An Explanation of Punctuated Policy Change: Nursing Policy in the Post-Pandemic Landscape.

Q2 Medicine Hospital Topics Pub Date : 2023-09-13 DOI:10.1080/00185868.2023.2257353
Courtney Haun
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Abstract

As the United States (U.S.) moves toward the post-pandemic landscape, there remains a heightened need to increase the nursing workforce. The population continues to age, chronic illnesses are further exacerbated, and the highlight of the shortage of nurses weighed heavier while navigating care during Covid-19. This article examines nursing workforce improvement policies in a policy system where outcomes are either predicated by incremental decision-making or by punctuated changes. Punctuated Equilibrium Theory (PET) is posited to explain nursing policy trends and outcomes. Covid-19 created a punctuation in the healthcare system, leading to the "great resignation," the increase of travel nurses, and nurses working remotely via tele-health tools. What remains is the impact on nurse staffing policy and what will be done to provide nursing services moving into the future.

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间断政策变化的解释:大流行后的护理政策。
随着美国走向大流行后的局面,仍然迫切需要增加护理人员。人口继续老龄化,慢性疾病进一步加剧,护士短缺的突出问题在Covid-19期间的护理中更加突出。本文考察了政策系统中的护理人力改进政策,其中结果要么由增量决策预测,要么由间断变化预测。间断平衡理论(PET)被假定来解释护理政策的趋势和结果。Covid-19在医疗保健系统中留下了一个标点符号,导致了“大辞职”,旅行护士的增加,以及通过远程医疗工具远程工作的护士。剩下的是对护士人员配置政策的影响,以及未来将采取哪些措施来提供护理服务。
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来源期刊
Hospital Topics
Hospital Topics Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
44
期刊介绍: Hospital Topics is the longest continuously published healthcare journal in the United States. Since 1922, Hospital Topics has provided healthcare professionals with research they can apply to improve the quality of access, management, and delivery of healthcare. Dedicated to those who bring healthcare to the public, Hospital Topics spans the whole spectrum of healthcare issues including, but not limited to information systems, fatigue management, medication errors, nursing compensation, midwifery, job satisfaction among managers, team building, and bringing primary care to rural areas. Through articles on theory, applied research, and practice, Hospital Topics addresses the central concerns of today"s healthcare professional and leader.
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