Elizabeth H. Zhong PhD, Brendan Martin PhD, Maryann Alexander PhD, RN, FAAN
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引用次数: 5
Abstract
Background
The Nurse Licensure Compact (NLC) is a modernized licensure system designed to facilitate nurse mobility in a safe and standardized way. It has demonstrated particular usefulness during the COVID-19 pandemic and other emergencies, allowing nurses to practice where they are needed without the time and cost burdens of obtaining multiple state licenses. In 2018, uniform licensure requirements were added to the NLC to strengthen the requirements for a multistate license. Nevertheless, some states have been reluctant to join the NLC, expressing safety concerns.
Purpose
The National Council of State Boards of Nursing compared the discipline rates of multistate license holders to nurses holding single-state licenses.
Methods
This cross-sectional study used discipline data from the calendar year 2019, which was chosen because it contained the most current pre-pandemic data. Discipline cases among nurses with and without a multistate license were evaluated. Using the national Nursys database, we compared discipline rates and types of violations leading to disciplinary actions by 33 NLC Boards of Nursing (BONs) and 24 non-NLC BONs.
Results
The overall discipline rates of nurses in NLC and non-NLC states were virtually identical (0.24% versus 0.23%). However, a further breakdown of the data revealed the annual discipline rate of nurses holding single-state licenses across both non-NLC and NLC states was between two to four times higher than the rate of multistate license holders.
Conclusion
Multistate license holders’ consistently low discipline rates hold across all available demographic categories, suggesting the overall safety of the NLC.
护士执照契约(NLC)是一个现代化的执照制度，旨在以安全和标准化的方式促进护士的流动性。在2019冠状病毒病大流行和其他紧急情况期间，它特别有用，使护士能够在需要的地方执业，而无需花费时间和成本负担获得多个州执照。2018年，NLC增加了统一的许可证要求，以加强对多州许可证的要求。然而，一些州出于安全考虑不愿加入NLC。目的:国家护理委员会比较了持有多州执照的护士和持有单一州执照的护士的纪律率。这项横断面研究使用了2019日历年的学科数据，选择2019日历年是因为它包含了最新的大流行前数据。评估了有和没有多州执照的护士的纪律案件。使用国家Nursys数据库，我们比较了33个NLC护理委员会(BONs)和24个非NLC护理委员会的纪律率和违规行为类型。结果NLC州和非NLC州护士的总体纪律率基本相同(0.24% vs 0.23%)。然而，对数据的进一步分析显示，在非NLC和NLC州，持有单一州执照的护士的年度纪律率比持有多州执照的护士的纪律率高出两到四倍。结论:在所有可用的人口统计类别中，多州许可证持有人的低纪律率持续存在，表明NLC的总体安全性。
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.
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