Predictions for Future. Please provide a scholarly paper that details what nursing leadership trends that nurse leaders should be focused on in 2029, with regards to future planning for health needs, education and potential nursing roles that may be needed to support the future health needs and educational requirements. 

 

Global health is important to any nurse anywhere in the world. In this article we detail why. We highlight some important health problems facing the world today, study how these problems are being addressed, and consider the implications for Nursing. We describe how nurses are making a difference in problematic contexts, the breadth and complexity of nursing work across the globe and conclude with a call for action. Nurses can influence policy makers and policy makers (as well as move into those roles) and explain why Sustainable Development Goals cannot be achieved without strengthening Nursing. In this International Year of Nurses and Midwives the window of opportunity is open, but it won't be that way for long. Both globally and locally, nurses must be prepared to take advantage of it. We ask that you hold hands and join us.

 

As health professionals committed to our local community and country, it is tempting not to look beyond our immediate realm, where we always have a lot to care deeply about. However, this exclusively local approach is not only ostracic but also dangerous: global health cannot be separated from local and national health concerns. Infectious diseases, for example, do not recognize borders and the combination of various germs and genes leads to communicable diseases with the potential to spread rapidly across the globe. Compare the speed at which coronavirus and COVID-19 infections spread around the world with the four years it took for the medieval plague to traverse all of Europe.

 

The concept of "global health" didn't really even exist 20 years ago. It now encompasses a complex concept that concerns all countries and, indeed, the health of the planet itself. More and more governments and organizations are adopting it as a key standards issue. As we think about nursing today and in the future, we must all look beyond our immediate realm and understand the effect that what happens in remote places has on the health and healthcare of our communities, our loved ones and ourselves. themselves; just as what happens in our immediate environment affects people we will never meet. COVID-19 has certainly raised awareness about this. "Think globally, act locally!" As the environmental slogan says.

 

Thinking globally is not an academic exercise but a vision that enriches perspectives, expands knowledge, and further motivates nurses as leaders, practitioners, administrators, teachers, researchers, policy makers, and activists. It helps us understand how our work contributes to achieving results not only in health sectors but also in activism related to standards, education, economic relations and the environment.

 

Nurses have a professional obligation to understand the world in its broadest context and to base the decisions we make on an expanded understanding of ourselves, our patients, and our circumstances. "It all starts with understanding the norms and policies of globalization, and the growing interdependence of the world's inhabitants, which means that national norms and actions are increasingly conformed to international forces along with other aspects of our lives." . Every day we depend more on the same groups of workers and technologies and face the same environmental and epidemiological threats. Furthermore, the rules that affect health the most are not always health rules. Other standards have a huge effect on health determinants and solutions, so cross-sectoral collaboration on global health is critical.

 

We are living in difficult times for the health of the planet, nations and communities. The issues have major implications for Nursing as a global profession of approximately 23 million people, from stopping pandemics to reducing maternal and child mortality, addressing and mitigating the effects of climate change, and caring for older people. Inequalities between groups of people, and also within and between countries and regions, are key to understanding these challenges.

 

There is concrete evidence of the interaction between health and wealth at all levels: individuals, families, communities or countries. Nurses know that their patients' way of life and the conditions in which they live and work have a strong influence on their health and longevity. This presents us with the challenge of complementing biomedical models of health care with social models, and of focusing more on prevention and public health.

 

Since the 1990s, more and more has been known about the interaction between health and poverty, and about the need to cooperate and collaborate at a global level to combat its consequences on health and the economy. This has encouraged many organizations to play a broader role in global health. Eradicating poverty in all its forms and dimensions is the greatest global challenge, in the words of the United Nations: "bold and transformative steps are urgently needed for the world to begin to walk on a strong and sustainable path."

 

The framework for action corresponding to these "bold and transformative steps" for all countries, regardless of level of development or resources, is the 17 Sustainable Development Goals (SDGs) for 2016-2030. They are inextricably intertwined. Health is an inherent aspect of all goals and is influenced by all of them, and there is a manifest health goal. The goals provide a comprehensive global framework for health standards and practices, as well as advance the work of the World Health Organization (WHO) and other global organizations.

 

In fact, there are thousands of organizations of all types, sizes and with varying ambitions active in global health, making it a highly complex and often politically contested and competitive terrain. What place does Nursing occupy in this panorama? The profession has a global presence long before the UN or the WHO: the International Council of Nursing (ICN) was founded in 1899, approximately 50 years before the WHO, and funded the first WHO Nursing Center. ICN has three primary functions: to represent Nursing around the globe, to promote the progress of the profession, and to influence health standards. It remains the leading global voice for Nursing, although its ambitions are hampered by lack of funds and the difficulties of modernizing and dealing with such a diverse group of professional associations. It recently adopted a manifestly collaborative, interprofessional, and intersectoral approach, seeking to exert greater influence on health and health care to complement its traditional focus on promoting the advancement of the profession. This means expanding your interactions with other organizations, leaving the "nursing home" in which nurses have lived for more than a century.

 

Many more nursing organizations and networks are active in the field of global health, including the global network of WHO Collaborating Centers in Nursing and Midwifery, as well as those with activity in specific nursing concerns and specialties, from primary health care or cancer nursing until climate change. Nongovernmental organizations, health services, and universities around the world also have a wide variety of bilateral and multilateral relationships and projects between countries that contribute to the global health agenda. Thousands of nurses meet regularly at international conferences around the globe to share ideas and research.

 

However, nursing is extremely underrepresented in the major global health organizations, while those led by nurses, comparatively weak and lacking in influence, are not important players. These deficiencies, which have a significant and generally unrecognized negative effect on global health, are part of various global structural inequalities related to gender, wealth, race, and status, among other issues. The absence of a compelling global Nursing voice is a manifestation of this situation, along with the lack of compelling voices from low-income countries, indigenous peoples and other disadvantaged groups. Unfortunately, the coronavirus pandemic has once again demonstrated the silence around Nursing: the media coverage of expert opinions, and of deaths among health workers, has focused almost exclusively on doctors, and not on nurses that attend patients 24 hours a day and have much higher death rates.

 

Many nurses make naive assumptions about health and healthcare, and do not see these issues through a sociopolitical lens. However, we have to know some history and politics if we want to be leaders of change, rather than its slaves.

 

The market-based "neoliberal" political and social philosophy that swept the world in the 1980s, and continues to dominate it, has a profound effect on global health and global health policy. The powerful influence of overt business interests, such as the large corporate groups known as Big Tobacco, Big Sugar, and Big Pharma cannot be underestimated. Taking action on climate change is another rules-related battlefield: the muted and poorly coordinated response of governments to climate change, in addition to the science behind it, is just another example of the intensely political nature of climate change rules. global health, strongly influenced by national politics.

 

Political debates along party lines in countries have serious, far-reaching health consequences. National shifts in political philosophy can rapidly change the global health financing environment. Health policy is fraught with vested interests and disputed priorities, and globally, this complexity is expanding exponentially. The big questions are: what effect is all this activity having? And to what extent does it generate capacity and is it really developer and sustainable? The rate of positive results of international projects is surprisingly low and some are more harmful than beneficial, which has generated increasing criticism of the establishment of global health, in addition to the emergence of grassroots social movements such as the Movement for People's Health ( MSP). This global network, committed to addressing the social, environmental and economic determinants of health, brings together health activists, civic organizations, and academic institutions, particularly from low- and middle-income countries. "The world faces a global health crisis characterized by growing inequalities both within and between nations and by millions of preventable deaths, especially among poor people," it is stated; largely because of economic structures that condemn people to poverty and unsanitary conditions.

 

Standards, policy and Nursing

 

Norms and politics determine not only the health of populations but also Nursing itself: in the past, present and future. It profoundly shapes the practice and workplaces of nurses locally, regionally, nationally and internationally. Nurses who want to influence and direct norms rather than simply bystanders should understand not only the content related to a health issue but also the norms process, context, and stakeholders and their interests.

 

As we represent by far the largest proportion of healthcare workers globally, nurses are often the only available healthcare providers. We are key to ensuring that all individuals and communities receive the health services they need without financial hardship. Nurses occupy a special position as a link between the health system and the community; We see, listen and know (as users of health standards), how standards affect people and their communities. One might think that standards-makers would welcome such knowledge; however, it has been very difficult for nurses at all levels to make a difference in standards, for a variety of reasons. While nurses are recognized as implementers of key norms - the hands that do the work, they are seldom central in developing health and social norms - at the decision table.

 

Nurses engaged in high-level global health work apply their Nursing lens to issues that others may not perceive. They bring information from practice to high-level meetings, explain the complexities of implementing programs, and interpret the science or recommendations from these meetings into practice, in a way that can be translated into action. Australian nurse Amanda McClelland, for example, was the director of the emergency health unit at the International Federation of Red Cross and Red Crescent Societies. "I incorporated an aspect of social mobilization and communities to the debates on global strategies," he says. "How am I going to explain this to the volunteers and how will they explain it to the community? That's great, but the community would never accept it. It's great, but we won't be able to implement the program that way. We will have to consider climatic, cultural and religious factors when we implement it ".

 

Across the planet, nurses have added knowledge, skills and education, like McClelland, but this was not accompanied by significant growth in their level of influence and status. The exclusion of senior nurses from leadership positions in health organizations at all levels, and even the very existence of leadership positions within nursing, are critical factors. You are often challenged by the profession and sometimes breakthrough, but you have to fight the battle over and over again when health care employers decide they no longer need a nurse director, or when governments don't replace their Nurse Practitioner. boss. Even in countries that traditionally provided global Nursing leadership, the role of Nurse-in-Chief of government has been abolished, demoted, or never existed. Even at WHO, which is now reinventing itself as an advocate for Nursing and Midwifery, the head nurse and senior nurses in the six WHO regional offices used to have much larger teams and budgets. Everything has declined in terms of scope and influence, something attributable in part to reductions in WHO budgets but also to long-standing reluctance to recognize the value of Nursing input.

 

Understand how standards are developed

 

Sitting at the decision table is one thing, being effective once that is achieved is another. Nurses in senior positions may not be more influential, for a variety of reasons ranging from gender discrimination to lack of status. Many have little or no preparation for these roles and do not know how to influence or shape the rules. Not only that, "the political space is finite. Organized medicine knows when and how to present a united front. Nursing is much less accomplished and is much less politically energetic ".

 

Speaking with a voice and in a language that appeals to policy makers has not been one of the successes of Nursing. Neither has their ability to persuade them to take effective action on issues related to Nursing. The history of Nursing in many countries and at the regional and international levels is full of reviews of standards and evidence-based reports that give excellent recommendations that are widely ignored. Composed of structural inequalities related to gender and social class, nurses' attempts to push for reform have not achieved enough momentum, and changes have not occurred with sufficient speed or scope.

 

Normative leadership is required in the day-to-day work of national and local health and government systems. It is a key competency of Nursing that is seldom formally recognized or developed; most nurses learn it, at best, through unpleasant experiences. The need for nurses to develop these competencies has long been highlighted, but has not developed consistently across the global Nursing community. White advocates "normative leadership and role modeling" by Nursing leaders, who need the right professional, policy and policy skills to operate effectively in difficult terrain. Whether they work in government, administration, education, advanced practice, research or development, they need to know how to maximize their distinctive input to shape, influence and implement standards-related decisions. This requires nurses to embrace White's concept of a "new pattern of knowledge called sociopolitical knowledge," as Salvage has long advocated, to become policy activists with political common sense.

 

The window of opportunity

 

Reports and recommendations on Nursing that have no oomph, standards that ignore or undermine Nursing, and the absence of nurses in standard setting - this grim pattern is beginning to change for the better. Every day more nurses are becoming norm entrepreneurs: leaders who position themselves to influence norms, who bring together problems, norms and policies into a novel amalgam: a new norm, and who buffer the system by presenting network participants (visible and invisible) with alternative representations of their realities. This opens up a window of opportunity, as Kingdon describes it: the potential for a truly new standards perspective.

 

That window is opening ever wider as the global demand for solutions to acute problems like the current and future shortage of healthcare workers grows, and the growing need for expert care for the elderly, along with a huge public interest in The infirmary. Global awareness of the importance of investing in health as a public good is greater, as is the real and potential contribution of nurses to improve health, impose gender equality and strengthen economies. Meanwhile, more and more nurses find the courage to become "silence breakers" and join the worldwide wave of protests against violence, sexual harassment and other abusive behavior against women.

 

The window was opened a bit wider thanks to a call for action in a UK influencing report that saw how national and global issues were interconnected, and explicitly highlighted the social and economic effect of Nursing. In her advocacy for greater investment in Nursing to provide beneficial retro-benefits and rewards for global health, she highlighted the "triple effect" of nursing worldwide, namely: better health, greater gender equality and stronger economies. Building on the positive effect of these new ways of thinking in nursing, their recommendations were adopted by the Nursing Now campaign, in partnership with ICN and WHO. Dr. Tedros Adhanom Ghebreyesus, the first WHO director who is not a doctor, appointed a Chief Nurse in 2017, Elizabeth Iro; the first time in its 70-year history that a nurse has sat at the WHO decision table. In 2020, WHO also produced its first State of the World's Nursing report, an important step; but the fact that WHO took 70 years to decide to do so represents a measure of its historical failure to include nurses and nursing on its decision tables or as priorities on its agenda.

 

The major changes needed to transform Nursing will not go into effect through an ongoing series of short-term and piecemeal policy-related initiatives, no matter how good they may be individually. Sustainable and deep-rooted change will depend on achieving an honest and shared understanding of the obstacles and the inequalities and structural issues that hold them, as well as addressing the root causes and underlying factors.

 

These big problems are not solved with suggestions on how to exploit the status quo, and patience is not likely to be the answer. This is the time for nurses to change the paradigm, to be seriously considered both collectively and individually, when old certainties and ways are shaken to their very core. In addition to trying to gain influence at the decision tables, Nursing organizations are forging alliances with social movements and considering radical alternatives.

 

All of the above could lead us to a new health and healthcare story. As protagonists in this story, nurses will find themselves at the center of sustainable health systems that respond to individual and population needs, are fit for the present, and innovative and adaptable for the future. Rooted in reality but with great ambitions, nurses work to shape sustainable, high-quality, effective and affordable services that are fit for the future and capable of meeting the challenges of turbulent times. They focus where needs are most pressing and where there is the greatest potential to improve health and reduce the burden of inequalities. They bring their knowledge and experiences as practical practitioners into all subsequent roles: clinical specialists, administrators, teachers, researchers, academics, policy makers, and leaders. They inspire and lead at all levels, from rooms or boards to international organizations.

 

We begin by arguing that "working on global health" means thinking globally and acting locally: adopting a mindset that seeks to understand the structural and political conditions that sustain armed conflict, poverty, inequality, inaction, or environmental pollution, as well as worsening of the health and well-being of vulnerable populations. This does not necessarily mean going beyond our immediate scope. It can mean working with a disadvantaged and vulnerable local community. It can mean taking political action to achieve clean air and water. It can mean pressure on regulations to achieve social justice and universal health coverage. If you need suggestions on what you could do (adapted from "Think Globally, Act Locally" is ancient wisdom, but it was never so necessary on the part of nurses and Nursing.

 

How nurses can engage in global health

 

1.Start at home: think globally and act locally.

2.Cultivate a vision of the world; be sensitive to cultural aspects of norms and practice.

3. Make a commitment to learn more about the global health agenda, especially the MDS.

4. Know the position of regional and international organizations and their national and local governments with respect to key international health and nursing issues, and lobby in their defense.

5. Get involved in global health issues, and work as a team with like-minded groups and individuals, both nationally and internationally.

6. Through professional associations, unions, workplaces or communities, help colleagues from the same country and from other countries (and learn from them) in their work to strengthen 7. Nursing and health.

8. Defend, initiate and document the role of Nursing in the standards.

9. Join with others to ensure national and local structures and roles are in place so that the voice of nurses is heard in both policy and practice.

10. Make sure Nursing leaders (and new graduates) know the rules and policies, know how to analyze the environment, how to develop a strategy and how to work together.

11. Assume and distribute research to build evidence on the effectiveness of Nursing.

12.Share ideas and achievements through discussions, posts, conferences, social media, and the Internet.

 

We have also argued that the challenges facing both the planet and our own communities have significant implications for Nursing and for nurses, as well as shaping our hope that nurses can influence policy makers and policy makers (and move to occupy those roles), showing them that the MDS cannot be achieved without strengthening Nursing. In this Year of Nurses and Midwives the window of opportunity is open, but it won't be that way for long. Both globally and locally, nurses must be prepared to take advantage of it.

 

Nursing personnel represent more than half of the world's health personnel, providing essential services throughout the health system. Throughout history, nursing personnel have been at the forefront of the fight against epidemics and pandemics that threaten health worldwide, as is the case today. In all parts of the world, they are showing their compassion, courage and courage in responding to the COVID-19 pandemic - never before has their worth been more clearly highlighted.

 

«Nursing professionals are the backbone of any health system. Today many of them are on the front lines in the battle against COVID-19, 'said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. "This report is a stark reminder of the irreplaceable role they play and a wake-up call to ensure they receive the support they need to safeguard the health of the world."

 

The report, prepared by the World Health Organization (WHO) in collaboration with the International Council of Nurses (ICN) and the Nursing Now campaign, reveals that the nursing staff currently numbers about 28 million professionals worldwide . The ranks of the nursing staff increased by 4.7 million between 2013 and 2018. However, the current figure continues to leave a global deficit of 5.9 million professionals, the majority in countries in Africa, South-East Asia and the Region. of the Eastern Mediterranean of the WHO, as well as in some parts of Latin America.

 

Tellingly, more than 80% of the world's nursing staff work in countries that are home to half the world's population. And one in eight of these professionals works in a country other than the country in which they were born or trained. Aging also threatens the nursing workforce: one in six nurses in the world is expected to retire in the next 10 years.

 

To avoid a global shortage situation, the report estimates that countries experiencing shortages should increase the total number of nursing graduates by an average of 8% per year, and improve their chances of obtaining employment and retain it in the health system.

 

"Politicians are aware of the cost of training and maintaining a nursing staff, but many of them now only recognize their true value," said International Council of Nurses President Annette Kennedy. "Every penny invested in nurses enhances the well-being of individuals and families in very clear and tangible ways that everyone can see. This report highlights the contribution that the nursing profession makes and confirms that investing in it is a benefit to society, not a cost. The world needs to bring in millions of nurses, and we call on governments to do the right thing and invest in this wonderful profession and watch their populations benefit from the incredible work that only nurses can do. " .

 

Approximately 90 per cent of all nurses are women, yet few nurses hold managerial positions in the health sector. The vast majority of these positions are held by men. However, when nurses are allowed to assume a leadership role in countries, for example by establishing a position of chief officer of public nursing services (or equivalent) and leadership programs for nursing personnel, the conditions of this group improve.

 

"The report makes a call, duly supported by much-needed scientific data and studies, for strengthening leadership in nursing and advanced nursing roles, as well as training nurses for the future," he said. Lord Nigel Crisp, Co-President of Nursing Now. "The policy options include measures that, in our opinion, all countries can adopt in the next ten years to guarantee a sufficient number of nursing professionals and that nurses make full use of the competences received in their theoretical and practical training and expanding their professional scope to improve the delivery of primary health care and respond to health emergencies such as COVID-19. To do this, a broad intersectoral dialogue must be initiated that places scientific data on nursing in the context of the countries' health systems, their health personnel, and their health priorities.

 

To equip the world with the nursing staff it needs, WHO and its partners recommend that all countries:

- Increase funding to train and employ more nursing professionals

 

- Strengthen the capacity to collect and analyze data on nursing staff and take relevant related actions

 

- Supervise the mobility and migration of nursing staff and manage them responsibly and ethically

 

- Offer future nursing professionals theoretical and practical training in the scientific, technological and sociological competencies they need to advance in primary health care.

 

- Establish leadership positions, in particular chief officer of public nursing services, and support leadership development among young nursing professionals

 

- Ensure that the nursing staff of the primary health care teams can reach their full potential, for example in the prevention and clinical care of non-communicable diseases

 

- Improve working conditions, in particular through safe levels of staffing, fair wages, and respect for the right to safety and health in the workplace

 

- Apply policies in nursing personnel that take into account gender aspects

 

- Modernize the professional regulation of nursing by harmonizing the standards of training and nursing practice, and using systems that allow the recognition and processing of the credentials of nursing staff worldwide

 

- Strengthen the role of nurses in care teams by linking different sectors (health, education, immigration, finance, and labor) with nursing stakeholders for policy dialogue and workforce planning.

 

The message of the report is unequivocal: Governments must invest in a major acceleration of the training of nurses, the creation of jobs in the sector, and in leadership. Without nurses and midwives and other health professionals, countries cannot win the battle against outbreaks, nor can they achieve universal health coverage or the Sustainable Development Goals.