The increase in illegal private duty nurses in public Greek hospitals.

AIM: To consider key aspects of the increasing substitution of legal private duty nurses by an illegal immigrant health-care workforce. BACKGROUND: Inadequate nursing care infrastructure and an oversupply of illegal immigrants, coupled with the current economic climate, favours the growth of an unofficial economy in hospital care. EVALUATION: Information gathered from literature, governmental and ministerial records, the media and the press are evaluated. KEY ISSUES: Increasing numbers of unauthorized immigrant health-care workers, facilitated by agencies, carry out undocumented private employment in hospitals for a considerably lower cost than their legal counterparts. Legal workers view their employment as being threatened and nurses have expressed concerns about quality of care and safety of patients, while at the same time health-care officials are unable to control this situation. CONCLUSIONS: It is anticipated that unless an appropriate care infrastructure is developed, this situation will persist and even escalate. The effects on patient care and the economy of the country, in general, need to be evaluated. IMPLICATIONS FOR NURSING MANAGEMENT: Managers ought to establish ways of improving the regulation and monitoring of illegal private duty nurses, in order to optimize the health, safety and wellbeing of patients.

Nurses, midwives and the requirement for "appropriate" professional indemnity insurance.

The Health Practitioner Regulation National Law Act 2009 (the National Law) imposes the obligation on nurses and midwives to have appropriate professional indemnity insurance coverage as a condition of applying for, or renewing, their registration to practise in Australia. The National Law also empowers the Nursing and Midwifery Board of Australia to develop a registration standard and guidelines in relation to professional indemnity insurance and to enforce compliance through the registration process. Though not previously a requirement for their registration, nurses and midwives must now understand the nature and extent of the professional indemnity insurance under which they practise and declare that they will not practise their profession unless they have appropriate professional indemnity insurance arrangements which cover the full scope of their practice. This column provides an overview of the obligations and responsibilities imposed on nurses and midwives under the National Law and the Nursing and Midwifery Board of Australia's registration standard and guidelines. It is imperative that nurses and midwives understand the National Law provisions and the standard and guidelines developed by the Board before making decisions about their professional indemnity insurance and self-declaring that they have "appropriate" professional indemnity arrangements in place.

Reglamentaciones de la Ley 298/00, algunos detalles de su elaboración / Regulations of the Law 298/00, some details

El presente artículo hace una breve reseña de la elaboración de la reglamentación de la ley 298 que regula el ejercicio de la profesión de enfermería en el ámbito de la Ciudad de Buenos Aires y relatan la problemática surgida por modificaciones realizadas en la redacción de los artículos del texto de la reglamentación (AU)

Reglamentaciones de la Ley 298/00, algunos detalles de su elaboración / Regulations of the Law 298/00, some details

El presente artículo hace una breve reseña de la elaboración de la reglamentación de la ley 298 que regula el ejercicio de la profesión de enfermería en el ámbito de la Ciudad de Buenos Aires y relatan la problemática surgida por modificaciones realizadas en la redacción de los artículos del texto de la reglamentación