Nurse practitioners (NPs) play a crucial role in delivering rheumatology care and services, providing specialized knowledge and skills to both patients and rheumatologists. The increased demand for rheumatology healthcare professionals is expected in the coming years, and utilizing more NPs may help meet this demand. The American College of Rheumatology (ACR) was developed to guide rheumatologists in onboarding NPs or physician assistants into rheumatology practice settings.
One solution to the shortage of physicians in this specialty in the United States is to add nonphysician providers such as NPs and physician assistants (PAs) to the care. Mid-level providers have a high level of satisfaction with their careers but little formal training. Rheumatology practice is changing rapidly with greater patient care responsibilities, disease activity measures for rheumatoid arthritis (RA), and incorporating treat-to-target (TTT) measures.
Rheumatology nurses are effective in delivering care for RA patients, but their titles, experience, and training are highly influenced by their titles, experience, and training. NPs need to partner with patients and other healthcare professionals to diagnose and treat RA patients. They can step into clinics that need additional medical professionals, improving outcomes and lowering healthcare costs.
In Australia, there are only a small number of rheumatology NPs. They can work in both public and private systems alongside rheumatologists, ensuring quality care. Utilizing NPs and PAs may allow for more rapid follow-up visits and improve throughput in a rheumatology practice, eliminating some of the current difficulties. Provider reports and peer-reviewed research support the efficacy of integrating NPs and PAs into care teams.
| Article | Description | Site |
|---|---|---|
| Nurse Practitioners Deliver as Part of the Rheumatology … | NPs are equipped to step into clinics that are in need of additional medical professionals, and can improve outcomes and lower healthcare costs. | the-rheumatologist.org |
| The Future is Here: The Role of Nurse Practitioners in … | Nurse practitioners (NPs) play an increasingly large role in delivering rheumatology care and services. Their specialized knowledge and skills help both … | the-rheumatologist.org |
| You’ve Hired a New NP/PA in Your Rheumatology Practice | Now comes the complex part – getting your new Nurse Practitioner (NP) or Physician Assistant (PA) trained in the specialty of rheumatology. | careerconnection.rheumatology.org |
📹 NURSE PRACTITIONER 2.5 YEARS LATER Regrets, Lessons and Advice for future NP Fromcnatonp
I have been a Nurse Practitioner now for 2.5 years and I am sharing my thoughts about my profession and one of the most …
Can PA And NP Perform Surgery?
Physician assistants (PAs) can perform surgery only when authorized by a supervising physician and outlined in their practice agreement. They are allowed to conduct procedures under local anesthesia without the physician present. While PAs can assist in surgeries and prescribe medications across all states, they must collaborate with a physician as part of a "team practice" model. Nurse practitioners (NPs), on the other hand, are restricted from performing major surgeries independently, though they can carry out minor procedures like lancing boils and suturing lacerations.
In some states, NPs have been granted full practice authority, enabling them to perform many roles akin to physicians. They can assist in surgeries but lack specialized surgical education and cannot undertake complex surgical procedures independently. PAs are educated in medical concepts through rigorous programs, which differ from NPs' nursing education. While some PA programs focus on surgery, others provide general medicine training.
Hospitals often rely on both NPs and PAs for various tasks, but the key distinction remains that PAs may engage in surgical procedures if authorized, while NPs' roles in surgery are primarily supportive and non-operative.
What Is A Rheumatology Nurse Practitioner?
Rheumatology Nurse Practitioners (NPs) play a critical role in delivering high-quality, patient-centered care through collaboration with rheumatologists. Their specialized skills encompass taking medical histories, conducting physical exams, interpreting results, and developing comprehensive treatment plans. As patient demand for rheumatology services rises, NPs have emerged as vital contributors, creating a network that connects patients and healthcare professionals.
Rheumatology is notable for establishing a specialty-specific curriculum for NPs and physician assistants, which enhances their knowledge and effectiveness in practice. Rheumatology nurses specifically cater to patients with chronic rheumatic diseases, such as rheumatoid arthritis, lupus, and fibromyalgia, focusing on alleviating pain and fatigue associated with these conditions. Their responsibilities might include managing patient education, providing telephonic support, and facilitating ongoing management of chronic illnesses.
The expansion of specialized nursing roles in rheumatology is essential to address the anticipated shortage of rheumatology physicians. A well-trained rheumatology nurse understands the biological and pathophysiological contexts of musculoskeletal and rheumatological conditions, guiding patients from initial assessment through diagnosis and treatment. This collaborative approach in rheumatology enhances patient experiences and outcomes, marking a rewarding career path for nursing professionals in this specialty.
Can A Family Nurse Practitioner Intubate?
Yes, some nurse practitioners (NPs), particularly acute care NPs (ACNPs), can intubate. These certified NPs are advanced practice registered nurses (APRNs) with specialized training, enabling a broader scope of practice compared to registered nurses (RNs). Training in NP programs may include invasive procedures like intubation and central line placement, and some states permit NPs to intubate in emergency situations. However, the ability to intubate varies based on state regulations, facility protocols, and specific training.
While ACNPs often perform critical procedures, most RNs do not intubate, except in specialized roles such as ACLS transport nurses. In emergency contexts, ensuring sufficient oxygen delivery to the brain is crucial. NPs working in emergency departments may not perform intubations or other advanced procedures, depending on their work environment. It's important to differentiate between the roles of NPs, particularly FNPs, who typically focus on primary care across the lifespan, and ACNPs, who engage in life-sustaining interventions. Ultimately, whether or not a nurse practitioner can intubate hinges on their training, state laws, and clinical setting.
Where Do Family Nurse Practitioners Get Paid The Most?
California is recognized for its stunning landscapes and diverse communities, and it's also the highest-paying state for nurse practitioners (NPs), with an average salary of $161, 540. Other high-paying states include New Jersey, Massachusetts, Oregon, and Washington, where NPs can earn between $138, 700 and $143, 250. Family nurse practitioners (FNPs), who function similarly to family doctors, can earn around $127, 976 in California. The average salary for NPs in the U.
S. is approximately $128, 490, indicating significant earning potential compared to registered nurses, who make about $34, 000 less. After gaining experience, an FNP’s salary can rise significantly from an entry-level $85, 700. Compensation can vary by location, with metropolitan areas typically offering higher salaries due to increased costs of living. The data suggests that NPs practicing inpatient care in hospitals earn the highest salaries, while those in outpatient care and medical offices earn slightly less. A nursing degree and specialization can greatly impact salary, making it essential for NPs to consider their career paths wisely in order to maximize their earnings potential across different states.
What Is A Rheumatology Practitioner?
A rheumatologist is a specialized medical doctor trained in inflammatory and autoimmune diseases affecting the musculoskeletal system, which includes joints, muscles, bones, and connective tissues. Often associated with arthritis, rheumatologists diagnose and treat a variety of conditions, including rare inherited disorders and muscle-related issues. They are either board-certified internists or pediatricians who have undergone additional training in the field of rheumatology. This medical specialty focuses on managing degenerative, autoimmune, and inflammatory diseases, enabling rheumatologists to provide comprehensive care for patients with these conditions.
Rheumatologists possess the expertise to assess, diagnose, and develop treatment plans for patients suffering from a wide range of rheumatic diseases, characterized by inflammation and loss of function. They play a critical role in treating disorders such as osteoporosis, rheumatoid arthritis, and other non-surgical autoimmune ailments. Through their specialized training, rheumatologists also contribute to the overall management and prevention of rheumatologic disorders.
Their focus on non-surgical interventions highlights the importance of individualized patient care, ensuring appropriate management of both common and rare musculoskeletal disorders. When considering care for conditions affecting the musculoskeletal system, a rheumatologist is an essential member of the healthcare team.
What Healthcare Professionals Are Involved In Rheumatoid Arthritis?
Your Arthritis Health Care Team consists of various specialists who collaborate to provide comprehensive care. A rheumatologist, specializing in arthritis and musculoskeletal diseases, plays a crucial role in managing symptoms like inflammation and joint pain. They often lead your care team, determining if you need additional specialists, such as primary care physicians, orthopaedic surgeons, chiropractors, or neurologists.
Living with rheumatoid arthritis can be challenging, but having a supportive healthcare team—comprising rheumatology nurses, physical therapists, occupational therapists, and dietitians—can greatly assist in managing your condition.
Rheumatologists, who may hold board certification, are essential for ongoing medical treatment. There are over 100 rheumatic diseases, and rheumatologists are equipped to handle various conditions beyond arthritis. It's vital to recognize that the best healthcare providers may differ from person to person. Effective management of rheumatoid arthritis often relies on a multi-disciplinary team approach, ensuring that every aspect of a patient’s health is addressed thoughtfully and thoroughly.
How Does A Nurse Practitioner Work With Rheumatoid Arthritis?
In the United States, half of the states grant nurse practitioners (NPs) full autonomy to manage patients with rheumatoid arthritis (RA), including the ability to evaluate, order diagnostic tests, and prescribe treatments without physician oversight, providing they are part of a rheumatology team. Traditionally, RA patients have been treated by rheumatologists, who are specialized medical doctors, but a growing shortage of these specialists is anticipated.
With 1. 29 million Americans affected by RA, utilizing more NPs in rheumatology is a proposed solution to this healthcare challenge. NPs play an essential role in delivering rheumatology care, equipped with the necessary training to manage such conditions effectively, including RA and psoriatic arthritis (PsA). They possess the skills to conduct physical exams, diagnose medical conditions, and refer patients when necessary. Furthermore, NPs can order and interpret diagnostic tests, prescribe medications, and offer ongoing management of chronic rheumatic illnesses.
Enhanced communication between NPs and rheumatologists can optimize care for patients with RA. As demand for rheumatology care increases, incorporating NPs and physician assistants into treatment teams might mitigate the shortage and improve patient outcomes, with NPs capable of monitoring treatment responses and educating patients throughout their care journey.
Can A Family Doctor Diagnose Rheumatoid Arthritis?
A general practitioner (GP) conducts a physical examination to assess joint swelling and movement, alongside inquiring about symptoms. It’s essential to communicate all symptoms to aid in accurate diagnosis. Physicians follow a systematic approach that includes examining physical symptoms, reviewing personal and family medical history, and performing diagnostic tests such as blood work and imaging (e. g., X-rays, CT scans). Key tests involve inflammatory markers like C-reactive protein and rheumatoid factor.
If there's a family history of rheumatic or autoimmune diseases, referral to a rheumatologist may be beneficial, as these conditions can be hereditary. To diagnose rheumatoid arthritis (RA), doctors consider multiple factors: a medical history review, physical examination, lab tests, and imaging studies. Early diagnosis is crucial to prevent joint damage and disability. Symptoms of RA can vary in severity amongst individuals, making prompt recognition by primary care providers vital.
While GPs can initiate the diagnostic process, they may refer patients to specialists for further evaluation and treatment. The agreement on diagnosis between rheumatologists and primary care physicians can be inconsistent, highlighting the importance of a thorough assessment and follow-up care to ensure effective management of RA. Your doctor can guide you through testing if you experience symptoms indicative of arthritis.
What Is The Difference Between A Rheumatologist And An NP?
An NP (Nurse Practitioner) is a registered nurse (RN) with advanced credentials that expand their professional responsibilities, specifically in rheumatology. NPs collaborate closely with rheumatologists, enhancing care for patients who suffer from rheumatic diseases, which affect joints and muscles. While rheumatologists are medical doctors specializing in diagnosing and treating these conditions, rheumatology nurses focus on patient care. The integration of NPs and physician assistants (PAs) into rheumatology practices addresses physician shortages in the U. S. healthcare system.
NPs provide high-quality, patient-centered care alongside rheumatologists. Their duties include taking clinical histories, performing physical exams, interpreting diagnostic results, and managing chronic rheumatic illnesses. Nurse practitioners differ from registered nurses in that they can prescribe medications and provide comprehensive care.
Rheumatology NPs are skilled in managing conditions like osteoarthritis, lupus, rheumatoid arthritis, and more. Research shows that NPs can lead to better patient outcomes, such as lower disease activity in rheumatoid arthritis over time. Communication between rheumatologists and NPs is essential for optimizing patient management, and the growing role of specialists like NPs adds valuable expertise to healthcare teams, enhancing overall care delivery for rheumatology patients.
What Is The Difference Between A Rheumatologist And An Orthopedic Doctor?
In rheumatology, nurse practitioners (NPs) are vital in patient care through their specialized skills, facilitating connections between patients and healthcare professionals. Patients often face confusion deciding between rheumatologists or orthopedic doctors for joint issues, making understanding each specialist's role essential. Rheumatologists focus on diagnosing conditions causing joint pain, often related to arthritis or autoimmune disorders, while orthopedic doctors provide a broader range of treatment options, including surgical interventions.
Rheumatologists possess specialized training in inflammatory diseases and typically employ medication and non-surgical methods, focusing on joint disorders affected by autoimmune conditions. In contrast, orthopedic specialists primarily treat injuries and diseases related to bones and joints, often performing surgeries like joint replacements or ligament repairs.
Patients should discern between these specialties based on their specific needs. Rheumatologists are suitable for chronic conditions requiring non-invasive management, while orthopedists are appropriate for acute injuries necessitating surgical solutions or fractures. Recognizing these essential differences ensures patients receive optimal care tailored to their unique circumstances.
Can A Nurse Practitioner Diagnose Rheumatoid Arthritis?
The responsibilities of nurse practitioners (NPs) in managing rheumatoid arthritis (RA) include patient education, adjusting medication dosages, and conducting physical exams, with 98%, 97%, and 96% respectively. Over 90% of NPs feel comfortable diagnosing RA, prescribing DMARDs, and utilizing disease activity measures. NPs can diagnose, treat, and monitor RA, and their role is increasingly important as there is a growing demand for rheumatology healthcare professionals.
Traditionally, RA patients have been seen by rheumatologists, but with the increasing prevalence of RA affecting 1. 29 million Americans, NPs can help fill gaps in care. This collaboration with patients and healthcare teams is essential for effective management of RA and other inflammatory arthritides. NPs, equipped with specialized knowledge, can enhance early detection, referral, and patient education in primary care settings. They can ease the burden on rheumatologists by collaborating closely to ensure comprehensive care.
Research indicates that patients can feel confident in their care from NPs, who often have advanced training and understanding of RA treatment options and follow-up. This integration of NPs into rheumatology practices supports improved patient outcomes and addresses workforce shortages in certain communities, ultimately promoting better management of complex conditions like RA.
📹 Ashley K. Rosenbarger, NP, Rheumatology
This article is my experience and mine alone, I do want to say I have no issue with online programs! I have issue with fast tract program because I do think they are putting you at a disadvantage of being a good provider for your patient. Take time to nurture your skills as a nurse before becoming a NP!
I completely understand the perspective. I’ve been an FNP for 12 years and am one who definitely does not regret it. I’m SO glad I went back to school after BSN. There are definitely negative aspects, but positive too and I have never been asked if I went to school online and have practiced all over the country as a military spouse. Just wanted to give another perspective to encourage others out there, go for it!
I was a FNP for 10 years before going back for the PMHNP. I love being able to provide care in both specialities and could never do acute care. I prefer outpatient and the flexibility to work remotely in psychiatry. Choosing a speciality really is an individual experience of what aligns with your spirit and skill set.
I totally agree about the fast track program. Crna schools require at least 2 years of level one critical care or icu experience and with that your not likely to get in. I think NP programs should require at least 2 yrs experience before applying. I have also noticed many NP programs make nurses find their own clinical rotations. Schools should have strong clinical rotations that NPs can get excellent experience instead of leaving them to beg for a clinical site. PA programs don’t do that
This is one of the reasons I chose a brick and mortar university that offers both hybrid and in person classes, especially the assessment classes. Its way more expensive than the online programs but it certainly has a great reputation in the community. AFter listening to this, I’m grateful for my decision and foresight 🙂 Thanks for your thoughts and for sharing!
When they went with BSN Only, a lot of nurses became trapped. A nurse today can owe 60-100 grand for the 4 year degree. So now you are a bedside RN. You rapidly learn that eating tons of crap everyday is not your bag. What do you do? Leave nursing owing all that cash??? Get another degree in something else??? Not likely. So nurses run to NP school to get away from the bedside. The online industry is ready to profit from nurses misery.
When I decided I wanted to go back for my NP I really struggled between acute care and family. I ultimately went with family because although I truly miss the ICU, I knew that the excitement of that hustle and bustle environment wouldn’t last for more than 5 years so I chose family for the flexibility of being able to work in a variety of environments and across the lifespan. Now looking back I wish I’d gone the psych NP route. The demand is high for that specialty. If I could find a program that didn’t cost a fortune and could complete in 1.5 years I’d go for it. Also, for the person that mentioned writing papers doesn’t help with diagnosing and treating patients, I disagree. I wrote TONS of papers including dissecting case studies and let me tell you; a lot of the information that is etched into my brain now has come from writing those lengthy papers that required hours and hours of research (current, peer reviewed). There is a method to the madness of NP schools but it works.
Thing is this though my nurse sister…..if we are doing this for the glory of God and truly care about our patients – humanity, we should not care how we are seen or perceived. Just care and Godspeed! People who experience our care, mind body and spirit? THEY (and God) are the only ones that matter. Be agape loving and proud, and all will be better because our focus is priority.
Thank you so much for your article!!! It’s very reassuring to see an NP who is so honest and respective of the differences in training between NP, nurses, and MD. I concur in the disservice we are doing to the public in granting additional capacities to people who haven’t had the same level of training as others. I only wish more people shared this view as well instead of insisting on fulfilling other roles that are not theirs to fulfill.
thanks for sharing a great article, I’ve been full time FNP little more than 1.5year in Internal Medicine. facing lots of challenges, imposter syndrome.. your frank opinion of regrets being FNP is totally agreed. I used to work in ICU as RN and I thought I would continue acute care as NP but I’m actually falling in love in primary care unexpectedly!. love to talking to pts (but not too much.. ) and seeing them walki talkie (you know what I mean lol).. so interactive and rewarding compared to seeing critical pts 🙂 anyway look forward to seeing your next article !!
I am a psych NP, no regrets for choosing that route but yes the difference in education is astounding. I did an Accelerated MSN program. I was a Respiratory Therapist for 5 years before getting my MSN. I didn’t have a hard time finding a position after school I chose to travel as a psych RN before starting as a NP and I am glad I did. You are absolutely correct about knowing what interests you before choosing a specialty. I was fortunate as a RT working at the largest Level 1 trauma center and research/teaching hospital in my city I was exposed to every area. I knew I did not want to work in the hospital anymore and wanted an area that allowed me to work outpatient. Very good article!
Thank you so much for sharing your experience! But I also want to share and advise something very important. As a young woman, I allowed many people to dictate my career goals, by telling me that PA or NP is not a great field, you are looked down on and etc. And unfortunately, that has been my biggest downfall and regret. If I have to be honest, being a PA or NP is one of the greatest career fields out in the medical field. Sometimes you cannot allow people to project their fears and failure on you. I wish I had continued my education and went to nursing school and become a NP. Now I am 22, stuck at a low paying law firm with little to no area for advancement. I’m working towards a excel business administration degree, and now considering PA school after. Continue to thrive as a nurse practitioner, you are competent enough, you are not just a “nurse with a master’s degree”. You are a great healthcare provider!
I’m an AGACNP. I did not go the online route because I really wanted the in class experience and I feel like that was the best route for me as I was an acute care nurse for 10 years prior. Now, I don’t regret going the acute care route however I do wish I had gone back right away for the FNP. Mostly because it’s much more difficult for me to get an urgent care or ED job because I’m not trained in pediatrics. But other than that I can do pretty much anything else Involving adult medicine. However, I believe that the NP should have the same variation on education as a PA does. It just makes more sense and leaves more options open.
Depends on where you attend. Too many NP programs just for the money. I attended a very strong program. Access to a top sim lab, teachers who are knowledgeable and authors of multiple work, all our clinical rotations were already arranged with multiple medical centers and preceptors. We all got job offers before we even finished our last semester because everyone knew the program produces top notch grads. Oh yeah and no one had less than 5 yr icu experience in the acute care program.
Thank you for stating that you still have to look things up! I’ve been an RN for 15 years and now in graduate school to become an NP. There is so much to material to cover in class and I get nervous that I’ll forget something when I become an NP. I still look things up as an RN but forgot about that until you stated it in your article. I want to give a shout out to all the amazing NPs!! My primary care provider is an NP and she is amazing! I prefer NPs over MDs …but I may be a bit biased😏
Thank you sharing, it’s a conversation starter. As a nurse with 30 years in (LPN, ASN and currently MSN) the biggest thing I have pause for is the fast track program. I think that there should be a minimum amount of years practicing at the BSN level as a prerequisite for NP. I’m researching an ONLINE post-masters program for a PMHNP. I enjoy all of your articles! Continue presenting issues that spark conversation 😊
I think this was an informative article. By the end of the summer I would have completed a direct entry program which I believe is what you are referring to as a fast track program. I will say that during the RN portion of my program a lot of the clinical instructors or other nurses on the unit HATED the fact we would become RNs and then transition right into FNP. I get it. RN practice is an important part of being a nurse practitioner. My school had a requirement that we work as RNs while completing FNP portion of the program. But I will say that that my school has produced some very highly regarded FNPs through the direct entry program. I will also say it is important to choose the route that aligns best with what you want to do. In my opinion FNP route isn’t the best if you know for sure you want to work in acute setting. I feel like the curriculum is geared towards outpatient settings. I also think the FNP curriculum definitely needs some standardization especially in clinical settings. A lot of schools especially online have their students begging providers for clinical placement. Also because it’s so hard to find placements schools dump you in any setting that will take you. The clinical training is quite embarrassing. Either way I know for sure that I will do everything I can to get into a residency program. It’s lower salary and still might feel like school but I feel like that is needed and would still feel that way even if I had years of nursing experience
I’m sorry that happened to you. I’ve been an NP for 8 years and I’ve never had anyone ask if I went to online school. I have had patients and staff ask what an NP is which is understandable and I don’t mind giving a brief description. Here and there I’ve had patients say they want to see a physician instead but it doesn’t happen often. One big issue is that many of us don’t introduce ourselves as NPs or correct the patient when they say doctors. The problem with this is that a lot of folks have received excellent care from NPs that they thought were doctors. Then when one of us actually clarifies we are an NP, they are like “what’s that?” All that being said… it’s sometimes better after a few years because after that they don’t feel like they have to train you and you can get a better job. I completely agree about nurses being haters. Not all but the disrespect is ridiculous I also believe that all NP schools should require at least 2 years nursing experience. They set people up for failure when they don’t
Currently torn between PA and NP. I generally like the idea of working as a PA better, I’m just worried about the experience required to get into PA school. With a nursing degree, you can get the experience required for NP easily, but if you get a biology/physiology degree you can’t work in the medical field for your hours
I agree about the difference between an online NP school and a traditional, brick and mortar NP school. I have friends who graduated and some doing online programs. The amount of work, training, and support is very different. The amount of guidance and support they gave us was really great. I’m not knocking down online schools, we have to choose what works best for us. I’m grateful I did it traditionally. But guys, do what’s best for you. If online works best for you, go for it.
Hmmmm, thanks for your honesty. I have been a FNP for 9 years and I agree with you. My school was traditional classroom and I belief I got a very rounded education. The problem with nursing generally is that there is no standardization in the programs. Even though we have same governing bodies and licensure process. I have precepted FNPs in clinical before and their knowledge base is usually dependent on the quality of the program they are in. Seriously these days I discourage people from getting FNP, I’d rather they go for the psych NP, even though I can already predict that, that too will soon be over saturated. These conversations are important. Thanks for being a voice for nurses. Cheers.
I appreciate the things you have said here. I decided to get my MSN in education and I continuously get asked why I didn’t go the NP route. I know in my heart that it’s not what I want so I keep standing strong in my decision. The advice on what others think is best for you will always be there I guess.
I dont understand why the negativity and judgment . It’s not easy to even get into RN school its not a dime a dozen degree yes many go that career path but to get there for many is not easy. I am aspiring to become an RN ultimately a CRNA but all the schools are competitive to even get into trade school or community College so just from the get go they don’t let anyone and everyone in . The people saying that stuff must not even have tried to get into nursing or looked into it . Dont sweat it I admire you and what you do your journey I guarantee was not easy nursing school is no walk through the park like so many tell me how hard it is .
oh damn!!! I had no idea these are stigmas against NP. This is so insightful. And I’m sooo sorry you’re having such a hard time with life decision making. That’s so hard. And I think you’ll find your next/better/truer path soon. And this will have informed your decision making in a very important way. grateful for you!! Hearts!
I definitely encourage you to be yourself and focus on your practice, keep up the good work, people are gonna be people at the end of the day, no matter what happens no matter what you do you cannot please everyone, that’s just the dynamics of life, so just keep up the with the good work you re doing, focus on your practice and keep doing what you know best, All the good nurse practitioners definitely rock including you and I, Online education is tough and is built/Designed to meet our standards, I’m not even worried about here say and they say, criticisms and judgment by people who cannot even do it. Take a lot of credit for yourself I wish you good luck in your practice👍
I agree the curriculum of pursuing FNP has been watered down resulting in diploma mill programs, lowering our profession. My program was not online. I need engagement of hands on and feedback. Oversaturation is becoming a problem in many areas, but I do not concern myself with what people say I know what I bring to the table. I take my job seriously, I stay on top of my education and use my resources. I am going on 4 years and do not regret my decision. You have to determine how your path is going. It is unfortunate a few bad apples attempt to ruin a great profession.
I’m not an np, but I’m tempted to go back to school for it. I pull muscles in my back lifting patients and have been working as an RN for 8.5 years in multiple hospital physical rehab and medsurg units. In sep-oct I had pain for six weeks! To escape the pain is the main reason I want it, but I worry I am not smart enough. If anyone has suggestions to study ahead so I can find out if I could handle it before I spend the money trying, I would really appreciate it.
Thank you so much for the great article. Once I saw an MD laughing about how his wife became an FNP by studying online and mostly writing great papers with very little amount of clinical training. NP schools should teach more about diagnosing and treating patients rather than requiring students mostly write papers. Because writing papers don’t help patient care, it’s a waste of time
If you go to a reputable direct entry MSN school like Emory or Case Western, do you still think that’s a bad choice over doing a ABSN and then getting experience? It seems these programs over 1000 clinical hours and some people take a break to work full time in between the MN and MSN part or work part time during the NP. I just know I want to be a pediatric primary care NP but have my bachelors in another field. The direct entry seems reasonable because you apply once and get your MN and MSN at the same school within 3 years.
Well, I watched your article twice and I have a few things to say. First, we are very proud of your accomplishment on becoming a nurse practitioner. It’s not an easy thing to accomplish. It seems like the negativity from other ppl that are trying to decrease your accomplishments. I feel that part of it just plain jealousy. Also, some MD’s feel they had to go to school for many yrs and an NP can own their own private practice. Now, the other side of the spectrum…every place I go now, all I hear is, “I’m going to nursing school.” I am seriously concerned about where our profession is heading. Will this drive the pay all the way down? I don’t feel that everyone is doing it because they genuinely love the art and profession. So the accreditation body that accredits these “fast-tracked” programs are hurting the nursing profession. I want to do primary care. I don’t like acute care, but I was surprised you did FNP because you came from the ICU. I feel that the best way to survive is to be highly specialized in an area where many people can’t really break into easily.
I have been a FNP for about 9 years and love it. I knew I didn’t want to be in a hospital setting. I prefer working in a clinic, so you must know what you want to do before spending the money. I have NOT experienced the negative vibes associated with being an NP. However, doctors don’t respect the role unless you have a DNP, and patients won’t respect you if you give them medication that doesn’t work. Doctors will not hire you if you have no clinical practice, especially in the restrictive states. This is why many have graduated but can’t find a job. This role comes with a higher liability, far more significant than an RN’s role. You want to choose a school that will teach you and spend the money to guide you. I went to the University of Alabama at Birmingham, and let me tell you, there was NOTHING easy about it. If you don’t get the proper education, you will not feel comfortable in the NP role and will eventually go back to bedside nursing. It’s not easy money. I work much harder as an NP than I did as an RN, and being an RN was less stressful. So please, do your homework and ensure this is right for you. That’s the wonderful thing about nursing, there are so many avenues you can take.
You sound like you have the same attitude as the NP I just had a horrible appointment with. Because of that experience I am never going back to another NP or PA. I think discussing options when you are in the office and hearing a patients feelings are a benefit. The NP I had more or less told me this is the decision they made. Luckily, I had a visit with my cancer doctor the following day. He changed and added some medicine and it has had good result. I am not even saying they were wrong, what the wanted to do probably would have worked. I felt I was not getting a full hearing or listened to and was getting a short term answer to a long term problem
This article is the epitome of why I have regretted by decision to pursue FNP. When I first started nursing I knew I wanted to graduate from bedside and be in a provider role, so the easiest (but not wisest) way was to quickly go to NP school. I was shocked but ecstatic I got in without a fight or hastle (no interview, GRE, or LOR, just an essay, transcripts, and application). My school is a brick and mortar school but the program is online. I think the whole NP education needs an overhaul. I’ve heard even those who go to top brick and mortar programs say the curriculum is watered down, easy, and doesn’t require RN experience. The first step needs to be in making admission harder. Had I needed LOR, GRE score, and an interview, I might have paused and thought more about which school to go to, which type of NP to pursue, and stayed at the bedside a bit longer. I never thought that because it was easy to get in, the curriculum would be somewhat of a joke and not super challenging (it’s honestly just time consuming). I hate that all this extra time I’m putting into making sure I teach myself everything is just going to be patients and other providers questioning my competence, work ethic, and knowledge. This all started when PPP group started headlining horror stories of NPs involved in cases of patients dying that shouldn’t have died; these have been on the news sadly, so people are seeing it and do not want to see NPs. But what I don’t get is, you don’t see horror stories involved with patient deaths by the hands of physicians on the news.
Love this article I am currently on track for my fnp and I think working in the hospital for a couple years has really helped me solidify that decision I knew I didn’t want to be back in the hospital but of course if needed maybe I will explore later also my fnp clinical experience played a big part in my decision being able to see firsthand what I will be doing as a FNP has really helped solidify my decision as well you make some great points I am glad that you have made it this far and you are deff a inspiration
I watched because I’m a year and 8 months in and I’m hitting a WALL. The insecurity and anxiety are so hard sometimes. I’m primary care but I work with the uninsured. Everyone telling me I’m doing so great but the imposter syndrome is kinda killing me. Love that you said you feel like a baby np. I do too.
I am just starting out the nursing education. Well currently I am a CNA/PCT in a hospital setting in a Telemetry unit. I was a Medical Assistant in a children’s Outpatient Clinic and I absolutely loved it there. I am at a Community College working on my ADN/RN. I will transfer to a BSN program and will specialize in pediatrics. The good thing about my hospital is that it is an educational hospital and I can definitely gain experience in pediatrics. Then I will work my MSN-FNP. I see tons of opportunities in my state.
I agree with especially what you say in the schooling part. A lot of nurses I graduated with went to NP school almost immediately. I’d work with them in the ED for a month and they wouldn’t have a clue as to what was happening in their patients. Hell 4 years into ED and now flight, I still feel confused sometimes. They definitely need to be more rigorous in school applications. Like PA school where applicants need 2,000 hours of experience
Family practice MDs spend four years of medical school and three years of residency training, NP’s spend two or three years, so It would be unfair to expect high clinical skills from any NP with less than four years of post-graduation experience., however, If after four years of practice experience and that NP can’t perform, then you can ask questions but up until then, don’t stress yourself. If you love acute care, get more training, it’s that simple.
Thanks for article. I think the primary problem with NPs is not the type of schooling they choose whether fast track or online. The main problem is the clinical component in which many of us have struggled to find clinical preceptors on our own that will actually provide us the benefit of clinical skills and disease management. This is a major issue and I think schools should focus on great clinical placement to ensure we are getting a taste of each medical specialty just like the PAs who are trained along side the medical students.
I beg to disagree that becoming an NP is an easier route compare to PA. First, you have to have a Bachelor degree, pass a state board exam/FNP certification (RN/APRN), and have at least two years experience as an RN to become an NP. Where you go to school doesn’t matter. At the end of the day, it’s all about the individual knowledge, talent, problem solving/communication skills, and most of all attitude that matter. It’s an advice I got from a highly respected ER doctor. I got my FNP degree online with 27 years under my belt as an ER RN and was able to pass my FNP(BC) certification two months after my graduation. The only difference between me and those who went to Ivy League Schools is that I don’t have 6 figure student loan. LOL ;D I am also happy and satisfied with my job. Thank you.
I always ask if the person went online just to get their experience, not to question credentials. A nurse is a nurse no matter how you went to school. I want to do NP and have never taken an online course, so I always ask people to see how they studied, worked, lived life with online programs. As it is my BSN program will be online and I’m not sure how to balance that, so I just ask for people’s ideas on how to study, how to be more productive. Thanks for addressing this though.
2020 showed us that many people are going to complete the majority of their education online! I’m in a hybrid program where we do our clinicals obviously in person, the majority of instruction and lectures online, but we do in-person instruction for “hands-on” type pass off of skills that we are doing in clinic. So I never know how to answer the question of is my program online. Yes, no, and some of it, but not the part that counts (seeing patients!), LOL
Thank you so much for your honesty and sharing your personal experience. I’ve applied to FNP school but honestly not sure if it’s something I really want to do anymore. I’m seeing the market is saturated and FNPs are being low balled, having to obtain high malpractice insurance, and health insurance. As a matter of fact many of my coworkers who graduated with their NP degree haven’t left the hospital for these reasons. While I still want to pursue a higher level of education, I am definitely considering other avenues. Again thank you for your articles and May God bless you in your role ❤️
I am a nurse with 1.5 years of experience, but bedside is not for me. I just started an online fnp program that is not fast tracked, and I had to do 2 interviews to get into. I did a lot of research on what graduates thought about the programs and since they had good things to say and recommended the school I went with it. I want to be an FNP because I think it is diverse where you can see the whole life span. For when ill eventually have children in the future to when my parents get old and I would want the knowledge if anything happens. I am not sure if I want to stay in the hospital or do clinic based NP so this gives me choices down the line. I have been seeing articles like this recently and its made me rethink my decision, but I needed to leave bedside soon. Either way I value the knowledge and cost of an NP program.
It is your confidence, skills, and personhood that dictate how people think of you. I have seen RNs and NPs in hospitals and clinics that doctors look up to and respect. People can talk and talk but prove them wrong with how you are as a provider. The beauty about being an np is that there are so many avenues out there and unfortunately, not everyone knows what they want to do until they are years in to their practice. But once you’ve discovered this, there are ways to get where you want to be.
I heard so much negativity mostly from doctors I work with from the time I started online school till now. I felt I was constantly defending myself and the role of np. There are some np and yes this includes ones that went to “online school” that are a lot better than some tenured doctors. It’s all about experience..I 100 agree they should have a minimum of years as a rn before acceptance in a np program. It makes me feel bad when I hear all the comments, it tears my confidence, makes me feel worthless. Shame on them! They cannot wrap the concept of team work! They don’t want to baby sit is what they think. We are contributors and offer a lot no matter what school we went to! We empathize and provide better bedside care be because were nurses. Like it or not we are here to stay!
Nurse Practioners are very knowledgeable .. They take very difficult classes. Respiratory Therapists are treated the same way sometimes not by all when compared to other health care programs such as nursing. There are some folks who are under the delusion that it’s a easier program . There are many difficult classes such as gross anatomy of the lungs . People should not judge unless they have been there . The RT exam is one of the most difficult to pass in healthcare. I do understand how you feel you don’t owe anyone an explanation you worked hard for your degree. Good luck … Prayers…
Well depending,where you are working, what state?!.There are 18 states in USA where a NP is equal MD.You do not have to work with the MD .You can do prescription,including NARCO.One of the state, where we live and my wife is a PHD,DNP, is Arizona.Here you will get a lot of respect,from people and patience .They trust NP more, then MD, here in Arizona.They know,you were doing real nursing,before you became NP.My wife, is doing teaching in University, but she use to be DNP in the hospital and everybody call her DOCTOR.Then she took a PHD, with more academic doctoral, for profesor at University.So if they do not respect you move on! In SouthWest people do not go to school, a lot.So here a BSN makes $75/hr.In California BSN makes $125/hr.
Great article. I just switched from FNP to acute care…literally due to couple of assignments that made me realize I was in the wrong area. Say the word clinic one more time…I know I cannot work in a clinic. I have been in cc my entire career and that’s what I love. Yeah, if we don’t start doing something soon, this profession is going to be a joke for real. I have a niece who wants to be a nurse and I told her to go to PA school.
Everything I’m doing right now doesn’t feel right . I am a RN in the ICU and plastic surgery and am in school for FNP at a state university, and I am already having imposter syndrome. I feel like I don’t know enough so how can I take the place of a doctor ? Patients don’t like NPs or PAs, and it’s disheartening. I really just want to go to med school but I’ve already spent so much money and going bankrupt and I’m 29 so I really don’t know anymore . I feel like we are not respected and low balled . But being a RN is like poverty at this point . I really hope I get out of this and find a better way to advance my career and financial situation because this isn’t it.
I’m looking into doing Waldens online program. Yes there’s so much negativity about if you do your nurse practitioner online. But they don’t understand it’s actually much harder because you get proctored and on top of that we had to fight to get preceptors. But there’s a lot of residency programs well at least where I’m at where we can get training so we still have to get the same training no matter way so I don’t get it but I’m not gonna let that stop me because you know primary care Providers are needed in demand and I mean I feel if you are competent you can get a job so I let it slide
Wow, this is so the truth regarding NP education online. I got my BSN in 1984 (Old Dominion University) and went into a MSN program (CUNY) (1995-96 time frame – 10 years practical hands on experience before I started the NP program was invaluable. I’m a GNP now but I stopped clinical practice years ago and became an educator instead. I teach in a RN/BSN program online, been doing this since 2012 – there is no way you can gain enough knowledge about NP practice from an online program – you will end up killing someone through malpractice. It takes many years of hands on practice under the mentorship of of other NP’s or Physicians. I’m so thankful I went through a 8 month nurse internship when I started practice and that was very helpful but the 4 years I worked as an hospital based EMT/ER Trauma experiences while i was a student were much more helpful gaining bedside hands on care and evaluating the patients. My MSN program also required 600 clinical hours to graduate – Hunter College, Hunter Bellevue School of Nurse, City University of New York / CUNY.
I was told to do FNP and not Peds NP because I’d be more marketable. I didn’t listen because I knew my love for peds drives my passion for nursing. I never regretted it, even when I couldn’t find a PNP position. Not finding a PNP position, led me to go back to grad school for my PhD. Turned out my passion was in nursing education and research…whodathunk!!
im a nursing student in an ABSN program. previously i applied to one of those direct entry fast track programs and honestly idk how students are even doing these programs and feeling confident in going from an entirely different career to an NP. i think ABSN programs are okay and great because you have to take prereqs of course and you should and have the ability to practice as a BSN first. idk if its “safe” to jump from 0 to NP ..its very scary. as for FNP, i think that specialty in particular gets a “bad rep” and its sad. because my own provider is an FNP and she literally told me i should go into that because its “easy”. but there are some FNP youtubers that have gone from 0-NP, i personally know a few people that went from graduating May 2020 with a BSN and now they are soon to graduate their NP programs. having applied to a “fast track” program i can tell you they reassure their students by saying that you will be focusing on “managerial positions” or focusing on “your specialty” so the students dont feel like they need to start from the bottom and get nursing practice
I remember being told by instructors in my BSN program that nurses (as a whole) have been historically negligent at representing nurses and nursing as a profession. I have seen this over and over. I argue that a large part of this is due to the fact that the entry degree for a RN is an associate degree – whereas most other “professional” positions (like physical therapy for example) requires at least a bachelor degree. Therefore, the idea is that in many ways, RNs are still looked at as simply physician helpers – which is so wrong, but I can understand it. Also, many people in the general public don’t understand the difference between a RN with an associate degree, and a NP who is Masters prepared. There was talk as long ago as the early 1980s that the minimum entry to be a RN would “soon” be a bachelor degree. Obviously that hasn’t happened yet 🙄
I just got my FNP, i got it because it is flexible, but yes if you want to be in acute care working in a hospital it is the wrong degree. I came from a degree mill – chamberlain university. They say they have preceptorship assistance which in reality is them giving you the white pages and saying call around. If the state or federal laws make these programs create relationships with current practitioners to precept students then the enrollment would go way down. From 2nd year to 3rd year at the big get together skill weekends it went from probably 1200 students down to 400. My guess is most people in FNP school don’t get preceptorships. Now if someone asks me if I went to school online the easy answer is “yes, but I started march of 2020. All the college classes went to online at this time for about 2 years.” Unless people graduated pre 2020 many of their classes will have been online. I am currently getting my state licenses and going to apply for dermatology offices. I think the FNP role is a meat grinder otherwise. It will chew you up and spit you out, cog in the wheel. I saw my preceptors being ground to death, no life working their asses off all day and I live in a slow rural environment. I bet in a city they are getting murdered with work in the office. 20 patients a day is busy in a family practice. I have heard of people seeing 35-40. That is insane, you would be doing your documentation at night and every day your off and checking your tasks at night and days off. Screw that I did not work my ass of to get here to then work my ass off non stop for the man.
I became graduated FNP school in 2020 after being an ER nurse for 9 years and regretted it shortly after and started on my post masters in psychiatry in 2021… I hate the NP work horse mentality of many primary care practices and yes they low balled the heck out of us in Florida, and thanks to the pandemic it made finding a job that much harder. However i found telehealth which provided flexibility i craved and needed for my post masters. Since I’m now a new grad PMHNP finding jobs is far easier… and now primary care offices are calling me left and right ( but now you really can’t afford me)
I am currently an RN and I live in NY. I became a nurse later in life 30 and had a BA in psychology so I knew psychiatric nursing was what was going to be my speciality . I am so happy I found this article because NY has a higher standard in term of becoming a PMHNP so I was thinking of going the FNP route. But hearing your story PMHNP is what I am sticking to.
Honestly I’m trying to see if this job is for me. I’m in nursing school now and I was planning on getting my masters but after hearing everything y’all have to do, I don’t if I’m cut out for it. Y’all are basically doctors and I’m having trouble retaining nursing medical knowledge. How did you guys remember everything after graduating and know you were doing it right?
hi -Er nurse over 25 years. also an attorney. want to go for NP and possibly open my own practice that’s why I was interested in FMP. My dream would be Acute Care but I’m a ( young) 64 and have some earth titis and can’t run around as fast as I did. I also like Pediatrics and Ob- Gyn Midwifiery. I’m glad you expressed your feelings. What did you want to specialize in instead of FNP? I also heard there are problems getting a clinical rotation also. Thanks
This is the article that I have been looking for. I am admitted to an FNP program (not online) but just not sure if it is the best direction. I really want to be an NP but from what I hear from multiple people the market is saturated and the pay is barely above a bedside RN. I had one question for you: have you considered doing telehealth? If you have done it, do you like it? Is it realistic to just do telehealth?
I agree, I look at some of the disrespect this roles has; It made me think, should I have gone to med school 🏫? Especially when considering the debt I will have at the end of this journey. You are right about online programs. I am attending a hybrid program. My local brick and mortar was a great program but, much too expensive in my opinion. Academia is cashing in on us. It shouldn’t be this way. Nursing is difficult no matter what role we choose. I agree, you should definitely pursue an area that aligns with your goals. Leading with that mindset will make all the difference.
Whew hearing that some receive acceptance letters in a few hours 😬 is so cringe. I waited 5 long months. My program was 98% online. I definitely appreciated the few days on campus. I just wish the clinical hours were doubled and that we learned more about billing. I’m torn in the same way as you. I absolutely love the job itself, hate the politics.
I just stumbled up this article. I never understood the whole RN-NP programs. I don’t agree with them. I think in order to become a NP, one needs to have a certain number of years experience. I’m doing a post masters certificate NP program. Been a nurse in many areas. It was definitely time for a change. Thanks for the insight.
i left LTC just now, I was so burnt out. I like being a NP, but I hate the hours, the call, etc. And for physicians not knowing everything, I found that out working w/ my collaborating physician. I ask him to see patients and he doesn’t know exactly what we should do and sometimes i have to remind him why patients are taking a certain med or receiving a certain treatment.
Even right now medical students are having trouble getting residency I was going to to psych Np but like you said I have to do something I see myself doing that lines up with me that’s why I’m doing FNP because that environment is where I want to be. As far as the negative comments I dealt with that during my lpn days before I became a RN I always checked people I said if you think it’s easy trying then come tell me, I believe for NP’s to stand their ground and be a little cocky what they don’t think you know show them you know it I won’t let anybody disrespect me credentials period I worked hard to earn it and they will respect it
I regret not specializing in pediatrics instead of family medicine. After 2 years as FNP I know I am not just happiest but at my clinical best sitting on the floor using a puzzle toy to interact with an autistic 5 year old during her well child exam. I find adult medicine emotionally exhausting but am having trouble now leaving fsmily to do peds because of my degree and certification
WOW! Unbelievable! I personally never heard anything degrading about NP’s. But I can definitely relate to ppl disrespecting your degree and profession with their ignorant mindset. As a Sonographer, the profession itself is HIGHLY disrespected. Ppl think our is for “looking” at babies, and telling parents “boy or girl”🙄. I ABSOLUTELY despise that image. That is TOTALLY FALSE. We DO NOT CARE what a gender of a fetus is and neither does the Radiologist. That is strictly “entertainment” in a doctor’s office. MOST IMPORTANTLY I will also like to point out OBSTETRICS is just about 2% of exams that Sonographers perform. And even so “Gender” has NOTHING TO DO with pathology which is what I’m trained and skilled to DIAGNOSE. Sonography is a Radiological Modality that is performed to find pathology in MOSTLY Soft tissue organs and Vascular anatomy. Again, NOT “PREGNANT WOMEN ENTERTAINMENT”. Sonographers are the EYES of the Radiologist and WE find and diagnose WHATEVER it is wrong with you. Without me diagnosing you will leave with your cancer or anything else wrong with you UNDISCOVERED if and when there is no other technology or lab work that can QUICKLY indicate or pinpoint what to look for. The Radiologist “co-signs ” what we’ve discovered in details via our written diagnosis along with the “real time” images to coincide. Sonography is speciality within the specialty of the Radiological umbrella. We are the ONLY ones who are 100% operator dependent which is what “real time” means.
Some people learn different a fast track program might be good for one person and hard for the next in NY the clinical hours for the fast track program are the same as any other school besides fast track programs are packed with what you need to know otherwise people that went to these schools wouldn’t pass the boards let’s be honest here you learn more in the field anyway these programs are just to pass the state exams after that in the real world things are done and taught differently
The purpose NP are At a high bed is because primary care physicians are not enrolling and graduating enough PCP to care for the population. I wish nurses were not so empathetic and cared what others think because many of us do it for a natural born passion and other people thoughts can wear you down. There is no one way for everyone; wear the shoes that fit you! ❤ I hope it gets better! Learning is life long 👍🏽
I have not had good experiences with NP’s. They come out of school and are expected to know nearly as much as the physician. As you said, you are always learning. Well I’ve been an RN for 40 yrs. Practiced in the hospital for 24 yrs and am very used to being heard when I report something. Last job was as a hospice nurse so I had a lot of autonomy. Now nearly all the doctors use NP’s to care for a majority of their work and a new NP is totally intimidated by my experience level so I prefer seeing the doctor. My health issues are so involved that a GP doesn’t even like to care for me so NP’s are not appropriate in my case. It has taken me awhile (moved away from my home of 52 yrs) to find the appropriate care providers. You will achieve your end goals after you practice another 5-10 yrs. I wasn’t that knowledgeable in 2.5 yrs either!! Keep learning as much as you can. Ask for help from other professionals. Good Luck!!
Aren’t future doctors and pa’s doing online schooling now? What happened with that? Lol Also to be honest this is a superiority complexes issues that society teaches to people. I have noticed that the healthcare field is full of these type of people and it is really incongruent with what this field means. I see it same as philanthropy in which some gets in there to avoid as much taxes as possible. I hope you get what I mean. 🙂
I am starting community college in the fall and I’m not exactly sure what I want to do with my future but I have recently discovered some of these nursing careers and I am beginning to get more and more interested everyday. The community college that I am going to actually has a certified nursing assistant program in partnership with a local hospital that would allow me to work at the hospital as a nursing assistant while at the same time going to college to study nursing. If I did this would I be able to put the 2 year nursing assistant degree towards my 6-8 year degree in order to become a NP in my future? I doubt all of the information that I have provided is exactly all the way clear/correct, but if anyone could help me out it would be greatly appreciated! Just trying to learn more about the job. Thanks!
100%. I’ve been a FNP for 6 years now. While I’ve had some friends do the online schools (and seem competent) if I were the hiring person I’d definitely give preference to brick and mortar schools. Also just 10 years ago FNP WAS the most marketable. They could do almost anything really. My state board at least is cracking down on this, though, and making sure outpatients certifications do not work in the hospital setting at all. And the vast number of FNP’s now make the job market so difficult. Even as a NP with work experience so much is who you know.
From the patient perspective. It matters whether a Nurse Practitioner goes online. A Nurse Practitioner is not a doctor. I am an oncology patient and have switched hospitals/centers 4 times, in the case of 2 hospitals one I’m about to leave, because the Nurse Practitioners were non responsive. They were basically Quality Controlling my care by ticking boxes. Not through responding to my issues, not by assessing my labs, and they would not follow through on scheduling my appointments. Worse, there was a failure to track the delivery of my prescription for labs for 3 months or more by to 3 practitioners. I have a right to measure the credentials of an NP and they should be just as available online as a Doctor’s NP. Especially since NPs are being used in doctors stead. In all locations I saw the doctor for the first visits and NP’s thereafter. The Doctor only appeared at my complaint.
I think if the training in NP school was the same modality as PA school and rigorous means of acceptance into the schools, we wouldn’t be having the conversation about needing to have a certain level of clinical experience as a nurse per se. A lot of people that enter the direct entry programs have clinical experiences, not as a nurse though, so they have been exposed to bedside healthcare in some manner. However, the training of PA starts you out from scratch just like you would in medical school, training you to be a provider. However, NP school has a lackadaisical approach and basically throws you out to the wolves. Not everybody wants to wait to have atleast work experience 3+ years of experience before going back to school. If we graduate with our BSN, we want to be able to go straight like literally everybody else can and still become efficient providers. It’s the modality of the NP education that needs to change
Understandable . I am in the NP program online . I honestly don’t give a crap about what other professionals or people think about me choosing to become an NP. Another thing is I feel like that the NP position doesn’t really require that you MUST have experience. Yes it is great to have it but it does not make you less competent …. my friend said her 5 years of experience did nothing for her when she became an NP… it’s a totally different role. Different way of thinking. Would you agree? Another thing when you say speciality … I think of speciality as in cardio, psych, women’s health, peds… is that how it works. Like I’m in the FNP program and I plan on getting like certification in for example cardio … would that be considered a speciality or no ?
I think you’re assuming to much. The people who are asking “if you got your degree online” are probably asking because they are interested and probably are trying to determine whether or not if being a nurse is a viable career path for them and if so how easy would it be to take that journey, most people when they are making such assessment as it relates to a career naturally try to go the path of least resistance, (attending a brick and mortar school isn’t for everyone) so they’re probably asking you because if you did indeed get your degree “online” this is something that they will probably want to do themselves, it’s not because they’re looking down on you and how you got your degree, if anything they admire you for it.
I agree with having the experience as a floor nurse prior to going into an NP program. The ones who don’t have the floor experience have the hardest time as it kind of seems like they don’t know what to do, or are unrealistic. The sad thing is as an RN right now (am an ADON….that was a mistake 😂) I see so many new nurses on the floor talking about “oh this isn’t for me. I don’t want to do bed side anymore I want to teach or become an NP”. Nursing is hard! No one said this was an easy career. And so many lack the passion and the compassion! Sigh…..
The reason that some people ask you if you did an online program is because there are online nurse practitioner diploma mills, and more and more patients are becoming aware of this problem. I have seen one online program which advertised that a nurse practitioner can receive their doctorate in three semesters if part time or one year if full time. Persons do this and then walk around the hospital calling themselves “Doctor”, but not specifying that they are a nurse practitioner instead of a physician. I personally know a nurse practitioner who did one of those programs and then introduced herself to patients as “Dr. So and So.” It’s dishonest and is an attempt on the part of the NP to make the patient believe the NP has more education than they actually do. I’m not saying the poster of this article did this. I’m saying that because other patients have been burned by NPs who did this, they now ask more questions so that they know the credentials of the person who is supposed to be responsible for their care.
i applied to an RN to BSN program that goes into MSN after .. they still have pretty high standards as far as GPA and projects to complete to be accepted.. I’ll be 3 years in as an RN before I start NP school 😊 i’m so excited. i am still trying to figure out what type of NP; I think I want to do emergency medicine or critical care tbh
First this job. Seeing persons die is painful. Patients dying suffering that situation is bad. All health care personnel is stressed. That is their job and they do it well. The other problem is Covid. Many doctors, nurses got the virus and passed away brave persons giving their lives in the line of duty. It was painful to see these good persons leave this troubled world may God have mercy with them.
Hello Sister !, I just started my FNP program, my career goals are to work as a nurse researcher and work on clinical trials specifically HIV/Aids. I was not able to find many programs offering nurse research as a speciality, and was advised to choose FNP, In addition if I cannot find stable work in Research, I would like to work in Dermatology Aesthetics. Am I making the right decision to pursue FNP? What advice do you have ?
Adding a barrier to entry and trying to make it hard to get into Nurse practitioning and DNP’ing is just silly. The fact that you can be approved for a program in a couple hours is a good thing. Do you really think an institution needs more than a week to review you as a candidate? No they do not. It’s all just a charade and foolishness. You are either qualified or you are not. Making the wait longer is irrational imo or illogical.
this is becoming a huge trend that i’m seeing everywhere. i just started nursing school and wanted to become an NP but now i’m thinking that isnt the way to go. theres a lot of talk about over saturation of the NP profession within the USA because it is soooo incredibly easy to get accepted. that is incredibly disheartening and i think i may have to go the PA route or CRNA route
Before going to FNP school, I decided to work in an urgent care to 1. Become more familiar with the out patient setting NP role 2. Expand my knowledge because I knew that what I do and see in the hospital is very different from primary care or urgent care. I’m also putting in time aside from school to do my own learning on managing patients in primary care. My goal is to be part of an FNP residency program when I graduate. Although I know they are competitive. Hoping all this prepares me better. My thinking is we can’t rely on school alone. It doesn’t prepare us well enough.
I respect the field a lot. However. I will say the bad press is why I have considered PA instead. Or CRNA. I respect Nursing and believe it’s the backbone of the Healthcare field. However. NP schools should be better. No online schools. And if so they need better requirements. And not all of the NP schools. Some NP schools and the malpractice with some NPs and the scope creep issue gives the profession a bad rep.
I have always liked your articles, but articles like this bring more bad rep to the FNP profession. Brick and mortar do not equate to being more qualified. It is the willingness and determination for one to succeed and learn that does. Everyone is now taking classes online anyway because of the pandemic, so does that make their degree less desirable? It is nice that an online option is available for people who are unable to attend brick-and-mortar schools to still pursue their goals. PAs get into school without any medical background (they can work as CNAs or volunteers in the hospital, but that does not necessarily help in the role of a provider). I think we need to start making more positive articles on the profession because that is how others will view us. PS: Most learnings occur after graduation and experience anyway. I am a FNP student, and I am grateful for the many opportunities this role will provide for me in the future. Ultimately, everyone needs to decide what will work for them.
“The reasons I chose to become an NP, I have fulfilled that.” – being an NP for 2.5 years Sounds like the reason you don’t like being an NP is because your goals were so short visioned that you accomplished all your aspirations in 2.5 years. Stop blaming that other people have a negative opinion about your “profession” and get out there and change those opinions through your work.