Seyedfatemi Naiemeh, Peyrovi Hamid, Goharinezhad Salime, Oghli Saeid Hossein
Nursing and Midwifery Care Research Canter (NMCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Preventive Medicine and Public Health Research Canter, Social Injury Prevention Research Institute, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2024 Dec 28;13:488. doi: 10.4103/jehp.jehp_1329_23. eCollection 2024.
In the last few decades, chronic diseases have spread and new and emerging health and social issues have affected people's health. COVID-19 and other emerging and re-emerging diseases are creating new challenges for societies that affect how healthcare is managed. It is through the development of community-based nursing that some of these problems can be solved. This study was conducted to identify barriers and facilitators of community-based nursing development. To determine the type, extent, and nature of research conducted on barriers and facilitators of CBN, a scoping review was conducted, and five databases (ProQuest, PubMed, CINAHL, Scopus, and Web of Science) were systematically searched during the years 2000-2023. Relevant articles were extracted according to the inclusion criteria (studies related to community-based nursing dimensions published in English). The articles were reviewed in terms of title, summary, and relevant content, and finally, 22 articles remained. Then, 22 articles were analyzed by the thematic analysis method. Education, promoting cultural sensitivities, planning and reforming health policies, increasing public awareness for community-based nursing, providing more care experiences and opportunities, and improving community-based nursing service delivery approache. The obstacles to the development of community-oriented nursing in four categories included weak organizational power, job burnout, false beliefs and expectations, and the negative influence of the media. Based on the results of this review, reforming existing policies with an emphasis on culture building, education, and public awareness, and, the other hand, trying to remove obstacles with the help of the media and correcting public beliefs are among the important measures that can be taken in the field of community-oriented nursing development.
在过去几十年中，慢性病不断蔓延，新出现的健康和社会问题影响着人们的健康。新冠疫情以及其他新出现和再次出现的疾病给社会带来了新挑战，影响了医疗保健的管理方式。通过发展社区护理可以解决其中一些问题。本研究旨在确定社区护理发展的障碍和促进因素。为了确定关于社区护理发展障碍和促进因素的研究类型、范围和性质，进行了一项范围综述，并在2000年至2023年期间系统检索了五个数据库（ProQuest、PubMed、CINAHL、Scopus和Web of Science）。根据纳入标准（以英文发表的与社区护理维度相关的研究）提取相关文章。对文章的标题、摘要和相关内容进行了审查，最终保留了22篇文章。然后，采用主题分析法对这22篇文章进行了分析。教育、促进文化敏感性、规划和改革卫生政策、提高公众对社区护理的认识、提供更多护理经验和机会以及改进社区护理服务提供方式。社区导向护理发展的障碍分为四类，包括组织能力薄弱、职业倦怠、错误观念和期望以及媒体的负面影响。基于本次综述的结果，一方面改革现有政策，强调文化建设、教育和公众意识，另一方面借助媒体消除障碍并纠正公众观念，是社区导向护理发展领域可以采取的重要措施。
