Lessons Learned: Health Reform Commissions in Australia, England, USA and Canada

2.50
Hdl Handle:
http://hdl.handle.net/10755/304099
Category:
Abstract
Type:
Presentation
Title:
Lessons Learned: Health Reform Commissions in Australia, England, USA and Canada
Author(s):
White, Jill F.; Chiarella, Mary
Lead Author STTI Affiliation:
Non-member
Author Details:
Jill F. White, RN, RM, BEd, MEd, PhD, jill.white@sydney.edu.au; Mary Chiarella, RN, LLB, (Hons), PhD;
Abstract:

Session presented on: Monday, July 22, 2013

Purpose:

 The purpose of this paper is to share the lessons learned about nursing participation in health reform policy by analysing four key national health reform commission reports produced in four countries within the past five years.

Methods:

There were two major methods employed in this study. The first was document analysis of the key health reform policy reports and the government responses to these commission reports. This was followed by an expert reference group critical appraisal of these documents and their outcomes for each country following their release.

Results: The similarities and differences across these documents will be discussed. These include the degree of nursing input to the commission processes, the degree to which non-nurse participation was present, the methods by which the reports were released to the public and the actions of nursing organisations following report release.

Conclusion:

Each of the commission reports was consistent in seeinhg a major role for nursing in healthcare future scenarios; all indicated primary health care as the direction of health reform, each indicated aged care and chronic disease management in the community as essential. The effectiveness of the outcome was influenced by election timing and outcome, by nursing action both in informing the commission and mobilising on its release. The degree of political astuteness and maturity were significant features determining outcomes of reform processes. It was clear from this work that educational and experiential preparation of senior nurses to increase their level of political sophistication will enhance nursing input to and outcomes from reform processes.

Keywords:
influence; lessons learned; health policy
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleLessons Learned: Health Reform Commissions in Australia, England, USA and Canadaen_GB
dc.contributor.authorWhite, Jill F.en_GB
dc.contributor.authorChiarella, Maryen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJill F. White, RN, RM, BEd, MEd, PhD, jill.white@sydney.edu.au; Mary Chiarella, RN, LLB, (Hons), PhD;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304099-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b> <p> The purpose of this paper is to share the lessons learned about nursing participation in health reform policy by analysing four key national health reform commission reports produced in four countries within the past five years. <p><b>Methods: </b> <p>There were two major methods employed in this study. The first was document analysis of the key health reform policy reports and the government responses to these commission reports. This was followed by an expert reference group critical appraisal of these documents and their outcomes for each country following their release. <p><b>Results: </b>The similarities and differences across these documents will be discussed. These include the degree of nursing input to the commission processes, the degree to which non-nurse participation was present, the methods by which the reports were released to the public and the actions of nursing organisations following report release. <p><b>Conclusion: </b> <p>Each of the commission reports was consistent in seeinhg a major role for nursing in healthcare future scenarios; all indicated primary health care as the direction of health reform, each indicated aged care and chronic disease management in the community as essential. The effectiveness of the outcome was influenced by election timing and outcome, by nursing action both in informing the commission and mobilising on its release. The degree of political astuteness and maturity were significant features determining outcomes of reform processes. It was clear from this work that educational and experiential preparation of senior nurses to increase their level of political sophistication will enhance nursing input to and outcomes from reform processes.en_GB
dc.subjectinfluenceen_GB
dc.subjectlessons learneden_GB
dc.subjecthealth policyen_GB
dc.date.available2013-10-22T20:29:06Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:06Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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