Journal of Research Development in Nursing and Midwifery (Oct 2023)
The life cycle of nursing organizations and role development in Iran: A situational analysis
Abstract
Background: Nursing organizations are an essential part of the nursing profession. The main mission of nursing organizations is to establish new nursing roles based on changes in societal needs. This study conducted a situational analysis of the nursing organizations' life cycle and their effects on nursing role development in Iran. Methods: This study used a grounded theory methodology called situational analysis based on the Clack framework (2018). The sources of data collection included interviews, analysis of documents at Dr Madah Association and the National Library of Iran, statistics, government documents, international reports, and historical articles about nursing organizations, as well as reports on the role of licensed practical nurses (LPNs) and registered nurses (RNs). Data were collected through semi-structured and in-depth interviews with 33 nurses. Interviews continued until data saturation was reached. Results: Researchers identified 7 trends that reflect the evolution of nursing organizations and the health care system, as well as the factors that influenced the development of nursing roles. The 7-step trends were marked with letters A to G. Each letter indicated a map of concepts related to the role of nursing. Conclusion: The process of developing the role of nurses in Iran, at the senior management level, struggles with the unbalanced distribution of budget in the health system. Therefore, nursing leaders need to foster their interaction and diplomacy to be able to strike a balance between the micro, middle, and macrostructures of nursing.
