20.500.12556/DiRROS-26680 Pojasnjevalni dejavniki politične aktivnosti medicinskih sester sistematični pregled literature Explanatory factors for the political activity of nursing staff a systematic review Uvod: Vloga medicinskih sester v političnem procesu je ključnega pomena za izboljšanje zdravstvenih politik in kakovosti oskrbe, vendar je njihova aktivnost iz različnih razlogov pogosto omejena. Namen raziskave je proučiti in pojasniti dejavnike, ki so povezani z aktivno vlogo medicinskih sester pri oblikovanju politike v sistemu zdravstvenega varstva.Metode: Uporabljen je bil sistematičen pregled znanstvene literature v podatkovnih bazah CINAHL, Science Direct, Cochrane Library, Scopus, PubMed in COBIB.SI. Vključeni so bili znanstveni članki, objavljeni v slovenskem in angleškem jeziku, med letoma 2014 do 2024, ki so bili prostodostopni. Potek pregleda literature je prikazan z diagrami PRISMA. Rezultati so bili analizirani s tematsko analizo.Rezultati: V končno analizo je bilo vključenih dvanajst virov: dva sistematična pregleda literature, pet kvalitativnih raziskav in pet presečnih raziskav iz devetih držav. Oblikovane so bile štiri tematske kategorije: (1) prednosti vključevanja medicinskih sester v politično odločanje, (2) slabosti in izzivi politične aktivnosti medicinskih sester, (3) priložnosti za povečanje angažiranosti medicinskih sester in (4) ovire pri vključevanju medicinskih sester v politični proces. Diskusija in zaključek: Medicinske sestre bi lahko prispevale k boljšim političnim odločitvam v zdravstvenem sektorju, vendar jim pogosto za aktivno sodelovanje na tem področju primanjkuje motivacije. Vključevanje medicinskih sester v politiko bi lahko bilo večje s povečanjem političnih veščin, spodbujanjem sodelovalnega obnašanja in opolnomočenjem na organizacijski ravni. Ključnega pomena je usklajeno delovanje vseh deležnikov zdravstvenega sistema ter zagotavljanje ustrezne podpore in izobraževanja za razvoj političnih kompetenc pri medicinskih sestrah. Introduction: The role of nurses in political processes is crucial for improving health policy and quality of care, yet their participation is often limited by various challenges. The aim of this study was to examine the factors associated with nurses' active involvement in healthcare policy-making.Methods: We conducted a systematic review of the scientific literature in the CINAHL, Science Direct, Cochrane Library, Scopus, PubMed and COBIB.SI databases. We included freely accessible scientific articles published in Slovenian and English between 2014 and 2022. The literature search process is presented in a PRISMA diagram. The results were analysed using thematic analysis.Results: A total of 12 studies were included in the final analysis: two systematic literature reviews, five qualitative studies, and five cross-sectional surveys from nine countries. Four thematic categories were identified: (1) strengths of nurses' participation in policy-making, (2) weaknesses and challenges of nurses' political participation, (3) opportunities to increase nurses' political participation, and (4) barriers to nurses' participation in the political process.Discussion and conclusion: Nurses play a significant role in ensuring quality health care and could contribute to better policy decisions in the healthcare sector. However, they encounter several challenges, such as lack of motivation, a passive role in policy making and limitations related to the organisational structure of the health system. Ways to enhance nurses' participation in policy-making include improving their political competence, promoting participation, and strengthening empowerment at the organisational level. Coordinated action by all actors in the health system, along with appropriate support and training to develop nurses' political competence, is key to improving nurses' political engagement. medicinske sestre zdravstveno varstvo zdravstvena politika zdravstvena nega nursing policy healthcare health policy true false true Slovenski jezik Angleški jezik Neznano 2026-01-28 00:40:56 2026-01-28 00:40:57 2026-03-04 00:12:56 0000-00-00 00:00:00 2025 0 0 str. 241-253 št. 4 Letn. 59 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2025-12-19 616-083:32 1318-2951 10.14528/snr.2025.59.4.3308 262440707 https://doi.org/10.14528/snr.2025.59.4.3308 1 a138125d-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39295 https://obzornik.zbornica-zveza.si:8443/index.php/ObzorZdravNeg/article/view/3308 1 a13353a9-fbd9-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39294 _C_obzornik_2025-59-4_Lekse.pdf _C_obzornik_2025-59-4_Lekse.pdf 1 A382227C5C9921D2DB77A53030ED5923 18f6ca1e4d38a42ae46f9809379f3fa56e443aad6d0c9a9b846af961b0de65b1 1b340c8d-fe31-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=39746 Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije Obzornik zdravstvene nege 0 0 0