Dnp debt negotiation program
Most creditors do not settle debts until they are several months overdue. This means many of the settlements come with conditions:. All of these options could hurt your credit. Not all DNPs are dubious, but you need to understand what you are getting into if you go this path. The DNP companies which are legal will negotiate with your credits as representatives and try to lower the overall debt, increase the time to pay them back, or try to negotiate a considerate deal for you.
Make sure you fully comprehend the terms of the contract before signing onto a debt negotiation program. Furthermore, another strategy to ponder upon, particularly if you owe a lot over many credit cards, is debt consolidation. You must be logged in to post a comment. Higher learning is an individual choice, of which I personally respect.
It does not make me less compassionate or a snob. I pray every day that God would give me love, compassion, and wisdom for every patient that walks into my exam rooms. Because, whether I have degrees or not, my world and profession is about caring, giving, helping, loving, ministering, using my intelligence, the list goes on and on!
Iam interested in learning about the side businesses you are proposing. I did a semester in a DNP program and realized it was not worth my time or money, so I dropped out. I have friends that pursued a DNP because they were in academia and not clinical. I would like to back for my psych np certification.
Is the psych degree really going to be worth your time though? Can you not utilize your FNP which is what I assume you have for your financial gain at this point instead of wasting more money? I am a MD in my home country, China. Only MDs and DOs. Why is this so? Could we think big picture here as a nursing profession? You are not seeing a benefit to the DNP in your clinical practice but there are bigger issues as well.
I have been an FNP for 33 years and have held many positions. Many felt like being an advanced practice staff nurse. That is beyond being clinically competent. Super happy to read this. Been an NP for 30 years. Anyway if this is so important to the national nursing community maybe get rid of MSN altogether and jump right into a DSN program that encompasses everything …. After two years of that, I realized my time AND money were not improved by doing so.
I am back in a non-provider role now, enjoying a better schedule at work and home. Now, how, exactly, would the DNP improve that situation? Probably not at all. I agree to everything you said. I have been thinking of going back to school to do my DNP but every time I think of what will I be after this, I realized that no benefits at all.
I know I am making a difference to my patients. Thank you for this. I thought I am the only one thinking this way. I am doing it now…. I think the DNP is way over sold, like doctorates in many other fields these days. It certainly should not be the entry into practice, as some want.
However, it is incorrect to dismiss it completely as having no value. If your career goal as an NP is to be a clinician for your entire career then, yes, the DNP is a waste of your time. But if your career goals are to move into leadership or administrative roles, then I think there is value. The assertion that it is easy to simply find an evidence based guideline and effectively implement it in your practice reveals ignorance of that process. Leading effective practice change is challenging and requires specific knowledge and skill to do well.
Perhaps that approach is part of the reason the healthcare system in the US continues to spend such large amounts of money on mediocre outcomes.
There is an entire interdisciplinary field out of there called implementation science. It is that changing behavior particularly clinicians and organizational culture is exceedingly difficult, which is recognized across disciplines and industries.
I am the target market for these DNP programs. I would like to have the terminal degree so that I can transition into an educational environment in my later years. However, I cannot stomach the additional time sink and cost and the ZERO impact to my bottom line this would engender.
Thank you so much for putting together how I have felt about the DNP degree. I have been an MSN family nurse practitioner since , and when I see these young nurses, going through online NP programs, without the years of experience as an RN, and going right to DNP, that is a problem. Justin Allen sounds a little bitter. I finished my DNP at age 24 and have done very well thank you. Cheers from the porch of my mountain house.
Nice article. What do you do for your side incomes mentioned in the article? There are so many opportunities out there with what the NP degree affords you. Experience trumps the DNP all day, everyday…. Why Nurses are so worried and insecure with their profession is beyond me. Now we are talking. Have you found that some employers MDs, especially are hesitant to hire DNPs because of concern for potential role and title confusion for their staff and patients?
The group I work with has indicated their reluctance to consider DNPs for these reasons. I also do not work in a FPA state. There is no role confusion. A year or 2 ago I would have agreed with you. However, with all the professions promoting doctorates-pharmacy, PT, PA, in order for us to have a voice and power in the field a DNP will be necessary. It is up to nursing programs to provide relevant and important education.
Look at the pharmD. Open your eyes, it is happening to us now too. I have had my DNP for over 5 years and it has been very beneficial to me because I love to teach.
I work full time as a NP and teach online part-time. If you are interested in education and teaching online then I find that DNP program is beneficial. Most MSN programs require you to have a doctorate to teach the didactic courses vs clinical courses. This also opens doors to teach doctoral courses as well. The supplemental income is great. Thanks for confirming what I have been stressing to my fellow NP colleagues who have been trying to get me to pursue the DNP.
It is unfortunate that you feel this way. Yes, anyone can look up clinical guidelines on UpToDate or other internet sites, but the DNP is so much more than that. Reading the title of a course does not even begin to describe the knowledge gained by taking a quality course with faculty dedicated to the advancement of our profession. There are many proprietary schools that deliver a less than optimal experience but that should not taint those that are doing an excellent job.
Earning a DNP is not about being called Doctor. This is different from our professional title which would be Nurse Practitioner or physician or dentist etc. We are nurse practitioners with a terminal degree. Many health professions are now using terminal degrees as the requirement for their profession moving forward, such as physical therapy and pharmacy. As nurses we have a history of keeping each other down and in the process we keep our profession down. Do what makes you happy.
However please do not disparage the degree or those who choose to further their education and earn one. Put that energy into supporting them and your profession. I love being an FNP in primary care. I actually feel my 20 years of experience as an RN with an earlier achieved masters in nursing that I added onto in NP school prior to becoming an NP was paramount in how I approach and treat patients today.
Yep, I am with you. I plan to write some books and focus on preventing disease and restoring health. Amen, brother! I wanted to provide care to patients. I have been a FNP for 25 years, and I have practiced in primary care, emergency medicine, urgent care, and pain management, as well as teaching and developing curriculum at the undergraduate level. My roles have ranged from being a generalist to a narrow specialty. Totally agree.
Unfortunately it also leads to what is essentially representing yourself as on par with the MD which is clinical and a heck of a lot more useful education and clinical experience. In fact as a consumer I would be very hesitant to see a DNP at this point. I would love DNP programs to be more clinically focused too. Not worth it to me at this point in my life. There are so many. Also dabble with nightly rentals etc… The skys the limit! Ditto to the worthless hoops nursing academia puts in advanced degree programs.
If there had been course work in clinical areas that would have supported my practice as an FNP, I would have done it. But no, the emphasis was on research, critical thinking and nursing diagnosis. No thank you.
Maybe the Ivory Tower thinks those are important, but they are out of touch with reality—including with BSN degrees. Too much theory and not enough hands on.
To all of you who have replied to this article, I beg to differ and defend the Doctoral path in Nursing. As a practicing DNP, I find that fellow colleagues ; such as medical doctors have much more respect for the practice of nursing. These other professionals realize that I too have dedicated my life to the profession of nursing, and taken it to the next level.
Of course, it is a lot of classes that make no sense, but in the end of the thesis project and the review board deems that you have satisfied the requirements to become a Doctor; then it was worth it. When other doctors address you as Dr. H , and ask what do you think about this case or administrative issue; then yes it was worth the money. When your boss turns to you and says I know that I can entrust you with training the new staff physicians and other NPs, then it was worth it.
When patients and students say, thank you, Dr. H, then yes it was worth the time and effort. When I go to promote my business, having Dr. No, I do not have a medical degree; I have a nursing degree! I believe in the power of nursing and it is proof positive when you become the DNP in practice. Therefore to all of the people who responded to this article; please rethink your role in the nursing profession. As a reminder our reasonable duty is to uphold each other and promote our profession, no matter the level.
In closing, nursing is an intellectual discipline that holds power and influence, no matter where nursing is practiced. The DNP demonstrates the highest level of this discipline, so it stands to reason that this level of nursing is needed to carry the torch foward as an example of the true nursing savvy and convention.
Please, let all of the nurses be an example to each other; the people we work with and those we serve. God Bless. And it is an easy degree to get. There are so many degree mills out there.
It makes it look like a joke to many other professions. Having said that, my MSN was only marginally better. But I digress. That last year should be focused on clinical hours, while the first 2 years should focus on more intensive clinical study than we currently have.
No more redundant courses, no BS courses like informatics and health policy the current DNP tries to do too much — if one wants research, get the PhD, if you want a health policy degree get one, etc. All in all, a strong, comprehensive, clinically-focused program bathed in the holistic philosophy that the nursing profession brings.
We need a complete overhaul of our NP programs. Our profession and our patients will be better off. Cannot agree more, and it is what I have been saying for years. As stated previously, uptodate. Significantly, there is no pay recognition for a DNP, either.
Absolutely agree! It is BS and any nurse or nurse practitioner has been taught evidence based practice and like me has been practicing it her entire career. My happiness comes from seeing my patients have positive outcomes and improved health. Check out the rest of the blog. There are SO many possibilities out there. It is endless with a NP can create. Do not do urgent care or primary care. Think outside the box. After 20 years in practice I decided to go back for my DNP.
I learned about making a difference on the legislative level; about how to adopt QI into practice; about how to be a better leader and more supportive colleague.
I simply needed to feel like I was growing, not getting stale, not burning out. My employer paid for the vast majority of it and I have a wonderfully supportive family. I hate to see so much negativity from people who never even tried. JustinAllen, why not focus all of your wonderful energy on something positive? Thank you for this article. Make the program worthwhile for us at least — actually add to our knowledge and skill set.
Those classes sound the same as the MSN classes. Why would anyone want to pay money to duplicate what they already know? My thoughts exactly!
Helllo Dr. I get way more of an education through actual work experience than wasting time and money. AND already have enough predatory student debt to last me a lifetime. I wholeheartedly agree with you! I would not waste my time! I have worked with several people who have went back only to get into deeper debt and to get no increase in pay in the end. For what? To be called Doctor Nurse? This was a wonderful way to express why there should not be any more nonsense in our profession.
It seems to be just a money making racket for the universities. Still waiting. I read an article in that stated that the purpose of the DNP was not only to put us on parity with other health professionals, but it was also so we could become good clinicians, researchers, educators and leaders.
Now that is a tall order for any one degree! On leadership, it stated that we should have a seat at the table in deciding health policy and in health systems. Well, before becoming a family nurse practitioner I practiced health care law for 14 years in a large firm and spent some time as the general counsel of a hospital.
From my experience, those who were given a seat at the table were the most respected practitioners, almost always physicians, who also happened to generate a lot of revenue for the health system or hospital.
Merely getting a degree with a few courses on health policy and leadership is not going to give us a seat at the table. Medicine pays physicians to train new physicians. We are given second class treatment by relying on volunteers to train us, sometimes begrudgingly. This is not to say that they do not do a good job training us.
But one problem we have with NP programs is finding preceptors to train us because physicians, NPs and PAs are under intense pressure to see as many patients as possible and generate revenue. So when are we going to speak up and demand higher quality clinical education? We can do this by voting with our feet and our money. The DNP does not even come close to putting us on parity with even a pharmD.
Most doctorate degrees in healthcare fields are VERY science intensive. The DNP is not…. The DNP does exactly that. You are equating this degree with volume. This degree trains you to design and implement the programs that increase facility revenue.
I saved my old facility several million dollars by preventing pain patients from retiring to the ER. THAT is how you get recognized and a seat at the table. That is leadership, that is transformation. Is not about ease is about liking what you are doing and going to a good school. Clinical education comes at the Masters level. If you are upset with how you were educated in your Masters program speak up. Schools were dropping their standards. I found myself getting in trouble for trying to enforce the standards under which l was taught.
I one case it was APA and sentence structure… My GYN paid back her scholarship money because she refused to precept the students they were so bad. You are speaking of two totally different things. Your school should find you preceptors mine did but l graduated in What an amazing article.
I have all these thoughts written in your article and wondered why anyone in their right mind will pursue a DNP degree that does nothing but eat away on the time we can truly use and impact the lives of our patients. You complete a Capstone Project which if you are as lucky as l am you will get to continue once you graduate.
You are expected to COME with clinical skills. No nursing job should be done for the money. We never get paid for what we do. The DNP is a personal choice. However for those who do, no one has ever been sorry. This article is terrible. You sound bitter or jealous suggesting people are doing it for a title.
Spare me. No one is trying to convince anyone NOT to advance their degree so why are you trying so hard to bash anyone that wants to? We have a complex healthcare system that warrants a complex level of thinking.
Not everything is learned on the job. From barriers in the healthcare system, advanced care planning, creating change within your healthcare system in a meaningful way to help patients.
You are ignorant and making excuses. Do what you want with your own life and career. Stop bashing people who seek higher education to make yourself feel better! And the rest of you shame on you! You are using this opinionated blog to make life decisions about education when we deal with life and death literally every day? Leave the ones that do alone. The point if the article is to enlighten individuals who are more monetary motivated individuals that the DNP will be a waste of your time.
If you goal is to increase your personal income and financial independence, the DNP will not help you with that. If you feel like you need it to further your education than good for you, but I do not see how a long paper and a few classes benefits many NPs. I am usually not into disrespecting anyone but many of your comments are making me think that maybe you are partaking in that side business of yours The Cannabis Business? Wy is it that I do not see any one from any other profession trying to convince others against getting their doctoral degrees.
I do not know why it is so difficult for nurses to just mind their own business and stop self-deprecating. Yes, Medical Cannabis is a very lucrative business. I have no shame in that. You should look into it. What if I told you that you can make that in cash in 2 weeks? Tell me how the DNP will teach you how to do that? More word salad behind your name so you can feign importance, put on the dog, and call it a mink coat. Nicely said. I am grandfathered in the state of Illinois, but most places want the MSN.
I am so sorry to hear that. Education, on the other hand, will be accompanying you and open doors and connections never seeing before.
I encourage you to seek within yourself, the true reason you feel that furthering your education and expansion is not worth the effort and the few extra bills. When did you become unworthy of the knowledge? That fact sheet tells me very little in terms of WHY it is necessary?
I read medical school grade pathophysiology books, THAT furthers my practical and clinical knowledge. Reading off a power point does not. From your fact sheet:.
During that same period, the number of DNP graduates increased from 6, to 7, These numbers are terrifying. It saturates the market… How good is a DNP when there is no work? I was actually enrolled in an on-line DNP program several years ago, and then a family crisis occurred and I had to drop out. My intention was to advance my professional growth and development and not for financial gain because I knew that employers were not going to pay me more money because my scope of practice as an NP did not change.
And, yes, we have to consider financial return because the DNP programs are as expensive as any other advanced degree. It is my belief that you should have at least 5 yrs clinical experience as an NP before applying for a DNP.
Perhaps THAT is where the energy of the nursing profession should be spent — if we really want a nursing force that is well equipped to handle the complexities and dynamics of healthcare provision and management, start at the very beginning of the career ladder.
However, good luck even finding a university that still offers a Masters for those considering an NP program.
The DNP student is to identify an area of practice that needs to be changed and come up with a plan to do so — in a very short period of time and with no real-world experience. It has been 6 years since that family crisis averted my plans for the DNP. While I still believe I will pursue a higher degree, I am no longer certain that it will be in Nursing. Lucia M. The thoughts presented in this article highlights a major issue among the nursing population.
DNP, similar to all other professional doctorates, is a tool — not a cash card. It is the individual that makes the degree — not the other way around. I am a DNP, who completed a clinical doctorate. However, I met core competencies and disseminated evidence. The purpose of the degree is to be able to participate in conversations requiring the ability to level and utilize evidence to, further improving your practice and safety for your patients.
No, there are not many residencies or fellowships available, but you must learn the history of medicine to understand how those programs evolved.
As a nurse — or any other professional, for that matter — you must commit to lifelong learning. Once we too many nurses stop focusing on money and instead, focus on clinical practice at the highest standard, the money will come.
You do this by making yourself irreplaceable. So, if you do not feel empowered by your training, you will not be able to succeed. Do not give in to peer pressure. I typically find those severely critical of the the DNP have personal barriers that keep them from following through or simply express that they do not have the fortitude. And Yes, I am Dr. This was also evidence by my 12k raise, when I completed the degree.
Many of us that decide not to pursue the DNP have the fortitude for it, I can assure you that. I am more than happy to have a discussion and to engage in conversation about the utilization of evidence. It is not difficult and many do not need a DNP to do so. In exchange for how much debt and time?
Make your self irreplaceable by being competent and productive, which does not require a DNP. Thank you for the response. The only reference to the author was regarding the general statements made regarding DNP programs, comparing them to venture capitalism.
The rest is a response to the statements made by users. I will work backwards here. Nor did I say everyone critical of the DNP does not have the fortitude. My point is that if you want to secure your job or income, do something that makes you unique, and that you love — the money will come.
I assure you that even janitors can make themselves irreplaceable. You are making assumptions — along with blanket statements. This is not that far from the average ROI on most businesses. You then get into the upfront cost — not just time — to invest in a business, unless you are using leverage, which is risky. Any true entrepreneur will tell you that there are risks involved with investing.
However, the riskier the venture, the higher the return…. Yes, I stand by my statement regarding leveling and appraising evidence.
So, yes, I commend you for your willingness to engage, but I never said you were incompetent, because I do not know you. As a PA I am trying to respond to this carefully with my 2 cents worth , because there is always going to be someone who will try to call you out on it. I will list several things I HAVE however, noticed though from my eyes and a couple thoughts as well.
Judging by the letters I read in a number of PA journals nope no official study during those years , it seems the majority of PAs leaned away from a doctoral program thus PA programs have remained Masters Level.
Several of you have used the word competitive. No doubt, our state nursing board from a political perspective stepped over us despite all the years of our state PA board maintaining a great relationship with NPs, inviting them to our conferences, and respecting them as similar colleagues.
Again, I have no desire to have a doctoral title. If you do then perhaps you should have applied to medical school. What a buffoon.. She eventually went on to develop cancer about 9 months into her job and told folks she was to begin chemo. Really woman? After another month of this it became apparent she did not have cancer and in fact was asking several staff members to borrow money.
She was gone several weeks later. The pharma reps refer to her and just roll their eyes. Its insulting to the rest of us and its insulting to many MDs themselves only for a different reason. I DO understand that politically and so on and so on that you have been pushed and encouraged to reach for a doctorate. And yes.. Well said Pete. I think the titles and the alphabet soup behind many NP names stem from professional insecurity as well. The DNP is probably one of the easiest doctorate degrees one can obtain.
I is not to makes anyone a better NP. It is to take the science of Nursing and translate it into programs that benefit patients or extend that knowledge into Academia or Administration. Please allow me to clarify. Doctor is a term properly according to Miriam Webster Dictionary assigned to a person who has completed the highest degree in their field. Before settling a debt, it can be disputed through debt validation. Debt validation forces third-party debt collection agencies to prove that the debt is valid.
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