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Adult vs child nursing - can't decide!

24 replies

lunavix · 11/05/2007 13:17

I am in the middle of applying to do Nursing, but am having a bit of a dilemma. I thought I wanted to do child nursing, as I have a fair bit of experience working with children which I love. But I've been told adult nursing is better career wise, there's far more areas you can specialise in, and it's far easier to get a place - I've left it quite late and it seems most child nursing places are gone.

Help!!!!! I have no idea what to do. I really don't want to make the wrong decision and end up regretting it.

What are the different areas you can work in with adult nursing?

OP posts:
nogoes · 11/05/2007 13:24

If you do adult nursing you can work in just about any area. Orthopaedic, geriatric, acute medical, A&E, surgery, Oncology etc.

I'm not a nurse but years ago I looked into it as I thought I was interested in child nursing but after having ds i realise that I would find it too upsetting. I really admire those that can do it.

lou031205 · 11/05/2007 13:58

Just another thought:

Adult nursing enables you to top up to Health Visiting - generally working with children & families.

Main issue is that if you train in Adult nursing, you can do 18mths post-qualifying to convert to Learning Disability, Childrens, Mental Health nursing or (in some areas of the country)Midwifery.

If you do Child branch or any other branch, you would have to do the full 3 years.

So, train as an adult nurse and change your mind, =4.5 years of training.

Train as a children's nurse and change your mind, =6 years of training.

lou031205 · 11/05/2007 13:59

You could still do neonatal (prem and newborn babies) as an adult trained nurse, too.

mosschops30 · 11/05/2007 14:01

Hey lunavix I am in my 2nd year of adult nursing degree. I nearly changed to mental health but after a good chat with my tutor I stuck with adult.
As you say adult gives you a lot more scope, you can do an 18month course to top up to Health Visiting/Midwifery/Community Nursing/Mental Health etc (and I presume child health too).

It opens all the doors and you can also work abroad with an adult nursing degree (you cant nurse in america with a mental health qualification not sure if its the same for child health but I presume so).

The possibilities are endless, and if you do somethng like theatres or recovery you will find yourself working with children anyway.

HTH, but feel free to ask me any more questions

lunavix · 11/05/2007 14:02

Can you still do neonatal? It's babies I want to work with really...

What's my chance of getting a neonatal placement though, wouldn't they be taken up by child nursing students!

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mosschops30 · 11/05/2007 14:05

We dont do neonates as part of the adult degree, you get a child placement (2 weeks) but this is usually in a nursery or school as the child branch students get all the hospital placements.

I think neonatal is part of child branch

saralou100 · 11/05/2007 14:06

could you volunteer on a childrens ward to find out first??? see if you like it?

their are a lot more adult places than children... i know a lot of people who have done adult as they couldn't get a place in the branch they want and then gone onto retrain as lou said.

lunavix · 11/05/2007 14:10

would it look terrible if I applied for both adult and child at the same university. I imagine it would.

hmm.

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lunavix · 11/05/2007 14:12

Would it look okay if I applied for both adult and child nursing - specifically saying as my aim is to work in neonatal and I know they are both a path to it?

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saralou100 · 11/05/2007 14:22

i can't see why not????

mosschops30 · 11/05/2007 14:25

No you probably wont even get an interview, the head of admission for our Uni says if a student puts two different courses down they are thrown on the 'no' pile. Its so competitive that they only want students who are commited.

However if you wanted to you could apply for child branch in the september intake and then adult for next years intake, depends on how much time youve got.

Also depends on University, if they are struggling for students then they probably wont mind, but this is unlikely given the amount of nursing student places they are cutting due to lack of jobs

lou031205 · 11/05/2007 17:40

You definitely can do neonates as an adult branch nurse, because I am a Staff Nurse (Adult) and worked in a neonatal unit for a time.

Neonates are not classed as 'children'. Child branch focuses on development of children, etc, and a newborn's needs are much more physical.

That being said, there are many child branch nurses working in neonatal units, also.

Most nursing courses include an 'elective' placement, which you organise yourself. So, while you are unlikely to be allocated a neonatal unit as a placement in the adult branch course, you could simply arrange to take your elective on a neonatal unit.

lou031205 · 11/05/2007 17:43

What would be the benefit of applying for both? If you would be offered both, which would you take?

If you can answer that, just apply for that one, but realise that eitherway you are limiting your options for work afterward. (Child branch means you can ONLY work on children's areas. Adult branch means you CAN'T work on childrens's areas. So, you could work on NICU (Neonatal Intensive Care) but not on PICU (Paediatric Intensive Care), for example.

lunavix · 11/05/2007 18:09

lou - I suppose I'm hedging my bets really.

Neonatal is where I want to work (I didn't have the name for it before ) but I'd ideally want to start in September. Apparently only one local Uni has any space on Child Nursing, all local ones have Adult Nursing spaces... I suppose I'd rather do Child but it just seems a shame (and a pain) to have to wait a year for it. However my NMAS form (and personal statement) need to reflect what I'm applying for, so I either need to apply for the one Child Nursing, any four Adult Nursing, or a mix (and explain why) which like Mosschops says they may not be happy with.

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lunavix · 11/05/2007 18:16

lou - would you say that apart from obviously being able to work for a greater variety of areas, is there any other plus sides for adult nursing? Is it higher regarded, for example, or has it opened up anything particularly interesting for you?

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lunavix · 11/05/2007 18:18

Can you do the 18month conversion to 'top up' a child branch to adult?

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Boco · 11/05/2007 18:19

I thought this thread was someone decided on pros and cons of breastfeeding a child or an adult! Phew.

lunavix · 12/05/2007 09:21

lol no, I'm definately sticking with just child there!

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jenwa · 12/05/2007 09:38

I would do childrens! Not a nurse but work in hospital and worked as auxillary on childrens and adults in past before current job. My current job does involve adult care and I think it is a very heavy and demanding job (depending on the area!) and relatives are more stressful and complain alot! Adult care can also involve alot of incontince issues and you have to be prepared for this!!!!

You can go on and do midwifery, HV, school nurse etc which I think would be lovely.

I agree there are more areas in Adult nursing, ie, disrict nursing, mental health, gp surgery, and hospital based as other MN's suggested.

I would personaly choose children!

lou031205 · 13/05/2007 17:09

HI Luna

I think to be honest, the whole issue comes down to three things:

-How willing are you to wait for a place on a child health course? The popularity of them is often to do with the 'desirability' of dealing with children. One thing to bear in mind is that you will also have to deal with the parents of those children.

Also, no child is supposed to die, so callous as this may sound, you won't have the solace of, for example, knowing that your patient was extremely old and had reached the end stages of their life.

Admissions officers are going to want to see evidence, both on your application and at interview, that you know something of the nature of children's nursing (try to read about 'family-centred models of care' to get an idea of the approach of children's nursing towards patients and their families). Also the complexities of bridging the gap between the child as your patient and their family also as your patient. Sometimes there are conflicts between the two.

-How willing are you to travel for work? Harsh reality is that the percentage of children's wards in ratio to adults is tiny. For example, in one of my local hospitals there is just one children's ward and ten's of adult wards. This isn't necessariily a big problem, except that there will always be greater competition for child nursing posts. The knock on effect of this is a phenomenon called 'dead man's shoes' in desirable posts, low turnover of staff. The other factor that goes along side this, is that you won't be qualified to do temporary work on adult wards.

-As rightly pointed out, if you choose adult nursing, there is a lot of 'basic need provision' on the majority of general wards. You will rarely find a ward where there are not patients who need assistance with their basic bodily functions or mobility.

-Do you see yourself as being hospital based for most of your career? Opportunities in the community for Child Branch Nurses are not plentiful, but do exist. Mainly health visiting, School nursing or community specialist nursing, but very competitive. Obviously, with more adults needing care from the NHS, there are more opportunities in the community with adult nursing.

In answer to your main questions, I don't think adult nursing is, in itself regarded as any better than children's nursing, but I do think it is regarded as more transferrable, hence the ability to retrain in 18 months as opposed to 3 years for other branches.

I have been lucky enough in my short career to work in some very interesting settings as an adult branch nurse:

Firstly Neurosurgical Ward, then neuro theatres, where I was mainly a recovery nurse (being so specialist, we dealt with children as well as adults), but also did scrub nurse work for interventional radiology (x-ray guided procedures using special wires into the arteries of the brain to investigate or treat brain blood vessel problems).

I moved on to Neonatal Intensive Care (not really my cup of tea - very 'medicalised', and didn't feel that I could give my best to the patients or their parents, although I did work there in a time of constant bed crises).

I then had my daughter, so now only work one half-day per week in a general outpatients department - completely different style of nursing, much more about the emotional needs of your patient.

I think if you are careful, you could word your application to suit both adult and children's nursing, but it will be tricky, because you could come accross as unsure of yourself and your reasons for doing the course, which nursing schools in general hate.

Have you considered applying just for child, and then if you don't get it, try and go through clearing for adult?

The other option, which is a bit cheeky, is to accept and start the adult course, but then approach tutors soon into course and say that you 'made a big mistake', etc, and that you should have applied for child branch. It's a risk, but I know a few students that did this at Southampton, and were allowed to change branch.

lou031205 · 13/05/2007 17:11

Just realised that was a mammoth post!!

Oh and Jenwa, have to disagree re: stress of relatives - there is nothing more stressful than the relative of a patient that cannot advocate for themselves, whether a child or a vulnerable adult.

In my experience, emotions run high wherever you work.

lou031205 · 13/05/2007 17:13

Sorry one more thing, I have worked as both a nurse and auxilliary in hospitals. I found that relatives might rant at you as an auxilliary, but as a nurse they expect you to do something!!

lunavix · 13/05/2007 18:20

lou - very interesting.

Southampton is actually one that I am applying to - Basingstoke is local to me, actually the most local out of every university, and they're one with no child but lots of adult places. They also said they frown upon switching, so interesting that they've allowed it. Maybe if I prove myself through study, they'll let me.

This will be my career so I'm thinking long and hard - is what you are saying that if you train as Adult, you can switch to Child in 18m, but if you train as Child, it will mean starting again to switch to Adult?

It's also interesting that I've researched that the Adult BSc is accepted overseas but the Child BSc isn't - hubby desperately wants to move. Hmm.

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lou031205 · 14/05/2007 12:15

Hi

Yes, that is exactly what I am saying. As an example, I trained alongside a Learning Disabilities nurse who had been qualified 13 years, and was a Charge Nurse (Equivilant to junior sister), but had to do the full 3 year course in adult nursing.

If I wanted to do Learning Disabilities, I would retrain for 18 months.

Re: working abroad, this doesn't surprise me. Adult branch nursing is just more transferable, and some countries don't even train separately for children, which is why they wouldn't recognise it.

I'm not suggesting it is easy to switch at Southampton, just that I have seen it done. I also suspect it will depend on the availability of places due to drop-outs and the like.

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