Experiences of nurses and midwives in policy development in low- and middle-income countries: Qualitative systematic review

• DOI: 10.1016/j.ijnsa.2022.100116
• Publication Date: 2022-12-17T01:51:20Z
• Authors: Josephine Etowa; Adele Vukic; Megan Aston; Damilola Iduye; Shelley Mckibbon; Awoala George; Chioma Nkwocha; Binita Thapa; Getachew Abrha; Justine Dol
• Keywords: Critical appraisal; Policy Development; Qualitative property

: Nurses provide 90% of health care worldwide, yet little is known the experiences nurses and midwives in policy development low- middle-income countries (LMICs) To identify, appraise synthesize qualitative evidence on nurses' midwives' involvement LMICs. A systematic review using modified Joanna Briggs Institute (JBI) methodology. Low countries. Nurses' involved development, implementation, and/or evaluation. search was undertaken across nine databases to retrieve published studies English between inception April 2021. Screening, critical appraisal, data extraction by two independent reviewers. Ten articles met inclusion criteria. All were 2000 2021 from a variety The medium high quality (70-100% appraisal scores). Four major themes identified related development: 1) Marginal representation nurses; 2) Determinants (including at individual, organization, level); 3) Leadership as pathway involvement; 4) Promoting involvement. demonstrated that nurse continue be minimally development. Findings reveal reasons for limited strategies foster sustained engagement enhance their LMICs, change needed multiple levels. Systemic power relations need reconstructed facilitate more collaborative interdisciplinary practices with co-leading co-developing policies.