A hot topic for doctors, a bill presented on Tuesday aims to “redefine the state nursing profession”, according to Horizons MP and former Health Minister Frédéric Valletoux and EPR MP Nicole Dubré-Chirat.
Promised for some time by the executive, redefine the nursing profession is the subject of a bill presented Tuesday by two deputies, including a former minister, which promises to spark debate in the world of medicine. Awaited for more than a year by professionals but a very delicate topic for doctors, this reform had been delayed by the dissolution of the National Assembly.
Prime Minister Michel Barnier himself, in his general policy statement, promised a law of recognition «the experience» and the new skills of nurses and offer them “an expanded role” in the healthcare system.
“Four basic missions”
Faced with the worsening of medical desertification and the aging of the population, the 600,000 French nurses (of which 135,000 freelancers), seen as a hope for solving some difficulties in accessing care, have been delegated in recent years to more and more medical tasks (vaccination, death certificate production, chronic patient monitoring for advanced practice nurses, etc.).
The text lists it like this “four basic missions”: carrying out nursing care “curative, palliative, relational and intended for clinical monitoring” and theirs “assessment”, “monitor the health path” patients, “prevention” et “participation in training” des couples.
It also introduces two notions required by the profession: “nursing consultancy” and the «diagnostic nurse»terms usually reserved for doctors and midwives.
Another expected development is that the text should allow nurses to do this “prescribe health products and additional tests necessary for physical exercise” of the profession. The precise list of prescriptions in question will be established by ministerial decree, after consulting the National Academy of Medicine. It also modifies the definition of illegal practice of medicine, a “Safe” nursing practice.
Furthermore, the deputies propose to “promote advanced practice” (nurses in possession of a specialist master’s degree, in some specific areas of activity) proposing “three additional training locations”: maternal and child protection services (PMI), school health and child care.
The deputies announced it on social networks “fundamental turning point for the profession”.
What are the main proposals outlined in the new nursing bill in France?
Time.news Interview with Nursing Expert Dr. Elise Dupont on the New Nursing Bill
Time.news Editor: Thank you for joining us today, Dr. Dupont. The recent bill presented by MPs Frédéric Valletoux and Nicole Dubré-Chirat proposes to redefine the nursing profession in France. What do you think about the potential impact of this legislation on the nursing field?
Dr. Elise Dupont: Thank you for having me. This bill is indeed a significant development for the nursing profession. If passed, it has the potential to elevate the role of nurses within the healthcare system drastically. The recognition of their experience and expanded responsibilities is long overdue, particularly in light of our current challenges, such as medical desertification and an aging population.
Time.news Editor: Can you elaborate on what you mean by “expanded responsibilities”? What kinds of tasks might nurses be able to undertake more freely?
Dr. Elise Dupont: Certainly! Essentially, the bill aims to assign nurses four basic missions: preventive care, patient education, administering treatments, and triaging patients. This means that nurses could take more initiative in areas like vaccinations, managing chronic conditions, and even handling certain administrative tasks that typically bog down doctors. It also allows nurses to harness their training and expertise in a more autonomous manner, which is critical, especially in underserved areas.
Time.news Editor: It’s fascinating to hear how proactively caring for patients can shift with this bill. However, there has been mention of this being a “delicate topic for doctors.” Why might that be?
Dr. Elise Dupont: Well, the nursing profession sharing some responsibilities with doctors can create friction, especially in traditional medical settings. Many doctors might feel that this encroaches on their territory or diminishes their authority. However, I think it’s essential for the healthcare system to evolve. Increasing collaboration between doctors and nurses can ultimately enhance patient care. The bill emphasizes teamwork and recognizes that both roles are crucial in addressing our healthcare crises.
Time.news Editor: You mentioned earlier that this reform had been delayed by the dissolution of the National Assembly. How critical is it that such legislation moves forward, especially now?
Dr. Elise Dupont: It’s incredibly important. The healthcare system is under significant strain, and we need agile solutions. Nurses are on the front lines and can help alleviate some of the burden. The sooner we can enact this reform, the sooner we can improve access to care. Patients need timely interventions, and our current state of resources is insufficient to meet demand. This bill could provide immediate relief and has the potential for long-term benefits.
Time.news Editor: And speaking to the nurses themselves, how have they responded to the discussions around this bill?
Dr. Elise Dupont: there’s a sense of optimism among nurses. Many have been advocating for greater recognition for years, so the introduction of this bill is seen as a victory in that fight. However, there’s also a degree of apprehension about what the changes may mean for their day-to-day responsibilities and the potential pushback from the medical community. Dialogue and clarity will be essential to ensure that everyone is on the same page.
Time.news Editor: In your view, what are the critical next steps to ensure this legislation not only passes but also successfully implements the intended changes?
Dr. Elise Dupont: Advocacy and education will be crucial. Both the nursing and medical communities must engage in constructive conversations to address any concerns and misconceptions. Additionally, it will be vital to provide nurses with the necessary training and resources to fulfill their new roles effectively. establishing clear guidelines and support systems can help ease the transition and foster collaboration between all healthcare professionals.
Time.news Editor: Thank you for your insights, Dr. Dupont. This is a pivotal moment for the nursing profession in France, and it’s encouraging to hear your perspective on how these changes could unfold.
Dr. Elise Dupont: Thank you for the opportunity to discuss this important topic. I truly believe that a collaborative and empowered nursing force can lead to a more efficient and effective healthcare system.