Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review).
Iran
challenges
community health nursing
nursing problems
solutions
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
03
2022
accepted:
06
06
2022
entrez:
14
7
2022
pubmed:
15
7
2022
medline:
16
7
2022
Statut:
epublish
Résumé
In recent decades, nursing has witnessed many changes in Iran. Despite the numerous advances in nursing, the health system faces many challenges in community health nursing. This study aims to review the challenges in community health nursing in Iran and provide an evidence-based solution as well. This article is an integrated review of the literature regarding the challenges in community health nursing published between 2000 and 2021 in the databases Scopus, Medline, Cochrane Database of Systematic Reviews, Science Direct, Google Scholar, Scientific Information Database (SID). After performing searches, 20 articles were selected and studied. Data analysis was done using Russell approach (2005). The results of this study were summarized in 6 themes consisting of challenges in community health nursing education, practical challenges in community health nursing, policy-making challenges in community health nursing, management challenges in community health nursing, and infrastructural and cultural challenges. Solutions were also proposed to address each of the above issue. The results of the study showed that diverse challenges exist in community health nursing in Iran, considering that community health nurses play an important role in providing primary health care and community-based care. In order to solve these challenges, the authors have some recommendations: modifying the structure of the health system with the aim of moving toward a community-oriented approach from a treatment-oriented one, developing laws to support community health nurses, creating an organizational chart for nurses at the community level, modifying nursing students' training through a community-based approach, and covering community-based services and care under insurance.
Sections du résumé
Background and Objective
In recent decades, nursing has witnessed many changes in Iran. Despite the numerous advances in nursing, the health system faces many challenges in community health nursing. This study aims to review the challenges in community health nursing in Iran and provide an evidence-based solution as well.
Materials and Methods
This article is an integrated review of the literature regarding the challenges in community health nursing published between 2000 and 2021 in the databases Scopus, Medline, Cochrane Database of Systematic Reviews, Science Direct, Google Scholar, Scientific Information Database (SID). After performing searches, 20 articles were selected and studied. Data analysis was done using Russell approach (2005).
Findings
The results of this study were summarized in 6 themes consisting of challenges in community health nursing education, practical challenges in community health nursing, policy-making challenges in community health nursing, management challenges in community health nursing, and infrastructural and cultural challenges. Solutions were also proposed to address each of the above issue.
Conclusions
The results of the study showed that diverse challenges exist in community health nursing in Iran, considering that community health nurses play an important role in providing primary health care and community-based care. In order to solve these challenges, the authors have some recommendations: modifying the structure of the health system with the aim of moving toward a community-oriented approach from a treatment-oriented one, developing laws to support community health nurses, creating an organizational chart for nurses at the community level, modifying nursing students' training through a community-based approach, and covering community-based services and care under insurance.
Identifiants
pubmed: 35832285
doi: 10.3389/fpubh.2022.899211
pmc: PMC9271779
doi:
Types de publication
Systematic Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
899211Informations de copyright
Copyright © 2022 Hosseinnejad, Rassouli, Jahani, Elahi and Molavynejad.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Iran J Nurs Midwifery Res. 2013 Nov;18(6):457-62
pubmed: 24554943
Iran J Nurs Midwifery Res. 2010 Fall;15(4):150-4
pubmed: 21589788
Nurs Midwifery Stud. 2013 Jun;2(2):169-70
pubmed: 25414853
BMC Nurs. 2014 Oct 21;13:31
pubmed: 25349531
Nurse Educ Today. 2019 Feb;73:83-87
pubmed: 30550942
Front Public Health. 2021 Jul 23;9:676160
pubmed: 34368051
J Adv Nurs. 2010 Apr;66(4):743-52
pubmed: 20423362
Aust J Prim Health. 2018 Nov;24(5):359-367
pubmed: 30180929
J Educ Eval Health Prof. 2014 Sep 30;11:25
pubmed: 25273853
J Prof Nurs. 2004 Nov-Dec;20(6):396-402
pubmed: 15599874
Int J Community Based Nurs Midwifery. 2017 Oct;5(4):386-396
pubmed: 29043284
Appl Nurs Res. 2016 May;30:45-51
pubmed: 27091252
Aust Health Rev. 2001;24(3):133-40
pubmed: 11668914
Scientifica (Cairo). 2016;2016:2056470
pubmed: 27127677
Br J Community Nurs. 2016 Apr;21(4):186-7
pubmed: 27282504
Nurs Outlook. 2012 Jul-Aug;60(4):221-7
pubmed: 22512991
Bull World Health Organ. 2007 Jun;85(6):432-40
pubmed: 17639240
Hum Resour Health. 2015 Oct 08;13:81
pubmed: 26450085
Front Public Health. 2022 Jan 13;9:793973
pubmed: 35096746
Prog Transplant. 2005 Mar;15(1):8-13
pubmed: 15839365
Nurs Res Pract. 2013;2013:426107
pubmed: 23606956
Scand J Caring Sci. 1995;9(4):203-8
pubmed: 8578041
Int J Community Based Nurs Midwifery. 2016 Jan;4(1):98-9
pubmed: 26793735
Rev Lat Am Enfermagem. 2016;24:e2676
pubmed: 27143536
Cochrane Database Syst Rev. 2018 Jul 16;7:CD001271
pubmed: 30011347
Int J Cancer. 2018 May 1;142(9):1952-1958
pubmed: 29235108
Health Promot Int. 2013 Dec;28(4):490-501
pubmed: 22888155
J Clin Nurs. 2020 Nov;29(21-22):3937-3949
pubmed: 32757432
Int J Community Based Nurs Midwifery. 2019 Oct;7(4):288-299
pubmed: 31641678
Int Nurs Rev. 2005 Mar;52(1):32-8
pubmed: 15725274