Reforming nursing registration: Lessons from pandemics.

A nimble and flexible regulatory response regarding the nursing workforce is essential to a fully integrated public health approach to national crises and pandemics. The COVID-19 pandemic has drawn many comparisons to the 1918 Flu Pandemic. Some of them are well-reasoned and grounded in evidence. Other are not. This study provides a historically contextualized analysis of how the 1918 flu pandemic helped shape Pennsylvania nursing's current regulatory apparatus. We conclude that the state-based solutions that nursing registration represents are inadequate to deal with pandemics and crises with national, if not global, reach. We need to move immediately toward the national COMPACT system, while mindful of how regulatory processes and procedures can reinforce structural inequities.

The Path to Advanced Practice Licensure for Clinical Nurse Specialists in Washington State.

PURPOSE: The aim of this study was to provide a review of the history and process to obtaining advanced practice licensure for clinical nurse specialists in Washington State. Before 2016, Washington State licensed certified nurse practitioners, certified nurse midwives, and certified nurse anesthetists under the designation of an advanced registered nurse practitioner; however, the state did not recognize clinical nurse specialists as advanced practice nurses. The work to drive the rule change began in 2007. DESCRIPTION OF THE PROJECT: The Washington Affiliate of the National Association of Clinical Nurse Specialists used the Power Elite Theory to guide advocacy activities, building coalitions and support for the desired rule changes. OUTCOME: On January 8, 2016, the Washington State Nursing Care Quality Assurance Commission voted to amend the state's advanced practice rules, including clinical nurse specialists in the designation of an advanced practice nurse. Since the rule revision, clinical nurse specialists in Washington State have been granted advanced registered nurse practitioner licenses. CONCLUSIONS: Driving changes in state regulatory rules requires diligent advocacy, partnership, and a deep understanding of the state's rule-making processes. To be successful in changing rules, clinical nurse specialists must build strong partnerships with key influencers and understand the steps in practice required to make the desired changes.

A game of snakes and ladders: negotiating the 'ups and downs' of endorsement as a nurse practitioner in Australia.

BACKGROUND: Australian legislation supporting the nurse practitioner (NP) role was enacted in 1998. Since then, NPs have played an important advanced practice role within the interdisciplinary healthcare team. However, the literature suggests that transition to the NP role can be challenging. AIM: This paper highlights the complex transition experiences of ten recently endorsed Australian NPs. The convoluted legislative and regulatory requirements that were negotiated by the NPs are presented as narratives. METHODS: Informed by an ethnographic approach, participants were interviewed several times during their first year. Interview transcripts were thematically analysed and aggregated into three narratives representative of key findings. KEY FINDINGS: The findings exemplify the complexity of navigating through a labyrinth of bureaucracy and the extensive negotiations required to appease those who yielded power over their future practice. CONCLUSION: This study raises awareness of the transition experiences of Australian NPs and their challenges and barriers during this time.

Historiando el origen del Ilustre Colegio Provincial de Practicantes de Huelva / Historiar as origens do College of Practitioners Provincial de Huelva / Historian the origin of the Ilustre Colegio Provincial of Practitioners of Huelva

Este artículo versa sobre un documento de suma importancia para el ente colegial enfermero de Huelva extraído del Libro de Actas del Colegio Provincial de Practicantes de Sevilla (5-5-1909/19-8-1918), en el que se hace referencia allá por el año 1912 de la necesidad de que colegiados en Sevilla pero de origen onubense creen su propio Colegio en nuestra provincia. Un primer intento que no fructificó pero así consta y no debemos obviarlo. El artículo narra las arduas gestiones en los prolegómenos y en el devenir de la investigación, el análisis del Libro de Actas del Colegio de Practicantes de Sevilla, 5-5-1909/19-8-1918 y del Acta en sí, es decir menciona lugar de celebración, asistentes, aplicación de sanciones a no asistentes, aprobación del Acta general anterior y de la directiva última, solicitud de ingreso en la institución colegial, balance económico interno, colegiados cesados, propuesta de nombramiento de delegado de este Colegio en Huelva para la creación de un Colegio profesional y la entrada en vigor de determinados artículos del Reglamento -socorros-. Para finalizar, los autores realizan una reflexión personal al respecto, es decir investigar en Historia Colegial de Enfermera de Huelva (AU)

This article is about a document of utmost importance for the collegiate body nurse of Huelva extracted from book of proceedings of the Colegio Provincial of Practitioners of Sevilla (5-5-1909/19-8-1918), in which reference is made back in the year 1912 the need of referees in Seville but Huelva source they believe their own school in our province. A first attempt that bore no fruit, but so has and must not ignore it. Article chronicles the arduous efforts in the run-up and the evolution of the research, the book of records of the Colegio Provincial of Practitioners of Sevilla (5-5-1909/19-8-1918) and analysis of the Act itself, i.e. mentions place celebration, participants, application of sanctions to not attending, approval of the minutes of the previous general and the last directive, application for admission in the collegiate institution internal economic balance, collegiate board, proposed appointment of delegate at this school in Huelva for the creation of a professional order, the entry into force of certain articles of the regulations -relief-. Finally, the authors carried out a personal reflection on the matter, i.e. research in History College of Nursing in Huelva (AU)

Este artigo é sobre um documento muito importante para Huelva enfermeira colegiado tirada do Livro de Atos do Colégio Provincial de Praticantes de Sevilha (5-5-1909/19-8-1918), que remetido 1912 da necessidade de uma casa colegiada em Huelva Sevilla, mas criar sua própria escola em nossa província. A primeira tentativa não foi bem sucedida, mas tem e não devemos ignorar. O artigo narra as árduas negociações na véspera e no curso da investigação, a análise do Livro de Atas do Colégio de Médicos de Sevilha, 5-5-1909/19-8-1918 eo ato em si, é mencionada local de encontro, os participantes, e não sanções assistentes, a aprovação Lei Geral e do conselho de anteontem, pedido de adesão na instituição colegiada, o equilíbrio econômico interno, colegiado rejeitou, delegado nomeação deste College, em Huelva a criação de uma associação profissional e entrada em vigor de certos artigos do Regulamento de alívio. Finalmente, os autores realizar uma reflexão pessoal sobre o assunto, ou seja, investigar Colegiado de Enfermagem História de Huelva (AU)

"All who nurse for hire": nursing and the mixed legacy of legislative victories.

Sustained support of policy initiatives by nursing has resulted in significant legislative victories. One victory, the passage of the 1938 New York State Todd-Feld Act, which underwent legislative debate at a time when the nurse labor market was in disarray, during an economic depression, and before U.S. entry into World War II, reinforces our understanding that nursing must be a strong shepherd for policies beneficial for health care delivery. Designed to correct serious deficiencies in the nursing workforce, the act successfully required licensing for those working as registered and practical nurses. Yet, its provisions failed to stop all unlicensed nurse workers from practicing. Rapid changes occurring in the nurse labor market against the backdrop of growing hospital power over the employment of all nurse workers minimized the act's effectiveness. Policy implications include the need to focus on the complex nature of health care policy initiatives, flexibility in the face of changing circumstances, and acceptance of political realities.

Gender, politics, and regionalism: factors in the evolution of registered psychiatric nursing in Manitoba, 1920-1960.

In Canada, psychiatric nursing care is provided by two kinds of nurses. East of Manitoba, it is provided by registered nurses who may or may not have specialized psychiatric nursing education. In the four western provinces, a distinct professional group, registered psychiatric nurses, also provide care. Saskatchewan was the first province to achieve distinct legislation, in 1948, followed by British Columbia in 1951, Alberta in 1955, and Manitoba in 1960. Several factors coalesced to sway Manitoba to adopt the distinct profession model. First, there was little interest by the general nursing body in mental hospital nursing. Second, the other three western provinces had formed a Canadian Council of Psychiatric Nursing that encouraged mental hospital attendants and nurses in Manitoba. Third, a group of male attendants took on leadership roles supported by the mental hospital superintendents. Finally, Manitoba was culturally and geographically more aligned with western than eastern Canada.

The story of nurse licensure.

The evolution of nurse licensure is representative of the heroic efforts of nurses to enhance the value and impact of the nursing profession. This literature review presents a historical account of the advancement of nursing through the nurse licensure process.

Moving in circles: a brief history of reports and inquiries relating to mental health content in undergraduate nursing curricula.

Since the abolition of specialist, undergraduate education in mental health nursing, serious concerns have been raised about the inadequate amount of theory and clinical experience devoted to this specialty in most pre-registration nursing programs in Australia. A number of government initiated reports and inquiries have been undertaken to scope the problem and provide recommendations with the aim of overcoming the identified deficits. Most inquiries have agreed that mental health nursing is under-represented in undergraduate programs and this has serious consequences for establishing a sustainable mental health nursing workforce and for providing optimal care for people experiencing a mental illness. The recommendations tend to support the continuation of comprehensive nursing education, but emphasise the need for increased mental health content. Terms like significant and substantial are often used which are not easily quantifiable. The repetitive nature of the recommendations and findings of the reports suggests that real change is not likely to occur unless specific minimum standards for the mental health content of undergraduate nursing programs are set.

Reflections on a perioperative career: 1970-2008.

This paper is a personal journey through nurse training and perioperative practice. Nurse education is also explored alongside some of the social, academic and political changes that have influenced healthcare in the United Kingdom between 1966 and 2008. The views expressed are those of the author only, and the anecdotal descriptions are anonymous.

BJN 100 years ago. Nurses in the dock.

The BJN, even 100 years ago, published legal cases involving nurses or nursing situations. These were highlighted to illustrate the need for the State Registration of nurses. The following is a sample of some of the main points taken from such cases and helps us to compare some of our common professional issues with those of the past.

90 years strong.

The law on the registration of nurses is 90 years old this month. But the road for the regulatory bodies has not always been smooth.