Department of Health policy and Management, School of Management and Medical Informatics, Iranian Center of Excellence in Health Management, Tabriz University of Medical Sciences, Tabriz, Iran.
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
Int Nurs Rev. 2021 Sep;68(3):388-398. doi: 10.1111/inr.12657. Epub 2021 Jan 21.
To explore the barriers and facilitators concerning nurse managers' participation in the health policy-making process.
Despite encouragement for participation in policy-making, nurse managers are seldom involved in this process.
A qualitative descriptive research design based on purposive sampling was conducted. Semi-structured one-to-one interviews were conducted with nurse managers and key informants (n = 16). Interviews were digitally recorded, transcribed verbatim, and analyzed by thematic analysis. The Standards for Reporting Qualitative Research (SRQR) checklist was applied to study reporting.
Three levels of barriers were found to nurse managers' participation in health policy-making. The individual level included weakness in characteristics of nurse managers, and the organizational level constituted the inefficient structure. In addition, the environment-related level encompassed external barriers to the organization. Finally, three facilitators with the potential were identified for improving nurse managers' participation in the policy-making process, including improvements in collaboration and communication, governmental and non-governmental organizational activities, and reforms in the health policy-making process.
Nurse managers need to use the window of opportunity to participate in health policy-making. More importantly, they should be informed about health policy in order to meet the demands of the rapidly changing healthcare environment. Drawing upon their professional organizations and positions, nurse leaders require to network and make a space to stimulate their participation in the policy.
Nurse managers need to develop political skills and utilize strategies to help their participation in health policy-making, leading to better implementation of policies, efficiency, and effectiveness in the health system.
探讨护士管理者参与卫生政策制定过程的障碍和促进因素。
尽管鼓励参与决策，但护士管理者很少参与这一过程。
采用基于目的抽样的定性描述性研究设计。对 16 名护士管理者和关键信息提供者进行了半结构化的一对一访谈。访谈以数字形式记录、逐字转录，并通过主题分析进行分析。研究报告采用了定性研究报告标准（SRQR）清单。
发现了阻碍护士管理者参与卫生政策制定的三个层面。个人层面包括护士管理者特征的弱点，组织层面构成了低效的结构。此外，环境相关层面包括组织外部的障碍。最后，确定了三个潜在的促进因素，以改善护士管理者参与决策过程，包括改善协作和沟通、政府和非政府组织活动以及卫生政策制定过程的改革。
护士管理者需要利用机会参与卫生政策制定。更重要的是，他们应该了解卫生政策，以满足快速变化的医疗保健环境的需求。利用他们的专业组织和职位，护理领导者需要建立联系并创造空间，以激发他们参与政策。
护士管理者需要发展政治技能并运用策略来帮助他们参与卫生政策制定，从而提高政策的实施效果、效率和效益。
