Project Help! - Questionare

Trauma Columnist · Feb 17, 2007

1. what field are you currently pursuing?

i am currently a cns in a nephrology practice.

2. what reasons did you have for continuing your education? (prior to bsn)

as i got older, i realized that i would need at least a bsn in order to get promoted. however, when i thought about it in more detail, i realized that i might as well pursue an msn.

3. did you ever consider the opposing path (gps- did you ever consider becoming an adnp & vice versa)?

i've got to claim ignorance on this one - i don't know what a gp and an adnp are. can you clarify please.

4. in your opinion, what are the major differences between fnp’s and gp’s?

again, i need this clarified - what's a gp?

5. what are the current requirements for licensure in your field?

certification exam by the ancc as well as a grad degree.

a. do you have to complete a residency? if so how long and in what area?

i did not complete a residency as a new-grad cns. i did have a 3 month orientation though.

6. what is, or will be your total number of years in school?

7 years post-high school

7. how would you compare the knowledge levels of gp’s vs. fnp’s?

8. do you feel that fnp are qualified to work safely as an independent in a family practice setting?

9. would you ever direct your loved ones to an fnp for issues within the fnp’s scope of practice?

yes, indeed

10. do you feel that there are any responsibilities currently held by fnp’s that should be expanded or minimized?

class ii med prescription authority

11. do you agree with the current regulations governing fnp prescribing?

nope - see above.

12. what is your response to a gp stating that fnp’s in private practices are “scabs”, or a gp stating that a fnp is putting their pt. in “danger” by practicing independently?

13. do you feel that fnp’s are a threat to the gp?

14. how would you define the overall perception of fnp’s by the medical community?

as colleagues.

15. gp’s (or students), would you consider employing an fnp in your practice? why or why not?

16. what do you believe will change within the scope of practice for fnp’s within the next 10 years?

better reimbursement, more prescriptive authority and less strict collaborative agreements

Mblue1334 · Feb 17, 2007

Awesome, I am so glad tht you responded, thank you!

For further clarification

GP- General Practiotioner (Medical Doctor - Family Practice)

ADNP - Advanced Degree Nurse Practitioner

FNP - Family Nurse Practitioner

BTW Trauma what exactly is a CNS lol

Thanks again, I really hope to get a lot of responses!

Trauma Columnist · Feb 17, 2007

CNS - clinical nurse specialist - master's prepared advanced practice nurse. In IL, CNS and NP are used interchangeably as far as job duties go.

jer_sd · Feb 18, 2007

Questionnaire for ADNP's, Students and GP's:

1. What field are you currently pursuing?

Completing my FNP right now... after that not sure

2. What reasons did you have for continuing your education? (Prior to BSN)

I wanted to have a greater role in health care, so did RNFA, then primary care NP, then WHNP, now finishing FNP

3. Did you ever consider the opposing path (GPs- did you ever consider becoming an ADNP & vice versa)?

I did think about medical school, 10 year time commitment to do essentially the same job but at better pay. Not worth the loss of income and personal life plus who wante to retake organic chem 10 years later.

4. In your opinion, what are the MAJOR differences between FNP's and GP's?

MDs and NPs are trained in diffrent models and methods but have many shared functions and overlapping scope. Nursing has more a personal attention focus with health promotion, traditionally MDs have a better understanding of pathophysiology.

5. What are the current requirements for licensure in your field?

Completion of an approved educational program and national certification

a. Do you have to complete a residency? If so how long and in what area?

Did not complete a residency but had clinical hours in the education program and mentored proffesional development. I would stongly support residencies for NPs similar to thoes done by PA-Cs.

6. What is, or will be your total number of years in school?

RN-3

RNFA-1.5

Primary care NP-3

WHNP-1

FNP-2

7. How would you compare the knowledge levels of GP's vs. FNP's?

Since I have not been educated in both models it is speculation but the job preformancy in primary care is comperable often quoted at 80-90%. Specilty care NPs do not have as effective educational programs for my field (radiology) but my role is not that of a radiologist so my knowledge is more than sufficent for my job.

8. Do you feel that FNP are qualified to work safely as an independent in a family practice setting?

Yes

9. Would you ever direct your loved ones to an FNP for issues within the FNP's scope of practice?

Yes

10. Do you feel that there are any responsibilities currently held by FNP's that should be expanded or minimized?

Increased accountability for actions, reduction in collaberative agreement requiirements, and independant hospital provilages would all be nice.

11. Do you agree with the current regulations governing FNP prescribing?

each state is diffrent as a general rule patients should have access to providers able to rx controlled medicaiotns in addition to legend medications.

12. What is your response to a GP stating that FNP's in private practices are "Scabs", or a GP stating that a FNP is putting their pt. in "danger" by practicing independently?

No health care provider should practice independently it should be a team approach. I am aware of when I need to refer to another provider for adequate patient care same as a GP or other health care provider. Physical therapists are also pushing for direct access so many MDs are upset that other providers are becoming more established.

13. Do you feel that FNP's are a threat to the GP?

No, FNPs can not do everything due to limitations in training such as delivery ect. WHen working together FNPs allow GPs to be more effectve and provide better care to patients by a team approach.

14. How would you define the overall perception of FNP's by the medical community?

Appreciated when working for the doctor, can be seen as a threat when working for himself.

15. GP's (or students), would you consider employing an FNP in your practice? Why or Why not?

16. What do you believe will change within the scope of practice for FNP's within the next 10 years?

Hey if we get socialized medicine it will be a huge change for everyone.