Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Nurs Forum. 2021 Jan;56(1):9-18. doi: 10.1111/nuf.12501. Epub 2020 Aug 31.
Over the past hundred years, licensed practical nurses (LPN) have faced several challenges because of the changing situations in health care system. The current study addresses the role changing of LPNs in accordance with the context and new needs.
This aim of situation analysis is to access what changes have occurred in the role of LPNs in the wake of changes in role of RNs over the past century and What factors and variables have influenced this process?
This study used a Grounded Theory methodology called Situational Analysis. Data were collected through semistructured and in-depth interviews with 33 nurse.
Researchers identify six themes that focus on how the role of LPNs has been changing and variables have influenced this process.
In Iran, as in other countries of the world, the role of LPNs comes to fore when there are pressing needs and nursing shortage. Iranian policymakers have decided to eliminate LPNs, Although LPNs in other countries are working in community-based settings. Treatment-oriented and self-monitoring structure of the Iranian health care system, new nursing organizations and lack of clear role classification at the caring levels have made the nursing roles ambiguous.
在过去的一百年中，由于医疗保健系统情况的变化，执业护士（LPN）面临着许多挑战。本研究根据背景和新需求，探讨了 LPN 角色的变化。
本情境分析旨在了解在过去一个世纪中，随着注册护士角色的变化，LPN 角色发生了哪些变化，以及哪些因素和变量影响了这一过程。
本研究采用了一种名为情境分析的扎根理论方法。通过对 33 名护士的半结构化和深入访谈收集数据。
研究人员确定了六个主题，重点关注 LPN 角色如何发生变化以及变量如何影响这一过程。
在伊朗，与世界其他国家一样，当有迫切需求和护理短缺时，LPN 的角色就会凸显出来。伊朗政策制定者决定取消 LPN，尽管其他国家的 LPN 在社区环境中工作。以治疗为导向和自我监测的伊朗医疗保健系统结构、新的护理组织以及护理级别上缺乏明确的角色分类，使得护理角色变得模糊不清。
