Pojasnjevalni dejavniki politične aktivnosti medicinskih sester
pregled literature
DOI:
https://doi.org/10.14528/snr.2025.59.4.3308Ključne besede:
politika, zdravstveno varstvo, zdravstvena politika, zdravstvena negaPovzetek
Uvod: Vloga medicinskih sester v političnem procesu je ključnega pomena za izboljšanje zdravstvenih politik in kakovosti oskrbe, vendar je njihova aktivnost iz različnih razlogov pogosto omejena. Namen raziskave je proučiti in pojasniti dejavnike, ki so povezani z aktivno vlogo medicinskih sester pri oblikovanju politike v sistemu zdravstvenega varstva.
Metode: Uporabljen je bil sistematičen pregled znanstvene literature v podatkovnih bazah CINAHL, Science Direct, Cochrane Library, Scopus, PubMed in COBIB.SI. Vključeni so bili znanstveni članki, objavljeni v slovenskem in angleškem jeziku, med letoma 2014 do 2024, ki so bili prostodostopni. Potek pregleda literature je prikazan z diagrami PRISMA. Rezultati so bili analizirani s tematsko analizo.
Rezultati: V končno analizo je bilo vključenih dvanajst virov: dva sistematična pregleda literature, pet kvalitativnih raziskav in pet presečnih raziskav iz devetih držav. Oblikovane so bile štiri tematske kategorije: (1) prednosti vključevanja medicinskih sester v politično odločanje, (2) slabosti in izzivi politične aktivnosti medicinskih sester, (3) priložnosti za povečanje angažiranosti medicinskih sester in (4) ovire pri vključevanju medicinskih sester v politični proces.
Diskusija in zaključek: Medicinske sestre bi lahko prispevale k boljšim političnim odločitvam v zdravstvenem sektorju, vendar jim pogosto za aktivno sodelovanje na tem področju primanjkuje motivacije. Vključevanje medicinskih sester v politiko bi lahko bilo večje s povečanjem političnih veščin, spodbujanjem sodelovalnega obnašanja in opolnomočenjem na organizacijski ravni. Ključnega pomena je usklajeno delovanje vseh deležnikov zdravstvenega sistema ter zagotavljanje ustrezne podpore in izobraževanja za razvoj političnih kompetenc pri medicinskih sestrah.
Prenosi
Literatura
Aarabi, A., Cheraghi, M. A., & Ghiyasvandian, S. (2015). Modification of nursing education for upgrading nurses' participation: A thematic analysis. Global Journal of Health Science, 7(4), 161–172. https://doi.org/10.5539/gjhs.v7n4p161 PMid:25946943;PMCid:PMC4802082
AbuAlRub, R. F., & Abdulnabi, A. (2020). Involvement in health policy and political efficacy among hospital nurses in Jordan: A descriptive survey. Journal of Nursing Management, 28(2), 433–440. https://doi.org/10.1111/jonm.12946 PMid:31891436
AbuAlRub, R. F., & Foudeh, F. N. (2017). Jordanian nurses' involvement in health policy: Perceived benefits and barriers. International Nursing Review, 64(1), 13–21. https://doi.org/10.1111/inr.12249 PMid:26889609
Acheampong, A. K., Ohene, L. A., Asante, I. N. A., Kyei, J., Dzansi, G., Adjei, C. A., Adjorlolo, S., Boateng, F., Woolley, P., Nyante, F., & Aziato, L. (2021). Nurses' and midwives' perspectives on participation in national policy development, review and reforms in Ghana: A qualitative study. BMC Nursing, 20(1), Article 26. https://doi.org/10.1186/s12912-021-00545-y PMid:33478481;PMCid:PMC7821498
Ahoya, C. K., Abhichartibuttra, K., & Wichaikhum, O. (2016). Political efficacy and political participation among nurses in tertiary hospitals, the Republic of Kenya. Journal of Community & Public Health Nursing, 2, Article 4. https://doi.org/10.4172/2471-9846.1000142
Alhassan, A., Kumi-Kyereme, A., Wombeogo, M., & Fuseini, A.-G. (2019). Nurse participation in political activities: Level and practices of registered nurses in Tamale, Ghana. The Online Journal of Issues in Nursing, 24(2). https://doi.org/10.3912/OJIN.Vol24No02PPT63
Alhassan, A., Siakwa, M., Kumi-Kyereme, A., & Wombeogo, M. (2020). Barriers to and facilitators of nurses' political participation in Ghana. Policy, Politics, & Nursing Practice, 21(1), 29–42. https://doi.org/10.1177/1527154419899602 PMid:31955659
Aromataris, E., & Munn, Z. (Eds.). (2020). JBI manual for evidence synthesis. https://doi.org/10.46658/JBIMES-20-01
Asuquo, E. F. (2019). Nurses leadership in research and policy in Nigeria: A myth or reality? Journal of Nursing Management, 27(6), 1116–1122. https://doi.org/10.1111/jonm.12780 PMid:30980580
Aveyard, H. (2019). Doing a literature review in health and social care. Open University Press.
Avolio, C. D. (2014). Political advocacy: Beliefs and practices of registered nurses [Master's thesis, Faculty of Nursing, Canada]. Electronic Theses and Dissertations, Paper 5064. https://hdl.handle.net/20.500.14776/5238
Azline, A., Khairul Anuar, A., Iszaid, I., Syamimi, S., Hisham, A. A., & Juni, M. H. (2018). Policy arena of health policy-making process in developing countries. International Journal of Public Health and Clinical Sciences, 5(3). http://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/648/0
Barzegar Safari, M., Bahadori, M., & Alimohammadzadeh, K. (2020). The related factors of nurses' participation and perceived benefits and barriers in health policy making. Journal of Nursing Research, 28(4), Article e103. https://doi.org/10.1097/jnr.0000000000000385 PMid:32692120
Benton, D. C., Maaitah, R. A., & Gharaibeh, M. (2017). An integrative review of pursing policy and political competence. International Nursing Review, 64(1), 135–145. https://doi.org/10.1111/inr.12275 PMid:27324721
Camp, S., & Legge, T. (2018). Simulation as a tool for clinical remediation: An integrative review. Clinical Simulation in Nursing, 16, 48–61. https://doi.org/10.1016/j.ecns.2017.11.003
Carter, N. W., Brown, J. A., & Helms, C. (2025). Nurse practitioners as policy leaders: The art and strategy of advocacy. The Journal for Nurse Practitioners, 21(8), Article 105468. https://doi.org/10.1016/j.nurpra.2025.105468 PMid:34787526;PMCid:PMC8600587
Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy advocacy and nursing organizations: A scoping review. Policy, Politics & Nursing Practice, 22(4), 271–291. https://doi.org/10.1177/15271544211050611 PMid:34787526;PMCid:PMC8600587
Clarke, J. M., Waring, J., Bishop, S., Hartley, J., Exworthy, M., Fulop, N. J., Ramsay, A., & Roe, B. (2021). The contribution of political skill to the implementation of health services change: A systematic review and narrative synthesis. BMC Health Services Research, 21, Article 260. https://doi.org/10.1186/s12913-021-06272-z PMid:33743695;PMCid:PMC7981881
Ditlopo, P., Blaauw, D., Penn-Kekana, L., & Rispel, L. C. (2014). Contestations and complexities of nurses' participation in policymaking in South Africa. Global Health Action, 7(1), Article 25327. https://doi.org/10.3402/gha.v7.25327 PMid:25537938;PMCid:PMC4275627
Etowa, J., Vukic, A., Aston, M., Iduye, D., Mckibbon, S., George, A., Nkwocha, C., Thapa, B., Abrha, G., & Dol, J. (2023). Experiences of nurses and midwives in policy development in low- and middle-income countries: Qualitative systematic review. International Journal of Nursing Studies Advances, 5, Article 100116. https://doi.org/10.1016/j.ijnsa.2022.100116 PMid:38746557;PMCid:PMC11080334
Hajizadeh, A., Zamanzadeh, V., & Khodayari-Zarnaq, R. (2021). Participation of nurse managers in the health policy process: A qualitative study of barriers and facilitators. International Nursing Review, 68(3), 388–398. https://doi.org/10.1111/inr.12657 PMid:33476458
Han, M. K., Kim, J., Lee, M., & Shin, S. (2025). Enhancing political competency among nurses and nursing students: A scoping review. Nurse Education in Practice, 87, Article 104497. https://doi.org/10.1016/j.nepr.2025.104497 PMid:40784136
International Council of Nurses. (2021). Nursing policy. https://www.icn.ch/nursing-policy
Juma, P. A., Edwards, N., & Spitzer, D. (2014). Kenyan nurses involvement in national policy development processes. Nursing Research and Practice, 2014, 1–10. https://doi.org/10.1155/2014/236573 PMid:25349731;PMCid:PMC4202257
Kennedy, A. (2018). Together the voice of nurses worldwide: Invisible yet indispensable. Obzornik zdravstvene nege, 52(1), 4–7. https://doi.org/10.14528/snr.2018.52.1.225
Kodeks etike v zdravstveni negi in oskrbi Slovenije. (2014). Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Lee, W., & Choi, S. (2022). Educational strategies to encourage participation in health policy for nurses: A systematic review. Nurse Education Today, 111, Article 105310. https://doi.org/10.1016/j.nedt.2022.105310 PMid:35276536
Masefield, S. C., Msosa, A., Chinguwo, F. K., & Grugel, J. (2021). Stakeholder engagement in the health policy process in a low income country: A qualitative study of stakeholder perceptions of the challenges to effective inclusion in Malawi. BMC Health Services Research, 21, Article 984. https://doi.org/10.1186/s12913-021-07016-9 PMid:34537033;PMCid:PMC8449519
Mason, D. J., Dickson, E. L., Perez, A., & McLemore, M. R. (2021). Policy & politics in nursing and health care (8th ed.). Elsevier Health Sciences.
Ministrstvo za zdravje. (2023, January 20). Pregled stanja na področju zdravstva v Sloveniji. https://www.gov.si/assets/ministrstva/MZ/DOKUMENTI/NOVICE/Zdravstvenisistem-v-Sloveniji-januar-2023.pdf
O'Rourke, N. C., Crawford, S. L., Morris, N. S., & Pulcini, J. (2017). Political efficacy and participation of nurse practitioners. Policy, Politics & Nursing Practice, 18(3), 135–148. https://doi.org/10.1177/1527154417728514 PMid:29292658
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., ... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, Article 71. https://doi.org/10.1136/bmj.n71
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Lippincott Williams & Wilkins.
Rasheed, S. P., Younas, A., & Mehdi, F. (2020). Challenges, extent of involvement, and the impact of nurses' involvement in politics and policy making in in last two decades: An integrative review. Journal of Nursing Scholarship, 52(4), 446–455. https://doi.org/10.1111/jnu.12567 PMid:32450004
Reeves, A., & Mackenbach, J. P. (2019). Can inequalities in political participation explain health inequalities? Social Science & Medicine, 234, Article 112371. https://doi.org/10.1016/j.socscimed.2019.112371 PMid:31254964
Rewakowski, C., Atav, S., Clancy, H., & MacPherson, M. (2021). Civic engagement in nursing: Measuring participation, reflecting on influences, and harnessing momentum. Journal of Community Health Nursing, 38(3), 161–172. https://doi.org/10.1080/07370016.2021.1932954 PMid:34148431
Ruru, L., & Xiaoxuan, Z. (2022). The levels and influencing factors in nurses' involvement in the policy: A descriptive literature review. https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-38742
Saldaña, J. (2015). The coding manual for qualitative researchers (pp. 1–43). SAGE.
Salvage, J., & White, J. (2019). Nursing leadership and health policy: Everybody's business. International Nursing Review, 66(2), 147–150. https://doi.org/10.1111/inr.12523 PMid:31124127
Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders' participation in health policy development. BMC Nursing, 13(1), Article 20. https://doi.org/10.1186/1472-6955-13-20 PMid:25053921;PMCid:PMC4105513
Smith, L., Roberts, K. J., Giambra, B., Polfuss, M., Danford, C., Sheppard-Lemoine, D., Schultz, T. R., Winter, N., Mulcaster, A., Alrimawi, I., Honda, J., Brysiewicz, P., Carr, S., & Feetham, S. (2025). Nurses' engagement in healthcare policy development: An umbrella review. International Nursing Review, 72(4), Article e70109. https://doi.org/10.1111/inr.70109 PMid:41021299
Tazebew, C., Mulugeta, T., & Boka, A. (2023). Nurse involvement in decision-making and associated factors in selected government hospitals, Addis Ababa, Ethiopia: A cross-sectional study. SAGE Open Nursing, 9, Article 23779608231157992. https://doi.org/10.1177/23779608231157992 PMid:36844421;PMCid:PMC9944178
Waddell, A. (2020). Measuring nurses' health policy participation: WSPPIR instrument development and psychometric evaluation. Journal of Advanced Nursing, 77(1), 461–472. https://doi.org/10.1111/jan.14582 PMid:33068057
Wilson, D. M., Anafi, F., Kusi-Appiah, E., Darko, E. M., Deck, K., & Errasti-Ibarrondo, B. (2020). Determining if nurses are involved in political action or politics: A scoping literature review. Applied Nursing Research, 54, Article 151279. https://doi.org/10.1016/j.apnr.2020.151279 PMid:32650883
World Health Organization. (2021). Health systems governance. https://www.who.int/westernpacific/health-topics/health-systems-governance.
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:2414171
Prenosi
Objavljeno
Kako citirati
Številka
Rubrike
Licenca
Avtorske pravice (c) 2025 Obzornik zdravstvene nege

To delo je licencirano pod Creative Commons Priznanje avtorstva 4.0 mednarodno licenco.
Na Obzornik zdravstvene nege, Ob železnici 30A, 1000 Ljubljana, prenašam naslednje materialne avtorske pravice: pravico reproduciranja v neomejeni količini, in sicer v vseh poznanih oblikah reproduciranja, kar obsega tudi pravico shranitve in reproduciranja v kakršnikoli elektronski obliki (23. čl. Zakona o avtorski in sorodnih pravicah – v nadaljevanju ZASP); pravico distribuiranja (24. čl. ZASP); pravico dajanja na voljo javnosti vključno z dajanjem na voljo javnosti prek svetovnega spleta oz. računalniške mreže (32.a čl. ZASP); pravico predelave, zlasti za namen prevoda (33. čl. ZASP). Prenos pravic velja za članek v celoti (vključno s slikami, razpredelnicami in morebitnimi prilogami). Prenos je izključen ter prostorsko in časovno neomejen.













