Originally posted by dianacs
You all are probably aware that PT requires (or will soon require, can't recall) the masters degree for entry into practice. Pharmacists need the PharmD. Etc., etc. Did any of these other non-nursing professions have a lot of controversy over adopting these standards? Or any standards, for that matter. Nursing doesn't agree on what the standards should be, unless you consider the multiple points of entry a "standard".
The debates in nursing over proper entry-level have been going on and on for years. North Dakota (and Canada, yes?) has adopted the BSN as the entry-level. How did this come about? What did it take for the legislators to sit down and say, "this is how it's going to be, no ifs ands or buts"? How is nursing affected in these areas due to the BSN being required?
My husband and I were just discussing this(he had a question about respiratory therapists). IMO, nursing and respiratory therapy are at the low end of the totem pole in regards to respect in the healthcare setting as compared to PT, OT, and even Dietary. The difference is that those disciplines have been able to establish their specialties as separate
from medicine with their own standards for treatment and their own plan of care. It was not that long ago, that I can remember the docs coming in and writing out specific orders for PT(I want this done and that done, etc. ) I can also remember that pharmacy merely filled medication orders, no more. Now the docs come in and write PT consult or OT consult; they come in, evaluate the patient and recommend a plan of care. Same thing for pharmacy; the doc writes RX consult for gentamycin dosing, Vanco, etc. whereas that used to be strictly the domain of the physician. As a result, they are seen as collaborators
in the care of the patient instead of merely taking orders that the physician writes. Not coincidentally, they have also seen enormous rises in their salaries and increased autonomy within the healthcare system, as well as increased respect. IMO, this started with standardizing and elevating their entry level for practice.
Nursing can and should be doing this; we have our own models of care that we should be able to carry out without asking the doctor or being under the doctor's supervision. Instead, we continue to act as taskmasters in the healthcare system while everyone else tells us what to do. The problem is that many nurses do not see it that way and choose to take the debate over A.S versus B.S. personally. It's not about that. How would it affect the shortage? I think if people see nursing as a profession with a lot of respect and autonomy as well as higher salaries, that could only help the shortage. JMHO.
How did the other disciplines arrive at this? How did they figure out what we realized out decades ago but could never put into place? I don't know. I wish we did know, I think it could improve things for all of us.