Policy, Politics, and Nursing Practice最新文献

{"title":"Health Workers' Political Participation in the Philippine Democratic Context.","authors":"Rona Celeste Valledor-Pasamonte, Beulah Joy Kuizon-Damasco, Lorenzo B Dinlayan, Jesseca C Sanjorjo","doi":"10.1177/15271544261446955","DOIUrl":"10.1177/15271544261446955","url":null,"abstract":"","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"240"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Equity Consortium: Amplifying Diverse Nursing Voices for Action.","authors":"Paul-André Gauthier, Angela Cooper Brathwaite, Shelley Evans, Maxine Lesage, Claudette Holloway, Dania Versailles, Victoria Guido, Doris Grinspun","doi":"10.1177/15271544261452624","DOIUrl":"10.1177/15271544261452624","url":null,"abstract":"<p><p>Systemic discrimination within nursing and healthcare institutions continues to shape inequitable workforce experiences and leadership opportunities for 2SLGBTQI+, Indigenous, and Black nurses. These inequities have implications not only for the nursing profession but also for health system performance and the delivery of culturally safer care. In 2024, the Registered Nurses' Association of Ontario (RNAO) established the Health Equity Consortium (HEC) to coordinate collective action across three equity-focused nursing interest groups. This paper argues that the HEC constitutes a policy-relevant organizational response to structural inequities in nursing, demonstrating how professional associations can operationalize equity, diversity, and inclusion through governance, advocacy, and capacity-building mechanisms. Guided by Critical Social Theory, the analysis draws on the concepts of liberation and conscientization to examine how shared experiences of marginalization are mobilized into coordinated policy and practice interventions. The paper highlights key outcomes associated with the HEC, including the advancement of anti-racism initiatives, the integration of equity-focused content into professional development and education, and the creation of leadership pathways for underrepresented nurses. It further illustrates how collective advocacy within a formal organizational structure can influence policy priorities, strengthen accountability, and support system-level change. The HEC provides a transferable model for embedding equity within professional governance and health policy frameworks. Its approach underscores the role of nursing leadership in advancing structural change and offers insights for policymakers and health organizations seeking to address workforce inequities and improve the inclusiveness of healthcare systems.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"258-267"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Big Bill, Bigger Consequences: One Big Beautiful Bill Act (OBBBA) and Opioid Use Disorder Treatment-A Critical Review.","authors":"Michelle Gibson, Kelly Carlson","doi":"10.1177/15271544261458768","DOIUrl":"10.1177/15271544261458768","url":null,"abstract":"<p><p>The United States continues to struggle with the opioid crisis, exacerbated by shifting political priorities and the aftermath of the COVID-19 pandemic. This critical review analyzes the One Big Beautiful Bill Act (OBBBA) and its implications for opioid use disorder (OUD) treatment through the lens of the Multiple Streams Framework. Drawing on Medicaid data, and evidence from state-level implementation, most notably Arkansas, this article evaluates how work requirements and administrative restructuring threaten access to medications for opioid use disorder (MOUD), harm reduction services, and continuity of care. Medicaid expansion has been influential in increasing treatment availability, reducing overdose deaths, and supporting rural health systems; however, OBBA's mandated community engagement requirements threaten the progress made in combatting this epidemic. These restrictions are projected to cause 11.8 million Americans to lose health insurance, disproportionately affecting individuals with OUD who already encounter significant barriers to care. Prior evidence demonstrates that similar policies failed to increase employment, generated widespread confusion, and produced significant losses in coverage. The losses in coverage lead to delayed care, medication interruptions, and worsened health outcomes. There are also substantial financial and operational burdens associated with national implementation, including an estimated $200 million in administrative costs, diversion of resources away from clinical services, and reduced capacity for evidence-based treatment. This analysis concludes that OBBBA is likely to undermine progress in reducing overdose mortality, amplify health disparities, and place added strain on healthcare systems, particularly in rural communities, which have experienced the most significant effects of the opioid epidemic.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"252-257"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Christine Kovner","doi":"10.1177/15271544261487910","DOIUrl":"https://doi.org/10.1177/15271544261487910","url":null,"abstract":"","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"27 4","pages":"239"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Voluntary\" but Pressured: Informal Coercion Mechanisms in Inpatient Psychiatry and a Nursing-Led Safeguard Package.","authors":"Elijah Grant","doi":"10.1177/15271544261444727","DOIUrl":"10.1177/15271544261444727","url":null,"abstract":"<p><p>Legally voluntary psychiatric inpatients can nonetheless experience informal coercion-pressure, leverage, or implied threats without a formal legal order-yet nursing standards and facility oversight often leave it unmeasured and unmanaged. This article synthesizes evidence on coercion mechanisms in inpatient mental health care, links them to patient outcomes, and proposes implementable safeguards. Six mechanism families commonly operate: discharge/placement leverage (delaying discharge or preferred placement unless patients comply); the \"legal shadow\" (invoking possible involuntary conversion); conditional privileges (phones, visitors, leave, or activities tied to participation); external contingencies (housing, custody, benefits, probation, or immigration consequences linked to hospital recommendations); procedural and documentation pressure (coercive language in plans, notes, or summaries); and interpersonal persuasion that crosses into relational coercion. Across perceived-coercion measurement studies, qualitative accounts, and therapeutic-alliance research, these mechanisms are associated with reduced trust, weaker alliance, trauma symptoms, disengagement, complaints, and higher risk of readmission or adverse events. Nurses are pivotal in privilege decisions, care planning, discharge preparation, and documentation, but often lack clear guidance for reducing coercion while maintaining safety. Policy options evaluated include routine coercion audits, patient advisory review, limits on privilege-conditionality, mandatory documentation review, and targeted training. A recommended package combines brief patient-reported coercion measures, simulation-based nursing education with competency assessment, explicit limits on privilege-based leverage, and independent documentation audits. Implementation requires alignment across hospital governance, state regulators, and professional organizations. Accountability metrics include quarterly coercion scores, privilege-policy adherence, audit findings, competency certification rates, complaint and seclusion trends, and voluntary-to-involuntary conversion ratios. Limitations include observational evidence, legal heterogeneity, and resource constraints.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"268-279"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fuel2Flourish: Nurses as Trusted Voices Promoting Latino Child Well-Being Across Nine U.S. States.","authors":"Adrianna Nava, Kate Filipiak, Aida Miles","doi":"10.1177/15271544261463203","DOIUrl":"10.1177/15271544261463203","url":null,"abstract":"<p><p><i>Fuel2Flourish</i> is a nurse-led initiative designed to center the voices of nurses, who are active leaders within the National Association of Hispanic Nurses (NAHN), as trusted messengers and role models in advancing the nutritional and emotional well-being of school-age children. Operating across nine local chapters in different states, this community-rooted program was built in partnership with national policy stakeholders and community leaders to respond to what children and families need most: support they can trust from people who understand their lived experiences. This study employed qualitative methods to gain feedback from chapter program leads to examine implementation processes and early perceived impacts. Through bilingual education toolkits, culturally relevant storytelling, and nurse-led workshops, nurses engaged directly with students, parents, and educators to create safe, inclusive spaces for learning and connection. Despite limited budgets and varied local conditions, <i>Fuel2Flourish</i> thrived by aligning clinical nursing expertise with community insight and action. This article describes the partnerships formed, and the early signs of impact seen on the ground. <i>Fuel2Flourish</i> shows what's possible when nurses are equipped and empowered to lead, bringing creative, locally tailored solutions to the forefront of child health promotion.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"241-251"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Policy Analysis of the Violence Against Women Act (VAWA) and Its Impact on American Indian/Alaska Native (AI/AN) Women.","authors":"Autaquay T Peters-Mosquera, Teri Aronowitz","doi":"10.1177/15271544261454590","DOIUrl":"10.1177/15271544261454590","url":null,"abstract":"<p><p>AimIn the United States, 82% of American Indian/Alaska Native (AI/AN) women face violence during their lifetimes, compared to 45.1% of women from all other racial groups. We examined the evolution and impact of the Violence Against Women Act (VAWA) on AI/AN women.Design and MethodsA policy analysis of VAWA and its impact on AI/AN women survivors of violence was completed through the lens of the Tribal Critical Race Theory.ResultsThe findings identified that prior to VAWA (2013), there were significant legal gaps regarding the prosecution of non-Native offenders on tribal lands. Following multiple reauthorizations of VAWA, there has been a reported increase in services for AI/AN women, yet challenges persist due to limited data and jurisdictional complexities. While VAWA has made strides in addressing violence against AI/AN women, systemic issues such as historical trauma, racism, and invisibility continue to hinder effective responses. The complexity of jurisdictional frameworks further complicates law enforcement efforts on tribal lands.ConclusionThis policy analysis underscores the need for continued advocacy for comprehensive data collection and more robust legislative measures that prioritize the unique circumstances of AI/AN communities. Additionally, the analysis can inform policymakers, community leaders, and advocacy groups on the necessity of addressing systemic factors that contribute to violence against AI/AN women, such as the jurisdictional complexities on sovereign Native lands. To enhance policy effectiveness, we must take a collaborative approach with tribal communities and ensure that AI/AN voices are integral to the conversation on violence against women.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"290-296"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequency and Disparity of Violence Against Healthcare Workers in Public and Private Sector Hospitals in Pakistan: A Cross-Sectional Study.","authors":"Syed Muhammad Aqeel Abidi, Anum Rahim, Murtaza Hassan, Laeba Hussain, Hibba Erum Arif, Umaima Riaz, Hasan Tauqeer, Abdullah Ibraheem, Aden Javed, Haania Rizwan, Mahnoor Javaid, Burhan Yusufzai, Ahsan Raza Raja, Sobiya Sawani, Fareeha Shaikh","doi":"10.1177/15271544261441543","DOIUrl":"10.1177/15271544261441543","url":null,"abstract":"<p><p>IntroductionViolence toward the healthcare workforce is on the rise, impacting the quality of care provided. This study aims to assess the frequency of violence against healthcare workers (HCWs) and determine any existing disparities between private and public settings.MethodsA cross-sectional study design was used. Data were collected from April 1, 2022, to November 30, 2022, through a structured online questionnaire, adapted from a self-reported structured questionnaire. The survey was circulated via social media platforms among HCWs in both public and private tertiary care hospitals in Pakistan. A total of 365 participants completed the survey.ResultsThe frequency of violence among respondent HCWs was 38.36%. The frequency of violence was higher in public sector hospitals compared to private sector hospitals (54.03% in public vs. 30.29% in private). Incidents of physical violence were reported by 12.10% of public versus 5.39% of private sector respondents. Verbal abuse was reported by 36.29% of public vs. 21.16% of private sector respondents. Racial harassment was experienced by 12.90% of public and 9.54% of private sector respondents, while sexual harassment was reported by 11.29% of public versus 6.22% of private sector respondents.ConclusionA higher frequency of violence was observed in public hospitals compared to private sector hospitals, across all types of violence. These findings highlight the need for increased awareness among HCWs about existing policies on reporting workplace violence and the importance of utilizing these policies to ensure protection for all HCWs in both public and private tertiary care hospitals.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"280-289"},"PeriodicalIF":3.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Nursing Career Development Programs: A Scoping Review.","authors":"Kathy Holloway, Julia Slark, Elizabeth Manning","doi":"10.1177/15271544261486398","DOIUrl":"https://doi.org/10.1177/15271544261486398","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based nursing career development programs can support workforce planning, retention, and recruitment by harmonizing career guidance, capability development, and progression. Despite their recognized value, utilization varies across countries, organizations, and specialties, with limited evaluation of their development, implementation, or effectiveness. This scoping review explores key themes to inform nursing career development for Aotearoa New Zealand and identifies areas for further research.</p><p><strong>Aim: </strong>To provide a comprehensive overview of what is known about the evaluation of nursing career development programs.</p><p><strong>Method: </strong>A scoping review was conducted using Levac's six-step model. Rayyan software supported extraction and synthesis. CINAHL, ProQuest Central, PubMed, Scopus, and Policy Commons were searched for peer-reviewed and gray literature published between 2005 and 2025.</p><p><strong>Results: </strong>Eight studies met the inclusion criteria, reflecting the scarcity of research in this area. Three key themes emerged: (a) differing program structures, (b) varied outcome measures and implementation approaches, and (c) individual and organizational barriers and facilitators. Evidence suggests career development programs positively impact professional development and nurse retention, but challenges include administrative burden and difficulties in measuring effectiveness.</p><p><strong>Conclusions: </strong>This review highlights a significant gap in evaluating nursing career development programs globally. Evidence supports these programs as valuable tools for workforce development, while knowledge gaps remain regarding patient outcomes and cost-effectiveness.</p><p><strong>Protocol registration: </strong>Open Science Framework (doi.org/10.17605/OSF.IO/QK5MG).</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544261486398"},"PeriodicalIF":3.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low Pay, High Risk: The Nursing Pay Gap in Italy as a Systemic Health Policy Vulnerability.","authors":"Ippolito Notarnicola, Rosario Caruso, Sara Carrodano, Serena Caponetti, Gennaro Rocco, Alessandro Stievano","doi":"10.1177/15271544261497289","DOIUrl":"https://doi.org/10.1177/15271544261497289","url":null,"abstract":"<p><p>BackgroundThe nursing workforce is a key determinant of health system resilience, quality, and sustainability. In Italy, nurses receive significantly lower salaries compared to the OECD average, and the country has one of the lowest nurse-to-population ratios in Europe. This study examines the Italian nursing pay gap as a systemic vulnerability in health policy, with implications for the National Health Service's (NHS) capacity to deliver safe and continuous care.MethodsThis study follows a descriptive policy analysis approach integrated with comparative data analysis. Salary and workforce data were obtained from Organisation for Economic Co-operation and Development (OECD) datasets (2015-2024) and complemented with national and international institutional sources. The analysis was guided by Walt and Gilson's Policy Triangle and the Nursing Theory of Complex Adaptive Systems (NTCAS).ResultsItaly reports an average nursing salary of approximately USD 48,000 (PPP), about 21% lower than the OECD average, and a density of 6.2 nurses per 1,000 inhabitants compared with 9.4 internationally. In the selected country comparison, higher salary levels co-occurred with higher nurse density, while the policy analysis identified persistent constraints in remuneration, career development, workforce planning, and retention. Theoretical interpretation frames the pay gap as a systemic variable with potential consequences for quality, safety, and equity.DiscussionThe Italian pay gap reflects structural weaknesses in workforce governance rather than an isolated issue. Limited career pathways, migration, and workforce shortages further increase system vulnerability.ConclusionAddressing the nursing pay gap is a strategic priority to strengthen retention, reduce inequalities, and ensure the long-term sustainability of the NHS.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544261497289"},"PeriodicalIF":3.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}