Should DNP's be able to practice on their own? How do you feel about midlevel encroachment

[curiousobserver]

I am recently learning about the healthcare field and I saw the MD's perspective of why DNP's shouldn't have their own independent practices.

From your point of view, why should they?

[Jules A, MSN]

You sit there and ask for proof in all your posts and point towards studies that prove nothing but the fact NPs can manage HTN, cholesterol, and some Diabetes.

You know it is true that NP education is lackluster, the AMA has bigger fish to fry such as dealing with insurance companies which is the reason they do not perform studies of their own on NP performance. Some have proposed these studies yet NP groups deny to do them when sponsored by anybody but a nursing organization.

One only has to be in the same clinic/hospital with nurse practitioners to understand their lack of knowledge. The only half way decent ones are ones that were extensively trained by physicians in orientation. If it wasnt for physicians giving in and training NPs they would be completely lost. Most of them cant even read a basic chest X ray, differentiate gram positive vs gram negative bacteria, map out a simple pathway of a nerve, or even understand what receptor autonomic drugs work on. It is pathetic!

Sorry bro, you might think you know it all as an NP but if you ever went head to head with anything past a 2nd year med student you would be toast in most cases and you know it. its ok though,, the NP market will soon be saturated and once I am done in 5 years with residency I can hire a bunch of you to do all my dirty work and pay you 25 bucks an hour. Good thing NP education is so easy to obtain anybody can do it, thus shifting the market in our favor. And since I wont be doing primary care you can never branch off and do your own thing after being trained by a physician.

Lol at these NPs that get trained by physicians then come out and say they are equal and bash them with silly "how i saved the residents butt back in my nursing day" ego stories. Keep posting on your discussion boards, taking open book quizzes, and reading your nursing research, because once all of you get your little independent practice mantra going the lawyers will start raking it in with malpractice since you wont have your MD holding your hand in the clinic/hospital anymore. Cant wait to testify on the patient's behalf when simple diagnoses get missed and medication interactions get ignored. I am glad there will be independent practice though, I would never want my name cosigned to an NPs chart then get drug to court instead of the NP because of more $$$$, thus further skewing those silly malpractice surveys where they compare primary care NPs with their hand held by a FP physician has lower malpractice than a neurosurgeon using new technology lmao.

Also, hospitals have caught on to the nursing game, hence why they are denying silly online nursing program graduates from getting hired. lol! Hospitals are not dumb, hence why they pay the docs 3-4 times more. They want quality, not cannon fodder for the lawyers.

Seriously bummed because I wanted to love you. I tend to be more aligned with MDs than NPs and even liked a few of your posts in the general nurses forum despite them coming off as rather antiNP. Unfortunately although much of what you wrote in other posts is accurate in my opinion and I take a beating here with my ongoing criticisms of our flimsy NP education and total lack of preparedness to practice upon graduation this is too extreme even for me.

[WKShadowNP, DNP, APRN]

Oh bless your heart, prelift.

[NICUmiiki, DNP, NP]

NPs in my state are required to have a collaborative practice agreement, but that doesn't require supervision at all. They even have full prescriptive authority. The MD/DO only has to agree to answer questions if needed. They don't ever have to be on-site, see the patient, review charts, sign anything, or take any responsibility for anything the NP does, and they collect a nice check for providing this service to the NPs. So even though they are not fully independent, there are many NP owned and operated clinics, from single provider clinics to multi-provider, multi-location organizations. It's obvious, at least in my state, that the MD/DOs benefit financially from the collaborative practice agreements for very little work. The public is usually against full authority at first because they are under the assumption that NPs are being actively supervised by MDs. The medical board would have you believe that CNAs are writing prescriptions, but NPs aren't as undereducated as they'd like you to believe and have proven themselves to be safe and effective providers. I wouldn't be against post-graduate residencies for NPs. A bunch supervised experience would cover a lot the the current complaints (even if they aren't fully warranted).