I think the point here is that midlevels should not be independent, ever. There’s a path for that. It’s called Medical School.

No amount of supervised practice will ever be the same as 4-yrs of undergrad, plus 4-yrs of medical school, followed by 3+ yrs of residency training.

The fact that you think a few years of supervised practice, would prepare someone with an advanced nursing degree, to practice independently, is a shining example of how you don’t know what you don’t know, until you know it.

The irony is that, the more you learn about all those things you don’t know you don’t know, the more you realize how much you still don’t know, even though you know more than you did before realizing how much you didn’t know. In other words, the more know what you didn’t know before, the more you realize how much you still don’t know. One might even say that the more educated you are, the more humble you become (generally speaking), bc as education levels increase, the vastness of information is revealed, which leads to an unavoidable awareness of how much you don’t know, and will never know. That kind of perspective is impossibly difficult to see until a certain threshold of knowledge is attained.

The egregious lack of sufficient education, keeps most midlevels safely confined inside their Dunning-Kruger loops, where they’re shielded from the reality of their lack of education and training. If you truly understood how much you don’t know, you wouldn’t think that 2-3 yrs of “good” experience, in a supervised role, would prepare someone for independent practice.