Factors effecting on involvement of nurse leaders in policy making for nursing in Iran: a qualitative study

  • Abstract
  • Keywords
  • References
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  • Abstract

    Background: During recent years involvement of Iranian nurse leaders in policy making for nursing has been increased, but still there are many disputations about policy making for nursing in Iran.

    Objectives: This study intended to explore and describe factors effecting on Involvement of nurse leaders in policy making for nursing in Iran.

    Method: A qualitative design involving face-to-face, semi-structured interviews by 20 nurse leaders and physicians who had key positions in policy making for nursing had been audio taped and transcribed. Using a conventional content analysis approach, data were analyzed.

    Results: After open coding and categorizing data three main categories created; include: performance of nurses and nurse leaders; opportunities face to nurse leaders; and conditions governing the healthcare system.

    Conclusion: Some factors effecting involvement of nurse leaders in policy making for nursing in Iran do not have wide differences with other studies in this field. Although many factors had been mentioned in this study, frequency of codes showed that performance of nurses and nurse leaders acted as a barrier and have had the most effects on involvement. Meanwhile, despite the obstacles, there are abundant opportunities before nurse leaders to making policies and they should apply them to modify these obstacles.

    Keywords: Health System, Involvement, Iran, Nurse Leaders, Policy Making.

  • References

      Adib Hajbaghery M, Salsali M, (2005). A model of em-powerment of nursing in Iran. BMC biomed central research, 5(24), 1-11.
    1. Atashzadeh shorideh F, Ashketorab T, Yaghmaei F, (2012). Iranian intensive care unit nurses moral distress: A content analysis. Nursing Ethics, 19(4), 464478.
    2. Barclay L, (2010). Nurses should play greater role in health policy planning, management. Medscape Medical News, [Online] 2 Feb. [Accessed on 22 Jan 2014].
    3. Beauregard MA, Deck DS, Kay KC, Haynes J, Inman R, Perry M, Richardson S., Rose BA, Silver KN, White C, George E,(2003). Improving our image a nurse at a time. The Journal of Nursing Administration, 33(10), 510-511.
    4. Benton D, (2012). Advocating globally shaping policy and strengthening nursings influence. OJIN, 17(1), 05.
    5. Boswell C, Cannon Sh, Miller J, (2005). Nurses' political involvement: Responsibility versus privilege. Journal of professional nursing, 21(1), 5-8.
    6. Buerhaus PI, Needleman J, (2004). Policy implications of research on nurse staffing and quality of care. Policy, Politics, and Nursing Practice, 8(5), 160-166.
    7. Canadian Nursing Association, (2000). Nursing is a political act- the bigger picture. Nursing Now, Issues and trends in Canadian nursing, 5(8), 1-4.
    8. Carney M, (2009). Enhancing the nurses' role in healthcare delivery through strategic management: recognizing its importance or not. Journal of Nursing Management. 17(6), 707-717.
    9. Conger CO, Johnson P, (2000). Integrating political in-volvement and nursing education. Nurse Educator, 25(2), 99-103.
    10. Dowswell T, Wilkin D, Banks-Smith J, (2002). Nurses and English primary care groups: their experiences and perceived influence on policy development. Journal of Advanced Nursing, 37(2), 35-42.
    11. Elo S, Kyngas H, (2007). The qualitative content analysis process. Journal of Advanced Nursing, 62(1)107-115.
    12. Esmaeili M, Dehghan-Nayeri N, Negarandeh R, (2013). Factors impacting membership and non-membership in nursing associations: A qualitative study. Nursing & Health Sciences, 15(3), 265-272.
    13. Ferguson LS, (2001). An activist looks at nursing's role in health policy development. JOGNN, 30(5), 546-551.
    14. Fyffe T, (2009). Nursing shaping and influencing health and social care policy. Journal of Nursing Management; 17, (6), 698-706.
    15. Graneheim UH, Lundman B, (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112.
    16. Hewison A, (2008). Evidence-Based policy, Implications for nursing and policy involvement. Policy, Politics, & Nursing Practice, 9(4), 288-298.
    17. Hsieh HF, Shannon SE, (2005). Three approaches to con-tent analysis. Qualitative Health Research, 15(2), 1277-1288.
    18. Hughes F, (2005). Policy- a practical tool for nurses and nursing. Guest editorial. Journal of Advanced Nursing. 49(4), 331.
    19. Irajpour A, Alavi M, Abdoli S, Saberizafarghandi MB, (2012). Challenges of interprofessional collaboration in Iranian mental health services: A qualitative investigation. Iran J Nurs Midwifery Res, 17(2), 171177.
    20. Iranian Nursing Organization Informational site. (2014). [online] available at :< http://ino.ir/>.[Accessed 4 Jan 2014]. (persian).
    21. Kowalik SA, Yoder L H, (2010). A concept analysis of decisional involvement. Nurs Admin Q, 34(3), 259-267.
    22. Mason D J, Leavitt JK, Chaffee MW, (2011). Policy and politics in nursing and health care, 6th ed. Elsevier
    23. Milstead, JA, (2008). Health policy and politics, a nurse's guide 3rd ed. Jones and Bartlett.
    24. Oxford dictionaries. (2006). Concise Oxford English Dictionary 11th revised ed. Oxford University Press, Oxford.
    25. Rafferty AM, Traynor M, (2004). Context, convergence and contingency: Political leadership for nursing. Journal of Nursing Management, 12(4), 248-265.
    26. Reed J, Ground I, Dunlop M, (1997). Philosophy for Nursing. London, Arnold.
    27. Salsali M, Cheraghi MA, Ahmadi F, (2009). Organization-al factors affecting knowledge transfer into practice in Iranian nursing context. International Journal of Nursing Practice, 15(5), 426-436.
    28. Streubert HJ, Carpenter DR,(2007). Qualitative Research in Nursing: advancing humanistic imperative.4th edition. Lippincott Company.
    29. Sullivan EJ, Garland G, (2010). Understanding power, policy and politics, In: Practical Leadership and Management in Nursing. Pearson.
    30. Taft SH, Nanna KM, (2008). What are the sources of health policy that influence nursing practice? Policy, Politics, & Nursing Practice, 9(4), 274-287.
    31. Thuent LF, Friedrich BV, (2008). Interdisciplinary collab-oration for health care professionals. Nurse Administration Q, 32(1), 40-48.
    32. Villeneuve MJ, (2008). Yes we can! Eliminating health disparities as part of the core business of nursing on a global level. Policy, Politics, & Nursing Practice, 9(4), 334-341.
    33. Zarea K, Negarandeh R, Dehghan-Nayery N, Rezaei- Adaryani M, (2012) Nursing staff shortages and job satisfaction in Iran: Issues and challenges. Nursing and Health Sciences, 19(4), 464478.




Article ID: 2328
DOI: 10.14419/ijans.v3i1.2328

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