Quality Improvement
As populations become more educated and citizens have easier access to information, health professionals have increased their focus on quality improvement (Association of Registered Nurses of Newfoundland and Labrador [ARNNL], 2010; Department of Health, 2008). Moreover, Benton (2011) has noted that as professional education has transferred to the higher education sector, mandatory university systems or voluntary academically focused accreditation has started to interact and in some cases compete with those of the regulatory body. Benton also went on to highlight that employer systems can directly impact the ability of the nurse to meet professional standards, and therefore regulators need to focus not just on individuals but also on the milieu in which individuals practice. Indeed, in Canada, the province of Ontario has been examining the need to extend the powers of regulators to include previously unregulated groups such as support workers and to have jurisdiction over clinical settings to enable regulators to directly observe practice (ARNNL, 2010).
There has also been increased scrutiny of existing regulatory systems. Apparent and actual failures such as the Bristol Inquiry in England result in questions being raised about the abilities of regulatory systems and those that operate them (Carlton, 2006). Indeed, Mastromatteo (2009) went further, postulating that when regulators are seen to be failing, they are particularly vulnerable to losing some or all of their power and highlighted that although many regulatory bodies enjoy considerable autonomy, they remain ultimately accountable to government.
Quality ImprovementAs populations become more educated and citizens have easier access to information, health professionals have increased their focus on quality improvement (Association of Registered Nurses of Newfoundland and Labrador [ARNNL], 2010; Department of Health, 2008). Moreover, Benton (2011) has noted that as professional education has transferred to the higher education sector, mandatory university systems or voluntary academically focused accreditation has started to interact and in some cases compete with those of the regulatory body. Benton also went on to highlight that employer systems can directly impact the ability of the nurse to meet professional standards, and therefore regulators need to focus not just on individuals but also on the milieu in which individuals practice. Indeed, in Canada, the province of Ontario has been examining the need to extend the powers of regulators to include previously unregulated groups such as support workers and to have jurisdiction over clinical settings to enable regulators to directly observe practice (ARNNL, 2010).There has also been increased scrutiny of existing regulatory systems. Apparent and actual failures such as the Bristol Inquiry in England result in questions being raised about the abilities of regulatory systems and those that operate them (Carlton, 2006). Indeed, Mastromatteo (2009) went further, postulating that when regulators are seen to be failing, they are particularly vulnerable to losing some or all of their power and highlighted that although many regulatory bodies enjoy considerable autonomy, they remain ultimately accountable to government.
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