I have read your comments. Although, I am a bit confused as to why you would write to offer criticism instead of relevant advice. However, your comments are not unheard of and especially not new to me and my Vanderbilt cohort. Imagine working our RN clinical rotations with openly hostile nurses who were supposed to be teaching and modeling patient care. They instead offered disappointing and snarky comments for 12 hours. There were however, other nurses who modeled nursing perfection. They focused on the care of the patient and really cared about training another generation of RNs. I have the upmost respect for these RN's. They are what I want to grow into being
Yet, I acknowledge your concerns about my cheapeningâ€ the nursing career. I wonder as an experienced RN are you aware of the current ongoing controversy among BSNs, ADNs, and Magnet status hospitals. I digress. But I must ask. How much experience did I need as an RN before becoming an NP? What type of RN experience? Let's say I was a psych nurse for 20 years and I went back to become an ACNP. Would that be okay? If so, why? Wouldn't I needed to quit my psych RN job, work a year in med-surg so that I could qualify for ICU and then work in the ICU? How long should I stay in the ICU before it is appropriate to seek further education? Would it not also depend on the person? I see. I am an FNP. So I should have worked maybe 5 years as an RN? Certainly not as a bedside med-surg RN! Perhaps I should have worked in a primary care clinic? The only problem with that is, I don't know about your PCP, but with mine, the RN does not come in the room with the PCP. What to do?
Maybe I should have become a PA. That would have been okay. If that is okay by you, what would be your reasoning? Is it the one about they are trained under the medical model and NP's are trained under the nursing model. That's a very pessimistic view of NP's. For years we have been advocating about our safety and cost-effectiveness then in the same breathe say, But you should totally go see a PA because they have better training.â€ Am I the only one that doesn't understand? I suppose so.
A CNA that I work with told me one day that all RN's should have to be CNA's first. How far should we take this? Paralegal before lawyer, dental hygienist before dentist, teacher's aide before teacher. I fear that we are still giving pregnant women orange juice to induce labor and Castor oil for constipation. Since you are already an experienced nurse, you know that evidence has proved that Castor oil is Category X. Things change, evidence changes, practices change, traditions change.
I assume if you and other nay-sayers are still serious about this you can advocate through your local nursing organization. You could write letters to schools that offer DE programs such as: The University of Alabama at Birmingham(#13), University of California Los Angeles(#19), Yale University(#22), Johns Hopkins University(#2), Boston College(#34), Columbia University(#11), University of Pennsylvania(#1), Vanderbilt University(#11), Marquette University(#51), + many more. The numbering beside the name indicated the ranking with U.S. News & World Report, 2015 Best Graduate Nursing School.â€ I do not mean to insult your intelligence because I know that as a seasoned RN this is not news to you.
I hope you truly understand that I have absolutely nothing against an experienced RN, absolutely nothing against a PA. We do the same thing only on different levels and with different education. Direct entry NPs are no more or less an NP as one who had 20+ years of experience. We all take the same entry level exam. My cohort did not enroll in school with the intent of tearing down and demeaning experienced RNs. So, why do it to us? My degree does not negate your experience and hard work. On the same hand, your experience does not negate my hard work and degree. I do not like to tear down people who do not share any of my struggles and who do not learn the same way I learn. I wrote to Beth for legitimate advice, hoping readers could see me in themselves and offer heartfelt advice to help a fellow RN. I was aware of your type of bias; I did not however, imagine on this site that people would be rude to me. Besides being off topic, this was not the place for that. I don't understand why we cannot work together to build up the profession of nursing. Why would I want to pursue a career that I thought was cheap?â€ In your years of nursing don't you remember when M.D.'s said that NP's were cheapeningâ€ medicine? We are doing the same thing to each other, it's ridiculous, and it is time to stop.
I would love to engage you in real meaningful conversation. PM me if necessary.