Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)

Background and ObjectiveIn 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-b...

Full description

Bibliographic Details
Main Authors: Aazam Hosseinnejad, Maryam Rassouli, Simin Jahani, Nasrin Elahi, Shahram Molavynejad
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.899211/full
_version_ 1818545810664587264
author Aazam Hosseinnejad
Maryam Rassouli
Simin Jahani
Nasrin Elahi
Shahram Molavynejad
author_facet Aazam Hosseinnejad
Maryam Rassouli
Simin Jahani
Nasrin Elahi
Shahram Molavynejad
author_sort Aazam Hosseinnejad
collection DOAJ
description Background and ObjectiveIn 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 MethodsThis 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).FindingsThe 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.ConclusionsThe 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.
first_indexed 2024-12-12T07:44:53Z
format Article
id doaj.art-21603d161a9e4878a0f54a0b4d4cc68a
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-12-12T07:44:53Z
publishDate 2022-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-21603d161a9e4878a0f54a0b4d4cc68a2022-12-22T00:32:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-06-011010.3389/fpubh.2022.899211899211Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)Aazam Hosseinnejad0Maryam Rassouli1Simin Jahani2Nasrin Elahi3Shahram Molavynejad4Student Research Committee, Nursing and Midwifery School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranCancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranNursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranNursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranNursing Care Research Center in Chronic Diseases, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranBackground and ObjectiveIn 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 MethodsThis 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).FindingsThe 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.ConclusionsThe 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.https://www.frontiersin.org/articles/10.3389/fpubh.2022.899211/fullcommunity health nursingnursing problemschallengessolutionsIran
spellingShingle Aazam Hosseinnejad
Maryam Rassouli
Simin Jahani
Nasrin Elahi
Shahram Molavynejad
Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)
Frontiers in Public Health
community health nursing
nursing problems
challenges
solutions
Iran
title Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)
title_full Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)
title_fullStr Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)
title_full_unstemmed Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)
title_short Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review)
title_sort community health nursing in iran a review of challenges and solutions an integrative review
topic community health nursing
nursing problems
challenges
solutions
Iran
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.899211/full
work_keys_str_mv AT aazamhosseinnejad communityhealthnursinginiranareviewofchallengesandsolutionsanintegrativereview
AT maryamrassouli communityhealthnursinginiranareviewofchallengesandsolutionsanintegrativereview
AT siminjahani communityhealthnursinginiranareviewofchallengesandsolutionsanintegrativereview
AT nasrinelahi communityhealthnursinginiranareviewofchallengesandsolutionsanintegrativereview
AT shahrammolavynejad communityhealthnursinginiranareviewofchallengesandsolutionsanintegrativereview