Discussion: Special Skill Sets

Discussion: Special Skill Sets

The NP Modernization Act is necessary, as statutory collaboration serves no clinical purpose. It does not establish the quality of the care provided by the NP It does not serve a purpose for access to care; if anything, statutory collaboration limits access to care. In addition, statutory collaboration does not speak to the level of education of NP or the national certification of the psychiatric nurse specialty Statutory collaboration does not speak to the NP’s years of clinical expertise in the field of psychiatry.

The American Medical Association would disagree with the above comments by the author, firmly asserting that a physician needs to supervise the NP to provide safe, high-quality care. However, NP associations across the country, and in particular in New York State, have fired back at the American Medical Association. The American Nurses Association, the American Academy of Nurse Practitioners, the American College of Nurse Practitioners, and the National Council of State Boards of Nursing have all published position statements indicating that modification of state NP legislation is essential in allowing NPs full access to provide the care that they are trained to deliver. The American College of Physicians (ACP) presented its position on NPs as primary care providers (Ginsberg, Taylor & Barr, 2009). The ACP speaks in terms of collaboration and each discipline having special skill sets that complement one another. The ACP position calls for NPs and physicians to work together in partnerships to provide high-quality care. The AGP position asks to not limit access to care, but to use all providers and their special skill sets to keep access to care open on an ongoing basis. The AGP’s position is that with the impending primary care shortages expected in the future, there is a need to look at all potential providers and how each discipline can assist in the care of patients (AGP 2009). In 201

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