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Advanced Practice Nurses: Should They Be Independent?
Nancy Ruppert, RN
Star, NC
Arch Fam Med. 1995;4(8):674.
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The editorial by Rudy1 in the January 1995 issue of the ARCHIVES was quite interesting but contained some misleading information. For the benefit of Rudy and ARCHIVES readers, I would like to reply in an attempt to prevent unnecessary animosity between our professions.
The meta-analysis that was cited in reference to time spent with patients (comparing nurse practitioners [NPs] with physicians) was taken from studies that were done several years ago. The realities of current practice and economics have resulted in a significant narrowing of that gap. I will readily admit that updated documentation of this is needed.
Advanced practice nurses who do wish to become independent practitioners are not interested in independently practicing medicine; they are interested in practicing nursing, just as they have been trained to do. Quality health care by a primary care provider does not always require medical acts, but when it does, NPs
. . . [Full Text PDF of this Article]
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