I’m probably the last person to have read Sandeep Jauhar’s Op-Ed Nurses Are Not Doctors (April 29), but it reminded me of sitting in the public hearing for Bill 36 in CT. Bill 36, which passed, removed the requirement for a written collaborative agreement between an NP and a physician - a piece of paper that didn’t necessarily result in supervision, just lots of fees for NPs and more expensive liability insurance for MDs. At that hearing as well, every statement against giving NPs more autonomy was based almost entirely on opinion or on one very old study - as compared to the numerous current studies and recent IOM report on the safety of NPs.
I totally get being nervous. As a student, I’m nervous. I went into these debates wanting to hear about the specific evidence-based arguments against giving NPs more autonomy - so that I’d know my limits and better understand my role. But without fail, the only evidence-based arguments (citing numerous current research and not opinion/intuition/anecdote) that I’ve heard have been in favor of NPs.
I think I’m offended not so much as a nurse but as a thinking person who wants to be presented with concrete arguments.
(some responses if you’re interested:http://www.nytimes.com/2014/05/03/opinion/what-is-the-role-of-nurse-practitioners.html)
*the fact that nurses don’t actually want to be doctors and love what NPs do is a topic for a whole other post, I’m sure.
Needing to have reality confirmed and experience enhanced by photographs is an aesthetic consumerism to which everyone is now addicted. …
It would not be wrong to speak of people having a compulsion to photograph: to turn experience itself into a way of seeing. Ultimately, having an experience becomes identical with taking a photograph of it, and participating in a public event comes more and more to be equivalent to looking at it in photographed form. That most logical of nineteenth-century aesthetes, Mallarmé, said that everything in the world exists in order to end in a book. Today everything exists to end in a photograph.-On Photography