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Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy. 高级护理和助产领导的发展实践:改善南太平洋卫生政策的途径。
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-08-01 DOI: 10.1177/15271544221095768
Michele Rumsey, Elizabeth Iro, Di Brown, Michael Larui, Harriet Sam, Fiona Brooks
{"title":"Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy.","authors":"Michele Rumsey,&nbsp;Elizabeth Iro,&nbsp;Di Brown,&nbsp;Michael Larui,&nbsp;Harriet Sam,&nbsp;Fiona Brooks","doi":"10.1177/15271544221095768","DOIUrl":"https://doi.org/10.1177/15271544221095768","url":null,"abstract":"<p><p>The Pacific Islands countries consist of thousands of isolated islands with a combined population of over 10 million people. It is a heterogeneous and diverse region culturally, linguistically economically and politically. Health challenges are considerable and healthcare systems are often overstretched. Framed in the context of the World Health Organisation's strategic directions and policy priorities, this paper describes an account of collaboration across these countries to develop leadership skills in the nursing and midwifery professions. It outlines lessons for nursing leadership, healthcare policy development and the valuable role of Government Chief Nursing and Midwifery Officers. The South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) is a cooperative partnership, which was formed to improve the quality of healthcare in the region. It acts as an enabler to promote leadership skills and provide a safe space for learning, developing policy and the sharing of good practice. Through mentorship programs, international meetings and strong relationship-building, the SPCNMOA has strengthened partnerships within the region and improved community health services in even the most remote areas. By strengthening leadership and collaboration, these health professionals are now recognised by key policy makers as knowledgeable experts who have a legitimate role in guiding policy development, changing practice and delivering health policy improvements at local, country and international levels.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 3","pages":"195-206"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516093","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}
引用次数: 2
A Theoretically Derived Approach to Impact: Implementing Policy Influence Strategies 影响的理论推导方法:实施政策影响战略
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-06-03 DOI: 10.1177/15271544221100164
P. de Raeve, Francesco Bolzonella, Patricia M. Davidson
{"title":"A Theoretically Derived Approach to Impact: Implementing Policy Influence Strategies","authors":"P. de Raeve, Francesco Bolzonella, Patricia M. Davidson","doi":"10.1177/15271544221100164","DOIUrl":"https://doi.org/10.1177/15271544221100164","url":null,"abstract":"Advocacy is an intentional act of influencing government and an important precondition for successful policy change in society. Drawing from an existing framework on policy influence, we propose an approach to quantifying the impact of policy influence efforts, specifically within the context of European Public Health (EPH) advocacy. The analysis hinges on the article “Moving from tokenism” which provides a starting point to conceptualize strategies to quantify impact. An exploratory case study approach allowed to integrate literature on advocacy evaluation in parallel with the internal documentation of a EPH advocacy organization We provide recommendations to advocacy organizations that aim to create an infrastructure towards quantifying the impact of their efforts. The framework is mostly tailored to the needs of EPH advocacy, but it can also have resonance beyond the scope of a specific sector.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"31 1","pages":"150 - 161"},"PeriodicalIF":1.8,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74554523","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}
引用次数: 1
Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study. 医院工作场所暴力事件报告做法的差异：混合方法研究。
IF 2.1
Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 Epub Date: 2022-03-23 DOI: 10.1177/15271544221088248
Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong
{"title":"Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study.","authors":"Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong","doi":"10.1177/15271544221088248","DOIUrl":"10.1177/15271544221088248","url":null,"abstract":"<p><p>Workplace violence (WV) is a significant and growing problem for health care workers. Increased recognition of the need for improved protections has led to policy initiatives at the state and federal levels, including national Joint Commission requirements that went into effect January 2022. California's WV prevention legislation was phased in during 2017-2018 and requires hospitals to use a new incident reporting system, the Workplace Violent Incident Reporting System (WVIRS) for Hospitals. We analyzed WVIRS data collected during the first three years of its implementation, July 1, 2017 - June 30, 2020. In addition, we collected qualitative data from six California hospitals/hospital systems during 2019-2020 to better understand reporting practices. Over the three-year period, the 413 hospitals using the WVIRS reported between zero and six incidents per staffed bed. Sixteen hospitals (3.9%) reported two or more incidents per staffed bed while the rest reported fewer than two incidents. Qualitative analysis identified that reporting procedures vary considerably among hospitals. Several organizations rely on workers to complete incident reports electronically while others assign managers or security personnel to data collection. Some hospitals appear to report only those incidents involving physical harm to the worker. Regulatory guidance for reporting practices and hospitals' commitment to thorough data collection may improve consistency. As hospitals throughout the U.S. consider practice changes to comply with new WV standards, those engaged in implementation efforts should look closely at reporting practices. Greater consistency in reporting across facilities can help to build evidence for best practices and lead to safety improvements.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 2","pages":"98-108"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800348","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}
引用次数: 0
Structural Racism in America: A Summative Content Analysis of National Nursing Organization Statements 美国的结构性种族主义:国家护理组织声明的总结性内容分析
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-04-04 DOI: 10.1177/15271544221089657
Naila C Russell, Sherrie Flynt Wallington
{"title":"Structural Racism in America: A Summative Content Analysis of National Nursing Organization Statements","authors":"Naila C Russell, Sherrie Flynt Wallington","doi":"10.1177/15271544221089657","DOIUrl":"https://doi.org/10.1177/15271544221089657","url":null,"abstract":"The public and brutal death of Black American George Floyd was a tragedy that had the potential to push the profession of nursing toward a perspective transformation. A summative content analysis of 49 professional nursing organization statements served as a pilot to explore the research question: Did the nursing profession experience a perspective transformation relating to racial justice and health equity following the death of George Floyd? Texts from the statements were analyzed for the presence of an equity lens, which is necessary for a perspective transformation. Each statement was assigned a rating score to determine the organization's readiness for a perspective transformation based on equity competencies adapted from CommonHealth Action. Findings demonstrated that the nursing profession is beginning to articulate the issue of racism in health care and is committed to advocating for patients of color; however, further understanding of the historical context of structural racism and the development of meaningful policy remains necessary for the profession to experience a perspective transformation.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"2 1","pages":"85 - 97"},"PeriodicalIF":1.8,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74597556","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}
引用次数: 4
The European Standard EN 17398:2020 on Patient Involvement in Health Care – a Fairclough-Inspired Critical Discourse Analysis 关于患者参与医疗保健的欧洲标准EN 17398:2020 - fairclough启发的关键话语分析
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-03-21 DOI: 10.1177/15271544221088250
Sigrid Stjernswärd, S. Glasdam
{"title":"The European Standard EN 17398:2020 on Patient Involvement in Health Care – a Fairclough-Inspired Critical Discourse Analysis","authors":"Sigrid Stjernswärd, S. Glasdam","doi":"10.1177/15271544221088250","DOIUrl":"https://doi.org/10.1177/15271544221088250","url":null,"abstract":"The concept of ‘patient involvement’ is highlighted in healthcare. However, hindrances can prevent its implementation. This article explored how ‘patient involvement’ is understood and on what ideas this understanding is based through a critical textual analysis of the European document on patient involvement in health systems using a Fairclough-inspired critical discourse analysis. The findings showed that the document arose from a social discourse based on a mix of a neoliberal ideology, with a marketisation of care focusing on a cost-effective and evidence-based logic of care, and a humanistic ideology of patient involvement. It had the form of a normative, consensus-based standard, supported by European organisations. The document incorporated a visionary, well-intentioned abstract guide to promote patient involvement across European care contexts, however without addressing hindrances nor differences across the contexts in which it ought to be implemented. It raises questions about its usability, inviting further research into empirical applications.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 1","pages":"130 - 141"},"PeriodicalIF":1.8,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41463268","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}
引用次数: 1
Social Construction of Target Populations: A Theoretical Framework for Understanding Policy Approaches to Perinatal Illicit Substance Screening. 目标人群的社会建构:理解围产期非法物质筛查政策途径的理论框架。
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-02-01 DOI: 10.1177/15271544211067781
Norlissa M Cooper, Audrey Lyndon, Monica R McLemore, Ifeyinwa V Asiodu
{"title":"Social Construction of Target Populations: A Theoretical Framework for Understanding Policy Approaches to Perinatal Illicit Substance Screening.","authors":"Norlissa M Cooper,&nbsp;Audrey Lyndon,&nbsp;Monica R McLemore,&nbsp;Ifeyinwa V Asiodu","doi":"10.1177/15271544211067781","DOIUrl":"https://doi.org/10.1177/15271544211067781","url":null,"abstract":"<p><p>Perinatal illicit substance use is a nursing and public health issue. Current screening policies have significant consequences for birthing individuals and their families. Racial disparities exist in spite of targeted and universal screening policies and practices. Thus, new theoretical approaches are needed to investigate perinatal illicit substance use screening in hospital settings. The purpose of this analysis is to evaluate the social construction of target populations theory in the context of perinatal illicit substance use screening. Using the theoretical insights of this theory to interrogate the approaches taken by policy makers to address perinatal illicit substance use and screening provides the contextual framework needed to understand why specific policy tools were selected when designing public policy to address these issues. The analysis and evaluation of this theory was conducted using the theory description and critical reflection model.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 1","pages":"56-66"},"PeriodicalIF":1.8,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017642/pdf/nihms-1790059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10596651","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}
引用次数: 2
How diverse and inclusive are policy process theories? 政策过程理论的多样性和包容性如何?
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-01-01 DOI: 10.1332/030557321x16309516764367
Tanya Heikkila, Michael D. Jones
{"title":"How diverse and inclusive are policy process theories?","authors":"Tanya Heikkila, Michael D. Jones","doi":"10.1332/030557321x16309516764367","DOIUrl":"https://doi.org/10.1332/030557321x16309516764367","url":null,"abstract":"Numerous published efforts have compared and contrasted policy process theories. Few assessments, however, have examined the extent to which they are inclusive or diverse. Here we summarise lessons from previous assessments, paying attention to how Paul Sabatier’s science-based criteria have shaped the contours of the field. In looking at these contours, we explore evidence of diversity and inclusivity of policy process approaches in terms of methods, concepts, topics, geography and authors. We conclude with strategies to address challenges revealed by our examination: creating space for conversations among scholars of differing perspectives and approaches; building sustained and meaningful efforts to recruit and train researchers with diverse backgrounds; establishing research coordination networks that focus on policy problems; and creating better metrics to assess our diversity and inclusivity.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"8 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79338845","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}
引用次数: 4
Analysing boundaries of health and social care in policy and media reform narratives 分析政策和媒体改革叙述中卫生和社会保健的界限
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-01-01 DOI: 10.1332/030557321x16420783121324
Sarah van Duijn, D. Bannink, H. Nies
{"title":"Analysing boundaries of health and social care in policy and media reform narratives","authors":"Sarah van Duijn, D. Bannink, H. Nies","doi":"10.1332/030557321x16420783121324","DOIUrl":"https://doi.org/10.1332/030557321x16420783121324","url":null,"abstract":"Collaboration has become an imperative of many new healthcare policies; however, little attention has been paid to how system-level narratives in both policy documents and the media create boundaries that shape implementation processes. By using boundary work as a theoretical lens, this article critically analyses the discourse found in both policy documents and the media surrounding the 2015 Dutch LTC reform. This discourse analysis contributes, first, by revealing two separate narratives – one epic, one tragic – which we argue represent different rhetorical styles used to (de-)legitimise symbolic boundaries. Second, we contribute by unravelling boundary work in both the social and symbolic dimensions to show how the design of the 2015 reform led to a tension-ridden position for local actors: symbolic boundaries demanded integration, while social boundaries imposed differentiation. These findings have implications for literature on boundary work as well as for policy design and its local implementation.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"52 5 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77780249","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}
引用次数: 1
How partisan politics influence government policies in response to ageing populations 党派政治如何影响政府应对人口老龄化的政策
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-01-01 DOI: 10.1332/030557321x16316356206483
Yesola Kweon, Kohei Suzuki
{"title":"How partisan politics influence government policies in response to ageing populations","authors":"Yesola Kweon, Kohei Suzuki","doi":"10.1332/030557321x16316356206483","DOIUrl":"https://doi.org/10.1332/030557321x16316356206483","url":null,"abstract":"Since old-age programmes mitigate life-course risks that are relevant to individuals across socio-economic groups in ageing societies, all parties have a political incentive to support these initiatives. Nevertheless, pre-existing partisan commitments bind the policy instruments that parties use. Cabinet-level analyses of OECD economies demonstrate that left incumbency relies more on public expenditure than right-wing governments. What is more important is that, in the context of large elderly populations, pension coverage is greater under right-leaning governments, while pension replacement rates are higher in left-leaning governments. This shows that party behaviour related to life course-related policies cannot be explained by the conventional pro-expansion versus the pro-retrenchment partisan politics. Rather, a focus on partisan variation in the use of policy instruments is required.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"76 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76682126","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}
引用次数: 0
Making interpretive policy analysis critical and societally relevant: emotions, ethnography and language 使解释性政策分析关键和社会相关:情感，民族志和语言
IF 1.8
Policy, Politics, and Nursing Practice Pub Date : 2022-01-01 DOI: 10.1332/030557321x16129850569011
Anna P. Durnová
{"title":"Making interpretive policy analysis critical and societally relevant: emotions, ethnography and language","authors":"Anna P. Durnová","doi":"10.1332/030557321x16129850569011","DOIUrl":"https://doi.org/10.1332/030557321x16129850569011","url":null,"abstract":"This article summarises the main achievements of interpretive approaches to policy analysis and signposts ways to develop them to strengthen inclusivity and diversity. By visualising tangible strategies used in the approach, it demonstrates how we can better understand how policies are made and understood. At the same time, the article places a strong focus on emotions and ethnography as a way to strengthen the societal relevance of the approach. Focusing on emotions in policy research goes beyond a simple interest in emotions, using them as a specific critical lens to view the researched phenomenon while considering how policy ideas are framed as relevant or irrelevant through expressive language. Analogously, the article describes ethnography as an epistemological lens for analysing policy wherein researchers embrace human bias and the normativity of their research. To illustrate how these two lenses work in practice, the article concludes by discussing the research design of an analysis of the role of fathers in the policy debate around birth care in Czechia.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"14 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78566254","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}
引用次数: 5
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