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Open Access Remote Nursing Certified Practice: Viewing Nursing and Nurse Practitioner Practice Through a Social Justice Lens Le programme de pratique infirmière en régions éloignées : la pratique infirmière et le personnel infirmier praticien considérés sous l'angle de la justice sociale

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Abstract:

Remote Nursing Certified Practice (RNCP) was introduced in 2010 to regulate nursing practice in remote, largely First Nations communities in British Columbia, Canada. These are communities that often experience profound health and health-care inequities. Typically nurses are the main health-care providers. Using a critical social justice lens, the authors explore the clinical and ethical implications of RNCP in terms of access to equitable, high-quality primary health care. They examine the fit between the level and scope of health services provided by registered nurses working under RNCP and the health needs of remote First Nations communities. In doing so, they draw comparisons between nurse practitioners (NPs) and outpost nurses working in NP roles who historically were employed to provide health care in these communities. The authors conclude by calling for nursing regulations that support equitable, high-quality primary care for all British Columbians.

French
Le programme de pratique infirmière agréée en régions éloignées [Remote Nursing Certified Practice (RNCP)] a été créé en 2010 dans le but de réglementer la pratique infirmière dans les collectivités éloignées de la Colombie-Britannique, au Canada, qui sont formées en grande partie de Premières nations. Ces collectivités vivent souvent des inégalités en matière de santé et de soins de santé. Les infirmières et les infirmiers sont généralement les principaux fournisseurs de soins de santé de ces collectivités. À l'aide d'une grille d'analyse critique se fondant sur la justice sociale, les auteures explorent les répercussions cliniques et éthiques de la RNCP sous l'angle de l'accès à des soins de santé primaires équitables et de haute qualité. Elles examinent la correspondance entre le niveau et l'étendue des services de santé fournis par le personnel infirmier autorisé qui travaille conformément à la RNCP et les besoins de santé des collectivités des Premières nations en région éloignée. Ce faisant, elles font des comparaisons d'une part entre les infirmières praticiennes et les infirmiers praticiens (IP) et d'autre part les infirmières et les infirmiers en régions éloignées jouant le rôle d'IP qui ont été employés historiquement pour fournir des soins de santé dans ces collectivités. Les auteures concluent en demandant qu'une réglementation de la pratique infirmière soit adoptée afin de soutenir la prestation de soins primaires équitables de grande qualité à toute la population de la Colombie-Britannique.

Keywords: ABORIGINAL HEALTH; HEALTH DISPARITIES; NURSING ROLES; PRIMARY HEALTH CARE; RURAL AND REMOTE HEALTH CARE; VULNERABLE POPULATIONS

Document Type: Research Article

Publication date: June 1, 2011

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