Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
J Adv Nurs. 2023 Aug;79(8):2967-2979. doi: 10.1111/jan.15625. Epub 2023 Mar 6.
Professional nursing associations across jurisdictions engaged in significant policy advocacy during the COVID-19 pandemic to support nurses, the public and health systems. While professional nursing associations have a long history of engaging in policy advocacy, scholars have rarely critically examined this important function.
The purpose of this study was twofold: (a) to examine how professional nursing associations engage in the process of policy advocacy and (b) to develop knowledge specific to policy advocacy in the context of a global pandemic.
This study was conducted using interpretive description. A total of eight individuals from four professional nursing associations (two local, one national and one international) participated. Data sources included semi-structured interviews conducted between October 2021 and December 2021 and internal and external documents produced by organizations. Data collection and analysis occurred concurrently. Within-case analysis was conducted prior to cross-case comparisons.
Six key themes were developed to illustrate the lessons learned from these organizations including their organization's role in supporting a wide audience (professional nursing associations as a compass); the scope of their policy priorities (bridging the gaps between issues and solutions), the breadth of their advocacy strategies (top down, bottom up and everything in between), the factors influencing their decision-making (looking in and looking out), their evaluation practices (focus on contribution, not attribution) and the importance of capitalizing on windows of opportunity.
This study provides insight into the nature of policy advocacy carried out by professional nursing associations.
The findings suggest the need for those leading this important function to think critically about their role in supporting a wide range of audiences, the breadth and depth of their policy priorities and advocacy strategies, the factors that influence their decision-making, and the ways in which their policy advocacy work can be evaluated to move towards greater influence and impact.
在 COVID-19 大流行期间，不同司法管辖区的专业护理协会进行了大量的政策宣传，以支持护士、公众和卫生系统。虽然专业护理协会在政策宣传方面有着悠久的历史，但学者们很少对这一重要职能进行批判性地审视。
本研究旨在：(a) 考察专业护理协会如何参与政策宣传过程；(b) 在全球大流行背景下，针对政策宣传这一特定主题进行知识开发。
本研究采用解释性描述法进行。共有来自四个专业护理协会（两个地方、一个国家和一个国际）的八名个人参与。数据来源包括 2021 年 10 月至 12 月期间进行的半结构化访谈以及组织内部和外部文件。数据收集和分析同时进行。在进行跨案例比较之前，进行了个案内分析。
得出了六个关键主题，以说明这些组织的经验教训，包括组织在支持广泛受众方面的作用（专业护理协会作为指南针）；政策优先事项的范围（弥合问题和解决方案之间的差距）；其倡导策略的广度（自上而下、自下而上以及两者之间的一切）；影响其决策的因素（内省和外察）；他们的评估实践（注重贡献，而不是归因）；以及利用机会之窗的重要性。
本研究深入了解了专业护理协会开展的政策宣传性质。
研究结果表明，领导这一重要职能的人需要批判性地思考他们在支持广泛受众、政策优先事项和倡导策略的广度和深度、影响其决策的因素以及评估其政策宣传工作的方式方面的作用，以朝着更大的影响力和效果迈进。
