Policy, Politics, and Nursing Practice最新文献_第10页

Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy. 高级护理和助产领导的发展实践：改善南太平洋卫生政策的途径。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2022-08-01 Epub Date: 2022-05-09 DOI: 10.1177/15271544221095768

Michele Rumsey, Elizabeth Iro, Di Brown, Michael Larui, Harriet Sam, Fiona Brooks

{"title":"Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy.","authors":"Michele Rumsey, Elizabeth Iro, Di Brown, Michael Larui, Harriet Sam, Fiona Brooks","doi":"10.1177/15271544221095768","DOIUrl":"10.1177/15271544221095768","url":null,"abstract":"The Pacific Islands countries consist of thousands of isolated islands with a combined population of over 10 million people. It is a heterogeneous and diverse region culturally, linguistically economically and politically. Health challenges are considerable and healthcare systems are often overstretched. Framed in the context of the World Health Organisation's strategic directions and policy priorities, this paper describes an account of collaboration across these countries to develop leadership skills in the nursing and midwifery professions. It outlines lessons for nursing leadership, healthcare policy development and the valuable role of Government Chief Nursing and Midwifery Officers. The South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) is a cooperative partnership, which was formed to improve the quality of healthcare in the region. It acts as an enabler to promote leadership skills and provide a safe space for learning, developing policy and the sharing of good practice. Through mentorship programs, international meetings and strong relationship-building, the SPCNMOA has strengthened partnerships within the region and improved community health services in even the most remote areas. By strengthening leadership and collaboration, these health professionals are now recognised by key policy makers as knowledgeable experts who have a legitimate role in guiding policy development, changing practice and delivering health policy improvements at local, country and international levels.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 3","pages":"195-206"},"PeriodicalIF":2.1,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Theoretically Derived Approach to Impact: Implementing Policy Influence Strategies 影响的理论推导方法:实施政策影响战略

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-06-03 DOI: 10.1177/15271544221100164

P. de Raeve, Francesco Bolzonella, Patricia M. Davidson

引用次数: 1

Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study. 医院工作场所暴力事件报告做法的差异：混合方法研究。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 Epub Date: 2022-03-23 DOI: 10.1177/15271544221088248

Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong

{"title":"Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study.","authors":"Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong","doi":"10.1177/15271544221088248","DOIUrl":"10.1177/15271544221088248","url":null,"abstract":"Workplace violence (WV) is a significant and growing problem for health care workers. Increased recognition of the need for improved protections has led to policy initiatives at the state and federal levels, including national Joint Commission requirements that went into effect January 2022. California's WV prevention legislation was phased in during 2017-2018 and requires hospitals to use a new incident reporting system, the Workplace Violent Incident Reporting System (WVIRS) for Hospitals. We analyzed WVIRS data collected during the first three years of its implementation, July 1, 2017 - June 30, 2020. In addition, we collected qualitative data from six California hospitals/hospital systems during 2019-2020 to better understand reporting practices. Over the three-year period, the 413 hospitals using the WVIRS reported between zero and six incidents per staffed bed. Sixteen hospitals (3.9%) reported two or more incidents per staffed bed while the rest reported fewer than two incidents. Qualitative analysis identified that reporting procedures vary considerably among hospitals. Several organizations rely on workers to complete incident reports electronically while others assign managers or security personnel to data collection. Some hospitals appear to report only those incidents involving physical harm to the worker. Regulatory guidance for reporting practices and hospitals' commitment to thorough data collection may improve consistency. As hospitals throughout the U.S. consider practice changes to comply with new WV standards, those engaged in implementation efforts should look closely at reporting practices. Greater consistency in reporting across facilities can help to build evidence for best practices and lead to safety improvements.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 2","pages":"98-108"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing, Health Care, and the New Civil Rights Movement. 护理、卫生保健和新民权运动。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 DOI: 10.1177/15271544221091925

Michael Villeneuve

引用次数: 0

How do States Inform Nurses of Their Policies for Mandatory Reporting of Child Maltreatment? 各州如何告知护士其强制报告儿童虐待的政策?

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 Epub Date: 2022-02-16 DOI: 10.1177/15271544211072843

Nancy R Mudrick, Julia Blackwell, Cherisse Watts, Carrie Jefferson Smith, Alex Williams, Kyrian A Nielsen, Lauren Clark

{"title":"How do States Inform Nurses of Their Policies for Mandatory Reporting of Child Maltreatment?","authors":"Nancy R Mudrick, Julia Blackwell, Cherisse Watts, Carrie Jefferson Smith, Alex Williams, Kyrian A Nielsen, Lauren Clark","doi":"10.1177/15271544211072843","DOIUrl":"https://doi.org/10.1177/15271544211072843","url":null,"abstract":"Every state includes nurses as mandated reporters of suspected child maltreatment, and each state has its own law and policy regarding what is reportable and reporting requirements. These differences mean that generic training on child abuse and reporting needs to be augmented by practical state-specific information. In nearly every study of nurses, participants report having inadequate child abuse training. This paper presents an analysis of the information states post on their websites to educate nurses to appropriately identify and report suspected child abuse or neglect. Specifically, this study aims to answer the following questions: (1) how do mandated reporting laws that apply to nurses vary by state, (2) what information do states provide on their child protection and Board of Nursing websites about child maltreatment and mandatory reporting, and (3) what training resources do states make available on their websites to educate nurse mandatory reporters to ably fulfill their obligation? Data on state-by-state practices regarding mandated reporting of child abuse were gathered from the Rape, Abuse, & Incest National Network (RAINN) database, review of state statutes, Child Welfare Information Gateway, Board of Nursing sites, and the Nursing Licensure Compact (NLC) website. This analysis found that states provide little guidance or education about their child maltreatment laws, and few have resources targeted for nurses. Given rising membership in the NLC it is critical for nurses to have education about state specific mandated reporting requirements. States should consider adding mandatory reporting training as a requirement for licensure and for continuing education.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"109-117"},"PeriodicalIF":1.8,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39804441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Results of a National Survey: Ongoing Barriers to APRN Practice in the United States. 一项全国性调查的结果:美国APRN实践的持续障碍。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 Epub Date: 2022-02-04 DOI: 10.1177/15271544221076524

Mavis N Schorn, Carole Myers, Julie Barroso, Karen Hande, Tamika Hudson, Jennifer Kim, Ruth Kleinpell

{"title":"Results of a National Survey: Ongoing Barriers to APRN Practice in the United States.","authors":"Mavis N Schorn, Carole Myers, Julie Barroso, Karen Hande, Tamika Hudson, Jennifer Kim, Ruth Kleinpell","doi":"10.1177/15271544221076524","DOIUrl":"https://doi.org/10.1177/15271544221076524","url":null,"abstract":"Limited information is available on the barriers to practice for advanced practice registered nurses (APRNs) among states with full, restricted, and reduced practice. The purpose of this study is to identify practice barriers in relationship to United States (U.S.) state practice authority, APRN type, area of practice (rural, suburban, urban), and nature of practice (outpatient, inpatient, and both). An electronic survey of a convenience sample of APRNs was conducted to assess barriers to practice. Identified barriers were examined based on state practice environment, APRN role, practice setting, and location. Data were analyzed using thematic analysis for qualitative data and descriptive analysis for quantitative data. Over 7,000 APRNs representing all 50 states participated. Themes that were identified and reported by respondents, included licensure and administrative barriers, therapy restrictions, physician signature requirements, a lack of collegiality, prescribing barriers, uneven reimbursement, physician only procedures, and telehealth issues. Barriers were identified in all states, regardless of the type of practice authority. All four APRN role types identified practice barriers, some of which were more frequent for some roles than others. Restrictions for home health approval and the requirement for a physician signature for durable medical supply orders were identified by over 40% of respondents practicing in rural areas. Barriers to APRN practice continue to restrict aspects of patient care and patient access to care, even in states with full practice authority. Continued efforts to reduce barriers to APRN practice are needed to ensure patient access to care, especially in rural areas.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"118-129"},"PeriodicalIF":1.8,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39765853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Structural Racism in America: A Summative Content Analysis of National Nursing Organization Statements 美国的结构性种族主义:国家护理组织声明的总结性内容分析

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-04-04 DOI: 10.1177/15271544221089657

Naila C Russell, Sherrie Flynt Wallington

{"title":"Structural Racism in America: A Summative Content Analysis of National Nursing Organization Statements","authors":"Naila C Russell, Sherrie Flynt Wallington","doi":"10.1177/15271544221089657","DOIUrl":"https://doi.org/10.1177/15271544221089657","url":null,"abstract":"The public and brutal death of Black American George Floyd was a tragedy that had the potential to push the profession of nursing toward a perspective transformation. A summative content analysis of 49 professional nursing organization statements served as a pilot to explore the research question: Did the nursing profession experience a perspective transformation relating to racial justice and health equity following the death of George Floyd? Texts from the statements were analyzed for the presence of an equity lens, which is necessary for a perspective transformation. Each statement was assigned a rating score to determine the organization's readiness for a perspective transformation based on equity competencies adapted from CommonHealth Action. Findings demonstrated that the nursing profession is beginning to articulate the issue of racism in health care and is committed to advocating for patients of color; however, further understanding of the historical context of structural racism and the development of meaningful policy remains necessary for the profession to experience a perspective transformation.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"2 1","pages":"85 - 97"},"PeriodicalIF":1.8,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74597556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The European Standard EN 17398:2020 on Patient Involvement in Health Care – a Fairclough-Inspired Critical Discourse Analysis 关于患者参与医疗保健的欧洲标准EN 17398:2020 - fairclough启发的关键话语分析

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-03-21 DOI: 10.1177/15271544221088250

Sigrid Stjernswärd, S. Glasdam

引用次数: 1

Social Construction of Target Populations: A Theoretical Framework for Understanding Policy Approaches to Perinatal Illicit Substance Screening. 目标人群的社会建构:理解围产期非法物质筛查政策途径的理论框架。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-02-01 DOI: 10.1177/15271544211067781

Norlissa M Cooper, Audrey Lyndon, Monica R McLemore, Ifeyinwa V Asiodu

{"title":"Social Construction of Target Populations: A Theoretical Framework for Understanding Policy Approaches to Perinatal Illicit Substance Screening.","authors":"Norlissa M Cooper, Audrey Lyndon, Monica R McLemore, Ifeyinwa V Asiodu","doi":"10.1177/15271544211067781","DOIUrl":"https://doi.org/10.1177/15271544211067781","url":null,"abstract":"Perinatal illicit substance use is a nursing and public health issue. Current screening policies have significant consequences for birthing individuals and their families. Racial disparities exist in spite of targeted and universal screening policies and practices. Thus, new theoretical approaches are needed to investigate perinatal illicit substance use screening in hospital settings. The purpose of this analysis is to evaluate the social construction of target populations theory in the context of perinatal illicit substance use screening. Using the theoretical insights of this theory to interrogate the approaches taken by policy makers to address perinatal illicit substance use and screening provides the contextual framework needed to understand why specific policy tools were selected when designing public policy to address these issues. The analysis and evaluation of this theory was conducted using the theory description and critical reflection model.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 1","pages":"56-66"},"PeriodicalIF":1.8,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017642/pdf/nihms-1790059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10596651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A Multistate Comparison Study of COVID-19 Cases Among Accredited and Nonaccredited Nursing Homes. 多州认可与非认可养老院COVID-19病例比较研究

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-02-01 Epub Date: 2021-12-07 DOI: 10.1177/15271544211063828

Beth A Longo, Stacey C Barrett, Stephen P Schmaltz, Scott C Williams

{"title":"A Multistate Comparison Study of COVID-19 Cases Among Accredited and Nonaccredited Nursing Homes.","authors":"Beth A Longo, Stacey C Barrett, Stephen P Schmaltz, Scott C Williams","doi":"10.1177/15271544211063828","DOIUrl":"https://doi.org/10.1177/15271544211063828","url":null,"abstract":"Widely acknowledged is the disproportionate number of COVID-19 cases among nursing home residents. This observational study examined the relationship between accreditation status and COVID-19 case rates in states where the numbers and proportions of Joint Commission accredited facilities made such comparisons possible (Illinois (IL), Florida (FL), and Massachusetts (MA)). COVID-19 data were accessed from the Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare Public Use File, which included retrospective COVID-19 data submitted by nursing homes to the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network. The outcome variable was the total number of nursing home-identified COVID-19 cases from June 2020 to January 2021. Joint Commission accreditation status was the independent variable. Mediating factors included state, and county-level case rates. Increases in the county rate had a significant association with higher nursing home COVID-19 case rates (p < .001). After adjusting for county case rates, no differences were observed in the mean group case rates for accredited and nonaccredited nursing homes. However, comparing predicted case rates to actual case rates revealed that accredited nursing homes were more closely aligned with their predicted rates. Performance of the nonaccredited nursing homes was more variable and had proportionally more outliers compared to accredited nursing homes. Community prevalence of COVID-19 is the strongest predictor of nursing home cases. While accreditation status did not have an impact on overall mean group performance, nonaccredited nursing homes had greater variation in performance and a higher proportion of negative outliers. Accreditation was associated with more consistent performance during the COVID-19 pandemic, despite being located in counties with a higher prevalence of COVID-19.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"26-31"},"PeriodicalIF":1.8,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8801338/pdf/10.1177_15271544211063828.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39699356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1