Nurse practitioners tackling more 'doctor' tasks

Many of your health care needs may soon be handled by a “doctor” who has actually been trained as a nurse.

Advanced registered nurse practitioners are increasingly performing duties once reserved for physicians, including diagnosing illnesses and prescribing medicine. It’s a trend that’s likely to continue as the state grapples with escalating health care costs and a shortage of primary care physicians.

And they’ll be better trained, due to higher standards for nursing school accreditation that could go into effect as soon as 2015. In Florida and around the country, schools have been adding “doctor of nursing practice” programs, which they expect will soon become the standard degree for practitioners.They won’t be physicians, but you can call them doctor.

Nurse practitioners, who are registered nurses with a specialized master’s degree, used to be found mostly in rural areas where physicians were scarce or in public health settings where most patients were poor. But in recent years, private physicians have increasingly been hiring them to help manage their patient load.

Patient care isn’t suffering, according to several national studies, which have credited nurse practitioners for spending more time with patients and properly treating most routine medical conditions.

“Nurses often tend to have a holistic approach. They try to get to know all aspects of the patient, not just the medical condition,” said Susan Folden, a retired nursing professor of nursing at Florida Atlantic University.

There are nearly 18,000 nurse practitioners in the state, twice as many as a decade ago. They can handle more than 90 percent of a patient’s primary health care needs at a lower cost, so it makes sense they’re becoming more prevalent, said Sheldon Fields, an assistant dean at Florida International University’s College of Nursing.

“If you have a common cold, you don’t need to see a physician for that,” Fields said. “If you need a routine check for high blood pressure or diabetes or if a child needs a physical for camp, a nurse practitioner is well trained.”

They often perform a similar role as physician assistants, although the training and approach are different. Physician assistants receive specific medical training to diagnose conditions and serve the needs of a physician, while nurse practitioners are trained foremost as nurses and tend to focus more on preventative and maintanence care, experts say.

Nursing educators say patient care will further improve as nurse practitioners receive doctoral level training. They say practitioners will learn more about clinical research, health policy initiatives and technology, giving them new tools to solve problems.

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Nurse practitioners tackling more 'doctor' tasks

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