Nurses’ Participation, Perceived Benefits And Barriers In Health Policy Making In Pakistan
DOI:
https://doi.org/10.63682/jns.v14i22S.5647Keywords:
health policy-making, Perceived barriers, Perceived benefits, Nurses' participationAbstract
Background: Nurses globally have close contact with patients and are knowledgeable about their most intuitive conditions. Including them in the policy-making process will enhance the healthcare system and help in sustainable health development. This study aims to determine the factors affecting nurses’ participation in health policy making. It also determine the perceived benefits, Perceived Barriers and its demographic association for nurses’ participation in health policy making, in Pakistan
Methodology: A cross sectional analytical study was conducted among registered nurses at various hospitals from Punjab, Sindh, Khyber Pukhtoonkhwa, Balochistan and Islamabad. A probability simple random sample of n=341 participants was recruited. The data collection tools consisted of, nurses’ participation questionnaire, barriers questionnaire and perceived benefits. A written consent was implied to every participant along with the close ended questionnaire. Introduction to every participant was done. After data collection it was entered and analyzed in SPSS version- 21.
Results: The study revealed that while nurses in Pakistan recognize the importance of participating in health policy-making, their actual involvement remains limited (71.0%) exhibit low participation. Key perceived benefits included participation builds self-confidence (86.8%), contributes to public health promotion (86.2%), impact on people health (85.3%) and high opportunity to communicate (83.3%). However, significant barriers such as lack of political knowledge (87.4%), an unclear path to gaining necessary information (80.1%), and uncertainty about the efficacy of political activity (85.9%), no any meaningful change (78.9%) and lack of external support (78.9%) and financial resources (61.3%) as significant obstacles. Moreover, age, experience and designation were found to have significant association with the nurses' role in healthcare decision-making. Conclusion: The study highlights that despite recognizing the benefits of health policy participation, most nurses exhibit low involvement due to barriers like limited political knowledge and lack of external support
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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.
Alahiane, L., Zaam, Y., Abouqal, R., & Belayachi, J. (2023). Factors associated with recognition at work among nurses and the impact of recognition at work on health-related quality of life, job satisfaction and psychological health: a single-centre, cross-sectional study in Morocco. BMJ open, 13(5), e051933.
Annesley, S. H. (2019). The implications of health policy for nursing. British Journal of Nursing, 28(8), 496-502.
Chung, M. K., Fagerlin, A., Wang, P. J., Ajayi, T. B., Allen, L. A., Baykaner, T., Benjamin, E. J., Branda, M., Cavanaugh, K. L., & Chen, L. Y. (2021). Shared decision making in cardiac electrophysiology procedures and arrhythmia management. Circulation: Arrhythmia and Electrophysiology, 14(12), e007958.
Groenwald, S. L., & Eldridge, C. (2020). Politics, power, and predictability of nursing care. Nursing Forum,
Hajizadeh, A., Zamanzadeh, V., Kakemam, E., Bahreini, R., & Khodayari-Zarnaq, R. (2021). Factors influencing nurses participation in the health policy-making process: a systematic review. BMC nursing, 20, 1-9.
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.
Hakvoort, L., Dikken, J., Cramer-Kruit, J., Molendijk-van Nieuwenhuyzen, K., van der Schaaf, M., & Schuurmans, M. (2022). Factors that influence continuing professional development over a nursing career: A scoping review. Nurse education in practice, 65, 103481.
Han, N. K., & Kim, G. S. (2024). The Barriers and Facilitators Influencing Nurses’ Political Participation or Healthcare Policy Intervention: A Systematic Review and Qualitative Meta‐Synthesis. Journal of Nursing Management, 2024(1), 2606855.
Inayat, S., Younas, A., Andleeb, S., Rasheed, S. P., & Ali, P. (2023). Enhancing nurses’ involvement in policy making: A qualitative study of nurse leaders. International nursing review, 70(3), 297-306.
Kalb, K. A., & O’Conner-Von, S. (2019). Holistic Nursing Education: Teaching in a holistic way. Nursing education perspectives, 40(3), 162-164.
Lai, W., Jin, R., He, R., & Ding, X. (2021). Current situation and influencing factors of the nursing practice environment in five tertiary general hospitals in Shenzhen: a cross-sectional study. Journal of Public Health, 1-8.
Lewinski, A. A., & Simmons, L. A. (2018). Nurse knowledge and engagement in health policy making: Findings from a pilot study. The Journal of Continuing Education in Nursing, 49(9), 407-415.
Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage–a prospect of global and local policies. International nursing review, 66(1), 9-16.
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.
Rezaee, M.-B., & Razzaghi-Abyaneh, M. (2022). International Congress on Medicinal Plants, Mechanization & Processing, IHEC, Karaj, Iran, February 2022.
Rozani, V., & Kagan, I. (2023). Factors associated with the extent of nurses’ involvement in promotion of the nursing profession: a cross-sectional study among nurses working in diverse healthcare settings. BMC nursing, 22(1), 49.
Ruru, L., & Xiaoxuan, Z. (2022). The levels and influencing factors in nurses' involvement in the policy: A descriptive literature reviews. In.
Safari, M. B., 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), e103.
Waddell, A. (2021). Measuring nurses' health policy participation: WSPPIR instrument development and psychometric evaluation. Journal of Advanced Nursing, 77(1), 461-472.
Wei, N., Wang, Z., Li, X., Zhang, Y., Zhang, J., Huang, Z., & Wang, X. (2024). Improved staffing policies and practices in healthcare based on a conceptual model. Frontiers in Public Health, 12, 1431017.
West, R. L., Lippman, S. A., Twine, R., Maritze, M., Kahn, K., & Leslie, H. H. (2020). Providers' Definitions of Quality and Barriers to Providing Care: a Qualitative Study in Rural Mpumalanga Province, South Africa.
Wichaikhum, O., Abhicharttibutra, K., Nantsupawat, A., Kowitlawakul, Y., & Kunaviktikul, W. (2020). Developing a strategic model of participation in policy development for nurses. International nursing review, 67(1), 11-18.
Wilson, S., & Butters, K. (2020). POWER AND POLITICS IN THE PRACTICE OF NURSING. Contexts of Nursing: An Introduction, 165.
Windle, A., & Arciuli, J. (2023). policy engagement activities and research impact: nursing and health science researcher perspectives. Evidence & Policy, 19(3), 360-377
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