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ARNBC AGMJune 26, 2013

Nurses as Global CitizensReflections on the 2015 International Nurses Council

Conference and Global Nursing Opportunities

September 22, 2015Julie Fraser, RN, MN & Dr. Karima Velji, RN, PhD, CHE

Learning Objectives

At the end of this webinar, participants will be able to:1. Describe what it means to be a 'global citizen' in the context of nursing.2. List 2-3 cross-cultural health and/or nursing issues that will require

global cooperation to resolve.3. Describe the relationships between the Association of Registered

Nurses of BC (ARNBC), the Canadian Nurses Association (CNA) and the International Council of Nursing (ICN).

4. Describe several ways nurses can prepare themselves to work in global health.

• 7000 nurses attended the conference from 150 countries representing the 16 million nurses around the world

• Aim of the conference was for nurses to explore the importance of a cross-cultural understanding and global cooperation in nursing and build relationships and to disseminate nursing knowledge and leadership across specialties, cultures and countries

International Council of Nurses

The International Council of Nurses (ICN) is a federation of more than 130 national nurses associations representing the millions of nurses worldwide. Operated by nurses and leading nursing internationally, ICN works to ensure quality nursing care for all and sound health policies globally.

Global Citizen, Global Nursing

Understanding how we now live in an connected global society. We are connected by:

EnvironmentCommunicable diseases

Global travelInternet/Social Media

Marketing

There is an integrated impact on of health on global economy and civil society.

Sustainable Development Goals

1. End poverty in all its forms everywhere

2. Ensure health lives and promote well being for all at all ages

3. Promote sustained, inclusive and sustainable economic grow, full and productive employment and decent work for all

United Nations, 2015

End poverty in all its forms everywhere

Wealth Disparity is the most extreme in 50 years• 85 people hold the same wealth as 3.5 billion people• 70% of the poor globally live in middle-income countries

Sub-Goals:• End extreme poverty (living on

less than 1.25 a day by 2030) • Reduce poverty (national

definition) by half by 2030)

Ensure healthy lives and promote well being for all at all ages

Limited Health Care Access• 1 billion individuals do not have

access to health care

• 2.4 billion have restricted access

• 40-60% of a countries budget is required to provide universal health care

Sub-Goals:• Ensure universal health coverage

…access to quality essential health care services and access to safe effective quality and affordable essential medicines and vaccines for all

Ensure healthy lives and promote well being for all at all ages

Health Trends• 35 million individuals living with HIV • 15 countries make up 75% of HIV cases• Rise of non-communicable diseases in developed

countries in cancelling out their socio – economic advantages

• Infant and maternal mortality• Access to skill personal for births:

50% in African regions as compared to 90% in North America

Sub-Goals:• By 2030 end the

epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-born diseases and other communicable diseases.

Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all

Nursing Issues• Short 8 million nurses world wide• Limited role of nurses in policy making• 3 HHR issues – availability, distribution and

performance • Disparity on nurse to patient ratios – 7

nurses to 10, 00 compared to 1 per 110,000

Sub-Goals:• substantially increase health

financing and the recruitment , development, training and retention of the health workforce in developing countries, especially in lease developed countries and small island developing states

International Connections

ICN

ARNBC

CNA

Global Citizenship

“The world faces global challenges, which require global solutions. These interconnected global challenges call for far-reaching changes in how we think and act for the dignity of fellow human beings.”

“Technological solutions, political regulation or financial instruments alone cannot achieve sustainable development. It requires transforming the way people think and act.”Source: Priority #3: Foster Global Citizenship

HHR Planning Globally• Follows on policy discussion held at June ICN that was supported by CNA• Advisory Committee established who's tag line is NO HEALTH without a

workforce: NO WORKFORCE without nurses and midwives• 7 countries leading the work, Canada is one of 7• Sandra Macdonald-Renz, former senior Nurse at Health Canada is

supporting this work, CNA is providing in kind support• purpose of the work is to build concensus and provide advice and input to

the upcoming WHO HHR Global Strategy 2030 and to the WHA discussions on HHR policy issues

CNA as a global citizen

• Refugee health

• Harmful practices

• Universal access to determinants of health

• Universal access to health human resources

Theory to Action

UNLEASH THE POWER OF 16M NURSES FOR HEALTH• Advocacy to action• Expand scope of practice • Lead always

Tools and LinksARNBC Blog – Lessons from Guatemala and Verna Huffman Splane:http://www.arnbc.ca/blog/?s=global&submit.x=5&submit.y=6

Canadian Nurses Association: http://www.cna-aiic.ca/en/download-buy/global-health-issues

International Council of Nurses: http://www.icn.ch/events/icn-conference-2015-speakers-presentations/

World Health Organization:www.who.inthttp://www.who.int/topics/disasters/en/http://www.who.int/hrh/nursing_midwifery/internships/en/

United Nations:http://www.un.org/

Doctors without Boarders: http://www.doctorswithoutborders.org/work-us/work-field/who-we-need/registered-nurses-nurse-practitioners

Questions

ReferencesCanadian Nurses Association

http://www.cna-aiic.ca/en/international-work

International Council of Nurses http://www.icn.ch/who-we-are/who-we-are/

United Nationshttps://sustainabledevelopment.un.org/post2015/transformingourworld

World Health Organization http://www.who.int/mediacentre/factsheets/fs290/en/#