Faculty of Nursing, University of Calgary, Calgary, Canada.
Faculty of Nursing, Memorial University of Newfoundland, Newfoundland, Canada.
Int Nurs Rev. 2023 Sep;70(3):297-306. doi: 10.1111/inr.12828. Epub 2023 Jan 19.
Nurses can play a valuable role in not only the implementation but development of general and health policies. However, evidence indicates limited involvement of nurses in politics and general health policy making owing to individual, interpersonal, and systematic barriers.
Strategies are required to increase nurses' participation and engagement in policymaking. However, no studies explored the perspective of nurse leaders in policy making roles and how to improve nurses' involvement in policy making.
To explore strategies to enhance nurses' involvement in policy making from the perspective of nurse leaders.
A qualitative descriptive study was conducted. Semistructured interviews were conducted with a purposive sample of 11 nurse leaders with at least one year of experience in policy making. Data were analyzed using a thematic analysis approach. The COREQ guidelines were followed for reporting.
Five themes were generated: strategically revisit and implement educational approaches, becoming transformative leaders, improving social image of nurses, developing triadic partnerships, and empowering nurses through reflective and supportive mechanisms.
Nurses' involvement in policymaking can be enhanced by implementing grassroots-level educational strategies, managerial-level empowerment efforts, and social mechanisms focused on improving the social image of nursing.
Self and professional role empowerment through education, increasing awareness, and improving the social image of nursing can boost nurses' involvement in policymaking.
Nurse leaders, national and global nursing associations, and nursing regulatory bodies should collaborate with associations of nursing colleges to design nurse policymaking competencies framework and contextually tailored strategies to enhance nurses' engagement in policymaking.
护士不仅可以在实施一般性和卫生政策方面发挥重要作用，还可以在政策的制定方面发挥作用。然而，有证据表明，由于个人、人际和系统方面的障碍，护士参与政治和一般卫生政策制定的程度有限。
需要采取策略来增加护士参与决策的程度。然而，没有研究探讨过政策制定角色中的护士领导者的观点，以及如何提高护士参与政策制定的程度。
从护士领导者的角度探讨加强护士参与政策制定的策略。
进行了一项定性描述性研究。对具有至少一年政策制定经验的 11 名护士领导者进行了目的抽样，采用半结构化访谈收集数据。使用主题分析方法进行数据分析。遵循 COREQ 指南进行报告。
生成了五个主题：战略性地重新审视和实施教育方法、成为变革型领导者、改善护士的社会形象、发展三方伙伴关系以及通过反思和支持机制赋予护士权力。
通过实施基层教育策略、管理层面的赋权努力以及侧重于改善护理社会形象的社会机制，可以增强护士参与决策的程度。
通过教育、提高认识和改善护理的社会形象来增强自我和专业角色的赋权，可以促进护士参与决策。
护士领导者、国家和全球护理协会以及护理监管机构应与护理学院协会合作，设计护士决策制定能力框架和有针对性的策略，以增强护士参与决策的程度。
