Talk:Nurse practitioner

This article was the subject of a Wiki Education Foundation-supported course assignment, between 17 January 2022 and 6 May 2022. Further details are available on the course page. Student editor(s): Caramc456 (article contribs). Peer reviewers: Moirarose2, Inesuwineza123.

Multiple Errors

The general tone of the article appears biased and political, most of the major points are un-cited or incorrectly cited. If someone can tell me how to call for higher level dispute/article resolution, please do.

"A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner." -The term mid-level practitioner is opposed by a wide variety of NP and non-NP organizations. The term is noticeably absent in the PA, pharmacist, and dentist articles and should not be included here either.

NP or DNP and PA are all mid-level providers. Obtaining a DNP does not make a nurse practitioner a physician. Physicians across the world, are individuals who practice medicine and always hold a DO or MD (or equivalent degree). NP, DNP, and PA are mid-level practitioners because of the level of education and training required (much less than MD or DO physicians). To draw an equavalency conclusion, NP, DNP, PA education must meet the same standards of medical education as physicians: 1. medical school, 2. passage of 4 board examinations spread across medical school, residency and at end of residency. NP & DNP education lack standardized medical education and training.

"NP training covers basic disease prevention, coordination of care, and health promotion, (but does not provide the depth of expertise needed to recognize more complex conditions.)" -()Statement is inaccurate and improperly cited, Citation 1: PCP-TAFP is an anti-NP lobby, the article cited is inaccurate and heavily politically biased. Citation 2 is about NPs providing expertise for the opioid and indirectly refutes the very sentence it is cited in, very off-topic.

"To become an NP requires between 1.5 and 3 years of post-baccalaureate training, in addition to prior training and experience as an RN, though there are alternate routes to training." -As linked "post-baccalaureate training" is currently not legal for NPs, they were phased out a long time ago. All NPs complete, at minimum a Masters. This is GRADUATE education.

"There are also Psychiatric, Adult Geriatric Acute Care, Adult Geriatric Primary Care, Pediatric, and Neonatal nurse practitioner programs." -Womens health NP is missing from this list.

"Many of these programs have their pre-clinical or didactic courses taught online with proctored examinations. (Once the students start their clinical courses they have online material, but are required to perform clinical hours at an approved facility under the guidance of an NP or Physician.)" -ENTIRELY UN-CITED, ()Statement not qualified to the previous sentence, thus inaccurate, also un-cited.

"A new nurse practitioner may have between 500 and 1,000 hours of clinical training." -Inaccurate, many NP programs require over 1,000 clinical hours, see UTHSC programs, PCP-TAFP again only citation, bad source.

"The quality of education (and of applicants) for NP schools has been cited as a reason to not allow NPs to practice medicine autonomously." -This is an UN-CITED argument that says it is cited.()Entirely inaccurate, even TAFP/PCP does not discuss applicant quality

"Some graduate nursing schools have 100% acceptance rates." -accurate source for "graduate nursing" which is frequently not NP programs, CITED ARTICLE(14) NOT ABOUT NP PROGRAMS. Statement is inaccurate/improperly cited.

"The highest average starting salary reached $197,000 in 2016." - Citation 29 refers to a BLS report that lumped CRNAs with NPs, starting salaries are not that high for NPs, but for CRNAs

See Also- Barefoot doctors should be removed, it is entirely unrelated, implies incompetence, and its not mentioned in the midlevel practioners or physician pages. Concernedcitizenforaccuracy (talk) 10:33, 7 June 2020 (UTC)

— Preceding unsigned comment added by 2605:A601:51FC:264:51DA:5925:2E8C:6BA6 (talk) 09:38, 7 June 2020 (UTC) 

Can I just add that having visited this page for the first time today, my immediate impression is that this article seems very heavily North American focussed. Here in the UK we have Practice Nurses (ref). I assume this to be the same thing, or is this article written by and aimed at a purely US/Canadian audience, focusing on one very specific job title? If it isn't, it needs to take a global focus on the topic/role. Nick Moyes (talk) 11:02, 7 June 2020 (UTC)

The equivalent UK title is the 'advanced practice nurse' or 'advanced nurse practitioner'. - MrOllie (talk) 11:24, 7 June 2020 (UTC)

@MrOllie: - I'm a Guild of Copy Editors volunteer and I came here to clean up the tags. I saw your comment. Is there any reason why this wouldn't be a merge candidate with Advanced practice nurse? TimTempleton ^{(talk) (cont)} 02:08, 4 February 2022 (UTC)

Semi-protected edit request on 30 January 2022

NP are not mid level providers, research shows care is equivalent to that provided by physicians. Some NP have doctorate degrees and can practice independently in some states. 70.58.138.45 (talk) 23:21, 30 January 2022 (UTC)

This has been debated extensively on this talk page (see the archive links). You must show that consensus has changed before making such a request. - MrOllie (talk) 23:24, 30 January 2022 (UTC)

(but there was no "consensus" to begin with when such a term was used originally) — Preceding unsigned comment added by 24.102.93.30 (talk) 02:17, 24 March 2022 (UTC)

Wiki Education assignment: Composition I - Writing Wikipedia

This article was the subject of a Wiki Education Foundation-supported course assignment, between 17 January 2022 and 6 May 2022. Further details are available on the course page. Student editor(s): Nakaya16 (article contribs). Peer reviewers: Dowk29.

Problematic. Also, no source

"NP training covers basic disease prevention, coordination of care, and health promotion, but does not provide the depth of expertise needed to recognize more complex conditions"

This entire statement is problematic. NP training varies. There are NPs in many roles and specialties that diagnose and manage complex conditions. Chloemwspaulding (talk) 20:53, 17 March 2022 (UTC)

The lead section is a short summary of the article. More details (and sources) can be found in the article body. MrOllie (talk) 21:13, 17 March 2022 (UTC)

Summarization of edits

Hello, I am a student editor and I chose to evaluate and edit this article for an assignment. To begin I began by expanding the lead section. I added content that provided more detail to the summarization of the article. I also modified the neutrality of the article. The article contains pieces of disputable/political information. In the introductory sentence, the writer refers to NPs as a type of “mid-level practitioner.” This statement is very controversial and was disputed heavily on the talk page. After utilizing my sources and researching, this statement can be deferred by other dependable sources and therefore should not be incorporated. I removed this terminology and defined what a nurse practitioner is in a different way. Additionally, I created a section regarding the duties and responsibilities of a NP.Although the duties of a nurse practitioner vary, I summarized the main roles in bullet points. I also updated/expanded the information concerning the education requirements of a NP. I recapped the steps on how to become a nurse and then a NP and added it to the article. I also created a qualities section which includes important characteristics a nurse practitioner should attain in order to excel in their field. Moreover, I constructed a section describing the settings NPs work in, and this material is significant to understand the wide variety of practice settings they are can be employed in. Lastly, I incorporated a new section regarding the importance of NP's during the Covid-19 pandemic. NPs continue to play a critical part in the demand for clinicians globally due to the crisis.Caramc456 (talk) 23:44, 28 March 2022 (UTC) 28 March 2022

Yes, a series of single purpose editors have disputed the term 'mid-level practitioner', but outside of a few advocacy organizations (whose opinions we should not accept uncritically), the sources are pretty clear that NPs are in fact mid-level practitioners and identify them as such. On Wikipedia we follow the sources and do not omit things just because a vocal minority doesn't like them. You also added some material that was unduly focused on US regulations - Wikipedia is a global encyclopedia and should cover things from a global perspective, and US regulations do not determine how the profession works in the rest of the world. MrOllie (talk) 00:41, 29 March 2022 (UTC)

Consistent Biased Edits/Revisions

Any time that edits are made to address the already biased point of view, there is an an editor who reverts the content back. This has to stop. There are consistent justifications and references for the edits and they are ignored or refuted with weak arguments and opinions. There is clearly something wrong here when one looks at this page and revision history. This is not about a narrative pushed by any organization. With over 355,000 Nurse Practitioners practicing in the U.S., why can't there be an unbiased and factual description of the profession? Seriously.