PatMac10,RN

I can understand why we might feel resentment, at first. This things has altered many of our life’s both at work and outside of work. If we practice emotional intelligence it helps us see that, while we are free to be mad at whoever, it doesn’t make our anger and/or where we direct justified. Taking a leave of absence is a right benefit of employment... those folks decided to exercise it. It is not their responsibility to be in the trenches with folks during a pandemic.. they can quit or take a break from any job, for any reason, at anytime. If anything, I have respect for many of these folks leaving at my job... they are fantastic nurses who have entire lives to deal with outside of COVID19 and the pandemic has complicated all of that. How dare intact like ots their responsibility to stay and be miserable of commiserate with me. Thats, why I started seeing a therapist at the beginning of all of this, and that's what I feel like more nurse need to do. Talk to someone! Even if it's the person from employee assistant (EAP). Be stewards of our own mental and emotional health. Throat doesn't have to be able a diagnosis.. I haven't had to he diagnosed with anything, outside of just being like any other human being, living in a Pandemic and needing to talk to out with a neutral party.

Amen

It seems like you are making a lot of assumptions and assuming to understand folks situations that may have informed their LOA. I notice you also use quotations when am saying called on “sick” and that leads me to believe you already make assumptions about your coworkers. I don’t really see what their Leave of Absence has to do with you personally. If you feel your management is allowing things to happen that aren’t fair to you.., why not speak with them.. or pursue work elsewhere, as possible.. Don’t see why folks LOA is any of your business. They handled their business and got approved for LOA.. staffing the unit during that is not their responsibility.

Never heard of the DNE. But there are reforms to make more DNP programs with educators tracks, at least 3 such programs already exist, that I know of. 2 other programs offer subspecialties that cant be pursued at a track in Ireland, but offered as a track that can be added to another specialization pathway like APRN, or leadership. Regis University: https://www.regiscollege.edu/academics/majors-and-programs/doctor-nursing-practice-dnp-post-ms-option/dnp-nursing-education American Sentinel University: https://www.americansentinel.edu/degrees-programs/nursing/online-doctoral-degree-programs/dnp-educational-leadership/ Grand Canyon University: https://www.gcu.edu/degree-programs/dnp-educational-leadership Programs who offer sub specialty options to add to another DNP concentration: George Washington University: https://nursing.gwu.edu/dnp-nursing-practice University of South Alabama: https://www.southalabama.edu/colleges/con/nurseeducsubspec.html

But that is changing, and as highlighted, having a PhD doesn’t mean you will have much formal education in how to be an educator. There are schools out there who offer a PhD in Nursing Education and not just nursing in general, but they are on the minority, just and DNP programs with educator tracks are in the minority.

I have the same question as I finish my MSN in nursing education. There is a desire to create more educator tracks for DNP programs. AACN and NLN have both mentioned that utilizing both PhD and DNP prepared faculty in the academic and clinical training of nurses will be needed to meet the diverse needs of future nursing students. As of now, most DNP programs are still focused on APRN training/leadership and Nursing Executive and Administrative Leadership. There are only a handful of schools that offer the DNP with a education/educational leadership track. I think a DNP with a Educator Track options makes sense. The DNP-prepared nurse is suppose to be an expert clinician, prepared to take the lead. All educators should have at least some level of expertise in Nursing, if they are going to be teaching. Because teaching is an elevated function. Teaching requires that you know the subject yourself well. Additionally, nurse educators specifically, are preparing others to practice nursing, so the educators themselves must, again, be excellent practitioners (not necessarily NPs) of the profession of Nursing. We have so much research sitting there, waiting to be implemented, not just at the bedside, but in the classroom. Nursing curricula needs updates and redesigning and innovation, all of which are things the DNP is well suited to, as well as PhD. I enjoy discovering new research that can practically help me as an educator and as a bedside nurse. However, I know that I wouldn’t want the focus of my career to be in Producing that research. Like someone mentioned, historically, PhD program curriculums typically includes little or no formal coursework on pedagogy or the art of teaching or curriculum development and the like. So if a person didn’t get a MSN that focused on nursing education or have a previous degree or course work in adult education, they will have limited preparation in education. I realize that some PhD programs allow for some degree of curriculum customization and design, but the majority of the work and curriculum in that program type is focused developing new research and adding to the collective body of nursing knowledge. The EdD (Doctorate in Education) is there and may have many courses in formal pedagogy, but it’s often not nursing or clinically focused and isn’t a terminal degree in nursing, but in Education. Although, there are a number of schools offering a EdD with a nursing education specialization or focus, such as Columbia University and a few others. Columbia’s EdD in a nursing education: https://www.tc.columbia.edu/health-and-behavior-studies/nursing-education/ Both DNP and PhD tracks have been noted to needed to have More options for formal educator prepRations, as this Sigma Theta Tau Article brings out: https://stti.confex.com/stti/nerc18/webprogram/Paper89662.html Many schools, and more each year, are opening up tenure tracks for DNP or EdD prepares educators, though the PhD still is the more traditional route to tenure at most (especially research-focused) academic institutions. Things are changing thigh, and it’s about time, because we need to change the way we educate nurses. Nursing isn’t even the same as it was 10 years ago, or even 6.5 years ago when I graduated with my ADN at 20 years old. We need a rebalancing of teaching nursing theory and practical nursing skills, because we are missing that mark in education on many levels. I’m attaching some articles that discuss the DNP and it’s role as a degree for academic and clinical nurse educators. the_DNP_and_nursing_education_highlights_potential_and_promise.pdf Endorsing the DNP pathway for Educators .pdf

Personally, I believe that Places of employment and organizations that refuse to hire ADN nurses should think about this. They are the ones supporting this "propaganda". In many areas of NC, ADN nurses can get acute care jobs like anyone else. Every area is different. In fact, at one of the states biggest hospitals in the capital city, the community college has their health science education building on the campus of the hospital and the majority of their new grad nursing cohorts come from this community college, despite the fact that this hospital is in between 3-4 university that churn out nurses like rabbits have babies. Lol! At many of the institutions in NC and other places, they indicate that BSN is preferred, but that ADN graduates can be hired under a clause agreement, where the ADM nurse agrees to complete a BSN in 5 to 7 years. That is a much better compromise than to blatantly, ignorantly (lol), and somewhat Discriminatively, declare that ADN graduates won't be hired at their acute care facility. The percentage of ADN grads (especially in the last 5 years) who are returning to complete their BSN is steadily increasing, in my area.

Preach! I am all for higher education, but that "study" has so many flaws that I saw upon critiquing the article for a program during my ADN program. Although I don't think the BSN is just about money, I do believe money is a factor. I think it is important to remember that all AT&T and diploma programs are not created equal. In fact, I think a lot of ADN programs are changing to prepare their students to continue their education. For example, during my ADN program We had public-health clinical rotations, although we did not have a separate public health course. We had a separate physical assessment course as well as a nursing leadership and management course. We wrote detailed apa papers, almost weekly and we also made professional presentations at local nursing symposium is in healthcare institutions. I think it's sad that nursing education is so fragmented and inconsistent in some areas. However, I think it's pitiful that the nursing profession strives so hard to be hierarchal, like medicine tends to be. Nursing is a job that requires both humility leadership skills, along with collaboration and innovation. Why is there this big push to "eliminate" or "phase out" alternate forms of nursing education? I've always felt that one of the most beautiful things about nursing is that it gives many people, with many different backgrounds and situations, the opportunity to pursue The dream of becoming a nurse via multiple educational pathways. Yet, nursing continues to tear itself apart in some aspects, declaring and insinuating that one type of nurse is somehow "better" than another. I look at occupational therapy. That went to from requiring a bachelors agree to a masters degree, similar thing with PT, from Bachelors to Doctoral degree. Not that these were necessarily bad things, but the job roles saw no major change... At least not that I'm aware of, please correct me if I'm wrong. I hope that never becomes the case with becoming a entry level registered nurse. Though it wouldn't be a surprise if it happened in the next 40 years, the way nursing organizations seem to breed and encourage degree creep.

Good discussion!

Dermatology?

I am from a rural area and had 4 job offers 3 months before graduation. That's with a local BSN program cranking out 60-80 grads a year. Of course this may not be Ye case everywhere. Do research. It may be more difficult for you, but it may not be impossible. Your first job may not be in an area you want, but enroll in a RN to BSN quickly and get some work experience. Getting some work experience as a CNA in hospital may help in acquiring a job too.

I am in a be in their's who got their BSN not too long after completing my initial licensure. I can honestly say that my RN to BSN program did not dramatically increase my clinical knowledge and competency. Do I feel the program was a waste? Not really. The program in the degree our requirement for further opportunities in nursing in the future. So in that aspect the degree has served its purpose. However, my BSN program did not teach me how to write a research paper or the basic principles and applications of clinical research. Only graduating 3 years ago from my associate degree program, The program I attended was what was considered a "new Age" ADN program. When I say "new age" I mean that our program director prepared us to be able to transition into higher levels of learning from the start. We wrote numerous APA formatted research papers throughout every semester. We completed 2 major Clinical capstone projects, the latter of which each group was required to all participate in presenting at a critical care Symposium at a local hospital. We completed community health rotations at the health department, a child care center, and with home health. Although we didn't have a separate class entitled community health. I realize that many ADN programs are not formulated like this. Many students from other local ADN programs were always baffled at the requirement of our program. My point is, I don't feel the BSN is a waste as long as it serves a purpose to the individual Attaining it. If I, knew, without a shadow of a doubt that I could work bedside until my late 60's (and I still may end up doing that) I would likely never have gotten a BSN, if I wasn't obligatory for my job. I knew from the get go, However, that I may want to pursue other things later in my life, this I went to an ADN program to save time and a lot of money. Both ADN and BSN programs have their place. I will not start on all of these studies about the increase outcomes of BSN nurses. I am a believer that education and knowledge is precious and valuable, despite what letters it gives one after their name in the end.

Yep. The National Association of Clinical Nurse Specialists maintains a list of states that allow for CNS to practice independently and/ or prescribe. See the following: http://www.nacns.org/docs/toolkit/5-AuthorityTable.pdf I never knew CNS prescribed until reading posted from TrAumaRUS, who is the forum Admin on here who is a practicing CNS who prescribes. She is going back to school (may be finished now?) to be a FNP for multiple reasons. Also, I think the title or designation of CNL has existed for a while, but the new graduate level ANCC certification is more new. Though I could be mistaken.

Actually, I found Out some states do offer prescriptive authority to CNS, one of the administrators here is a Peds and Adult CNS who works in Nephrology as a CNS. Username escapes me at this time. She always has sub informative posts. And I'm not sure, but I think there may be annex period to the diagnosis part in NC when it comes to the Psych CNS, as I know they can conduct Psychotherapy In NC. As stated above, I'm well aware of the CNL not being an Advanced Practice Role. I think it is a new concept, like Elk said, and we'll have to see if it will catch on.

Elkpark, that is very interesting assessment you have. It actually makes a lot of sense. Guess time will tell huh? Thanks for your insight!