Kheizaran Miri - Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
Eesa mohamadi - Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Zohreh Vanaki - Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Seyyed Reza Mazloum - Department of Medical, Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Background: Nursing organizations are an essential part of the nursing profession. The main mission of nursing organizations is to establish new nursing roles based on changes in societal needs. This study conducted a situational analysis of the nursing organizations' life cycle and their effects on nursing role development in Iran. Methods: This study used a grounded theory methodology called situational analysis based on the Clack framework (۲۰۱۸). The sources of data collection included interviews, analysis of documents at Dr Madah Association and the National Library of Iran, statistics, government documents, international reports, and historical articles about nursing organizations, as well as reports on the role of licensed practical nurses (LPNs) and registered nurses (RNs). Data were collected through semi-structured and in-depth interviews with ۳۳ nurses. Interviews continued until data saturation was reached. Results: Researchers identified ۷ trends that reflect the evolution of nursing organizations and the health care system, as well as the factors that influenced the development of nursing roles. The ۷-step trends were marked with letters A to G. Each letter indicated a map of concepts related to the role of nursing. Conclusion: The process of developing the role of nurses in Iran, at the senior management level, struggles with the unbalanced distribution of budget in the health system. Therefore, nursing leaders need to foster their interaction and diplomacy to be able to strike a balance between the micro, middle, and macrostructures of nursing.

Nursing, Organizations, Role development, Life cycle