Journal of Qualitative Research in Health Sciences
Journal of Qualitative Research in Health Sciences

An Analysis of Policies of the Iranian Health Care System in Relation to the Nursing Profession

Authors

Shahram Yazdani
Malahat Nikravan Mofrad
Soleiman Ahmadi
Mansoureh Zagheri Tafreshi

Shahid Beheshti University of Medical Science

Abstract
Introduction: The present study was a part of the findings of a qualitative thematic content analysis aimed at elucidating the role and position of nursing from the viewpoint of the managers of the Iranian health care system. The theme of inappropriate policies of the health care system, which was extracted in the analysis, was evaluated in this research. The results of this study are part of an effort to develop the nursing education model based on the determination of the role and position of nursing in the health care system.

Method: In this study, qualitative thematic content analysis was used. Through purposive sampling, 6 managers and experts in the health care system were selected as participants. The structured interview was used for data collection.

Results: In relation to the theme of inappropriate health care policy in relation to the nursing profession, a total of 5 categories and 14 subcategories were extracted.

Conclusion: The Iranian health care system has witnessed profound changes in the last decade. However, it is faced with many challenges in the subsystem of nursing. Iran's health care policy in relation to the nursing profession is inadequate. It seems that the lack of dialogue between nursing and other health care institutions, unwillingness of these institutions to recognize nursing, and lack of involvement of nurses in policies because of conflicts of interest are effective factors in this regard. Uncertainty about the scope of services in the field of nursing care, training of disciplines parallel with nursing, non-discrimination in the provision of services within nursing, incompatibility of nursing services and payment, lack of attention of the health care system to the importance of nursing services, and placing professional nursing responsibilities as second priority in comparison with nonprofessional and unrelated responsibilities such as accreditation were the findings of this analysis.

Keywords

Health care policy
Health care system
Nursing profession
1- Masters K. Role development in professional nursing practice. 3th edition. USA: Jones & Bartlett Learning Company; 2014; Online access :www.jblearning.com 2- Shalala. D E. IOM Recommendations. the Institute of Medicine (IOM) . 2011; Available from: http://thefutureofnursing.org/recommendations 3- The Robert Wood Johnson Foundation. Health Care Workforce: Future Supply vs. Demand. 2011;Available from: http://www.allhealth.org/publications/Medicare/Health_Care_Workforce_104.pdf 4- Fuchs V. What Factors Affect Health Care Expenditures and Health? RWJF: Robert Wood Johnson Fundation . 2011; 362(23): 2181–2183 .Available online 5- Drouin JP. Hediger V. Henke N. Health care costs: A market-based view. McKinsey & Company. 2008; Available from: http://www.mckinsey.com/client_service/healthcare_systems_and_services/people/~/media/mckinsey/dotcom/client_service/healthcare%20systems%20and%20services/pdfs/healthcare-costs-a-market-based-view.ashx. 6- Ulrich BT, Buerhaus PI, Donelan K, Norman L, Dittus R. How RNs view the work environment: results of a national survey of registered nurses. J Nurs Adm. 2005; 35(9):389-96. 7- Duffield C. Gardner G. Catling-Paull C. Nursing work and the use of nursing time. J Clin Nurs. 2008;17(24): 3269-74 8- Streubert Speziale HJ, Carpenter Rinaldi D. Qualitative Research in Nursing, Advancing the Humanistic Imperative. 4th Edition. Philadelphia, Lippincott-Williams &Wilkins; 2007 9- Boswell C. Cannon Sh. Introduction to Nursing Research, Incorporating Evidence-Based Practice. Boston, Jones and Bartlett Publisher;2007 10- AdIb HAGBAGHERI M , PARVIZI S, SALSALI. M. Qualitative Research methods , 1th Edition. Tehran, Boshra;1386. (in Persian). 11- Polit DF. Tatano Beck Ch. Essentials of Nursing Research, Methods, Appraisal, and Utilization. 7th Edition. Philadelphia: Lippincott-Williams &Wilkins; 2010 12- Dehghan-Nayeri N. Negarandeh R. Broomand S. , Nursing profession in Iran: An overview of opportunities and challenges, Japan Journal of Nursing Science 2010; 7, 9–18. (in Persian). 13- Adib Hagbaghery M.. Salsali M. Ahmadi F., A qualitative study of Iranian nurses' understanding and experiences of professional power, Human Resources for Health 2004, 2:9. (in Persian). 14- Valizadeh L, Zamanzadeh V, Shohani M. Challenges of autonomy in nursing: an integrative review. 3. 2013; 2 (1) :9-17. (in Persian).
Journal of Qualitative Research in Health Sciences
Volume 5, Issue 2
2016
Pages 211-220

  • Receive Date 08 July 2020

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