Subject(s)
Advanced Practice Nursing/legislation & jurisprudence , Coronavirus Infections/nursing , Legislation, Nursing/organization & administration , Pandemics , Pneumonia, Viral/nursing , COVID-19 , Coronavirus Infections/epidemiology , Health Services Accessibility , Humans , Pneumonia, Viral/epidemiology , United StatesABSTRACT
Resumen El objetivo de este artículo es analizar la estructura regulatoria de la enfermería en México, a través de la normatividad y los actores involucrados. Se desarrolló un estudio de caso con uso de fuentes de información cualitativa, cuantitativa y revisión de documentación oficial. El análisis integró los datos obtenidos de las fuentes de acuerdo con cuatro dimensiones propuestas por Moran & Wood (1993). La dimensión con mayores avances es el ingreso al mercado ya que el Estado regula el ingreso a través de una licencia de práctica. La regulación de la competencia es débil y muestra áreas aisladas de práctica autónoma. El mercado laboral ofrece condiciones variadas de inserción con muestras claras de deterioro. El mecanismo de pago dominante es el salario de las instituciones públicas mostrando una estructura que incorpora un componente que no cotiza para la pensión al término del ciclo laboral. La regulación de la enfermería es un componente de su profesionalización y como tal se distingue como un proceso en marcha en vías de consolidación, particularmente aquellas dimensiones relacionadas con la regulación de la competencia, la estructura del mercado y los mecanismos de pago en el cual la enfermería y sus representantes deben jugar un papel más activo.
Abstract This paper aims to analyze the regulatory structure of nursing in Mexico through its legislation and perspectives of participant stakeholders. A case study was undertaken using qualitative and quantitative data sources, as well as from the review of official documents. The analysis included data from the sources according to the four realms proposed by the Moran & Wood (1993) model. The more advanced realm was the market entry since the state regulates entry through a license of practice. The regulation of competition is weak, showing very reduced areas of autonomous practice. The labor market is offering a wide variety of entry options with clear signs of deterioration. The dominant payment mechanism is salary, showing a structure that incorporates a component that does not impact on pensions at the end of the labor cycle. The regulation of nursing is a component of its professionalization, and as such, it is understood as a multidimensional consolidating process, particularly realms related to the regulation of competition, market structure, and payment mechanisms, in which nursing representatives should play a more active role in the future.
Subject(s)
Legislation, Nursing/standards , Legislation, Nursing/organization & administration , Salaries and Fringe Benefits , Employment , MexicoABSTRACT
This paper aims to analyze the regulatory structure of nursing in Mexico through its legislation and perspectives of participant stakeholders. A case study was undertaken using qualitative and quantitative data sources, as well as from the review of official documents. The analysis included data from the sources according to the four realms proposed by the Moran & Wood (1993) model. The more advanced realm was the market entry since the state regulates entry through a license of practice. The regulation of competition is weak, showing very reduced areas of autonomous practice. The labor market is offering a wide variety of entry options with clear signs of deterioration. The dominant payment mechanism is salary, showing a structure that incorporates a component that does not impact on pensions at the end of the labor cycle. The regulation of nursing is a component of its professionalization, and as such, it is understood as a multidimensional consolidating process, particularly realms related to the regulation of competition, market structure, and payment mechanisms, in which nursing representatives should play a more active role in the future.
El objetivo de este artículo es analizar la estructura regulatoria de la enfermería en México, a través de la normatividad y los actores involucrados. Se desarrolló un estudio de caso con uso de fuentes de información cualitativa, cuantitativa y revisión de documentación oficial. El análisis integró los datos obtenidos de las fuentes de acuerdo con cuatro dimensiones propuestas por Moran & Wood (1993). La dimensión con mayores avances es el ingreso al mercado ya que el Estado regula el ingreso a través de una licencia de práctica. La regulación de la competencia es débil y muestra áreas aisladas de práctica autónoma. El mercado laboral ofrece condiciones variadas de inserción con muestras claras de deterioro. El mecanismo de pago dominante es el salario de las instituciones públicas mostrando una estructura que incorpora un componente que no cotiza para la pensión al término del ciclo laboral. La regulación de la enfermería es un componente de su profesionalización y como tal se distingue como un proceso en marcha en vías de consolidación, particularmente aquellas dimensiones relacionadas con la regulación de la competencia, la estructura del mercado y los mecanismos de pago en el cual la enfermería y sus representantes deben jugar un papel más activo.
Subject(s)
Legislation, Nursing , Employment , Legislation, Nursing/organization & administration , Legislation, Nursing/standards , Mexico , Salaries and Fringe BenefitsABSTRACT
No disponible
Subject(s)
Humans , Drug Prescriptions/nursing , Legislation, Nursing/organization & administration , Legislation, Nursing/standards , Drug Utilization/legislation & jurisprudence , Homeopathic Dosage/standardsABSTRACT
How does challenging authority look? This article describes two steps taken to prepare for and engage in challenges to existing laws. The first step is use of the nursing process to help structure deliberations about when to pursue, justify, and target a challenge to existing law to create desired outcomes. The second step is the important process of building the case for change and the broad base of support needed to push against resistance to change. The article details two examples of specific legislative successes the author accomplished using these two steps.
Subject(s)
Delivery of Health Care/legislation & jurisprudence , Legislation, Nursing/organization & administration , Nursing Process/legislation & jurisprudence , Female , Humans , Male , Nurse's Role , Nursing Care/organization & administration , Politics , United StatesABSTRACT
Introducción: La Enfermería Penitenciaria ha experimentado durante las últimas décadas una profunda trasformación, similar a la experimentada por el resto de la Enfermería, pero hay una distancia importante con la legislación que la ampara. Objetivo: explorar la realidad asistencial de la Enfermería Penitenciaria mediante la recopilación y análisis de los principales documentos legales que regulan la Sanidad Penitenciaria en los centros penitenciarios españoles. Metodología: Revisión bibliográfica en fuentes como Medline, Cuiden, Scielo, Dialnet, etc. Se emplearon las palabras clave: 'enfermería', 'cárcel', 'prisión', 'evolución', 'funciones enfermería prisiones', 'leyes enfermería prisiones' y 'sanidad penitenciaria'. Se revisan artículos entre 1834 y 2015. Además se utilizaron tres libros especializados sobre Sanidad Penitenciaria, se revisó Revista Española de Sanidad Penitenciaria y la página web del Ministerio del Interior de Instituciones Penitenciarias, así como varios documentos legales relacionados con el tema. Resultados: Se seleccionaron 43 documentos, debido a su pertinencia con el tema objeto de estudio. Se rechazaron 4 artículos por carecer de la misma. Se analizaron los documentos en cuanto a marco legal y funciones de enfermería en prisiones en sus diferentes apartados (asistencial, docente, investigador y de gestión). Conclusión: Las funciones que los enfermeros desempeñan actualmente en los CP son las marcadas por la legislación sanitaria extrapenitenciaria, además de las normas administrativas internas establecidas por la Institución Penitenciaria. Debería replantearse la necesaria integración de la Sanidad Penitenciaria en el Sistema Público de Salud de forma que garantice la igualdad de la asistencia sanitaria para las personas privadas de libertad y proporcione los mismos derechos y deberes a los profesionales sanitarios que la ejercen (AU)
Introduction: Prison nursing has undergone a major transformation in recent decades, similar to that experienced in other sectors of nursing. However, a considerable distance has to be covered before the provisions of protective legislation become a reality. Objective: To analyze the main legal documents which regulate the functions of Prison Nursing and to compare it with the reality of health care for nurses in Spanish prisons. Methodology: Narrative bibliographic review based on various sources such as Medline, Cuiden, Scielo, Dialnet, etc. Results: 43 documents were selected for their relevance to the subject matter of the study. 4 were rejected for not having any relevance. The documents were analysed for references to the legal framework and functions of nursing in prisons in different sections (health care, teaching, research and management). Conclusion: The functions currently carried out in prisons are the ones provided for by health care legislation outside the prison context, along with the internal administrative regulations established by prisons. The possibility should be reconsidered of integrating Prison Healthcare into the Public Healthcare System so as to guarantee equality of healthcare for persons deprived of liberty and to provide the same rights and obligations to health professionals working in this sector (AU)
Subject(s)
Humans , Male , Female , Nursing Care/organization & administration , Nursing Care/standards , Legislation, Nursing/organization & administration , Legislation, Nursing/standards , Prisons , Prisons/organization & administration , Community Health Nursing/legislation & jurisprudence , Community Health Nursing/standards , Community Health Services , Community Health Services/standards , Delivery of Health Care/legislation & jurisprudence , Delivery of Health Care/standards , Prisons/standards , Nursing Staff/legislation & jurisprudence , Nursing Staff/organization & administration , Nursing Staff/standardsABSTRACT
Habitualmente, la familia juega un papel inestimable en el cuidado de las personas dependientes, hasta el punto de que el concepto de cuidador informal forma parte del discurso habitual de los profesionales sanitarios. A pesar de ello, su participación en el cuidado del paciente hospitalizado es aún muy baja. El objetivo de este trabajo ha sido revisar las evidencias disponibles respecto a las ventajas de promover la participación de la familia en el cuidado del paciente hospitalizado, así como a las recomendaciones que en esta materia han realizado distintas sociedades científicas y organizaciones profesionales. También se ha querido estudiar lo establecido en la normativa vigente en España respecto a la presencia de la familia durante el acto profesional de cuidado. Para ello se revisaron distintas bases de datos y recomendaciones de organismos oficiales de la salud sobre la familia y el paciente, así como la legislación estatal, autonómica y local. La evidencia aportada pone de manifiesto que es de gran utilidad para fomentar la mejora y el bienestar del paciente que esté acompañado por su familia durante la hospitalización y que esta participe de manera activa en el cuidado (AU)
Normally, family plays an invaluable role concerning the dependent people care, to the extent that the concept of informal care is part of the common speech among the healthcare professionals. However, the participation of relatives in the health care of those hospitalized is still very low. The objective of this paper was to review the available evidence regarding the advantages of promoting the family participation in the hospitalized patients healthcare, as well as the recommendations that several scientific societies and professional organizations have made in this sense. It has been also studied what is established in the Spanish current law in relation to the presence of the family during the professional process of healthcare. For this, diverse databases and official health organizations recommendations about the family and the patient were revised, as well as the national, autonomic and local legislation. The evidence provided shows that the accompaniment of the family and its active participation in the healthcare of the patient is very useful to promote its recovering and well-being during its hospitalization (AU)
Subject(s)
Humans , Male , Female , Nursing Care/organization & administration , Caregivers/legislation & jurisprudence , Caregivers/organization & administration , Self Care/methods , Patient Rights/legislation & jurisprudence , Patient Rights/standards , Legislation, Nursing/organization & administration , Legislation, Nursing/standards , Patient Rights/ethics , Patient Advocacy/legislation & jurisprudenceSubject(s)
Legislation, Nursing/organization & administration , Nursing Service, Hospital/organization & administration , Personnel Staffing and Scheduling/legislation & jurisprudence , Government Agencies , Nursing Service, Hospital/legislation & jurisprudence , Personnel Staffing and Scheduling/organization & administration , WalesABSTRACT
This paper provides readers with an overview of some contemporary issues associated with nursing regulation and scope of practice in Canada. Issues with the current organizational structure of nursing regulation and its impact on nursing advocacy in Canada are explored. An argument is presented that nursing regulation needs more consistency and collaboration in Canada. Several examples are used to illustrate this. Fragmentation of regulation is explored and regulatory disciplinary processes are examined in relation to some countries with similar professional structures. The impact of changes in the regulatory status of complementary and alternative health practitioners on nursing is also critiqued. We provide recommendations for future policy and practice to better pave the way for nursing scope and regulatory clarity.
Subject(s)
Attitude of Health Personnel , Cooperative Behavior , Interdisciplinary Communication , Legislation, Nursing/organization & administration , Legislation, Nursing/trends , Canada , Complementary Therapies/legislation & jurisprudence , Complementary Therapies/nursing , Employee Discipline/legislation & jurisprudence , Forecasting , Humans , Nurses/legislation & jurisprudence , Nurses/trendsABSTRACT
La Unidad de Gestión Clínica (UGC) se ha establecido actualmente en las instituciones sanitarias andaluzas como el modelo de gestión de referencia. Este modelo de gestión pretende instaurar en los profesionales sanitarios una idea-fuerza: el mayor rendimiento de los recursos sanitarios se realiza impulsando la práctica clínica que utilice el menor número de recursos diagnósticos y terapéuticos. La UGC no solo tiene como objetivo el ahorro económico, en el Acuerdo de Gestión Clínica [1] se valoran todas las dimensiones que la integran: la investigación, la formación, el proceso clínico, la cartera de servicios, los objetivos, la gestión económica y los indicadores de control y de seguridad. En ella se pretende transferir más responsabilidades a los profesionales sanitarios, implicándolos en la gestión de la Unidad. La UGC establece nuevos enfoques que afectan directamente a los profesionales sanitarios y plantea ventajas e inconvenientes para los facultativos y los profesionales de enfermería, implicados en la consecución de la excelencia en la labor asistencial. Estos últimos se muestran expectantes ante los cambios que se van generando en las instituciones sanitarias y aparece un debate acerca de las competencias que se derivan de la misma. Algunos profesionales de enfermería consideran que la presión asistencial a la que se ven sometidos en las instituciones públicas ha aumentado desde la aparición de la UGC y, sin embargo, otros se sienten motivados y recompensados por los resultados que obtienen con este modelo de gestión. En las instituciones sanitarias algunos profesionales se sienten más motivados que otros y esto se constata en el resultado de la actividad asistencial [2]. Ante las percepciones positivas y negativas que la UGC plantea, se considera pertinente centrar el objetivo de este trabajo en la búsqueda de los factores que influyen en la satisfacción laboral de los profesionales de enfermería de la UGC. Son escasos los estudios realizados acerca de la misma [3] pero resultan inexistentes si se vinculan con la enfermería; por tanto, la búsqueda del conocimiento científico de enfermería relacionado con el modelo de gestión clínica y fundamentado en la calidad asistencial puede llevar a establecer nuevos conceptos en torno a la profesión enfermera, profesión en la que se vislumbran importantes cambios cuando el Grado sea efectivo(AU)
Clinical Management Unit (CMU) is currently set in the Andalusian health institutions as the model reference management. This management model aims to make all healthcare professionals a powerful idea: the best performance of health resources is performed to drive clinical practice using the least number of diagnostic and therapeutic resources. The CMU not only aims at saving money, in the Clinical Management Agreement [1] are measured all the dimensions that make up the UGC: research, training, clinical process, the portfolio of services, objectives, financial management and indicators to control and security. The CMU is to transfer more responsibilities to Health Care Professionals, involving them in the management of the Unit. The CMU sets new approaches that directly affect health professionals and presents advantages and disadvantages for the Doctors and the Nurses, involved in achieving excellence in care work. Nurse Practitioners shows expectant before the changes are generated in health institutions and appears a discussion of skills derived from the CMU. Some Nurses believe that the burden of care to which they are subjected in public institutions has increased since the onset of the CMU and yet others believe that they are motivated and rewarded for the results obtained with this model of management. In health institutions, some professionals are more motivated than others and this is found in the outcome of health care activity [2]. Given the positive and negative perceptions that arise in the CMU Professional Nurses, it is considered appropriate to focus the objective of this work in the search for factors that influence job satisfaction of nurses in the CMU. There are few studies about the CMU [3] but are absent when linked with nursing, so the pursuit of scientific knowledge related to nursing management model based on Clinical and Quality Care can lead to establish new concepts around the nursing profession, a profession in which major changes are foreseen when the Grade is effective(AU)
Subject(s)
Humans , Male , Female , Job Satisfaction , Nurse Clinicians/organization & administration , Nursing Assessment/legislation & jurisprudence , Nursing Assessment/organization & administration , Nursing Assessment/standards , Nursing Care/organization & administration , Nursing Care/standards , Nursing Care/trends , Insurance, Nursing Services/standards , Legislation, Nursing/organization & administration , Nursing, Practical/methods , Nursing, Practical/organization & administration , Nursing, Practical/standards , /organization & administration , Quality of Health Care/organization & administration , Quality of Health Care/standardsABSTRACT
Uruguay cuenta hoy con una ley de ejercicio profesional, la cual ha sido un esfuerzo del colectivo profesional que hoy es una realidad expresada en la Ley 18.815. En la actualidad se está recorriendo un camino con el fin de reglamentar dicha legislación y se torna de relevancia reflexionar algunos aspectos que tienen que ver con el rol profesional, el cual se distingue en gran medida por la gestión del cuidado. El objetivo de este artículo es abordar algunos aspectos claves que permitan iluminar el proceso de reglamentación de la ley en el país, presentando algunas consideraciones sobre los desafíos que supone para el colectivo este proceso para empoderar el cuidado, la gestión del mismo y el rol profesional. El profesional de enfermería tiene muchas fortalezas que pueden ser abordadas como oportunidad única en el momento de reglamentación de la ley. El acrecentar las habilidades en la gestión de cuidados encuentra hoy un terreno especial que ofrece oportunidades para que las necesidades de las personas sean satisfechas con humanidad, calidad y seguridad, acordes al nuevo modelo de atención en la salud, fortaleciendo la interacción enfermera/paciente. Ante los escenarios poco favorecedores para el desarrollo del rol profesional de Enfermería, la reglamentación de la ley de ejercicio en el país ofrece hoy una posibilidad para fortalecer la autonomía y el desarrollo profesional. El campo de dominio disciplinar debe impregnar las reglamentaciones de una ley de ejercicio profesional, integrando nuevos estilos de pensamiento, que se fundamenten en las interacciones humanas e interdisciplinares.
Actually, the Uruguay has a law on professional practice, which has been an effort from the professional group which is now a reality expressed in the Law 18.815. Currently we are treading a path in order to regulate such legislation and it becomes relevant to reflect some aspects that have to do with the professional role, which is distinguished largely by the care management. In this line, the aim of this article is to address some key aspects that allow to illuminate the regulatory process of law in the country, presenting some considerations regarding the challenges that are supposed for the collective this process, to empower the care, management and the professional role. The nursing professional has many strengths that can be addressed as a unique opportunity at the time of regulatory law. Increasing skills in care management is now a special field that offers opportunities, as long as the expectations of nurses are high, with a focus group, according to the new model of health care, strengthening the interaction nurse/patient. Today, given the unflattering stages for the development of professional nursing role, the regulation of law practice in the country offers an opportunity to strengthen the autonomy and professional development. The domain field discipline must permeate the regulations of a law practice, integrating new ways of thinking, which are based on human and interdisciplinary interactions.
Subject(s)
Social Control, Formal , Professional Autonomy , Legislation, Nursing/organization & administration , Nursing Care , Uruguay , Nurse's Role , Empathy , Nurse-Patient RelationsSubject(s)
Clinical Competence/legislation & jurisprudence , Education, Nursing/legislation & jurisprudence , Legislation, Nursing/organization & administration , Licensure, Nursing/legislation & jurisprudence , National Health Programs/legislation & jurisprudence , Curriculum/standards , Germany , HumansABSTRACT
En los dos últimos años se ha producido un importante desarrollo legislativo sobre los derechos de la persona en el proceso final de la vida. El objetivo de este trabajo es analizar el contenido de estas nuevas leyes para conocer cómo quedan regulados los derechos de las personas durante el proceso de muerte, los deberes del personal sanitario que atiende a estos pacientes, y las garantías que las administraciones públicas e instituciones sanitarias están obligadas a proporcionar para asegurar el correcto ejercicio de estos derechos(AU)
In the last two years there has been a major legislative developments on the individual rights at the end of life process. The aim of this paper is to analyze the content of these new laws in order to know how are regulated the individual rights during the process of death, the duties of health workers who treat these patients and guarantees that public authorities and health institutions are required to provide to ensure the proper exercise of these rights(AU)
Subject(s)
Humans , Male , Female , Life Expectancy/trends , Active Life Expectancy , Patient Rights/legislation & jurisprudence , Patient Rights/standards , Public Administration/methods , Health Personnel/legislation & jurisprudence , Health Personnel/organization & administration , Legislation, Nursing , Health Personnel/legislation & jurisprudence , Health Personnel/statistics & numerical data , Health Personnel/trends , Nursing/methods , Legislation, Nursing/organization & administration , Legislation, Nursing/standards , Legislation, Nursing/trendsABSTRACT
AIM: The aim of this paper was to examine the nurse practitioner legislative framework in Australia from a critical social theory perspective. BACKGROUND: National regulation for nurses and midwives has superseded all previous state legislation with effect from July 2010. The aim of this change was to streamline regulation processes across all health professionals requiring regulation, in order to eliminate diverse state-based regulatory policies that were identified as hindering transferability of the workforce across Australia. This paper explores the changes with reference to nurse practitioners. Since their introduction to Australia different legislative practices between states have presented difficult endorsement procedures which have affected employment. DATA SOURCES: Information for the paper is drawn from a doctoral study which examined the politics of advancing nursing in Australia, with particular reference to the discourses of nurse practitioners. This is augmented by more recent legislative documents and policies, as well as media reports, to examine the process of change in legislation and the unfolding discourses on employment and practice. IMPLICATIONS TO NURSING: Nurse practitioner endorsement may be more complicated, defeating the original premise of transferability of a skilled workforce across state jurisdictions. CONCLUSION: This paper exposes the influence that powerful discourses can have on a major change to professional practice.
Subject(s)
Government Regulation , Legislation, Nursing/organization & administration , Licensure, Nursing/legislation & jurisprudence , Nurse Practitioners/organization & administration , Organizational Policy , Australia , Health Policy , Humans , Legislation, Nursing/trends , Nurse's Role , Nursing Administration Research , Organizational Innovation , Professional AutonomyABSTRACT
BACKGROUND: The nurse's function, no matter the working area, is guided by ethical approaches, grounded in science and well-tried experiences, and has to be conducted according to national laws, statutes and instructions. AIM: To survey newly graduated Swedish nurses' knowledge about current statutes and laws that govern their healthcare system. METHOD: A questionnaire was developed from facts in relevant statutes and laws presented and used in the nursing education programmes. Following a pilot study testing the items, a 20-item questionnaire, with mostly open-ended questions, was distributed to student nurses in the last semester of their nursing education programme before graduation. RESULTS: One hundred and seventy-eight participants answered the questionnaire (response rate 59%). Only 29% of responses on all questions showed correct knowledge about the different statutes and laws that regulate their work as nurses. The best knowledge was found in the area of documentation (range 35-86%) and in the area of information (range 16-54%) on group scores. CONCLUSION: This survey concerning novice nurses' knowledge about statutes and laws showed great deficiencies. It was surprising to find that, on existing demands regarding nurses delegating medical tasks, not a single respondent presented a correct answer. Evidence-based knowledge was difficult to recognize. Nurses will be more conscious of their own limitations and more prepared to meet the reality of practice if there is emphasis on relevant statutes and laws during their education.
Subject(s)
Education, Nursing, Baccalaureate , Health Services/legislation & jurisprudence , Legislation, Nursing/organization & administration , Nurse's Role , Students, Nursing , Adult , Attitude of Health Personnel , Competency-Based Education/standards , Curriculum/standards , Delegation, Professional/legislation & jurisprudence , Education, Nursing, Baccalaureate/standards , Educational Measurement , Female , Health Knowledge, Attitudes, Practice , Health Services Needs and Demand , Humans , Male , Nursing Education Research , Professional Autonomy , Professional Competence , Safety Management/legislation & jurisprudence , Students, Nursing/psychology , Students, Nursing/statistics & numerical data , Surveys and QuestionnairesABSTRACT
Este artículo fue expuesto en sus líneas generales en el VII Simposio Nacional de Úlceras por Presión y Heridas Crónicas y Primer Congreso Latinoamericano sobre Úlceras y Heridas. Consta de una primera parte introductoria y una enumeración de preguntas y respuestas en las que las autoras desarrollan más extensamente los temas más candentes que pueden afectar a la actuación enfermera(AU)
An overall summary of this article was submitted at the VII National Symposium on Bed Sores and Chronic Wounds and at the First Latin American Congress on Ulcers and Wounds. This article consists of an introductory first part followed by a series of numbered questions and answers in which the authors more extensively develop the hottest topics which may affect nurses daily practice(AU)