Abstract
Israel is experiencing a shortage of both physicians and nurses in a number of specialties, including neonatal intensive care. Inadequate hospital staffing and high patient demand contribute to the blurring of professional scope of practice boundaries between nurses and physicians. Striking similarities exist between the situation in Israel and the health services landscape in the United States more than three decades ago. This commentary explores changes related to nursing education, scope of practice legislation and hospital staffing learned through the U.S. experience that have the potential to inform health workforce changes in Israel through better nursing care.
Highlights
Israel is experiencing a shortage of both physicians and nurses in a number of specialties, including neonatal intensive care
Nurse education and professionalism in America The conditions that preceded the development of the Advance Practice Registered Nurse (APRN) role in the U.S are similar to the conditions currently experienced in Israel
From the turn of the century until the mid-1960’s, U.S nurses were trained in hospitals where the diploma in nursing permitted entry to work in hospital settings [2]
Summary
Israel is experiencing a shortage of both physicians and nurses in a number of specialties, including neonatal intensive care. Across Israel a national shortage of medical staff in the neonatal intensive care units (NICU) has required nurses to perform activities beyond their scope of practice [1]. Nurse education and professionalism in America The conditions that preceded the development of the Advance Practice Registered Nurse (APRN) role in the U.S (an increased demand for hospital care, higher medical complexity of patients and a shortage of physicians and nurses) are similar to the conditions currently experienced in Israel.
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