Sunday, December 5, 2010

Doctorate Prepared Nurses, Ph.D., Doctor of Nursing, DNP, Advanced Degree Nurses

Lifetime Earnings Soar with Education, About.com - Government Info:"How much is higher education worth in cold hard money? A college master's degree is worth $1.3 million more in lifetime earnings than a high school diploma, according to a recent report from the U.S. Census Bureau."
http://usgovinfo.about.com/od/moneymatters/a/edandearnings.htm

Category: Certified Nurse Midwives, CNM, Midwifery, http://www.4nursing.com/cnm
Doctorate Prepared Nurses, Ph.D., Doctor of Nursing, DNP, Advanced Degree Nurses, http://www.4nursing.com/doctorate
Masters Prepared Nurses, MS, MSN, Advanced Nursing Degrees, Nurse Education, http://www.nursefriendly.com/masters
Nursing Degrees, Top Internet Search Results, http://www.4nursing.com/degree
Nursing Schools, Colleges of Nursing, http://www.4nursingschools.com

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Doctorate Nurses and Credential Creep, Advanceweb.com:"The recent decision by the nursing profession to transition to doctoral preparation for all advanced practice nurses marks merely the latest health profession to establish itself on the doctoral level. In a position statement released in October, the American Association of Colleges of Nursing Task Force on the Clinical Doctorate calls for the four existing types of APNs—clinical nurse specialists, nurse anesthetists, nurse midwives and nurse practitioners—to be granted a practice-focused doctoral degree upon completion of training."
Merion Publications
| 2900 Horizon Drive, King of Prussia, PA 19406
800-355-5627
http://physician-assistant.advanceweb.com/Editorial/Content/Editorial.aspx?CC=152644

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Doctor of Philosophy (PhD) in Education, Capella University:"A shortage of nursing faculty is a key reason U.S. nursing schools must turn away tens of thousands of qualified applicants each year. Capella's doctoral Nursing Education specialization is designed to prepare master's-level nurses to meet this growing need and to advance the field of nursing through doctoral research. The National League for Nursing recognizes that this PhD specialization in Nursing Education aligns with the Core Competencies for Nurse Educators©, using competencies that are integral to the Certified Nurse Educator® (CNE) exam. The curriculum includes such topics as advanced nursing theory and concepts, curriculum design and evaluation, teaching strategies, and classroom assessment. People likely to be interested in this specialization include nursing faculty members who want to pursue advanced faculty or leadership positions and nurses currently working in health care delivery who want to share their knowledge of nursing."
Capella University
Capella Tower
225 South 6th Street, 9th Floor
Minneapolis, MN 55402
Toll Free:1-866-933-5981
http://www.capella.edu/schools_programs/education/phd/nursing_education.aspx?ct=1&

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The Nurse Ph.D.: The Leaders in A Vital Profession, Carole A. Anderson, Ph.D., RN, FAAN, NursingPrograms.com:"Nurses are in high demand with all levels of education and experience, but there is no doubt that the nursing profession needs more nurses educated at the doctoral level—primarily as faculty and researchers. The national shortage of faculty will soon be critical, impacting educational programs and their ability to educate future generations of nurses. Currently, only about half of nursing faculty possess a doctorate degree. With many advances being made in the treatment of chronic illnesses, there is also a continuing need for research that assists patients in living with their illness. This research requires individual investigators who are prepared on the doctoral level."
http://www.nursingprograms.com/nurse-phd

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Difficult Professional Choices: Deciding Between the PhD and the DNP in Nursing, Online Journal of Nursing of Issues in Nursing:"Although the PhD has been the traditional doctoral degree in nursing, nurses now have a choice between that degree and the Doctor of Nursing Practice (DNP) degree. An Internet-based exploratory survey of DNP students (n= 69) investigated the motivation of nurses to pursue doctoral education, factors that influenced the decision between the two degrees, rationale for choosing the DNP program, and career plans after graduation. A majority reported considering the PhD but decided the DNP would be more appropriate for their professional and personal goals. Nursing education was ranked as an important career intention for 55% of respondents, dispelling the concern that the DNP will increase the shortage of nursing faculty. The results indicate that the DNP degree is a desirable option for clinically oriented nurses considering doctoral education and provides nurses with a choice of educational pathways for their professional careers."
The American Nurses Association, Inc.
American Nurses Association - 8515 Georgia Avenue - Suite 400 - Silver Spring, MD 20910
ISSN: 1091-3734 | 1-800-274-4ANA
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No1Jan07/ArticlePreviousTopics/tpc28_816033.aspx

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Moving Forward Together: The Practice Doctorate in Nursing, Online Journal of Nursing of Issues in Nursing:"Societal drivers, as well as trends in education and health care, are advancing the practice doctorate in nursing. For nurse practitioner preparation, the current resurgence of interest in the practice doctorate could precipitate change that mimics the evolution from post-basic certificate to Master’s level education. The National Organization of Nurse Practitioner Faculties (NONPF) is a resource for the study of the practice doctorate relative to quality nurse practitioner education. This article will offer some insights into the movement toward the practice doctorate by describing, from the NP perspective, the societal impetus for change, the historical perspective of NP and doctoral education, the 4 Ws (why, what, where, and when) of the movement, and some of the myths and realities about the practice doctorate."
The American Nurses Association, Inc.
American Nurses Association - 8515 Georgia Avenue - Suite 400 - Silver Spring, MD 20910
ISSN: 1091-3734 | 1-800-274-4ANA
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume102005/No3Sept05/tpc28_416028.aspx

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The Nurse Ph.D.: A Vital Profession Needs Leaders, Petersons:"There is no doubt that education is the path for a nurse to achieve greater clinical expertise. At the same time, however, the nursing profession needs more nurses educated at the doctoral level to replenish the supply of faculty and researchers. The national shortage of faculty will soon reach critical proportions, having a significant impact on educational programs and their capacity to educate future generations of nursing students."
Peterson’s, a Nelnet Company
Princeton Pike Corporate Center
2000 Lenox Drive
Lawrenceville, NJ 08648
Phone: 1-609-896-1800
http://www.petersons.com/nursing/articles/nursing_PhD.asp?sponsor=1

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VCU Offers Practice Doctorate for CRNAs, Elizabeth Seibert, PhD, CRNA, Virginia Commonwealth University:"The Department of Nurse Anesthesia at Virginia Commonwealth University is pleased to offer a new program, the Doctor of Nurse Anesthesia Practice (DNAP), the first practice doctorate designed specifically for nurse anesthetists. The DNAP is an innovative post-master’s program designed for CRNAs who wish to expand their knowledge in the areas of patient safety, evidence-based practice, education, and leadership. A combined-degree track (MSNA-DNAP) is also available for students matriculating in the master’s program. The DNAP was approved by the State Council on Higher Education for Virginia in February 2007 and by the Council on Accreditation of Nurse Anesthesia Educational Programs in May 2007."
Virginia Commonwealth University
Virginia Association of Nurse Anesthetists
Phone: 804.754.4122 Fax: 804.754.0801
2231 Oak Bay Lane - Richmond, Virginia 23233
http://vana.org/aboutus/students/vcu-offers-practice-doctorate-for-crnas?searchterm=dn

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Choosing a Doctoral Nursing Program: Considerations for an Online Program: Western Institute of Nursing:"Technological innovations have provided enhanced opportunities for students to obtain advanced educational degrees through the convenience of online learning. This paper will discuss some points to consider when contemplating pursuing a nursing doctoral degree through a totally online program. It is based on my personal my experience after completing two years of course work in an online program. Although it is written to help others in their decision-making, I also wanted to demonstrate that after two years of completely online classes, I have been able to retain a questionable sense of humor!"
Western Institute of Nursing
SN-4N, 3455 SW Veterans Hosp. Rd., Portland, OR 97239-2941
Phone: 503-494-0869; Fax: 503-494-3691; Email: win@ohsu.edu
http://www.ohsu.edu/son/win/students/estrada.shtml

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Thinking About a Doctorate in Nursing? Western Institute of Nursing:"Many people wonder what the career advantages are in obtaining a doctoral education in nursing. This is quite apparent from the paucity of nurses currently pursuing the degree; of the more than 2.5 million nurses in the U.S., less than 1% have a nursing doctorate (U.S. Department of Health and Human Services, 2002). Enrollment data compiled by the American Association of Colleges of Nursing (2004) found an increase of 5.6% (171 students) for a total enrollment of 3,229 doctoral nursing students for the 2003-2004 school year. However, graduations from doctoral programs decreased by 9.9% (44 graduates) for the same academic year. Thus, it will take several years for the increase in doctorally-prepared nurses to be an influence on the severe shortage."
Western Institute of Nursing
SN-4N, 3455 SW Veterans Hosp. Rd., Portland, OR 97239-2941
Phone: 503-494-0869; Fax: 503-494-3691; Email: win@ohsu.edu
http://www.ohsu.edu/son/win/students/starkweather.shtml

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Doctorate in Nursing, Wikipedia:"There are several doctorate-level degrees in nursing: Doctor of Nursing Practice (DNP or DrNP), Doctor of Nursing Science (DNSc, DNS or DSN) and Doctor of Philosophy (PhD) in Nursing. The Doctor of Nursing (ND) degree has been phased out and most universities have transitioned to the DNP. The PhD and DNS degrees are generally considered research-oriented degrees, whereas the DNP is a practice-oriented or clinical doctorate."
http://en.wikipedia.org/wiki/Doctorate_in_Nursing

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Last updated by Andrew Lopez, RN on Friday, November 12, 2010

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Most Americans Take Doctor's Advice Without Second Opinion

Despite the advent of health websites and other widely available sources providing medical research and information, 70% of Americans feel confident in the accuracy of their doctor's advice, and don't feel the need to check for a second opinion or do additional research. Americans' confidence in their doctor is up slightly from eight years ago.

November 2010: When Your Doctor Gives You Important Medical Advice, Which Comes Closer to Your View -- You Usually Feel Confident in the Accuracy of Your Doctor's Advice, or You Usually Feel It Is Necessary to Check for Second Opinions or Do Your Own Research on the Subject?

The latest results are from Gallup's annual Health and Healthcare Survey, conducted Nov. 4-7, 2010.

Older Americans are the most likely to be confident in their doctor's advice, with 85% of those 65 and older expressing confidence. This compares with 67% among those 50 to 64 and 65% among those under 50.

While one might expect that interest in a second opinion and doing additional research would be higher among Americans with college degrees or postgraduate education, that is not the case. There is little difference in confidence in one's doctor across the educational spectrum.

Follow the Gallup.com link for the full article.
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Hospitals should not ban access to social media

by Howard Luks, MD

“Instead of focusing on treating him, an employee said, St. Mary nurses and other hospital staff did the unthinkable: They snapped photos of the dying man and posted them on Facebook.”

What can you say about an article like this? I bet there is not a single physician or nurse who are not reasonably conversant about the basic tenets of the health care privacy laws under which they practice.

Stupid is as stupid does. Perhaps more appropriately, stupidity is demonstrated by the actions of the one — or in the case, the many.

It still amazes me that people do not realize what the implication of hitting the “Enter” or “Post” or “Like” button is in our connected global society. In the health care space it is obvious that there are still a handful of doctors, nurses, orderlies, and ancillary providers who still don’t get it.

But what should an institution’s policy be? Ban access on the network? Perhaps naive, but my answer to that is a resounding no. Most people still have smart phones with WiFi or 3G access and can just as easily post to Facebook or Twitter and I doubt that the hospital’s liability is diminished.

Hospitals need to embrace social media, develop a comprehensive social media engagement policy, educate their staff, set acceptable parameters, track or monitor usage, remain vigilant and continue with the education process in perpetuity as social media is fluid and evolving and changing everyday.

Education, clarity, transparency and engagement is the key.  Not banning access.

Howard Luks is an orthopedic surgeon who blogs at The Orthopedic Posterous.

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Nurses Top Honesty and Ethics List for 11th Year

Nurses continue to outrank other professions in Gallup's annual Honesty and Ethics survey. Eighty-one percent of Americans say nurses have "very high" or "high" honesty and ethical standards, a significantly greater percentage than for the next-highest-rated professions, military officers and pharmacists. Americans rate car salespeople, lobbyists, and members of Congress as having the lowest honesty and ethics, with the last two getting a majority of "low" or "very low" ratings.

November 2010: Please Tell Me How You Would Rate the Honesty and Ethical Standards of People in These Different Fields -- Very High, High, Average, Low, or Very Low?

Gallup has asked Americans to rate the honesty and ethical standards of professions since 1976, and annually since 1991. Gallup first asked Americans to rate nurses in 1999, and that profession has topped the list since then in all but one year, 2001. Firefighters were added on a one-time basis in 2001 to test their image following reports of their heroism after the 9/11 terror attacks; they finished first, at 90%. Nurses still managed a strong 84% honesty and ethics rating that year, tying for their highest ever. Prior to 1999, clergy or pharmacists were usually the highest-rated professions. (For the list of top-rated professions by year, see page 2.)

There has been little meaningful change in the ratings of professions that are measured annually, compared with last year. To the extent there was change -- as in the case of pharmacists (+5), police officers (-6), bankers (+4), and lawyers (+4) -- the ratings have generally returned to the levels of two years ago.

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Medical News: FDA Panel Says Okay to Lower BMI for Lap-Band - in Primary Care, Obesity from MedPage Today

An FDA advisory committee voted 8 to 2 that Allergan's Lap-Band device is safe enough to use in patients with a BMI as low as 30.

The stomach-shrinking device is currently approved for weight loss in people who are at least 100 pounds overweight or have a body mass index (BMI) of at least 40, or a BMI of at least 35 with other comorbidities such as heart disease.

Allergan is looking for approval to lower those BMI cutoffs to 35 and 30 respectively.

If the FDA follows the advice of its advisory committee the Lap-Band could be an option for another 27 million Americans.

The Lap-Band is an adjustable silicon band that is implanted through tiny incisions around the upper stomach. It works by reducing stomach capacity and thus the amount of food the stomach can hold. Its use involves a less invasive procedure than gastric bypass or stomach stapling, but it is also less effective, FDA reviewers noted in briefing documents released in advance of Friday's meeting.

The FDA's Gastroenterology and Urology Devices Panel spent Friday discussing Allergan's single-arm study of 143 patients with the lower BMI criteria.

All 143 had significant reductions in weight and BMI after one year, with only 37% still meeting the criteria for obesity.

After one year, eight out of 10 Lap-Band recipients lost at least 30% of their excess weight, and 66% lost at least half.

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Calls to Suicide Hotlines Skyrocket Along with Unemployment | Poverty in America | Change.org

Wayne Zickefoose was facing a desperate situation. With an impending foreclosure and a mountain of credit card debt, he must have felt there was no way out. On June 13th, he picked up a handgun and shot his wife and 3-year-old son before killing himself.

The tragedy isn't just an isolated incident. As joblessness rates rise, people are getting desperate. One of the saddest signs of the continuing recession to date, calls to suicide hotlines have risen nearly 20 percent.

We've chronicled how many people have been without a job for over two years, and how companies have begun to discriminate against the unemployed. Legislators are even making unemployment synonymous with criminal behavior, calling for drug testing for people receiving jobless benefits. Add to that serious debt, eviction, foreclosure and the like, and it's easy to see how it has become a perfect storm that is likely leading to rising suicide rates.

Although federal statistics on suicide rates are usually two to three years behind, counting the number of calls coming into a suicide hot line is a much more timely measure of how many people are facing desperate circumstances. The National Suicide Prevention Network, which operates hotlines around the country, says rates of calls have jumped 18 percent just between January and May of this year.

E-cigarettes are not safe, and here's why

E-cigarettes, or electronic cigarettes, have been largely unregulated, and there have been many doctors questioning its safety.

MedPage Today recently reported on the FDA’s analysis of such products, and now we have some guidance as to how dangerous they can be.

E-cigarettes are battery operated, and contain nicotine and other flavors that the user can inhale. Advertisements claim they are safer since they don’t burn tobacco.

But according to the FDA, they “contain carcinogens such as diethylene glycol — used in antifreeze — and nitrosamines.”

To his credit, internist Matthew Mintz has been sounding the alarm for awhile. Not only does he point out they are largely unregulated, there are real questions as to whether they help with smoking cessation at all. He writes that, “e-cigarettes were designed to be tobacco cigarette replacement products, not smoking cessation aides. It is also possible that smokers will use e-cigarettes in place of SOME of their tobacco cigarettes. Although this does decrease exposure to known dangerous products, e-cigarettes might therefore actually prolong tobacco cigarette smoking.”

It’s encouraging to see the FDA start critically analyzing the claims of these types of alternative products, often advertised on late-night television. Hopefully there will be more to come.

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Friday, December 3, 2010

Graphic New York City Ads Warn Against Drinking

New ads for the New York City’s subway this holiday season are the cause for controversy. The ads are from the NYC Health Department and focus on the hazards of binge drinking. Today the Wall Street Journal questions wether people are actually receptive to the negative messages with the ads. Adam Duhachek, an associate professor of marketing at the Indiana University Kelley School of Business, thinks that NYC might not have chosen the best strategy.
“The first is that people just shut down and don’t process the message at all,” says Duhachek. Show someone a nasty or unpleasant picture and they might say “I was having a perfectly nice day until I saw this, and now I’m not going to look at it.”

The I.U. researchers have also found that those ads tend to trigger a “defensive processing mechanism,” Duhachek says. When people are faced with a negative message about a behavior they engage in — like putting away several drinks in the course of an evening — they have to distance themselves from the chance of a bad outcome. (i.e. “You’d never find me slumped over in a subway station at 3am because I’m not that type of person.”)

People tend to think things will go much better for them than for the average person, Duhachek says. “We think our own personal greatness buffers us from all potential negative consequences.” Read full article.

Photos quoted from: NYC Department of Health and Mental Hygiene

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The 3 Times You Should Re-examine Your Health Care Benefits | Education & Careers

While our three (ring circus) branches of government try to figure what to do with health care, life for us down here in the trenches continues to march on. This means accidents happen, people get sick, and at some point every one of us ends up (at one time or another) in a doctor’s examination room wrapped in a paper gown. For this reason, you need to consider all your health insurance options whether you’re employed or not. Unfortunately, when your job status changes, so does your coverage. Here are the three most important times you need to re-examine your health care benefits.

When You Start a New Job

The sad truth is most employers can’t afford to cover their employees with 100% health care. In most cases, an employer pays for part or most of an employee’s plan, but then the employee has to also kick in to make up the difference. When you hire on with a new company, be sure to read the company’s health insurance policy from cover to cover. If you don’t understand something, ask your employer to spell it out for you. Typically, an employer health care plan DOES cover general doctor visits and catastrophic care, but usually DOESN’T include extras like dental, vision, chiropractic care, etc. If these things are important to you then often you can include them as extras on your policy, but you’ll have to pay for them.

Also if you or someone in your family has a pre-existing condition, you need to make sure that condition will be covered under your new plan. In fact, check on this BEFORE you quit your old job. And if you like the doctors you’ve been seeing make sure those doctors are covered under your new plan. If not, you may be paying for your doctor visits 100% out of your own pocket.

If You Quit or Are Fired From Your Existing Job

Regardless of the reason you leave a job the COBRA Act of 1985 ensures that you can take your company’s health insurance benefits with you for up to 18 months. Unfortunately, you’ll have to pay 100% of those monthly premiums yourself, but at least you’re covered. This is especially important if you’re going through specific treatment at the time you leave a job, or you want to retain your same health insurance while you look for a new job.

Whatever you do, DO NOT roll the dice and go without health insurance. That’s never a gamble worth taking.

If You’re In Between Jobs

If your employer’s health plan is too expensive for you to continue with on your own, then you need to get some sort of health insurance while you look for work. If you’re married, check to see if your spouse’s plan will cover you, at least for catastrophic care. You may have to pay a little extra, but it probably won’t add up to what you’d pay for your own policy.

If you have to purchase your own health insurance you basically have two options; A PPO (expensive, but covers a lot) or catastrophic care (cheaper, but with less coverage). The one you choose depends upon A) How much money you have to spend on health care, and B) How long you anticipate being unemployed.

A PPO is the closest thing your employer provided you with in terms of health care. Typically, a PPO has a family deductible of anywhere from $1,000 to $5,000 annually and also offers co-pays for doctor office visits and prescription drugs. This means you pay your doctor office co-pay of, for example, $25 per visit, every time you go to your doctor. But after you’ve paid enough medical bills (in a calendar year) to meet your deductible, then the insurance company pays anywhere from 80% to 100% of your remaining medical bills, but only for the rest of the calendar year. After January 1 the slate is wiped clean and you start paying toward your deductible all over again.

A PPO plan is pretty expensive because it covers everything from a cold to cancer. If you know you’re going to be out of work only for a short time, then a PPO may be overkill. Instead, you can go with a catastrophic care plan, which has a very high deductible (usually $5,000 to $10,000), and only covers you for major medical expenses, such as accidents or long term severe illness (like cancer). If you’re healthy, and left without health benefits for a month or less, then a catastrophic care plan may make more sense. It’s way cheaper than a PPO, but still guarantees you won’t lose everything if you happen to have an accident that requires expensive treatment while you’re without employer benefits.

Regardless of your employment status you should NEVER go without health insurance. It only takes something as simple as a hernia surgery or a broken leg to wipe out everything you’ve ever worked for. True, you don’t know if you’ll ever need to go to the doctor while in between jobs, but that’s why they call it insurance – because then you won’t have to worry if you do.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

150,000 + Nurse-Reviewed & Approved Nursing Links

http://www.4nursing.com
http://www.howtostartanursingagency.com
http://www.jocularity.com
http://www.nursinghumor.com
http://www.nursefriendly.com
http://www.nursingentrepreneurs.com
http://www.nursingexperts.com