I left an NP program after the lack of rigor unsurprisingly failed to instill the confidence required to make life-altering decisions concerning the health of another human being. I believe that, in order to restore validity and esteem for the nurse practitioner profession, nursing needs to revisit assumptions that have become fundamental to the instruction of practice - not the least of which is the assumption that nurses somehow learn different than other individuals, a claim made in concert with pillars of nursing's "metaparadigms." We need a return to empiric knowledge, and that should constitute the overwhelming bulk of the NP curriculum. And, yes, it should be bulky, onerous, and challenging for even the most capable and competent of nurses.
Nailed it!! I am becoming ashamed of my profession. I am a 20+ year ACNP. The students are lacking in so many ways. The clinical instructors don’t ever come evaluate the student. The last clinical called me for a total of 30 seconds. Number of graduates do not correlate to quality.
You did a great job with this article. As a very experienced nurse and FNP student struggling with clinical site placements I can honestly say I agree with what you have to say here. Yes, yes and yes. My program is ccne certified and they are really not helping much despite what they say on paper. I question if any of these online programs should even be in existence. How did we get here? Great article. I enjoyed reading it thank you!
Absolutely loved this article. I feel strongly that NP education needs a complete overhaul, and have had similar thoughts to the needed restructuring that you’re voicing here. I feel very pessimistic that the governing bodies of NP education will make the changes necessary on a voluntary basis. Very worried that many bad outcomes will have to occur and that NPs will not be a trusted or respected profession before that occurs.
I wish it was true, but the literature shows a darth of evidence and there is no mechanism for switching specialties in place, there are some options, but no mechanism.
I also want to support this cause-we can share the article with others but I doubt that will initiate a change. AANP does not think this is a problem. Right now legislators don't seem to have an appetite for this, I think unless we connect with physicians to lobby on this cause together - it will just go nowhere and things can get worse. It would be better if the change was from within.
I think you may have overstated things in a few places. I feel that there is a mechanism for switching specialties. You must have gone through another certification process since you are both an FNP and an ENP it looks like. I could become double boarded too by going through a second certification for psych NP if I wanted. When I read your phrase "no evidence," I hold my breath because no one can ever have reviewed everything there is on a given topic. The only thing I know absolutely is that I know nothing absolutely.
Just to be fair he said "after a thorough literature review I found no evidence". That leaves room for other evidence to be out there but he just did not read it.
I left an NP program after the lack of rigor unsurprisingly failed to instill the confidence required to make life-altering decisions concerning the health of another human being. I believe that, in order to restore validity and esteem for the nurse practitioner profession, nursing needs to revisit assumptions that have become fundamental to the instruction of practice - not the least of which is the assumption that nurses somehow learn different than other individuals, a claim made in concert with pillars of nursing's "metaparadigms." We need a return to empiric knowledge, and that should constitute the overwhelming bulk of the NP curriculum. And, yes, it should be bulky, onerous, and challenging for even the most capable and competent of nurses.
Agreed
Nailed it!! I am becoming ashamed of my profession. I am a 20+ year ACNP. The students are lacking in so many ways. The clinical instructors don’t ever come evaluate the student. The last clinical called me for a total of 30 seconds. Number of graduates do not correlate to quality.
You did a great job with this article. As a very experienced nurse and FNP student struggling with clinical site placements I can honestly say I agree with what you have to say here. Yes, yes and yes. My program is ccne certified and they are really not helping much despite what they say on paper. I question if any of these online programs should even be in existence. How did we get here? Great article. I enjoyed reading it thank you!
Absolutely loved this article. I feel strongly that NP education needs a complete overhaul, and have had similar thoughts to the needed restructuring that you’re voicing here. I feel very pessimistic that the governing bodies of NP education will make the changes necessary on a voluntary basis. Very worried that many bad outcomes will have to occur and that NPs will not be a trusted or respected profession before that occurs.
Sharing this with as many NPs as you can, talking about it and join us here
https://www.facebook.com/share/g/H5hqbThRuFC9Paf9/?mibextid=qtnXGe
I wish it was true, but the literature shows a darth of evidence and there is no mechanism for switching specialties in place, there are some options, but no mechanism.
As an NP I agree. Is there anything I can do to help support this cause?
I also want to support this cause-we can share the article with others but I doubt that will initiate a change. AANP does not think this is a problem. Right now legislators don't seem to have an appetite for this, I think unless we connect with physicians to lobby on this cause together - it will just go nowhere and things can get worse. It would be better if the change was from within.
That is a valid thought
I think you may have overstated things in a few places. I feel that there is a mechanism for switching specialties. You must have gone through another certification process since you are both an FNP and an ENP it looks like. I could become double boarded too by going through a second certification for psych NP if I wanted. When I read your phrase "no evidence," I hold my breath because no one can ever have reviewed everything there is on a given topic. The only thing I know absolutely is that I know nothing absolutely.
Just to be fair he said "after a thorough literature review I found no evidence". That leaves room for other evidence to be out there but he just did not read it.