Nursing sans frontières: a three year case study of multi-state registration to support nursing practice using information technology.
OBJECTIVE
To highlight the registration issues for nurses who wish to practice nationally, particularly those practicing within the telehealth sector.


METHODS
As part of a national clinical research study, applications were made to every state and territory for mutual recognition of nursing registration and fee waiver for telenursing cross border practice for a period of three years. These processes are described using a case study approach.


RESULTS
The aim of this case study was to achieve registration in every state and territory of Australia without paying multiple fees by using mutual recognition provisions and the cross-border fee waiver policy of the nurse regulatory authorities in order to practice telenursing.


RESULTS
Mutual recognition and fee waiver for cross-border practice was granted unconditionally in two states: Victoria (Vic) and Tasmania (Tas), and one territory: the Northern Territory (NT). The remainder of the Australian states and territories would only grant temporary registration for the period of the project or not at all, due to policy restrictions or nurse regulatory authority (NRA) Board decisions. As a consequence of gaining fee waiver the annual cost of registration was a maximum of dollars 145 per annum as opposed to the potential dollars 959 for initial registration and dollars 625 for annual renewal.


CONCLUSIONS
Having eight individual nurses Acts and NRAs for a population of 265,000 nurses would clearly indicate a case for over regulation in this country. The structure of regulation of nursing in Australia is a barrier to the changing and evolving role of nurses in the 21st century and a significant factor when considering workforce planning.
Clark
Robyn A
RA
Department of Epidemiology and Preventative Medicine, Monash University, Victoria, Australia. robyn.clark@unisa.edu.au
Yallop
Julie
J
Wickett
Di
D
Krum
Henry
H
Tonkin
Andrew
A
Stewart
Simon
S
D001315:Australia; D003365:Costs and Cost Analysis; D033161:Government Regulation; D006801:Humans; D008008:Licensure, Nursing / Q000191:economics / Q000331:legislation & jurisprudence*; D015401:Nursing Administration Research; D019982:Organizational Case Studies; D016730:Program Development / Q000379:methods*; D013219:State Government; D017216:Telemedicine / Q000458:organization & administration*