A Review of Regulatory Body Nurse Practitioner Disciplinary Action Cases in Canada

IF 4.2 4区医学 Q1 NURSING

Journal of Nursing Regulation Pub Date : 2025-01-01 DOI:10.1016/S2155-8256(25)00032-8

Ai-Leng Foong-Reichert BSc, PharmD, PhD, Kelly A. Grindrod BSc Pharm, PharmD, MSc, Sherilyn K.D. Houle BSP, PhD

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引用次数: 0

Abstract

Background: Nurse practitioners (NPs) are the fastest growing type of nursing professional in Canada, yet little research exists on NP disciplinary outcomes.

Purpose: To characterize the outcomes of disciplinary action for NPs in Canada by determining the reasons for disciplinary action, penalties issued, and any associations between disciplinary action and demographic characteristics.

Methods: Publicly available regulatory body disciplinary action cases concerning NPs from January 2010 to December 2020 were included. Cases were sought from all 10 provinces and three territories in Canada. If cases could not be accessed online, the nurse regulatory board was contacted via email. The reasons for discipline, penalties applied, and demographic factors were coded independently by two researchers.

Results: Information regarding cases was obtained from six provinces and one territory. A total of 10 cases were included from Manitoba, Ontario, and Newfoundland and Labrador, while British Columbia, Nova Scotia, Prince Edward Island, and Yukon had zero cases during the study period. Cases from Quebec were excluded because we were unable to determine the type of nursing professional being disciplined. Also, case records could not be obtained for the full study period from the remaining jurisdictions (Alberta, Saskatchewan, New Brunswick, Quebec, Northwest Territories, and Nunavut) and were thus excluded. The rate of disciplinary action was low (0.27 cases per 1,000 NPs per year). Professional misconduct was the most common reason for discipline (n = 8), followed by clinical incompetence (n = 7) and dishonest business practices (n = 2). The median number of years licensed as an NP before discipline was 8.5.

Conclusion: To our knowledge, this is the first study to analyze disciplinary outcomes for NPs in Canada. Characterization of disciplinary outcomes is important to develop strategies and educational initiatives to prevent future discipline and support return to practice for those who have been disciplined.

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加拿大监管机构护士执业人员纪律处分案例回顾

背景：执业护士（NPs）是加拿大增长最快的护理专业类型，但关于NP学科成果的研究很少。目的：通过确定纪律处分的原因、所发出的处罚以及纪律处分与人口特征之间的任何关联，来描述加拿大非裔移民纪律处分的结果。方法：纳入2010年1月至2020年12月公开的监管机构对NPs的纪律处分案例。在加拿大所有10个省和3个地区寻找了病例。如果无法在线访问病例，则通过电子邮件联系护士监管委员会。纪律、处罚和人口因素的原因由两名研究人员独立编码。结果：从6个省和1个地区获得病例信息。马尼托巴省、安大略省、纽芬兰和拉布拉多省共纳入10例病例，而不列颠哥伦比亚省、新斯科舍省、爱德华王子岛和育空地区在研究期间无病例。魁北克省的病例被排除在外，因为我们无法确定受到纪律处分的护理专业人员的类型。此外，在整个研究期间无法从其他司法管辖区（阿尔伯塔、萨斯喀彻温、新不伦瑞克、魁北克、西北地区和努纳武特）获得病例记录，因此被排除在外。纪律处分的比率很低（每年每1 000名国家警察发生0.27起案件）。职业不端行为是最常见的纪律原因（n = 8），其次是临床无能（n = 7）和不诚实的商业行为（n = 2）。在受到纪律处分之前，获得NP执照的中位数年数为8.5。结论：据我们所知，这是第一个分析加拿大NPs纪律结果的研究。纪律处分结果的特征对于制定策略和教育举措以防止未来的纪律处分和支持那些已经受到纪律处分的人重返实践是很重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Regulation NURSING-

CiteScore

4.60

自引率

12.50%

发文量

审稿时长

54 days

期刊介绍： Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.