国家全职执业权威条例和执业护士实践自主权:来自2018年注册护士全国样本调查的证据
Eric P Slade1, Kelli DePriest1,2, Yvonne Commodore-Mensah1
1Johns Hopkins School of Nursing, Baltimore, MD, USA.
Medical care research and review : MCRR
|October 29, 2024
概括
全职执业权限 (FPA) 法律显著增加了执业护士 (NP) 的自主权,使其能够进行更独立的执业,并可能改善服务不足地区的医疗保健准入.
科学领域:
- 卫生政策 卫生政策
- 护理实践 护理实践
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 全职执业权限 (FPA) 法律旨在授予执业护士 (NP) 独立执业权.
- 对于FPA法律对日常NP实践自主性的现实影响的理解有限.
研究的目的:
- 调查国家FPA法律与NP实践自治之间的关联.
- 为了比较具有和没有FPA法律的州的NP自治权.
主要方法:
- 利用来自20830名执业护士 (NPs) 的全国调查数据.
- 在FPA和非FPA国家的NP之间比较实践自主性指标.
- 分析了FPA法律期限对NP自治的影响.
主要成果:
- 在FPA州的NP在没有现场医生的情况下进行实践的可能性是超过两倍,并且缺乏医生合作者的可能性是两倍.
- FPA法律与其他四个自治指标的关联是积极的,尽管较小.
- 拥有FPA法律超过10年的州在NP自治方面表现出更大的增长.
结论:
- FPA法律与增加NP实践自主性有关.
- FPA法律可能会促进自主 NP 实践环境.
- 这可能会提高服务不足的人群的医疗保健可获得性.
相关概念视频
Nursing Code of Ethics
2.2K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
2.2K
Accountability and Responsibility of a Nurse II
672
Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
672
Interdisciplinary Care: The Health Care Team-I
1.6K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.6K
Nursing Ethical Principles I
1.2K
Ethical principles serve as the moral compass in the longstanding tradition of nursing, guiding healthcare professionals in their interactions with patients and families. These principles, namely autonomy, beneficence, non-maleficence, justice, and fidelity, provide a robust framework for navigating the ethical complexities of daily nursing practice.
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting...
1.2K
Accountability and Responsibility of a Nurse I
1.8K
Accountability in nursing is a fundamental principle that underscores the obligation of nurses to take responsibility for their actions and answer for any errors or omissions in patient care. This principle is grounded in the professional, legal, and ethical frameworks that shape nursing practice. For instance, nurses must adhere to all relevant laws, regulations, and practice standards, including guidelines set forth by nursing boards and professional bodies, to ensure their actions comply...
1.8K
Ethical Standards I
774
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
774


