Tightening the reins on nursing practice

摘要

Nurses from diverse corners of the globe are confronting various jurisdictional manifestations of evolving managerial philosophies within the context of the ever-tightening regulatory framework affecting all health professions (Benton, González-Jurado and Beneit-Montesinos in press; Traynor et al. in press). Although the factors and forces shaping these changes may reflect quite disparate local conditions, there is increasing evidence that the professional advocacy voice many nurses consider fundamental to nursing's capacity to influence public and health policy on behalf of the public they serve is being constrained and constricted by complex organizational and systemic factors (MacDonald et al. 2012).