It's not about respect for nurses I have never said nursing was easy or intended to insinuate that nursing was not a noble and crucial healthcare profession. I have worked alongside nurses for years ... starting as a unit aide during my undergraduate studies, then as an ambulance EMT, then as a mental health worker on a psych unit, now as a psychologist associated with a state hospital, a community hospital, and an assisted living facility. I have seen the best and the worst of many health care professions (including my own). I've also been working in the field during the climb of nursing from nursing school > BSN > "nurse specialist" (MSN) > nurse practitioner > now DNP. Unfortunate, as I would be interested in hearing a nurse's perspective. I'm sorry but I do not see how having a "history of being a patient advocate" qualifies anyone for the responsibility to select from thousands of medications to treat illness/disease. This has always been the focus on my concern -- the elevation of nursing to independent practice has been less about enhanced/expanded training and education and more about a concerted (and stunningly) effective PR and lobbying campaign. Which I noted in a previous post. Nursing's roots go back as far as the dawn of humanity. Midwifery in the earliest incarnation however wasn't truly a nursing activity as it didn't involve acquiring an education in how to make childbirth as uncomplicated as possible. It was about a mother helping another through a process with which she had personal experience. Again, I am not saying that this was not a valuable or compassionate role. But let's not over romanticize the roots of nursing. Medicine started in a similar fashion, where people who discovered certain natural substances had healing properties then shared that knowledge with others. (Study the philosophies of Oriental, Native American or Indian medicine.) Finally ... I want to say one more time so there is no confusion: This is not about belittling or criticizing the role or contribution of nurses. My concern has always been about taking short cuts to advanced degrees (and presumably expanded clinical authority) with less than adequate training. And, if you go back to the beginning, I was including audiology, physical therapy, pharmacy, etc. in that category as well. One last thing: Yes, I am a psychologist. Yes, my profession is seeking expanded clinical authority (i.e. prescription privileges). The core of my research on other professions was undertaken to understand why there is such a resistance to an already doctorally trained profession being allowed limited authority to prescribe medications we already monitor and are asked to evaluate currently and how adding an additional two years to our education is being seen as insufficient when compared to other professions which have been able to secure prescription privileges. My worry is that it has been about the lobbying, not the qualifications. I know some will declare this a self-serving undertaking, but I would think we should ALL be concerned with being asked to receive our healthcare from someone with less than optimal training. (Believe me, most of us have been already given a prescription by an NP/PA).