Swiss nurses' knowledge related to health care reforms: an exploratory study

Spitzer, Ada; Perrenoud, Béatrice; Desaulles, Cécile; Camus, Didier; Gele, Patrick Van; Périer, Jacques

doi:10.1046/j.1365-2648.2002.02195.x

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…The results showed that most of the sample had high and very high levels of overall knowledge about the national health policy development process. The results of this study are similar to those in the study by Spitzer et al. (2002), who explored the knowledge level of 74 nurses regarding Switzerland's health reform policy.…”

Section: Discussionsupporting

confidence: 85%

Knowledge and involvement of nurses regarding health policy development in Thailand

Kunaviktikul

Nantsupawat

Sngounsiritham

et al. 2010

Nursing & Health Sciences

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The purpose of this descriptive study was to explain the levels of knowledge about and involvement in national health policy development by nurses in Thailand. The study used quantitative and qualitative means to gather data about the topic from two groups of professional nurses: 2121 nurses who worked in hospitals around the country and 26 nurse leaders who were members of steering committees in nursing professional organizations. A self-administered questionnaire and an interview guide regarding knowledge and involvement in national health policy were used for collecting the data. The content validity and reliability of the questionnaire were assured. The results showed that almost two-thirds of the sample had a high level of knowledge about national health policy development but that almost three-quarters of the sample had no involvement in national health policy development. The interviews of the nurse leaders showed that some of them had been involved directly in formulating health policy but most of them thought that they had not been involved directly. The results demonstrated that it is essential that nurses understand and be actively involved in national health policy development.

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Section: Discussionsupporting

confidence: 85%

Knowledge and involvement of nurses regarding health policy development in Thailand

Kunaviktikul

Nantsupawat

Sngounsiritham

et al. 2010

Nursing & Health Sciences

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“…In this study representing all provinces of Finland and different sectors of the health care industry, only eight percent of the nurses estimated their opportunities to be involved in the organizational restructuring that had taken place at their own workplaces as good. The result is parallel to earlier studies indicating poor inclusion of nurses in health care restructuring in several Western societies (1)(2)(3)(4) and is thus hardly surprising.…”

Section: Discussionsupporting

confidence: 84%

“…Evidence shows that the inclusion of nurses in health care restructuring has traditionally been poor (1)(2)(3)(4). At the macro-level the power to create political discourses and to build health care restructuring processes is usually limited to a dominant few.…”

Section: Introductionmentioning

confidence: 99%

Politics of Organizational Restructuring in Health Care and Work Ability of Nurses’

Raitio

Kokkinen

2014

AJNS

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Nurses are the largest employee group in health care but continue to lack presence in organizational restructuring processes. This study examines whether nurses' opportunities to be involved in organizational restructuring are associated with their work ability. Respondents of a survey were asked to identify the organizational changes that had transpired at their workplaces in the previous two years, and to evaluate their opportunities to be involved in these changes. They were also asked to evaluate their work ability and to assess certain statements related to their individual resources and the characteristics of their work at the time of the survey. The study shows that exclusion of nurses from health care restructuring processes may cause feelings of injustice and lower commitment to work and thus decrease work ability. Nurses who evaluated their opportunities to be involved in the restructuring as poor were at a two-fold risk of decreased work ability in comparison to nurses who stated that their opportunities to be involved were good. We conclude that the nursing profession should collectively aim to enhance individual nurse's opportunities to take part in the planning and implementation of organizational restructuring in health care. Poor opportunities to be involved in restructuring processes may result in costs not only to individual nurses but also to society at large as successful public health outcomes of health care restructuring are dependent on nurses' work ability and performance.

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“…Where research has focused on the clinicians' perspective, study findings have shown that clinical nurses are unable to resist or revolt in the setting of reform because they are too exhausted (Keddy et al . 1999) or they have significantly low levels of reform knowledge (Spitzer et al . 2002).…”

Section: Introductionmentioning

confidence: 99%

Clinical nurses’ response to an environment of health care reform and organizational restructuring

Wynne

2003

Journal of Nursing Management

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Swiss nurses' knowledge related to health care reforms: an exploratory study

Cited by 8 publications

References 15 publications

Knowledge and involvement of nurses regarding health policy development in Thailand

Knowledge and involvement of nurses regarding health policy development in Thailand

Politics of Organizational Restructuring in Health Care and Work Ability of Nurses’

Clinical nurses’ response to an environment of health care reform and organizational restructuring

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