Han Nam Kyung, Kim Gwang Suk
Department of Nursing, Gyeongbuk College of Health, Daehakro 168 Gimcheon City, Gyeongbuk 39525, Republic of Korea.
Mo-im Kim Nursing Research Institute, College of Nursing, Yonsei University 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea.
J Nurs Manag. 2024 Jun 28;2024:2606855. doi: 10.1155/2024/2606855. eCollection 2024.
Nurses, who comprise the largest proportion of healthcare professionals, must advocate for public health in a changing healthcare environment. Therefore, nurses have a social responsibility to be interested in politics, political participation, or healthcare policy interventions as leaders in healthcare policy reforms. However, previous research has reported that nurses' political interests and participation are insufficient in most countries.
This study systematically reviewed and synthesized qualitative data to identify the barriers and facilitators influencing nurses' political participation and healthcare policy interventions.
This study performed a systematic review and qualitative meta-synthesis. Literature searches were conducted using seven databases to comprehensively examine published journals, including doctoral dissertations, until December 31, 2023. The selection criteria for this study were articles analyzed using phenomenology, ethnography, qualitative research, and grounded theory, targeting nurses with extensive experience in healthcare policy intervention and political activities. Two researchers, professors in nursing with extensive experience in healthcare policy interventions and qualitative research screened the qualitative studies and extracted the data. Eighteen papers were analyzed, and the quality of each study was evaluated using the Critical Appraisal Skills Program Qualitative Checklist. Meta-ethnography was applied as the qualitative meta-synthesis method using ATLAS. ti.
Barriers include nurses' lack of political interest and competence, nursing education, restrictive organizational cultures, and the nursing profession's political activities. Facilitators include recognizing social responsibilities, enhancing political competence, innovating organizational environments, and strengthening nursing organizations' political activities and policy interventions.
This study could be used as data to enhance nurses' political participation and to plan policy interventions and strategies. . To activate nurses' political participation in the future, it is necessary to develop strategies, such as developing nursing political education programs and expanding opportunities for policy intervention.
护士占医疗保健专业人员的比例最大，在不断变化的医疗环境中，他们必须倡导公共卫生。因此，作为医疗政策改革的领导者，护士有社会责任关注政治、参与政治或进行医疗政策干预。然而，先前的研究报告称，在大多数国家，护士的政治兴趣和参与度不足。
本研究系统地回顾和综合了定性数据，以确定影响护士政治参与和医疗政策干预的障碍和促进因素。
本研究进行了系统回顾和定性元分析。使用七个数据库进行文献检索，以全面审查已发表的期刊，包括博士论文，检索截至2023年12月31日。本研究的选择标准是使用现象学、民族志、定性研究和扎根理论进行分析的文章，目标是在医疗政策干预和政治活动方面有丰富经验的护士。两位研究人员，即具有医疗政策干预和定性研究丰富经验的护理学教授，对定性研究进行筛选并提取数据。分析了18篇论文，并使用批判性评估技能计划定性检查表评估每项研究的质量。使用ATLAS.ti将元民族志作为定性元分析方法。
障碍包括护士缺乏政治兴趣和能力、护理教育、限制性的组织文化以及护理专业的政治活动。促进因素包括认识到社会责任、提高政治能力、创新组织环境以及加强护理组织的政治活动和政策干预。
本研究可作为数据，以提高护士的政治参与度，并规划政策干预措施和策略。为了在未来激发护士的政治参与，有必要制定策略，如开展护理政治教育项目和扩大政策干预机会。
