Perceptions of the functioning and effectiveness of nursing regulators in Ghana and South Africa: a cross-sectional study

被引:0
作者
Christmals, Christmal Dela [1 ]
Aziato, Lydia [2 ]
Rispel, Laetitia Charmaine [1 ]
机构
[1] Univ Witwatersrand, Sch Publ Hlth, Ctr Hlth Policy, SARChI Chair Res Hlth Workforce Equity & Qual, Johannesburg, South Africa
[2] Univ Ghana, Adult Hlth, Coll Hlth Sci, Accra, Ghana
来源
BMJ OPEN | 2021年 / 11卷 / 12期
基金
新加坡国家研究基金会;
关键词
education & training (see medical education & training); health policy; public health; organisational development; HEALTH; POLICY; LEADERSHIP; LEGISLATION; REFORM;
D O I
10.1136/bmjopen-2021-050580
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective Nursing regulators are important governance structures for nurses who are critical to the achievement of universal health coverage (UHC). This study examined the perspectives of the heads of nursing education institutions (NEIs) in Ghana and South Africa on the functioning and effectiveness of the respective nursing regulators. Design This was a cross-sectional survey. Setting This study was conducted in Ghana and South Africa Participants Heads of accredited NEIs in Ghana (n=65) and in South Africa (n=39). Results In South Africa, the mean score for overall functioning of the South African Nursing Council (SANC) was 4.6 (SD 1.97), whereas the mean score for overall functioning of the Nursing and Midwifery Council of Ghana (N&MC) was 7.1 (SD 1.7) (p<0.0001). Similarly, the mean score for effectiveness of the SANC by NEIs was 5.1, compared with the mean effectiveness score of 7.2 for the N&MC (p<0.001). Compared to the SANC, the heads of NEIs scored the N&MC higher on each of the six functional areas of policy-making (Ghana=7.06; SA=4.56); accreditation (Ghana=7.40; SA=4.10) legal and disciplinary actions (Ghana=6.45; SA=5.52); examination (Ghana=7.84; SA=5.00); registration (Ghana=8.27; SA=5.96) and communication and transparency (Ghana=6.87; SA=6.05). Conclusion Both the N&MC and SANC are well-established regulators and are vital to ensure that the nursing workforce in each country is able to deliver quality healthcare, thereby contributing to UHC and population health improvements. However, the study findings suggest the need for concerted efforts to improve the functioning and effectiveness of the regulators, especially the SANC. The six functional areas could guide the necessary improvements in regulator functioning and effectiveness, in partnership with relevant stakeholders.
引用
收藏
页数:11
相关论文
共 52 条
[1]   The "Universal" in UHC and Ghana's National Health Insurance Scheme: policy and implementation challenges and dilemmas of a lower middle income country [J].
Agyepong, Irene Akua ;
Abankwah, Daniel Nana Yaw ;
Abroso, Angela ;
Chun, ChangBae ;
Dodoo, Joseph Nii Otoe ;
Lee, Shinye ;
Mensah, Sylvester A. ;
Musah, Mariam ;
Twum, Adwoa ;
Oh, Juwhan ;
Park, Jinha ;
Yang, DoogHoon ;
Yoon, Kijong ;
Otoo, Nathaniel ;
Asenso-Boadi, Francis .
BMC HEALTH SERVICES RESEARCH, 2016, 16
[2]  
Alexander M, 2020, J NURS REGUL, V11, P3
[3]   A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects? [J].
Alhassan, Robert Kaba ;
Nketiah-Amponsah, Edward ;
Arhinful, Daniel Kojo .
PLOS ONE, 2016, 11 (11)
[4]  
[Anonymous], 2017, INT J AFRICA NURSING, DOI DOI 10.1016/J.IJANS.2017.01.001
[5]  
Armstrong S.J., 2019, International Journal of Africa Nursing Sciences, V10, P92, DOI DOI 10.1016/J.IJANS.2019.01.009
[6]   Social accountability and nursing education in South Africa [J].
Armstrong, Susan J. ;
Rispel, Laetitia C. .
GLOBAL HEALTH ACTION, 2015, 8 :5-13
[7]  
Ashraf G., 2012, International Education Studies, V5, P80, DOI [10.5539/ies.v5n2p80, DOI 10.5539/IES.V5N2P80]
[8]   The push to modernize nursing regulations during the pandemic [J].
Bachtel, Molly Kathleen ;
Hayes, Rose ;
Nelson, Michelle A. .
NURSING OUTLOOK, 2020, 68 (05) :545-547
[9]  
Baumann Andrea, 2014, Healthc Policy, V10, P121
[10]   Professional regulation, public protection and nurse migration [J].
Benton, David C. ;
Antonio Gonzalez-Jurado, Maximo ;
Vicente Beneit-Montesinos, Juan .
COLLEGIAN, 2014, 21 (01) :53-59