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Establishing a secure, collaborative nurse-patient relationship is crucial for delivering high-quality care. This relationship, founded on trust, respect, and honesty, enhances the patient's comfort and willingness to share vital health information. For example, a nurse who listens actively and without judgment provides clear information about health conditions and treatment options and respects patient decisions, which builds a trusting relationship.
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Reforming nursing registration: Lessons from pandemics.

Cynthia Connolly1, Patricia D'Antonio2, Julie Fairman3

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State-based nursing regulations are insufficient for national crises. A national COMPACT system is needed for effective pandemic response, addressing potential structural inequities in regulatory processes.

Keywords:
COMPACTHistoryLicensureNursing registration

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Area of Science:

  • Public Health Policy
  • Nursing Regulation
  • Pandemic Preparedness

Background:

  • The COVID-19 pandemic highlighted the need for adaptable public health responses.
  • Historical comparisons between COVID-19 and the 1918 Flu Pandemic offer insights into crisis management.
  • Nursing workforce regulation is a critical component of public health infrastructure.

Observation:

  • This study analyzes the historical impact of the 1918 Flu Pandemic on Pennsylvania's nursing regulatory framework.
  • Current state-based nursing registration systems were examined for their efficacy during large-scale health crises.
  • The study considers the evolution of nursing regulations in response to past pandemics.

Findings:

  • State-based nursing registration is inadequate for managing national or global health crises.
  • The regulatory apparatus shaped by the 1918 pandemic is insufficient for current pandemic challenges.
  • Existing regulatory processes may inadvertently perpetuate structural inequities.

Implications:

  • A shift towards a national Nurse Licensure Compact (NLC) system is crucial for pandemic preparedness.
  • Policy reforms must ensure regulatory processes do not reinforce existing structural inequities.
  • Integrated public health approaches require flexible and nationally coordinated nursing workforce regulations.