The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia
Maier CB (2015)
Health Policy 119(12): 1627-1635.
Zeitschriftenaufsatz
| Veröffentlicht | Englisch
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Abstract / Bemerkung
Task-shifting from physicians to nurses is increasing worldwide; however, research on how it is governed is scarce. This international study assessed task-shifting governance models and implications on practice, based on a literature scoping review; and a survey with 93 country experts in 39 countries (response rate: 85.3%). Governance was assessed by several indicators, regulation of titles, scope of practice, prescriptive authority, and registration policies. This policy analysis focused on eleven countries with task-shifting at the Advanced Practice Nursing/Nurse Practitioner (APN/NP) level. Governance models ranged from national, decentralized to no regulation, but at the discretion of employers and settings. In countries with national or decentralized regulation, restrictive scope of practice laws were shown as barrier, up-to-date laws as enablers to advanced practice. Countries with decentralized regulation resulted in uneven levels of practice. In countries leaving governance to individual settings, practice variations existed, moreover data availability and role clarity was limited. Policy options include periodic reviews to ensure laws are up to date, minimum harmonization in decentralized contexts, harmonized educational and practice-level requirements to reduce practice variation and ensure quality. From a European Union (EU) perspective, regulation is preferred over non-regulation as a first step toward the recognition of qualifications in countries with similar levels of advanced practice. Countries early on in the process need to be aware that different governance models can influence practice.
Erscheinungsjahr
2015
Zeitschriftentitel
Health Policy
Band
119
Ausgabe
12
Seite(n)
1627-1635
ISSN
01688510
Page URI
https://pub.uni-bielefeld.de/record/2982301
Zitieren
Maier CB. The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia. Health Policy. 2015;119(12):1627-1635.
Maier, C. B. (2015). The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia. Health Policy, 119(12), 1627-1635. https://doi.org/10.1016/j.healthpol.2015.09.002
Maier, Claudia Bettina. 2015. “The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia”. Health Policy 119 (12): 1627-1635.
Maier, C. B. (2015). The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia. Health Policy 119, 1627-1635.
Maier, C.B., 2015. The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia. Health Policy, 119(12), p 1627-1635.
C.B. Maier, “The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia”, Health Policy, vol. 119, 2015, pp. 1627-1635.
Maier, C.B.: The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia. Health Policy. 119, 1627-1635 (2015).
Maier, Claudia Bettina. “The role of governance in implementing task-shifting from physicians to nurses in advanced roles in Europe, U.S., Canada, New Zealand and Australia”. Health Policy 119.12 (2015): 1627-1635.