Abstract
Purpose: Nursing development is considered as one of the most important ways to achieve the universal health coverage and sustainable development goals in different countries. Nursing in Iran has the potential to provide services at all levels of universal health coverage. Therefore, planning for nursing in Iran needs to recognize the future challenges. This study aims to explore the future challenges of nursing in the health system of Iran from the perspective of nursing experts.Methods: In this qualitative study, 11 semi-structured interviews were conducted with nursing experts by purposive sampling in 2017–2018. Interviews were recorded and transcribed and framework analysis method was used to analysis the data.Results: The results showed that a favorable future requires planning in three areas of nursing “governance challenges” including centralized nursing stewardship, policy-making and legislation, monitoring and evaluation, and cooperation and communication with other institutions, “inadequacy of professional development with social demands” including community-based nursing, nursing upgrades with disease patterns, expanding home care, expanding care centers, and use of technology, “human resource challenges “including nursing education tailored to the needs of the community, empowering nursing managers, recruiting and retaining nurses, and specialized nursing.Conclusions: A favorable future requires a coherent nursing government, professional development of nursing based on social demands, and enhancing human resources in line with the emerging needs of the future.
Highlights
The global nursing workforce includes 27.9 million people, of which 19.3 million are professional nurses
Nursing development has a particular importance at the international level so that the World Health Organization (WHO) has named 2020 as the Year of Nursing and Midwifery to coincide with the 200th birthday of Florence Nightingale (5)
Nursing governance is a range of actions of management organizations to implement macro policies of nursing to achieve health care goals
Summary
The global nursing workforce includes 27.9 million people, of which 19.3 million are professional nurses. These data indicate that 59% of health professionals in the world are nurses (1). Nursing development has a particular importance at the international level so that the World Health Organization (WHO) has named 2020 as the Year of Nursing and Midwifery to coincide with the 200th birthday of Florence Nightingale (5). In this year, the world faced a COVID-19 pandemic. In this pandemic crisis nurses were the largest group of health care providers in the frontline of health care professionals (6)
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