Field Center for Children's Policy, Practice and Research, School of Social Policy and Practice; Barbara Bates Center for the Study of the History of Nursing; Leonard Davis Institute of Health Economics, University of Pennsylvania School of Nursing, Philadelphia, PA.
Barbara Bates Center for the Study of the History of Nursing; Leonard Davis Institute of Health Economics, University of Pennsylvania School of Nursing, Philadelphia, PA.
Nurs Outlook. 2021 May-Jun;69(3):254-256. doi: 10.1016/j.outlook.2020.12.009. Epub 2021 Jan 13.
A nimble and flexible regulatory response regarding the nursing workforce is essential to a fully integrated public health approach to national crises and pandemics. The COVID-19 pandemic has drawn many comparisons to the 1918 Flu Pandemic. Some of them are well-reasoned and grounded in evidence. Other are not. This study provides a historically contextualized analysis of how the 1918 flu pandemic helped shape Pennsylvania nursing's current regulatory apparatus. We conclude that the state-based solutions that nursing registration represents are inadequate to deal with pandemics and crises with national, if not global, reach. We need to move immediately toward the national COMPACT system, while mindful of how regulatory processes and procedures can reinforce structural inequities.
对于全面综合的公共卫生应对国家危机和大流行病而言，灵活和可调整的护理劳动力监管响应至关重要。COVID-19 大流行与 1918 年流感大流行有许多相似之处。其中一些是有充分理由且有证据支持的，而另一些则不然。本研究对 1918 年流感大流行如何帮助塑造宾夕法尼亚州护理业当前监管机构进行了历史背景分析。我们的结论是，护理注册代表的州级解决方案不足以应对具有国家（如果不是全球）影响力的大流行病和危机。我们需要立即转向全国性的 COMPACT 系统，同时注意监管流程和程序如何加强结构性不平等。
