The Institute of Medicine (IOM) recently released a study, The Future of Nursing: Leading Change, Advancing Health. The report calls for new and expanded roles for nurses in a redesigned health care system. It recommends improving education for all nurses and allowing nurses to practice to the full extent of their license and ability. It advocates overhauling state scope of practice acts and suggests that advanced practice registered nurses (APRNs) -- certified registered nurse anesthetists, certified nurse-midwives, clinical nurse specialists, and certified nurse practitioners should be allowed to practice independently.
Although many of the recommendations of the IOM report are consistent with positions advocated by the American College of Physicians (ACP), other elements are of concern:
ACP believes that the future of health care delivery will require multidisciplinary teams of health care professionals that collaborate to provide patient-centered care. The key to high performance in multidisciplinary teams is an understanding of the distinctive roles, skills, and values of all team members primary care physicians, medical and surgical specialists, nurses (including APRNs, RNs and NPs), physician assistants, and other health professionals working together to delivery high quality, effective, coordinated and team-based care.
Recognizing and building on the common ground between the physicians, nurses, physician assistants, and other health professionals is vital to improving collaboration to meet the complex health care needs of the population.
|Contact: David Kinsman|
American College of Physicians