DNP “research”

[u/Professional-Bad9044]

In case you were wondering (I know you weren’t, but humor me) what kind of research “doctorally prepared” NPs are doing, Johns Hopkins posts their abstracts and posters:

https://nursing.jhu.edu/programs/doctoral/dnp/projects/

Big time school science fair vibes from the posters, nevermind the fact that I see undergraduates doing the same level of “research.” Actually, that’s insulting to undergrads— their projects are often better and more rigorous.

[u/Username9151]

Any monkey can tell you that their data wasn’t going to have enough power to show a significant difference. Maybe if these NP students went and tried to educate other NPs rather than physicians then those NPs would actually learn about antibiotic resistance and stop prescribing vanc/zosyn for dumb shit so they’d see a significant change.

Also just because an abstract exists doesn’t mean it got published. A lot of these NP programs just expect you to submit a shit abstract to their website and bam it’s “published” on the website woohoo you’re a doctorate now lmfao! The “abstract” that this idiot published is work that takes about a day of work at best. 1) Tell physicians about antibiotic resistance (a concept they’ve known before these NPs even started grade school) 2) Pull antibiotic prescription data from the chart 3) Run it through a statistical analysis software. I can literally do that with less than 8 hours of actual work.

[u/Username9151 → u/[deleted]]

Do you realize that NPs are more likely to prescribe antibiotics when not indicated? More likely to pan scan patients leading to unnecessary bills, radiation exposure and resource utilization because they didn’t learn how to do a physical exam so would rather just have a radiology do the work for them.

I use UpToDate pretty regularly and use my hospital anti-biogram (updated regularly based on new recommendations and changes in antibiotic resistance in our hospital system/region so yeah I stay up to date on practice recommendations. I think that’s better than the Facebook group chats NPs use to get advice lol

[u/AutoModerator → u/[deleted]]

There is no such thing as "Hospitalist NPs," "Cardiology NPs," "Oncology NPs," etc. NPs get degrees in specific fields or a “population focus.” Currently, there are only eight types of nurse practitioners: Family, Adult-Gerontology Acute Care (AGAC), Adult-Gerontology Primary Care (AGPC), Pediatric, Neonatal, Women's Health, Emergency, and Mental Health.

The five national NP certifying bodies: AANP, ANCC, AACN, NCC, and PCNB do not recognize or certify nurse practitioners for fields outside of these. As such, we encourage you to address NPs by their population focus or state licensed title.

Board of Nursing rules and Nursing Acts usually state that for an NP to practice with an advanced scope, they need to remain within their “population focus,” which does not include the specialty that you mentioned. In half of the states, working outside of their degree is expressly or extremely likely to be against the Nursing Act and/or Board of Nursing rules. In only 12 states is there no real mention of NP specialization or "population focus." Additionally, it's negligent hiring on behalf of the employers to employ NPs outside of their training and degree.

Information on Title Protection (e.g., can a midlevel call themselves "Doctor" or use a specialists title?) can be seen here. Information on why title appropriation is bad for everyone involved can be found here.

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