Nursing the World to Health

I am writing this post as National Nursing Week in Canada draws to a close. It has been a strange time of celebration mixed with sadness at the losses experienced globally and the ongoing concern about the health of populations and the long road to recovery.

During this Nursing Week, I found that our Canadian nursing leaders reflected what many of us have been thinking about our profession during the time of COVID. I greatly appreciated reading CNA President Claire Betker’s editorial in the Canadian Nurse: On the importance of nurses in 2020. Claire highlighted the opportunity to raise the profile of the profession during the International Year of the Nurse and the Midwife and demonstrated the many ways in which Canadian nurses have made an impact.

International Nurses Day was celebrated globally on May 12, the 200th anniversary of Florence Nightingale’s birth. This year’s theme, Nurses: A Voice to Lead – Nursing the World to Health captured both the spirit and the urgency of nursing’s vital global role. The International Council of Nurses provided excellent resources on its International Nurses Day site and was highly visible in media interviews and in generating social media energy. ICN’s CEO Howard Catton tweeted: “Let our celebrations be a clarion call for real commitments to actions and investments to support nurses to do the work that the world desperately needs them to do.” Annette Kennedy, ICN President, expressed her appreciation to the global nursing community and held a great video conversation with Dr. Tedros on May 12. It’s worth viewing and reflecting on their messages!

This week also provided opportunities to profile the State of the World’s Nursing 2020 Report, released in April 2020 and now gaining attention. This landmark publication has highlighted the urgent need for acceleration of nursing education, job creation and leadership. The report’s call to strengthen nursing leadership is “to ensure that nurses have an influential role in health policy formulation and decision-making, and contribute to the effectiveness of health and social care systems” (WHO, 2020).

Nursing Week 2020 has played out in a vastly different way than anticipated; however, there is no doubt that the theme of “Nursing the World to Health” is more important than ever as we face the remainder of 2020 using a professional, powerful and collective voice to lead.

By Nora Whyte – May 15, 2020

Nursing Now: Ready for 2020

Nursing Now launched in 2018 as a global collaboration among the Burdett Trust for Nursing, the International Council of Nurses (ICN) and the World Health Organization (WHO). I have been following developments and have used this Blog to share highlights and links to updates from time to time.

On the cusp of 2020, Nursing Now is perfectly positioned to play a leadership role during the 2020 Year of the Nurse and the Midwife. Events and celebrations are planned throughout the year. In their most recent update (November 2019), the Nursing Now campaign team stated: “During 2020, we are united in our ambition to propel nursing and midwifery into the spotlight and onto the agenda of governments, with the ultimate goal of improving health globally.”

As Nursing Now has gained momentum, I have been pleased to note the connection to the Sustainable Development Goals (SDGs). There’s increasing recognition that nurses and midwives are contributing to the SDGs and are absolutely vital to delivering Universal Health Coverage by 2030.

A new aspect of Nursing Now announced during the ICN Congress in Singapore in June is the Nightingale Challenge currently being promoted as a key leadership development strategy for 2020 and beyond:

The Challenge is asking every health employer around the world to provide leadership and development training for a group of their young nurses and midwives during 2020, the Year of the Nurse and the Midwife, to support them as practitioners, and enhance their skills as advocates and leaders in health.

Nursing Now Canada launched in 2019 with plans for national initiatives in three ‘pillars’ as outlined in its June 3, 2019 media release:

  • Nursing Leadership pillar – to establish a hub to educate, empower and support regulated nurses to lead, advocate, innovate, influence public policy and create sustainable change in health.
  • Chief Nursing Officer pillar – to establish federal, provincial and territorial chief nursing officers in leadership positions within ministries of health.
  • Indigenous pillar – to support nurses and midwives in providing culturally safe care and to strengthen the power of Indigenous nurses.

The Canadian Nurses Association is the official link for Canadian nurses to the global Nursing Now campaign and is carrying out this three-point action plan in partnership with the Canadian Indigenous Nurses Association and Indigenous Services Canada.

From here at home to events on the world stage, communities of nurses and midwives will be joining their colleagues and supporters in celebrating the Year of the Nurse and the Midwife in 2020.

Update November 23, 2019

It was a delight to read an editorial published in The Lancet today (Volume 394) entitled 2020: unleashing the full potential of nursing and drawing attention to Nursing Now and the Nightingale Challenge. The editorial makes the case for enhancing nursing to enhance health and looks to the opportunity of 2020 “to showcase the evidence and impact of what nurses and midwives do, and to ensure that they are enabled, resources and supported to meet the world’s health needs.” Thanks to The Lancet for this timely editorial and the social media interest it is generating.

By Nora Whyte – November 21, 2019


Summer 2019 Reflections

The highlight of this summer was the opportunity to be part of a global gathering of 5,300 nurses at the International Council of Nurses Congress in Singapore from June 27 to July 1. Hosted by the Singapore Nurses Association, it was truly a banner event: well-organized in every aspect and with a warm welcome from local volunteers as delegates arrived each day.

Welcome from Singapore Nurses Association at Opening Ceremony.
Photo Credit: ICN

Susan Duncan and I have written a summary of our experiences in a post on the University of Victoria School of Nursing Blog: ICN Singapore Congress – Reflections for Canadian Nursing: Onward to 2020.

We describe recent ICN initiatives including the partnership with Nursing Now and the exciting launch of the Nightingale Challenge. We reflect on the dynamic presence of the World Health Organization throughout the Congress and the increasing recognition of the vital role of nurses in achieving the WHO goal of Universal Health Coverage. The designation by WHO of 2020 as the Year of the Nurse and the Midwife presents a great opportunity for participation in decision-making bodies and in events including the World Health Assembly next year.

ICN President Annette Kennedy.
Photo credit: ICN

Other highlights included meeting delegates from many countries during receptions, lunches, poster sessions and policy cafés.  We reconnected with colleagues from our national organizations and enjoyed encounters with Canadian students and early career nurses.

Canadian Nurses Association President Claire Betker

For further details on the 2019 Congress and to view presentation slides, photos and speaker profiles, see the archives here.

Onward to 2020!

Trinidad & Tobago Registered Nurses Association.
Photo credit: ICN

Posted by Nora Whyte – August 25, 2019

ICN Congress: Beyond Healthcare to Health

Courtesy of ICN

The International Council of Nurses 2019 Congress is set to begin on June 27 in Singapore. It promises to be a banner event with a strong focus on global health and nursing issues. I am looking forward to attending once again and to stimulating sessions on universal health coverage, primary health care and other policy topics.  

In particular I will be interested in an update on the Nursing Now campaign, launched in 2018 and growing into a social movement to advance nursing and midwifery in many countries. There will be updates on ICN’s recent initiatives and networking opportunities for participants as well as exhibits and poster sessions. Susan Duncan and I are presenting a poster, Launching a Global Inquiry into Nursing Organizations’ Points of Policy Influence: Key Questions. We intend to connect with nurses in other countries to learn about their strategies to influence health and public policy issues and to determine interest in ongoing collaboration. We will write an ICN summary report when we return to Canada.

Posted by Nora Whyte – June 18, 2019


International Council of Nurses 2019: Congress and Policy Advocacy

ICN Congress 2019 Singapore: ‘Beyond Healthcare to Health’

In my October 2018 post, I wrote about plans for the next ICN Congress taking place in Singapore from June 27 to July 1, 2019. The impressive lineup of keynote speakers has been announced this week: presentation topics include primary health care, health economics, nursing workforce, patient perspectives, migration issues and the future of nursing regulation. Also available on the conference website are the preliminary schedule, notice of special events and registration information.

Policy Advocacy

At the start of 2019, ICN continues its global policy advocacy through participation in the World Health Organization’s Executive Board convening in Geneva this month. Policy briefs focus on primary health care as the path to universal health coverage, patient safety and human resources for health. I have appreciated reading the strong statement on universal health coverage calling on “ministries of health, within their national context, to integrate PHC as the foundation of their health systems” (ICN 2019, 5.5:1). The statement on human resources for health highlights the important collaboration of WHO and ICN in the Nursing Now initiative launched in 2018:

“In partnership with ICN and WHO, the launch of Nursing Now has raised the profile of nursing and has highlighted the importance of the need for more well-educated nurses, of investing in recruitment and retention strategies and of removing the barriers to the development of advanced nursing roles that are proving highly effective at expanding healthcare coverage” (ICN 2019, 6.3: 1).

I encourage my Canadian colleagues to follow ICN and Nursing Now as this year promises to be an exciting one for nursing on the global stage.

Update January 31, 2019. During the WHO Executive Board meeting, Director General Dr. Tedros Adhanom Ghebreyesus announced the intention to declare 2020 as the Year of the Nurse and Midwife honouring the 200th birthday of Florence Nightingale and celebrating the contribution of nursing and midwifery to global health. Watch for more details as plans unfold.

By Nora Whyte – January 25, 2019

Climate Change and Health

 

Moving for Climate Change – Iberdrola members cycled from Vienna to Katowice.
Credit: Iberdrola

The 2018 UN Climate Change Conference known as COP24 wrapped up in Katowice, Poland this month amid an increasing sense of urgency about climate change and how to deal with it. The adoption of a set of operational rules will hold countries to their promises to meet the goals of the 2015 Paris Climate Agreement.

The impact of climate change on human health has become increasingly evident in recent years.  The World Health Organization prepared a special report for COP24 on Health & Climate Change. This report reiterates the value of the Paris Climate Agreement as “a global safeguard for human health” and urges action to strengthen climate resilience. Measures to mitigate climate change have potential to improve health and contribute to the Sustainable Development Goals. A section of the report focuses on health gains associated with specific mitigation actions in areas including transportation, households & buildings, agriculture and industry. Mobilizing the health sector is a sub-theme of this report: increasing engagement by the “trusted, globally connected” health community in advocacy is both necessary and viewed favourably. Further, the report asserts that governments and civil society organizations have an important opportunity to develop “green, climate-resilient health care facilities”, highlighting examples of low-carbon strategies in hospitals and health facilities (WHO 2018 pp. 42-44).

Health professionals and their organizations are demonstrating support for greater efforts at all levels. Earlier this year, the International Council of Nurses presented a statement to the 71st World Health Assembly on behalf of the World Health Professions Alliance. Entitled Health, environment and climate change, the statement expressed the commitment of its 31 million members to mitigate climate change and called on the WHO to include health professions in policy decisions on global strategies.

Other recent publications are worth reading for their focus on this important topic:

International Council of Nurses (2018) Position Statement: Nurses, climate change and health. See pp. 3-5  for ICN position and recommendations.

Lancet Countdown 2018 Report: Briefing for Canadian Policymakers published in November 2018 by the Lancet Countdown: Tracking Progress on Health and Climate change in conjunction with the Canadian Medical Association and the Canadian Public Health Association.

World Health Organization (2018). COP24 Special Report: Health and Climate Change. This link takes you to the report, press release and other supporting material.

By Nora Whyte – December 18, 2018

International Council of Nurses Update: October 2018

The next congress of the International Council of Nurses (ICN) will take place in Singapore from June 27 to July 1, 2019. Hosted by the Singapore Nurses Association, it will bring together the worldwide nursing community to explore theme Beyond Healthcare to Health through plenary presentations, concurrent sessions and networking opportunities. Details are available at the ICN Congress Site.

Since attending the previous congress in Barcelona last year, I have been following ICN’s impressive policy work and advocacy activities on important global topics including climate change and migrant health. Visit the position statements page to view and download recent statements organized by theme:

  • Nursing Roles in Health Care Services
  • Nursing Profession
  • Socio Economic Welfare of Nurses
  • Health Care Systems
  • Social Issues

ICN’s collaboration with the Nursing Now campaign, recently given a boost by the World Health Organization, points to the profession’s increased visibility and influence on the global stage. The signing of a Memorandum of Understanding at WHO Headquarters in Geneva on October 4, 2018 was an occasion to celebrate and strengthen the partnership. The MOU formalizes a new commitment to support and advance nursing in improving health globally. ICN’s dynamic social media presence and a redesigned website have also contributed to increased visibility in promoting events, new initiatives and global health campaigns.  The ICN 2019 Congress will be a perfect opportunity to engage with the Nursing Now campaign and learn about its impact.

Update October 31: ICN and Nursing Now issued a Joint Statement following the Global Conference on Primary Health Care held in Astana, Kazakhstan (Oct. 25-26). Their statement contains links to the Astana Declaration and to a Civil Society Statement, endorsed by ICN and Nursing Now, calling for strengthening political leadership to uphold the vision of health for all.

By Nora Whyte – October 31, 2018

 

Revisiting Primary Health Care in 2018

Achill Island, Mayo, Ireland

This summer began early for me with a holiday in Ireland for a wonderful family wedding in Donegal and a chance to visit the beautiful West of Ireland full of stunning scenery, quiet byways and national parks. It was a memorable time exploring the coastal countryside at a leisurely pace and enjoying Irish hospitality along the way.

International travel is a great opportunity to gain perspectives on the world and to reflect on current events in different contexts. At home in Canada, I follow developments in both national and global health policy and politics.

Global health is in the spotlight this year with the 40th anniversary of the Alma-Ata Declaration on Primary Health Care (PHC). The philosophy and approach of PHC guided governments in many countries during the past four decades. To mark this anniversary, the Global Conference on Primary Health Care will be held in Astana, Kazakhstan this October co-sponsored by the World Health Organization, UNICEF and the Government of Kazakhstan.

In revisiting PHC in the current era, the conference will make the link to the Universal Health Coverage (UHC) movement and the Sustainable Health Goals. It will be fascinating to follow the event on social media and to read the final declaration. The draft version has been circulated for comment and will undergo changes before endorsement by conference participants. I like the attention to political will, knowledge for health systems improvement, effective use of technology and greater social accountability. There is recognition of the role of youth in contributing to PHC achievement and attention to equity and determinants of health. I wonder if the notion of political will has gone far enough and how this will be handled in a high-level global assembly.

Critical perspectives are coming forward in response to the proposed declaration. The organization Women in Global Health has pointed out the declaration’s failure to note the importance of gender equality in achieving UHC and PHC. As highlighted in its statement, “effective health systems must ensure gender parity at all levels of decision making to harness women’s perspectives and talent.”

Nursing Now and the International Council of Nurses have issued a joint statement on the draft declaration. A key point is recognition of the “central role” of nurses and midwives in PHC. The joint statement concludes with a strong endorsement:

We strongly agree that political will and sustainable financial resources will be vital to delivering the ambitions of the Astana Declaration. Insufficient investment, the lack of long term planning and political commitment in health services and the workforce continues to be a major impediment to progress. We resolutely support a declaration that will deliver change and achieve UHC through PHC.

My own conclusion is that this is an exciting time for global health with renewed energy in the PHC movement and opportunities for critical commentary in the months leading up to the Global Conference on Primary Health Care. This is most definitely a time to stay tuned!

By Nora Whyte – August 2, 2018

Nursing Now: Campaign for Nursing & Global Health

Nursing Now is a three-year campaign to raise the profile of nursing globally and to enhance the profession’s contribution to people’s health and health systems. In partnership with the International Council of Nurses (ICN), the Burdett Trust in the UK, World Health Organization and others, Nursing Now has described the campaign goals to be achieved by the end of 2020:

  • Greater investment in improving education professional development, standards, regulation and employment conditions for nurses;
  • Increased and improved dissemination of effective and innovative practice in nursing;
  • Greater influence for nurses and midwives on global and national health policy;
  • More nurses in leadership positions and more opportunities for development at all levels; and
  • More evidence for policy and decision makers about where nursing can have the greatest impact, what is stopping nurses from reaching their full potential and how to address these obstacles.

The campaign launch at the end of February 2018 received an enthusiastic response as events were held in various locations and promoted widely through social media. Having first heard about early ideas for Nursing Now during the ICN Congress in Barcelona (May 2017), I have been following developments with great interest and will continue to do so during the three-year campaign. I was pleased to read an overview of the campaign in the March-April issue of the Canadian Nurse including a profile of Sarah Walji who represents young nurses on the Nursing Now campaign board.

Nursing Now will look for opportunities for policy influence through presenting ideas to special commissions and participating in global health events. An initial opportunity this year is the High-level Commission on Non-Communicable Diseases. The Nursing Now team has been seeking input from nurses in preparing a brief to showcase nursing’s role in promoting health and preventing disease.

What now? Suggestions for involvement include pledging support, joining or setting up a national group, providing case studies and contributing to social media discussions. As a first step, nurses can sign up to receive regular updates.

The campaign has great potential to raise the profile of global and national nursing organizations including the ICN and its member national associations. It will be interesting to track achievements during the next three years to observe its impact and to learn about the most effective strategies for realizing the desired changes. It will be important also to consider any issues or concerns arising from this major initiative. It may be that all the focus on nursing is viewed negatively by other professions and there could be challenges embarking on the campaign in countries where governments have limited interest in a strong health sector. It will be important in all aspects of this initiative to refrain from being inward-looking as the nursing profession increases its collective capacity and policy presence for global health.

Follow on Twitter: @NursingNow2020

Posted by Nora Whyte –  April 29, 2018

 

Human Resources for Health: Highlights from Fourth Global Forum

ForumLogo-Option3-1During the past few months I have followed several national and global conferences and events. One that caught my interest was the Fourth Global Forum on Human Resources for Health held in Dublin in November 2017. Although I could not attend in person, I did enjoy the live streaming of sessions and the social media interaction on the theme – Building the Health Workforce of the Future. The forum concluded with the Dublin Declaration on Human Resources for Health and a Youth Call for Action.

As an observer from afar it was interesting to listen to some of the plenary sessions and to learn about organizations collaborating on this strategic agenda including the Global Health Workforce Network. There is an increasing recognition of the benefits of investing in a well-educated, supported health workforce, both in terms of a nation’s economic growth and health system development.

The Youth Call for Action is noteworthy because it marked the first time that students and young health professionals have met in an organized Youth Forum attached to the Human Resources for Health Forum. Key messages from their participation in the forum include:

  • Youth are an essential agent of change in the world;
  • Youth are an asset for achieving the 2030 agenda on sustainable development;
  • A need for country-level action on decent jobs for youth in health and social sectors;
  • Create opportunities for youth to participate in global meetings; and
  • Call upon the World Health Organization to establish a WHO Hub on Youth within the Global Health Workforce Network.

The president of the International Council of Nurses, Annette Kennedy, was a speaker at the closing plenary. She pledged support from ICN for implementing the Dublin Declaration and welcomed the “collective political commitment demonstrated at the Forum.” She highlighted ICN initiatives to contribute to the Sustainable Development Goals and Universal Health Coverage – see the November 21, 2017 media release from ICN for details.

Posted by Nora Whyte – December 11, 2017.