“They’re just nurse, simply a doctor’s assistant”…a cliché that is nothing new to us. In fact, some patients would treat us as if we are their paid servant. As a professional health care provider, we would usually marginalize such perception and focus more on our patients. However, for the “nth time”, it would also be best to demarcate how nurses and doctors work hand in hand, and what tasks are best done or can only be done by nurses and not by doctors.
First and foremost, this is not written to underestimate or demean a health care provider. Working in the health care industry is not only physically strenuous, but also emotionally. Finally, this article is drafted to create a sense of awareness on the distinctions of nurse’s and doctors’ roles and their limitations.
If we are to describe these two health care providers, we would say that doctors are superior to nurses, which is somehow true in terms of hierarchy. However, this does not imply that they are also superior to nurses in terms of skills. According to Maverick Health, doctors and nurses can be differentiated in a very simple manner. Doctors study and cure disease, while nurses study and heal people. On the other hand, their technical delineation is, “physician is a person with formal education and training in medicine, i.e. the treatment of diseases using drugs, procedures and/or surgery. A nurse practitioner is a registered nurse with formal education in the care of the sick plus advanced education and training in the diagnosis, treatment, and management of common and chronic illnesses.” The direct quote from Maverick Health expounds that both doctors and nurses do the same tasks but demonstrate it in different perspectives.
Maverick Health also explicated that there have been studies conducted which found that about 80% to 90% of what the doctors do are also done by nurse practitioners. In addition, the care rendered by nurse practitioners is at least equivalent and, in certain instances, even superior than the care provided by doctors. These results may have some degree of biases, however, it is also a venue for us to ponder how such results could be possible.
What can the NURSES DO that DOCTORS CAN’T?
Nurses are Flexible
Although we have GPs who take care of general health concerns in its earliest stage, most doctors are limited to their specialized area. As a nurse, we have the ability to work across various units or wards without the need of having a formal education again. In fact, our supervisors can simply assign us to different unit the next day if needed (this often transpire when there is a shortage of nurses in a unit or ward).
A medical diagnosis focus on the illness while nursing diagnosis focus on the patient. Medical diagnosis is back-up with laboratory works and procedures in order to confirm the disease. Technically speaking, we how to make medical diagnoses since we also have knowledge of interpreting laboratory results. In addition to this, we are also aware of confirmatory tests used that help rule out certain diseases from consideration. On the other hand, doctors do not know how to make nursing diagnoses. A nursing diagnosis is beyond medical procedures and laboratory results, for it is patient-oriented. In my perspective, I would consider nursing diagnosis to be more complicated, since we do not only focus on the disease per se, but also to other responses brought about by their disease/s. This means that aside from the physical aspect, we also need to deliberate on their emotional, mental, social, and spiritual needs. Each of these aspects has a unique impact on the patient and should not be marginalized.
We can do bedside care for half a day
We know our patients better because we can stay with them longer, unlike doctors who would only spend 15 minutes (probably maximum) during their rounds. This is one of the great advantages of nurses which doctors can also benefit from, for the reason that staying with the patients longer allows us to better assess and address their needs. Often times, this becomes an opportunity for us to also uplift their spirit which enables and empowers them to enhance their health. We must admit, medicine is not the ultimate cure for everything, sometimes having someone to talk and giggle with makes our patient feel better.
Hands-on-tasks are often better done by nurses
There are certain tasks which we can say, “are better done by us”. To be fair, I would say that we are more competent on these skills for we do it more often as compared to doctors. But the hard truth is, this can’t always be the reason because patients have high regard for doctors and most would expect them to be very competent in every possible skill. Skills such as taking blood pressure using the palpatory method, insertion of IV line, and catheterization to name a few, are the skills that nurses are more competitive at.
Like what I said previously, nothing from this article intent to disgrace any doctors. Therefore to be just, here are some of the tasks that Doctors can do but Nurses cannot:
- Nurses cannot make prescription of medications
- Nurses cannot conduct surgeries and other invasive procedures
- Nurses cannot certify death legally
- Nurses cannot medical diagnosis
- Nurses cannot make final decisions for the patient’s care
Doctors, nurses, med tech, rad tech, and other health care professionals have different roles but aim on the same goal. Thus, as a patient, we should consistently give high regard to them for they work hand in hand for our best interest. As a nurse, we should also respect other health care providers because, without one of them, holistic care to all patients may not be possible. In the health care industry, “No Man Is an Island”, or should I say “No Health Care Provider Is an Island”, because we will always be needing the aid of one another, and this connection will forever and perpetually exist.
- What is the difference between a physician and a nurse practitioner? (n.d). Maverick Health. Retrieved November 25, 2015 from http://www.maverickhealth.com/faq/nurse/582/