Nursing Policy Research Articles

Registered Nurses in Policy: The Betwixt and Between of Self-Employment and Contracting

Nursing offers multiple career choices in a variety of settings, both clinical and non-clinical. A very small number of registered nurses choose to become self-employed, continuing to work as nurses in non-clinical environments, such as policy. This study aimed to explore the experiences of registered nurses transitioning into, and practising as, solo self-employed contractors within the practice area of professional advice and policy. Thirteen registered nurses participated in this ethnographic qualitative study. Data were collected in 2018, with a specific focus on exploring the transitional elements of nurses as they moved from traditional nursing employment models to being self-employed as contractors, working from home. The findings identified various reasons for this change to self-employment, including as an exit option from a challenging employment situation, feeling ‘burned out’, or searching for a healthier lifestyle. Amid their move to a new way of working they experienced challenges in managing finances and navigating the complex dynamics of profession, home, and their own gendered subjectivities. This novel research offers an insight into the experiences of registered nurses who, at watershed moments in their careers, recognised their agency and chose to shift to solo self-employment, ultimately persisting in a liminal, or transitioning relationship between belonging to nursing and business, home and work. Te reo Māori translation Ngā Tapuhi Rēhita i roto i ngā Kaupapa Here: Te noho i waenga pū i te mahi whaiaro me te mahi kirimana Ngā Ariā Matua He maha ngā whiringa ara mahi i te ao tapuhi, i te huhua o ngā horopaki, ahakoa taurima tūroro, ahakoa mahi kē. Tērā te rōpū tapuhi rēhita iti kia kōwhiri i te ara mahi whaiaro, kia mahi tonu hei tapuhi i ngā horopaki i waho i te taurima tūroro, pēnei i ngā mahi kaupapa here. Ko te whāinga o tēnei tirohanga he tūhura i ngā wheako o ngā tapuhi rēhita e whakawhiti ana ki te ao mahi o te kirimana mahi whaiaro takitahi, i roto i te wāhanga mahi o te whakamaherehere ngaio me ngā kaupapa here. Tekau mā toru ngā tapuhi rēhita i whai wāhi mai ki tēnei tirohanga kounga momo iwi. I kohia he raraunga i te tau 2018 me te arotahi pū ki te tūhura i ngā āhuatanga whakawhiti o ngā tapuhi, i a rātou e anga kē atu ana i ngā ritenga whiwhinga mahi tuku iho o mua, kia mahi hei kaikirimana mahi takitahi, mahi i te kāinga. Kei ngā kitenga i tohua ētahi take mō tēnei huringa ki te mahi whaiaro, tae atu ki te rapunga putanga ki waho i tētahi wāhi mahi uaua, te whakaaro ‘kua whati te tuarā’, te rapunga ara mahi hauora kē atu rānei. I roto i ā rātou ahunga ki ēnei tikanga mahi hou, i tūpono rātou ki ngā uauatanga whakahaere moni, whakatere hoki i te ao umanga, ao o te kāinga, me te kawe anō i ō rātou tuakiri ira tangata. Tā tēnei rangahau hou he tāpae māramatanga mō ngā wheako o ētahi tapuhi rēhita i kōwhiri i te ara mana motuhake whaiaro, i tētahi pekanga nui o te huarahi, arā, kia hīkoi i te ara mahi whaiaro takitahi, me te noho i tētahi ao whakawhiti i waenga i te mahi tapuhi, i te pakihi, i te kāinga me te mahi. Ngā kupu matua mana motuhake, mātai momo iwi, tū ā-whakawhiti, mahi whaiaro, tapuhi, kaupapa here, whakawhitinga

INTNSA USA to Support American Academy of Nursing's Policy to Improve Recognition and Treatment of Mental Health, Substance Use Disorders, and Nurse Suicide.

INTNSA USA to Support American Academy of Nursing's Policy to Improve Recognition and Treatment of Mental Health, Substance Use Disorders, and Nurse Suicide.

From Scrubs to the State House: Nurses in Policy and Politics – A Conversation with Lt. Governor Bethany Hall-Long

From Scrubs to the State House: Nurses in Policy and Politics – A Conversation with Lt. Governor Bethany Hall-Long

Analysis Of Medical Services Distribution And Nurse Relationship In Policy Making On Nurse Performance At Royal Prima Hospital Medan 2021

Performance is an obligation that must be improved by every nurse, good performance can increase patient satisfaction at the hospital, the way that must be done by the hospital in improving performance is by distributing medical services in accordance with the provisions in the hospital. This study aims to analyze the distribution of medical services and the relationship of nurses in policy making on nurse performance. This study uses two approaches, namely qualitative and quantitative. The population in this study were nurses at the Royal Prima General Hospital in Medan, amounting to 386 nurses, the sample used in this study was 224 nurses. This study uses two statistical applications for processing research data, namely SPSS and LISLER. The results of his research from the two approaches in this study state that the variables of the principle of fairness, the principle of fairness, the principle of transparency, and the principle of consistency affect the performance of nurses, while the relationship between nurses in decision making does not affect the performance of nurses at the Royal Prima General Hospital Medan in 2021.

Involvement of Jordanian Head Nurses' in Health Policy Development: A Cross-Sectional Study.

Despite the importance of involving nurses in health policy, nurse's involvement faces many challenges. Literature showed that there is a low level of nurses' and nurse leaders' involvement in health policy development. The aims of this study were to examine (a) the level of Jordanian head nurses' involvement in health policy development and their perceived benefits and barriers; (b) the relationships between level of knowledge, competence, and interest in health policy and the level of involvement in health policy development; and (c) the relationship between the level of self-efficacy (efficacy expectation and outcome expectation) and the level of involvement in health policy development. A cross-sectional descriptive correlational study design was adopted in this study. A convenience sampling of 250 participants from hospitals affiliated to three health sectors in Jordan (private, governmental, and university) were recruited to complete a self-administered questionnaire. Descriptive statistics and Pearson correlation coefficient were used to answer the study questions. The results revealed a moderate level of involvement of head nurses in the policy development. The most frequent cited political activity was "providing written reports, consultations, research." "Lack of time" was the most perceived barrier, while "improving the health of the public" was the most perceived benefit. Workshops or sessions at conferences is the most indicated source of knowledge. Participants had an excellent level of skills with positive relationships between the competence and both of the levels of professional and personal involvement in health policy. Participants reported a low level of confidence in performing political activities as well as the impact of such activities on health outcomes. Positive relationship was indicated between self-efficacy and the levels of professional and personal involvement in political activities.Implications: Health policies affect nurses and their practice. Overcoming the barriers and enhancing the levels of head nurses' knowledge and competence regarding health policies can help activating their roles in health policy development process. This will help in activating nurses' role in health policy development, which in turn will have a positive impact on health outcomes.

Iranian Nurses' Status in Policymaking for Nursing in Health System: A Qualitative Content Analysis.

Presence of nurses in policy making will result improvement of nursing practice, and increase qualification of patients’ care, but still few nurses are involved in policy debates and health reforms and their status in policy making for nursing is not clear. The aim of this study was to elucidate Iranian nurses’ status in policy making for nursing in health system. This is a qualitative study. Using purposive sampling 22 participants were interviewed to gain deep understanding from the phenomenon of status of nurses in policy making. Of these 2 were not nurses but the members of Iran’s council for health policy making. Data were analyzed by employing conventional content analysis. Nurses’ status in policy making declared base on the implications of three main themes including “the policy making framework”, “perceived status of nurses in policy making”, and “the manner of nurses’ participation in policy making”. The conclusion of the present study is that Policy making for nursing is a subcategory of Iran’s macro health policies. What made the status of nurses more efficient in policy making for nursing was their practice and rate of participation in the appointed positions and the society. Results of this study represented major points of weakness in nursing policies and some recommendations for modifications.

Addressing substance abuse among nursing students: development of a prototype alternative-to-dismissal policy.

Substance abuse and dependency are health issues that require effective policies within nursing education. In 2007, the University of Memphis School of Nursing drafted a new substance abuse policy using the American Association of Colleges of Nursing's Policy and Guidelines for Prevention and Management of Substance Abuse in the Nursing Education Community. These guidelines include the assumption that addiction is an illness that can be treated and the philosophy that schools of nursing are committed to assisting students with recovery. The new policy at University of Memphis School of Nursing incorporated prevention, education, identification, evaluation, treatment referral, and reentry guidelines, as well as disciplinary action for students unwilling to undergo rehabilitation. It is hoped this new substance abuse policy will serve as a prototype for other institutions.

Unifying Nursing's Policy Voice

Unifying Nursing's Policy Voice

Influence of policies on nursing practice in long‐term care environments for older people

This paper reports a study exploring nurses' awareness of, access to and use of policies within long-term care environments for older people in Scotland. The provision of the highest quality of nursing care for older people with continuing care needs is facilitated through a number of strategic mechanisms. These encompass regulatory systems, national and local policies and care guidance. Failure of practitioners to engage with the 'policy context' may compromise care standards. This was a two-stage investigation. A Delphi approach with 33 panel members was used to generate consensus as to the 10 most important current policies in this area of practice. A postal survey was undertaken with 2072 nurses to identify the practice impact of policies, including the 10 identified items. Identification of the 10 most important policies proved challenging for panel members. Initially they identified 137 policy items, which were reduced after clustering and two further rounds to 10 items (consensus agreement 57%). Completed questionnaires were returned by 986 (48%) nurses. A long list of problems limited access to policy information. Nurses reported little time to keep up to date, compounded by communication inefficiencies and limited access to the internet. Awareness of the 10 selected items ranged from 46 to 83% and clarity of the practice message was high (85-94%); however, the reported influence on practice varied, with 10-26% of respondents indicating no effect. Professional priorities did not coincide with the priorities of older people themselves. Nurses appear bewildered by the number and status of policy items. Current methods to provide nurses with information and keep them up to date were not ideal. Processes need to be developed that will engage nurses in policy and pursue closer alignment with the priorities of older people. Strategies are required to identify key policies and promote their implementation.

Maximizing the Involvement of Rural Nurses in Policy

Rural health issues are increasingly recognized as needing attention, but many health policies in Canada are developed for the urban context and universally applied to rural settings. Addressing rural nurses' opportunities for involvement in policy will contribute to our general understanding of rural health while improving community health services. Rural nurses are in a unique position to assist because of their intimate knowledge of their communities and their position as informal community leaders. Challenges to their involvement include decreased numbers and lack of educational preparation about policy. A strength is the higher percentage of rural nurses who are managers compared to their urban counterparts. Nursing education programs need to include theoretical content and practical opportunities related to health policy. Managers need to support rural nurses' attempts in policy development by providing opportunities for membership on policy committees. Finally, once obtaining skills in the policy arena, rural nurses need to work within their communities and workplaces to help develop and implement more appropriate rural-based policies.

The role of nurses in the human immunodeficiency virus/acquired immune deficiency syndrome policy process in Botswana.

In Botswana, there is dearth of literature on the role of nursing in health-care policy and resource allocation and yet nurses constitute the majority (85%) of health manpower. The health-care delivery system depends mostly on nurses for service provision. There were two main purposes of this study: first, to gather descriptive data from major key players (with particular emphasis on nurses) concerning knowledge of the policy process and resource allocation for management and care of clients with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) in Botswana; and, second, to identify nurse characteristics (e.g. position, education, experience, job category) associated with motivation to influence health-care policy in HIV/AIDS management and care in Botswana. A policy process conceptual framework was used to guide data collection and analysis. A case-study research method was used to conduct in-depth interviews from a purposive sample of 19 policy makers, and a survey questionnaire was used to collect data from a purposive sample of 95 registered nurses from six study sites in Botswana. The study findings indicate minimal participation of nurses in health-care policy process and resource allocation. The demographic variable of position was a predictor of the involvement of nurses in policy and in budgetary decisions. Both survey and interview data indicated that this minimal participation of nurses in the policy process resulted in implementation problems, thus compromising service provision. Implications of the findings for the nursing profession, nursing practice and policy, which address the importance of nurses' involvement, are discussed.

Nurses and Nursing: Influencing Policy Nurses and Nursing: Influencing Policy

Nurses and Nursing: Influencing Policy Nurses and Nursing: Influencing Policy