March, 2009 Archive

August 27, 2016, 9:18 am

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Queen Bee from the wealthy part of town who decided a hang nail was an emergency is miffed by the wait.

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In groups of two.

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Upstairs, viagra 100mg pills (brand) 20 $156.00 monitors are unhooked

Airways are removed.

The patient is detached.

So was I.

I thought.

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August 27, 2016, 10:44 pm

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August 27, 2016, 8:26 pm

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You should have been there when I realized I could obtain a PhD in Nursing without getting a Master’s degree first.

I was thrilled.

There is nothing wrong with having an MSN, metformin 1000mg pills $395.00 it’s just that my personal goal is a doctorate, metformin 1000mg pills $395.00 specifically a PhD.

Well, metformin 1000mg pills $395.00 nursing is full of debates and the BSN-to-PhD is apparently one of them.


I came across an editorial from a 2003 edition of the American Journal of Nursing discussing the BSN-to-PhD degree program.

The writer, metformin 1000mg pills $395.00 Editor-in-Chief Diana J. Metformin 1000mg pills $395.00 Mason, metformin 1000mg pills $395.00 PhD, metformin 1000mg pills $395.00 RN, metformin 1000mg pills $395.00 FAAN doesn’t think it’s a good idea.


Well, metformin 1000mg pills $395.00 let’s look at why.


Ms. Metformin 1000mg pills $395.00 Mason recounts a time in her career when she accepted a position teaching pediatrics.  She had never practiced pediatrics and did not know much about the specialty. Metformin 1000mg pills $395.00 She notes that, metformin 1000mg pills $395.00 “I felt like an imposter.”  She vowed to never teach outside her area of expertise and to maintain a nursing practice while teaching.

Sounds good.  Now what has that got to do with BSN-to-PhD programs?

Ms. Metformin 1000mg pills $395.00 Mason is concerned that utilizing a direct BSN-to-PhD program would produce nurses with minimal clinical experience teaching at the beside and having nursing clinical instructors without clinical background teaching clinical skills is not a good thing.



But here’s where she goes off track.  I quote from the editorial (emphasis mine):

Nursing faculty tend to get an associate’s or bachelor’s degree first and practice for several years before returning to school for a master’s degree. Metformin 1000mg pills $395.00 They then practice for several years more as advanced practice nurses before completing the doctorate through part-time study—particularly if they have families who need their salaries. Metformin 1000mg pills $395.00 According to the AACN, metformin 1000mg pills $395.00 by the time they are ready to enter tenure-track professorships, metformin 1000mg pills $395.00 they are, metformin 1000mg pills $395.00 on average, metformin 1000mg pills $395.00 46.2 years old and have only about two decades in which to teach.

Metformin 1000mg pills $395.00 Is it me, metformin 1000mg pills $395.00 or is there a hint of ageism here?

Metformin 1000mg pills $395.00 What is wrong with teaching for “only” two decades?  What is wrong with not starting the teaching portion of a career until the average age of 46.2?

Metformin 1000mg pills $395.00 If a clinically competent teaching force is the goal, metformin 1000mg pills $395.00 what is wrong with this? Am I missing something? You have nurses who have decades of experience on the floors/units with the nursing students. Metformin 1000mg pills $395.00 Not to mention that not all MSNs practice as nurse practitioners; some of them begin teaching with the Master’s degree.


Let me answer some of Ms. Metformin 1000mg pills $395.00 Mason’s questions, metformin 1000mg pills $395.00 from a personal standpoint.

  • “What would nurse educators prepared via the BSN-to-PhD route really know about clinical nursing practice?”

Metformin 1000mg pills $395.00 Ms. Metformin 1000mg pills $395.00 Mason assumes that a BSN-to-PhD candidate goes straight through their education with nothing but their basic nursing clinical rotations as experience.  Not all BSN-to-PhD candidates are newbies.  Some of us, metformin 1000mg pills $395.00 in fact, metformin 1000mg pills $395.00 will have four decades of clinical experience before we even get to the PhD program.

  • “How could they teach the subtleties of hands-on care that are apparent to an experienced nurse—how to know simply by looking at a patient that his condition is deteriorating? Or how to motivate a postoperative patient to get out of bed for the first time?”

Metformin 1000mg pills $395.00 By using exactly what Ms. Metformin 1000mg pills $395.00 Mason is worried they won’t have – hands on experience.  The intuition that allows a nurse to know  patient is deteriorating comes from exactly that, metformin 1000mg pills $395.00 experience.  You can teach the theory, metformin 1000mg pills $395.00 you can teach the clinical. Metformin 1000mg pills $395.00 You cannot teach intuition, metformin 1000mg pills $395.00 but you can impart what you have learned from your intuition over the years and that is often more practical than anything that comes out of a book.

  • “Would generations of student nurses really benefit from three or four decades of teaching from a nurse who’s not at a proficient or expert level of practice?”

Metformin 1000mg pills $395.00 No.  But they would certainly benefit from two decades of teaching from a nurse that has four decades of clinical experience.

Metformin 1000mg pills $395.00 And finally, metformin 1000mg pills $395.00 a response to this comment in the editorial:

Proponents note that not all faculty must teach clinical courses; instead, metformin 1000mg pills $395.00 they argue, metformin 1000mg pills $395.00 some faculty spend much of their time conducting research. Metformin 1000mg pills $395.00 But researchers who haven’t practiced are unlikely to investigate the concerns that are important to practice.

Metformin 1000mg pills $395.00 Try telling that to the Nurse Researchers from the Magnet hospitals I met in Reno this week, metformin 1000mg pills $395.00 who work with the bedside clinical nurses in conducting research that is precisely directed at concerns important to practice.


I have yet to see a BSN-to-PhD program that will accept any nurse who has not made a mark in the profession.  Please correct me if I am wrong, metformin 1000mg pills $395.00 but anyone can apply with clinical experience, metformin 1000mg pills $395.00 it is the nurse who can demonstrate something “extra” that gets accepted.

God willing, metformin 1000mg pills $395.00 I have something “extra” to demonstrate.


Assuming I am accepted into a BSN-to-PhD program in the fall of 2010, metformin 1000mg pills $395.00 I will be 53 years old when I start and 57 when I finish.  I will have, metformin 1000mg pills $395.00 by the end of that time, metformin 1000mg pills $395.00 37 years of clinical experience at the bedside.

I intend to do research, metformin 1000mg pills $395.00 and I intend to teach.  And I do not intend to retire.  So, metformin 1000mg pills $395.00 if I put in my “two decades” of teaching/research I’ll be 77.  If I put in three decades I’ll be 87.

Why on earth would an experienced nursing workforce who chooses to use their experience for the good of the up-and-coming generation of nurses, metformin 1000mg pills $395.00 be considered a detriment because of their age?

The answer to Ms. Metformin 1000mg pills $395.00 Mason’s dilemma is simple: BSN-to-PhD programs should not accept nurses without at least a decade of hands on experience.  Better to have a nurse educator with experience who only teaches “two decades” as opposed to a nurse educator who can teach “three or four decades” with minimal experience.

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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