NPAM's Marian Grant Responds to NYT Op-Ed "Nurses Are Not Doctors"
Wednesday, April 30, 2014
Posted by: Marty Buonato
Here is NPAM's North West Director Marian Grant's response to 4/29/14 NYT Op-Ed "Nurses Are Not Doctors"
As a nurse practitioner I need to point out that Dr. Jauhar’s column this morning, "Nurses Are Not Doctors” cites only one study done 15 years ago regarding the cost effectiveness of nurse practitioners. A recent systematic review published in Nursing Economics in 2011 showed that nurse practitioners had comparable outcomes in terms of emergency room visits, hospitalizations, and length of stay (https://www.nursingeconomics.net/ce/2013/article3001021.pdf). That review also confirmed that other patient outcomes, including satisfaction, were also comparable if not higher.
It is such evidence that led the Federal Trade Commission to release a policy perspective in March stating "based on substantial evidence and experience, expert bodies have concluded that APRNs (Advanced Practice Nurses such as nurse practitioners) are safe and effective as independent providers of many health care services within the scope of their training, licensure, certification, and current practice” and that state actions to limit such practice might be seen as restraint of trade (http://www.nacns.org/docs/FTC140307aprnpolicy.pdf).
The reality is that nurse practitioners have practiced safely and independently for many years in some states. We should be allowed to do so in others not for cost reasons, but because we provide quality care for patients at a time when such care is urgently needed.
Marian Grant, CRNP
To read the NYT Op-Ed "Nurses Are Not Doctors" published on line on 4/29/14, click here .