Policy, Politics, and Nursing Practice最新文献_第3页

The "Right Kinds of Nurses": Centering LPNs in the Nursing Labor Force. 合适的护士"：以护理劳动力中的 LPN 为中心。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-11-08 DOI: 10.1177/15271544241278626

Barbra Mann Wall, William A Cessato, Victoria Tucker

{"title":"The \"Right Kinds of Nurses\": Centering LPNs in the Nursing Labor Force.","authors":"Barbra Mann Wall, William A Cessato, Victoria Tucker","doi":"10.1177/15271544241278626","DOIUrl":"10.1177/15271544241278626","url":null,"abstract":"The nursing profession is currently grappling with an ongoing nursing shortage illuminated during the COVID-19 pandemic. While this burgeoning health and environmental crisis exacerbated this workforce issue, it did not create it. This study seeks to expand the idea of \"who is a nurse\" by arguing for the use of Licensed Practical Nurses (LPNs) as safe, credentialed persons in the nursing workforce. Archival research using primary and secondary sources highlights the history of the LPN movement. Historical case studies of LPN schools show how LPNs enhanced not only the quantity but also the quality of nursing practice. Case studies also reveal successful collaborations between nurses, communities, and hospitals to enhance the nursing workforce and community well-being. Aspects of this study were either approved by or deemed not human subjects research by institutional review boards. The increased emphasis on the registered nurse in the mid-20th century led to the marginalization of LPNs. Yet, history has revealed that collaborations that enhance diversity in the workforce and improve health-care access for patients, without compromising quality of care, can be formed by engaging LPNs. LPNs must be respected as consistent contributors to the country's health-care workforce. As the AACN commits to diversifying nursing, it is significant that LPNs have added to a more diverse, inclusive nursing labor force. For LPNs who wish to advance their nursing education, pathway programs must be supported-thus increasing diversity in the professional and advanced practice workforce.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"24-39"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607384","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

Racism and Redlining in the History of Psychiatric Policy and Practice in Atlanta: Implications for Nursing. 亚特兰大精神病学政策和实践历史中的种族主义和赤贫现象：对护理工作的启示。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-11-04 DOI: 10.1177/15271544241290707

Avi Wofsy, Kylie M Smith

{"title":"Racism and Redlining in the History of Psychiatric Policy and Practice in Atlanta: Implications for Nursing.","authors":"Avi Wofsy, Kylie M Smith","doi":"10.1177/15271544241290707","DOIUrl":"10.1177/15271544241290707","url":null,"abstract":"Recently, the Georgia state House of Representatives passed House Bill 1013, also called The Mental Health Parity Act. The bill sought to address access to and insurance coverage for mental health services, first identified in a report in 2020. The budget for mental health services was reduced by $8 m in 2020, despite an all-time high demand due to the beginning of the Covid-19 pandemic. There is an increasing inability to secure mental health care in the state. Georgia is ranked 37th in the country for access to quality mental health care (Reinert, Fritze, and Nguyen, 2022) and half the counties in the state have no psychiatrist; the projected mental health workforce will be able to meet only 12% of consumer demand by 2025. Problems with mental health care in Georgia have a long history which intersects with the history of racism, geographical segregation, and policing. HB1013 does not consider any of this history in its recommendations, which barely include nursing. At the same time, policy and practice in Georgia continues to entangle nurses and other professionals with a carceral and punitive system which not only threatens the safety of patients, but also nurses themselves. Nurses need to understand this history if they hope to develop policy that will intervene in the mental health care crisis.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"16-23"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570168","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

The Impact of Israel's 1995 National Health Insurance Law and Health Reforms on Nursing: A Historical Overview. 以色列1995年国家健康保险法和医疗改革对护理的影响：历史概述。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1177/15271544241292632

Dorit Weiss

引用次数: 0

The Sentosa Nurses: Historical Context for Policies to Protect Internationally-Educated Nurses from Human Trafficking. 圣淘沙护士》：保护受过国际教育的护士免遭人口贩运政策的历史背景。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-10-30 DOI: 10.1177/15271544241286457

Andre A Rosario

{"title":"The Sentosa Nurses: Historical Context for Policies to Protect Internationally-Educated Nurses from Human Trafficking.","authors":"Andre A Rosario","doi":"10.1177/15271544241286457","DOIUrl":"10.1177/15271544241286457","url":null,"abstract":"This article presents a historical analysis of the Sentosa nurses, a group of nurses recruited from the Philippines in 2005 and 2006 to work in a health-care facility on Long Island, New York. The international nurse recruitment company that hired them underpaid them, assigned them to work in unsafe conditions with low nurse-to-patient ratios, and breached other parts of their contracts with the nurses. When the nurses decided to resign and break from their contracts early, the recruitment company retaliated, initiating civil, administrative, and criminal charges against the nurses. The Sentosa nurses' story reflects that by the end of the first decade of the 2000s, the international nurse recruitment industry grew not only in size, but also in power, leaving internationally-educated nurses vulnerable to exploitation. More recent reports from 2019 of the labor trafficking of internationally-educated nurses are not new. Instead, a historical perspective reveals an ongoing pattern of deceptive practices and informs recommendations for stricter policies that ban recruiters from using liquidated damages provisions or breach-of-contract fees to trap nurses in exploitative work environments.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"47-55"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548905","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

Using Anti-Blackness and Historical Inquiry to Ground Nursing and Research Practice in Black Populations. 用反黑人和历史调查来研究黑人群体的护理和研究实践。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1177/15271544241304722

Octavia Vogel, Meredith Salzinger, Gaea Daniel, Kylie Smith

{"title":"Using Anti-Blackness and Historical Inquiry to Ground Nursing and Research Practice in Black Populations.","authors":"Octavia Vogel, Meredith Salzinger, Gaea Daniel, Kylie Smith","doi":"10.1177/15271544241304722","DOIUrl":"10.1177/15271544241304722","url":null,"abstract":"Since the \"Black Lives Matter\" reckoning of 2020, professional health organizations have made public statements and apologized for not recognizing the role of racism in the creation of health disparities. For the American Nurses Association, this has taken the form of the National Commission to Address Racism in Nursing. One result of that work has been the Report on the History of Racism in Nursing, which details the constant maligning of the competence of Black nurses and their systematic exclusion from institutions within the profession. In this article, we want to take these ideas further and argue that the issue for nursing is not so much a generic kind of racism that a professional reorganization can address, but rather a deep and abiding \"anti-blackness\" that is intrinsic to the heart and soul of medical and health knowledge itself. Anti-blackness as an idea comes from a collection of theoretical interventions developed by Black philosophers, literary theorists, sociologists, and historians who continue to grapple with the question posed by W.E.B. DuBois: \"How does it feel to be a problem?\" Anti-blackness is the \"relegation of Black people to inhumanity and non-being\" and \"is a global phenomenon that takes on distinct forms of expression in each sociocultural context.\" Given the call to understand the role of historical, social, political, environmental, and economic factors via the social determinants of health, a more expansive approach is needed to articulate the Black lived experience. Anti-blackness is one tool available to nurses interested in a deeper level of analysis.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"40-46"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923886","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

The Construction of British Columbia's Palliative Care Benefits Policy and Implications for Nursing Practice. 不列颠哥伦比亚省姑息治疗福利政策的构建及其对护理实践的启示。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-12-09 DOI: 10.1177/15271544241298656

Carly Elliott, Helen Brown, Lydia Wytenbroek, Farinaz Naz Havaei

{"title":"The Construction of British Columbia's Palliative Care Benefits Policy and Implications for Nursing Practice.","authors":"Carly Elliott, Helen Brown, Lydia Wytenbroek, Farinaz Naz Havaei","doi":"10.1177/15271544241298656","DOIUrl":"10.1177/15271544241298656","url":null,"abstract":"Nurses have a critical role to play in creating, implementing, critiquing, and advancing health policy within diverse contexts to ensure people living with life-limiting illness receive equitable and ethical access to palliative care services and programs. This article describes a critical analysis of the British Columbia's Palliative Care Benefits (BCPCB). The BCPCB is a provincial government program in British Columbia (B.C.), Canada, that provides eligible residents with palliative care services at home. Utilizing Fairclough's Dialectical-Relational Critical Discourse Analysis, the study investigates the process by which BCPCB determines B.C. residents' eligibility and access to resources proportionate to their need, function, illness burden, and urgency. This article reviews the construction of palliative care in Canada and how current biomedical perspectives construct palliative care policy and services in B.C. The findings indicate that the BCPCB program produces vague, discriminatory, and ableist prognostication practices through the implementation of its eligibility policy. This article also suggests that palliative care nurses are optimally positioned for policy influence: to critique, disrupt, and transform the BCPCB Program and palliative care practices.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"74-84"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796486","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

Evidence-Based Voting: The First Step in Health Policy Advocacy. 基于证据的投票：健康政策宣传的第一步。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2024-11-01 Epub Date: 2024-10-14 DOI: 10.1177/15271544241290376

Shirley Girouard

引用次数: 0

Corrigendum to "Advocacy, Research, and Anesthesia Practice Models: Key Studies of Safety and Cost-Effectiveness". 宣传、研究和麻醉实践模式：安全性和成本效益的关键研究"。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2024-11-01 Epub Date: 2024-09-22 DOI: 10.1177/15271544241284002

引用次数: 0

Dental Coverage for Medicare Beneficiaries. 医疗保险受益人的牙科保险。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2024-11-01 Epub Date: 2024-09-28 DOI: 10.1177/15271544241283793

Gregory Wolownik, Sally S Cohen

{"title":"Dental Coverage for Medicare Beneficiaries.","authors":"Gregory Wolownik, Sally S Cohen","doi":"10.1177/15271544241283793","DOIUrl":"10.1177/15271544241283793","url":null,"abstract":"Poor oral health has been associated with various systemic diseases (e.g., endocarditis, pneumonia, cardiovascular disease, and diabetes) and decreased quality of life. When enacted in 1965, Medicare excluded coverage for comprehensive dental services. As of 2023, Medicare has allowed coverage of limited dental services inextricably linked to specific medical conditions. Many Medicare Advantage plans (Medicare Part C) offer dental coverage. Yet in 2019, approximately 24 million Medicare beneficiaries (47% of all Medicare enrollees), lacked dental coverage. Seventy-one percent of traditional Medicare enrollees (those not enrolled in a Medicare Advantage Plan) reported that high cost was the primary reason that they did not obtain dental care. The importance of oral health for the older adults has been the main reason that a national interprofessional consortium, which includes several national nursing organizations, has been advocating for legislation to expand Medicare to include dental coverage. The consortium's efforts have been thwarted by fierce opposition from the American Dental Association and many Republican legislators. Given the vital role that nurses and advanced practice nurses play in caring for the nation's older adults and disabled, nursing's voice needs to be strengthened as leaders in advocating for inclusion of dental benefits in traditional Medicare.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"205-215"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332191","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

Barriers and Enablers of Successful Workplace Integration of Internationally Educated Nurses (IENs) in a Host Country: A Qualitative Evidence Synthesis. 接受过国际教育的护士（IENs）成功融入东道国工作场所的障碍和促进因素：定性证据综述》。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2024-11-01 Epub Date: 2024-09-12 DOI: 10.1177/15271544241276860

Mehar Shiju, Helen Hall, Claire Lee, Claire Whitehouse

{"title":"Barriers and Enablers of Successful Workplace Integration of Internationally Educated Nurses (IENs) in a Host Country: A Qualitative Evidence Synthesis.","authors":"Mehar Shiju, Helen Hall, Claire Lee, Claire Whitehouse","doi":"10.1177/15271544241276860","DOIUrl":"10.1177/15271544241276860","url":null,"abstract":"The aim of this qualitative evidence synthesis (QES) is to critically appraise the contemporary literature to gain a comprehensive understanding of the barriers and enablers of workplace integration needs of internationally educated nurses (IENs). An electronic search was conducted across multiple databases, and eligibility criteria were applied to identify papers published between January 2013 and July 2023. Out of the 830 studies initially retrieved, six met the inclusion criteria. Study quality was assessed using the Critical Appraisal Skills Programme (CASP) tool. Thematic analysis of the included studies revealed various barriers and enablers for workplace integration experienced by IENs. Barriers were: (a) IEN-related factors (cultural differences, language barriers, and disparities in the scope of nursing practice), (b) organizational factors (poor leadership), and (c) contextual factors (racism and discrimination). Enablers emerged were: (a) IEN-related factors (commitment to learn and adapt) and (b) organizational factors (structured multifaceted program, supportive workplace environment, and mentorship). Dynamic interaction exists among these factors, therefore interventions should address multiple barriers simultaneously. The QES has illuminated essential factors which impact the integration of IENs, and emphasizes the necessity of a comprehensive approach that considers the diverse challenges and opportunities that arise.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"228-240"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300707","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