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A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas

dc.contributor.authorGuevara, Edilma Bes_ES
dc.contributor.authorMendias, Elnora Pes_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2002es_ES
dc.identifier.citationGuevara, Edilma B,Mendias, Elnora P (2002) A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas. Rev Panam Salud Publica;12(5) 347-353,nov. 2002. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002001100009&lng=pt&nrm=iso&tlng=enen_US
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002001100009&lng=pt&nrm=iso&tlng=enes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/8456
dc.relation.ispartofseriesRev Panam Salud Publica;12(5),nov. 2002es_ES
dc.subjectReforma dos Serviços de Saúdept_BR
dc.subjectEnfermagemes_ES
dc.subjectAméricases_ES
dc.subjectArgentinaes_ES
dc.subjectBrasilpt_BR
dc.subjectColômbiaes_ES
dc.subjectEconomia da Enfermagemes_ES
dc.subjectEmpregoes_ES
dc.subjectReforma dos Serviços de Saúdept_BR
dc.subjectReforma dos Serviços de Saúdept_BR
dc.subjectMexicoes_ES
dc.subjectEnfermagemes_ES
dc.subjectPrática Privada de Enfermagemes_ES
dc.subjectEstados Unidoses_ES
dc.subjectCarga de Trabalhopt_BR
dc.titleA comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americasen_US
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesObjective. To identify changes in nursing practice and the nursing-practice environment that have occurred with implementation of health sector reform in five countries in the Americas. Methods. An exploratory study of selected settings in Argentina, Brazil, Colombia, Mexico, and the United States of America was conducted between 1997 and 1999 to collect narrative data from 125 professional nurses about their perceptions of nursing practice and changes in work environments. Descriptions of characteristics and trends in nursing practice in the study sites were also obtained. Results. Reorganization of health services has occurred in all five of the countries, responding to health sector reform initiatives and affecting nursing practice in each country. Respondents from all five countries mentioned an emphasis on private enterprise, changes in payment systems for patients and providers, redistributions in the nursing workforce, changes in the personnel mix and nursing-practice functions, work shifting from the hospital to the community, and greater emphasis on cost control and prevention in practice settings. Conclusions. The study provides initial information about current nursing issues that have arisen as a result of health care reform initiatives. Regardless of differences in service models or phases of health sector reform implementation, in all the countries the participating nurses identified many common themes, trends, and changes in nursing practice. The driving forces for change and their intensity have been different in the five countries. Nurses maintain their core values despite increased work stress and greater patient care needs in all the countries as well as economic crises in the Latin American countries (AU)en_US


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