Others are concerned that nurse practitioners will go beyond their scope of knowledge and practice boundaries and endanger patient care. It ends as it begins though, with misunderstanding the role and the opportunities for all.
Inadequate government involvement is part of this lack of understanding but the saddest aspect of this comes from the heart of nursing itself and that is the inadequacy of readily available descriptive information about the role and practice options, standardized and legitimized education, and disregard that many in the nursing profession have for advance practice nursing. .
While it is time to change that, this paper will focus on the importance of the healthy relationship between nurse practitioner and MD. At present, nursing wants to collaborate, medicine wants to supervise. In many states and in Canada, the nurse practitioner must be in a defined collaborative agreement with a particular physician, a group of physicians or be an employee of an organization. In some states, independent practice is allowed but the standards and guidelines for such practice vary. .
One of the key misinterpretations in this quagmire of change is the actual notion of collaboration. Mandatory in many places yet nebulous, collaborative practice has different meaning for different people. And while there has much discussion about collaborative practice, the guidelines that channel this process have led to employment abuse, under-utilization and reluctance to participate in such relationships. Collaborative practice has not been able to achieve formalization and standardization; it doesn't work. After almost 40 years of struggle, it's time to stop trying to force collaboration and start designing what should be a workable, understandable, and energizing relationship for these two symbiotic professions.
Argument.
Partnered practice between medical practitioner and nurse practitioner is a beneficial relationship for both the developmental and professional aspects of the nurse practitioner role.
