Table 3.
A summary of the statements of the SWOT analysis based on 4 subcategories.
| Main category | ||
|---|---|---|
| Creating a transparent framework for community health nursing practice | Strengths | Weaknesses |
| Community health nurse's ability to manage and follow up on chronic patients with regard to the previous experiences of the holistic view of community health nursing | Not recruiting community health nurses for supplying community health services | |
| Opportunities | Threats | |
| Redefining the duties of comprehensive health centers in the development plan, and assigning a health care title for nurses | Considering a therapeutic role for nurses working in health sectors and health managers' unfamiliarity with nurses' capabilities in the field of health The lack of need for developing a position for community health nurses in the primary health care system from the perspective of the senior managers of the Ministry of Health |
|
| Enhancing community health nursing education and training for practice in the primary health care system and community settings | Strengths | Weaknesses |
| Thorough and comprehensive theoretical framework for the community health nursing graduate program | Deficiencies in offering practical courses in undergraduate and post-graduate community health education programs Deficiency in practical courses due to inappropriate fields Low quantity and quality of community health nursing instructors Poor community-based and community-oriented nursing education Community health nursing curriculum's not being tailored to community health needs |
|
| Opportunities | Threats | |
| Offering a previously-developed design to present post-graduate courses for nurses' employment in health centers Offering specialty training to community health nurses in undergraduate programs | Considering a therapeutic role for clinical disciplines such as nursing by the Ministry of Health | |
| Seeking Support | Strengths | Weaknesses |
| The existence of nursing boards and associations effective in seeking support | Community health nursing leaders' not taking actions to introduce this discipline and not publicizing information in this regard Lack of interactions with the policymakers of the Ministry with the aim of presenting community health nurses' capabilities Insufficient measures taken by the nursing system organization in support of community-based nursing |
|
| Opportunities | Threats | |
| The existence of a position and deputy for nursing (Nursing Deputy) | Public unawareness of community health nursing and the capabilities of community health nurses Highlighting the therapeutic role of nurses in the media |
|
| Strengthening the cooperation and engagement among key stakeholders of the primary health care system and | Strengths | Weaknesses |
| - | Separate actions taken by various departments in universities of medical sciences The lack of common courses between Health and Nursing departments in post-graduate education |
|
| Opportunities | Threats | |
| Nursing Deputy's power and capacity in establishing communication with other deputies of the Ministry, especially the Health Deputy | The lack of interdisciplinary interaction between health disciplines Tribalism in the health system |
|
| Changing the policies and structure of the health system | Strengths | Weaknesses |
| Community health nurses' interest in working in health sector | Not being motivated to work in the Family Physician Plan and health sector due to insufficient salaries and payments The lack of an effective nursing leadership across the country Nursing managers' taking no actions in order to extend the boundaries of nursing practice The shortage of nursing clinical workforce Barriers against employing nurses in the health sector Low enrollment capacity in community health post-graduate programs |
|
| Opportunities | Threats | |
| The existence of job titles for nurses and health care giver in the PHC Operational objectives of Nursing Deputy regarding holistic nursing The focus of senior managers of the health system on legalization of nursing services at the community in the form of home-care and consultation centers |
Not giving health priority over treatment in the health system and focusing on the secondary prevention Conflicts of interest with other medical disciplines The lack of power to change and modify the network system Insufficient funding and budgets for employing community health nurses |
|
| Focusing on the deficiencies of the health system | Strengths | Weaknesses |
| Better nursing responsiveness to the public's health needs Empowering nurses for the coordination of medical and care plans |
High workload of caregivers and low manpower-population ratio Routinized activities of comprehensive health centers and ignoring the personal needs of care seekers The lack of public trust in care and consultation offered by health caregivers regarding chronic diseases |
|
| Opportunities | Threats | |
| The possibility for health system policymakers to use nursing care plan at home in order to employ community health nurses | Deficiency in the service delivery system and the referral system and not covering all areas of prevention Entrusting health policymaking management to a conscripted physician who is not familiar with people in comprehensive health centers health center physicians' focusing on therapeutic measures instead of providing health promotion services Behvarzes' not addressing people's health needs |
|