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Palliative care nurses at workshop in Romania

Nurses currently comprise 50-80% of the global healthcare workforce. The GNC believes it is imperative for the expertise of nurses to be available throughout global health forums. The participation of nurses at every level is crucial for creating effective programs. To support this, GNC offers resources for advocacy, to bring the experience and perspective of nurses to all levels of global health care. Advocacy is multi-faceted and requires specific skills. We offer information on learning how to advocate, stories from the field about successful advocacy, and tools to use when advocating.

GNC has decided to focus on advocacy in 2014. During this “Year of Advocacy,” all of the programs, newsletters, and blogs will explore the issue of advocacy, culminating with the third GNC conference on October 18, 2014.

GNC Board member Elizabeth Glaser wrote a blog post on the beginning of the “Year of Advocacy,” which introduces our aims for this year:

THE YEAR OF ADVOCACY BEGINS…

by Elizabeth Glaser, MSc, MA, ACRN, RN-BC

“Working in international health, I believe we have a duty to shine a light on the work of nurses in countries where the challenges are greatest. This is not to suggest that we do the talking but we must use our international contacts and knowledge of the global health scene to create opportunities for nurses to speak for themselves and enable them to demonstrate what a difference their contribution can make.”
Gini Williams, Tuberculosis Project Director, International Council of Nurses on GHDonline Expert Panel

Over the last few years, I have attended conferences and symposia on differing aspects of global health. These gatherings have been notable for the inclusion of panelists from a wide range of disciplines and experiences: advocates, anthropologists, bench scientists, biostatisticians, community health workers, economists, epidemiologists, human rights lawyers, managers, physicians, politicians, public health specialists, and those who may be living with the condition under discussion. Every facet of health policy, implementation, monitoring, and evaluation is touched upon by the expert panel. Almost. Distinguished nursing colleagues are present, but only in the audience. When the organizers are asked as to why nurses are not included on the stage, their responses vary, from avoidance to defensiveness, to simply admitting that they did not think of it. They did not think of inviting experts from the discipline that, globally, comprises 50-60% of the entire health care workforce, and as high of 80% of professional staff. (1)

When The Lancet, one of the premier medical publications in the world, announced the creation of an on-line, open access journal, Lancet Global Health, I was excited. This journal would focus not just on medicine alone but also on the broader aspects of global health. The 21-person international advisory board featured a multi-disciplinary mix of accomplished men and women from all over the globe – but no nurses.

By our omission, Nursing is not considered an essential profession to those at Lancet Global Health, World Health Organization, or at many other places where policy is created that changes our work and the lives of those whom we serve. We must consider the impact associated with our exclusion: The failure of so many initiatives in health may stem from the fact that those of us who have to implement the bulk of the work are not included in its design.

This was the gist of the argument that I posted to the Nursing and Midwifery group in Global Health Delivery online. We are more used to advocating for our patients or, occasionally, for better wages, but are less comfortable with advocating solely on behalf of our profession. By seeking input from other nurses on a global platform, we were able to discuss our role in general and our place in setting the agenda in global health. My colleagues agreed that it was time to advocate for our profession’s role as essential for creating effective policy and practice in global health.

Our letter campaign provoked a very credible response by Zoe Mullan, the editor of Lancet Global Health. To her great credit, she listened to our argument, and agreed with the premise. She sought and received our input on potential nursing scholars to sit on the advisory board, ultimately choosing on of our candidates: Dr. Naomi Mmapelo Seboni, PhD, RN, RM, President of the International Planned Parenthood Federation, is now on the advisory board of Lancet Global Health.

This is a small, yet positive step for nurses. To improve the health and well being of our patients as well as ourselves, we must be the drivers of policy and program implementation rather than being driven by others’ decisions. Welcome to the Year of Advocacy for Global Health Nursing.

  1. WHO. Health workforce: Disaggregated data.
    http://apps.who.int/gho/data/node.main.HWFGROUPS?lang=en

 

Articles and Online Discussions on Advocacy

This discussion brings out many of the advocacy issues facing nurses in global health. To read more, see the GHDonline expert panel discussion, “Nurse Leaders – Shaping the Future of Global Health.

These articles illustrate different approaches to various advocacy issues:

“Advocating Globally to Shape Policy and Strengthen Nursing’s Influence”

“Advocating for Nurses and Nursing

“A Global Profession – Experts Agree that Today’s Nurses are Essential to the International Health Perspective”

 

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