I have a bachelors in biology and I’ve been practicing nursing for 14 years in a Level 1 trauma center with a diploma degree. I am currently taking classes to achieve my BSN with hopes of being accepted into a CRNA program. I believe that experience is the best teacher. However expecting nurses to go on from an BSN/MSN to a PhD is unrealistic. With the average age of CRNA’s being 38 years old, how do you expect them to pay for and put the time forth while they have a mortgage, children to support and bills to pay. It is hard enough to complete a masters CRNA program of 24 to 36 months. To expect them to go on for an additional two years and be able to pay for and put forth the time is where the difficulty lies.
What does the title of DNAP really attain? Will it truly change the way you practice? Will it change anything other than your credentials to go into a university classroom and teach? I would offer to you no. I believe that the only thing this decision will attain is the loss of advanced practice nurses due to increased time and monetary constraints. Also the hospitals will incur the costs of having to pay for the exponentially higher salary of anesthesiologist instead of paying for fewer anesthesiologists with multiple CRNA’s working under them. Please stop making this decision an us versus them issue. It is not about that. It is simply, what are CRNAs going to do with the additional two years of information and DNAP title when they have it.
Comments for Nursing Shortage
Oct 26, 2014
Let me temper your disappointment… NEW
by: All-CRNA Admin
The good news is that things aren’t quite as grim as they may seem to you now.
First of all, to clarify a few things:
1. To obtain a terminal degree (DNP), only 3 years, or 36 months of study are required. It’s really only one additional (full time) year of study from the CRNA master’s level degree. There are some master’s degrees that take a full 36 months, and some DNP programs that take 38. The length isn’t necessarily a deal breaker.
2. The degree offered is a DNP or a Doctor of Nursing Practice, rather than a PhD. A PhD is a theoretical degree – one that an intellectual / researcher would get. A DNP is much more practice oriented and focuses on results much more than theory. So, theoretically, the degree should be helpful to those becoming CRNAs.
3. This requirement to make the CRNA degree a terminal one extends to all advanced practice nursing degrees. It is part of the initiative to shift responsibility of care much more. It used to be that MDs were the only ones to make major decisions about a patient’s care. Now, that is shifting much more towards nurses, and doctors are specializing more. RNs used to perform many of the duties that current CNAs perform.
So, the net result of these changes is that the future CRNA will be more autonomous than the CRNA of today. The more the government steps in to health care, the more they’re going to want to lower costs, and a DNP prepared CRNA is cheaper than an anesthesiologist any day of the week. Most CRNAs will gladly welcome more autonomy and respect, and I think that ultimately, the DNP will help assist with that.
But, back to the other side of things (your side), I will admit to you that when I started this site 5 years ago, and found out about this change to the DNP, I was pretty upset. It took me a long time to reel in my disappointment and see the brighter side of this change.
Random story: I was contacted a few weeks ago by a BSN prepared CRNA. Yes… several decades ago, a person could become a CRNA with a bachelor’s degree. Those folks were grandfathered in by that degree the same way that master’s prepared CRNAs are and will be grandfathered in before 2025.
Times change. We must change with them.
By the way, your enthusiasm about getting comments encouraged me to take the time and comment.