Factoring consumers' perspectives into policy decisions for nursing competence

Area of Science:

• Healthcare policy and nursing regulation
• Consumer-centered healthcare models
• Public safety in healthcare delivery

Background:

• Traditional healthcare accountability models prioritize provider perspectives.
• Public concern regarding nursing competence prompted regulatory review.
• The Alabama Board of Nursing developed a consumer-centered accountability model in 1999.

Purpose of the Study:

• To investigate consumer perceptions of nursing competence and regulation.
• To compare consumer perceptions with those of healthcare providers, educators, and leaders.
• To evaluate the impact of research findings on nursing regulatory policy and public safety.

Main Methods:

• Development of a consumer-centered accountability model for nursing practice.
• Conducting research on consumer perceptions of nursing competence and regulation.
• Comparative analysis of perceptions between consumers (N=1,127) and various healthcare stakeholders.

Main Results:

• Significant differences were identified between consumer perceptions and those of licensees, educators, and organizational leaders.
• Research findings highlighted the importance of incorporating consumer viewpoints into regulatory frameworks.
• Policy implications led to substantial regulatory changes aimed at enhancing nursing competence.

Conclusions:

• Shifting accountability models to center on consumers improves healthcare delivery and public safety.
• Regulatory changes based on comparative perception research can effectively enhance nursing practice standards.
• Sustained progress in policy demonstrates a commitment to public safety through consumer-focused regulation.