Chavasse J
Department of Nursing Studies, University College, Dublin, Republic of Ireland.
J Adv Nurs. 1998 Jul;28(1):172-7. doi: 10.1046/j.1365-2648.1998.00615.x.
Nurses are recognizing the need to influence health care policies; this requires an understanding of the ways in which policies are made. The key players and processes which influence public policy in the Republic of Ireland and the lack of policies referring explicitly to nurses and nursing are discussed in relation to a public health nursing curriculum. The lack of specific policies on nursing has had deleterious effects on some aspects of the curriculum but has also given the planners freedom to include primary health care and nursing values. It is argued that it may be better to have few policies than inappropriate ones. The preferred solution would be for nurses to be more involved in wider policy-making, ensuring that policies reflect nursing values and concerns. An opportunity for a nursing voice to be heard and relevant policies recommended is provided by the Irish government's Commission on Nursing.
护士们逐渐认识到影响医疗保健政策的必要性；这需要了解政策制定的方式。结合公共卫生护理课程，讨论了在爱尔兰共和国影响公共政策的关键参与者和过程，以及缺乏明确提及护士和护理工作的政策的情况。护理方面缺乏具体政策对课程的某些方面产生了有害影响，但也赋予了规划者将初级卫生保健和护理价值观纳入其中的自由。有人认为，政策少一些可能比不合适的政策更好。首选的解决方案是让护士更多地参与更广泛的政策制定，确保政策反映护理价值观和关注点。爱尔兰政府护理委员会为倾听护理界声音并提出相关政策建议提供了契机。
