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ERIC Number: ED308742
Record Type: RIE
Publication Date: 1989-Mar
Reference Count: N/A
DOD Health Care. Issues Involving Military Nurse Specialists. Report to the Honorable Daniel K. Inouye, U.S. Senate.
General Accounting Office, Washington, DC. Div. of Human Resources.
Selected Department of Defense (DOD) policies were examined concerning nurse anesthetists, nurse midwives, and nurse practitioners, particularly in regard to the extent to which these nurse specialists are allowed an independent scope of practice in military hospitals and the degree of physician supervision they require. Discussions were held with nurses' and physicians' associations and appropriate DOD and military service officials and specialty advisers. In addition, regulations were examined and data obtained on the number and ranks of nurse specialists. DOD directives require the supervision of nurse specialists by physicians in the appropriate specialty area (e.g, obstetrics), with the degree of supervision depending on the nurse specialist's training, education and experience. Nursing organizations also expressed concerns about military nurse specialists' promotion and input to DOD policy. It was found that promotion to lieutenant colonel or commander and higher ranks may involve supervisory or management responsibility, but personnel in those ranks will also continue to do clinical work in their specialties. Following the letter summarizing the review and its findings, the following appendices are provided: (1) supervision and scope of practice for nurse specialists; (2) services' regulations on supervision of nurse specialists; (3) career issues of concern to nurse specialists; (4) nurse input on policy issues; and (5) comments from DOD (acceptance letter). A table provides data on nurse specialists by military rank. (KM)
Publication Type: Reports - Evaluative
Education Level: N/A
Authoring Institution: General Accounting Office, Washington, DC. Div. of Human Resources.