Quote from Traveler
This question has been discussed lots in a previous thread. And no, I don't think it has been ignored at all but when some people have a particular conviction in their mindset nothing can be said that will make any difference. In my experience as an RN for ten years and a student pursuing a MSN/NP- I agree with goodknight. From my education and from my experiences as both a hcp and a patient, the nursing model of care tends to be more holistic as opposed to a more keyed in focus. Yes this is what we are told in nursing school
but it is also what I have seen in the field. Of course there are MD's, PA's who do follow a holistic approach similar to the nursing model of care, but generally speaking this is not the case in my experience. If a patient has a pressure ulcer the NP will focus not only on the actual wound (and nurses have more experience with chronic wounds and treatments), but also on nutrition and lifestyle teaching. If a patient presents with chronic pain, the NP is more likely to ask questions and assess sleep, family relationships, how the pain has impacted their life, what they do on a daily basis in addition to looking for pathology, disease, etc. Again, there are PA's and MD's who do this but through my experience this is not the norm. This is why NP's are very well suited for general family practice. I have seen more NP's with good bedside manners than I have MD's.
This is absolutely correct. The nursing model incorporates the medical model (by way of "empirical knowledge") into the nursing model. But it also looks, in treating the patient, at the patients' environment, family, etc., etc.
Having attended PA school, I found it lacking in how I wanted to deal with patients. With a background in social work AND medicine, I found that nursing encourages me to treat the whole person. I was fighting an uphill battle in PA school and am now thriving in nursing school.
Yes, I could have practiced as a "holistic PA" but for my own piece of mind, I would prefer the rounded education that the nursing model provides.
BTW, this all was greek to me before I landed in a nursing theory class -- so I completely dismissed these debates before enrolling in PA school