{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:57:07Z","timestamp":1791565027613,"version":"4.3.4"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine documented occupation-related constraints in relation to health-system functioning through comparative document analysis and to explore potential implications for nursing practice in conflict-affected settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comparative qualitative case study of Gaza and the West Bank examined documentary accounts of health-system constraints during 2015\u20132023. An earlier manuscript version reported an analytical corpus of 347 documents; the original source inventory and records needed to verify that count are no longer available. Documents were interpreted through a hybrid deductive\u2013inductive thematic approach and mechanism-oriented comparison. The analysis did not use formal causal process tracing or directly measure nursing practice or patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cited documentary accounts describe healthcare-access barriers, resource limitations, reported service interruptions, and constraints affecting health personnel across the two settings. These observations inform hypothesized pathways relevant to nursing practice and patient care, neither of which was directly measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The documentary analysis identifies recurring patterns of health-system constraints that appear to be associated with disruptions in health-system functioning in the two examined settings. Health sovereignty and the proposed dual-model framework are conceptual interpretations requiring further empirical examination. The implications proposed for nursing practice and patient outcomes were not directly tested.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261496447","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:44:18Z","timestamp":1791402258000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Sovereignty Under Occupation: A Comparative Analysis of Health System Constraints and Their Implications for Nursing Practice in Conflict Settings"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0560-9327","authenticated-orcid":false,"given":"Mustafa","family":"Shouli","sequence":"first","affiliation":[{"name":"Nablus University for Vocational and Technical Education"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195311181.001.0001"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S026021051400031X"},{"key":"e_1_3_7_4_2","volume-title":"Right to Health: Barriers to Health and Attacks on Health Care in the Occupied Palestinian Territory, 2019 to 2021: Report 2022","author":"World Health Organization","year":"2023","unstructured":"World Health Organization. Right to Health: Barriers to Health and Attacks on Health Care in the Occupied Palestinian Territory, 2019 to 2021: Report 2022. WHO Regional Office for the Eastern Mediterranean; 2023. https:\/\/www.emro.who.int\/opt\/information-resources\/right-to-health.html."},{"key":"e_1_3_7_5_2","volume-title":"Pathologies of Power: Health, Human Rights, and the New War on the Poor","author":"Farmer P","year":"2003","unstructured":"Farmer P. Pathologies of Power: Health, Human Rights, and the New War on the Poor. University of California Press; 2003."},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195383874.001.0001"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/002234336900600301"},{"key":"e_1_3_7_8_2","volume-title":"The History of Sexuality, Volume I: An Introduction","author":"Foucault M","year":"1978","unstructured":"Foucault M. The History of Sexuality, Volume I: An Introduction. Pantheon Books; 1978."},{"key":"e_1_3_7_9_2","volume-title":"The Least of All Possible Evils: Humanitarian Violence from Arendt to Gaza","author":"Weizman E","year":"2012","unstructured":"Weizman E. The Least of All Possible Evils: Humanitarian Violence from Arendt to Gaza. Verso; 2012."},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1515\/9780804764025"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1515\/9781400823260"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.anthro.35.081705.123317"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781316257289"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/gove.12035"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30741-9"},{"key":"e_1_3_7_16_2","volume-title":"Qualitative Inquiry and Research Design: Choosing Among Five Approaches","author":"Creswell JW","year":"2017","unstructured":"Creswell JW, Poth CN. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 4th ed. Sage; 2017.","edition":"4"},{"key":"e_1_3_7_17_2","volume-title":"Qualitative Data Analysis: A Methods Sourcebook","author":"Miles MB","year":"2014","unstructured":"Miles MB, Huberman AM, Salda\u00f1a J. Qualitative Data Analysis: A Methods Sourcebook. Sage; 2014."},{"key":"e_1_3_7_18_2","volume-title":"Safeguarding Health in Conflict Coalition, Insecurity Insight. Critical Condition: Violence Against Health Care in Conflict 2023","year":"2024","unstructured":"Safeguarding Health in Conflict Coalition, Insecurity Insight. Critical Condition: Violence Against Health Care in Conflict 2023. Safeguarding Health in Conflict Coalition; 2024. https:\/\/shcc.pub\/2023CriticalCondition"},{"key":"e_1_3_7_19_2","article-title":"Mobile clinics: funding for delivering basic health care to vulnerable communities in West Bank drying up","author":"United Nations Office for the Coordination of Humanitarian Affairs","year":"2020","unstructured":"United Nations Office for the Coordination of Humanitarian Affairs. Mobile clinics: funding for delivering basic health care to vulnerable communities in West Bank drying up. The Humanitarian Bulletin. 2020. Published February 14. https:\/\/www.ochaopt.org\/content\/mobile-clinics-funding-delivering-basic-health-care-vulnerable-communities-west-bank-drying.","journal-title":"The Humanitarian Bulletin"},{"key":"e_1_3_7_20_2","volume-title":"Ethnocracy: Land and Identity Politics in Israel\/Palestine","author":"Yiftachel O","year":"2006","unstructured":"Yiftachel O. Ethnocracy: Land and Identity Politics in Israel\/Palestine. University of Pennsylvania Press; 2006."},{"key":"e_1_3_7_21_2","volume-title":"Economic Monitoring Report to the Ad Hoc Liaison Committee\u2014May 2022","author":"World Bank","year":"2022","unstructured":"World Bank. Economic Monitoring Report to the Ad Hoc Liaison Committee\u2014May 2022. World Bank; 2022. https:\/\/www.worldbank.org\/en\/country\/westbankandgaza\/publication\/economic-monitoring-report-to-the-ad-hoc-liaison-committee-may-2022."},{"key":"e_1_3_7_22_2","article-title":"Over 700 road obstacles control Palestinian movement within the West Bank","volume":"8","author":"United Nations Office for the Coordination of Humanitarian Affairs","year":"2018","unstructured":"United Nations Office for the Coordination of Humanitarian Affairs. Over 700 road obstacles control Palestinian movement within the West Bank. OCHA oPt; October. 2018;8. https:\/\/www.ochaopt.org\/content\/over-700-road-obstacles-control-palestinian-movement-within-west-bank.","journal-title":"OCHA oPt; October"},{"key":"e_1_3_7_23_2","volume-title":"Hollow Land: Israel\u2019s Architecture of Occupation","author":"Weizman E","year":"2007","unstructured":"Weizman E. Hollow Land: Israel\u2019s Architecture of Occupation. Verso; 2007."},{"key":"e_1_3_7_24_2","volume-title":"Social Science Concepts and Measurement: New and Completely Revised Edition","author":"Goertz G","year":"2020","unstructured":"Goertz G. Social Science Concepts and Measurement: New and Completely Revised Edition. Princeton University Press; 2020."}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261496447","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319261496447","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261496447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:29:46Z","timestamp":1791563386000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319261496447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":23,"alternative-id":["10.1177\/21501319261496447"],"URL":"https:\/\/doi.org\/10.1177\/21501319261496447","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"21501319261496447"}}