College of Nursing, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India.
National Institute of Nursing Education, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Policy Polit Nurs Pract. 2024 Aug;25(3):189-198. doi: 10.1177/15271544241271422. Epub 2024 Aug 20.
With the recent enactment of the National Nursing and Midwifery Commission (NNMC) Act, 2023, significant changes are anticipated in the scope of practice and autonomy for registered nurses and midwives in India. However, alongside these anticipated advancements, concerns have emerged regarding various aspects of the Act, necessitating critical examination. In this article, we aim to explore expected changes in nursing education and service and concerns about the NNMC Act, providing insights into the implications of the NNMC Act on the regulation and advancement of the nursing and midwifery profession in India. The Act is anticipated to introduce uniform standards, implement entry and exit examinations, recognize midwifery as a distinct discipline, and determine the scope of practice for nurses and midwives. Moreover, the implementation of the Nurse Practitioner Program and guidelines for its limited prescribing authority is anticipated. Concerns exist regarding the composition of the commission and board members, adequate stakeholder representation, lacking provisions for ensuring continued competence, working conditions of nurses and midwives, nomenclature, integrating new terms, and clearly defining roles. These concerns emphasize the need for viable career pathways, uniform cadres, and a streamlined registration system, crucial for advancing nursing and midwifery profession in India. The coexistence of concerns and anticipation highlights the complexity of enacting regulatory reforms in nursing and midwifery. Policymakers can lay the foundation for a comprehensive, inclusive regulatory system that promotes excellence in nursing and midwifery practice, ultimately benefiting both healthcare providers and patients.
随着 2023 年《国家护理和助产学委员会法案》的最近颁布，预计印度注册护士和助产士的实践范围和自主权将发生重大变化。然而，除了这些预期的进展之外，人们对该法案的各个方面表示关注，需要对其进行批判性审查。在本文中，我们旨在探讨护理教育和服务的预期变化以及对国家护理和助产学委员会法案的担忧，深入了解国家护理和助产学委员会法案对印度护理和助产学专业的监管和发展的影响。该法案预计将引入统一标准，实施入职和离职考试，承认助产学为一个独特的学科，并确定护士和助产士的实践范围。此外，预计将实施护士从业者计划并制定其有限处方权的指导方针。人们对委员会和董事会成员的组成、充分的利益相关者代表、缺乏确保持续能力的规定、护士和助产士的工作条件、命名法、整合新术语以及明确界定角色表示担忧。这些担忧强调了为印度护理和助产学专业提供可行的职业道路、统一干部和简化注册系统的必要性。关注和预期的共存突出了在护理和助产学领域实施监管改革的复杂性。政策制定者可以为全面、包容的监管系统奠定基础，促进护理和助产学实践的卓越，最终使医疗保健提供者和患者受益。
