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Cited by 35Nursing Education, Practice, and LeadershipNursing Roles and PracticesHealthcare Regulation

Evolving trends in nurse regulation: what are the policy impacts for nursing’s social mandate?

Duncan, Susan, Thorne, Sally, Rodney, Patricia·2015·Nursing Inquiry
DOI 10.1111/nin.12087
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Abstract

We recognize a paradox of power and promise in the context of legislative and organizational changes in nurse regulation which poses constraints on nursing's capacity to bring voice and influence to pressing matters of healthcare and public policy. The profession is at an important crossroads wherein leaders must be well informed in political, economic and legislative trends to harness the profession's power while also navigating forces that may put at risk its central mission to serve society. We present a critical policy analysis of the impact of recent regulatory trends on what the International Council of Nurses considers nursing's three 'pillars' - the profession of nursing, socioeconomic welfare of nurses and nurse regulation. Themes surfacing from this analysis include regulatory discontinuity, a tightening of regulatory control, and an increasingly managerial governance culture. These themes illuminate insights and strategies required to renew and revitalize the social mandate of our profession amidst a climate of urgency in the questioning of nurse scholars with respect to the future of the profession. At this historic juncture, nurses must clearly understand the implications of legislative and organizational regulatory changes to ensure the profession contributes to full capacity in achieving health and health equity globally.

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Crossref · 10.1111/nin.12087

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  • The increase in sources focused on regulatory structures reflects a growing emphasis on efficiency, accountability, and transparency in this field.

    “The number of sources focused on regulatory structures have steadily increased since 2010, reflecting a growing emphasis on efficiency, accountability, and transparency in this field [5,12,51,94,198,208].”

    From Nursing regulation in Canada: Insights from a scoping review (2025) · cites this paper as [94]

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Authors
Duncan, S., Thorne, S., & Rodney, P.
Affiliations
  • Thompson Rivers University (CA)
  • University of British Columbia (CA)
Corresponding author
Duncan, Susan
ORCID
Venue
Nursing Inquiry
Publisher
Wiley
Published
2014-11-07
Volume
22
Issue
1
Pages
27-38
ISSN
  • 1320-7881 (ISSN-L)
  • 1440-1800
DOI
10.1111/nin.12087
OpenAlex
W2083664952
Cited by
35
References
54
Citations by year
2026: 1 · 2025: 2 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 3 · 2015: 3 · 2014: 2
FWCI
22.63
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Nursing Inquiry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Education, Practice, and Leadership
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Health Professions › Health Information Management › Healthcare Regulation
Keywords
nursing regulation, nursing policy, International Council of Nurses, managerial governance, nursing profession, health equity, legislative amendment
MeSH terms
Health Policy, Nursing, Policy Making, Societies, Nurse's Role, Government Regulation

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