Category Archives: Policy

Updates on Nursing Associations 2022

Posted on by
Parksville, BC – June 2022

I’m writing this update at the end of June in advance of our summer break in Canada. World events in the first half of 2022 have left us shaken and concerned about the future as we grapple with climate issues, global conflicts, food security, and population health. As I follow the daily news, I also turn my attention to developments in nursing and look for statements and opportunities for advocacy.

ICN Updates

The 75th World Health Assembly took place in May. It was interesting to follow on social media as it generated considerable attention this year. The International Council of Nurses (ICN) was active in presenting ‘Interventions’ on specific resolutions. See ICN’s summary here.

ICN along with the International Confederation of Midwives and the WHO met for their 9th Triad meeting in May. The representatives issued the 2022 Triad Statement focusing on health care workforce issues and reporting on what countries are doing in response to the Global Strategic Directions for Nursing and Midwifery 2021-2025. Howard Catton, ICN CEO, has been interviewed by many news media this year speaking about the war in Ukraine and related humanitarian crises and on the scale of the nursing shortfall globally.

Annual Meetings

The Canadian Nurses Association (CNA) and the Association of Nurses and Nurse Practitioners of BC (NNPBC) held their annual meetings in June. Both were open to all members and observers in a virtual format. The CNA Meeting of Members was noteworthy because it marked the first time that individual members could vote to elect candidates for the Board of Directors and vote on AGM motions. The previous federation model of territorial and provincial member associations carrying votes has ended. As a member who is following these changes, it will be interesting to see how the new membership structure will work and how the new Board will communicate with members throughout the country.  

After both meetings, I was left somewhat disappointed that there wasn’t more substance presented on what our associations are doing to demonstrate leadership during the current health care staffing crisis and other major issues in 2022 (I receive newsletters and view social media updates but others may not). I do recognize that annual meetings present highlights and financial statements on the previous year and are always six months out of date for the current year’s activities. It makes me wonder if members would be interested in (and commit to attending) an organizational update given in the autumn each year. We could meet the new Board members, hear their priorities for the current year, and ask questions – all through a virtual format, and in a less formal manner than at an annual meeting.

Annual meetings and major events aside, I do appreciate the ongoing work of our professional associations at all levels to bring a nursing perspective to provincial, national, and global health challenges and policy change.

By Nora Whyte – June 27, 2022

I acknowledge with respect that I live on the Unceded traditional territory of the K’òmoks First Nation.

Save the date for July 2023!

Public Health and Climate Change

Posted on by

The COP26 conference opens in Glasgow on October 31, 2021 and is generating considerable interest in the weeks leading up to the event. Officially known as the 2021 United Nations Climate Change Conference, it is the 26th UN Climate Change conference. As explained on the COP26 website, “COP stands for Conference of the Parties – the signatories of the United Nations Framework Convention on Climate Change (UNFCCC) – a treaty agreed in 1994 which has 197 Parties (196 countries and the EU).”

Telegraph Cove, Vancouver Island, BC – August 2021

It is heartening to see the growing public awareness of climate change impacts and the sense of urgency being expressed this year. Leading health organizations have formed coalitions to advocate for climate action. A recent open letter – Healthy Climate Prescription – issued by the Global Climate and Health Alliance (a coalition of organizations representing 45 million health professionals) is a good example of this important collaboration. Describing the climate crisis as “the single biggest health threat facing humanity” the authors of the letter call on world leaders to deliver on climate action. Among the key demands listed are: “a rapid and just transition away from fossil fuels; for high income countries to provide the promised transfer of climate funds; and for pandemic recovery investments to support climate action and reduce social and health inequities.” Likewise, leading international health journals have published a strong editorial that appeared in multiple journals in September with a vital message: “Reflecting the severity of the moment, this editorial appears in health journals across the world. We are united in recognising that only fundamental and equitable changes to societies will reverse our current trajectory.”  

The annual Lancet Countdown: Tracking Progress on Health and Climate Change report was released on October 21, 2021. Key findings are presented in five domains: 1) climate change impacts, exposures, and vulnerabilities; 2) adaptation, planning, and resilience for health; 3) mitigation actions and health co-benefits; 4) economics and finance; and 5) public and political engagement. Indicators are provided under each of the domains to give a quick view of changes since the previous report. 

In Canada, the Canadian Association of Nurses for the Environment (CANE-AIIE) has been active since 2009. Their website features articles, presentations, and campaigns. CANE was among the Canadian signatories to the Healthy Climate Prescription letter, along with the Canadian Nurses Association, Canadian Medical Association, Canadian Public Health Association, and other organizations. I found CANE’s definition of planetary health quite helpful in thinking about the health of populations and the natural world:

Planetary health is a recognition of the fact that human health depends on healthy natural environments/ecosystems, and moreover, that we as a civilization find ourselves at a tipping point. We have depended on our natural systems to promote human health to the point where the human population is healthier than ever before, but to achieve this, we have exploited the planet at an unprecedented rate. If we want to continue to safeguard human health, we also need to maintain the health of the planet and its natural systems on which we depend (CANE website, n.d.).

Nurses are being called upon to use our individual and collective influence. Writing in the International Nursing Review, Dr. Pamela Mitchell (2021) offers a thoughtful piece on Nursing’s mandate in climate change. She notes that nurses have written about climate change in the context of the UN Sustainable Development Goals, and now urges collective advocacy to move our focus to climate justice and equity.

Dr. Sally Thorne’s recent editorial in Nursing Inquiry, Awakening to the climate emergency, is a fitting reminder to nurses to pay attention to planetary health. As Editor-in Chief, she anticipates an increase in manuscripts on “a nursing response to the climate crisis” as we take up a shared goal (Thorne, 2021).

I believe that events of recent years are awakening us to the urgency to act as part of our organizations, coalitions, and nations in the quest for climate justice.

Post COP26 Update: The Global Climate and Health Alliance provided an assessment of what was achieved and what work remains. There is positive news in COP26’s Glasgow Climate Pact “that re-commits governments to limiting temperature rise to 1.5C, in line with the most recent science” with concern about the lack of substance in the countries’ commitments. Read more in the media release from Glasgow dated November 13, 2021.

The International Council of Nurses issued a strong statement on the final day of COP26: “ICN is calling for nurses and other healthcare workers to be included at the centre of climate change policymaking, underscoring that climate change is a health issue. As COP26 closes and leaders look ahead to COP27 next year, ICN says it is more important than ever that the voice of health professionals is heard on the climate change debate because if nothing changes nurses and health systems will suffer the consequences.” See full media release (November 12, 2021).

By Nora Whyte – October 24, 2021 (Updated November 22, 2021)

I acknowledge with respect that I live on the Unceded traditional territory of the K’òmoks First Nation.

References:

Mitchell, P.H. (2021). Nursing’s mandate in climate change. International NursingReview, 68, 279– 280. https://doi.org/10.1111/inr.12704

Thorne, S. (2021). Awakening to the climate emergency. Nursing Inquiry, 28: e12459. https://doi.org/10.1111/nin.12459

The Privilege of Membership

Posted on by

This is the time of year when membership fees are due and the reminders start rolling in. It is a time when I consider whether or not to renew my membership in various organizations and what commitments I’ll make in the year ahead. In particular at the start of 2021, I have been thinking about the privilege of membership in the Canadian Nurses Association.

As noted on its website, the Canadian Nurses Association (CNA) is “the national and global voice of Canadian nursing, working with nurses in all 13 jurisdictions across Canada to bring essential and meaningful change to health care and nursing in the country.” Membership is open to all regulated nurses who may join as individuals or through their membership in provincial and territorial associations in jurisdictions that are CNA members. Major changes in jurisdictional nursing organizations across Canada will continue to have an impact on national membership. For the first time, I will be taking out an individual membership because the annual membership fee in my provincial association, the Nurses and Nurse Practitioners of British Columbia (NNPBC), no longer includes CNA membership. I remain supportive of NNPBC and CNA and hope that we’ll see new membership models and fee structures in the coming years. Membership in CNA is a vital link to our dynamic global nursing body, the International Council of Nurses.

During the summer and fall of 2020, CNA conducted a member survey to build on dialogue and engagement sessions conducted in 2019 & 2020. For a good overview of survey results, see Your Voice, Your Association.  

Survey respondents viewed CNA in a favourable way with 81% noting that a national professional association is essential.  Communication is key to engagement and three preferred methods are: direct email, social media & webinars. Ideas for building a strong and effective association include:

  • Engage with membership on a grassroots level
  • Offer more mental health resources
  • Offer more continuing education opportunities
  • Forge strong partnerships with provincial and territorial associations

Highlights of the past year – shaped so dramatically and sadly by the pandemic – were linked to my longtime interest in professional associations and their role in policy advocacy clearly in evidence during 2020. It was satisfying to be a co-author with stellar colleagues, Patrick Chiu and Susan Duncan, on an article published in the Canadian Journal of Nursing Research:  

Charting a Research Agenda for the Advancement of Nursing Organizations’ Influence on Health Systems and Policy – Patrick Chiu, Susan Duncan, Nora Whyte, 2020 (sagepub.com)

In our abstract we indicate how we drew on “recent key national and global events including our systematic inquiry into Canada’s 2019 federal election, the Year of the Nurse and Midwife, and the Coronavirus pandemic to examine how Canadian nursing organizations respond in highly complex and evolving contexts.” Further, we used our observations to offer a vision and chart a research agenda for the advancement of nursing organizations’ influence on health systems and policy.

Another highlight that took place at the end of 2020 was receiving a Lifetime Achievement Award from NNPBC at a wonderful virtual 2020 Nursing Awards of Excellence Ceremony featuring music, dance, videos, and special messages from CNA and others. It was an emotional and proud moment to be among the group of BC nurses recognized for contributions to the profession in our province.  

Award from NNPBC – December 2020

I look forward to staying connected to nursing’s collective presence and voice provincially, nationally, and globally in 2021.

By Nora Whyte – January 19, 2021

I acknowledge with respect that I live on the Unceded traditional territory of the K’òmoks First Nation.

Postscript: February 21, 2021

For nurses from BC, the process of membership renewal in CNA was delayed at the start of this year. I was unable to renew in January as planned. Glad to see that the membership portal is working now and that we can renew or rejoin as BC registrants or retired members. Annual membership gives us access to the Canadian Nurse and opportunities to participate in our national association and the ICN. In fact, to submit an abstract (as first author) for the ICN Congress in November, one must belong to a National Nursing Association. I’m thankful that CNA is a member of ICN and that’s one of my primary reasons for renewing my CNA membership.

Nursing the World to Health

Posted on by

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

Posted on by

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