The nursing profession in Sri Lanka: time for policy changes

Aluwihare-Samaranayake, Dilmi; Ogilvie, Linda; Cummings, Greta G.; Gellatly, Ian R.

doi:10.1111/inr.12398

Cited by 12 publications

(22 citation statements)

References 14 publications

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“…Unions have been historically involved in advocating for (a) higher education for nurses (di Luzio, ), (b) increased income, better working conditions, adequate and safe staffing levels (Willis et al., ), (c) equitable pay (Villeneuve & MacDonald, ), and (d) increased involvement in decision‐making (Clark & Clark, ). However, as pointed out in a nursing study in Sri Lanka, in some instances, unions could potentially weaken nurses’ professional efforts by reinforcing gender‐biased social structures, given that male nurses hold the majority of union leadership roles (Aluwihare‐Samaranayake, Ogilvie, Cummings, & Gellatly, ).…”

Section: Resultsmentioning

confidence: 99%

Nursing professionalization and welfare state policies: A critical review of structural factors influencing the development of nursing and the nursing workforce

et al. 2018

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Nursing professionalization is both ongoing and global, being significant not only for the nursing workforce but also for patients and healthcare systems. For this reason, it is important to have an in-depth understanding of this process and the factors that could affect it. This literature review utilizes a welfare state approach to examine macrolevel structural determinants of nursing professionalization, addressing a previously identified gap in this literature, and synthesizes research on the relevance of studying nursing professionalization. The use of a welfare state framework facilitates the understanding that the wider social, economic, and political system exercises significant power over the distribution of resources in a society, providing a glimpse into the complex politics of health and health care. The findings shed light on structural factors outside of nursing, such as country-level education, health, labor market, and gender policies that could impact the process of professionalization and thus could be utilized to strengthen nursing through facilitating increased professionalization levels. Addressing gender inequalities and other structural determinants of nursing professionalization could contribute to achieving health equity and could benefit health systems through enhanced availability, skill-level, and sustainability of nursing human resources, improved and efficient access to care, improved patient outcomes, and cost savings.

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Section: Resultsmentioning

confidence: 99%

Nursing professionalization and welfare state policies: A critical review of structural factors influencing the development of nursing and the nursing workforce

et al. 2018

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“…An example of the need for global nursing leadership in policy matters is offered in Sri Lanka where a survey identified licensure, accreditation, nursing education and curriculum design, and research all as requiring knowledge and skills in policy changes (Aluwihare‐Samaranayake et al. ).…”

Section: Contextual Adaptationmentioning

confidence: 99%

“…These conversations will strengthen the degree as it generates global understanding of the value of a practice doctorate and its impact in advancing nursing practice to improve health outcomes and the SDGs. An example of the need for global nursing leadership in policy matters is offered in Sri Lanka where a survey identified licensure, accreditation, nursing education and curriculum design, and research all as requiring knowledge and skills in policy changes (Aluwihare-Samaranayake et al 2017).…”

Section: Contextual Adaptationmentioning

confidence: 99%

Systems leadership doctor of nursing practice: global relevance

Chavez

Kelly

Kunisch

et al. 2019

International Nursing Review

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Aim This article considers the systems leadership doctor of nursing practice degree as an option to increase nursing leadership roles and heighten presence at policy tables globally, particularly in low‐ and middle‐income countries. Recent global reports emphasize core competencies needed for nursing leadership, particularly systems leadership and health policy, to successfully move the global health agenda forward. Using the Yale University School of Nursing programme as an exemplar, this paper is focused on the elements directly linked to leadership competencies and relevance of a systems leadership doctor of nursing practice programme globally. Background/Introduction The dramatic growth and wide variability of doctor of nursing practice programmes offered in all 50 US States have generated questions and debate. According to the American Association of Colleges of Nursing as of May 2018, there are 121 schools that reported having a leadership focus in postmaster's doctor of nursing practice degree offering. Yet there has not been the same enthusiasm for development and implementation for a practice doctorate in nursing across the globe. Sources of evidence A narrative literature review was conducted aimed at addressing the relevance of a practice doctorate globally. This analysis of the literature included a search of peer‐reviewed and grey literature. Nursing school websites were visited, and opinions of nurse leaders and students were sought. In addition, global reports that supported nursing leadership and their role in policy development were reviewed. Discussion/Conclusion Globally, nurses have a critical role in leading health systems. Developing a cadre of nurse leaders educated at the doctoral level who can communicate with policymakers and develop strategies to meet health systems’ goals is necessary. Implications for nursing, health and education policy In recent global health reports and campaigns, strengthening nursing leadership and presence at policymaking tables are recurring themes. Offering a systems leadership doctor of nursing practice degree is one viable option to increase doctorally prepared nurse leaders for nursing policy and practice engagement. This calls for work with country and regional governments, regulatory bodies and nursing associations to empower nursing to contribute fully.

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“…Nurses also need more professional autonomy and their status and role at governing levels need to be better established (Aluwihare‐Samaranayake et al. ). To achieve this, nursing must be self‐regulating and have the capacity to enforce and maintain practice standards.…”

Section: Implications For Nursing and Health Policymentioning

confidence: 99%

“…In all countries, it is therefore imperative that nursing has a presence and voice in the creation of health policies at all levels to ensure their needs are addressed and the importance of their role recognized (Aluwihare‐Samaranayake et al. ; Catton ).…”

Section: Implications For Nursing and Health Policymentioning

confidence: 99%