Developing a framework for the participation of nursing managers in the health policy-making process in Iran: A Delphi study.

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Tytuł:: Developing a framework for the participation of nursing managers in the health policy-making process in Iran: A Delphi study.
Autorzy:: Hajizadeh A; Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Bahreini R; Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.; Iranian Center of Excellence in Health Management, Department of Health Services Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Kakemam E; Clinical Research Development Unit of Tabriz Valiasr Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Zamanzadeh V; Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Hamidi H; Department of English Language, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Khodayari-Zarnaq R; Tabriz health services management research center, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran.
Źródło:: Journal of nursing management [J Nurs Manag] 2022 Nov; Vol. 30 (8), pp. 4330-4338. Date of Electronic Publication: 2022 Oct 18.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford : Blackwell Scientific Publications, c1993-
MeSH Terms:: Policy Making*
Nurse Administrators*
Humans ; Iran ; Delphi Technique ; Health Policy
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Grant Information:: 64355 Tabriz University of Medical Sciences
Contributed Indexing:: Keywords: framework; health policy; nurse manager; nursing; policy-making
Entry Date(s):: Date Created: 20221003 Date Completed: 20221229 Latest Revision: 20230103
Update Code:: 20240105
DOI:: 10.1111/jonm.13841
PMID:: 36192820
: Czasopismo naukowe

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Aims: The aim of this study was to develop a framework for nursing managers to participate in the health policy-making process.
Background: Nursing managers must be involved in the health policy process to provide appropriate health services, focus on nursing professional excellence, and improve the performance of the health system.
Methods: This multimethod research was based on the Delphi study and experts' panel. Faculty members of the nursing, health policy, health services management, and nursing managers working at hospitals were selected via purposive sampling. The data collection tool was a demographic form and an open-ended questionnaire in the first round and a structured questionnaire in the next round. In the two rounds of Delphi, experts discussed and rated items of nursing managers' participation framework in the health policy-making process. At the expert panel session, the framework was finalized with a 12-part checklist. The data were analysed quantitatively using SPSS software version 22.
Results: A total of 28 items were entered into the Delphi study. Experts who met the inclusion criteria responded to rounds 1 (n = 20) and 2 (n = 16). Following the two rounds of the Delphi study, 27 items were selected and discussed by experts using a 12-part checklist related to the framework. The final participation framework was divided into five sections: Barriers, facilitators, advantages, disadvantages, and factors affecting the participation of nursing managers in the health policy-making process.
Conclusion: In our findings, the relationship between the components of the framework and policy cycle was shown, which should be considered to lay the groundwork for participation. This can lead to health promotion, accountability, and financial participation in the health system, which can improve the proactive involvement of nursing managers in the health policy-making process.
Implications for Nursing Management: The proposed framework can be utilized across the spectrum of nursing, including practice, leadership, and education to enhance the participation of nursing managers in health policy activity.
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