Nejatian Ahmad, Joulaei Hassan
Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2018 Apr;6(2):125-135.
Professional regulation is one of the strategies of the governments which protect the public's right. Nursing practice is not an exception; hence, it is regulated to protect the public against nursing services' adverse effects. Although modern nursing in Iran started from 100 years ago, documents show that there was no regulation mechanism for nursing in Iran till 2016. Hence, this study was conducted to illuminate the contextual factors affecting the nursing regulation process in Iran.
To explore the contextual elements of late establishment of nursing registration as an important part of nursing regulation, we applied directed qualitative content analysis. For this purpose, all the historical events and related materials including articles published in scientific journals, gray literature, statements, news articles, and interviews in the period of 2006-2016 were reviewed and analyzed by expert panel and categorized in predetermined groups.
Pooled analysis data showed four contributing elements that affected the emerging nursing regulation in Iran. These elements include 1) cultural determinants, 2) structural determinants, 3) situational determinants, and 4) international or exogenous determinants.
Nursing regulation is an important health policy issue in Iran which needs to be facilitated by contextual factors. These factors are complicated and country-specific. Political willingness should be accompanied by nursing association willingness to establish and improve nursing regulation. Other researches are recommended to explore actors and process and content of nursing regulation policy in Iran.
职业监管是政府保护公众权利的策略之一。护理实践也不例外；因此，对其进行监管以保护公众免受护理服务的不利影响。尽管伊朗的现代护理始于100年前，但文件显示，直到2016年伊朗都没有护理监管机制。因此，开展本研究以阐明影响伊朗护理监管过程的背景因素。
为探究护理注册延迟建立这一护理监管重要部分的背景因素，我们采用了定向定性内容分析法。为此，专家小组对2006 - 2016年期间所有历史事件及相关材料进行了审查和分析，这些材料包括发表在科学期刊上的文章、灰色文献、声明、新闻报道及访谈内容，并将其归类到预定的组别中。
汇总分析数据显示有四个因素影响了伊朗新兴的护理监管。这些因素包括1）文化因素，2）结构因素，3）情境因素，4）国际或外部因素。
护理监管是伊朗一个重要的卫生政策问题，需要背景因素的推动。这些因素复杂且因国家而异。政治意愿应伴随护理协会建立和完善护理监管的意愿。建议开展其他研究以探索伊朗护理监管政策的行为主体、过程和内容。
