COVID-19和护士执业者的自主权:在医生主导地位的情况下,对护士执业者的专业化进行了定量分析和分析叙述
Clayton D Thomas1, Scott Feyereisen2, William R McConnell3
1Ivy College of Business, Iowa State University, Ames, IA, USA.
概括
由于COVID-19大流行,护士从业人员 (NP) 在22个州获得了暂时的自治权,推动了他们的专业化. 本研究探讨了政策变化和案件负载如何影响NP实践的扩张.
科学领域:
- 医疗保健政策 医疗保健政策
- 专业发展专业发展
- 护理实践 护理实践
背景情况:
- COVID-19 流行病在医疗保健系统中带来了独特的挑战和机会.
- 执业护士 (NP) 在历史上由医生主导的专业环境中工作.
- 了解NP自主性的演变对于医疗保健工作人员动态至关重要.
研究的目的:
- 量化分析COVID-19大流行对美国执业护士 (NP) 执业法律的影响.
- 探索如何使NP自治的政策变化与与流行病相关的案件负载相关.
- 在医生主导地位的更广泛框架内将NP专业化置于背景.
主要方法:
- 对影响美国各州NP实践范围的立法变化的定量分析.
- 统计检查政策变化与COVID-19病例量之间的关联.
- 开发一个分析叙事来框架NP专业化.
主要成果:
- 在疫情期间,在22个美国州,执业护士 (NPs) 获得了临时或永久的自治权.
- 这些政策扩展与增加的COVID-19病例数量有很大关系.
- NP的专业化以在存在,合法性,联盟建设和无处不在方面取得的渐进成就为特征.
结论:
- 随着COVID-19的流行,NP的专业化成为了催化剂,因为它为扩大实践创造了机会.
- 引入了"职业化机会结构"的概念,定义为允许职业群体自治的条件.
- 这一框架,以小幅增长和显著的现场水平转变的时期为标志,可以解释专业化超出内部动态,并适用于其他医疗保健专业.
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