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American Journal of Critical Care. 2005;14: 472
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LETTERS TO THE EDITORS

To the Editors:

Thank you for your recent editorial on the doctor of nursing practice (DNP). Its timing is important. Here in Florida, the battle between the Florida Medical Association and advanced practice nurses is huge. The arguments of the Florida Medical Association do not even approach validity: decreased safety without direct supervision, prescribing scheduled drugs would further drug abuse, and other such preposterous statements that should embarrass the presenter, yet with the funding available to them the issues are acted upon with extreme voracity. I agree with and understand the advantages and disadvantages of the DNP. However, other disciplines are demanding doctoral preparedness, which I feel should be mandated for all "providers."

Your statement that "consumers will soon know all of their healthcare providers as ‘doctor’ " would not apply to nurse practitioners with a master’s degree in nursing. There is already an issue of nurse practitoners and physician assistants being called "Dr Glen" or "Dr Debra," with no correction being made on the part of the provider. A correction could seem rude or confusing and perhaps make the patient once again feel like he or she saw "the Nurse"; however, the term "doctor of nursing practice" is misleading. The DNP or doctoral degree should be mandated, in my humble opinion, but as you proposed, should come after a master’s-degree curriculum. Those preferring to attain a PhD should not be penalized, just given more choices. In response to enlarging the gap between clinical and academic nursing, however, this is a moot point. There is such a diversity of nurses and with the continuance of associate degree in nursing programs, trying to bridge this gap would likely be futile and exhaustive.

For me, the solution right now is to either enter the DNP program at Rush University or simply go to medical school. I will have to decide soon, as I want to continue to live in Florida. For advanced practice nursing, I agree with the option of the DNP.

Bonnie Marting, MSN, ARNP
Juniper, Fla





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