Nursing and Midwifery School, Birjand University of Medical Sciences, Birjand, Iran.
Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Iran.
Int Nurs Rev. 2021 Sep;68(3):380-387. doi: 10.1111/inr.12655. Epub 2021 Jan 18.
To explore the factors affecting the emergence of diplomacy in Iranian nurse managers.
Today, with the development of complex health systems, diplomacy in health care can take place at organizational, national and international levels.
Diplomacy's role is to convince others peacefully to achieve goals. Diplomacy in nursing can facilitate professional development and direct policy and decision-making process towards the development of a healthcare system.
The study used a qualitative descriptive approach. The sampling method was purposeful, and data were collected via in-depth, unstructured and face-to-face interviews with 16 participants. The interviews were digitally recorded, transcribed verbatim and analysed through conventional content analysis based on Graneheim and Lundman's work.
In total, 212 codes were generated, which were grouped into three main categories, namely paradigmatic socio-political changes (two subcategories), nurses' dissatisfaction with their status in healthcare system (two subcategories) and multidimensional development of the nursing profession (four subcategories).
DISCUSSION/CONCLUSIONS: Socio-political changes, development of the nursing profession and nurses' dissatisfaction with the health system have led to the emergence of diplomacy roles in nurse managers, the recognition and development of which can improve the effectiveness of nurse managers in policymaking.
IMPLICATIONS FOR NURSING & HEALTH POLICY: The recent COVID-19 pandemic outbreak has demonstrated the urgent need to use diplomacy to solve health problems and adjust or develop policymaking at the national and international levels. Strengthening their role in diplomacy, nurse managers can play an important role as diplomats at various levels of policymaking and in health crisis management.
探讨影响伊朗护士长外交能力出现的因素。
如今，随着复杂卫生系统的发展，医疗保健领域的外交活动可以在组织、国家和国际层面展开。
外交的作用是通过和平方式说服他人来实现目标。护理外交可以促进专业发展，并使政策和决策过程直接指向医疗体系的发展。
本研究采用定性描述方法。抽样方法是有目的的，通过对 16 名参与者进行深入、非结构化和面对面的访谈，收集数据。访谈以数字方式记录、逐字转录，并根据 Graneheim 和 Lundman 的工作，通过常规内容分析进行分析。
共生成了 212 个代码，分为三个主要类别，即范式社会政治变化（两个亚类）、护士对其在医疗保健系统中的地位不满（两个亚类）和护理专业的多维发展（四个亚类）。
讨论/结论：社会政治变革、护理专业的发展以及护士对卫生系统的不满导致护士长外交角色的出现，认识和发展这些角色可以提高护士长在决策中的有效性。
最近的 COVID-19 大流行爆发表明，迫切需要利用外交手段解决卫生问题，并在国家和国际层面调整或制定政策。加强他们在外交方面的作用，护士长可以在各级决策和卫生危机管理中发挥重要的外交作用。
