GNC annual meeting live blog

By Elizabeth Glaser Moderator Emeritus | 26 Oct, 2018

Hi
I am here at the Global Nursing Caucus annual conference, . The Conference is co-sponsered by GNC and UMass Boston College of Nursing and Health Sciences and is being held at University of Massachusetts in Boston. ( where I got my BSN, it is a wonderful school!)

The theme is "Networking to Raise the Voice of Nursing in Global Health"

You can check the registration web site to see if you can remotely link up and watch the conference.

https://www.globalnursingcaucus.org/events/october-26-27-networking-to-raise-...

I got started up a bit late so missed the opening by Monica Onyango, and Nancy Street, leaders of GNC and Haeok Lee Professor of Nursing at UMass Boston.
Right now we have had presentation from nurses around the world.
9:00 to 10:30 am

Keynote
Panel 1:
Listening to the voices of our global south nursing partners. Panel Moderator: Monica Onyango, PhD, MPH, MS, RN, GNC Co-Chair, GNC

• Miriam Carole Atieno Wagoro, PhD, MScN - Director School of Nursing, University of Nairobi, Nairobi, Kenya
• Marie Maud Cesar Duvilaire, PhD (Hon), RN, Ex-officio Director of Nursing, Haiti Ministry of Health (MSPP)
• Sumitra Sharma, RN, MSc Lecturer in the Department of Nursing at Kathmandu Medical College, Nepal
• Maysa H Soufan, RN, MSN, MPH, PhD(c), Faculty, AlQuds University, Abu Dies, Palestine, Doctoral Student University of Massachusetts Boston

** REMOTE PANEL** via UMass Boston Zoom
Objectives:
By the end of this session the conference attendees will be able to:
1. Analyze the dynamics of networking and collaborations from the perspective of nurse leaders in academic institutions from the global south, based on past and present experiences.
2. Describe the successes and challenges of such collaborations towards raising the voices and profile of nurses and nursing
3. Discuss the specific needs for networking and collaborations among nurses from the institutions that are represented.

Each one has spoken about the need for exchanges that not only involve nurses from upper income countries visiting them but also that their nurses come to the west in a real exchange..

The faculty members want to establish research programs, provider more access by offering blended learning.

Their capacity to teach theory and skills is limited as fewer faculty have higher training in this area. Those that do many be teaching the post graduate rather than the BSN or diploma nurses.
So there is a gap there.

What are the biggest challenges in maintaining global partnerships.
Ms. Soufan and Ms. Sharma :All agree that financial issues are a big challenge - limited budgets for collaboration, also need strong commitments from both sides to sustain the partnerships.
Dr Wagoro notes that the Kenyan government has cut budgets to universities , providing more challenges. She also note that it takes a long time to set up partnerships - getting funds, setting up formal relationships.

Do these exchanges and partnerships have negative consequences - for example, do they promote brain drain from developing countries to upper income countries.

Ms. Soufan notes that exchanges bring other perspectives and experiences which is beneficial.

Ms. Sharma notes that that their experince may encourage students to study harder , and come back and do more back at home.

Dr Wagoro says that brain drain is more an issue that arises from national policies than a university issue. In general the exchanges are positive opportunities.

How to increase opportunities for research. - collaboration is important , and partnering for grants based on research that is evidenced and addressing policy concerns in the country.

This was a great and informative session. We are taking a tea break and I will be back in a bit with more posts.

Elizabeth

Replies

 

Stephanie de Young Replied at 10:58 AM, 26 Oct 2018

Thanks for the blog! Looking foward to following the other posts. All the best for a successful conference.

Elizabeth Glaser Moderator Emeritus Replied at 12:30 PM, 26 Oct 2018

We're back! It was great to see colleagues at break
Okay now we have panel 2: Academic Institutions and Academic/Teaching Hospitals. Panel Moderator: Nancy Street, ScD, PNP, RN, Co-chair GNC

• Michelle Telfer, DNP, MPH, CNM, Clinical Faculty & Lecturer, Midwifery & Women’s Health NP Programs Yale University, School of Nursing
• Joyce Pulcini, PhD, RN, PNP-BC, FAAN, Director of Community and Global Initiatives, George Washington University School of Nursing
• Robin Toft Klar, DNS, RN, Clinical Assistant Professor, New York University Rory Meyers College of Nursing
• Deogwoon Kim, PhD(c), BScN, James Muchira PhD(c), BScN, MS, UMass Boston International Students Organization
• Alexis Schmid DNP, RN, CPNP-PC/AC, CPEN, CCRN. Boston Children’s Hospital, Global Health Program Objectives:
By the end of this session the conference attendees will be able to:
1. Describe the various models of networking and collaborations among academic institutions and teaching hospitals in the global north and south.
2. Share examples of current collaborations that are raising the voices and profiles of nurses
3. Discuss lessons learned from successes, failures and suggested way forward.

Dr Michelle Telfer is talking about the WEIGHT Guidelines Working Group on Ethics Guidelines for Global Health Training (WEIGHT)

Here is a link to more info on WEIGHT Guidelines
https://www.cfhi.org/ethics-and-best-practice-guidelines-for-training-experie...
And attached a copy of the original guidelines

Yale and Makere University in Uganda formed the MUYU partnership which included Mulago Hospital in Kampala, and a birth centre in the far North . This has existed fro 10 years
( here's more info on it https://news.yale.edu/2018/02/09/yale-uganda-collaboration-improving-health-e... )

Support and mentoring for faculty, strengthening of masters programmes, joint research and publications.
Reducing maternal and neonatal mortality both in rural areas and in the main referral hospital for Uganda
NEPI and HEPI grants. ( Nurse and Health Education Partnership Initiatives)

In the US , Yale does pre-departure seminar and clinical skills lab also addressing ethical issues as prep for MSN students going to Uganda.

Dr. Joyce Pulcini from George Washington School of Nursing is next. For GWU students they offer undergrad and post grad experiences in Global Health and Community Initiatives. Collaborations such a train the trainer initiative in Haiti on Gender based violence, assist with Seed Global health to orient people pre-deployment. GSU has worked with PAHO on nursing education in Latin American including advanced practice competencies as part of PAHO's initaive in advancing universal access to health care. GWU has visiting scholars and faculty - she notes that exchanges are great but other than Fulbright Scholarships there is little funding to support it . GWU has done work around clinical simulations in Haiti and other settings.


Dr Klar from New York University is here - she si sharing how to do a network analysis ! What are our strengthene, weakness and gaps. How do we fill those gaps.
She is focusing on particular project the HRH human resources Rwanda project to building nursing medicine dentistry and administrative health supports for Rwanda . There were 6 US institutions involved but after 7 years, only 2 US institutions NYU and one other one are still involved. for various reasons. In the HRH initiatives the US institutions hired US staff to go and serve in Rwanda for a year working on building health care capacity.. The College of Nursing in the University of Rwanda n Rwand aand the MOH drove this in that they identified their in country needs and also had the US partners hire staff from the Global South that could address their needs.

Now the network analysis
little circles are nodes and they are connecting groups - so MOH Rwanda is in the center linked with US institutions and links with Seed Global Health, and all the hired faculty then NYU started something similar in Liberia - the Liberia initiative uses faculty from the Global South .. A previous twinning model doesnt work well because of heavy local work load. But the HRH initiative does better - they have brought groups to conferences , the experience in Rwanda helped bring together the faculty for the initiative in Liberia, so they used their netwrk to draw from for the new program.

Ms. Deogwoon Kim, a doctoral candidate from UMass Boston College of Nursing and Health Sciences, is presenting on the International Students Association (INSA) at UMass. Big adjustment for students from the Global South coming to the US. They practice "Freintoring " Friendship + Mentoring
Pinning ceremony for new students to acknowledge them as new members and involve local faculty . The group invites local faculty that re originally from Global South to come talk about their experiences.
They also celebrate international nurses day - for example they had a nurse from Cameroon and one from Saudi Arabia talk about their own health care systems to share information and perspectives. Take time to share and learn about other cultures ( not just US).

Dr Schmid from Boston Children’s Hospital, Global Health Program Originally and ER nurse but working around the globe now. Boston Children’s Hospital (BCH) is one of the premiere pediatric hospitals in the world. ( I am saying this. not Dr Schmid, but wanted to be clear about their expertise , as a few years ago, they saved my son's life)

Dr Schmid notes that BCH support's transferring evidenced based expertise to local staff., especially around pediatric needs. They worked with Partners in Health to help develop pediatric trauma expertise at Mirablaise hospital but also has worked in disaster and humanitarian situations. to improve pediatric care in the field whether it be post hurricane, post earthquake, or for refugee and migrants . They created a quality of care tool in Lebanon to assess the quality of hospital care for refugees. They trained ambulance staff in Bangladesh that were serving refugees from Myamar, they did needs assessments and found that staff needed basis first aid training to stablize children in the field.

Another project they worked on was developing and quality improvement initiative to improve outcomes for children having cardiac surgery around te eworld. They also house the Lancet global surgery initiative.to improve access to and the quality of surgical care to children around the world, done in conjunction with WHO.


Now Questions - does anybody have some questions? - if you get back to me quickly I can try to pass it on..
So I will break to allow you to post a question.

Elizabeth

Attached resource:

Elizabeth Glaser Moderator Emeritus Replied at 2:18 PM, 26 Oct 2018

Back from lunch, great opportunity to meet and talk to people.. Now we have lightening talk s- quick 5 minute talks
I am only posting the titles because it will be hard to keep up given the rapidity of the talks, but this will give you a flavor.

1. Safety is Our Priority: Findings from a Pediatric Oncology Nursing Needs Assessment in Malawi Christine Briscoe
2. Validity of Hemoglobin A1c for Diagnosing Diabetes Among People With and Without HIV in Uganda James Muchira
3. Sustained cultural engagement in nursing study abroad experiences: Networking for capacity building in Virginia and Nicaragua Emma McKim Mitchell
4. Advanced practice nursing in Chile and the role of the registered nurse “expert by experience:” Integrating two realities through continuous education.
Lauren Jacobson

5. Ethical Principles: Central for Global Networking and Nursing Practice Jackline Mayaka, Ruth McDermott-Levy, and Jeanne Leffers
6. Voices of Malawian Nurses from an Evaluation of a Pediatric Clinical Nurse Specialist Practice Improvement Project at Kamuzu Central Hospital
Julie Anathan
7. A Global SWOT Analysis of Advanced Practice Nursing Policy, Practice and Regulation Elissa Ladd
8. International perspective on preparing nursing & medical students to provide sexual health promotion following the WHO’s definition of sexual health Teri Aronowitz and Anna Woloski-Wurble
9. Networking with a Haitian Health Clinic to Create Global Minded Nursing Students in the US: A Global Health Clinical Partnership Paula Walsh
10. A Systems-based Mentorship program based on the WHO Safe Childbirth Checklist – Zambia Robyn Churchill
11. Post Colonial Theory as the Critical Lens to Examine North-South Partnership Formation Judith Healey-Walsh
12. The Dotson Bridge and Mentoring Program: Increasing Diversity in Nursing LaDonna Christian
13. Evaluation of learner knowledge acquisition & retention after low fidelity manikin simulation training in a low resource country. Carol Borg

Susan Wood, PNP-BC, MPH, IBCLC Replied at 8:50 PM, 26 Oct 2018

Such thorough reporting, Elizabeth - thank you! Helpful for nurses not able to be here as well as a great review for those of us lucky enough to be in attendance.

alice werbel Replied at 3:57 AM, 27 Oct 2018

Thanks, Elizabeth, I am located remotely (the Mideast) and glad to at least read your synopses. A number of the lightening talk topics are of particular interest. Would it be possible to obtain the email addresses of the lightening-talk presenters so I could contact directly? Alice Werbel

Maggie Sullivan Moderator Replied at 8:56 AM, 27 Oct 2018

Good morning, Alice. That's a great question - I'll speak with the conference directors today to find out! (There's nothing provided here to in-person attendees either :) -Maggie Sullivan

Maggie Sullivan Moderator Replied at 9:47 AM, 27 Oct 2018

Saturday morning, Global Nursing Caucus Conference

Title: Global Nurse Finder – Global Nursing Caucus: The Global Nurse Finder is an online platform for nurses to network, engage and collaborate. This can make the work of nurses more visible and help facilitate systems change. Profiles will provide a brief overview about the work of that nurse and the platform allows for the opportunity to connect online.

Navigating from within the Global Nursing Caucus website:
- Select a membership level
- Individual membership
- Signup
You will be able to search by maps, or country lists and language! More on this to come…

Title: Shining a spotlight on nurses
Dr. Barbara Stilwell, Executive Director of Nursing Now Global Campaign. Presenting remotely from Kazakhstan. Dr. Stilwell initiated the role of nurse practitioners in the UK.

Guiding questions: Why nursing and why now? What is it about this moment that we should be talking about nursing today?

Global health challenges - Demand, such as changing health needs, rising expectations, and rising costs. Demand for care is contrasted by the supply of nurses. Nursing supply is affected by recruitment and retention, pay/conditions, the image of nursing, morale, and re-engineering of roles which is difficult and risky. Migration will continue.

WHO 13th Global Program of Work 2019-2023: Ensuring healthy lives and promoting well-being for all at all ages by 1) Achieving universal health coverage – there will be 1 billion more people benefiting from universal health coverage; 2) Addressing health emergencies – 1 billion more people better protected from health emergencies; 3) Promoting healthier populations – 1 billion people enjoying better health and well-being.

The health workforce – A best-buy in sustainable development. There is a 3-times return on investment within the health force. Investing in health yield social development and human security. It’s important to see spending on health as an investment, not a cost.

High-Level Commission on Health Employment and Economic Growth (www.who.int/hrh/com-heeg. Recommendations: 1) Stimulate creation of 40 million new jobs in health and social sector by 2030. 2) Maximize women’s economic participation and empowerment. 3) Transformtion of the health workforce. 4) Political commitment and intersectoral collaboration.

The Triple Impact of Nursing: Better health – greater gender equality – stronger economies.

Main APPG Proposition: There is an urgent need globally to raise the profile of nursing and enable nurses to work to their full potential if countries are to achieve universal health coverage. Nursing can and must take the lead on these issues, but cannot achieve them without the support of politicians, policy-makers and non-nursing health leaders.

Recommendations: The APPG recommends that the UK government, together with the Commonwealth Secretariat ….1) Raise the profile of nursing and make it central to health policy; 2) Support plans to increase the number of nurses being educated and employed globally; 3) Develop nurse leaders and nurse leadership; 4) Enable nurses to work to their full potential; 5) Collect and disseminate evidence of the impact of nursing on access, quality and costs and ensure it is incorporated in policy and acted upon; 6) Develop nursing to have a triple impact on health, gender equality and economies; 7) Promote partnership and mutual learning between the UK and other…

Research to Policy: “In the world of research, completing the study is just the first step…making the research come alive and using it to build capacity for future science and scientists, and to tell stories that capture policy-makers’ attention and ultimately lead to policy changes, are what it is s all about” O’Brien-Pallas, 2003

Empowerment in health policy-making - Policy levers: 1) robust research evidence (a robust literature exists); 2) effective research-policy linkages (this is where a lot of work is needed); 3) understanding of change management (need for leadership development: for example, negotiating, speaking with others outside of nursing); 4) understanding of policy cycle (critical).

The Challenges: 1) a lot of nursing data, reports, commission, strategies; 2) but evidence is poorly known, ignored or denied by policy-makers; 3) policy implementation is inadequate…

Florence Nightingale: lobbied politicians with data, and didn’t give up.

Being a good nurse is not about mothering or cuddling. Ads recruiting nurses are often demeaning. Instead, we need images and recruiting tools about intelligent, insightful people interested in studying.

Window of opportunity: 1) current and future health worker shortages > HRH strategy Workforce 2030; 2) “Carequake”; 3) interest in economic/investment issues; 3) health as a public good; 4) sustainable Development Goals; 5) Non-nursing champions.

A Global Movement: Nursing Now began in January 2018 to raise the profile of nursing around the world. Launched on four continents, including in London, Geneva, Uganda, Jamaica and more.

Aims by 2020: 1) influence universal health coverage, NCDs and other policy; 2) promote and develop nurse leaders; 3) disseminate and share effective practice; 4) create, identify and disseminate evidence of impact; 5) invest in all aspects of nursing.

Shining a spotlight on nursing: 1) more nurse-led clinics, particularly for NCDs; 2) nurse leadership in primary and community care; 3) a greater role in prevention, promotion and health literacy; 4) community-based midwifery, child and adolescent services; 5) more specialist nurses inside and outside hospitals.

Outcomes by the end of 2020: 1) nursing has far more prominent position in global health policies; 2) greater investment in the nursing workforce; 3) more nurses in positions where they influence policy and decision-making more opportunities for leadership development; 5) more evidence available to policy and decision-makers about the impact of nursing and more research under way; 6) more and better dissemination and sharing of good practice.

What you can do: 1) share your experience and ideas; 2) be agents for change; 3) sign our pledge of support to Nursing Now; 4) send us your research

Elizabeth Glaser Moderator Emeritus Replied at 10:39 AM, 27 Oct 2018

Let's welcome and thank my co-blogger Maggie Sullivan!

Maggie Sullivan Moderator Replied at 10:53 AM, 27 Oct 2018

Panel: Nursing Now – A Global campaign to raise the profile and status of nursing worldwide – country perspectives

Moderator: Jennifer Breads, Jhpiego (supporting the launch and implementation of Nursing Now’s strategies)

1st Panelist - Emily Katarikawe, Chair of Uganda Nursing Now Global Campaign, and Country Director Jhpiego

Strategies to Improve Nursing in Uganda: 1) integrate leadership modules in trainings for nurses; 2) purpose to have out of service training to build leadership skills and competences; 3) beak the hierarchy in the medical field options; 4) invest in campaigns for mindset change among nurses – they are not trained to receive instructions from doctors only; 5) advocate for appointment of nurses in positions of leadership

If Nurses Were at the Policy Table: 1) policy review and formulation to regulate nursing education standard value would be realized; 2) there would be timely revision of training curricula for pre-services and in-service to cover emerging medical needs; 3) nurses would inform the national research agenda; 4) we’d see improved processes to transition nurses from college to the workplace; 5) decisions would be made around appointing nurses to leadership positions; 6) they could advocate for safer work environments and reduce patient-nurse ration; 7) nurses councils would be stronger and more influential.

Supporting Nursing Now in Uganda – The aim is to profile nurses and midwives for increased leadership positions by 2020: 1) a fully functional secretariat; 2) mobilize resources for the NNC advocacy; 3) regional mini-launches to profile NNC in Uganda; 4) compiling a book of highly qualified nurses ready for the “boardroom” to be launched in March 2019; 5) advocacy training for select nurse leaders.

2nd Panelists - Mexico Ministry of Health: Ms. Claudia Leija Hernandez, Nursing Chief Officer; Mr. Hecotr Olivera Carrasco, Deputy Director of Nursing Services Assessment; Mr. Daniel Choperena, Projects Manager

Burden of disease in Mexico: diabetes, hypertension, and chronic kidney disease leading to increased incidence of premature mortality.

The nursing workforce in Mexico: nurses are the first point of contact, the greatest proportion of health workforce, focused on population health needs, integrated health care perspective; over 40% of nurses have more than bachelor-level degree. However, regions in southern Mexico have the lowest nurse-inhabitant ratio in the country.

Advanced Practice Nursing in Primary Health Clinics Strategy – This strategy was designed by conducting a comprehensive systematic review of literature. We then developed a strategy with 3 different components: 1) labor component; 2) educational component; 3) legal/legislative component.

Labor component: 1) minimum level of bachelor’s degree and competencies certification; 2) nurse insertion in primary healthcare services; 3) must apply the Mexican Framework of Competencies (CMM); 4) incentive schemes for workforce retention; 5) analysis of nursing workforce in each state; 6) analysis of burden of disease at the district level; 7) monitoring intervention with digital platforms (already created: CASALUD-OMENT).

Mexican Framework of Competencies for the Expanded Role of Nurses: 6 domains 1) community health situation analysis; 2) nursing care management; 3) health surveillance and community health risks and hazards control; 4) community and social participation for health promotion; 5) healthcare quality planning and management; 6) leadership and inter-professional collaboration.

Educative component: In Mexico, the PAHO/WHO training models will be adopted (Cassiani, 2018). We are working to design complementary training (approximately 6 months) and a master’s degree with universities. We are also working to publish a governmental report.

Legal/Legislative Component: In Mexico, the advance practice nurse operating model and legal instruments that enable nursing staff to prescribe medications have been published (Amendment of the General Health Law in 2012; Guideline for Nurses with Bachelor’s Degree to Prescribe Medications in Primary Healthcare Services, 2017; Amendment to guidelines to authorize referral of patients (in process). We are working on the operating guidelines for implementation of advanced practice nurse in primacy healthcare clinics.

Overview of Nursing Now: 1) planning to launch the national campaign in November during the National Nurses Meeting in Mexico City; 2) disseminated the “triple impact report” document to nursing leaders at a national level; 3) strengthen nurses in PHC and promoting their leadership in the community…

3rd Panelist - Ms. Elizabeth Iro, Chief Nursing Officer for WHO
Sustainable Development Goals (SDGs) & WHO General Programme of Work 13 (2019-2023) – Triple billion: 1) healthier populations; 2) universal health coverage; 3) protection from health emergencies. WHO commits to “leaving no one behind,” including the world’s millions of migrants, refugees, asylum seekers, and internally displaced populations.

Strategic directions for strengthening nursing and midwifery 2016-2020. Measures include engaging the expertise of nurses and including them in policy-making.

Global Strategy on Human Resources for Health: Workforce 2030: 1) optimize the existing workforce; 2) anticipate and align investment in future workforce requirements; 3) strengthen individual and institutional capacity; 4) strengthen data, evidence and knowledge.

UN High-Level Commission on Health Employment and Economic Growth. Investing in the health workforce increases progress ACROSS multiple SDGs. Document of 10 recommendations.

Strengthening Midwifery and Nursing: 1) policy-making; 2) legislation and regulation; 3) education and training; 4) recruitment and retention; 5) international mobility; 6) data and evidence

State of the World’s Nursing (and an additional report for midwifery is forthcoming) 2020: 1) country description through lens of triple billion goals and gender agenda; 2) technical description of nursing workforce; 3) “Fitness for purpose” of nursing workforce to reach universal health coverage and other General Programme of Work; 4) analysis to identify areas for investment to reach targets.

Elizabeth Glaser Moderator Emeritus Replied at 11:03 AM, 27 Oct 2018

Now by remote link we have Elizabeth Iro, the Chief Nursing Officer for World Health Organization .

She starts with the Sustainable Development Goals , to achieve these we must have an adequate health care workforce especially in nursing and midwifery.

WHO has a Global strategic plan for strengthening nursing and midwifery 2016–2020, ( link attached) and noting that in the UN High-Level Commission on Health Employment and Economic Growth that out migration for better economic opportunity is an issue ..

Various collaborators , WHO , ICN , Nursing Now, , national nursing associations, is working on the state of the world's nursing 2020. The report will provide a picture of the global nursing workforce with a forward facing policy agenda.

Attached resources:

Maggie Sullivan Moderator Replied at 12:37 PM, 27 Oct 2018

Panel: Non-Governmental Organizations (NGOs)
Moderator: Dr. Jeanne Leffers

1st Panelist: Jhpiego | Jennifer Breads, Technical Advisor in the Systems for Health Divisions
Nurses’ central role in 1) safe surgery: nurse anesthetists training programs (for example, in Ethiopia); 2) cervical cancer prevention (for example, in Botswana); 3) community and primary health centers (i.e. Cote d’Ivoire
Jhpiego is also engaged with 1) workforce development: 9 million new nurses are needed! 2) building nursing councils and sustainable accrediting bodies; 3) partnership with multiple types of partners across sectors; 4) runs a 2-year women’s health fellowship program

2nd Panelist: Clinton Health Access Initiative (CHAI) | Robyn Churchill, Senior Technical Advisor, Midwifery & Nursing
CHAI has 2000 staff, in 33 countries with a budget of $150 million annually from governments and private foundations. Committed to strengthening integrated health systems around the world and expanding access to quality care for HIV/AIDS, malaria, SRMNH and other health conditions.

Transformational work: creating fundamental change in the way actors approach and realize goals.

Saving lives requires addressing quality, not just access: poor quality care is a bigger killer than insufficient access to care. Lancet Global Health – Commission on Quality

Strengthen and integrate systems to address women’s and newborns’ needs throughout the reproductive lifecycle: Vertical programming is not how pregnant women (or people) experience care.

Sharing best practices across country teams: our best asset is our staff. We’ve had 4 cross-continent mentoring events so that nurses and midwives, who are doing this work, can speak to one another and share/build their own skills.

Mentoring: Three Conceptual Dimensions; 1) Science and the “what” of mentoring; 2) Art or mentorship; 3) Management and building systems that work.

3rd Panelist: Seed Global Health | Julie Anathan, Director of Medical/Surgical Nursing and Interim Chief Nursing Officer
2012 Call to Action: Seed began due to a shortage of doctors/nurses in sub-Saharan Africa. Global Health Service Partnership (2012-2018). Objectives include: 1) working alongside local faculty; 2) providing resources and expertise that improves learning; 3) providing financial assistance and practical support; 4) align efforts and resources with the priorities of host governments.

GHSP Educator Placements: In 5 countries: 186 nurses, midwives and physicians across 27 academic institutions.
Outcomes: the central beneficiary are the students: bridging classroom to clinical, fostering supportive clinical/learning practice environment; help to ready practice-ready graduate

Lessons learned: Collaboration, Partnership and Bi-Directional Engagements: 1) counterparts are potential starting points; 2) new technology can support teaching, evaluation and learning; 3) bi-directional mentoring and co-teaching; 4) practice…

4th Panelists: Health Volunteers Oversees (HVO) | Beth MacNairn, Deputy Director; Michele Upvall, Volunteer
HVO was founded 1986. There have been more than 11,000 volunteer assignments, 92 projects in 28 countries (primarily in Africa and Asia). Over 2900 health professionals have been trained, mentored and educated by HVO volunteers annually. Over 400 volunteer assignments annually. There are 18 program areas encompassing dozens of health care specialties and address numerous global health challenges. Approximately $96.7 million US dollars in professional services have donated by our volunteers.

HVO Programs: 1) primary care and child health; 2) oral health; 3) nursing education; 4) trauma and rehabilitation; 5) essential surgical care; 6) cancers, etc.

Volunteers serve 2-4 weeks, depending on country needs/requirements. Nurture lifelong professional relationships. Over 40% are repeat volunteers. Volunteers teach, train, mentor and learn bi- directionally.

HVO Impact: 1) expanding access to health care; 2) developing national leaders in health care; 3) building educational infrastructure; 4) forging global linkages; 5) “improving global health through education”

Looking ahead: 1) E-volunteering; 2) training in hospital administration, management & leadership; 3) expanded work in rehabilitation; 4) expanded work with national professional associations and support them as the national leaders

5th Panelist: ICAP | Susan Michaels-Strasser, Senior Implementation Director & Associate Director for Nursing Programs
Developing Nursing Leaders on the Frontlines of Epidemic Control

ICAP began in 2003. In 2008 we started the Global Nurse Capacity Building Project (in 22 schools of nursing in Africa). We have projects in 30 countries (22 countries have an office with staff) and employ 1800 staff. ICAP supports large-scale evidence-based health programs, most often HIV care/treatment programs, though increasingly pre-service education programs.

Technical areas supported by ICAP include: clinical, health systems, human resources for health. and special populations.

Nursing portfolio: 1) Resilient and Response Health Systems Project; 2) NIMART (a nurse-initiated and managed ARTs in Africa); 3) Global Nurse Capacity Building Partnership (in 10 countries and 22 schools of nursing). We focus on education, partnership, practice (in-service training, policy change, NIMART, e-learning, leadership), and service delivery (large-scale HIV treatment programs). Nursing E-Learning: EdEx platform.

Lessons learned that need urgent attention: 1) Nurse educators need to be more connected with service delivery and MOH initiatives; 2) Nursing leaders need to be better supported; 3) Nurses need to push for representation at highest levels of policy and funding; 4) Nursing undervalued, health workers seen as net economic loss (outcome and impact research urgently needed); 5) Unsafe work environments persist; 6) Missed opportunities (public private partnerships, primary prevention programs, differentiated service delivery); 7) International drive for standards and safety needed (nurses can lead this in spirit of patient centered care, human rights, and tremendous public trust).

Numerous opportunities: 1) Engage with nursing now; 2) Use social media to tell our stories; 3) Write op-eds; 4) Take a lead on Astana Declaration; 5) Take lead on Universal Health Coverage (campaigns, models of care, costing studies).

Maggie Sullivan Moderator Replied at 2:44 PM, 27 Oct 2018

This afternoon, we are listening to a number of quick 5-minute presentations ("lightning sessions") by amazing nurse-colleagues. Of note, please also see included links to resources mentioned in previous talks. This afternoons topics, titles and presenters include:

Group A - Moderators: Ahdab Eskander & Sang A Lee
- FSIL: Improving health and nursing leadership in the Republic of Haiti thru the first Haitian BSN nursing program 2001-present, Norma Osborn
- Challenges in cervical cancer prevention in Haiti, Danta E. R. Bien-Aime
- Netowrking to Advance the Role of NP/APNs Globally: Updates from the International Council of Nurses NP/APN Conference, Rotterdam 2018, Steven Purcell
- Building Global Nursing Networks to Address Planetary Health, Jeanne Leffers & Ruth McDermott-Levy
- Developing Nurse Anesthetists Takes a Team: The academic / clinical partnership, Donnell Carter, Aaron Sonah, Wilmot Fassah, et al.
- Implementing the Advanced Practice Role in Low-Resource Settings, Eileen Stuart-Shor, Colile Dlamini, Louise Kaplan
- The REACH Project: Reducing Childhood Anemia in Caracol, Haiti, Carol Lang, Joyce Pulcini, Mayri Sagady Leslie, Jeongyoung Park
- The challenge and promise of nursing-led health services research in LMIC (low- and middle-income countries): Chimbatata, Chirw, Chisupa, et al.

Group B - Moderators: Salwa Maghrabi & Laura Amweg
- US-Nicaragua Networking Facilities Learning in Nursing Students & Faculty, Rita Ailinger
- Nurse and Nurse-Midwife Skills-Building through Improved Continuing Education in Lesotho, Anissa Dickerson & Courtney Steer-Massaro
- Diabetes Foot Assessment in Rural Tanzania, Kim Hall
- Promoting Respectful Care of Women Through Midwifery, Linda Robinson
- GHDonline: Connecting Global Professionals to Improve Health Care Delivery, Christina Congdon (thank you, Christina!)
- Use of Self as Tool for Elevating the Role of Nurses in Global Settings, Jane Hopkins Walsh
- A Cultural Humility Approach to Cross-cultural Relationships, Judith Healey-Walsh
- Stories about the Complexity and Multiplicity of Cervical Cancer Screening in Malawi, Haeok Lee
- Climate Change, Climate Justice, and Environmental Health: Launch of a Center, Patrice Nicholas & Suellen Breakey
- Networking in America: A University and Community Partnership, Shelly Lynch

Attached resources:

Maggie Sullivan Moderator Replied at 4:11 PM, 27 Oct 2018

Panel: Professional Societies
Moderator: Elizabeth Glaser & Natasha Viveiros

1st Panelist: Oncology Nursing Society (ONS) | Lisa Kennedy Sheldon, Chief Clinical Officer ONS
Role of the Oncology Nurse is Evolving: Increasing role in: symptom assessment and management; adherence support for oral agents; patient education; and survivorship care.

ONS Resources: Over 40 online courses, ONS Annual Congress, numerous journals, in-country assessment tools, and many more…

2nd Panelist: Global Cardiovascular Nursing Leadership Forum (GCNLF) | Laura Hayman, Forum Chair
Rationale: About 12 million nurses form the largest health care discipline managing cardiovascular risk factors and chronic disease globally. Ischemic heart disease and stroke is top cause of mortality in 2016. Nurses are leaders around the world in CVD prevention and management

Emerging Themes from GCNLF Meetings: 1) strong commitment of nurses to global CVD prevention; 2) need for standardization of education and training in CVD prevention; 3) need for data demonstrating impact of nursing interventions on patient outcomes; 4) need to highlight and disseminate what nurses and nursing have accomplished in promoting CVD prevention and improving patient outcomes; 5) importance of partnerships with key stake holders including the WHO and World Heart Federation.

3rd Panelist: Association of Nurses in AIDS Care (ANAC) | Inge Corless, Past President of ANAC
ANAC began in 1985 as the Nurses Network on AIDS in New York City and has an official Global Committee. ANAC continues to maintain and offer free membership in lower-income countries, which includes a free subscription to JANAC. There are over 2200 members representing 60 countries. ANAC is open to nurses and other healthcare providers. The International Nursing Network for HIV Research is affiliated with ANAC.

4th Panelist: National Organization of Nurse Practitioner Faculty (NONPF) | Karen Moore, Chair, Global Health/International Special Interest Group
NONPF began in the 1970s to establish curriculum guidelines for NP programs. The global health interest group’s goal is to facilitate dialogue about the bidirectional sharing of ideas, resources, materials, methods, outcomes and contextual or collegial exchange.

Goals for Workshop: 1) workshop utilizing exemplars of successful global health bi-directional partnerships to demonstrate what a functional, respectful, sustainable partnership entails; 2) articulate for faculty what the ethical underpinning of global health interactions and relationships encompass; 3) clarify relationship-building, appropriate student experiences and issues involved in engaging global partners.

5th Panelist: Sigma Theta Tau International (STTI) Global Advisory Panel on the Future of Nursing (GAPFON) | Eileen Stuart-Shor, GAPFON Participant.
Purpose: to establish a global voice and vision for the future of nursing and midwifery that will advance global health while simultaneously strengthening professional roles

GAPFON Recommendations: Focus on 1) noncommunicable diseases, including chronic diseases; 2) mental health, in general, as well as secondary to substance use disorders and violence; 3) communicable disease; 4) disaster preparedness and response; 5) maternal/child health

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