Optimizing the Regulation of Nursing in the Asian Context: Development and Application of a Legal Framework

IF 2.1 3区 医学 Q2 NURSING Asian Nursing Research Pub Date : 2024-10-01 DOI:10.1016/j.anr.2024.09.004
Sungkyoung Choi , Won Lee
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Abstract

Purpose

It is essential to regulate nursing to protect the population's health. As regulation constantly changes in response to societal trends, periodic reviews of nursing regulations become imperative. Therefore, we developed a legal framework by extracting essential elements for nursing regulation and explored its potential application.

Methods

This study consisted of two parts. First, the legal framework for nursing regulation was developed through reviewing literature that mentions the content that can be included in nursing regulations, and through a content validity assessment by five experts. Second, this legal framework was applied to the nursing laws of China, Hong Kong, Japan, and Taiwan to confirm the suitability of the framework.

Results

In the first part of the study, the legal framework for nursing regulation consists of seven categories (purpose, definitions, standards for practice, license acquisition and registration to practice, regulatory body, protection of the legal authority of nurses, offenses/penalties, and disciplinary procedures) and 17 items was developed. As a result of applying this framework to nursing laws in four countries, the average utilization rate for all 17 items was 68.4%. The matching scores between the framework and the law were over 60% for all four laws.

Conclusion

Regulations, especially in the form of legislation, must be carefully considered because laws involve enforcement and potential penalties. This study is significant for identifying essential nursing regulation elements and offering a practical reference tool, expected to be widely utilized in future nursing policy and regulatory research.
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优化亚洲护理监管:法律框架的制定与应用。
目的:必须对护理工作进行监管,以保护人民的健康。随着社会发展趋势,护理法规也在不断变化,因此定期审查护理法规势在必行。因此,我们通过提取护理法规的基本要素制定了一个法律框架,并探索了其潜在的应用范围:本研究由两部分组成。首先,通过查阅提及可纳入护理法规内容的文献,并由五位专家进行内容效度评估,制定了护理法规的法律框架。其次,将该法律框架应用于中国、香港、日本和台湾的护理法律,以确认该框架的适用性:在研究的第一部分,制定了由七个类别(目的、定义、执业标准、执业许可的获取和注册、监管机构、护士法律权威的保护、违法行为/处罚和惩戒程序)和 17 个条目组成的护理监管法律框架。将该框架应用于四个国家的护理法后,所有 17 个项目的平均利用率为 68.4%。在所有四部法律中,该框架与法律之间的匹配得分均超过 60%:法规,尤其是立法形式的法规,必须仔细斟酌,因为法律涉及执行和潜在的惩罚。本研究的重要意义在于确定了护理法规的基本要素,并提供了一个实用的参考工具,有望在未来的护理政策和法规研究中得到广泛应用。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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