I have heard of this a few times over the last 20 years. People who graduate with their NP degree, and never have the confidence to function in the role.
Right now I know of two people, an NP and a PA who are not functioning in their role. Neither are new grads, both have several years of experience, at least on the books.
One has already given notice, and the other is waiting for the ax, because she doesn't meet minimal productivity standards.
It could be that LTC work is not their niche, but the work is at one's own pace, unlike a clinic, and the expectations for productivity are quite reasonable.
If you cannot see 12 patients a day as an NP, and keep up with the associated documentation, I am not sure where you can work. You are probably unemployable in the field.
I haven't analyzed either of these individual's work habits in depth, but I have observed they often get bogged down in details, and misunderstand their role in the LTC setting.
It isn't like previous nursing jobs, where the pay comes by sitting in a chair for 8 hours. The pay only comes from billing.
The NP must shift into a mindset where they focus on providing good care, and billing for it. A boring meeting is an opportunity to pick up referrals. And bill.
