护士和助产士在低收入和中等收入国家政策制定方面的经验:定性系统审查
Josephine Etowa1, Adele Vukic2, Megan Aston2
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Canada.
International journal of nursing studies advances
|May 15, 2024
概括
护士和助产士在低收入和中等收入国家 (LMICs) 的卫生政策制定中参与的程度很小. 需要战略来重建系统权力关系,并促进协作,护士领导的政策共同开发.
科学领域:
- 卫生政策 卫生政策
- 护理 护理 护理
- 全球健康 全球健康
背景情况:
- 在全球范围内,护士是关键的医疗保健提供者,但他们在低收入和中等收入国家 (LMICs) 政策制定方面的经验未得到充分研究.
- 了解这些经验对于改善LMICs的健康结果和医疗保健系统至关重要.
研究的目的:
- 系统地审查和综合有关参与LMIC卫生政策制定的护士和助产士经验的定性证据.
- 识别影响他们参与政策进程的障碍和促进者.
主要方法:
- 使用修改的Joanna Briggs Institute (JBI) 方法进行了定性系统审查.
- 进行了对9个数据库的全面搜索,随后进行了严格的选,批判性评估和两个独立审查员的数据提取.
- 包括2000年至2021年间发表的十项高质量的研究,来自各种LMIC.
主要成果:
- 护士和助产士在LMICs的政策制定中始终表现出边缘代表.
- 确定的主要主题包括参与的决定因素 (个人,组织,系统),领导的作用和促进参与的策略.
- 研究强调了诸如权力动态和跨学科合作等因素至关重要.
结论:
- 在LMICs的卫生政策制定中,护士和助产士的代表性仍然显著不足.
- 解决这一问题需要多层次的变化,包括重建系统权力关系,以促进协作,跨学科的实践.
- 赋予护士和助产士共同领导和共同制定卫生政策的权力,对于公平有效的医疗保健系统至关重要.
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