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All health care professionals are affected by the continual changes in health care delivery and education. Nurses, in particular, are concerned that current practice, regulation and licensure issues will change the very nature of nursing as a profession. This article discusses health care regulation issues and the recommendations of the Pew Commission's Taskforce on Health Care Workforce Regulation.
In December 1995 the Pew Health Professions Commission, a program of the Pew Charitable Trust, released its report titled "Reforming Health Care Workforce Regulations: Policy Considerations for the 21st Century." One of ANNA's external projects for the 1996-97 year was responding to the Commission's report. Western Region Vice President Christine Mudge was selected to serve as project director. In consultation with President Christy Price, she spearheaded ANNA's formal response. Each of the 10 recommendations was assigned to six to eight ANNA members, plus everyone was invited to comment on any portion of the report that they chose. Letters of request for participation were mailed to 66 nephrology nurses. The Board of Directors, committee chairpersons, past ANNA leaders, ANNA consultants, and members at large were involved. The response rate was 59%, or 39 thoughtful critiques of the Commission's recommendations. As project director, Christine Mudge analyzed all responses and formed a draft document. Every effort was made to include all concerns and issues raised by the ANNA participants. The draft document was reviewed at the November ANNA Board of Directors meeting and accepted with some editorial changes. ANNA's response is a 35-page document. Excerpts from ANNA's full response are included on the following two pages. Any ANNA member who desires to receive a copy of ANNA's full response to the Pew Health Professions Commission report may request a copy from the ANNA National Office by calling (609) 256-2320. The Pew Commission is now in the process of reviewing all responses and recommendations to its report. Stay informed by following the ongoing story in the ANNA Update.
Recognizing leadership styles and team-building interventions that work help nurse managers change skills and strategies to meet the demands of a workforce reorganization. Three key strategies are identified: emotional management, professional empowerment and empowerment by values. All members involved in the reorganization were given room to grow, to make mistakes and to learn from them.
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The Canadian Cardiovascular Society conducted a comprehensive survey of 2267 cardiovascular specialist physicians in Canada to profile the type of services provided, physician workloads and expectations of future practice patterns. The survey snapshot of these activities was supplemented with data from the Canadian Institute for Health Information on historical numbers of physicians and key procedure volumes, and the Canadian Medical Association's template for estimates of the future supply of physicians. Together, these data sources highlight the growth in procedure volumes that has exceeded the growth in the supply of cardiovascular specialist physicians.
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Increasing the numbers of health workers and improving their skills requires that countries confront a number of ethical dilemmas. The ethical considerations in answering five important questions on enabling health workers to deal appropriately with the circumstances in which they must work are described. These include the problems of the standards of training and practice required in countries with differing levels of socioeconomic development and different priority diseases; how a society can be assured that health practitioners are properly trained; how a health system can support its workers; diversion of health workers and training institutions; and the teaching of ethical principles to student health workers. The ethics of setting standards for the skills and care provided by traditional health-care practitioners are also discussed.
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Explore the source record for details and available documents.
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Explore the source record for details and available documents.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.