Regulation of nursing practice in the Region of the Americas

Loading...
Thumbnail Image
Cite
Cassiani, S. H. D. B., Lecorps, K., Rojas Cañaveral, L. K., da Silva, F. A. M., & Fitzgerald, J. (2020). Regulation of nursing practice in the Region of the Americas [Journal articles]. https://iris.paho.org/handle/10665.2/52570
Date
2020
Document Number
ISBN
eISBN
ISSN
1680 5348
Other Language Versions
Description
[ABSTRACT]. Objective. To describe and analyze the current nursing regulations across countries in the Region of the Americas. Methods. A country comparative analysis was carried out by gathering information from the ministries of health, nursing schools, councils, associations, and boards in 2018. The main categories evaluated were type of regulatory bodies, requirements for initial professional registration, and registration renewal. Results. All countries regulate the nursing profession through a regulatory body. Competency exams for initial registration are required in the United States, Canada, and most Caribbean countries. Registration renewal is required in 54.3% of the countries. Continuing education is required for professional registration renewal in the United States, Canada, and 53% of Caribbean countries. Labor hours are required in the United States and Canada. Conclusion. Regulations promote and protect professional integrity. The Pan American Health Organization/World Health Organization recommends that countries make efforts to evaluate competency and training, consider the use of competency exams for initial registration, and add continuing education as requirements for registration renewal.
[RESUMEN]. Objetivo. Describir y analizar la normativa reguladora vigente en materia de enfermería en los países de la Región de las Américas. Métodos. Se efectuó un análisis comparativo de los países reuniendo información de los ministerios de salud, escuelas de enfermería, consejos, asociaciones y comités profesionales en 2018. Las principales categorías evaluadas fueron los tipos de organismos reguladores, los requisitos para el registro profesional inicial y la renovación del registro. Resultados. Todos los países regulan la profesión de enfermería por medio de un organismo regulatorio. Los Estados Unidos, Canadá y la mayoría de los países del Caribe exigen exámenes de competencia para el registro inicial. En el 54,3% de los países se exige la renovación periódica del registro. En los Estados Unidos, Canadá y el 53% de los países del Caribe se requiere cumplimentar educación continua para renovar el registro profesional. En los Estados Unidos y Canadá se requiere acreditar horas de trabajo. Conclusión. Los mecanismos regulatorios promueven y protegen la integridad profesional. La Organización Panamericana de la Salud/Organización Mundial de la Salud recomienda que los países evalúen la competencia y la capacitación profesionales, consideren la posibilidad de utilizar exámenes de competencia para el registro inicial y requieran educación continua como requisito para renovar el registro profesional.
Notes
Pages
Volume
Replaces
Table of contents
Link to WHO's original document
Link to WHO's original document
Category
Youtube URI
Citation
Cassiani SHB, Lecorps K, Rojas Cañaveral LK, Da Silva FAM, Fitzgerald J. Regulation of nursing practice in the Region of the Americas. Rev Panam Salud Publica. 2020;44:e93. https://doi.org/10.26633/RPSP.2020.93
Status Mendates
License

Related items

Showing items related by metadata.

  • Item
    National nursing strategies in seven countries of the Region of the Americas: issues and impact
    (2015) Shasanmi, Rebecca O.; Kim, Esther M.; De Bortoli Cassiani, Silvia Helena
    Objective. To identify and examine the current national nursing strategies and policy impact of workforce development regarding human resources for health in seven selected countries in the Region of the Americas: Argentina, Canada, Costa Rica, Jamaica, Mexico, Peru, and the United States. Methods. A review of available literature was conducted to identify publicly-available docu¬ments that describe the general backdrop of nursing human resources in these seven countries. A keyword search of PubMed was supplemented by searches of websites maintained by Ministries of Health and nursing organizations. Inclusion criteria limited documents to those published in 2008–2013 that discussed or assessed situational issues and/or progress surrounding the nursing workforce. Results. Nursing human resources for health is progressing. Canada, Mexico, and the United States have stronger nursing leadership in place and multisectoral policies in workforce development. Jamaica shows efforts among the Caribbean countries to promote collaborative practices in research. The three selected countries in Central and South America championed networks to revive nursing education. Yet, overall challenges limit the opportunities to impact public health. Conclusions. The national nursing strategies prioritized multisectoral collaboration, profes¬sional competencies, and standardized educational systems, with some countries underscoring the need to align policies with efforts to promote nursing leadership, and others, focusing on expanding the scope of practice to improve health care delivery. While each country wrestles with its specific context, all require proper leadership, multisectoral collaboration, and appro¬priate resources to educate, train, and empower nurses to be at the forefront.
  • Item
    Regulatory landscape for pediatric hematology– oncology nursing in Brazil: document analysis of policies and regulations
    (2025-06-10) Abraham, Monnie; Bazaglia, Fernanda Crizol; Bueno, Talita Candido; Weber, Lorena Segovia; Assoni, Maria Aurélia da Silveira; Reis, Susana Maria Garcia dos; Francelino, Eliane dos Santos; Melaragno, Ana Lygia Pires; Maldonado, Vanessa Morrone
    [ABSTRACT]. Objective. To analyze Brazil’s national policies and regulations related to pediatric hematology–oncology nursing in Brazil and identify key areas for improvement. Methods. Using the READ approach, relevant policies and regulations were systematically examined. The method consists of four phases: readying materials, extracting data, analyzing data, and distilling findings. Qualitative analysis used both inductive and deductive approaches to identify themes. Results. The review included 25 documents: 11 regulatory, 11 governmental (including one national and two state plans), and three educational documents. Two main themes emerged: nursing-related regulations and national plans. Although Brazil has a strong nursing regulatory framework, responsive policies and regulations are needed to address the changing pediatric hematology–oncology landscape. Key areas for improvement include training more registered nurses, updating graduate programs to address early cancer signs in children, improving staffing and skill mix, enhancing nursing competencies, implementing continuing professional development requirements, and ensuring availability of resources. Recommendations highlight the roles of nursing regulations, governmental bodies, nursing associations, pediatric hematology–oncology centers, and nurses. Conclusions. Nurses are vital to health care systems and it is important to harness their full potential. We need a strong national strategy and effective regulations to recognize the contributions of nurses and meet the evolving needs of pediatric hematology–oncology patients in Brazil.
  • Item
    Exploración de facilitadores y barreras para implementar los roles ampliados de enfermería en México
    (2023) Casales-Hernández, María Guadalupe; Reyes-Morales, Hortensia; Nigenda, Gustavo; García-Saisó, Sebastián
    [RESUMEN]. Objetivo. Explorar la percepción de los profesionales de enfermería respecto a los facilitadores y las barreras para la implementación de funciones ampliadas de enfermería en una entidad federativa de México. Métodos. Estudio cualitativo de tipo descriptivo con enfoque fenomenológico. Durante el 2022 se realizaron 18 entrevistas semiestructuradas a tres tipos de informantes: a) jefaturas estatales de enfermería, b) jefaturas jurisdiccionales de enfermería, y c) jefaturas de unidad de salud y personal de enfermería operativo (atención directa a pacientes). Resultados. Se identificaron los siguientes facilitadores: disposición de adopción de la estrategia (postura favorable de directivos y aceptabilidad del personal de enfermería), reorganización de funciones (simplificación de procesos y análisis de la situación de unidades de salud) y acceso a la capacitación y características del personal de enfermería (profesionalización, experiencia laboral y actitud favorable). Entre las barreras se encontraron: contexto del primer nivel de atención (falta de personal, exceso de actividades administrativas, falta de espacio físico, carencia de material, insumos y consumibles), resistencia al cambio (celo profesional por otras disciplinas y duplicidad de tareas), salarios del personal, falta de actualización, poca confianza para el incremento de funciones y actitud de los pacientes (resistencia a la atención por enfermería). Conclusiones. Comprender la percepción de los profesionales de enfermería permite identificar elementos clave para la ampliación exitosa de las funciones de enfermería a partir de la expansión de competencias laborales del personal operativo; será necesaria una reorganización y una gestión adecuada en los diferentes niveles de toma de decisiones.
  • Item
    Fortalecimiento de programas de doctorado en enfermería con base en las necesidades de salud
    (2024-11-15) De Bortoli Cassiani, Silvia Helena; Moreno Dias, Bruna; Arena Ventura, Carla Aparecida; Gazotti, Juliana; Partezani Rodrigues, Rosalina Aparecida; do Carmo Cruz Robazzi2, Maria Lucia; Gir, Elucir; Fredemir Palha, Pedro
    [RESUMEN]. Este artículo se propone a analizar y contextualizar la formación de enfermeras y enfermeros a nivel de posgrado, y presentar orientaciones estratégicas para ampliar su formación doctoral en América Latina y el Caribe. En esta comunicación se presentan estrategias para avanzar el potencial de la contribución del personal de enfermería a los sistemas de salud y el desarrollo de competencias científicas por medio de los estudios de posgrado -nivel doctorado-, con hincapié en la cooperación e internacionalización, la formación alineada con las necesidades de salud de la población, la transferencia de conocimientos a la práctica y la sostenibilidad de las acciones. El personal de enfermería está bien posicionado para actuar como investigadores, docentes y líderes, y para contribuir a la elaboración de estrategias más eficaces para las futuras acciones y políticas que requieren los sistemas de salud. Sin embargo, será necesaria la inversión y el compromiso de diferentes actores clave para transformar la formación de enfermería.
  • Item
    Digital knowledge dissemination: The Global Alliance for Nursing and Midwifery community of practice
    (2025) Docal, Maria; Chang Chiu, Angela; Williams, Haley Kartchner; Lizarraga Sikic, Andrea; Reynolds, Nancy R.
    [ABSTRACT]. Objective. To analyze a community of practice, the Global Alliance for Nursing and Midwifery (GANM), and illustrate the evolution and sustainability of a virtual community of practice aimed at enhancing knowledge acquisition and dissemination. Methods. Retrospective content analysis of data gathered from the online tracking of GANM’s community activities, engagement data, and platform logistics was conducted and analyzed. Results. The GANM hosts a diverse community of over 4 300 members from 160 countries. Members benefit from opportunities for knowledge sharing, access to evidence-based tools and materials, and the ability to engage in a creative space for asking questions, discussing current issues, networking, and forming collaborative professional relationships. The discussion forum is frequently used for disseminating new information about evidence-based practice and announcing educational opportunities. Conclusions. Through a wide variety of activities, the GANM engages a diverse community and provides an opportunity for nurses, midwives, and allied healthcare professionals around the world to network, engage in discussions, and build collective knowledge. The development of future communities of practice can be guided by existing evidence and the GANM’s collective experiences, to maintain and enhance community engagement and prevent dormancy.