APRN.

I guess if you were to start a DNP school from scratch and have it be merited upon a clinical designation with completion, you're going to need to have a baseline tool(s) that will quantify the value of hands-on clinical to enable meaningful mass replication. What would you recommend? I know that the CRNA's graduates are required to be DNP's now. Does this mean that all NP's, etc, need to have a DNP upon completion?

But there is not a residency within the DNP education. This lack of formal, goal-oriented residency-based-mentorship is the basis for my DNP project, and there is a glaring gap in this respect. Now the medical model is looking at moving beyond mentorship in residency and is promoting "sponsorship" in order to enhance this invaluable aspect of their training. I've poured through hundreds of articles and have critically reviewed over fifty on the subject of formal mentorship in nursing education, or moreso, the lack thereof. The DNP degree is not a residency-based degree and lacks the formal mentorship that utilizes the scholarly inquiry that augments the clinical training.

Whenever I see a reference to Doctoral degrees in nursing not adding anything to the clinical sphere, I always wonder about why we don't marry learning the tools of clinical inquiry to 'clinically relevant training'. We are not trained as Physicians. Physicians are educated in mentorship-intense residencies where they are tasked with utilizing the scholarly inquiry process (DNP training) to augment their clinical training. Nurses are taught scholarly inquiry without the residency to complete this process. Perpahs the fault lies not within the DNP training, but the lack of residencies to round out the full benefit of the DNP training?

Years and years of Critical Care/Trauma ICU experience, then PACU phase I/II for many years and was tenure track faculty for a nursing program. What level of nursing do you wish to teach? If you want to teach at the university level, you'll want a PhD and be expected to churn out a few scholarly research studies here and there in addition to teaching. Or if you have the right kind of DNP where there is pedagogy included within your program, you will be expected to do D&I projects in addition to teaching. The ICU/PACU experience is nice and all, but it is extraneous to your ability to understand how to build lesson plans according to the KSA's of your educational program, serve on faculty committees, etc... Hope that helps. RN.

I am at a slow burn after getting to this point. One poster said it best: Do the Physicians take turns working as MA's? They're certainly capable enough, I would hope. FIRST – what I would do would be to secure written documentation that you are being “forced” (or similar language) to perform RN functions in the clinic. Not only that, but the documentation should state that you often work as an RN and as an NP at the same time. There should not be an issue with this if everything is above board. This will come in handy sometime in the future. Especially if there is any funny business when you go on to a new employer. How many times do we nurses hear “If it ain’t documented…..it didn’t happen”. Be prepared to have the clinic deny they are doing this if there's nothing documented. SECOND – you need to go onto your company’s website and write down their Core Values, their Mission Statement, and their Vision Statement. Then you’re going to try and marry those to their need to either let you work as an NP, or start having MD’s filling in for shots and checking b/p’s. You’re not a cost burden on the clinic anymore as an RN would be - - -you are an NP, and therefore, you make the clinic money. Your NP license puts actual dollars in their pocket. Not so with the RN – as the RN is just the cost of having to do business. THIRD - - Do you have malpractice insurance? If so, you can call the malpractice insurance number and ask what your liability is working in such a blended role. You may find yourself being enlightened with that phone call. You are no longer an RN. You are a Nurse Practitioner, who, I might add, is fully privileged at your facility. Whether you prescribe a med or administer that medication to a patient, you WILL be standing in front of a panel of your peers (Nurse Practitioner) and answering to any issues that come up once your name is on that chart. FOURTH - - Can you do telemedicine in your area? Blessings on your day - - (I wish you well, because I think I am P.O.’d enough for the both of us). RN.

Are the majority of DNP programs poorly organized though?

I would have to say that the majority of patients KNOW what a nurse practitioner is because we have used the title for many years. The longer we drag our feet with permissive ignorance of the title "Dr." for DNP/NP's, the longer the ignorance continues. Just like herd immunity, if enough people learn that nurses can have Dr. in front of their name just like medical doctors, then there won't be this blanket ignorance of the term and "poof"! No more confusion!. It is literally self-perpetuating, and we contribute to the cycle. Use the title that you earned, and don't let someone else's fluff DNP program define your DNP program. Mine's certainly's not fluff. I've been in nursing long enough to remember that we used to stand when the "Doctor" entered the room when we were nursing students. Our behinds better not be on a chair when they walked in or else! I'll introduce myself as Dr [me], Nurse practitioner to my patients because that's what the degree on the wall says.

What an awesome idea verene. I am very willing to travel to a remote outpost if necessary to get the experience. I will approach the guidance professor at my college. Also, no, there isn’t a specific “rural health” track available. thank you! .RN

Thank you, Nebraska is in the process of addressing this issue https://www.unmc.edu/news.cfm?match=20859 however, this program is only open for current UNMC NP students ? Keeping fingers crossed that something will be available for graduates of FNP programs sometime soon. .RN

Thank you kindly for responding to my question with the suggestions. I thought I would update you on this link: https://cchealth.org/residency/ which refers to primary care for rural medicine, as it is only for Medical School graduates, and is not open for Nurse Practitioners. (Bummer). I did email the only link that was listed on the CoCo county website. This is in my backyard as well, as I am in the bay area (currently). I was aware of the UOP "fast track" FNP to Acute NP, which led me to my question of how to get the FNP acute care experience in the first place. If you ever come across anything further, either you or anyone who happens across this message string - please feel free to update potential leads. Thank you, .RN

Hello, I’ve spent several months looking through different websites, looking in the Nebraska Health and Human Services website for Nurse Practitioner, looking through current practice standards in the state, and I cannot find anything definitive on what I need to “Start” with as an FNP in the rural hospital setting. My specific question is: Can I start in a rural hospital as an FNP and qualify for an Acute Care N P Fast Track certificate program, or an ENP certificate program, OR, am I dead in the water with my FNP, and have to start from scratch with an entire Acute Care NP program after graduating with my FNP? I am currently a DNP/FNP enrolled student, with an anticipated graduation date of Spring 2021. I want to obtain my FNP because I am #1. Already enrolled in an FNP program, #2. Want to be able to care of all age groups. I have spent almost 25 out of a 28 year career in the acute care setting in ICU, Med/Surg, Telemetry, PACU, Mother Baby, etc….. I don’t want to part with my hospital patients. I want to have my own practice (eventually), but I also want to be able to be a hospitalist. What do you recommend?

I am full time faculty in a nursing program, as well as working on the side at my ICU per-diem job to keep my skills current. I think it is absolutely fascinating that someone would require verbal/demonstrated praise on an expected basis in order to feel continued motivation. More fascinating, is that the withdrawal of such praise would cause demotivation. All this despite getting passing grades and passing clinicals. The nursing students here in the US at my college return high satisfaction scores with their current set up, and I can assure you, that when I do praise, it is for an action that is more than a baseline function of nursing duties. I've never had a student give me low marks. Is an ego so fragile, that motivation is largely buoyed by praise from without, rather than self talk and strong convictions to succeed from within? I can praise you all day long, but if you harm a patient, that's pretty much the end of your progression through the program; Please do not confuse the roles of nursing faculty with the cheerleaders on the sports teams. Be aware that the absence of corrective language should speak volumes to an observant person. If you are not getting counseled on errors, that is a VERY good indication that you are doing well.

Write yourself a wonderful reference, with a statement about how you have worked in "X" capacity over the years. Take it to each manager and ask them to sign it, or tweak it and give it back to you. You can use that as a reference at your next job.

I CLEP'd my Sociology, and tested out of Public Speaking via Dantes. I also took an accelerated three-week Developmental Psychology class. I am not aware of many higher education universities that easily accept online "ologies" classes, including Chemistry.