12 August 2013

Broaden your horizons!

Before attending graduate school the first time, I contemplated where I should obtain my master’s degree. My original plan was to obtain my MSN at San Jose State University (SJSU), the same school where I obtained my BSN. It made sense for several reasons: The school was local; I was already familiar with the campus climate and politics; and, most importantly, I had established a rapport with the nursing faculty.

My plans took a back seat, however, to life’s twists and turns. As fate would have it, I ended up leaving the Bay Area of Northern California and coming back to Los Angeles, in Southern California, prior to submitting any applications, and I ended up enrolling in a school—California State University, Dominguez Hills (CSUDH)—that wasn’t originally on my radar. My choice to attend CSU Dominguez Hills was one of convenience. I quickly learned, however, that fate was doing its job, and what I thought was a choice of pure convenience taught me the value of broadening my horizons.

What I thought was a choice of pure convenience taught me the value of
broadening my horizons.
Having attended San Jose for my BSN and Dominguez Hills for my MSN, I was certain I would attend yet another school for my PhD, and I did—the University of California, Los Angeles, better known as UCLA. After being accepted by UCLA, I thought my educational journey had reached its last stop. Boy, was I wrong! As I began my second year of doctoral studies, postdoc seemed to be the new buzzword. Almost everyone, it seemed to me, was either suggesting I plan to commit to a postdoctoral program or asking what schools I had in mind for my postdoc. Continuing on as a postdoctoral fellow was the last thing on my mind until I began to understand the benefit of such a program. Faced with having to make a decision about where to apply for a postdoc, I chose, once again, to look at programs associated with institutions not on my list of alma maters.

Now that I have attended three universities in pursuit of three degrees, I encourage everyone I can to attend a different school for each degree. My rationale is simple: You want to make your network as wide as possible and learn from as many different scholars as you can. Each school has its own philosophy on teaching, learning, and education. I don’t think it’s beneficial, therefore, to become too attached to any one institution, because you inadvertently miss out on the opportunity to partake in other educational experiences. I’ll use myself as an example of someone I regard as having a well-rounded education.

I attended SJSU for undergrad and had the opportunity to experience a teaching-intensive university. While some of my professors may have participated in research, it was not their main focus. I was in a teaching institution, and my instructors were dedicated educators and clinicians.

When I enrolled at CSUDH, I knew my experience would be different because, although the school is another California State University and a teaching-intensive institution, the master’s program was completely online. The experiences associated with earning my BSN and MSN degrees were as different as night and day.

Now, as a student at UCLA, a Tier One research university, my experience is vastly different from the experiences I had at the teaching universities. Research is the top priority at UCLA; that is no secret. Opportunities to participate in research training, work on grants, write publications, and work as a teacher’s assistant are unparalleled. Had I stayed at SJSU for my MSN and enrolled in its DNP program, I would not have had the amazing experience of obtaining an online degree or studying at a world-renowned research university.

Aside from the educational experiences one has as a student, there are also the connections you make with classmates and faculty members. If you attend the same school for your undergraduate, graduate, and doctoral degrees, you may have different classmates (unless everyone else has the same mindset as you and doesn’t change schools), but you will probably have the same faculty members, and chances are their teaching philosophies won’t change. Neither will their networks.

As a student, you want to be exposed not only to colleagues and faculty members within your university, but also those with no connection to your university. One way to increase this exposure and your potential networking opportunities is to attend professional conferences, but another way to create strong networks with many nurses is to develop relationships with faculty members from various schools.

As you branch out and expand your network, your potential connections grow exponentially. It’s like having a Twitter following. The more people you follow, the more information you’re bound to come across. It has nothing to do with the people you are following, per se. It’s more about their following and with whom you become connected while using them as an intermediary. No one in the Twitter-verse would follow the same 30 people and refuse to expand their network because of the convenience of following just 30 people. Use this same sort of thinking when considering schools for obtaining your next degree. You want to be connected to as many people as possible.

While earning all of my degrees at the same school may have been less expensive, less time-consuming, and much less of a headache, I cannot adequately convey the benefits that learning from three sets of faculty, being exposed to three different institutional ways of thinking, and being connected with new mentors from three universities has provided. Some of the most rewarding professional relationships I have are with nurses with whom I struck up a conversation after introducing myself as a student of Professor X or a past TA for Professor Y. It’s not always easy to be the new student at a large (or small) university, but think of all of the potential connections there are to be made. Think of all of the new people you will meet and the places you will potentially go!

The point of networking is to create a proverbial net that, when cast, covers a vast amount of space. Don’t hinder your opportunity to network by staying within the same four walls for all your days as a student.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International (STTI).

11 July 2013

The 5 no-nos of alphabet soup

When I was in nursing school, one of my professors made it very clear that, no matter what areas of nursing we decided to go into, we would all be nurses. She also made it clear that, regardless of how many nursing positions we accepted away from the bedside, we would still be nurses. For this reason, she said we should always list RN behind our names before any other credentials—to show that we are nurses before anything else and to reduce workplace incivility among colleagues—ADNs vs. BSNs vs. MSNs, etc.

Because of that professors instruction, I wrote my name and credentials that way for years, until that fateful day when a well-respected colleague told me I was doing it wrong. I let him know why I listed my credentials in the order I did, but he didn’t let up. Because I completely respected him and his viewpoint, I decided to do a little research and found he was right.

Even before I realized I was incorrectly listing the pomp-and-circumstance letters behind my name, I had a real issue with the massive dissension those letters create among nurses. Rather than become too irritated by the squabble, I decided to joke about it and refer to the collection of initialisms that follow nurses names as “alphabet soup.”

The more letters the better, right? Not necessarily.
Look at websites that list names and credentials of more than a handful of nurses, and you will often find the letters behind names listed in various orders. The nursing profession does not mandate the “proper” way to list credentials. As with many of other areas of nursing, there is no consensus. Observing the inconsistencies this has caused in the alphabet soup that follows some nurses’ names has given me many a hardy laugh. I have literally seen it all. Below are my nominations for the five biggest no-nos when listing nursing credentials.

No-no #1: Listing your RN license first
While the rationale for why RN should be listed first made complete sense to me, most “how to” guides will tell you that the alphabet soup has a certain order—and for good reason. List your highest degree first, followed by your license and, lastly, a credential identifying a specialty you have, if any, in nursing. The rationale is simple: List your honors in the order they are most secure. In other words, you list your degree first, because it is the least likely credential to be revoked or taken away.

The credential that identifies certification in a specialized area is listed last, because it has to be renewed regularly, and you may either lose the certification, decide to let it go, or become certified in another area. The certification credential is more fluid than the others; one year you may have it, the next year you may not. With regard to your license to practice nursing—your RN credential—that’s listed second, because it’s more stable than a certification, but not as stable as an academic degree.

No-no #2: Listing every degree you ever earned
It's completely unnecessary to list within a string of credentials every degree hanging on your wall. I have seen some nurses list an associate degree followed by a nonnursing bachelor degree, followed by a bachelor of science in nursing degree. Here’s the thing: Your highest degree is the only one that truly matters. While it’s nice to write your life story in alphabet soup, that’s what résumés and curricula vitae are for. Some people rationalize that if they had a nonnursing degree prior to obtaining a nursing degree, it should be noted. Well, my thought on that is simple: If you are working as a nurse, unless that other degree is higher than your nursing degree, it is not essential to list it behind your name. If people want to see your nonnursing degrees, they can look at your résumé.

No-no #3: Listing more than one nursing license
This is probably the no-no that bugs me most. If you are an advanced practice nurse (APRN), we know you are a registered nurse, so there is no need to list both your RN license and your APRN specialty. It is also not a good idea to list APRN as your license, because there is no APRN license in nursing; the license is based on your specialty. When looking at your credentials, people don’t want to know that you are an APRN; they want to know what type of APRN you are. APRN is an overarching category that encompasses various types of nursing licenses—certified nurse midwives (CNMs), certified nurse anesthetists (CRNAs), nurse practitioners (NPs), and clinical nurse specialists (CNSs). Also, listing both APRN and your specific APRN license—as in “Your Name, APRN, CNM—is not only redundant, it’s unnecessary for the aforementioned reasons.

No-no #4: Listing more than one specialty certification
You may want to list all your certifications in the form of alphabet soup, but why not leave something for people to learn about later? Really, you only need to list one certification. Which certification you choose to list is completely up to you. I tend to think that nurses should list their most honored certification, the one that requires the most work to maintain, or the one that is most prestigious to other nurses.

For instance, if I were a fellow of the American Academy of Nursing (FAAN), I would list that and not my inpatient obstetrics certification (RNC-OB) from The National Certification Corporation (NCC). Also, it is important to remember that some certifications can be combined with your license, while others cannot. For example, women’s health nurse practitioners who have been certified can list WHNP-BC, in place of WHNP, and still include another certification in their alphabet soup. However, nurses who are certified as advanced forensic nurses need to list both their licenses and AFN-BC.

Nurses should be careful to list only those certifications that are nationally or internationally accepted. For example, although most labor and delivery nurses are required to maintain fetal-monitoring certificates issued by the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), this certification should not be included in our credentials. To help distinguish between certifications that are credentials and those that are not, answer the following questions. If you answer yes to each one, you have a certification that can be listed as a credential.
  • Did you have to pay extra money to obtain the certification (not to take a class, but to submit an application and take the test)?
  • Did you have to take a test similar to the NCLEX-RN to obtain this distinction?
  • Do you have to earn more CEUs than other RNs to maintain the certification?
  • Do you have to show proof of CEUs or retake the certification examination to maintain the certification?
  • Does the certification come from a national or international credentialing organization?
If you are still unsure, look for the proper way to list the certification on the certifying organization’s website. If no instruction is provided for listing the certification with your other credentials, it’s probably not the type of certification that should be included in your alphabet soup.

No-no #5: Listing non-specialty certifications
Unfortunately, I have seen nurses who list advanced cardiac life support or other required patient-care certifications among their credentials. What’s worse, I have even seen BLS—yes, as in basic life support—listed as a credential. Clearly, nurses who do this do not understand that a credential is a degree or certification that’s above and beyond anything required to work with their patients.

If you aren’t sure whether or not you’re certified, you probably aren’t. Certifications require an application process that is completely separate from each state’s nursing-license application process, and there is a test that must be passed. Such certification tests are similar to the NCLEX-RN, but they are each given for very specialized areas. A number of certifications can be found on the American Nurses Credentialing Center, while other certifications developed specifically for women’s health nurses, pediatric nurses, and nurse educators are found at The National Certification Corporation and the National League for Nursing, respectively.

As nurses, we have fought long and hard to receive certain distinctions based on our education. I agree with nurses who believe it is important to let others know of our commitment to our profession and our commitment to meet and maintain the highest level of distinction in our areas of expertise. However, to do so, we don’t need a list of letters behind our names that is long as the alphabet itself. I’ll use myself as an example. here:I list my credentials as “MSN, RNC-OB, C-EFM.” This lets others know that I have a Master of Science in Nursing degree. I am a registered nurse, certified in inpatient obstetrics by the NCC and with additional certification in electronic fetal monitoring, also from the NCC (this in addition to my AWHONN advanced fetal monitoring certificate, which is not listed among my credentials).

I encourage RNs to give a great deal of thought to their alphabet soups and list only: 1) their highest earned academic degree (in other words, it shouldn’t be an honorary degree), 2) one nursing license (with certification, if appropriate), and 3) one nationally or internationally recognized specialty certification. Not only is this the proper way to cite your nursing credentials, it also keeps members of our profession from looking like egotistical credential fanatics who only maintain certifications so we can list them behind our names.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International.

28 April 2013

The ministry of nursing

I recently heard this quote: “Your job is what you’re paid for; your purpose is what you’re made for.” I absolutely love this! I recognize that not every job involves work about which one is extremely passionate. After all, there are times when we have to do what we have to do in order to pay bills and keep our heads above water. But those are just jobs. Without a doubt, nursing is a profession and a unique health care discipline, but for some it may be simply a job.

When I first became a nurse, I couldn’t understand how any nurse could not love working in the profession. I thought it was a slap in the face of nursing to work in a position that calls for a caring, nurturing disposition, yet hate what you do. I began to realize, however, that some of my colleagues had either been working so long as a nurse that, even though they didn't love what they were doing, they didn’t want to change careers, or they had become accustomed to a lifestyle they didn’t want to give up. For them, nursing had become nothing more than a job! I looked at these colleagues and thought, “I could never be like that.” Then it happened to me!

After working nights, full time, for almost 5 1/2 years, I had gotten to the point where I hated my job—the nurse bullying and management manipulation, the favoritism shown by the charge nurse for certain nurse buddies, the feeling that I was just an employee about whom upper management did not care. It was more than I wanted to deal with. I had to get out. Nursing was no longer my passion; it was simply that which provided my paycheck. This was a problem for me. I don’t believe in doing anything I am not passionate about. Quite honestly, I spend far too much time working to have a job I hate. I knew something had to change!

I took a day-shift position, away from the bedside. It was the best move I ever made in my nursing career, not because of the change in duties, but because of what my chief nursing officer said during employee orientation. She observed that she was not a nurse in the nursing profession, but rather a nurse in the ministry of nursing. That one statement completely changed my outlook on my place in the nursing profession.

I was reminded that my desire to become a nurse was what had driven me to college in the first place. Had it not been for that desire, I don’t know that I would have gone to college. Seeing nursing as a ministry with a purpose refueled my passion for the profession; not ministry in the sense of providing spiritual guidance but as a vehicle for helping others achieve their absolute best. In addition to caring for patients, I began to see nursing as a way for me to encourage others to use the opportunities provided by the profession to get out of poverty, obtain a good education, and step into leadership roles. 

If you have come to a point in your career where you no longer feel the same passion for nursing you once did, I encourage you to change your view of the profession. Instead of viewing nursing as simply a job, view it as a wonderful opportunity for intellectual growth. Find avenues within the profession that allow you to use the gifts or talents you have. Look into new job opportunities and career advancements. Consider returning to school. Share with others how nursing has provided freedom to travel, meet new people or care for interesting patients. See the profession as a way to leave a legacy in this world. As a nurse, the work you do is not about you. It’s about the people you care for, inspire and encourage. In short, it’s about the ministry of nursing.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International.

18 March 2013

Nurses are not second-rate physicians!

I am a nurse who absolutely adores my profession. I have no idea what I would be doing if I weren’t a nurse. There was no question in my mind which major I would declare when I began filling out my college application. I only applied to one school, and I chose one major—nursing. Each time I returned to school, it was to obtain another nursing degree. At one point, I entertained the thought of pursuing an EdD, but it was because I wanted to be the best possible nurse educator. No matter where I work once I obtain my PhD, I am a nurse first. I will always be a nurse. My passion for the nursing profession fuels my disdain for the idea that nurses are second-rate physicians.

People sometimes make the most asinine assumptions about why nurses go into nursing. I have heard it all. We weren’t intelligent enough to go to medical school. We didn’t want the liability that comes with being a practicing physician. We didn’t like science enough to become a premed major. Medical school is too expensive, and we didn’t want to spend a lifetime paying back the loans. I can’t speak for all nurses, but I take offense to these assumptions. I, for one, did not choose to become a nurse because life’s circumstances prohibited me from becoming a physician.

Nursing is not a steppingstone to a medical degree. In fact, the two disciplines are quite different from one another. Nursing is one discipline, medicine another. Physicians do not supervise nurses, nor is it required that physicians vet nurses. Nursing is a profession, not a trade. We have our own theories, schools within universities, professional organizations, and state boards. Physicians do not teach nurses, and they do not regulate our practice. A physician has never hired me and, unless I choose to work in a private practice, never will. Unbeknownst to the general public (or maybe just unbeknownst to me until I went to nursing school), nurses write their own assessments, diagnoses, and care plans. Nurses work with physicians, and, in most circumstances, not for them.

I know of a few nurses who decided to become physicians. There is nothing wrong with this, but it is not the norm. And I know very few nurses who went into the profession desiring to become a physician, but not doing so because of lack of intelligence or money. I have had a few physicians encourage me to go to medical school, but why on earth would I want to do that? I didn’t become a nurse to test the waters of the health care industry; I became a nurse because I wanted to be a nurse.

As a huge fan of the television show “The Waltons”—yes, my favorite TV show is one that went off the air before I was born—it upset me to no end that the writers decided to make Mary Ellen Walton a physician when she was already a nurse. Why was nursing not good enough to stick with? Did the character have to become a physician to gain status? What subliminal messages were the writers trying to send the show’s viewers?

I didn’t learn that Mary Ellen had decided to become a physician until I was already an RN. As a child, I saw Mary Ellen attend and graduate from nursing school, and I saw nothing wrong with that. To confirm her love of health care and her ability to act as an autonomous, intelligent, and caring health care provider, was it really necessary to change the character’s profession? Of course not! Nurses are all these things and more.

No matter how many times nurses are compared to physicians, I am not swayed to leave the profession I so dearly love. If I want to work as a primary care provider, I can do this as a nurse practitioner. If I want to work as part of an anesthesia team, I can do this as a nurse anesthetist. If I want to deliver babies, I can do this as a nurse midwife. Nurses can even become certified to work as first assists in operating rooms.

The profession of nursing offers so many possibilities. The ability of a nurse to move seamlessly from one specialty to another is unmatched. Nursing is a rewarding profession. Nursing is a well-trusted profession. Nursing is a profession in high demand. There are many things nursing is. A second-class profession behind the medical profession it is not.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International.

21 February 2013

Those who can’t ... teach?

While an undergraduate nursing student, I was introduced to the saying, “Those who can, do; those who can’t, teach.” One of my nursing professors said it’s a statement often used to negatively compare nurse educators to nurses involved in direct patient care. At that point in my education, I didn’t really think much about it. After all, I had no plans to become a nurse educator.

A year later, however, after completing my second year as a nursing student, my plans changed. I did decide to become a nurse educator, and went on to obtain a master’s degree in nursing education. However, despite having an education degree, I never actually worked as a paid educator … until now.

As a doctoral student, I am required to work as a teacher’s assistant, and I have quickly learned that studying teaching and learning theories, teaching methodologies and philosophies, and even learning the science behind creating an effective examination, is much different than actually putting this knowledge into practice in the classroom.

I began working with my assigned teaching mentor the summer before my first year in the program. She allowed me to have some input into the creation of the syllabus. I helped create the grading rubric for the students’ papers, and I was allowed to suggest references they could use when writing those papers. As a part of my teaching-apprentice class assignment, I was also required to teach the students one lesson. Although we were only required to teach for about 30 minutes or so, I taught the entire two-hour lesson that day. Preparation for that one lesson took weeks. I had never been responsible for an entire lecture and, although I enjoy speaking in front of audiences, there are so many things to consider when presenting information to impressionable freshmen and first-year transfer students.

If working on the syllabus and my one lesson plan wasn’t time-consuming enough, I had to help grade papers and quizzes, a much more in-depth process than I anticipated. Educators must take into consideration the reasons students miss certain quiz questions or interpret an essay question in a way the instructor had not intended. Grading papers was something I had never done before, and I struggled with it somewhat. Fortunately, the instructor I worked with was really good about sitting down with me to help me understand what is most important when assigning grade points to various aspects of student papers. She helped me frame my comments in ways that promoted critical thinking and didn’t make the students feel that I was chastising them for their writing. My experience with this instructor was so valuable that I decided to work with her again, this time as a paid teaching assistant.

My responsibilities as a paid TA are much greater than they were as a teaching apprentice. To be honest, I thought I was taking somewhat of the easy way out. I thought, “Hey, the syllabus and quizzes have already been created. What more is there to do?” I quickly learned that the answer to that question is, “A lot!” Good nurse educators update their syllabi and lectures annually. This year, in fact, we assigned an additional textbook, rearranged the order of the topics covered in class, and created a different format requirement for papers. We even changed up the rubrics a little, and we’re in discussion about increasing the amount and type of technology used during lectures. I’ve learned that teaching a particular class one time doesn’t mean you don’t have to prepare when the time comes to teach it again.

To those people who believe the old saw that “Those who can’t … teach,” I encourage you to forgo commenting on something you know nothing about. As someone who has worked on “the floor” for many years, I can honestly say that, for me, working in practice is much easier than working in education. No offense to anyone who works in a practice setting, but when you go home, you don’t usually take your work with you. You don’t mull over lesson plans for weeks (or possibly months) before giving a lecture. You don’t wonder how the information was received during those lectures. You aren’t concerned about the reason a certain student hasn’t shown up in class for two weeks. You don’t keep up on the latest literature so you can incorporate some of it into next year’s syllabus. You don’t clear your night or weekend schedule so you can sit at home and grade tons of papers multiple times each term. You don’t counsel students who are having issues adjusting to college life. You don’t go home at night wondering if you said the right thing during office hours. You don’t; you just don’t!

Now, this isn’t to compare the relative importance of practice and education, because they should not be compared. Both areas need dedicated nurses who are committed to the work involved. Now that I have worked in both settings, I can honestly say that teaching is the most difficult, yet rewarding, job I have ever taken on.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International.

10 January 2013

5 tips for choosing a doctoral program

I seem to have adopted a pattern of making life-changing decisions based on emotion. Fact checking and research did not factor into my choice of an undergraduate program (see my post “Do you know the way to San Jose?”), nor did they affect my selection of an MSN program. (The latter decision was made purely for the sake of convenience. I was working full time nights, and I didn’t want a traditional program that would require me to attend class. An added bonus was the program’s inexpensive cost. I knew I wouldn’t have to take out a loan to pay for my degree.) The way I went about selecting my PhD program (see previous post) was slightly unconventional and, although I’m delighted with my decision, I don’t recommend my decision-making process as a method for everyone to follow.

In hindsight, however, I unconsciously considered some key factors in making my decision to apply to UCLA. And now that I am in my second year of the program, my knowledge about choosing a graduate program is based on both wisdom and experience. Here are five tips for those thinking about applying to graduate school.

Tip #1: Follow the dollar signs.
Funding for graduate students is available in abundance. Whether it’s scholarships, traineeships, or fellowships, the money is there, and it’s money you don’t have to pay back! If you don’t have the money to pay for your education outright, and you don’t want to take out loans, look at the programs that offer the greatest funding.

Sometimes funding comes in the form of tuition reimbursement for students who work as teachers’ assistants or as research assistants. Working as a TA or RA is a great way to pay for your education, and it’s a win-win situation. You gain valuable experience as an instructor or novice researcher, and the school gets an instructor or researcher at lower cost. Be careful to read and understand all of the small print associated with receiving financial aid. Sometimes, the institution requires recipients of such aid to work in a certain area or commit to a certain number of years of teaching or research following graduation. If you are considering applying for funding, see my two-part post “Scholarship alert!!! 10 tips for success in applying for scholarships.”

Tip #2: Make sure your research interest fits the school.
Once you become a graduate student, your research will become your life. Before applying to a specific school, be sure someone on the faculty is an expert in your research area. Most nursing school websites have pages that list faculty members’ current and past research areas. In fact, some schools have a faculty research page that lists all of the faculty’s research, and a significant number of schools also list recent faculty-member publications and conference presentations. Identifying the research interest, publications, and presentations of various faculty members will help you determine whether or not the school fits your research needs.

It’s also important to look at the type of research being done in the school. If you are interested in qualitative research, but the school is full of mostly quantitative researchers, it may not be a good fit for you. Likewise, if you are interested in community-based participatory research, and no one on the school’s faculty is engaged in this type of research, you may be better off looking elsewhere.

In addition to reviewing school of nursing websites, note the authors of journal articles in your area of interest. I’ve found that nursing is a small world, which becomes even smaller when you begin to seek out experts in specific research areas. When reading journal articles, you will begin to see the same names over and over again. Look up the school where those researchers work. If the researcher is a “big name” expert, he or she has probably been at that school for quite some time.

Tip #3: Assess resources available at the school.
Don’t underestimate this criterion for choosing a school. One thing I love about UCLA is its Louise M. Darling Biomedical Library. (Not only are all of the journals, books and other reference materials of importance to nursing students located there, but we still have access to eight other libraries on campus. (Yes, UCLA has nine libraries on campus.) It also has a graduate reading room (secured so only those with a graduate ID from one of the biomedical schools are allowed entrance), graduate student gym—no undergrads allowed, I love it!— and a graduate-student writing center that includes, as one of its benefits, 250 free pages per quarter. There are plenty of other campus resources I love, but this is not about me.

Questions you may want to ask yourself when selecting a graduate school include: What types of databases does the school subscribe to? Can I access other libraries at nearby schools? Does the library participate in interlibrary loans? Is there a library or librarian dedicated to servicing your school or major? Do undergraduates and graduates use the same library? Are resources available to assist graduates with writing? What types of counseling services are available? Is graduate housing provided? Is graduate housing separate from undergraduate housing? I’m sure there are other resources of specific importance to you. Determine what your nonnegotiables are, and then compare them to resources available at the graduate school or schools you are considering.

Tip #4: Check the rankings.
I wasn’t one to care much about national rankings at the undergraduate or master’s level, but a school’s rank is definitely important at the doctoral level. My take on this is simple: The only school that really matters when it comes to rankings is the one from which you receive your highest degree. Being able to say that I am a student at UCLA holds a lot of clout. The same should be true for your school of choice. After all, why pay a bunch of money or spend a significant amount of time working as a TA or RA in exchange for tuition reimbursement only to graduate from a program that is not well recognized or, worse, a program that is not highly respected?

U.S. News and World Report ranks graduate programs in nursing. (They rank UCLA at No. 21 but, of course, it’s No. 1 in my eyes.) If you are looking to be trained as a researcher, you should also pay attention to where the school ranks when it comes to research funding. The National Institutes of Health is a major funder of schools of nursing, and up-to-date funding information can be retrieved from their Awards by Location and Organization database. (Click on the various criteria provided to look at information from various perspectives—organization, location, etc.) Other important decision factors to consider, including accreditation, are available from the National League for Nursing and the American Association of Colleges of Nursing.

Tip #5: Talk to current students in the program.
This is probably the most important factor to consider. You don’t want to enroll in a program only to later find yourself saying in frustration, “If I knew then what I know now!” Currently enrolled students are your best resources when it comes to getting the unadulterated truth about a program. They understand and have been indoctrinated into the “<insert program name here> way.” They know the politics associated with getting into and, more importantly, getting out of the program. They can give you inside information on teaching philosophies of professors and their methods of grading. They can tell you if your research interest is a good fit for the program you are considering or if you would be better off applying to another school. They can give you the scoop on being a TA or RA, who do you want to work for as a TA or RA, and what the expected workload is if you become a TA or RA. They will also tell you whether you should work or not during any given term and if it’s a good idea to take courses outside of the school of nursing during another term. Students currently enrolled in the program are your allies. Use them wisely.

When choosing a graduate program, you have to do what’s best for you. I have provided five major tips for making that decision, but they are based on what I thought was best for me. If I were married or had children or had to go to school out of state, my preferences would change accordingly. Your decision to go to graduate school is a personal matter and, ultimately, the school you select should be based on no one’s opinion but your own. No matter the reasons you use to choose your graduate school, congratulations on making the choice to further your education!

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International.

09 January 2013

How I ended up at UCLA

I’m often asked how I chose UCLA (University of California, Los Angeles) as the school I would attend to obtain my PhD. To be honest, I don’t feel as though I chose it, but that it chose me.

Before I was halfway through my MSN program, I began looking at nursing PhD programs. I also considered EdD programs, because my MSN is in nursing education, and I have a passion for teaching. Enrolled at the time in an online program, I was not keen on pursuing another online program, but I knew this meant I would have to move. I looked around the UCLA School of Nursing website, but did not see how the PhD program would be a good fit for me, because my research interest was nursing education and the PhD program at UCLA does not focus heavily on research related to that interest. In fact, until a chance meeting with the nursing school’s director of recruitment, outreach and admissions, my mind was made up that UCLA was not the place for me.

During a break at the 2010 Leadership Summit in Honolulu, Hawaii, USA, sponsored by the Honor Society of Nursing, Sigma Theta Tau International, I approached UCLA School of Nursing’s exhibit table. To be honest, I was alone and, because the woman behind the table was also alone, thought I’d stir up a little conversation. I told Rhonda Flenoy-Younger—director of recruitment—that I had looked at UCLA, but didn’t think the program was for me.

She encouraged me to look at the information on a flash drive she handed me, and she took down my email address. She also introduced me to the dean of the School of Nursing. In speaking with him about my research interest, he encouraged me to apply to UCLA but not with the same research interest. When I returned home, I began receiving emails from Flenoy-Younger, inviting me to meetings of the Pan-African Nursing Students and Alumni Association (PANSAA) at UCLA. I ignored the first two meeting invitations, but responded to the third.

At the PANSAA meeting, I immediately felt a level of comfort among the students that I hadn’t felt at my undergraduate school or in the online MSN program from which I had recently graduated. Very interesting to me was that there were alumni in attendance, some who had graduated in the 1970s and ‘80s. Even the dean was there. I left that meeting feeling that, maybe, UCLA had something to offer after all. 

The next day, after attending a PhD information session presented by the UCLA School of Nursing (UCLA SON), I was sold! The support I felt from the faculty, their obvious love of research and UCLA, the personal stories of those on the student panel, and the commitment of the School of Nursing to provide tuition for all graduate teachers’ assistants was all I needed to make my decision. I left the session with my mind made up—I would apply to UCLA and would continue to apply until I was accepted.

A few days later, while attending the 2010 Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) convention in Las Vegas, Nevada, I met a nurse educator-researcher who encouraged me to contact a faculty member at UCLA SON who was her personal friend. After contacting the professor, I set up a meeting with her.

First, though, I met with another faculty member, who encouraged me to choose a research interest about which I was truly passionate, not one that simply coincided with my MSN degree. At that point, my interest changed from nursing education to teen-pregnancy prevention. A week or two later, I met the friend of the nurse I had met at the AWHONN conference. Unbeknownst to me, the area of nursing about which I was now most passionate was the research area of this faculty member. I was sitting face-to-face with a world-renowned expert in teen pregnancy, and I had no idea! The encouragement I received from these two faculty members only strengthened my resolve to obtain my PhD from the UCLA School of Nursing.

Watch for my next post on choosing a doctoral program.

For Reflections on Nursing Leadership (RNL), published by the Honor Society of Nursing, Sigma Theta Tau International.