Political competence and evidence-informed policy engagement among nurses and nursing students in croatia: a cross-sectional study
File(s)nursrep-3979603-accepted.docx (124.1 KB)
Accepted version
Author(s)
Brešić, Nikolina
Car, Mate
Type
Journal Article
Abstract
Background: Nurses have unique insights into health systems yet remain underrepre-sented in policy processes. Strengthening political competence is widely regarded as important for evidence-informed nursing leadership. Objectives: To assess self-perceived political competence and policy participation among nurses and nursing students in Croatia. Methods: We conducted a cross-sectional online survey using open, non-probability recruitment. Of 447 individuals who opened the survey link, 440 pro-vided responses and 390 completed all 19 competence items measuring political com-petence across three domains (attitudes, knowledge/evidence, and skills). Open re-cruitment precluded calculation of a conventional response rate. A 19-item self-report questionnaire adapted and translated from Cervera-Gasch et al. (2022) measured polit-ical competence across three domains (attitudes, knowledge/evidence and skills); in-ternal consistency was α = 0.91, although the Croatian version has not been fully vali-dated. Data were analyzed using descriptive statistics, binomial tests and ordinal lo-gistic regression on the complete-case sample. Results: Most respondents endorsed nurses’ policy involvement, the importance of scientific evidence and nursing’s holistic perspective. Conclusions: Nurses and nursing students reported strong conceptual support for a policy role but only moderate confidence in influencing policy. These cross-sectional findings highlight a gap between conceptual support and personal con-fidence that may be addressable through structured educational and institutional sup-port; the impact of such initiatives on policy influence should be examined in future longitudinal or interventional studies.
Date Acceptance
2025-12-11
Citation
Nursing Reports
ISSN
2039-4403
Publisher
MDPI AG
Journal / Book Title
Nursing Reports
Copyright Statement
Copyright This paper is embargoed until publication. Once published the Version of Record (VoR) will be available on immediate open access.
License URL
Subjects
Croatia
Empowerment
evidence-informed policy
health policy engagement
nurse education
nursing leadership
political competence
Publication Status
Accepted