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Coordinators or program directors of graduate psych programs

By Deborah Thomas posted 02-12-2011 04:51 PM

  
I am personally struggling with the issue of "all adv practice psych np programs must have psych np as coordinator" (according to NONPF guidelines and NTE task force in believe.)
I have been an APRN since 1992 ling before the option of psych np existed. I helped to design and develop and teach in the first program we offered for students sit for either the CNS or the NP exam. But now, that's not good enough (feels devaluing to me) and if i am to stay as coordinator will have to go back and basically do a whole post masters (18 hrs) in some of the very classes I teach!
I would need to do clinical hours with a population I have seen for years to meet "paper req.'s." This seems so absurd to me. I think much of the rhetorical discussion about role differences just are not applicable in the real world of practice. I saw the survey (but now can't find it sonif anyone can give me the ref I who'd appreciate it) related the very notion that psych cns's and psych np's do same roles ( with exception of states who prohibit cns from prescriptive authority and cns's can get higher salaries in hospital setting etc). My practice partner is a psych np and we do exactly the same thing. I am 56 and really do not want to go back and take courses that I teach. I would also have to take the 3 p's which I understand theoretically but feel I am not lacking in my knowledge in any of those areas that hurts my patients. I dont understand why psych np's have to take the 3 p's ( I know the arguments for) and other np's ie family and womens health do not equally have to take the "psych 3p's - ie psychopath, psychopharm, and psych assessment. Almost all of them prescribe psych meeds with no training in dx, meds, psych asst. On the same hand I DO NOT prescribe and manage pain meeds, antibiotics, diabetic meds etc. It seems quite incongruent to me and an additional burden for my students who are not as familiar with regular patho, pharm, and physical asst, so when taking those courses they have to put so much extra time into that work instead of the focus of their practice which are the psych courses. I have heard this as the ongoing complaint for years. I think to be consistent if the psych students have to take the 3p's, then all other practitioner students should have to take the "psych 3p's." to me if you are really looking at the real world of practice, this needs to be considered if we are to be congruent with our intentions and actions!
Please pardon typo's. I am on Ipad and can't scroll up to correct. I really would like to hear others opinions on this issue.
Sincerely
Debbie Thomas
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03-06-2013 11:21 PM

Powerful point, Deborah. This is one of the dilemmas of a profession that is still developing its professional framework. I remember hearing of nurses who only needed to take a few extra courses to become advanced practice nurses in the 70s Now, you must completed an MSN program and pass an exam. Some schools are no longer offering the MSN option but instead provide the DNP as their terminal degree.
This is the reason I will be pursuing my doctorate degree. I suggest any nurse who wants to have an advanced practice for the next 15 or more years to do so also. You may find yourself unable to compete with other nurses in the workplace because of lack of formal education.

02-18-2011 09:28 AM

I agree and had not even considered your point that if the state does not delineate the role difference in cns and np it should not be criteria for state school. I also agree with you about role of psych np's in sites such as shellers etc prescribing non psych meeds, though I still think that would best be done by a dual certified FNP or ANP and psych NP. No one can be the best and keep up on all the latest research practice guidelines on everything. I CHOOSE to only do psych meeds and think I do a pretty good job, bc I have time to stay updated on the lit and studies and new meds etc. It's all I can do to keep up w psych meds. I wouldn't feel proficient in other areas unless I had a job that paid me to read a few hours a week! Thanks for your comments! Debbie

02-16-2011 10:56 AM

This is actually a very powerful point that you make regarding the requirements for you to be a coordinator for the academic setting. Specifically, the requirement for a Psych NP to be the instructor for a psych NP actually has caused a problem hiring qualified candidates to be the coordinator of my former school. When psych CNS's and NP's practice the same in particular states then there shouldn't be a requirement for the coordinators to have certification congruence to lead a program.
This issue brings up the ongoing issue of nurse credential confusion and the lack of uniformity. Its foolish that I work also in a practice as an NP and my coworker as a CNS, yet we do the exact same job as nurses. here is the annoying part. My job title is Clinical Nurse Specialist, yet I'm a nurse practitioner (which I want to be called because of my certification). This creates confusion for me, because I'm not sure what to write for my credentials in certain situations (APRN-BC, PMHNP-BC, RN,NP, RNCS, etc.). Let's confuse the whole world. Like the MD, Pharm-D, P.A, LCSW, JD, and others, let us just have one way of writing our credentials and universally educating CNS's and NP's.
I guess I'm rambling. I love my job and my career, but nursing is sooooo confusing nurses and to the public.
As far as psych NPs prescribing antibiotics, other nonpsychopharm medications, part of the education is to be able to do some management of medical needs of patients in the community. I've noted some job postings requiring this. Those in private practice or in outpatient psych clinics would not need to do that level of care but in shelters, inpatient settings, and community programs this may be required.
Those are just some thoughts. Sorry for my delirious rant.