Analysis of a nursing workforce policy on the career ladder and pay structure of public sector nurses in the Maldives: a qualitative study

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: April 2, 2025

International organizations have encouraged countries to adopt policies that ensure adequate pay and career development opportunities for professional advancement job satisfaction, thereby contributing organizational effectiveness. The Job Family Standard Nursing (2018) is a workforce policy on the ladder structure aims improve progression of public sector nurses in Maldives. This study explores context, process, actors, content with regard A qualitative descriptive design was used collect analyze data from individuals involved policymaking. Semi-structured interviews 26 participants document review were collection, thematic analysis conducted. results reported via Consolidated Criteria Reporting Qualitative Research (COREQ) checklist categorized into four major components: content. findings indicate contextual factors, such as modernization administration, political changes, challenges health system development, engagement communication different influence process formulation implementation. Actors government elites significantly provide evidence how factors role actors so can be finalized implemented. It crucial undertake comprehensive identify these actors' power shaping Nurse leaders managers should proactively engage relevant contribute effective nurses' retention Not applicable study.

Language: Английский

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Insecure Employment Contracts during the COVID-19 Pandemic and the Need for Participation in Policy Making

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(23), P. 12548 - 12548

Published: Nov. 28, 2021

Job security influences the ability of nurses to provide high-quality nursing care. The Iranian health system has always faced shortages, and COVID-19 pandemic worsened this situation. Although have been labelled ‘heroes’ across globe, many them hired using insecure employment contracts. This commentary aims describe issues surrounding job contracts for during discusses how current situation can be improved. are at frontline fight against need receive better support in terms dignity. They should participate more policymaking activities improve their condition prevent development implementation short-term that lead insecurity.

Language: Английский

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The Barriers and Facilitators Influencing Nurses’ Political Participation or Healthcare Policy Intervention: A Systematic Review and Qualitative Meta‐Synthesis

Journal of Nursing Management, Journal Year: 2024, Volume and Issue: 2024(1)

Published: Jan. 1, 2024

Nurses, who comprise the largest proportion of healthcare professionals, must advocate for public health in a changing environment. Therefore, nurses have social responsibility to be interested politics, political participation, or policy interventions as leaders reforms. However, previous research has reported that nurses' interests and participation are insufficient most countries. This study systematically reviewed synthesized qualitative data identify barriers facilitators influencing interventions. performed systematic review meta-synthesis. Literature searches were conducted using seven databases comprehensively examine published journals, including doctoral dissertations, until December 31, 2023. The selection criteria this articles analyzed phenomenology, ethnography, research, grounded theory, targeting with extensive experience intervention activities. Two researchers, professors nursing screened studies extracted data. Eighteen papers analyzed, quality each was evaluated Critical Appraisal Skills Program Qualitative Checklist. Meta-ethnography applied meta-synthesis method ATLAS. ti. Barriers include lack interest competence, education, restrictive organizational cultures, profession's Facilitators recognizing responsibilities, enhancing innovating environments, strengthening organizations' activities could used enhance plan strategies. Implication Nursing Management. To activate future, it is necessary develop strategies, such developing education programs expanding opportunities intervention.

Language: Английский

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Nursing policy and practice in Mongolia: Issues and the way forward

International Nursing Review, Journal Year: 2022, Volume and Issue: 69(3), P. 265 - 271

Published: June 2, 2022

Abstract Global inequality exists in the availability of a nursing workforce, supported evidentially by ratio, low‐income countries, only 9.1 nurses per 10 000 people versus 107.7 high‐income countries. Mongolia is no exception with 42.14 and shortage severe enough to endanger patient safety well‐being. This paper details both policy analysis contextually well‐designed recommendations strengthen Mongolia's science practice systems. Obstacles that significantly affect successful development midwifery professions include (1) lack strategic planning regulation; (2) low status midwives; (3) absence professional representation for (4) dearth programs postgraduate training midwives. The suggested appointment chief office within government cohort nurse leaders work establish board as an independent, regulatory body develop implement standards ensure best practice, higher education, regulate profession.

Language: Английский

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Experiences of nurses and midwives in policy development in low- and middle-income countries: Qualitative systematic review

International Journal of Nursing Studies Advances, Journal Year: 2022, Volume and Issue: 5, P. 100116 - 100116

Published: Dec. 17, 2022

: Nurses provide 90% of health care worldwide, yet little is known the experiences nurses and midwives in policy development low- middle-income countries (LMICs) To identify, appraise synthesize qualitative evidence on nurses' midwives' involvement LMICs. A systematic review using modified Joanna Briggs Institute (JBI) methodology. Low countries. Nurses' involved development, implementation, and/or evaluation. search was undertaken across nine databases to retrieve published studies English between inception April 2021. Screening, critical appraisal, data extraction by two independent reviewers. Ten articles met inclusion criteria. All were 2000 2021 from a variety The medium high quality (70-100% appraisal scores). Four major themes identified related development: 1) Marginal representation nurses; 2) Determinants (including at individual, organization, level); 3) Leadership as pathway involvement; 4) Promoting involvement. demonstrated that nurse continue be minimally development. Findings reveal reasons for limited strategies foster sustained engagement enhance their LMICs, change needed multiple levels. Systemic power relations need reconstructed facilitate more collaborative interdisciplinary practices with co-leading co-developing policies.

Language: Английский

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Health advocacy role performance of nurses in underserved populations: A grounded theory study

Nursing Open, Journal Year: 2023, Volume and Issue: 10(9), P. 6527 - 6537

Published: June 14, 2023

Abstract Aim Nurses' health advocacy (HA) role requires them to speak up for patients, clients, and communities in relation healthcare. Various studies report the importance of HA nurse However, nurses' performance this is not clear yet. The present study aims identify explain how nurses perform their underserved populations. Design Qualitative grounded theory by Strauss Corbin. Methods Data were gathered from three regional hospitals Ghana with 24 registered midwives as participants through purposive theoretical sampling techniques. Face‐to‐face in‐depth semi‐structured interviews conducted August 2019 February 2020. data analysed using Corbin's method Nvivo software. reporting follows Consolidated Criteria Reporting Research guidelines. Findings emerged enquiry, dimension, context, influence, reforms building blocks. analysis showed that main concerns during daily practice mediating, speaking up, negotiating. Among others, intervening conditions clientele influence interpersonal barriers, whereas outcome was a balance between performance. Conclusion Although some proactively initiated biopsychosocial assessment performed role, most relied on clients' requests role. Stakeholders should prioritise critical thinking training intensify mentoring programmes clinical areas. Relevance Clinical Practice explains process which roles advocates activities nurses. findings can be used teach guide nursing other care fields. There no patient or public contribution.

Language: Английский

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Exploring nurse educators' preparation of clinical nurses and midwives for research utilization in practice: A qualitative study

Nurse Education Today, Journal Year: 2024, Volume and Issue: 145, P. 106476 - 106476

Published: Nov. 14, 2024

Language: Английский

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Factors Influencing Nurses and Midwives’ Participation in Research: A Qualitative Study

Nursing & Midwifery Research Journal, Journal Year: 2023, Volume and Issue: 19(1), P. 5 - 21

Published: Jan. 1, 2023

Background The utilisation of research findings in healthcare among health professionals is key for promoting patient safety and achieving quality outcomes including that nursing midwifery research. However, not much known about the challenges Ghanaian nurses midwives face generating evidence-based to inform context-specific practice. Aim Explore factors influencing midwives’ participation use Ghana. Methods We employed a qualitative descriptive exploratory approach involving in-depth face-to-face interviews with 60 from six regions Participants were selected training institutions, hospitals community units. Interviews audio recorded transcribed analysis. Data was coded categorised into themes subthemes using content analysis procedures. Results Nurses’ role varied. Barriers included inadequate knowledge, lack interest, access funds, time constraints attitude respondents. Commitment, mentoring, resources prestige associated publishing enhanced participation. Conclusion Developing nurses’ interest requires training, collaboration, funds outcomes.

Language: Английский

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Exploration of knowledge, attitudes, and perceived benefits towards nurse managers’ participation in the health policy-making process: a qualitative thematic analysis study

Journal of research in nursing, Journal Year: 2022, Volume and Issue: 27(6), P. 560 - 571

Published: July 21, 2022

Participation of nurse managers in policy-making could help policy-makers to propose relevant and effective policies support other policy actors involved with these processes.This study aimed at exploring the attitudes perceived benefits managers' participation health process.In this descriptive qualitative research, semi-structured interviews were conducted 16 managers, government officials, faculty members. Recruitment was based on purposive sampling from different regions across Iran. A thematic analysis performed MAXQDA (version 2012).After data, four themes 13 sub-themes emerged. The feelings about participation, advantages problems due non-participation recommendations for improvement process.The outcomes provided new insights into towards making Iranian setting. It is crucial strengthen capacity develop healthcare policies.

Language: Английский

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Nurses’ Involvement in Health Policy Development and Analysis: Examining the Perspectives of Nurse Managers

Fundamental and Management Nursing Journal, Journal Year: 2023, Volume and Issue: 6(1), P. 30 - 38

Published: April 1, 2023

Introduction: Nurses make critical decisions that affect the lives of clients. This necessitates their involvement in health policy development to enhance quality care delivered However, only a handful nurses get opportunity participate developing policies border on nursing. study intended discover nurse managers’ knowledge formation, formulation, and challenges they encounter quest formulation. Method: The employed qualitative approach with an exploratory descriptive design using individual interviews 12 managers purposively selected for study. Results: findings from indicated play important role as major stakeholders since work Also, disunity among was identified barrier nurses’ development. Conclusions: reveals nurses' strong interest involvement, hindered by perceived gaps, limited education access, dominance other professionals roles. Addressing these requires investing education, political advocacy, establishing dedicated nursing unit influence, supported integrated interdisciplinary collaboration.

Language: Английский

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