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Does ICN knows what is a nurse and what is it for?

From long time ago when i read our "representatives" talking about nursing staff levels comparing different country comes over me a sense of weariness.

It seems that all is valid for the purpose of that people, but bad arguments only lead us to bad destinations and the key question is What is de good argument? and Where are the good data?.

Nursing have the mission of caring individual or collective health as part of a healthcare system this it will be done based on an assessment of their health status. Thus the good argument at time to speak about staffing level are the needs of the individual and population. This argument is hard to materialise and varies from global to local level.

But the big problem at the time os compare nursing staffing at international level is a certain mode of deregulation of nursing academic and laboral definitions. Each country uses several definitions for nursing related jobs from not academic voluntaries to doctorates. Even in a economic integrated space like european union healthcare workers in nursing jobs positions don't have a regulatory scheme.

I think that the logical answer for this question can come from the association of regulatory authorities of nursing like the ICN. In fact, ICN have a "definition" of nursing (you can try to perfectionate) that is a good point of departure.

But everyone can know that for a lot of reasons the health needs of a population are different and for historical, cultural and economic reasons the formation and academic status of nursing too. ICN can't change this magically but they could send a clear message about a structure of nursing titles making a framework inside of that the national governments can design layers of job positions acording patients needs.

I navigated de ICN pages searching some resource about that and i found ICHRN and inside this a document called Nursing Human Resources Planning and Management Competencies. It describes competencies for management of human resources organized in six domains and especified for four levels of work in human resources management.
Then ICN knows what is a nurse manager and what they must do, but do ICN know what do the nurses wherever they work?.

In the pages of the ICHRN there are no more information about our trouble (the page of "publications" is empty), but under the area "networks" there is a document called "Regulation Terminology" wich contains definitions of interest for our purposes like these:

or these one:


I think there are enough information to try to build the framework that i said. What do you think?


1 comentario:

  1. La carencia existente en la definición y regulación de las competencias enfermeras está presente en nuestro día a día: desde el registro de los cuidados a la acreditación de titulaciones en las diferentes comunidades autonómicas. Si alguien debe de solucionar y establecer medidas, es el ICN. Así mismo, llama la atención que ni si quiera haya un esquema teórico que oriente este problema ( ya no te digo en el ámbito práctico en el que la burocracia lo complica).
    En mi opinión, este post es una buena introducción para la justificación y puesta en marcha de una petición colectiva que solicite su resolución ( no sé si el ICN facilita este tipo de peticiones).
    En cuanto a la multiculturalidad es un factor que siempre ha de incluirse siendo un elemento positivo que enriquece nuestros cuidados pero en un término medio: no puede ser que alguien acredite un idioma y se valore más que una persona con 15 años de experiencia y formación de postgrado. Otro ejemplo son las diferencias visibles (en países próximos) de los planes académicos de postgrado y su traducción en el ámbito laboral.
    En cualquier caso, sería necesario hacer una búsqueda de los artículos publicados sobre este tema.
    Un saludo
    @perezfuilleratn

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thanks for your input