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This paper studies the effects of changes in states' scope of practice laws (SOP) for advanced practice registered nurses (APRNs) on individual labor supply decisions. Restrictive SOP impose costs and other barriers to practice that may affect these decisions. Using survey data on APRNs, we analyze employment in nursing, work hours, part-time work status, multiple job holding, self-employment, wages, and migration. Results show that the level of SOP restrictions are not strong determinants of many labor market decisions, with a few exceptions. We find that hours worked and self-employment both increase when nurses practice in regulatory environments that are free from physician oversight requirements.
Nursing Scope of Practice in Europe is every nurse’s guidebook to understanding this subject. Nurses will learn what they need to do to keep their patients safe and stay within the legal limits of a nursing license as well as their employer’s policies. Just as important, nurses will learn how to take on new roles and expand their scope of practice safely and responsibly. Europe is a vast region with a diversity of laws, economies, healthcare practices, and languages. Nurses need to understand what is consistent across the region, and what is different in their country. In any European country, nursing leaders, government regulators, and scholars will better understand how the nursing scope of practice defines the profession and how it can be used to promote nursing professionalism. The region’s top nurse experts came together to explain their respective countries and the major trends that affect everyone. They show the reader what is the consensus on nursing regulations, where there is conflict and differences, and where are the opportunities for change and growth. Douglas Long brings a wealth of nursing experience in emergency departments and acute care. He is the author of Nursing Scope of Practice (2021), Nursing: Moving Forward (2020), and Ámbito de la práctica profesional de enfermería en América Latina (2023).
The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession.
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
The Economics of Health and Health Care is the market-leading health economics textbook, providing comprehensive coverage of all the key topics, and balancing economic theory, empirical evidence, and public policy. The ninth edition offers updated material throughout, including two new chapters: Disparities in Health and Health Care (Chapter 7) examines issues of race, ethnicity, income, gender, and geography with respect to health care access, health inputs, and health outcomes; Pandemic Economics (Chapter 9) introduces a new and simplified economic treatment of epidemics and pandemics within the context of COVID-19. We also include applications from the growing literature on digital medicine. The book further highlights the impacts of the Affordable Care Act (ACA) and updates its path-breaking comparative analyses across countries to focus on the differences in access and costs. The book continues to provide a clear, step-by-step understanding of health economics, making economic principles accessible to students, supported by boxed examples, figures and tables. Each chapter contains concise summaries, discussion questions, and quantitative exercises to promote student learning. There is also a glossary of key terms and an extensive reference list. Instructors are supported by a range of digital supplements. It is the perfect textbook for students and practitioners taking undergraduate and postgraduate courses in health economics, health policy, and public health.
Designated a Doody's Core Title! "This is an extremely valuable book for practicing APNs and students in APN programs. The authors demystify legal/ethical/political issues and make them understandable for advanced practice nurses. The authors help to focus APNs on these important and necessary aspects of nursing practice."Score: 100, 5 stars --Doody's The book presents an overview of the history and current state of advance practice nursing and the law both nationally and internationally. The authors provide detailed, exemplary legal and ethical case studies that frame pivotal moments in practice. The book's key topics include nursing pedagogy related to law, international law and nursing, future roles for APNs that may be legally and ethically supported, and potential challenges to APN practice. The book also discusses current issues that affect nursing law for advance practice, such as autonomy in end of life situations, conflicts between professional duties, and caring needs. Key Features: Presents the history and current state of the law and advance practice nursing Summarizes and analyzes legal and ethical issues facing APNs Provides guidelines for how to prevent lawsuits Offers guidance on dealing with a lawsuit filed against you Provides international comparisons of legal and ethical considerations
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
This 25th Anniversary edition completely updates the powerful insights and policy recommendations of Not What the Doctor Ordered, first published in 1993 by renowned healthcare futurist and medical economist the author. It presents specific solutions to serious problems of cost, quality, access, and outcomes by allowing all Americans to purchase services directly from caregivers who provide an expanding array of medical services at least as well as physicians—at lower cost. Focusing on new realities of the 21st century, the authorshows not only why giving consumers the right to choose advanced practitioners is the top priority for improving our overpriced, underperforming medical care delivery system, but also how to make the necessary changes. As he clearly and concisely explains from medical and economic perspectives, the key is eliminating physicians’ monopoly powers over advanced practice nurses, clinical pharmacists, physical therapists, clinical psychologists, and other advanced practice (AP) health professionals who now rival physicians in scientific knowledge and caregiving skills within well-defined scopes of practice regulated by state governments.
There is concern that licensure requirements impede mobility of licensed professionals to areas of high demand. Nursing has not been immune to this criticism, especially in the context of perceived nurse shortages and large expected future demand. The Nurse Licensure Compact (NLC) was introduced to solve this problem by permitting registered nurses to practice across state lines without obtaining additional licensure. We exploit the staggered adoption of the NLC to examine whether a reduction in licensure-induced barriers alters the nurse labor market. Using data on over 1.8 million nurses and other health care workers we find no evidence that the labor supply or mobility of nurses increases following the adoption of the NLC, even among the residents of counties bordering other NLC states who are potentially most affected by the NLC. This suggests that nationalizing occupational licensing will not substantially reduce labor market frictions.