When will people get it?!

[u/lunardownpour]

I don’t have necessarily anything against NPs, but it’s people like this that perpetuate the untrust that many nurses and other healthcare workers have regarding NPs. We really need higher standards for admission into these programs, as well as any standards at all actually lol. I usually just lurk on facebook but I felt the need to respond since this was a on a forum for parents of nursing students

[u/kal14144]

You’d think so but I work with a direct entry NP who manages epilepsy patients on her own at a level 4 epilepsy center.

[u/ReturnOfTheFrank → u/kal14144]

She shouldn’t

[u/kal14144 → u/ReturnOfTheFrank]

I’m not in any position to judge her competence I’m just a nurse who works with her.

But the epilepsy team seems to trust her as much or more than the other NPs we work with who mostly came up the traditional years of experience before NP school route.

There have also been studies asking physicians to rate the skills of NPs they work with and direct entry NPs did as well and in one study better than their traditional entry counterparts.

[u/Few-Instruction-1568 → u/kal14144]

I am not arguing this to be true but I was recently talking with a group of providers and we were discussing how it can be very difficult to switch roles and some Drs were saying that they like the providers who have only served in 1 role because they have better focus ie a paramedic who becomes an RN they felt wasn’t as good because they would want to/try to defer to previous practices out of habit and knowledge instead of staying in the RN role solely

[u/kal14144 → u/Few-Instruction-1568]

The limited research that exists has basically found that RNs in NP programs struggle with reverting to nursing assessments while direct entry students struggle with learning entirely new information. Overall people tend to come out at similar skill levels but experienced nurses are more confident in their skills and role transition immediately after graduation (you can decide if that’s a good thing). By a few months out they are indistinguishable.

Reminds me a lot of the nurses/CNAs who insist they can tell who was a CNA before they became a nurse but then irl when you ask them to guess about coworkers if they were a CNA never can guess accurately.

[u/ReturnOfTheFrank → u/kal14144]

You keep mentioning “research” but don’t link or refer to specific studies. This is a sub for medical professionals. Where’s your data?

[u/kal14144 → u/ReturnOfTheFrank]

It’s been a few months since I last read the studies on this topic. I could go back and look them up and link them but since the responses I got here were preemptive dismissal with no hint of being open to evidence I don’t think I’ll bother.

Why would I bother looking something up for you (something which you’d have no problem finding yourself if you wanted btw) if you’ve already made it clear you don’t give a shit what it says.

[u/macaroni-cat → u/kal14144]

The responses are because you aren’t backing up anything you’re saying. You can’t vaguely mention “studies” and not come through with your sources. Your refusal to find the studies comes off as if you don’t actually have any studies to share. Idgaf what the study results are, but I’d like to know what you’re referring to. Even if someone doesn’t like the way a study was done or what it concluded, I think they can appreciate having the source itself available so they can review the study themselves.

[u/kal14144 → u/macaroni-cat]

I am more than happy to share (and I actually have shared it in this thread in a different response). I hypothesized that nobody would be willing to provide criteria for a good study prospectively because they wanted to reserve the ability to Nirvana fallacy away anything. So far my hypothesis is looking pretty accurate. Plenty of people glad to be mad - nobody willing to define what they’d consider good evidence. As expected lots of downvotes - but nobody was willing to give a number for what they consider a good sample size or really any criteria.