A structured policy review of the principles of professional self‐regulation

Benton, David; Jurado, Máximo A. González; Montesinos, Juan Vicente Benéit

doi:10.1111/inr.12003

Cited by 13 publications

(9 citation statements)

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“…Benton et al. () address the need for consensus in identifying a set of regulatory body performance indicators to shape international policies and standard settings where a principle‐based approach to regulation should drive the international course of action. In this scenario, strategic strands of action coming from professional policies should be considered to invigorate nursing's social mandate (Duncan et al.…”

Section: Resultsmentioning

confidence: 99%

“…Currently, the lack of synthesis of evidence to support policymakers during the nursing regulatory legislation process is a major problem with roots mainly linked to the inattention paid to the factors shaping regulation through history (Benton et al. ). For this reason, this study aimed to describe those elements that underpinned and shaped nursing regulation throughout the past and identified two main areas of research: ‘factors underpinning current challenges’ and ‘historical and contextual triggers of professionalism’.…”

Section: Discussionmentioning

confidence: 99%

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Shaping nursing profession regulation through history – a systematic review

Stıevano¹,

Caruso

Pittella

et al. 2018

International Nursing Review

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Shaping nursing profession regulation through history – a systematic review

Stıevano¹,

Caruso

Pittella

et al. 2018

International Nursing Review

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show abstract

“…Benton () notes that the change processes embedded in healthcare reform provide opportunities for regulatory agencies to rethink the way they work and the imperatives they place upon practitioners. Ideally, today's professional regulators are called to enact their responsibilities in ways that promote the full development of nursing's social contribution and permit freedom for innovation, growth, and change (Benton et al., ). Regulation that focuses narrowly on the accountability of individual nurses can obscure ‘the essential role of the profession in advocating for the kinds of system level conditions that would enable practitioners to promote health and practice safely’ (Duncan et al., , p. 34).…”

Section: Discussionmentioning

confidence: 99%

“…Conservative regulatory behavior, based on an assessment of the competence of individual nurses and the potential risk they pose to the public, distracts from a broader understanding of the ways in which the nursing profession could contribute to change, innovation, and improved health (Duncan et al., ). Jurisdictions across the world are considering how best to approach nursing professional regulation to ensure public protection (including whether self‐regulation will endure), advance the use of nursing knowledge, allow cross‐jurisdictional migration, and, ultimately, improve health and well‐being (Benton, Gonzalez‐Jurado, & Beneit‐Montesinos, ; Brunke, ; Dower, Moore, & Langelier, ; Duncan et al., ; Fullbrook, ,b; Jones, ; Lahey, ). The sociopolitical embeddedness of nursing regulation is acknowledged by some (Duncan et al., ; Jones, ; Phipps, Noyce, Walsh, Parker, & Ashcroft, ).…”

Section: Background: Nursing Roles and Regulationmentioning

confidence: 99%

The impact of regulatory perspectives and practices on professional innovation in nursing

Wall

2017

Nursing Inquiry

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Since at least the 1970s in Canada, there have been calls for health system reforms based on innovative roles and expanded scopes of practice for nurses. Professional regulatory organizations, through legislation, define the standards and parameters of professional nursing practice. Nursing regulators emphasize public protection over the advancement of nursing; regulatory processes and decisions tend to be conservative and risk-averse. This study explored the impact that regulatory processes have on innovation in nursing roles. Nurses in a range of unique practice situations were interviewed, including nurses in non-traditional roles and/or settings, those with cross-jurisdictional career histories, and those working in interdisciplinary practices and educational settings. For these nurses, nursing practice was viewed through a traditional clinical lens, which did not fit for them. They experienced hassle, delay, and inconsistencies in regulatory practices. They felt mistreated and fearful of the regulator and lamented the ways in which ambitious, creative, capable nurses were stymied in attempting new applications for nursing knowledge. Nursing is constraining its own mandate to contribute to health care through stringent licensing processes. Healthcare reform provides an opportunity for nursing regulators to rethink their processes and provide the latitude for nurse-driven change. K E Y W O R D Shealthcare reform, innovation, nursing, professional regulation, regulatory conservatism | INTRODUCTIONFor decades, there have been calls for health system reform based on innovative roles for health professionals and maximized professional scopes of practice. Nursing has been regarded as central to a more sustainable system that focuses on primary, community-based care rather than acute care, and on health rather than illness. Although policy documents from health professionals and policy-makers continue to call for a redeployment of professional skill, the system continues to be physician-and hospital-focused and there has been little fundamental movement toward envisioned reforms. Professional regulatory organizations, through legislation, define the standards and parameters of professional practice. Nursing regulators tend to emphasize public protection over the advancement of nursing. Thus, professional regulatory processes tend to be quite conservative, with an emphasis on risk reduction. This conservative regulatory perspective may constrain innovation and the use of professional knowledge that has been envisioned over the years.There is almost no empirical evidence about the impact that professional regulatory practices have on innovation in health professional roles such as nursing. This article reports the findings of a qualitative study that aimed to explore the impact of nursing professional regulation (licensing) on nurses' abilities to expand their scopes of practice and develop innovative and advanced roles for nurses that respond to emerging health and system needs and ensure that nursing is able to att...

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“…Numerous authors have described an emerging regulatory mandate with the potential to fundamentally alter how professional nursing is expressed (Benton ; Benton, Gonzalez‐Jurado and Beneit‐Montesinos ,b; Berger, Lawler and Newman ; Vernon et al. ; Wray ; Traynor et al.…”

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confidence: 99%

Evolving trends in nurse regulation: what are the policy impacts for nursing's social mandate?

2014

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We recognize a paradox of power and promise in the context of legislative and organizational changes in nurse regulation which poses constraints on nursing's capacity to bring voice and influence to pressing matters of healthcare and public policy. The profession is at an important crossroads wherein leaders must be well informed in political, economic and legislative trends to harness the profession's power while also navigating forces that may put at risk its central mission to serve society. We present a critical policy analysis of the impact of recent regulatory trends on what the International Council of Nurses considers nursing's three 'pillars' - the profession of nursing, socioeconomic welfare of nurses and nurse regulation. Themes surfacing from this analysis include regulatory discontinuity, a tightening of regulatory control, and an increasingly managerial governance culture. These themes illuminate insights and strategies required to renew and revitalize the social mandate of our profession amidst a climate of urgency in the questioning of nurse scholars with respect to the future of the profession. At this historic juncture, nurses must clearly understand the implications of legislative and organizational regulatory changes to ensure the profession contributes to full capacity in achieving health and health equity globally.

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A structured policy review of the principles of professional self‐regulation

Abstract: A revised and extended set of 13 principles is needed if contemporary developments in the field of regulatory frameworks are to be accommodated. These revised principles should be considered for adoption by the ICN to underpin their advocacy work on professional self-regulation.

Cited by 13 publications

References 11 publications

Shaping nursing profession regulation through history – a systematic review

Shaping nursing profession regulation through history – a systematic review

The impact of regulatory perspectives and practices on professional innovation in nursing

Evolving trends in nurse regulation: what are the policy impacts for nursing's social mandate?

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