The nurse practitioners specialty (IPS) master of science in nursing and medical science to make some interventions (monitoring of pregnancy, treatment of chronic diseases, palliative care).
The Quebec modernized, allowing patients to have recourse to the super-nurses when they are confronted with chronic diseases and common health problems, without having to validate the diagnosis by a physician.
The Quebec College of physicians has expressed its openness in order to allow the nurse practitioners specialty (IPS) to accomplish certain actions that were previously reserved for doctors.
The resolution adopted Friday by the board of directors of the college proposes to allow IPS to diagnose common health problems specific and six chronic diseases. It refers to the diabetes, hypertension, hypercholesterolemia, asthma, chronic obstructive pulmonary disease and hypothyroidism.
The doctor Mauril Gaudreault, president of the College of physicians, said that these nurses will be able to diagnose the problem, begin treatment and initiate a follow-up. “They will still be able to refer the patient to a physician when necessary, a little picture of what is already being done when a family doctor, request a consultation with a specialist physician for his patient,” he says.
He says that this change, of course, of the College of physicians can be explained by the conclusions of the working group formed to look into the issue, which has allayed concerns about the training, the quality and safety of care.
A first step in the right direction
The Association of nurse practitioners specialized in Quebec (AIPSQ), its president, Christine Laliberté sees this as a step in the right direction. It qualifies even this opening of the College of physicians of the ” historic moment “, without, however, declaring victory.
For Ms. Laliberté, there are still a lot of catching up to do compared to the practices of the super-nurses elsewhere in the country.
It stresses, moreover, that not all the 500 nurse practitioners specialized in Quebec who work on the front line. So there is some disappointment among the IPS who work in specialties, such as neonatology, cardiology, or nephrology. The president of the AIPSQ believed that their skills could be put to work to reduce the burden on the public health network.
Whoever was at the table of discussions with the College of physicians, the president of the Ordre des infirmières et infirmiers du Québec (OIIQ), Luc Mathieu, also believes that it is necessary to continue the talks. It is estimated that the college will eventually get bigger and break the logic ” of lists of diagnoses “, as the practice of medicine and nursing care is constantly evolving.
For Mr. Mathieu, this would imply to revise the list in question. According to him, he would rather rely on the skills of the nurse practitioners specialty, they practice primary care or to the side of the medical specialists.
The president of the OIIQ noted that the training of the IPS is already the most sturdy and the most comprehensive in Canada.
Nevertheless, Luc Mathieu welcomes the decision of the College of physicians to modify its position with respect to the diagnosis.
He sees it as ” an unprecedented opening which will have an impact on health care in Quebec “.
Satisfaction in Quebec city
The opening shown by the College of physicians also looking forward to the minister of Health Danielle McCann, who has crossed Mauril Gaudreault Saturday morning to Montreal in the wake of multiple interviews with the media. It expressed its great satisfaction, according to Dr. Gaudreault.
It now remains to modify the rules in effect on the FPS, but it is only a formality according to Mr. Gaudreault, who said that this would be recorded officially in the books at the next board of directors of the College of physicians in April.