Now,
don't take this the wrong way. A PhD in nursing is a joke. If you want to do real research get it in chem, bio, phys, or some hard science. I don't know one PhD that takes a nursing PhD seriously, except the "doctor nurses" themselves. What are you going to do research on with PhD in nursing? The
outcome of improper insertion of rectal trumpets? This degree is for people with easy degrees to make them feel important. It disgusts me that someone will get a PhD in this nonsense when I am killing myself getting one in bioengineering.
What is your depth of experience of nursing research to draw such a conclusion? Of course I've read studies which have made my eyes roll out of my head. That doesn't mean that nursing research is nonsense. It's a completely different animal than the research you're used to. Your research involves more clearly defined variables, treatments that are much easier to standardize and outcomes that are soooo much easier to measure quantitatively. In nursing and medicine- anytime you are studying whole humans for that matter, it is soooo much more difficult to randomize, and there are soooo many more confounding variables in subjects. I think that another aspect which turns people off of nursing research is the heavy focus on psychosocial variables and outcomes. (I can tell you it ain't my favorite thing.) The research approach and measurement of that is an incredibly complex can of worms. But to deny that is is relevent and important is to reduce treating and taking care of humans to wonking on a car. That's my schpiel (sp?). If nursing research ain't your cup of tea- cool, it doesn't rev my engine either. But I will say that I follow nursing research in topics that are of interest to me and relevent to my practice- and it influences the way we treat out patients- from purely biophysiological standpoints as well as the ever slippery psychosocial aspects. The end result is that people are given care that is more effective. If you think that is a joke or unimportant, then you just don't "get" healthcare.
Ask Paseo Del Norte. He gets it.
Okay, gottcha. From my personal experience with nursing academia, it was all about safety practices and bedside nursing, and well, in my program, community health as well (I could have gotten my cert as a PHN, but wasn't about to throw down $80 for what I don't think I'll ever use). That was for a bachelor's degree, so while the faculty comprised of nurses with PhDs, and MSNs, and CNMs, etc., there was never an agenda that emphasized advanced practice whatever.
Now, 6 years beyond nursing school, my experience with nursing academia is in the form of publications that I receive from professional organizations that I belong to. Sigma Theta Tau (nursing honor's society) puts out the Journal of Nursing Scholarship. Admittedly I don't read much of this publication. Heavy, heavy focus on psychosocial, international, community health nursing issues. Really not my thing. So why am I a member? I like the philanthropic, community outreach, scholarship fundraising stuff my chapter does, and the organization as a whole does. The organization does encourage and support furthering nursing education and research, which of course includes advance practice nursing, but that is certainly not to say that patient safety or bedside issues are not emphasized. I grabbed a random Journal of Nursing Scholarship- Voume 41, No. 3 (2009) from the very bottom of my stack of **** to read
and the feature articles are: Family Presence During Resuscitation: Canadian Critical Care Nurse's Perspectives, Postoperative Pain Assessment With Three Intensity Scales in Chinese Elders, and Reliability of Vision Screening Tests for School Children. Those were the first 3. See what I mean about heavy psychosocial focus?- Not going to read that anytime soon, unless I'm having a hard time falling asleep. Lolz, don't mean any disrespect. I'm not saying at all that that isn't worthwhile or important, but that's just indicative of my preference (or lack thereof).
I'm also a member of AACN (American Association of Critical Care Nurses). Their publications are more up my alley. They do have a publication specifically for advance practice nurses, but I only subscribe to the American Journal of Critical Care and Critical Care Nurse (those are the two that have the widest readership by the way). These publications do incorporate psychosocial issues that are relevent to critical care populations, but there is heavy focus on biophysiologic monitoring, pharmacology, best practices, etc. Here's a sample from May 2009 Volume 18, No. 3: Precision-to-Tolerance Capability in Tight Glucose Control, ICP and ABP Variability in Aneurysmal Subarachnoid Hemorrhage, and Nurse's Perceptions of End-of-Life Care. Here is a list of Top 10 concerns (as identified by the AACN) published in their "call for papers" (invitation for submission for peer review and publication): DVT, end of life/palliative care, family centered care, including family presence and open visitation, health care associated infections, healthy work environments, multidrug resistant oraganisms, pain and sedation management, patient safety, progressive mobility, wound care and pressure ulcer prevention.
That's my lengthy response to why I believe that nursing academia's attention and investment in patient safety and bedside care is alive and well. I don't think you see the whole picture of what are hot nursing issues, because well, you're not a nurse. Naturally your radar is going to blip on nursing issues that are relevent to you, namely advance practice RN scope of practice, training, salaries, etc. Not to mention the fact that it is oh so controversial.
So that's why I scratch my head a 'lil when you state that nursing academia has no love for the acute care bedside issues and is all about advancing the advanced practitioners. Within nursing academia of course there are individuals with their special pet projects, and it stands to reason that those that champion ideas you oppose would particularly blip on your radar.
Sarah Palin comes to mind, for some reason as a metaphor for this situation. Lots of media coverage, highly controversial. But in the real political world is such a small town player, an inconsequential figure despite her press attention.