A Model for Policy Reforms to Remove Barriers in Nursing Licensure Applications.

IF 1.8 4区 医学 Q2 NURSING
Christopher M Wojnar
{"title":"A Model for Policy Reforms to Remove Barriers in Nursing Licensure Applications.","authors":"Christopher M Wojnar","doi":"10.1097/NNA.0000000000001558","DOIUrl":null,"url":null,"abstract":"<p><p>Engaging nurses with lived experience in mental health, substance use, and suicide is critical for meaningful policy reform that benefits both the nursing workforce and the communities they serve. Informed by lived experiences, barriers such as invasive licensure application questions, public disclosure of protected health information (PHI) during disciplinary proceedings, and limitations in Alternative to Discipline (ATD) programs were elevated. This article outlines a grassroots advocacy approach involving voluntary disclosure from nurses with lived experience, coalition building with the Dr. Lorna Breen Heroes' Foundation, and collaboration with state licensure bodies to drive targeted reforms. These include rephrasing mental health-related licensure questions, improving ATD program support and accessibility, and ensuring PHI confidentiality. This model is replicable and offers a compassionate path to improving nurse retention and mental health support.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"55 4","pages":"190-191"},"PeriodicalIF":1.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Administration","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NNA.0000000000001558","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

Abstract

Engaging nurses with lived experience in mental health, substance use, and suicide is critical for meaningful policy reform that benefits both the nursing workforce and the communities they serve. Informed by lived experiences, barriers such as invasive licensure application questions, public disclosure of protected health information (PHI) during disciplinary proceedings, and limitations in Alternative to Discipline (ATD) programs were elevated. This article outlines a grassroots advocacy approach involving voluntary disclosure from nurses with lived experience, coalition building with the Dr. Lorna Breen Heroes' Foundation, and collaboration with state licensure bodies to drive targeted reforms. These include rephrasing mental health-related licensure questions, improving ATD program support and accessibility, and ensuring PHI confidentiality. This model is replicable and offers a compassionate path to improving nurse retention and mental health support.

消除护理执照申请障碍的政策改革模式。
让在心理健康、药物使用和自杀方面有亲身经历的护士参与进来,对于进行有意义的政策改革,使护理人员队伍和他们所服务的社区都能从中受益至关重要。根据亲身经历,一些障碍,如侵入性执照申请问题、在纪律处分程序中公开披露受保护的健康信息 (PHI),以及替代纪律处分 (ATD) 计划中的限制等,都得到了提升。这篇文章概述了一种基层宣传方法,其中包括有亲身经历的护士自愿披露信息、与洛纳-布林博士英雄基金会建立联盟,以及与州执照颁发机构合作推动有针对性的改革。这些改革包括重新制定与心理健康相关的执照问题,改善 ATD 项目的支持和可及性,以及确保 PHI 的保密性。这种模式具有可复制性,为提高护士留任率和心理健康支持提供了一条富有同情心的道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
2.90
自引率
10.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: ​JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信