Lazarus Jean B, Lee N Genell
Alabama Board of Nursing, Montgomery, USA.
Policy Polit Nurs Pract. 2006 Aug;7(3):195-207. doi: 10.1177/1527154406291938.
Health care delivery competence and accountability have typically been defined from providers' perspectives, rather than those of consumers as purchasers of services. In 1999, in the face of broad public concern about nursing competence the Alabama Board of Nursing developed an accountability model that established consumers at the center of the model and placed accountability for competent nursing practice at all levels of providers including regulatory agencies, health care organizations, educators, and licensees. The Board then authorized two research projects involving first, consumers perceptions on nursing competence and regulation, and second, comparing their perceptions with those of licensees, nurse educators, and organizational leaders (N = 1,127). Comparative data evidenced significant differences between consumers' and other participants' perceptions. This article highlights how policy implications derived from research resulted in regulatory changes for nursing competence. Five years of progress in policy changes made in the interest of public safety are summarized.
医疗服务提供能力和问责制通常是从提供者的角度来界定的，而非从作为服务购买者的消费者角度。1999年，面对公众对护理能力的广泛关注，阿拉巴马州护理委员会制定了一个问责模式，该模式将消费者置于核心位置，并将包括监管机构、医疗保健组织、教育工作者和持照者在内的各级提供者提供胜任护理实践的问责制。该委员会随后批准了两个研究项目，第一个项目是关于消费者对护理能力和监管的看法，第二个项目是将他们的看法与持照者、护理教育工作者和组织领导者的看法进行比较（N = 1127）。比较数据表明消费者与其他参与者的看法存在显著差异。本文重点介绍了研究得出的政策影响如何导致了护理能力监管方面的变化。总结了为公共安全利益而进行的政策变革五年的进展情况。
