Cheraghi Mohammad Ali, Ghiyasvandian Shahrzad, Aarabi Akram
Department of Critical Care Nursing, Faculty of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Department of Medical Surgical Nursing, Faculty of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Open Nurs J. 2015 May 29;9:15-24. doi: 10.2174/1874434601509010015. eCollection 2015.
Presence of nurses in policy making will result improvement of nursing practice, and increase qualification of patients' care, but still few nurses are involved in policy debates and health reforms and their status in policy making for nursing is not clear. The aim of this study was to elucidate Iranian nurses' status in policy making for nursing in health system. This is a qualitative study. Using purposive sampling 22 participants were interviewed to gain deep understanding from the phenomenon of status of nurses in policy making. Of these 2 were not nurses but the members of Iran's council for health policy making. Data were analyzed by employing conventional content analysis. Nurses' status in policy making declared base on the implications of three main themes including "the policy making framework", "perceived status of nurses in policy making", and "the manner of nurses' participation in policy making". The conclusion of the present study is that Policy making for nursing is a subcategory of Iran's macro health policies. What made the status of nurses more efficient in policy making for nursing was their practice and rate of participation in the appointed positions and the society. Results of this study represented major points of weakness in nursing policies and some recommendations for modifications.
护士参与政策制定将改善护理实践,并提高患者护理质量,但参与政策辩论和卫生改革的护士仍然很少,而且她们在护理政策制定中的地位尚不明晰。本研究的目的是阐明伊朗护士在卫生系统护理政策制定中的地位。这是一项定性研究。采用目的抽样法,对22名参与者进行了访谈,以深入了解护士在政策制定中的地位这一现象。其中2人不是护士,而是伊朗卫生政策制定委员会的成员。采用常规内容分析法对数据进行分析。基于“政策制定框架”、“护士在政策制定中的感知地位”和“护士参与政策制定的方式”这三个主要主题的含义,阐述了护士在政策制定中的地位。本研究的结论是,护理政策制定是伊朗宏观卫生政策的一个子类别。护士在护理政策制定中地位更有效的原因在于她们的实践以及在指定职位和社会中的参与率。本研究结果揭示了护理政策中的主要薄弱环节,并提出了一些修改建议。