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AMA House of Delegates Considers Limits on on Nursing Education and Practice

Posted

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 43 years experience.

from pa nurses assoc eupdate:

ama house of delegates considers limits on nursing education and practice

posted: 06/13/08

attention pennsylvania nurses:

the american medical association (ama) house of delegates plans to consider resolutions at its june 14-18 meeting, to place limits on nursing education and practice. resolution 214, "doctor of nursing practice," would require physician supervision for dnps. resolution 303, "protection of the titles 'doctor,' 'resident' and 'residency,'" would limit the use of these terms to physicians, dentists and podiatrists. while these resolutions are policy statements, they set the agenda for state medical associations as well as the ama itself, to advocate for state and federal action. please click on the links below to view the ama resolutions and psna/ana’s responses to them:

from ana's response to ama resolution 214:

...february 2007 report entitled "changes in healthcare professions’ scope of practice: legislative considerations." this report was drafted collaboratively by representatives of six healthcare organizations, including the national council of state boards of nursing (ncsbn) – and the federation of state medical boards (fsmb). this report notes that "it is no longer reasonable to expect each profession to have a completely unique scope of practice, exclusive of all others. overlap among professions is necessary. no one profession actually owns a skill or activity in and of itself."

national council of state boards of nursing, retrieved june 6, 2008, http://www.ncsbn.org/scopeofpractice.pdf

Well, that didn't take long, did it ... Just what us jaded, cynical old-timers were predicting. I hope Dr. Mundinger's happy! :rolleyes:

RN1982

Specializes in ICU/Critical Care.

Wow, AMA is just a bunch of nurse-fearing elitists.

Hmm. Seems we're ruffling some feathers on some very old birds?

MikeyJ, RN

Specializes in Peds, PICU, Home health, Dialysis.

I applaud the AMA!

RN1982

Specializes in ICU/Critical Care.

Perhaps we should start a petition? I mean, as it is said in some of those response letters, there are 2.9 million of us.

RN1982

Specializes in ICU/Critical Care.

I applaud the AMA!

What for?

Jo Dirt

Has 9 years experience.

They're scared.

herring_RN, ASN, BSN

Specializes in Critical care, tele, Medical-Surgical. Has 48 years experience.

Some AMA history:

...Specifically designed to provide federal funds for improving maternal and infant care, the Sheppard-Towner Act enabled hundreds of nurses to visit homes, give health education and encourage prevention of disease.

The 1915 death rate for infants, 100 deaths for every thousand births in America, dropped to 69 deaths per thousand by 1928...

...In 1929 the Sheppard-Towner Act was allowed to lapse. Joining forces with political conservatives, the American Medical Association had damned the Act as "wasteful and extravagant, unproductive of results and tending to promote communism."...

http://www.neonatology.org/classics/mj1980/ch08.html

ann945n, RN

Specializes in Nursing Ed, Ob/GYN, AD, LTC, Rehab. Has 4 years experience.

*sigh* didnt see that one coming

WolfpackRed

Specializes in Nurse Anesthesia, ICU, ED. Has 4 years experience.

I would like some clarification on how the AMA feels the DNP would exacerbate the nursing shortage problem. There are too many issues that contribute to the nursing shortage, particulary at the bedside, and to feel that furthered education will make it worse is short-sighted.

I think that the first step to addressing the nursing shortage is to recognize and improve the issues that we face while delivering care at the bedside. I further believe that the argument that smarter nurses move away from the bedside is a false one. Again, fix the problems at the bedside and more would want to stay ther no matter the education level, although I do realize that most would not to get a DNP to stay at the bedside. However, I feel that patients deserve and have the right to the best educated and experienced nurses avalable.

WolfpackRed

Specializes in Nurse Anesthesia, ICU, ED. Has 4 years experience.

Furthermore, the ANA response to resolution 303 hits the nail on the head. It is all about money and this is a step towards restriction and regulation of advanced nursing practice.

Furthermore, the ANA response to resolution 303 hits the nail on the head. It is all about money and this is a step towards restriction and regulation of advanced nursing practice.

Over 100 years ago, the AMA claimed every single thing that in anyone's wildest dreams, could be considered the "practice of medine". There was a time, not that long ago, that taking Blood Pressures, was condered the "practice of medicine", and restricted to physicians only.

That being said, I completely agree that the AMA is panicking, and using their substantial political influence to once again, restrict any one from intruding on their turf. Perhaps nurses should protest the use of "make believe nurses", also known as Medical Assistants, in doctors offices. That is an encroachment on OUR TURF. The doctors know it, but want a cheap way to provide nursing care and professional nursing practice, "on the cheap".

I hope that the ANA will continue to protest this "practice battle", in the courts if necessary. If the AMA gets away with this we will all be in trouble. JMHO and my NY $0.02.

Lindarn, RN, BSN, CCRN

Spokane, Washington

herring_RN, ASN, BSN

Specializes in Critical care, tele, Medical-Surgical. Has 48 years experience.

And the physicians call their unlicensed assistants "nurse".

Some are wonderful kind and skilled but are not nurses unless licensed as an RN, LPN, or LVN.

Over 100 years ago, the AMA claimed every single thing that in anyone's wildest dreams, could be considered the "practice of medine". There was a time, not that long ago, that taking Blood Pressures, was condered the "practice of medicine", and restricted to physicians only.

That being said, I completely agree that the AMA is panicking, and using their substantial political influence to once again, restrict any one from intruding on their turf. Perhaps nurses should protest the use of "make believe nurses", also known as Medical Assistants, in doctors offices. That is an encroachment on OUR TURF. The doctors know it, but want a cheap way to provide nursing care and professional nursing practice, "on the cheap".

I hope that the ANA will continue to protest this "practice battle", in the courts if necessary. If the AMA gets away with this we will all be in trouble. JMHO and my NY $0.02.

Lindarn, RN, BSN, CCRN

Spokane, Washington

I also wanted to add, that if the AMA thought that the could get away with it, they would claim haircutting as the "Practice of Medicine". After all, don't barbers and beuticians use sharp instruments to practice their trade? We wouldn't want anyone to get hurt, now would we?

Lindarn, RN, BSN, CCRN

They're scuuuuuured. They should be welcoming this with open arms. They point out nurses with doctorates will be able to be called doctors. Ummm....anyone with a doctorate in any field can be called doctor. Surely they know that and the tag won't say MD.

And I wonder if this doctors who let their office staff who aren't licensed be called nurses see the hypocrisy here. Doubt it.

Get out the flamethrowers because I suspect there will be a roast of GilaRN shortly.

First, I am suprised that anybody is suprised over these AMA considerations. This should have been anticipated long before the first DNP program ever hit the scene.

Second, we really need to have some empathy if we are going to deal with the resistance. We complain all day long about UAP's taking over our jobs, performing advanced procedures, and providing nursing care that "should be a nurses duty." Just look at some of the paramedic in the ER and hospital threads? Very serious debate.

So, in a way it is the pot calling the kettle black. We are resistant to having other providers (With less formal education in some cases.) play in our back yard, but cry foul when physicians look at the DNP the same way? In many ways they most likely see it the same way as as nurses see the whole UAP debat. (However, more and more paramedics are actually licensed with 2 year degrees.) But still, it is a similar way of thinking.

So, to really debate this situation, we need to see where physicians and the AMA are coming from and make compelling arguments that are evidenced based rather than simply complain.

I want to be very clear. I am not siding with the AMA; however, we will need some serious ammunition to bring to the fight on this one.

Get out the flamethrowers because I suspect there will be a roast of GilaRN shortly.

First, I am suprised that anybody is suprised over these AMA considerations. This should have been anticipated long before the first DNP program ever hit the scene.

Second, we really need to have some empathy if we are going to deal with the resistance. We complain all day long about UAP's taking over our jobs, performing advanced procedures, and providing nursing care that "should be a nurses duty." Just look at some of the paramedic in the ER and hospital threads? Very serious debate.

So, in a way it is the pot calling the kettle black. We are resistant to having other providers (With less formal education in some cases.) play in our back yard, but cry foul when physicians look at the DNP the same way? In many ways they most likely see it the same way as as nurses see the whole UAP debat. (However, more and more paramedics are actually licensed with 2 year degrees.) But still, it is a similar way of thinking.

So, to really debate this situation, we need to see where physicians and the AMA are coming from and make compelling arguments that are evidenced based rather than simply complain.

I want to be very clear. I am not siding with the AMA; however, we will need some serious ammunition to bring to the fight on this one.

No flames from me -- I agree with you.

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