Professor Frances Ward
Teoksen The Door of Last Resort: Memoirs of a Nurse Practitioner (Critical Issues in Health and Medicine) tekijä
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Dr. Ward records her experiences -- including obstacles constructed by fellow nurses -- as a nurse, a professor, a nurse practitioner, and an academic administrator. She has captured perfectly the jealousies within nursing and with physician assistants (PA-C) as she led the charge to legislate the primary care scope of practice, including diagnosing and prescription-writing, for nurse practitioners and physician assistants in New Jersey.
As I figured she would, Dr. Ward faced strong opposition from physicians and nurses who weren't nurse practitioners. She had to swallow her pride (commendable) and partner with physician assistants, who were seeking similar additions to their scope of practice. She knew they would either get an extension of their licensure together or neither discipline would get legislation passed at all. She soon found herself defending physician assistants and serving as their advocate, which she acknowledges was novel for a nurse to do.
Dr. Ward's autobiography, focusing on her professional successes and occasional shortcomings, is interesting to read, even for those of us who are not nurses. Primary care affects all of us, but states differ in how nurse practitioners and physician assistants can legally practice. Reading this book might make you an advocate for non-physician primary-care providers, despite doubts that continue to be voiced about the capabilities of those who don't put MD after their name. (Osteopaths [DO] are full-fledged physicians too, but, in my experience and speaking very broadly, they often are more collaborative in providing health care than SOME -- I'm not implying all -- MDs who consider both DOs and nurse practitioners to have a weaker education.) Nowadays, this attitude is increasingly seen among physicians when nurses who have a doctorate (PhD, DNP, DrPH [Doctor of Public Health]) refer to themselves as Dr. ______ in the health care setting. That upsets the medical hierarchy, but it's fun to watch.… (lisätietoja)