[NPInfo] Back to Tracy

[Shelby Havens]

Tracy:

I think the question is what can we do to attract the kinds of people into 
the nursing profession who can move us in the direction you describe? We 
need bright, innovative, independent thinkers. Otherwise, nursing will 
continue to be a dependent profession forever.

Best Regards,

Shelby Havens, ARNP



>From: Tracy Klein <whcnp at comcast.net>
>Reply-To: NP Info <npinfo at nurse.net>
>To: npinfo at nurse.net
>Subject: [NPInfo] Re: Medicine/Nursing/Healthcare
>Date: Fri, 9 Feb 2007 10:32:48 -0800
>
>Framing the question as whether a nurse practices nursing or medicine  
>really invites the erection of parallel fences. It generates a  tremendous 
>amount of legislative and statutory activity which some of  you have posted 
>here. It is the wrong question in my opinion.
>
>Nurses practice nursing. Physical therapists practice physical  therapy. 
>Both use assessment and diagnosis in their work. Say what  you will about 
>"nursing diagnosis" (and I can hear the buzzing  already) it was an attempt 
>to capture what nurses do in a measurable  way to validate their practice 
>and remove it from invisibility. When  that was less than successful, the 
>next step was for nursing to  engage in a fight to use "medical diagnosis". 
>Meanwhile, nurses  mocked each other for "stupidly" trying to define their 
>practice in a  measurable way that someone who counts insurance beans or 
>whatever  could understand.
>
>While they were busy doing this, psychologists and social workers  learned 
>how to use DSM-IV, bill and get paid for it. Physical  therapists set up 
>their own practices, can do so without an MD order  in our state anyhow, 
>and happily use medical diagnosis and treat  patients for what they see 
>with modalities in their scope. Meantime,  these folks seem to be able to 
>educate themselves to establish a  scope of practice, set up a business, 
>ask for (and get) 100.00 or  more dollars an hour, and are not being paid 
>35-45.00 an hour to  clean their own floors (thanks, retail clinics).
>
>Why can't we manage to do the same? Step outside of the paradigm  which 
>requires you to beg to be practicing medicine, using medical  diagnosis, 
>fighting every second to "defend" what you do. Start  focusing on what you 
>do and are educated to do, and don't apologize  for it. But start working 
>harder to describe, explain, define,  professionalize, and support with 
>real research that you do what you  do. And much thanks to those who are 
>busy engaging in such research  and have taken more crap from nurses and 
>nurse practitioners because  they are not "real clinicians".
>
>Tracy Klein, WHCNP, FNP
>Portland, Oregon
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