Policy Politics & Nursing Practice政策、政治与护理实践
Policy Politics & Nursing Practice(英文缩写 POL POLIT NURS PRACT),ISSN 1527-1544,eISSN 1552-7468,中文译名:政策、政治与护理实践 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2022 | 1.800 | N/A |
| 2023 | 2.100 | Q2 |
| 2024 | 2.600 | Q1 |
| 2025 | 3.000 | Q1 |
Policy Politics & Nursing Practice 最新收录文献
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2. Nurse Leaders' Participation in Policy Development in Africa: A Rapid Review.
PMID:日期:2026-08-12IntroductionActive involvement of nurse leaders in policy advancement is considered crucial, particularly in Africa, where nurses constitute most of the health workforce. This review was conducted to determine factors that influence African nurse leaders' participation in policy development.MethodThe databases CINAHL and MEDLINE were searched to answer the review question. The search parameters were adjusted to include studies in English and between 2012 and 2025. The review partially followed the JBI methodology for evidence synthesis. Two reviewers conducted data extraction and independently assessed all included studies. The PRISMA guideline guided study selection reporting. Results were thematically analysedResultsSeven studies were identified. The review reveals a spectrum of challenges and opportunities impacting nurse leaders' involvement in policy development. The main theme that emerged from the included studies was enablers and constraints in health policy development, with four subthemes. Namely: enablers of nurse leaders' engagement, perceived value, knowledge and gendered influences, limited and peripheral participation, structural, organisational and individual barriers.ConclusionPersonal, structural and institutional factors were enablers and bottlenecks that limit involvement of African nurse leaders in health policy. Implementing strategies such as leadership support, education, professional recognition, organisational empowerment, and governmental support could elevate the role of nurse leaders in policy development, contributing to a more robust and inclusive healthcare policymaking landscape in Africa. Additional case studies and longitudinal research are needed to examine the factors influencing nurse leaders' involvement in policy development across different African contexts.
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3. The Midwife Problem: An Interpretive Analysis of State Requirements for Written Practice Agreements.
PMID:日期:2026-07-17U.S. state licensing restrictions requiring written practice agreements for certified nurse-midwives (CNMs) lack evidence of improved patient safety and instead contribute to maternity care workforce shortages. The objective of this study was to examine restrictive state licensing and practice policies for CNMs to identify the problem they were intended to solve. This was a qualitative content analysis of state policies that require CNMs to obtain written practice agreements, collected in January 2022, using the "What's the Problem Represented to be" framework. Analysis was completed by two midwife researchers with interpretation assistance from a panel of expert midwives. Variation in written practice agreement requirements across states demonstrated that the regulations echoed historical physician complaints about the "midwife problem" first articulated in 1912. Effects of this problemization are inaccurate workforce data and persistent maternity care shortages. The problemization is maintained by the physician organization's advocacy against midwifery autonomy. The COVID-19 pandemic policy modifications demonstrated that states could eliminate restrictions when prioritizing access without compromising safety. Restrictive CNM licensing regulations perpetuate professional gatekeeping rather than ensuring public safety, directly contributing to maternity care shortages. State legislatures should eliminate written practice agreement requirements for CNMs and adopt evidence-based criteria focused on practitioner qualifications rather than supervisory relationships. National nursing organizations should advocate for regulatory reform, prioritizing healthcare access. Removing these barriers can expand the maternity care workforce and improve access to reproductive healthcare, particularly in underserved communities.
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4. Policy Frameworks for Nursing Practice in Community-Based Palliative Care: A Four-Country Comparative Documentary Analysis.
PMID:日期:2026-07-15Nurses are central to palliative care, yet their community contributions remain undervalued. This study aimed to clarify how political and professional documents conceptualize nursing autonomy in community palliative care. Using the READ (Reading materials, Extracting data, Analyzing data, Distilling findings) methodology, a comparative documentary analysis was conducted in the Netherlands, Portugal, Spain, and the United Kingdom. Sixty-eight strategic documents, identified through systematic searches and expert consultation, underwent targeted qualitative content analysis, combining deductive coding with inductive theme generation. Results reveal a multilevel framework of professional representation: (1) micro-level interventions; (2) meso-level contextual determinants; and (3) macro-level systemic dimensions. A critical tension exists between technical visibility and formal authority. In Portugal and Spain, robust taxonomic infrastructures provide high clinical visibility, yet legal frameworks prioritize "system breadth" over specialized nursing roles. The UK and the Netherlands emphasize "vertical career trajectories," where specialty recognition and advanced education act as levers for clinical agency and nurse-led care. While all country policies prioritize home-based care, differences in how they improve autonomy may influence workforce sustainability and professional migration. These findings suggest that failing to formalize-specialized roles creates "gray zones" of responsibility. Strengthening the structural conditions that support nursing autonomy, including clear role recognition and aligned policy mechanisms, is essential for ensuring timely access to care and the long-term viability of community-based models. This study provides a roadmap for policymakers to reconcile professional agency with the universal right to high-quality care at the end-of-life.
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6. Fuel2Flourish: Nurses as Trusted Voices Promoting Latino Child Well-Being Across Nine U.S. States.
PMID:日期:2026-07-01is 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, 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. shows what's possible when nurses are equipped and empowered to lead, bringing creative, locally tailored solutions to the forefront of child health promotion.
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7. Health Equity Consortium: Amplifying Diverse Nursing Voices for Action.
PMID:日期:2026-06-19Systemic 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.
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8. Big Bill, Bigger Consequences: One Big Beautiful Bill Act (OBBBA) and Opioid Use Disorder Treatment-A Critical Review.
PMID:日期:2026-06-16The 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.
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9. A Policy Analysis of the Violence Against Women Act (VAWA) and Its Impact on American Indian/Alaska Native (AI/AN) Women.
PMID:日期:2026-06-08AimIn 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.
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10. Health Workers' Political Participation in the Philippine Democratic Context.
PMID:日期:2026-06-02该文献暂无摘要。