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Abstract
OBJECTIVE The objective of this study was to addresses the basic question of whether alternative legislative approaches are effective in encouraging hospitals to increase nurse staffing. METHODS Using 16 years of nationally representative hospital-level data from the American Hospital Association (AHA) annual survey, we employed a difference-in-difference design to compare changes in productive hours per patient day for registered nurses (RNs), licensed practical/vocational nurses (LPNs), and nursing assistive personnel (NAP) in the state that mandated staffing ratios, states that legislated staffing committees, and states that legislated public reporting, to changes in states that did not implement any nurse staffing legislation before and after the legislation was implemented. We constructed multivariate linear regression models to assess the effects with hospital and year fixed effects, controlling for hospital-level characteristics and state-level factors. RESULTS Compared with states with no legislation, the state that legislated minimum staffing ratios had an 0.996 (P<0.01) increase in RN hours per patient day and 0.224 (P<0.01) increase in NAP hours after the legislation was implemented, but no statistically significant changes in RN or NAP hours were found in states that legislated a staffing committee or public reporting. The staffing committee approach had a negative effect on LPN hours (difference-in-difference=-0.076, P<0.01), while the public reporting approach had a positive effect on LPN hours (difference-in-difference=0.115, P<0.01). There was no statistically significant effect of staffing mandate on LPN hours. CONCLUSIONS When we included California in the comparison, our model suggests that neither the staffing committee nor the public reporting approach alone are effective in increasing hospital RN staffing, although the public reporting approach appeared to have a positive effect on LPN staffing. When we excluded California form the model, public reporting also had a positive effect on RN staffing. Future research should examine patient outcomes associated with these policies, as well as potential cost savings for hospitals from reduced nurse turnover rates.
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Affiliation(s)
- Xinxin Han
- School of Medicine, Tsinghua University, Beijing, China
| | - Patricia Pittman
- Fitzhugh Mullan Institute Health Workforce Equity, Milken Institute School of Public Health
| | - Burt Barnow
- Trachtenberg School of Public Policy and Public Administration, The George Washington University, Washington, DC
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Cato D, Dickerson P. Advocating for Change in Board of Nursing Continuing Education Rules. J Contin Educ Nurs 2021; 52:208-210. [PMID: 34038675 DOI: 10.3928/00220124-20210414-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Some state boards of nursing have administrative rules related to continuing education. These may relate to requirements for providing continuing education and/or using evidence of continuing education to meet licensure renewal requirements. As the world of nursing professional development (NPD) continues to evolve, administrative rules often become outdated. One of the accountabilities of an NPD practitioner is to facilitate change in advocating for professional development. This column describes the process for working with state boards of nursing to change rules related to continuing education. [J Contin Educ Nurs. 2021;52(5):208-210.].
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Flaga-Gieruszyńska K, Kożybska M, Osman T, Radlińska I, Zabielska P, Karakiewicz-Krawczyk K, Jurczak A, Karakiewicz B. Telemedicine services in the work of a doctor, dentist, nurse and midwife - analysis of legal regulations in Poland and the possibility of their implementation on the example of selected European countries. Ann Agric Environ Med 2020; 27:680-688. [PMID: 33356078 DOI: 10.26444/aaem/116587] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION AND OBJECTIVE The aim of the study is to discuss the legal framework for telemedicine services in Poland, and to present telemedicine solutions used in selected European countries. MATERIAL AND METHODS The analysis of legal cts was chosen as a research method in order to determine legal possibilities for medical professionals to use telemedicine services. A literature review was undertaken to demonstrate the possibilities of telemedicine as used in the United Kingdom, Germany, Norway, The Netherlands and Sweden. RESULTS The Act on the professions of a doctor and a dentist states that the doctor and the dentist can perform their profession via ICT systems or communication systems. The doctor is obliged to practice in accordance with current medical knowledge and available methods. 'Available methods' include considering information and communication measures that may allow prevention, recognition or treatment. The Act on the profession of a nurse and a midwife states that the nurse and midwife perform the professions using current medical knowledge and the mediation of ICT systems or communication systems. Thus, the legislator has clearly authorized persons performing these professions to provide services in the field of telemedicine. However, despite the existence of a legal basis for using telemedicine, its development in Poland is not as high as in the United Kingdom, Germany, Norway, The Netherlands or Sweden. CONCLUSIONS The legislator gradually introduces legal solutions necessary for the development of telemedicine services, although the pace of these changes, as well as building the technical infrastructure that is the basis for the proper provision of telemedicine services, are too slow.
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Affiliation(s)
- Kinga Flaga-Gieruszyńska
- Department of Civil Procedure, Faculty of Law and Administration, University of Szczecin, Poland
| | - Marta Kożybska
- Department of Medical Law of the Social Medicine Chair, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Tomasz Osman
- Department of Social Medicine and Public Health of the Social Medicine Chair, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Iwona Radlińska
- Department of Medical Law of the Social Medicine Chair, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Paulina Zabielska
- Department of Social Medicine and Public Health of the Social Medicine Chair, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | | | - Anna Jurczak
- Department of Clinical Nursing, Pomeranian Medical University in Szczecin, Szczecin, Poland
| | - Beata Karakiewicz
- Department of Social Medicine and Public Health of the Social Medicine Chair, Pomeranian Medical University in Szczecin, Szczecin, Poland
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Key J, Hoare K. Nurse prescribing in New Zealand-the difference in levels of prescribing explained. N Z Med J 2020; 133:111-118. [PMID: 33119574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
This article discusses the three types of nurse prescriber currently registered in New Zealand (nurse practitioners, registered nurse prescribers (RNP) in primary health and specialty teams and registered nurse prescribers (RNPCH) in community health). It also provides an overview of the evolution of each group, as well as a summary of the current legislation, prescribing restrictions and models of supervision required for each type of prescriber.
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Affiliation(s)
- Jane Key
- Senior Lecturer/Nurse Practitioner, School of Nursing, College of Health, Massey University/Waitemata DHB, Auckland
| | - Karen Hoare
- Associate Professor/Nurse Practitioner School of Nursing, College of Health, Massey University/Greenstone Family Clinic, Auckland
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Ballesteros-Peña S, Fernández-Aedo I, de la Fuente-Sancho I. Regulations for using semiautomatic external defibrillators outside health care settings in Spain: a review and comparison of the current situation across autonomous communities. Emergencias 2020; 31:429-434. [PMID: 31777216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
We compared Spanish autonomous communities' regulations affecting the use of semiautomatic external defibrillators (semi-AEDs), including requirements for training and providing devices outside health care settings. We analyzed differences in the development of regulations across the different geographic areas. Regulations published in the official bulletins of Spain's 17 autonomous communities and 2 autonomous cities in effect in May 2019 were reviewed to extract directives affecting training, authorized use, and the provision of semi-AEDs outside health care centers. We found that both doctors and nurses are authorized to use the devices in most communities, with the exception of Murcia, where only doctors may use them. Fourteen communities also authorize emergency responders to operate semi-AEDs. Other individuals must call for emergency help before using one, and specific rules vary by community. In the Basque Country anyone may use them, but in other communities, only individuals who have taken a training course on how to use a semi-AED may. The duration of training programs varies from 4 to 9 hours in different parts of Spain, and retraining is required at intervals that vary from 1 to 3 years. However, in 11 communities any citizen may use a semi-AED in an emergency in which authorized persons are not present (after first calling for emergency responders). Eleven autonomous communities regulate the required provision of semi-AEDs outside health care centers. We conclude that although Spain's autonomous communities have regulations in place for the use of these devices, the regulatory map is highly diverse. Therefore, we think that harmonization is desirable in the interest of unifying criteria and encouraging the use of semi-AEDs when they are needed.
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Affiliation(s)
- Sendoa Ballesteros-Peña
- Organización Sanitaria Integrada de Bilbao-Basurto, Bilbao, España. Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea, Leioa, Bizkaia, España
| | - Irrintzi Fernández-Aedo
- Facultad de Medicina y Enfermería, Universidad del País Vasco/Euskal Herriko Unibertsitatea, Leioa, Bizkaia, España
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Affiliation(s)
- Kristopher T Starr
- Kristopher T. Starr is an attorney at law at Ferry Joseph, P.A., in Wilmington, Del.; an ED NP at US Acute Care Solutions, Union Hospital in Elkton, Md., and University of Maryland Upper Chesapeake Health in Bel Air, Md.; and adjunct faculty at the School of Nursing, University of Delaware in Newark, Del. He is also a member of the Nursing2020 editorial board
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Affiliation(s)
- Omobola Awosika Oyeleye
- Omobola Awosika Oyeleye is an assistant professor at the University of Texas at Houston Cizik School of Nursing in Houston, Tex
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Abstract
BACKGROUND Nurse prescribing of medicines is increasing worldwide, but there is limited research in Europe. The objective of this study was to analyse which countries in Europe have adopted laws on nurse prescribing. METHODS Cross-country comparative analysis of reforms on nurse prescribing, based on an expert survey (TaskShift2Nurses Survey) and an OECD study. Country experts provided country-specific information, which was complemented with the peer-reviewed and grey literature. The analysis was based on policy and thematic analyses. RESULTS In Europe, as of 2019, a total of 13 countries have adopted laws on nurse prescribing, of which 12 apply nationwide (Cyprus, Denmark, Estonia, Finland, France, Ireland, Netherlands, Norway, Poland, Spain, Sweden, United Kingdom (UK)) and one regionally, to the Canton Vaud (Switzerland). Eight countries adopted laws since 2010. The extent of prescribing rights ranged from nearly all medicines within nurses' specialisations (Ireland for nurse prescribers, Netherlands for nurse specialists, UK for independent nurse prescribers) to a limited set of medicines (Cyprus, Denmark, Estonia, Finland, France, Norway, Poland, Spain, Sweden). All countries have regulatory and minimum educational requirements in place to ensure patient safety; the majority require some form of physician oversight. CONCLUSIONS The role of nurses has expanded in Europe over the last decade, as demonstrated by the adoption of new laws on prescribing rights.
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Affiliation(s)
- Claudia B Maier
- Department of Healthcare Management, Technische Universität Berlin, H 80, Straße des 17. Juni 135, 10623, Berlin, Germany.
- Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Claire Fagin Hall, 418 Curie Blvd, Philadelphia, PA, 19104, United States of America.
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Howard PK. Advocating for Practice. J Emerg Nurs 2019; 45:600-601. [PMID: 31706440 DOI: 10.1016/j.jen.2019.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 09/11/2019] [Indexed: 11/19/2022]
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Foster S. A duty of care to the nurse as well. Br J Nurs 2019; 28:955. [PMID: 31348710 DOI: 10.12968/bjon.2019.28.14.955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Sam Foster, Chief Nurse, Oxford University Hospitals, reflects on the responsibility employers have to ensure that disciplinary procedures and processes are fit for purpose.
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Affiliation(s)
- Sam Foster
- Chief Nurse, Oxford University Hospitals
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Fujita N, Matsuoka S, Koto-Shimada K, Ikarashi M, Hazarika I, Zwi AB. Regulation of nursing professionals in Cambodia and Vietnam: a review of the evolution and key influences. Hum Resour Health 2019; 17:48. [PMID: 31269960 PMCID: PMC6610848 DOI: 10.1186/s12960-019-0388-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Accepted: 06/20/2019] [Indexed: 05/24/2023]
Abstract
BACKGROUND In 2006, the countries of the Association of Southeast Asian Nations (ASEAN) signed the Mutual Recognition Arrangements (MRA) in relation to nursing services in the region. This agreement was part of a set of policies to promote the free flow of skilled labor among ASEAN members and required mutually acceptable professional regulatory frameworks. This paper presents a narrative review of the literature to (1) describe progress in the development of the regulatory framework for nursing professionals in Cambodia and Vietnam since 2000 and (2) identify key factors, including the MRA, that affect these processes. METHODS For document review, policy documents, laws, regulations, and published peer-reviewed and gray literature were reviewed. Data were triangulated and analyzed using a tool developed by adapting McCarthy et al.'s regulatory function framework and covering eight functions (legislation, accreditation of preservice education, competency assessment, registration and licensing system, tools and data flow of registration, scope of practice, continuing professional development, professional misconduct and disciplinary powers). RESULTS Cambodia and Vietnam have made remarkable progress in developing their regulatory frameworks for nursing. A number of key influences contributed to the development of nursing regulations, including the signing of the MRA in 2006 and the establishment of the Joint Coordinating Committee on Nursing (AJCCN) in 2007 as key milestones. Macroeconomic and political factors affecting the process were economic growth and an emerging private sector, social demand for quality care and professionalism, global attention to health workforce competencies, the role of development partners, and regular monitoring and mutual learning through AJCCN. A period of incubation enabled countries to develop consensus among stakeholders regarding regulatory arrangements; this trend accelerated after 2010 by bringing national regulatory schemes into conformity with the regional framework. Some similarities in the process (e.g., preservice education first, legislation later) and differences in key actors (e.g., professional councils and the capacity of nursing leaders) were observed in two countries. CONCLUSION Further development of the regulatory framework will require strong nursing leadership to sustain achievements and drive continued progress. The adapted tool to assess regulatory capacity works well and may be of value in assessing the development of regulations in the nursing profession.
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Affiliation(s)
- Noriko Fujita
- National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjyukuku, Tokyo, 162-8655 Japan
| | - Sadatoshi Matsuoka
- National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjyukuku, Tokyo, 162-8655 Japan
| | | | - Megumi Ikarashi
- National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjyukuku, Tokyo, 162-8655 Japan
| | - Indrajit Hazarika
- Regional Office for the Western Pacific, World Health Organization, Manila, Philippines
| | - Anthony B. Zwi
- Health Rights and Development (HEARD@UNSW), School of Social Sciences, Faculty of Arts and Social Sciences, University of New South Wales, Sydney, NSW 2052 Australia
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13
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MacDonald J. Protecting the public in action. Alta RN 2018; 73:4. [PMID: 29758142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Sharpe DK, Hall JK, Ochije S, Bailey RK. Understanding forensic psychiatry in healthcare practices and collaboration between legal nurse consultants and physicians. Med Leg J 2018; 86:32-35. [PMID: 29206080 DOI: 10.1177/0025817217740299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
In 2000, the Institute of Medicine stunned many professionals with their published report that noted the vast number of deaths that occur each year in hospitals across the United States which reach as many as 98,000. Therefore, it comes as no surprise that the healthcare arena faces litigious issues regularly, with some specialties budgets being significantly impacted by the cost of maintaining liability insurance. Legal Nurse Consultants and forensic physicians working in tandem but who work independently from treating clinicians can carry out forensic independent medical examinations (IME). This can help to assess the validity of malpractice claims, including issues of causation and degree of injuries claimed due to the incident(s) and recommend treatment strategies where appropriate. Reviews can cover a wide range of issues such as a person's past or current testamentary capacity, a prisoner or an accused person's mental health and/or mental impairment where necessary sending them for more assessment or treatment outside prison. This article argues that independent medical reviews are a useful tool that can assist the civil and criminal courts processes.
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Affiliation(s)
- Daphne K Sharpe
- Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, North Carolina, USA
| | - Jasmine K Hall
- Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, North Carolina, USA
| | - Sochima Ochije
- Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, North Carolina, USA
| | - Rahn K Bailey
- Department of Psychiatry and Behavioral Medicine, Wake Forest University School of Medicine, North Carolina, USA
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Howell J. Forecast for 2018 Legislative Session. Mo Med 2017; 114:407-409. [PMID: 30228647 PMCID: PMC6139966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Jeff Howell
- Jeff Howell, JD, is MSMA's General Counsel and Director of Governmental Relations
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Oviedo AD. The Doctrine of Deliberate Indifference: Reed vs. Krajca. J Forensic Nurs 2017; 13:147-149. [PMID: 28820775 DOI: 10.1097/jfn.0000000000000165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Facts of the Reed v. Krajca case are presented in which plaintiffs filed a lawsuit for civil damages under the doctrine of deliberate indifference and defendant, Nurse Krajca, invoked qualified immunity in a motion for summary judgment. The Court of Appeal's decision and the dissenting opinion on the issue of deliberate indifference are discussed. This case report provides a concrete example of how the doctrine of deliberate indifference was interpreted by the Court of Appeal and becomes a springboard for analysis and discussion for nurses to guide their practice.
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Affiliation(s)
- Astrid D Oviedo
- Case Report Editor: Dr. Brian McKenna, School of Clinical Sciences, Auckland University of Technology, Author Affiliations: University of North Carolina at Pembroke
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Department of Veterans Affairs. Advanced Practice Registered Nurses. Final rule with comment period. Fed Regist 2016; 81:90198-207. [PMID: 28001018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
The Department of Veterans Affairs (VA) is amending its medical regulations to permit full practice authority of three roles of VA advanced practice registered nurses (APRN) when they are acting within the scope of their VA employment. Certified Registered Nurse Anesthetists (CRNA) will not be included in VA's full practice authority under this final rule, but comment is requested on whether there are access issues or other unconsidered circumstances that might warrant their inclusion in a future rulemaking. The final rulemaking establishes the professional qualifications an individual must possess to be appointed as an APRN within VA, establishes the criteria under which VA may grant full practice authority to an APRN, and defines the scope of full practice authority for each of the three roles of APRN. The services provided by an APRN under full practice authority in VA are consistent with the nursing profession's standards of practice for such roles. This rulemaking increases veterans' access to VA health care by expanding the pool of qualified health care professionals who are authorized to provide primary health care and other related health care services to the full extent of their education, training, and certification, without the clinical supervision of physicians, and it permits VA to use its health care resources more effectively and in a manner that is consistent with the role of APRNs in the non-VA health care sector, while maintaining the patient-centered, safe, high-quality health care that veterans receive from VA.
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Roussel J. [The prescribing rights of registered nurses in Canada]. Soins 2016; 61:50-52. [PMID: 27814808 DOI: 10.1016/j.soin.2016.08.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In order to improve the performance of the healthcare system in Canada, registered nurses have been given the right to prescribe. The Canadian Nurses Association played a central role in the implementation of this change by developing a national reference framework, now available to Canadian provinces and territories.
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Affiliation(s)
- Josette Roussel
- Association des infirmières et infirmiers du Canada, 50, Driveway, Ottawa ON, K2P 1E2, Canada.
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Abstract
While the ability to prescribe has long remained outside the scope of nursing practice in France, successive changes to legislation have resulted in the real activities of nurses in this field to be taken into account. This constitutes an evolution in the nursing profession from a legal perspective.
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Affiliation(s)
- Stéphane Brissy
- Université de Nantes-IUT, 3, rue du Maréchal Joffre, 44041 Nantes, France.
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Affiliation(s)
- Christophe Debout
- c/o Revue Soins, Elsevier Masson, 65, rue Camille-Desmoulins, 92442 Issy-les-Moulineaux cedex, France.
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Affiliation(s)
- Marc Paris
- Collectif interassociatif sur la santé (Ciss), 10, villa Bosquet, 75007 Paris, France.
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Affiliation(s)
- Christophe Debout
- c/o Revue Soins, Elsevier Masson, 65, rue Camille-Desmoulins, 92442 Issy-les-Moulineaux cedex, France.
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Debout C. [Nurse prescribing, what is the international situation?]. Soins 2016; 61:34-39. [PMID: 27814804 DOI: 10.1016/j.soin.2016.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Authorising nurses to prescribe is identified as a winning strategy for a growing number of healthcare systems looking to put in place an organisation better suited to the challenges facing them. However, it is necessary to establish the conditions necessary for its implementation, notably in terms of the acquisition and updating of skills as well as the preparation of the clinical environments in which to implement this change.
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Affiliation(s)
- Christophe Debout
- c/o Revue Soins, Elsevier Masson, 65, rue Camille-Desmoulins, 92442 Issy-les-Moulineaux cedex, France.
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Jones-Berry S. Prime minister urged to re-examine safe staffing. Nurs Stand 2016; 30:7-8. [PMID: 27440323 DOI: 10.7748/ns.30.47.7.s3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Nursing leaders have pressed new prime minister Theresa May to re-examine key issues affecting the profession as a matter of urgency.
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Readers' panel - Should nurses be prosecuted if they fail to report child abuse? Nurs Stand 2016; 30:31. [PMID: 27353925 DOI: 10.7748/ns.30.44.31.s34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Our experts consider a hot topic of the day.
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FEDERAL ELECTION 2016: IF YOU DON'T CARE, WE CAN'T CARE. Aust Nurs Midwifery J 2016; 23:16-22. [PMID: 27532098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Affiliation(s)
- Richard Weinmeyer
- Senior research associate for the American Medical Association Council on Ethical and Judicial Affairs in Chicago
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Hudspeth RS. Remembering 'Mrs. Reynolds Needs a Nurse'. Nurs Adm Q 2016; 40:186-188. [PMID: 26938192 DOI: 10.1097/naq.0000000000000155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Neal-Boylan L, Miller M. The ADA and Its Amendment. Impact on All Nurses. Insight 2016; 41:29-31. [PMID: 27209689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Middleton J. "A triumph for nurses and Nursing Times". Nurs Times 2015; 111:1. [PMID: 26665618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Middleton J, Ford S. Clarity after chaos on revalidation. Nurs Times 2015; 111:2-3. [PMID: 26665619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Merrifield N. Nurses' fury forces government row back on revalidation delay. Nurs Times 2015; 111:3. [PMID: 26665620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Moon K. Employing Advanced Practice Providers: Balancing Benefits and Potential Malpractice Risks. Mich Med 2015; 114:22-23. [PMID: 26710562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Loophole closed that would have let registrants sidestep revalidation. Nurs Stand 2015; 30:8. [PMID: 26463767 DOI: 10.7748/ns.30.7.8.s4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Sprinks J. Unions and employers welcome historic decision on revalidation. Nurs Stand 2015; 30:9. [PMID: 26463771 DOI: 10.7748/ns.30.7.9.s8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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King S. Nursing Under the Old Poor Law in Midland and Eastern England 1780-1834. J Hist Med Allied Sci 2015; 70:588-622. [PMID: 25159685 DOI: 10.1093/jhmas/jru025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
This article uses data drawn from the overseers' accounts and supporting documentation in thirty-six parishes spread over four English counties, to answer three basic questions. First, what was the character, extent, structure, range of activities, and remuneration of the nursing labor force under the Old Poor Law between the late eighteenth century and the implementation of the New Poor Law in the 1830s? Second, were there regional and intra-regional differences in the scale and nature of spending on nursing care for the sick poor? Third, how might one explain such differences? The article suggests that nursing became an increasingly important category of spending for the poor law from the later eighteenth century, but that there were significant variations within and (particularly) between English counties in parochial attitudes toward the provision of nursing for the sick poor. These variations can be explained by applying a matrix of explanatory variables ranging from the minor (differences in how parishes defined "nursing") through to the major (long-standing cultural attitudes toward the responsibility of parishioners to their sick compatriots and the ingrained expectations of the sick poor). The article also throws new light on the hidden aspects of female labor force participation, pointing to the development of professional nursing networks long before the later nineteenth century.
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Affiliation(s)
- Steven King
- College of Social Science, University of Leicester, Leicester, UK
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Dodsworth S. Nurses should be exempt from changes to immigration rules. Nurs Stand 2015; 30:30. [PMID: 26373514 DOI: 10.7748/ns.30.3.30.s37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Williams D. My working hours prove that district nurses do work at night. Nurs Stand 2015; 29:33. [PMID: 26136031 DOI: 10.7748/ns.29.44.33.s39] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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NMC will take action over dishonesty, barrister warns. Nurs Stand 2015; 29:10. [PMID: 26135997 DOI: 10.7748/ns.29.44.10.s11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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RCN president calls for staffing guidance U-turn. Nurs Stand 2015; 29:8. [PMID: 26103830 DOI: 10.7748/ns.29.43.8.s5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Duffin C. Non-EU nurses face early exit. Nurs Stand 2015; 29:64-65. [PMID: 26058656 DOI: 10.7748/ns.29.41.64.s45] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Clive Banzon came to the UK from the Philippines in April 2012, but is likely to be told to leave in a couple of years.
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Byrne G. Victorino Chua's ex-colleagues deserve support for their ordeal. Nurs Stand 2015; 29:33. [PMID: 26036402 DOI: 10.7748/ns.29.40.33.s40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Harding-Price D. Why every vote must count if the government is to listen to nurses. Nurs Stand 2015; 29:32. [PMID: 25872842 DOI: 10.7748/ns.29.33.32.s36] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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College vows to fight employers over pay refunds. Nurs Stand 2015; 29:8. [PMID: 25872810 DOI: 10.7748/ns.29.33.8.s6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Marcoux I. Health care professionals' comprehension of the legal status of end-of-life practices in Quebec: study of clinical scenarios. Can Fam Physician 2015; 61:e196-203. [PMID: 26052600 PMCID: PMC4396778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
OBJECTIVE To determine health care professionals' understanding of the current legal status of different end-of-life practices and their future legal status if medical aid in dying were legalized, and to identify factors associated with misunderstanding surrounding the current legal status. DESIGN Cross-sectional survey using 6 clinical scenarios developed from a validated European questionnaire and from a validated classification of end-of-life practices. SETTING Quebec. PARTICIPANTS Health care professionals (physicians and nurses). MAIN OUTCOME MEASURES Perceptions of the current legal status of the given scenarios and whether or not the practices would be authorized in the event that medical aid in dying were legalized. RESULTS Among the respondents (n = 271, response rate 88.0%), more than 98% knew that the administration or prescription of lethal medication was currently illegal. However, 45.8% wrongly thought that it was not permitted to withdraw a potentially life-prolonging treatment at the patient's request, and this misconception was more common among nurses and professionals who had received their diplomas longer ago. Only 39.5% believed that, in the event that medical aid in dying were legalized, the use of lethal medication would be permitted at the patient's request, and 34.6% believed they would be able to give such medication to an incompetent patient upon a relative's request. CONCLUSION Health care professionals knew which medical practices were illegal, but some wrongly believed that current permitted practices were not legal. There were various interpretations of what would or would not be allowed if medical aid in dying were legalized. Education on the clinical implications of end-of-life practice legislation should be promoted.
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Affiliation(s)
- Isabelle Marcoux
- Assistant Professor in the Interdisciplinary School of Health Sciences at the University of Ottawa in Ontario and Researcher at the Charles-Lemoyne Research Centre in Longueuil, Que
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Wilkinson J. Nurses' reported use of standing orders in primary health care settings. J Prim Health Care 2015; 7:34-41. [PMID: 25770714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023] Open
Abstract
INTRODUCTION The Medicines (Standing Order) Amendment Regulations 2011 allow medicines to be supplied or administered to a patient by a nurse in the absence of a medical practitioner and without a prescription. Regulations have been in place since 2002, but no substantive research has occurred in New Zealand concerning their use. AIM This paper reports a survey of registered nurses (RNs) who work in primary health care (PHC) settings and explores aspects of their practice relating to their use of standing orders. METHODS A self-reported survey using a non-probability sample of RNs working in PHC who use standing orders in their practice (n=231). Data were analysed descriptively. RESULTS The sample were experienced RNs (mean 24 years since registration) and 53% have a postgraduate qualification. Some nurses' understanding of a standing order included provision of a prescription to a patient. Standing orders were used frequently (42% reported use 1 to >5 times/day) for a wide variety of conditions. There is a significant relationship between undertaking the stated professional development requirements and confidence in the clinical decisions made (p=0.025). Over half (52%) would like to use standing orders more often. DISCUSSION Standing orders are used extensively in PHC settings. The conditions nurses are involved in treating are usually already differentiated or have a high degree of diagnostic certainty. Nurses can effectively provide medicines under standing orders when doctors support their use, issue evidence-based orders, and have confidence in nurses with advanced skills. Doctors need to meet their responsibilities under the Regulations.
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Affiliation(s)
- Jill Wilkinson
- School of Nursing, Massey University, Wellington, New Zealand.
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