Perpetuating contentions between kinds of nurses

Nurses General Nursing

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From what I hear, it seems that many nursing program explicitly and implicitly teach different interpretations of the different kinds of nurses, worsening contentions between nurses.

For example, RNs may be taught that LPNs have a very limited scope of practice and limited education on physio, pathophys, etc, that RNs need to closely supervise the LPNs they are working with, and that LPNs weren't trained in critical thinking or the "whys" of nursing care. LPNs, on the other hands, may be taught that their role is almost identical to RNs, that their training is almost identical, and that they shouldn't let RNs dictate their practice. So when these two types of nurses start working together, they quickly step on each other's toes. RNs

BSNs may be taught that a BSN education is ADN education *plus* research, professional issues, and other mind-broadening bachelors' content, and that it's their responsibility to bring these other angles and broader views to their colleagues who may not have been exposed to these issues in depth. ADNs may be taught that academically the only difference between the programs is that BSNs take management classes, that meanwhile BSN programs don't prepare their students for clinical work. Again, when these two type of nurses start working together, misuderstandings and assumptions can easily cause problems.

It seems like those with less training/coursework requirements perpetuate the "we're just as good as them, if not better" ideas while those with more training/coursework requirements perpetuate the "our education should be the minimum requirement for (fill-in-the-blank) work." Such feelings and opinions are understandable, and different groups will always disagree, but the fact that many nursing programs actually perpetuate such strains between groups doesn't help.

The reality, however, is less than clear cut. LPN roles vary so much from facility to facility and state to state, that it can be unclear what the professional differences are between the two roles. ADN and BSN programs also vary a lot in content so that one can't make consistent comparisons between the two different types of programs.

So it seems that students are also taught in the politics of protecting and expanding one's professional turf (as LPNs, ADN-RNs, BSN-RNs), as opposed to clearly defining the legal and practical (day-to-day) definitions of one's professional practice.

Just some thoughts... :typing

Specializes in Community Health, Med-Surg, Home Health.
What can we do? We can support efforts to clarify the different levels of education and promote consistency in the content and standards of each level. If we all stopped claiming to be alike and had clear distinctions ... then we could be honor/respect what each had to offer and unite behind a clear, consistent description of the nursing community.

I'm down for that 100%. No issues here. I am not the same as an RN, we are not interchangable, but we can sure help each other out. I WANT clear distictions, because it will take the confusion away from me, yet, allow me to give the best care within my scope of practice and be an asset to the higher licensed nurses on my team.:up:

Specializes in Corrections, Cardiac, Hospice.

I work with an LPN now who is one of the best nurses I have ever met. I had a professor in college who INSISTED she be called "DOCTOR" who I wouldn't let take care of my beloved dog. Rumor has it she worked intensive 6 monthes out of college and had a breakdown in the unit. Has been in teaching every since. Doesn't matter to me if someone is an aide, tech, LPN/LVN, RN-ASN, RN-BSN diploma, WHATEVER. Just take excellent care of my patients and all is well, lol.

From what I hear, it seems that many nursing program explicitly and implicitly teach different interpretations of the different kinds of nurses, worsening contentions between nurses.

:typing

It isn't limited to nurses.

I am a EMT-B and paramedic student. I had a less than positive view of nursing before I started the paramedic program because I had such a limited view of the nursing world. EMS in general has no concept of what training is and is not involved in nursing care.

I find many nurses have little idea of paramedics and EMS. While doing an interfacility transfer, an RN asked me what paramedics did how this compared with EMT-Bs. On one thread, apre nursing student has no idea paramedic worked as flight medics.

It isn't limited to nurses.

I am a EMT-B and paramedic student. I had a less than positive view of nursing before I started the paramedic program because I had such a limited view of the nursing world. EMS in general has no concept of what training is and is not involved in nursing care.

I find many nurses have little idea of paramedics and EMS. While doing an interfacility transfer, an RN asked me what paramedics did how this compared with EMT-Bs. On one thread, apre nursing student has no idea paramedic worked as flight medics.

grrr, know what you mean. My boyfriend is an EMT and also a paramedic student. BIG difference between the two... my current professor always refers to paramedics as EMTs and its kinda annoying... Im always thinking "EMTs cant do that!".... she needs to get it straight.

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