Facilitators and Barriers to Investment in the Brazilian Nursing Workforce: A Qualitative Study

IF 3.7 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-10-18 DOI:10.1111/inr.70113

Isadora Andriola, Marjorie Melo, Andrea Sonenberg, Victor Petreca, Mario Lins Galvão de Oliveira, Ana Luisa Brandão de Carvalho Lira, Brittney Van de Water

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引用次数: 0

Abstract

Aim

To understand the factors influencing investment in nursing from the perspective of relevant interest holders in nursing.

Introduction

Brazil's healthcare system faces significant inequities in healthcare access, leading to health disparities. There is a strong link between healthcare access and health outcomes, highlighting the importance of nursing roles and regulatory policies.

Methods

A qualitative descriptive analysis was conducted using purposive and snowball sampling to recruit and interview 15 participants from various nursing, education, and leadership roles in Brazil. Data were thematically analyzed in Dedoose, ensuring rigor via triangulation, reflexivity, and an audit trail.

Results

Three major themes emerged. First, prioritizing health facilitates investment in nursing. Second, intrinsic challenges include barriers within the profession, such as educational issues and fragmented professional structures. Third, extrinsic barriers, including health system fractures and institutional issues, hinder investment in nursing.

Discussion

Effective policy reform requires overcoming barriers in nursing education, leadership, employment, and service delivery. In Brazil, priority areas include clarifying scopes of practice, updating regulatory frameworks, and expanding regional access to nursing education.

Conclusion

Investing in nursing across education, employment, leadership, and service delivery is worthwhile for a country's health and economy. Educational opportunities translate to job opportunities only if governments invest in all levels of nursing and if a country can absorb well-trained and qualified nurses into the healthcare system.

Implications for nursing and nursing policy

This study revealed obstacles and enabling factors related to an investment in nursing by Brazil, offering insights applicable to countries with similar health systems. Recommendations include removing intrinsic restraints, endeavoring to empower nurses, and eliminating extrinsic barriers, all of which could support investment in nursing, ultimately an investment in population health.

Abstract Image

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巴西护理人员投资的促进因素和障碍：一项定性研究。

目的：从护理相关利益主体的角度了解护理投资的影响因素。导读：巴西的医疗保健系统在获得医疗保健方面面临着严重的不平等，导致健康差距。获得医疗保健与健康结果之间存在密切联系，突出了护理角色和监管政策的重要性。方法：采用有目的和滚雪球抽样的定性描述性分析方法，在巴西招募并采访了15名来自不同护理、教育和领导角色的参与者。在Dedoose中对数据进行了主题分析，通过三角测量、反射性和审计跟踪确保了数据的严谨性。结果：出现了三个主要主题。首先，优先考虑健康有利于护理投资。其次，内在挑战包括专业内部的障碍，如教育问题和分散的专业结构。第三，外部障碍，包括卫生系统的断裂和制度问题，阻碍了护理投资。讨论：有效的政策改革需要克服护理教育、领导、就业和服务提供方面的障碍。在巴西，重点领域包括澄清实践范围、更新监管框架和扩大区域护理教育。结论：在教育、就业、领导力和服务提供方面投资护理对一个国家的卫生和经济是值得的。只有当政府对各级护理工作进行投资，并且一个国家能够将训练有素的合格护士吸收到医疗保健系统中时，教育机会才能转化为就业机会。对护理和护理政策的影响：本研究揭示了与巴西护理投资相关的障碍和有利因素，提供了适用于具有类似卫生系统的国家的见解。建议包括消除内在限制，努力赋予护士权力，消除外在障碍，所有这些都可以支持对护理的投资，最终是对人口健康的投资。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.