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¹Blima Marcus is a nurse at the New York University Perlmutter Cancer Center and an instructor at the Hunter-Bellevue School of Nursing, both in New York City. She is also president of the Orthodox Jewish Nurses Association. Contact author: bmarcusrn@gmail.com. The author has disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing

|November 22, 2018

Summary

This study explores the compelling reasons for nurses to engage in service, identifies significant barriers they face, and proposes actionable strategies for overcoming these challenges to enhance nursing contributions.

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Area of Science:

Nursing
Public Health
Healthcare Policy

Background:

Nurses play a critical role in healthcare delivery and community well-being.
Understanding motivations and obstacles for nursing service is essential for workforce development.
Existing literature lacks a comprehensive overview of the 'why,' 'what,' and 'how' of nursing service engagement.

Purpose of the Study:

To elucidate the core rationales driving nurses towards service roles.
To identify and categorize the primary barriers impeding nurses' participation in service.
To develop evidence-based recommendations for overcoming identified barriers and promoting nursing service.

Main Methods:

Systematic literature review of nursing and public health journals.
Thematic analysis of qualitative studies on nurses' experiences in service.
Expert panel consultations with nursing leaders and policymakers.

Main Results:

Key drivers for service include altruism, professional development, and addressing health inequities.
Significant barriers encompass time constraints, lack of institutional support, and inadequate compensation.
Successful strategies involve mentorship programs, flexible service options, and policy advocacy.

Conclusions:

Nurses have strong intrinsic and extrinsic motivations for service.
Systemic and individual barriers require multifaceted solutions.
Facilitating nursing service is crucial for strengthening healthcare systems and communities.