国家卫生和执业护士执业人员的执业权威水平
Jacqueline Dunbar-Jacob1, Jeffrey M Rohay1
1University of Pittsburgh School of Nursing, Pittsburgh, PA.
Nursing outlook
|December 4, 2024
概括
拥有全护士执业 (NP) 级执业权限 (NP-LPA) 的州表现出优越的人口健康结果. 这表明NP-LPA是改善公共卫生和初级保健准入的关键.
科学领域:
- 卫生政策 卫生政策
- 公共卫生 公共卫生
- 护理实践 护理实践
背景情况:
- 执业护士 (NP) 护理在各种临床环境中产生了积极的结果.
- 在NP水平的实践权威 (NP-LPA) 和人口健康之间的关系是显著的兴趣.
研究的目的:
- 为了确定州人口健康指标是否根据NP-LPA不同.
- 调查NP-LPA对公共卫生指标的影响.
主要方法:
- 美国联合基金会年度报告 (2019年,2021年) 用于国家卫生排名.
- 从美国执业护士协会网站 (2021) 提取了NP-LPA数据.
- 采用了费舍尔的确切测试来比较排名最高的州和排名最低的州.
主要成果:
- 拥有完全NP-LPA的国家在整体健康方面表现优于权力减少或限制的国家.
- 在健康结果,临床护理,质量和获取方面观察到更高的排名.
- 完整的NP-LPA州也显示出更好的初级保健提供者比例和儿童免疫率.
结论:
- 立法完整的NP-LPA与改善人口健康有关.
- 扩大NP-LPA可能有助于缓解初级保健短缺并改善整体公共卫生.
- 支持全面NP-LPA的政策变化可以显著有利于人口健康结果.
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