Arries (2006) South Africa |
To formulate practice standards for quality clinical decision making in nursing |
Nursing standards for quality clinical decision-making Clinical decision making standards of practice |
Qualitative descriptive Sample size not identified Clinical nurse practitioners, nurse educators, doctors, nurse managers |
Focus group interviews, individual interviews Logic of deductive and inductive inference |
The nurse formulates an appropriate individualized plan of care that prescribes strategies and alternatives to attain written expected outcomes and objectives. The plan of care relates to the health needs and problems of the individual, group or community. Documented evidence about the expected outcomes of the care plan can be identified. The plan incorporates specific health outcomes for the individual or group or the special needs or problems of the community. |
Assegaai and Schneider (2019) South Africa |
To explore and describe approaches to supportive supervision in policy and programme guidelines and how these are implemented in supervision practices in the North West Province, an early adopter of the ward-based PHC outreach team strategy |
Supportive supervision in policy and program guidelines and how these are implemented in supervision practices in the North West Province, with CBOW (Community based outreach workers) consisting of Community health workers (CHW) and one nurse leader |
Qualitative descriptive N = 40 7 facility managers, 12 team leaders, and 18 community health workers |
Semi-structures focus group discussions Thematic content analysis |
The documents reviewed provide considerable detail on the management functions of supervision, but much less on development and support, the two other crucial pillars of supportive supervision. All the documents acknowledge the need for supervision and outline basic reporting lines. Neither the Toolkit nor the Policy spells out a comprehensive approach to supervision, support and line authority functions. Rather, decision-making is delegated to sub-national levels. There is no standalone, overarching and coherent framework or document for the supervision of CHWs and WBOTs. Moreover, most of the documentation, which exists, although widely available and referenced, has uncertain status. |
Asuquo (2019) Nigeria |
To evaluates nurses' leadership in research and policy formulation in southern Nigeria |
Nursing leadership in research and policy development |
Case Studies N = 12 12 nurse leaders |
In‐depth interview and focus group discussion Coding and categorizing data into themes |
Leadership imperviousness theme explains marginal nurses contribution to policy arena The major role of nurse leaders is affiliated with policy implementation rather than involvement in policy formulation Individual and institutional barriers such as lack of nursing school training are identified |
Buys and Muller (2000) South Africa |
To explore and describe the experiences and perceptions of the nursing service managers regarding transformation of health services in selected Provincial Academic Health Complexes |
Nurse managers experiences and perceptions of the restructuring of health services at individual group departmental and organizational level, which involve new policies Transformation of health services in selected provincial academic health complexes |
Phenomenology N = 34 34 nurse service managers (2 deputy directors, 8 assistant directors, and 24 chief professionals) |
Focus group interviews Content analysis |
Nurse services managers experienced both positive and negative impacts due to transformation of health services on both management levels and quality of patient care The whole transformation is top-down Nursing service managers expressed negative feelings due to an increased workload, poor salaries, inadequate recognition, communication, and resources, and insufficient participation in decision making A two-way communication is vital for an effective healthcare transformation |
Hajizadeh et al. (2021) Iran |
To explore the barriers and facilitators concerning nurse managers’ participation in the health policy-making process |
Nurse managers and key informants involvement in health policy-making process |
Qualitative descriptive N = 16 9 nurse managers, 3 government officials, and 4 faculty members in the field of nursing ad health policy |
Semi-structures one-on-one interviews Thematic analysis |
Barriers of nurse leaders’ involvement in policy include nurse managers’ characteristics, organizational structure, and external/environmental barriers such as workload, negative nurses’ image, lack of transparency etc. Cooperation and collaboration with the upstream managers, enhanced team activity, nursing school and hospital nurses, and access to vital government officials can enhance nurses policy making involvement |
Juma et al. (2014) Kenya |
To critically examine how nurses have been involved in national policy processes in the Kenyan health sector |
Nurses involvement in national policy development processes |
Feminist N = 32 7 nurse leaders, 16 frontline nurses and managers, 9 non-nursing decision makers |
Open-ended Interviews Content Analysis |
Limited involvement of nurses in policy processes in Kenya Hierarchical and structures, and professional issues were primary barriers involvement of nurses in policy processes. |
Kemp et al. (2018) Uganda |
To describe the development of a national standard for midwifery mentorship in Uganda, part of a wider project which aimed to develop a model of mentorship for Ugandan midwifery using the principles of action research |
Development of a national standard for midwifery model of mentorship |
Action Research Sample size not identified Midwives |
Focus groups Data analysis method not identified |
Midwifery twinning can enhance positive changes in leadership development if carefully matched. |
Kwartemaa-Acheampong et al. (2021) Ghana |
To explore nurse and midwives participation in policy development, reviews and reforms in Ghana |
Nurse and midwives involvement in policy development and reform |
Qualitative descriptive N = 30 15 general nurses and 15 midwives In leadership positions Purposeful sampling |
In-depth individual interviews Data saturation Content analysis |
Nurses are either overlooked or unacknowledged when they are involved General perception that nurses are not knowledgeable about policy Recruitment into nursing education with politicians’ involvement results in unqualified candidates into the profession Involvement would improve health delivery |
Makhuvha et al. (2007) South Africa |
To explore and describe the experiences of nurse educators with regard to the rationalisation of nursing education and to use information obtained to describe guidelines for the effective rationalisation of a nursing college in the Limpopo Province |
Rationalization of Policy Makers and educators in nursing education |
Qualitative descriptive N = 10 10 nurse educators |
In-depth individual interviews Tesch's method |
Nurse educators expressed dissatisfaction with regard to the rationalization of nursing education as regards administrative, operational, and human dimensions. In their view, the centralization of tasks delays service delivery which negatively impacts on management and create confusion. Nurse educators expressed the need for proper planning which involves active participation and maintenance of professional standards |
Richter et al. (2013) Jamaica Kenya Uganda South Africa |
The influence of workplace policies on nursing care for individuals and families living with human immunodeficiency virus. This article aims to present findings related to the barriers and facilitators for nurse engagement in policy development and implementation |
Nurse engagement in policy development and implementation Nurses engagement in acquired immunodeficiency syndrome (AIDS) policy development |
Action research N = 51 (Jamaica −10, Kenya – 17, Uganda – 12, South Africa – 12) Unit managers, clinic and healthcare managers, and senior nurse officer |
Interviews, focus groups, surveys and document analysis Thematic analysis |
Nurses expressed a lack of communication of the available policies at the grassroot levels and also a lack of involvement in the development of policies. There is an urgent need for policies surrounding AIDS care. |