دورية أكاديمية
The role of nurses in implementation of public policy on adolescent health in Colombia, Ecuador, and Peru.
| العنوان: | The role of nurses in implementation of public policy on adolescent health in Colombia, Ecuador, and Peru. |
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| المؤلفون: | De Bortoli Cassiani SH; Department of Health Systems and Services, Pan American Health Organization, Washington, DC, United States of America., Moreno Dias B; Department of Health Systems and Services, Pan American Health Organization, Washington, DC, United States of America. morenobru@paho.org., Rivera J; Simon Bolivar Andean University, Quito, Ecuador., Deubel ANR; National University of Colombia, Bogotá, DC, Colombia., Pérez TR; University of Guayaquil, Guayaquil, Ecuador., Malpica DR; University of Guayaquil, Guayaquil, Ecuador., Caffe S; Department of Health Systems and Services, Pan American Health Organization, Washington, DC, United States of America. |
| المصدر: | Health research policy and systems [Health Res Policy Syst] 2024 Jul 04; Vol. 22 (1), pp. 77. Date of Electronic Publication: 2024 Jul 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101170481 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-4505 (Electronic) Linking ISSN: 14784505 NLM ISO Abbreviation: Health Res Policy Syst Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2003- |
| مواضيع طبية MeSH: | Health Policy* , Adolescent Health* , Nurse's Role* , Public Policy*, Humans ; Adolescent ; Colombia ; Peru ; Ecuador ; Male ; Focus Groups ; Female ; Policy Making ; Nurses ; Surveys and Questionnaires ; Delivery of Health Care ; Adult ; Child |
| مستخلص: | Background: In Latin America, interventions aimed at adolescents' health suffer from a shortfall of investment and lack of sustainability. Nurses, as an integral part of health services and systems, can lead the implementation and development of public health policies to improve adolescent health. Objective: To identify and analyze the role of nurses in the development and implementation of public policies and in the provision of health care to adolescents in Colombia, Ecuador, and Peru. Methods: The research was carried out in three phases: a documentary analysis, an online survey, and semi-structured focus groups. A total of 48 documents were analyzed, 288 nurses participated in the survey, and 29 nurses participated in the focus groups. Results: State policies aim to guarantee rights, with special protection for children and adolescents. It is an incremental process, with greater involvement of civil society and governments. Participants reported a lack of synergy between law and practice, as well as differences in regulatory compliance in rural areas and in populations of different ethnicities and cultures. Their perception was that the protection of adolescents is not specifically enshrined in the legal bases and regulatory structures of the countries, meaning that there are both protective factors and tensions in the regulatory framework. While nurses are highly committed to different actions aimed at adolescents, their participation in policy development and implementation is low, with barriers related to a lack of specialized training and working conditions. Conclusions: Given nurses' involvement in different actions aimed at adolescents, they could play a fundamental role in the development of policies for adolescents and ensure their effective implementation. Policymakers should consider revising the budget to make compliance viable, incorporating and using monitoring indicators, and increasing the involvement of educational institutions and the community. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Adolescent; Adolescent development; Adolescent health; Adolescent health services; Comprehensive health care; Health policy; Nursing |
| تواريخ الأحداث: | Date Created: 20240704 Date Completed: 20240705 Latest Revision: 20240707 |
| رمز التحديث: | 20240707 |
| مُعرف محوري في PubMed: | PMC11223339 |
| DOI: | 10.1186/s12961-024-01134-6 |
| PMID: | 38965522 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1478-4505 |
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| DOI: | 10.1186/s12961-024-01134-6 |