GLOBAL HEALTH NURSING AND INTERDISCIPLINARY TEAMWORK NURSES ON THE FRONT LINES Azita Emami, PhD, MSN, RNT, RN, FAAN Executive Dean, School of Nursing University of Washington, Seattle, Washington, USA
LOCAL TO GLOBAL
LOCAL AND GLOBAL
CONTINUUM OF CARE From traditional roles to professional nursing care, we are promoting a continuum of care that: Meets internationally accepted standards Meets the needs of patients Is compassionate Moves us to the next generation in nursing education, research and global health
CLIMATE AND ENVIRONMENTAL CHANGES IMPACT HEALTH SYSTEMS An estimated 12.6 million deaths each year are attributable to unhealthy environments. -World Health Organization March 15, 2016
LOCAL AND GLOBAL NURSING IN TRANSITION International paradigm for nursing education and global health is shifting Nursing: Involves far more than just primary care Nurses are filling many roles typically done by physicians
GLOBAL NURSING A PARADIGM SHIFT
WHERE NURSES PRACTICE Source: National Academy of Medicine, Future of Nursing: Leading Change, Advancing Health; 2015
GLOBAL HEALTH NURSING Promotes social justice Involves interdisciplinary collaboration Promotes best practices Results in: Knowledge and information that transcends borders Integrative, intelligent use of technology Moving nursing to the front lines and yet keeps compassionate care at the bedside
NURSES ON THE FRONT LINES
INTERPROFESSIONAL EDUCATION Connects disciplines Promotes teamwork Fosters mutual understanding and is based on cultural understanding of providers and of patients Strengthens research Advances health for individual people and communities
MOVING TO A MODEL OF TEAMWORK
MOVING TO A MODEL OF TEAMWORK Cooperation Collaboration Partnership
OVERCOMING OBSTACLES
BARRIER: OVERCOMING GENDER BIAS Nursing is an overwhelmingly female profession in almost every country In the U.S. 92% of the nurses are women. This gender skew is similar in countries from Austria and Japan to South Africa and Hungary The only country where more than 30% of the nurses are male is Saudi Arabia (according to sociocultural norms)
NURSES AS A MAINSTAY OF HEALTHCARE Nursing is found in almost every country and it is an overwhelmingly female profession The World Health Organization estimates that nurses provide 90% of all healthcare services worldwide In the United States, about 92% of the nurses are women, and this gender skew is similar to that seen in countries from Austria and Japan to South Africa and Hungary
BARRIER: OVERCOMING STRUCTURAL AND INSTITUTIONAL BIASES
SEEKING SOLUTIONS TOGETHER Nursing today: Remarkable diversity worldwide in how nurses are educated and how they practice In some countries, a nurse can have minimal training. In other countries, nurses pursue doctoral level education, internships, and provide primary care in clinics, villages, and hold high-level offices in major healthcare institutions in throughout their country Today, we have opportunities for worldwide education using Information technology and educational tools as well as communication tools that did not previously exist
GLOBAL NURSING EDUCATION Our Center for Global Health Nursing: Aims to serve a global community, by offering state-of-the-art educational and research opportunities Offers culturally relevant practice that effectively addresses local, national and global health challenges Our goal: To prepare today s students and the next generation to engage as valued healthcare providers with people, cultures and healthcare worldwide
GLOBAL CONSENSUS ON SUSTAINABLE DEVELOPMENT GOALS
RISK REDUCTION IS ONE EXAMPLE OF HOW NURSES SUPPORT SDGS Education and preventive care are what nurses do best. This impacts the rate of transmission of disease. By educating communities about Zika or Ebola, nurses provide accurate information about the illness what it is, how it is transmitted, who is most at risk, what symptoms to look for and what to do when you are sick. Results Risk Reduction Disease Control and Risk Reduction: Occur as a result of explaining the steps can one can take as an individual, or as a community, to reduce the risk of getting a disease.
WHAT DOES THE FUTURE LOOK LIKE? Together, we are creating it!
NURSES ARE COLLABORATORS None of us is as smart as all of us. -Ken Blanchard
EXPANDING PARTNERSHIPS: UW S CENTER FOR GLOBAL HEALTH NURSING Dr. Pamela Kohler, Assistant Professor University of Washington School of Nursing and Global Health Department Co-Director, Center for Global Health Nursing
DEFINITION AND VISION FOR GLOBAL HEALTH Global health places a priority on improving health and achieving equity in health for all people Transnational health issues, determinants, and solutions Interdisciplinary collaboration Population-based prevention and individuallevel care Integrated across the local to global continuum Includes both the one health/ planetary health movements Koplan, 2009; Wilson 2015
MISSION STATEMENT To effectively pioneer and build capacity for appropriate and sustainable improvements in health and healthcare through innovative nursing science, including research, education and practice across cultures both locally and internationally.
CENTER AIMS Promote and advocate for the role of nursing in global health Foster nursing research in global health Expand global health educational opportunities for nursing students Establish sustainable and mutually beneficial partnerships with local and international organizations
UW SON RESEARCH
UW SCHOOL OF NURSING PRACTICE EXPLORATION SEMINARS COMMUNITY CLINICALS HEALTH
INTERPROFESSIONAL TRAINING Clinical Education Partnership Initiative Naivasha, Kenya Nursing students work with medical residents Clinical education, community health, health systems Post-doctoral fellowships Global to Local Fellowship, Alaska and Kenya Afya Bora Consortium Fogarty Global Health Fellows
If you plan for a year, plant a seed. If for ten years, plant a tree. If for a hundred years, teach the people. When you sow a seed once, you will reap a single harvest. When you teach the people, you will reap a hundred harvests. - KUAN CHUNG
THANK YOU. CONTACT INFORMATION: Azita Emami, PhD, MSN, RNT, RN, FAAN Executive Dean, University of Washington School of Nursing Email: sondean@uw.edu Pamela Kohler, PhD, MPH, RN Assistant Professor, University of Washington School of Nursing Co-Director, UW Center for Global Health Nursing Email: pkohler2@uw.edu