老年护士执业供应和国家执业范围法

IF 4.2 4区 医学 Q1 NURSING
Ying Xue DNSc, RN, Xueya Cai PhD, Lusine Poghosyan PhD, MPH, RN, FAAN
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引用次数: 0

摘要

背景美国65岁及以上的成年人人口持续增长,2020年达到总人口的17%。因此,这种增长导致了对老年护理的需求不断增长,并相应地需要更多的老年临床医生。鉴于这些人口统计趋势,有必要了解国家执业护士(NP)执业范围(SOP)法律与老年执业护士(GNP)供应之间的关系。目的探讨美国SOP法律与国民生产总值供应的关系。方法我们构建了一个县级国家数据集,包括2009年至2019年的数据。我们探讨了SOP法律的趋势以及按SOP法律类型划分的GNP供应的趋势。为了评估国家SOP法律和GNP供应之间的关系,我们进行了随机效应重复测量零膨胀泊松回归。结果2009年,12个州和哥伦比亚特区制定了完整的国家药品标准操作规程,2009年至2019年间,另有10个州通过了完整的全国药品标准操作程序法。尽管国民生产总值在全国范围内的供应有所增加,但在研究期间,相当一部分县没有任何国民生产总值。在有任何GNP的县中,我们发现,在研究期间,有完整SOP法律的州的GNP供应增长更高。然而,我们没有发现,随着时间的推移,通过一项完整的SOP法律与没有GNP的县的数量减少显著相关,特别是在非大都市的小县中。结论国民生产总值供给增长是一个令人鼓舞的趋势。我们的研究结果强调了支持性SOP法律在扩大GNP供应方面的潜在好处,这可以增加老年劳动力,改善老年人口获得护理的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Geriatric Nurse Practitioner Supply and State Scope-of-Practice Laws

Background

The population of adults aged 65 years or older in the United States has continued to expand, reaching 17% of the total population in 2020. This increase has consequently led to a growing demand for geriatric care and a corresponding need for more geriatric clinicians. Given these demographic trends, it is essential to understand the relationship between state nurse practitioner (NP) scope-of-practice (SOP) laws and geriatric nurse practitioner (GNP) supply.

Purpose

To investigate the relationship between SOP laws and GNP supply in the United States.

Methods

We constructed a county-level national dataset that included data from 2009 to 2019. We explored trends in SOP laws as well as trends in GNP supply by type of SOP laws. To assess the relationship between state SOP laws and GNP supply, we performed a random effect repeated measures zero-inflated Poisson regression.

Results

Twelve states and the District of Columbia had full SOP for NPs in 2009, and 10 additional states adopted full SOP laws for NPs between 2009 and 2019. Although the GNP supply increased nationwide, a considerable proportion of counties did not have any GNPs during the study period. Among counties with any GNPs, we found that states with full SOP laws experienced higher growth in GNP supply during the study period. However, we did not find that adoption of a full SOP law was significantly associated with a decrease in the number of counties without GNPs over time, particularly among small, nonmetropolitan counties.

Conclusion

The growing GNP supply is an encouraging trend. Our findings highlight the potential benefits of supportive SOP laws in expanding GNP supply, which can enhance the geriatric workforce and improve access to care for the aging population.

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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
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.
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