Americanizing Canadian nursing: nursing regulation drift
Open accessAbstract
Recent regulatory changes mean Canadian nurses are writing a US-based entry to practice exam and a US company is assessing credentials of internationally educated nurses (IENs) for Canadian registration.This paper asserts that this policy direction has significant consequences for Canadian content and integrity of education programs, francophone parity in testing, and the future of primary health care and health system reform.Furthermore, writing a US exam means Canada is at risk of losing nursing human resources to the United States while trade agreements endanger Canadian nursing intellectual property.À la suite de changements de réglementation, les diplômés en science infirmière doivent passer un examen d'autorisation à pratiquer mis au point aux EU, et les diplômés internationaux en science infirmière sont évalués par une entreprise, elle aussi des États-Unis.Dans cet article, nous considérons que ces changements ont un impact significatif sur le contenu canadien et l'intégrité des programmes de formation, l'égalité de traitement dans l'évaluation pour les francophones et le futur des soins de santé primaire et la réforme des soins de santé.De plus, en uniformisant l'accréditation avec les EU, le Canada court le risque de laisser partir sa main d'oeuvre infirmière dans ce pays, au moment même où les accords commerciaux mettent en danger la propriété intellectuelle infirmière canadienne.
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The NCLEX-RN entry-to-practice exam sparked controversy within the profession, generating significant attention from non-regulator scholars.
“For example, the NCLEX-RN entry-to-practice exam sparked controversy within the profession, generating significant attention from non-regulator scholars [66,68,71–73,77,80,97,98,100,123,124,126,167,217]”
From Nursing regulation in Canada: Insights from a scoping review (2025) · cites this paper as [73]
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Nursing regulation in Canada: Insights from a scoping review
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- Authors
- Dalhousie University, MacMillan, K., Oulton, J., Bard, R., & Nicklin, W.
- Affiliations
- Dalhousie University (CA)
- ORCID
- MacMillan, Kathleen
- Venue
- Health Reform Observer - Observatoire des Réformes de Santé
- Published
- 2017-12-09
- Volume
- 5
- Issue
- 3
- ISSN
- 2291-6369 (ISSN-L)
- OpenAlex
- W2774605089
- Cited by
- 8
- References
- 10
- Citations by year
- 2025: 1 · 2022: 1 · 2021: 1 · 2019: 3 · 2018: 2
- FWCI
- 6.05
- Type
- journal article
- Language
- fr
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- Health Reform Observer - Observatoire des Réformes de Santé (publishedVersion, cc-by-nc-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Education, Practice, and Leadership
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Occupational and Professional Licensing Regulation
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Keywords
- nursing regulation, nursing education accreditation, primary care, health care reform, intellectual property, trade agreements, Canada–United States relations
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