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EU accession: A policy window opportunity for nursing?
Paul De Raeve1, Anne-Marie Rafferty2, Louise Bariball2
1Clos du Parnasse 11A, 1050 Brussels, Belgium.
Health Policy (Amsterdam, Netherlands)
|February 7, 2017
Summary
EU enlargement impacted nursing leadership in Romania and Croatia, but accession processes failed to meet educational standards. Conflicting stakeholder views hindered progress, highlighting a need for better EU accession mechanisms and aligned leadership.
Area of Science:
- Health Policy
- Nursing Education
- European Union Studies
Background:
- European enlargement's impact on health professions, particularly nursing, remains understudied.
- Nursing leadership in former Communist countries during EU accession is a critical, yet neglected, research area.
Purpose of the Study:
- To explore nurse leadership in Romania and Croatia during their EU accession.
- To assess how EU accession policy-making influenced the formulation and implementation of a professional nursing agenda.
Main Methods:
- Comparative case study of Romania and Croatia.
- Qualitative interviews with key nursing stakeholders.
- Documentary analysis of accession-related policies and standards.
Main Results:
- EU accession mechanisms did not ensure compliance with Community Acquis education standards for nursing.
- Capacity building and funds were inefficiently used to upgrade nursing education to EU standards.
- Divergent views among nursing stakeholders (regulators, unions, associations) impeded a unified policy agenda for EU compliance.
Conclusions:
- EU accession processes require critical review to improve their effectiveness for health professions.
- Enhanced alignment of leadership across all governance levels is crucial for meeting EU standards.
- The study underscores the challenges in harmonizing nursing education and professional recognition within the EU framework.
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