Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.
Department of Nursing, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.
Res Nurs Health. 2020 Sep;43(5):489-498. doi: 10.1002/nur.22058. Epub 2020 Jul 30.
Nurses have been urged to participate in public policy-formulation processes as an integral part of their professional role through collective and personal policy activities. However, there is only limited empirical data on this participation. This cross-sectional study examined the level and the predictors of the personal policy activities of 200 Israeli hospital-based registered nurses undertaken in their work setting and aimed at furthering hospital, local or national policies. The nurses completed questionnaires that examined policy activities, policy skills, political interest, political efficacy, political and professional network involvement, and organizational support for policy activities. The overall engagement of nurses in on-the-job policy activities was limited and focused primarily on their immediate surroundings, their departments and their hospitals, and much less on local or national policies. The most common policy activities were internal and indirect and included receiving feedback from patients to improve nursing care policy and calling colleagues' attention to policy issues. Positive significant correlations emerged between motivational and organizational factors and personal policy activities, and these contributed 55% to the explained variance. The findings enhance the relevance of integrating motivational and organizational factors in understanding the policy activity of nurses. As such, increasing personal involvement of hospital nurses in policy formulation processes requires professional training that seeks to improve nurses' policy skills, to enhance their political interest and efficacy, and to encourage their involvement in political and professional networks. In addition, hospitals need to cultivate an organizational culture that supports personal policy activities by nurses.
护士被敦促将参与公共政策制定过程作为其专业角色的一个组成部分，通过集体和个人的政策活动。然而，关于这种参与的经验数据有限。本横断面研究调查了 200 名以色列医院注册护士在工作场所开展的个人政策活动的水平和预测因素，目的是推进医院、地方或国家政策。护士们填写了调查问卷，调查了政策活动、政策技能、政治兴趣、政治效能感、政治和专业网络参与以及组织对政策活动的支持。护士参与在职政策活动的总体情况有限，主要集中在他们的周围环境、部门和医院，而对地方或国家政策的关注则少得多。最常见的政策活动是内部和间接的，包括从患者那里获得反馈，以改善护理政策，并引起同事对政策问题的关注。动机和组织因素与个人政策活动之间存在显著的正相关关系，这些因素解释了 55%的方差。研究结果增强了将动机和组织因素纳入理解护士政策活动的相关性。因此，增加医院护士在政策制定过程中的个人参与需要专业培训，旨在提高护士的政策技能，增强他们的政治兴趣和效能感，并鼓励他们参与政治和专业网络。此外，医院需要培养一种支持护士个人政策活动的组织文化。
