Is it the idea of NPs in general Dr. Leah Houston is disgusted with?

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Is it just the idea of NPs in general she’s disgusted with?

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Specializes in ICU, trauma, neuro.
9 minutes ago, popopopo said:

I briefly scanned these. One is a systematic review with many studies in question having NP who were supervised by attendings. It didn't even list the database they used. Who their right mind would do a real study giving NPs and physicians equal acuity patients? Wouldn't it be unethical to do so? Any studies like these are a laughing stock because the methods are so bad to begin with.

I don't think anyone would argue that there isn't room for improvement in the quality of studies examining this issue. However, the "discussion" which this thread is based around doesn't even purport to offer any studies. Rather, several "personal accounts" of poor care are referenced. I can personally think of 20 to 50 cases of egregious care that I have witnessed by physicians during my nursing career, however this is of little value in the assertion that "MD's provide poor care" (not that I believe they do, rather I believe most physicians provide excellent care). NP's have advantages and weaknesses as a profession. However, I do not believe that there is any overwhelming evidence that the many states that have granted them independent practice have experienced any significant decline in the quality of their outcomes (or to the extent that any have that such decline is attributable to NP independent practice). It should also be noted that even in the more "restrictive" practice states like Florida where I live that the "oversight" is more "in name only". That is to say most NP's that I know here have a "collaborative agreement" with a physician and maybe meet with them once a month (if that much) and have the ability (in theory) to get a clinical question answered. Mostly, it is simply an extra 5-10% that the NP must pay the supervising physician so that they can "check a box" on the state application.

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So what NP fixed or exposed one of her errors and now she's ranting about it but painting it to be nursing as a whole? ?

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