To "meet the health needs of the population", the current nurses "in advanced practice" should become real "practitioners" accessible without medical prescription, including in new fields such as geriatrics, according to a report presented Tuesday by the deputy. (Act) Annie Chapelier.
In terms of "advanced practices", France is "between 20 and 60 years behind the countries to which we compare", says Annie Chapelier, nurse-anesthetist by profession. Created by the Touraine law of 2016, this new status remains underdeveloped. It allows nurses to follow patients previously entrusted by a doctor, to prescribe health products not subject to medical prescription and to prescribe examinations, or to perform clinical evaluation and conclusion acts. , as well as technical acts.
For three years, a few hundred nurses have been able to specialize in oncology, dialysis or diabetes, with the result of a bac + 5 diploma, better salary and a little more autonomy - but always under the supervision of a doctor. .
For Annie Chapelier, we must go further and draw inspiration from the model “in force in many countries”: that of “nurse practitioners”, who can “intervene as a first resort with patients”.
Towards new “specialized clinical nurses”
The MP also pleads to extend the field of "advanced practices" to "school health, occupational health and geriatrics-palliative care".
Three disciplines where "medical demography will not meet the needs of the population," she explains.
At the same time, she suggests creating a second category of “specialized clinical nurses”, in order to enhance the “expertise” of certain hospital caregivers (anesthesia, surgery, pediatrics) who demand more recognition.
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Other professions could also benefit from "advanced practices", such as radio manipulators, opticians and orthoptists, she adds, setting as an essential prerequisite a general reorganization of courses in the health sector.
For this, it recommends "a single training per profession", with diplomas aligned with license and master degrees, via agreements between existing institutes and universities, all under the sole supervision of the Ministries of Health and Education. superior.
