Letter to the Editor

Letterto the Editor

AReactionto theEditorial“When a Nurseis Your HealthCareProvider, YouAre at Risk”

Letterto the editor

March4, 2015,

NewYork Post,

1211Avenue of Americas,

NewYork 10036-8790,

Tel.212-840-2530

Re:A reactionto theeditorial“When a nurseis your healthcareprovider, youare at risk”

Summary

Theeditorialcriticizesthenewlawthat wasenactedin theState of New York allowingregisterednursesto practicemedicine.Accordingto thenewlaw,registerednurseswhohaveworkedunder thedirectionof physiciansfora periodof at least20 monthsmust haveacquiredenoughexperienceto practicemedicine.Thisimpliesthatthesenursescan doallrolesthata qualifiedphysiciancan do,includingdiagnosis,prescription,independentpractice,ortreatingpatients.McCoughey (2015) opposesthislawby suggestingthatnursesundergodifferenttrainingfrom thetrainingthatthedoctorsreceive.McCoughey addsthat,eventhenursepractitioners with an advanceddegreewhohaveneverbeento medicalschoolcannot dowhattraineddoctorsdo.

Analysisof howarticleaddressestheissue

Theeditorialaddressestheissuefrom an impartialpointof view,whereMcCoughey (2015) includestheopinionsof trainedmedicsandregisterednurses.Forexample,Dr. Jauhar (citedin McCoughey, 2015) statesthateventhemedicalstudentsare not allowedto practicemedicinewithin their firsttwoyearsof training.Asimilaropinionisgivenby Dr. Jane Fitch (citedin McCoughey, 2015) whostartedas a nursebefore earninga medicaldegree.Therefore,neitherof thepractitioners from thetwo professionsseemsto supportthenewlaw.McCoughey (2015) putsitclearthatthenewlawwasbasedon economics,butnot on healthprinciples.Thisis becausethemainobjectiveof allowingtheregisterednursesto practicemedicinewasto reducethecostof deliveringhealthcareservices.However,theeditorialidentifiesthatnursesrequiremoresophisticatedmachines(suchas CATscan) to conductdiagnosis,which reducesthepossibilityof gettingtheeconomicbenefitsof usingcaregivers whoare consideredto be lessexpensive.

Analysisof howtheissuereportedin theeditorialaffectsthenursing

Allowingnursesto practicemedicinewill putthehealthof patientsat risk.Thisis becausethetypeof trainingthat nursesreceivedoesnot givethem an opportunityto learnhowthebodysystemfunctions.Accordingto McCoughey(2015)trainingthat nursesreceivecan onlygivethem theabilityto treatsymptoms.Thisimpliesthatnurseshavenocapacityto detecttheunderlying causeof illnesses.In essence,thenewlawwill spoilthereputationof thenursingprofessionsince theincreasein therateof medicalerrorswill be directlyattributedto theengagementof nursesin thepracticeof medicine.

Takingposition

Iopposethe ideas presented in the editorial with three reasons.First,allowingnursesto prescribeboth thelicensedandunlicensed drugsaddresstheissueof shortageof physicians.Accordingto Mathias (2012) experiencednurseswith advancedtrainingin drugprescriptionare at parwith physicians.Thisimpliesthatnurseswhohaveworkedwithphysiciansfora reasonableperiodneeda littletrainingon prescription,which givesthem theskillsto prescribedrugsevenin theabsenceof doctors.

Secondly,nursesspendmoretimewith patientscomparedto physicians.Consequently, patientstendto feelmorein touchwith nurses,which in turncontributestowards their satisfactionandrecover (Anderson, Horrocks &amp Salisbury, 2002). Thetimethat nursesspendwith patientsalsogivesthem an opportunityto keeptrackof clients’ progressandunderstandtheir healthneedsbetterthan physicians.

Third,allowingtheregisterednursesto practicemedicineaddressthepressingissueof escalatingcostof health.Thisis becausenursesare paidlessthan physiciansforofferingthesameservices(Cassidy, 2013). Studieshaveshownthata physicianearnsan hourlywageof $ 34.46,whilea prescriber nurseearnsan hourlywageof $ 24.43 Brown (2014). McCaughey (2015) claimsthatallowingnursesto practicemedicineincreasesthecostof healthare baseless becausetheuseof diagnosticmachinesis normalin allcompetenthealthcarepractices.

References

Anderson,E., Horrocks, S. &amp Salisbury, C. (2002). Review: Nursepractitioner primary care improves patient satisfaction and qualityof care with no difference in health outcomes. EvidenceBased Nursing,5 (4), 121.

Brown,B. (2014). The deceptive income of physicians. Benbrownmd.Retrieved March 10, 2015, from https://benbrownmd.wordpress.com/

Cassidy,A. (2013, May 15). Nursing practitioners and primary care. HealthAffairs.Retrieved May 10, 2015, fromhttp://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=79

Mathias,L. (2012). RCNfact sheet: Nurse prescribing in the UK.London: Royal College of Nursing.

McCaughey,B. (2015, January 6). When a nurse is your health-care provider, youare at risk. NewYork Post.Retrieved March 4, 2015, fromhttp://nypost.com/2015/01/06/when-a-nurse-is-your-health-care-provider-youre-at-risk/