Evidence map›Paper›PMID 40667746›Full record

ReviewInternational nursing review2025

Nursing and Midwifery's Impact on Health Policy Development: A Literature Review.

David Stewart, Kathleen Baird, Jill White, James Buchan

Abstract readReview
In one paragraph

Review in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Roles and responsibilities of government chief nursing and midwifery officers in the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

David StewartFaculty of Health, University of Technology Sydney, Australia, International Council of Nurses, Ultimo, Australia.ORCID https://orcid.org/0009-0008-6926-4262
Kathleen BairdSchool of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Jill WhiteFaculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
James BuchanFaculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study explores how nursing and midwifery can enhance their influence on health policy development and identifies strategies to optimize their impact on global health systems.

backgroundNurses and midwives, the largest group of healthcare professionals, play vital roles in healthcare delivery but remain underrepresented in health policy development. Historical barriers, gendered power dynamics, and systemic limitations hinder their meaningful involvement, despite their critical role in care provision. Addressing these issues is crucial to unlocking their potential to improve health systems worldwide.

methodsA literature review was conducted, analyzing research, policy reports, editorials, and commentaries from 2013 to 2023. Key barriers, enablers, and strategies to enhance nursing and midwifery's role in health policy were identified through database searches and reference checks, with thematic analysis used to synthesize findings.

findingsThe review identified several barriers to nursing and midwifery's involvement in health policy, including power imbalances, limited policy education, and insufficient organizational support. Current literature often focuses on individual experiences but overlooks broader systemic factors, such as the roles of key policy actors, regulations, and technologies. Strategies to enhance participation include integrating health policy into nursing curricula, leadership programs, and strengthening professional associations. A more nuanced, multifaceted approach is needed to address these barriers and encourage policy engagement. DISCUSSION: To empower nurses and midwives, future research should adopt frameworks like Actor Network Theory to consider the broader context of health policy development. Strategies must focus on education, tackle power imbalances, address gender dynamics, and promote collective action through professional organizations. CONCLUSION AND IMPLICATIONS FOR NURSING AND/OR HEALTH POLICY: Nurses and midwives must be recognized as essential contributors to health policy. By addressing systemic barriers and implementing comprehensive strategies, nursing and midwifery can shape policies that reflect care delivery realities and improve global health outcomes. Future research should adopt a broader approach, incorporating the full spectrum of actors and systemic factors in health policy development.

Indexed as

Health PolicyMidwiferyNurse MidwivesNurse's RolePolicy MakingAdultFemaleHumansMalePregnancyBarriershealth policyleadershipliterature reviewmidwivesnursespolicy developmentprofessional autonomyworkforce development

Identifiers

PMID40667746
PMCPMC12265404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.