Purpose: The purpose of this article is to interrogate the nursing leadership in health planning and resource allocation decisions with a specific focus on HIV and AIDS.
Methodology: A case study research method was utilized. A total of 11 organizations agreed to participate in the study and a sample of 19 study participants was purposively selected from these organizations. Inclusion criteria: (a) persons in senior management in government, private sector and nongovernmental organizations; (b) experience in health care policy or delivery; and (c) had been with the organization for at two years.
Results: The policy process was affected by three major factors: inadequate and/or poor planning, poor implementation of HIV/AIDS policy and contextual factors (historical, socio-cultural and psychological) which include lack of and/or inadequate resources.
Conclusion: The findings suggest a refocus in nursing research to expand a knowledge base on health policy and its impact on quality patient care. The lack of and/or exclusion of nurses in the policy process has implications for policy implementation.
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