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Lädt ... The Door of Last Resort: Memoirs of a Nurse Practitioner (Critical Issues in Health and Medicine)von Professor Frances Ward
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Having spent decades in urban clinical practice while working simultaneously as an academic administrator, teacher, and writer, Frances Ward is especially well equipped to analyze the American health care system. In this memoir, she explores the practice of nurse practitioners through her experiences in Newark and Camden, New Jersey, and in north Philadelphia. Ward views nurse practitioners as important providers of primary health care (including the prevention of and attention to the root causes of ill health) in independent practice and as equal members of professional teams of physicians, registered nurses, and other health care personnel. She describes the education of nurse practitioners, their scope of practice, their abilities to prescribe medications and diagnostic tests, and their overall management of patients' acute and chronic illnesses. Also explored are the battles that nurse practitioners have waged to win the right to practice-battles with physicians, health insurance companies, and even other nurses. The Door of Last Resort, though informed by Ward's experiences, is not a traditional memoir. Rather, it explores issues in primary health care delivery to poor, urban populations from the perspective of nurse practitioners and is intended to be their voice. In doing so, it investigates the factors affecting health care delivery in the United States that have remained obscure throughout the current national debate Keine Bibliotheksbeschreibungen gefunden. |
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Google Books — Lädt ... GenresMelvil Decimal System (DDC)610.73Technology Medicine and health Medicine Study and Teaching Training Schools for NursesKlassifikation der Library of Congress [LCC] (USA)BewertungDurchschnitt:
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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. ( )