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To: Reginald Middleton who wrote (22223)	12/18/1998 12:45:00 PM
From: Charles Hughes	Read Replies (1) \| Respond to of 24154

>>> A nursing PhD is far from being an expert in nursing. You are way outside any area of competence you may have to comment. Nursing PhDs get their RN first, and to do that you are required to work at nursing, because this is a professional system that includes practice in the certification. Like doctors who cannot be certified without a period of internship. In every case I have seen, nursing PhDs start as regular RNs and get their PhDs after some period of practice, normally while working at the RN job. I have bolstered no point of yours in this case. Nurses would not have to follow, and would not follow, a nursing manager without front line experience. I know this how? Sister who is a nurse, one who is a doctor, several other siblings and in-laws in the medical profession, a number of years working in hospitals myself. Toward the end of which, I worked programming a statistical study for the Robert Wood Johnson Foundation analysing the rules and practices for nurses as primary medical practitioners. So I am very aware of the typical case in nursing. Programming could also do well to have an internship and professional standards to lean on. Nurses have the right to refuse to do something wrong that a non-professional owner, manager, or even doctor tells them to do. If they are right, their organization will back them up. we need the same thing to fight off the dilbert managers of the world. Then maybe a few less planes will fail on take off, a few less power systems will experience global failures, a few less computerized xray machines will fry patients. Physical engineers also need more clout and professionalism. It was the Dilbert managers that killed the Challenger crew, not the line engineers. The line engineers objected, but the managers had the right to override their judgement about safety of flying the shuttle in cold weather that day. Chaz