간호사와 간호조무사의 업무 및 자격관리에 대한 정책결정과정 연구: 킹던의 정책흐름모형을 중심으로

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Other Titles: A Study on Reorganization of Service and Qualification Management between Nurse and Nurse Assistant:Focusing on Policy Stream Model by Kingdon

Citation: Health and Social Welfare Review (보건사회연구), Vol.38(1) : 489-519, 2018

Keywords: Nursing Services, Nursing Profession ; Medical Service Act ; Kingdon ; Policy Making Process ; Policy Stream Model

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.