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Advanced Practice NursesShould They Be Independent?
David R. Rudy, MD
Arch Fam Med. 1995;4(1):14-16.
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THE ARTICLE by Mundinger1 in the January issue of the New England Journal of Medicine is representative of a recent flurry of articles. Mundinger, from Columbia University School of Nursing in New York, NY, espouses independent licensing for advanced practice nurses who, she purports, can see and manage 85% of primary care problems less expensively, with happier patients and with less medicolegal risk. In her model, nurses would practice independently and defer to the physician in certain circumstances, to be defined by them alone. In the same issue, Kassirer2 addresses, in general terms, most of the questions that arise in many of us as we read these claims. However, it behooves us in primary care to examine this campaign in some detail.
The November 1992 issue of American Journal of Nursing featured, shortly after Election Day, a strident editorial by Mallison3 entitled, "Dear Mr. President," in which
. . . [Full Text PDF of this Article]
Author Affiliations
Finch University of Health Sciences/ The Chicago Medical School North Chicago, Ill
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