News & Press: NP News

NPAM's Marian Grant Responds to NYT Op-Ed "Nurses Are Not Doctors"

Wednesday, April 30, 2014   (1 Comments)
Posted by: Marty Buonato
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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 .


Comments...

Veronica Gutchell says...
Posted Tuesday, May 13, 2014
Thanks Marian. Just curious, did this go to the NYT? I thought AANP's perspective was interesting as well. After mentioning the research on our outcomes, they addressed an interesting angle that I don't see mentioned often. “...Here, clinical communities no longer embroiled in this issue are devoting their full efforts to improving care and access, which should be the goal of every provider. Instead, Dr. Jauhar is manufacturing adversarial relationships between clinicians who actually treat one another with respect, professionalism and congeniality across diverse health care settings, many in which they work together every day. This collegial rapport is essential for the best possible care of patients. Nurse practitioners are committed to ensuring that these bonds endure in spite of any perception of an imagined health care turf war. Our energy is better spent helping patients.”

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