Developing a strategic model of participation in policy development for nurses

Wichaikhum, Orn‐Anong; Abhicharttibutra, Kulwadee; Nantsupawat, Apiradee; Kowitlawakul, Yanika; Kunaviktikul, Wipada

doi:10.1111/inr.12571

Cited by 14 publications

(11 citation statements)

References 18 publications

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“…Leavitt (2009) suggested that strong support from the management team is necessary for facilitating nurses’ involvement in policy development. According to Wichaikhum et al (2020), nurse leaders should be knowledgeable about professional issues and health policy processes either through formal curricular courses or through in‐service educational meetings.…”

Section: Discussionmentioning

confidence: 99%

Participation of nurse managers in the health policy process: a qualitative study of barriers and facilitators

Hajizadeh

Zamanzadeh

Khodayari‐Zarnaq

2021

International Nursing Review

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Aim To explore the barriers and facilitators concerning nurse managers’ participation in the health policy‐making process. Background Despite encouragement for participation in policy‐making, nurse managers are seldom involved in this process. Methods A qualitative descriptive research design based on purposive sampling was conducted. Semi‐structured one‐to‐one interviews were conducted with nurse managers and key informants (n = 16). Interviews were digitally recorded, transcribed verbatim, and analyzed by thematic analysis. The Standards for Reporting Qualitative Research (SRQR) checklist was applied to study reporting. Findings Three levels of barriers were found to nurse managers’ participation in health policy‐making. The individual level included weakness in characteristics of nurse managers, and the organizational level constituted the inefficient structure. In addition, the environment‐related level encompassed external barriers to the organization. Finally, three facilitators with the potential were identified for improving nurse managers’ participation in the policy‐making process, including improvements in collaboration and communication, governmental and non‐governmental organizational activities, and reforms in the health policy‐making process. Conclusion Nurse managers need to use the window of opportunity to participate in health policy‐making. More importantly, they should be informed about health policy in order to meet the demands of the rapidly changing healthcare environment. Drawing upon their professional organizations and positions, nurse leaders require to network and make a space to stimulate their participation in the policy. Implications for nursing policy and health policy Nurse managers need to develop political skills and utilize strategies to help their participation in health policy‐making, leading to better implementation of policies, efficiency, and effectiveness in the health system.

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Section: Discussionmentioning

confidence: 99%

Participation of nurse managers in the health policy process: a qualitative study of barriers and facilitators

Hajizadeh

Zamanzadeh

Khodayari‐Zarnaq

2021

International Nursing Review

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“…This can be achieved by including APNs at the health policy table where decisions are made for local, regional or national PC programs. Yet, there is evidence that nurses have limited participation and could benefit from a strategic model that develops awareness and capacity for policy involvement, strengthening decision‐making within the team (Wichaikhum et al 2020). For US nurses, r evaluing promotion, prevention and public health would need to be strongly embraced.…”

Section: Discussionmentioning

confidence: 99%

Integrated older people care and advanced practice nursing: an evidence‐based review

Prajankett

Markaki

2020

International Nursing Review

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Aim: To critically appraise and synthesize evidence of integrated care stemming from advanced practice nursing in elderly primary care settings throughout the United States and Thailand. Background: Advanced practice nurses are key to accelerating integrated elderly care in the community. Yet, their scope and capacity vary greatly across countries, making impact measurement highly challenging. Methods: A systematic search of PubMed, CINAHL, Scopus and ThaiJo databases was performed. Full-text articles in English or Thai language were reviewed using an inductive thematic approach from the integrated people-centred Health Services framework, adopted by the World Health Organization. Results: A total of 42 articles were appraised according to framework strategies: (1) people and community empowerment/engagement;(2) governance and accountability strengthening; (3) model of care reorientation; (4) service coordination; and (5) enabling environment creation. Collaborative roles and empowerment of older people were associated with higher quality of care. Thai nurses empowered individuals through community networks and resources, incorporating care models (strategy 1). In contrast, US nurses adopted a quality improvement and safety approach, incorporating technology into nursing interventions (strategy 5). Conclusion: Advanced practice nurses employ an array of strategies and approaches in caring for older people. Although their role varies from mostly substitute (US) to supplemental (Thailand), nurses in both countries contribute towards integrated person-centred care. Implication for nursing practice and nursing policy: Preparing advanced practice nurses to work in the community is a prerequisite for meeting ageing population health needs in a sustainable manner. Education, professional development and leadership training opportunities should focus on capacity building in: a) strengthening mutual accountability, b) reorienting the work environment through innovative care models and c) coordinating services through partnerships to achieve universal health and ensure healthy ageing.

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“…Nurses’ participation in policy making extends the caring spirit of the nursing profession and promotes public health [ 2 ]. Nurses are valuable sources of insight and information affecting the formulation of health policies, and can prevent unintended consequences [ 94 ].…”

Section: Directives To Improve Nurses’ Job Conditions and Securitymentioning

confidence: 99%

Insecure Employment Contracts during the COVID-19 Pandemic and the Need for Participation in Policy Making

Maleki

Mardani

Vaismoradi

2021

IJERPH

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Job security influences the ability of nurses to provide high-quality nursing care. The Iranian health system has always faced nursing shortages, and the COVID-19 pandemic has worsened this situation. Although nurses have been labelled ‘heroes’ across the globe, many of them have been hired using insecure employment contracts. This commentary aims to describe issues surrounding job contracts for Iranian nurses during the COVID-19 pandemic and discusses how the current situation can be improved. Iranian nurses are at the frontline of the fight against COVID-19 and need to receive better support in terms of job security and dignity. They should participate more in policymaking activities to improve their job condition and prevent the development and implementation of the short-term and insecure job contracts that lead to job insecurity.

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Developing a strategic model of participation in policy development for nurses

Cited by 14 publications

References 18 publications

Participation of nurse managers in the health policy process: a qualitative study of barriers and facilitators

Participation of nurse managers in the health policy process: a qualitative study of barriers and facilitators

Integrated older people care and advanced practice nursing: an evidence‐based review

Insecure Employment Contracts during the COVID-19 Pandemic and the Need for Participation in Policy Making

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