Explain why Institutional Licensure is Unacceptable in Today's Healthcare The road to quality and standards in nursing practice was a long and winding path. Prior to the middle of the twentieth century the competency of the person providing nursing care was seldom tested, and acceptance based on the claims of the individual…
Under the constant demand from nursing leaders and nursing associations for the need to remove inconsistencies in the quality of nursing care, nursing licensure came into place as the means to provide protection against poor quality in nursing care (Catalano, 2000). Thus the basis of licensure is to ensure competency and quality in nursing care and for which nurses have to qualify through an examination. The current nursing practice licensure examination is the National Council Licensure Examination Computer Adaptive Testing (NCLEX-RN, CAT) for Registered Nurses. Modifications can be shortly expected through the Mutual Recognition Model for Nursing Licensure that is targeted as a moving towards a universal nursing license, which will allow nurses qualifying from one state to practice in any other state. The activity of Licensure for nursing practice on the basis of RN examination thus goes towards meeting the objectives of protecting the health, safety, and welfare of the public through the establishment of nursing professional standards (Catalano, 2000). Against this backdrop enters into the picture institutional licensure as an option for meeting the objectives of protecting the health, safety, and welfare of the public. ...
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This has been continuing from many years and via a number of methods. This federal initiative has been most evident in the northern territories, despite the move by these territories towards greater autonomy.1 The publicly funded Canadian healthcare system mirrors national values that incorporate access on the basis of necessity and not ability to pay, equality, fairness, and provision of healthcare without taking into consideration the place of residence.
Hence, modern health care managements today give great emphasis on the selection and implementation of information systems. While developing and implementing an information system, organizational structure and economic environment of the health care firm play an undeniable role in determining its efficacy.
US health care system vs. Canada's health care system
Both USA and Canada spend a considerable amount of their resources on their respective healthcare system. While the healthcare network in USA is operated with the help of both public and private resources, the same in Canada is mainly directed by the Government.
The death spiral is due to the emergence of various adverse selections in the emerging insurance policies where the lower risk policyholders choose to change policies, due to the increased insurance costs, to be uninsured (Herzlinger & Jeff 26).
This has in most countries become the driving force behind the adoption of systems that will ensure the population within them manage to meet their medical needs.
Health care systems can be defined as organized arrangements planned to meet needs that will ensure the wellbeing of an intended population.
However, people who can afford to pay more through premiums enjoy better coverage under the healthcare facility. Hence, in the present consumer driven healthcare system (CDHC), the services rendered to the people by the industry are based on their ability to pay and those who pay less receive only mediocre medical services.
In this regard the following discussion highlights essential factors that nurses need to be aware of their licensure.
One of the important issues that nurses should know is the regulatory aspects governing different activities within the profession.
Programs such as the Children are Health Insurance Program, Medicaid, Medicare, and the Veterans Health Administration provides and spends 60-65% of the total healthcare. The better part of the population that is under 67 of age is
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