Jordan Journal of Nursing Research

Paper Detail

Nurses Advancing Universal Health Coverage in Jordan: Integrating Quantitative Evidence and Qualitative Experiences from Primary Health Care Workers

Volume 5, No. 1, 2026
(Received: 2025/10/18, Accepted: 2025/11/11)

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Authors:

Zaid Al-Hamdan; Hala Bawadi; Rowaida Al-Maaitah; Ahmad Al-Nawafleh; Mohammad Al-Hamdan; Awab Al Hamdan;

Keywords:

Universal Health Coverage; Nursing Workforce; Primary Health Care; Competency; Mixed-Methods; Health System Strengthening; Jordan

Abstract:

Background:
Achieving Universal Health Coverage (UHC) depends on a competent and empowered health workforce. Nurses play a pivotal role in advancing equitable primary health care in Jordan, yet evidence on their readiness and system-level challenges remains limited.

Objectives:
To examine nurses’ competencies, knowledge, and experiences in implementing UHC within Jordan’s primary health-care system and to identify barriers and facilitators influencing their role.

Methods:
This study used a convergent parallel mixed methods design integrated findings from a quantitative cross-sectional survey of 145 nurses in governmental health centers and a qualitative inquiry involving eight in-depth interviews with nurses and midwives. Quantitative data assessed professional competencies using a validated tool, while qualitative data explored experiences and perceptions through thematic analysis.

Results:Competency scores were highest in teaching and self-development (M = 2.58, SD = 0.84) and basic care (M = 2.47, SD = 0.68), and lowest in community health management (M = 2.01, SD = 0.82). Trained nurses scored significantly higher across domains (p < 0.05). Qualitative findings revealed limited UHC awareness, institutional barriers, strong professional motivation, and practical strategies for integration.

Conclusions:
Nurses are central to UHC advancement in Jordan but require continuous education, leadership development, and supportive policy environments to translate potential into performance.

Implications for Nursing:
Integrating UHC principles into nursing curricula and professional development programs can strengthen workforce capacity, enhance equity-driven service delivery, and position nursing as a strategic force for sustainable health-system reform.