December 16, 2019
APRN AS MIDDLE-LEVEL PROVIDERS & DARN PROUD OF IT
This topic is of a very sensitive nature and has ruffled more feathers than can be counted ever since the original article was published. In healthcare as in other groups, I am sure; there is usually some sort of power tussle going on-who is better at something, who should be given the most respect etc. It is almost never-ending and can be exhausting!
Advanced Practice Nurses are in fact Middle-LEVEL providers. Being mid-level providers does not take away from the expertise of APRNs.
In the hierarchy of things, healthcare in this case, everyone has a role to play from the Patient Care Technicians (PCT) to the Physician and when we all are masters at our roles, that it when everything thrives. Everyone should know their role and play it well!
Not too long ago, nurses were upset when it seemed that Medical Assistants (MAs) were seeking to replace them in physician offices so it is with physicians- Some MDs feels slighted that after the amount of student loans and tedious study, that APRN almost seem to be replacing them.
There is no truth to this- APRNs will NEVER replace MDs; APRN may play a role in helping fill up shortages in under-served areas but not to replace the group out rightly!
There is also absolutely no reason to be antagonistic toward each other- we need to understand the bottom line here which is MONEY/PROFITABILITY. Administrators want to maximize the best use of their resources by hiring more and cheaper labor to “spread” around, while keeping expenses to a minimum.
Is it fair? No
Can they do it? Yes. The Administrators do after all owe it to their companies to be profitable. And if substituting one for the other is the way for them to do it, then that it the way it will be done.
“In business, you don’t get what you want, you get what you negotiate”- Karass
If the parties APRN and Medical Association feel aggrieved, it would better serve us to put heads together and present a unified front.
These constant bickering takes us nowhere!
My Nurse Consultant