Career Corner >> Nursing Specialization >> Hello NP's etc...
Hello NP's etc...
19 posts back to top |
Posted almost 6 years ago Greetings to all Advanced practitioners....
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24 posts back to top |
| Posted almost 6 years ago Hi there MaxENurse. I've been trying to learn about the NP movement over there in Great Brit. I find it fascinating that there is such a lack of organization (so it seems) and resistance towards advanced practice nursing. I've read some arguments that nurses should stay at the bedside wiping butts as they are trained to do, not try to intellectualize the practice. My post could go on and on regarding American advanced practice nursing. Right now there is an internal conflict on the degree required for advanced practice. Currently NP's, CNS's, and CNM's must have a Master's degree in their specialty to practice. However, the push is for entry level advanced practice should be at the doctorate level, or DNP (doctor of nursing practice). There are also a lot of political lobbying by physician professional organizations to keep advanced practice nurses from being reimbursed by Medicare/Medicaid, etc, as well as restrict their practice. They also do not like the idea of the DNP, because as they argue, patients will be confused by the status of a Nurse Doctor. |
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19 posts back to top |
| Posted almost 6 years ago Hi LaborNurse.
The big problem is that Primary care employers don't seem to care and if they can call their "practice nurse" a "nurse practitioner" and get them to see a different crop of patients, then they see this as a saving. The problem (apart from patient safety) is that employers are advertising for nurse practitioners at a low wage, so those with the right kind of skills won't apply. It's a matter of time before an untrained NP gives the rest of us a bad reputation. But we are not sitting quietly on this issue. we have been trying for years to get legistlation and registration changed, so that we can be registered nurse practitioners. Unfortunately the current thinking is that we will become "Advanced Nurse Practitioner", so the untrained get to keep the NP title. This doesn't seem to resolve the issue in my mind. We, have been fighting for ages, and presently are waiting for a governments "privy council" to make agreement to allow this stage of registration. Recently we had some hint that things might just be on the move c/o the Nursing and Midwifery Council, (those dudes that are set up "to protect the public"). http://www.nmc-uk.org/aArticle.aspx?ArticleID=2528&Keyword=advanced%20an So some progress is being made, but after all the hold ups and a new prime minister and team, more hold ups are probable. We will endeavor!! |
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24 posts back to top |
| Posted almost 6 years ago Thanks for shedding some light on the issue. Are the "real" advanced practice NP's over there consulting with US advanced practice nurses? Perhaps that can help guide the way with licensing and qualifications. I'm appalled, actually, that anyone can call themselves an NP over there. This also makes me read some of the blogs written by the medical professionals in England that oppose these NP's with a new light. These self proclaimed NP's most certainly are giving this issue a bad taste and giving the "quacktitioner" title true meaning. And they most certainly give the real and qualified NP's a bad reputation. What about a publicity campaign to educate the public? The qualified NP's can let the public know how to determine whether the NP caring for them is qualified or not? |
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19 posts back to top |
| Posted almost 6 years ago Publicity is only a relevant point as and when there is officially a difference. Until then we have to sit and all be counted the same. Most of the public don't know the difference between a Dr, Nurse Practitioner, Practice Nurse or Auxillary Nurse (HCA). and most of them don't actually give a hoot, as long as they get what they want. As for people that do the same job - you could see an Emergency Nurse Practitioner - who was completed one degree module, Emergency Care Practitioner - who are mostly paramedics, but have done a diploma, Nurse Consultant & Nurse Specialist- who could have done any kind of training! There was even a recent example of an untrained auxillary nurse who was given the job title "Practitioner Nurse" NIGHTMARE!!!! I don't understand half the job titles,what chance to Joe Public have. |
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24 posts back to top |
| Posted almost 6 years ago Oh my god....I'm so confused. Now I can understand Dr Crippen's point of view a little better (not that I agree with everything he says). What are the official training programs for nurses? You mention programs but are they in universities? Are there specific degree programs? In my first job I worked with a nurse who had experience over in London. He was a ward nurse there for several years. He said things are very different, but I couldn't have fathomed this type of confusion. I wish I payed more attention to what he told me, but at the time I was only 22 or 23 so I was likely more concerned with the EMT's/paramedics who came into our unit. |
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19 posts back to top |
| Posted almost 6 years ago Sorry for the delay - I've been away.
Apologies once again - I'm short of time today...
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41 posts back to top |
| Posted about 5 years ago I can understand your frustration MaxENurse. Here in the US, one is not supposed to portray themselves as something different and the license is pretty cut and dry (NP). I can't image the chaos in your system! Besides having to defend ourselves to the Crip! |
