{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:00:34Z","timestamp":1790373634195,"version":"4.1.0"},"reference-count":82,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This review aimed to map the available evidence on nurses\u2019 engagement in healthcare policy\u2010making and to identify the foundational concepts that shape this engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nurses represent the largest professional group in healthcare systems and hold a central position in responding to population health needs. However, they remain underrepresented in policy\u2010making arenas. Their engagement is increasingly recognised as essential for building equitable, responsive and patient\u2010centred healthcare systems, yet it is limited by insufficient policy education, restricted access to decision\u2010making spaces, and the absence of a guiding conceptual framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review was conducted using established methodological guidance for evidence mapping. A Pragmatic utility approach informed the conceptual analysis, allowing the available literature to be examined in relation to the usefulness, clarity, and applicability of concepts describing nurses\u2019 policy engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of Evidence<\/jats:title>\n                    <jats:p>A systematic search of peer\u2010reviewed databases was complemented by manual searches of reference lists. Eligible sources examined nurses\u2019 engagement, participation or influence in healthcare policy\u2010making across clinical, organisational, professional, or governmental contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusion<\/jats:title>\n                    <jats:p>Nurses\u2019 engagement in policy\u2010making was described through interrelated antecedents, attributes, and outcomes. Individual factors and professionalism were important antecedents, but engagement was strongly shaped by contextual conditions, including organisational support, opportunities for collaboration, and access to policy spaces. The findings suggest that policy participation is relational and depends on the ability to translate nursing expertise into policy\u2010relevant messages. Engagement was associated with enhanced advocacy, exposure to positive role models, and education and information seeking, which may reinforce further participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Practice<\/jats:title>\n                    <jats:p>Nursing organisations, educators, and leaders should strengthen policy and advocacy education, mentorship, leadership development, and opportunities for nurses to participate in policy\u2010related activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Health Policy<\/jats:title>\n                    <jats:p>Health systems should create organisational mechanisms that provide protected time, formal recognition, and access to policy forums, enabling nurses to contribute more effectively to policy decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.70208","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T08:51:43Z","timestamp":1784105503000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nurses\u2019 Engagement in Healthcare Policy\u2010Making: A Pragmatic Utility\u2013Based Scoping Review"],"prefix":"10.1111","volume":"73","author":[{"given":"Beatrice","family":"Albanesi","sequence":"first","affiliation":[{"name":"Department of Sciences of Public Health and Paediatrics University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Casciaro","sequence":"additional","affiliation":[{"name":"Department of Sciences of Public Health and Paediatrics University of Turin  Turin Italy"},{"name":"Department of Biomedicine and Prevention University of Rome Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Casabona","sequence":"additional","affiliation":[{"name":"Department of Sciences of Public Health and Paediatrics University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Clinical and Biological Sciences University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Alite\u2010Cerezuela","sequence":"additional","affiliation":[{"name":"Universitat Jaume I. Castell\u00f3n de la Plana. Spain Registered Nurse at Health Emergency Service of the Valencian Community (SESCV)  Val\u00e8ncia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Cooke","sequence":"additional","affiliation":[{"name":"Lincoln Institute for Rural and Coastal Health Research (LIRCH) College of Health and Science University of Lincoln  Lincoln UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ros","family":"Kane","sequence":"additional","affiliation":[{"name":"School of Health and Care Sciences College of Health and Science University of Lincoln  Lincoln UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikoletta","family":"Karavani","sequence":"additional","affiliation":[{"name":"Nursing Department National and Kapodistrian University of Athens  Alicante Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venetia\u2010Sofia","family":"Velonaki","sequence":"additional","affiliation":[{"name":"Nursing Department National and Kapodistrian University of Athens  Alicante Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flores","family":"Vizcaya","sequence":"additional","affiliation":[{"name":"Department of Nursing Clinical Nursing Research Group University of Alicante  Alicante Spain"},{"name":"ISABIAL (Institute for Health and Biomedical Research of Alicante) Dr. Balmis University General Hospital  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adelaida","family":"Zabalegui","sequence":"additional","affiliation":[{"name":"Barcelona University and Vice\u2010Director, Hospital Cl\u00ednic of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Sammut","sequence":"additional","affiliation":[{"name":"Department of Nursing Faculty of Health Sciences University of Malta  Msida Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Clari","sequence":"additional","affiliation":[{"name":"Department of Sciences of Public Health and Paediatrics University of Turin  Turin Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12249"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.XEB.0000511611.39756.62"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/15271544211020999"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3912\/OJIN.Vol24No02PPT63"},{"key":"e_1_2_11_6_1","volume-title":"Nursing's Social Policy Statement: Understanding the Profession From Social Contract to Social Covenant","author":"American Nurses Association","year":"2015"},{"key":"e_1_2_11_7_1","volume-title":"Code of Ethics for Nurses With Interpretive Statements","author":"American Nurses Association","year":"2025"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12514"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2016.1221323"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2019.28.8.496"},{"issue":"3","key":"e_1_2_11_11_1","first-page":"315","article-title":"Nurses' Policy Influence: A Concept Analysis","volume":"19","author":"Arabi A.","year":"2014","journal-title":"Iranian Journal of Nursing and Midwifery Research"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12780"},{"key":"e_1_2_11_13_1","volume-title":"Political Advocacy: Beliefs and Practices of Registered Nurses [Master's thesis","author":"Avolio C. 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