the residents.

NPs teaching residents are like unicorns. You see it all over the internet but not in real life

Unfortunately I have met NPs not fit for the role. They lack critical thinking skills needed to provide safe care along with the complete lack of knowledge of pharmacology and even disease state itself. It seems like anyone willing to take out student loans or pay cash can get into these so called “online” programs.

Specializes in NICU/Neonatal transport.
15 hours ago, matthdrn said:

Unfortunately I have met NPs not fit for the role. They lack critical thinking skills needed to provide safe care along with the complete lack of knowledge of pharmacology and even disease state itself. It seems like anyone willing to take out student loans or pay cash can get into these so called “online” programs.

I have heard of this too, though not personally witnessed it, as my specialty is not typically offered in online schools. I don't think online schools are automatically awful, but for-profit, online school definitely raise my suspicions

This is why I went into a specialty. I have lost count of how many FNPs friends cannot relocate and cannot find a job. They are even working part-time in weight loss centers because they can't find full-time work.

I just could not imagine doing prenatal care with only one semester of women's health. I just can't fathom.

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