A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas
Rev. panam. salud pública
;
12(5): 347-353, nov. 2002.
Artigo
em Inglês
| LILACS, RHS
| ID: lil-342002
RESUMO
Objective. To identify changes in nursing practice and the nursing-practice environment that have occurred with implementation of health sector reform in five countries in the Americas. Methods. An exploratory study of selected settings in Argentina, Brazil, Colombia, Mexico, and the United States of America was conducted between 1997 and 1999 to collect narrative data from 125 professional nurses about their perceptions of nursing practice and changes in work environments. Descriptions of characteristics and trends in nursing practice in the study sites were also obtained. Results. Reorganization of health services has occurred in all five of the countries, responding to health sector reform initiatives and affecting nursing practice in each country. Respondents from all five countries mentioned an emphasis on private enterprise, changes in payment systems for patients and providers, redistributions in the nursing workforce, changes in the personnel mix and nursing-practice functions, work shifting from the hospital to the community, and greater emphasis on cost control and prevention in practice settings. Conclusions. The study provides initial information about current nursing issues that have arisen as a result of health care reform initiatives. Regardless of differences in service models or phases of health sector reform implementation, in all the countries the participating nurses identified many common themes, trends, and changes in nursing practice. The driving forces for change and their intensity have been different in the five countries. Nurses maintain their core values despite increased work stress and greater patient care needs in all the countries as well as economic crises in the Latin American countries
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Enfermagem
/
Reforma dos Serviços de Saúde
Tipo de estudo:
Avaliação Econômica em Saúde
/
Estudo prognóstico
Limite:
Humanos
País/Região como assunto:
América do Sul
/
Argentina
/
Brasil
/
Colômbia
/
México
Idioma:
Inglês
Revista:
Rev. panam. salud pública
Ano de publicação:
2002
Tipo de documento:
Artigo
Instituição/País de afiliação:
The University of Texas Medical Branch/US
Similares
MEDLINE
...
LILACS
LIS