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KMID : 0613620180380010489
Health Social Welfare Review
2018 Volume.38 No. 1 p.489 ~ p.519
A Study on Reorganization of Service and Qualification Management between Nurse and Nurse Assistant: Focusing on Policy Stream Model by Kingdon
Lee Yu-Ri

Choi Sung-Kyoung
Kim In-Sook
Kang Sun-Joo
Abstract
Amendment of Medical Services Act regarding Nursing Professions was done on December 2015. This study aims to analyze and assess policy making process on nursing service and qualification management between nurse and nurse assistant using Policy Stream Model by Kingdon in 1984. As problem stream, heterogeneity of management system between two nursing staffs, increase of nurse assistant's activity due to disparity between supply and demand, and needs for quality control for nurse assistants were raised. Political steam was continuos policy presentation by health authority, and legislative procedure within National Assembly. With respect to policy stream, discussions on qualification of nurse assistant, conformity of direction by health authority and acceptance of opinion from several national associations on health were produced. Policy entrepreneur was improvement of nursing politician and nursing leadership supported by Korea Nurses Association, and nurse politician's active role on revision of law. As policy window, policy for integrated nursing and caring service as well as MERS-CoV explosion, and judging bill process were reviewed. Nursing politician was playing a significant role for opening policy window which finally leads to policy decision.
KEYWORD
Nursing Services, Nursing Profession, Medical Service Act, Kingdon, Policy Making Process, Policy Stream Model
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