Shiow-Luan Tsay1, Shwu-Feng Tsay2, Chia-Yen Ke3, Ching-Mei Chen2, Heng-Hsin Tung4,5. 1. College of Nursing & Health Sciences, Da-Yeh University, Changhua, Taiwan. 2. Department of Nursing and Health Care, Ministry of Health and Welfare, Taipei City, Taiwan. 3. Taiwan Nurse Practitioner Association, New Taipei City, Taiwan. 4. School of Nursing, National Yang Ming University, Taipei City, Taiwan. 5. Tungs' Taichung MetroHarbor Hospital, Taichung City, Taiwan.
Abstract
BACKGROUND AND PURPOSE: To date, there has been no policy analysis or review of the effectiveness of the current nurse practitioner (NP) scope of practice regulations in Taiwan. The purpose is of this article was to provide a policy analysis of NP scope of practice regulations in Taiwan. METHODS: The Longest policy cycle model was used to analyze the NP scope of practice regulations. Policy formation, policy implementation, and policy modification are three steps in this model. Policy formation and policy implementation are described in the first two sections. Regarding policy modification, we used the data collected from a research grant to evaluate the implementation of the NP scope of practice regulations to present the effectiveness of the policy endorsement in Taiwan. CONCLUSIONS: The impact of health care services provided by NPs was positive from the viewpoint of the hospital. The top-ranking impact was reducing physicians' workload and increasing the effectiveness of communication and coordination among the team. IMPLICATIONS FOR PRACTICE: The economic value of advanced practice nurses needs to be identified, as it can result in optimal professional growth. The Taiwan Association of Nurse Practitioners can design the metrics to measure NPs' contribution and to analyze the financial benefits bestowed by the NP profession based on the study results.
BACKGROUND AND PURPOSE: To date, there has been no policy analysis or review of the effectiveness of the current nurse practitioner (NP) scope of practice regulations in Taiwan. The purpose is of this article was to provide a policy analysis of NP scope of practice regulations in Taiwan. METHODS: The Longest policy cycle model was used to analyze the NP scope of practice regulations. Policy formation, policy implementation, and policy modification are three steps in this model. Policy formation and policy implementation are described in the first two sections. Regarding policy modification, we used the data collected from a research grant to evaluate the implementation of the NP scope of practice regulations to present the effectiveness of the policy endorsement in Taiwan. CONCLUSIONS: The impact of health care services provided by NPs was positive from the viewpoint of the hospital. The top-ranking impact was reducing physicians' workload and increasing the effectiveness of communication and coordination among the team. IMPLICATIONS FOR PRACTICE: The economic value of advanced practice nurses needs to be identified, as it can result in optimal professional growth. The Taiwan Association of Nurse Practitioners can design the metrics to measure NPs' contribution and to analyze the financial benefits bestowed by the NP profession based on the study results.
Authors: Kathy J Wheeler; Minna Miller; Joyce Pulcini; Deborah Gray; Elissa Ladd; Mary Kay Rayens Journal: Ann Glob Health Date: 2022-06-16 Impact factor: 3.640