Nurses in The Frontline To Ensure Access and Equity in Health Care

International Council of Nurses ICN Report 2010-2011
Nurses in the frontline to ensure access and equity in health care
ICN REPORT 2010-2011
ICNs Mission
To represent nursing worldwide, advancing the profession and influencing health policy
Contents
Foreword ICN Pillar 1: Professional Practice Building Nursing Leadership Combatting Counterfeit Medical Products Addressing the Global Crisis of Non-Communicable Diseases (NCDs) Advancing eHealth Technologies New ICN Publications on Professional Practice 2010-2011 ICN Pillar 2: Nursing Regulation Facilitating Global Collaboration Serving as Expert Advisors New ICN Publications on Regulation 2010-2011 ICN Pillar 3: Socio-Economic Welfare Addressing Workplace Issues Strengthening the Nursing Workforce New ICN Publications on Socio-Economic Welfare 2010-2011 Advancing Nurses and Nursing Worldwide Influencing Health Policy Protecting the Rights of Nurses in Disasters and Conflict Areas Leveraging Relations - Collaborating with Others Recognising Achievement Addressing the Millennium Development Goals MDG 2: Achieving Universal Primary Education MDG 3: Promoting Gender Equality and Empowering Women MDG 4: Reducing Child Mortality MDG 5: Improving Maternal Health MDG 6: Combatting HIV/AIDS, Malaria and Other Diseases Bringing Nursing Together Worldwide Increasing Nursing Knowledge Facilitating Communication and Networking Honouring Florence Nightingale's Legacy Representing Nurses Globally 32 34 36 37 28 28 28 28 28 22 24 25 26 17 19 20 14 15 15 8 9 10 11 12 6
All rights, including translation into other languages, reserved. No part of this publication may be reproduced in print, by photostatic means or in any other manner, or stored in a retrieval system, or transmitted in any form, or sold without the express written permission of the International Council of Nurses. Short excerpts (under 300 words) may be reproduced without authorisation, on condition that the source is indicated. Copyright 2012 by ICN - International Council of Nurses, 3, place Jean-Marteau, 1201 Geneva, Switzerland ISBN number: 978-92-95099-02-9
New from ICN in 2010-2011
Credentialling and Regulators Forum

Analysing the impact of today's critical issues on health care, the regulatory environment and the evolution of nursing practice, the first joint Credentialing and Regulators Forum was held in the USA in 2010. The second forum was held in 2011 in Taiwan. See page 14
WHPA Global Anti-Counterfeiting campaign

With its partners in the World Health Professions Alliance (WHPA), ICN has initiated the Be Aware, Take Action campaign, to better equip health care professionals to combat counterfeit medical products. See page 9
GCEF Florence Nightingale Bear

In 2011, the Florence Nightingale teddy bear was launched in support of the Girl Child Education Fund. Proceeds from the sale of the Florence Nightingale bear have raised almost 6,000 for the GCEF. See page 28
New ICN website

On 12 May 2010, ICN launched a new and improved website, offering the global nursing profession a modernized and user-friendly gateway to nursing knowledge, networks, news and events worldwide. See page 34
French Mobile Library

In 2011, a French-language version of the ICN Mobile Library-the Bibliothque Mobile-was launched by ICN and Elsevier Masson. French-language libraries have now been delivered to Burkina Faso, Congo, Haiti, Senegal and Togo. See page 31
Global non-communicable diseases survey

In 2011, ICN and Pfizer carried out a global survey of nurses and non-communicable diseases. Nurses want to lead in the global fight against the further spread of noncommunicable diseases but workload and time constraints are holding them back. See page 10
ICN Board of Directors 2009-2013
Officers: Rosemary Bryant President (Australia) Rudolph Cini First Vice-President (Malta) Teresa J.C. Yin Second Vice-President (Taiwan) Marlene Smadu Third Vice-President (Canada) Members: Beatrz Carvallo Suarz (Colombia) Sylvia Denton (United Kingdom) Anna Karin Eklund (Sweden) Marion Guy (New Zealand) William Holzemer (USA) Masako Kanai-Pak (Japan) Maria Angela Elias Marroquin (El Salvador) Elizabeth Oywer (Kenya) Peter Pozun (Slovenia) Julita Sansoni (Italy) Maria Augusta Sousa (Portugal)
About ICN 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. Our scope of work is guided by the following values and founded on three main pillars: professional practice regulation socio-economic welfare ICNs core values are: inclusiveness visionary leadership flexibility partnership achievement We are pleased to share this account of our work from 2010 to 2011 with all our stakeholders, colleagues and collaborators.
Foreword
Despite significant achievements in health care globally, there are still major gaps in the health status and life expectancy between high, middle and low income countries, between men and women and between rural and urban residents. The ability to access health services is key to improving the health, well-being and life expectancy of all. Yet, achieving this fundamental requirement remains limited by policies and practices, cost, language, proximity, and other factors. Nurses are unique in their ability to help address these gaps. As the principal and, in some cases, the only group of health professionals providing primary health care in many of the most challenging settings, nurses are essential to improving equity and access to health care and adding quality to the outcome of care. The International Council of Nurses (ICN) has long advocated for the development of national health care systems that provide a range of essential health services accessible to all the population, as determined within the country in both preventive and curative care. Where such services are not publicly funded, ICN believes that governments have a responsibility to ensure accessible health services to vulnerable groups. Over the last biennium ICN, in collaboration with its member national nurses associations and a wide variety of NGO, UN and corporate partners, has focused much of its activity towards achieving access and equity in health care and developing a clear understanding of how the health sector can act to reduce health inequities and address the social determinants of health. We invite you to learn more about this activity in this report, including the ICN Global Nursing Leadership Institute; the Wellness Centres for Health Care Workers programme; the TB and MDR-TB project; the Girl Child Education Fund; the campaigns to address the epidemic of non-communicable diseases and counterfeit medical products; and, ICN's on-going work to strengthen the nursing workforce and the working conditions of nurses as well as the regulation and education of nursing globally. ICN has also supported efforts by national nurses associations to influence health and public policy based national health priorities, equity and accessibility of essential services and ensuring that policy for publicly funded health services does not downgrade the level of nursing. ICN has promoted educational preparation in management and leadership development that prepares nurses for a broad range of roles and responsibilities. A healthy population is a vital national resource and powerful force for the development of societies everywhere. Nursing has a pivotal role in enabling communities and societies to achieve the best health status possible for the population within the resources available.
Rosemary Bryant President
David C Benton Chief Executive Officer
ICN PILLAR 1: Professional Practice

Pioneers in leadership management and negotiation skill development
ICN Pillar 1: Professional Practice

Building Nursing Leadership
ICN has been a pioneer in leadership, management and negotiation skill development for nurses for more than 20 years through the highly successful Leadership for Change and Leadership in Negotiation programmes and the recently inaugurated Global Nursing Leadership Institute (GNLI). The ICN-Burdett Global Nursing Leadership Institute Over 2010-2011, 57 distinguished nurse leaders from across all world regions graduated from the ICN Global Nursing Leadership Institute (GNLI), held annually in September in Geneva. Established by ICN in 2009, with support from Pfizer's International External Medical Affairs Group, the GNLI offers an advanced leadership programme for senior and executive level nurses from low, middle and high-income countries. It provides participants opportunities to develop understanding of global health challenges, obtain insight into international leadership styles, and be exposed to and analyse global leadership activity. Facilitated by an expert international faculty, it employs an action-learning approach within a collaborative and stimulating learning culture. In 2011 the GNLI was funded by the Burdett Trust for Nursing and Pfizer External Medical Affairs Group. Further information about the GNLI, including how to apply, can be accessed at www.icn.ch/pillarsprograms/globalnursing-leadership-institute/. ICN Leadership for Change Programme Fact In Panama, LFC participants improved patient safety in 24 paediatric specialty surgical wards in several hospitals; developed a community-based, nurse-led drug prevention programme with 7th grade students from various schools in the nation; and promoted road safety strategies for the prevention of accidents with transport drivers.
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LFC Monitoring Visits Phase II and subsequent programmes are delivered by LFC Certified Trainers in country, under a License Agreement with ICN. The LFC Programme Director remains available for technical assistance. This activity has been in progress over 2010-11 in Bahamas, Guyana, Kenya, Mauritius, Nepal, Seychelles and St. Lucia.
The Leadership for Change (LFC) is an ICN programme aimed at building strategic nurse leadership capacity at the national and organisational level. LFC has been preparing nurses globally for leading and shaping change since 1996.
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G LFC Licence Agreement The LFC Licence Agreement licenses the Provider Organisation, approves the programme and certifies the LFC Trainers to deliver the programme for a period of three years. Over 2010-11 this has occurred in Guyana, Hong Kong, Jordan, Mauritius, Myanmar, Panama, Portugal, Suriname, United Arab Emirates, Vietnam and Yemen.
LFC Phase One An LFC Phase I programme typically involves four workshops over 18 -24 months, delivered by the ICN LFC Programme Director or an approved LFC Regional Trainer. In 2010-11 this phase was on-going in Iran, Hong Kong, Portugal, Syria and South Africa.
LFC Training of Trainers (TOT) A Training of Trainers (TOT) phase follows Phase One, including suitable participants from the Phase I programme and graduating certified LFC Trainers, qualified to deliver the LFC Programme in country. Over 2010-11 the following countries were involved in TOT activity: Hong Kong, Kenya, Mauritius and Guyana.
Leadership in Negotiation The Leadership in Negotiation programme seeks to equip nurses with skills to help achieve safer working environments and fair levels of remuneration as valued members of the society. Over the past 20 years nearly 30 countries have been involved in this programme. The fourth year of the Leadership in Negotiation (LIN) Workshop in Russia was implemented in Omsk (Siberia) in 2010, hosted by the Omsk Professional Nurses Association. The programme was delivered through collaboration between Vrdfrbundet (The Swedish Association of Health Professionals), the Russian National Nurses Association (RNA) and ICN. The objective was to prepare strong nurse leaders to master negotiation skills and thus influence health and nursing policies. This final year of the four-year-programme was attended by 27 participants from six regions in Russia. As a result of the positive outcomes of the programme, the RNA, with the support of the ICN and Vrdfrbundet agreed to deliver another four-year programme with new regions participating from 2011-2014. In June 2011 the first year of the four year LIN Workshop was held in Suzdal (Ivanovo region) Russia with 30 participants from 17 Russian regions.
Combatting Counterfeit Medical Products

Fact In Kenya in 2011, nearly 3,000 patients were affected by a falsified batch of antiretroviral drugs. WHO Fact Sheet No. 275 2012
Anti-Counterfeit Medicines Campaign In 2010, with its partners in the World Health Professions Alliance (WHPA), ICN launched the Be Aware, Take Action campaign, to better equip health care professionals to combat counterfeit medical products. The campaign provides tools and strategies for nurses, dentists, pharmacists, physicians and physical therapists, as well as health care advocates and patients. In March 2010, the WHPA issued a joint statement on counterfeiting of medical products. This was followed in May 2010 with the launch of the Be Aware, Take Action toolkit which seeks to help educate and improve the capacity of health professionals to detect, report and prevent counterfeit medical products. In October 2010 the first regional workshop on counterfeit medical products was held in San Jos, Costa
Rica during which 23 national health professional organisations agreed upon and signed the WHPA San Jos Call to Action on Counterfeit Medical Products. This was followed by multiprofessional regional workshops in Nigeria in November 2010 and Taiwan in July 2011, during which participants endorsed the WHPA Taipei Call to Action to reduce the harmful impact of falsified and counterfeit medical products on patients and the public. In November 2011, national health professions organisations attending the WHPA workshop held in Prague
endorsed the WHPA Prague Call to Action, to reduce the harmful impact of falsified medical products on patients and the public and to urge governments to ramp up the fight against falsified medical products. Additional information about the WHPA Be Aware, Take Action campaign is available at www.whpa.org
Addressing the Global Crisis of Non-Communicable Diseases (NCDs)

Fact WHO projects that NCD deaths will increase by 15% globally between 2010 and 2020 (to 44 million deaths). The greatest increases will be in Africa, South-East Asia and the Eastern Mediterranean, where they will increase by over 20%. WHO (2010) Global status report on NCDs
and morbidity and soaring costs, ICN has not missed the opportunity to capitalize on the enthusiasm and expertise that nurses can bring to addressing this global health crisis. Over 2010 and 2011 ICN worked to provide maximum support to nurses, so as to unleash their power to fight these debilitating and deadly diseases. ICN Multinational Survey of Nurses In 2011, ICN and Pfizer carried out a global survey on non-communicable diseases, which showed that although nurses want to lead in the global fight against the further spread of non-communicable diseases (NCDs) workload and time constraints are holding them back. The survey showed that 95% of the 1,600 nurses across the eight countries polled want to use their skills and time to educate individuals on the threat and prevention of NCDs. Nurses think they should be spending almost twice the time they currently are able to devote, on preventing the development of NCDs. It also revealed that 95% of nurses surveyed experience time pressures that are having negative effects on patient health and one third reported that their workload has worsened over the last five years.
As the world faces a massive increase in the levels of death and disability resulting from chronic disease, there is an urgent need for nurses everywhere to proactively engage with all parts of the community and all sectors to address this growing threat to global health and development. Nurses, in numbers exceeding 13 million worldwide want to enable individuals and communities to enhance their wellness. With the globally escalating problems of NCD mortality
Diabetes and Depression As part of ICN's overall commitment to the prevention and control of non-communicable diseases, ICN has partnered with the Dialogue on Diabetes and Depression (DDD) - a global initiative involving several organisations - and the Association for Improvement of Mental Health Programmes (AIMHP) to implement the African Nurse Training Programme (ANTP) to improve awareness, recognition and management of co-morbid diabetes and depression. Nearly a third of persons with diabetes suffer from clinically relevant depressive disorders and persons with depressive disorders are twice as likely as the rest of the population to also suffer from diabetes. This co-morbidity complicates the management of the two conditions. ICN believes it is essential that we recognise the profound link between mental and physical health. The nurse training programme sees people as individuals, placing them at the centre of care with full voice in the decision-making process. In 2010-2011, the programme prepared 30 nurses each from Botswana, South Africa and Uganda; 15 nurses each from Lesotho and Swaziland and 28 from Uganda.
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IND Kit 2010 Nurses Leading Chronic Care
lead role. ICN called upon nurses everywhere to move to action, in their personal lives and professional roles, to stem the pandemic of chronic disease. WHPA's Global Campaign on NCDs In collaboration with the World Health Professions Alliance (WHPA), ICN launched a campaign against non-communicable diseases. In a joint statement released December 2010, the global leaders of nurses, pharmacists, physical therapists, dentists and physicians, said wh at is needed is a single strategy to prevent and manage NCDs. The Campaign has released an easy-to-use, practical guide to help individuals and their health professionals reduce the risk of non-communicable diseases (NCDs) - conditions which currently account for 60% of global deaths. The WHPA Health Improvement Card consists of a health scorecard, with how to explanatory guides for individuals and health professionals. It was been developed by health professionals with input from patients, health partners, and the WHO, to educate individuals on positive behaviour and lifestyle changes. For more information about the WHPA NCD campaign please see www.whpa.org/ncd_campaign.htm
Fact The Filipino nurses' podcast responds to the needs of the Filipino people by providing essential health information and education in the local dialect and relating to the Filipino cultural background The nurses' podcast will also teach nurses how to intervene with their clients and discuss strategies that will be related to their patients' level of understanding. The nurses' podcast will use the power of internet and social media, making it more accessible to every nurse in the country while also targeting ordinary listening and watching Filipinos by giving important tips on health management, promotion and prevention of diseases.
Advancing eHealth Technologies

The ICN eHealth programme, launched May 2011 at the ICN Conference in Malta, encompasses the International Classification for Nursing Practice (ICNP), the ICN Telenursing Network and Sanofi Connecting Nurses. The eHealth Programme aims to transform nursing through the visionary application of information and communication technology; and to advance nurses' knowledge of and involvement in eHealth worldwide.
In 2010, ICN chose as the theme for International Nurses Day, Nurses Leading Chronic Care. The IND Toolkit provides extensive background information about the increasing need and demand for chronic care, using type-2 diabetes as an example. It challenges nurses and others to understand the enormity of the problem and to recognise that with knowledge, courage, vision and commitment nurses are well placed to assume a
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International Classification for Nursing Practice (ICNP) ICNP is a standard terminology for nursing that supports the documentation of nursing diagnoses, interventions and outcomes in electronic health records. ICNP is an integral part of the global information infrastructure informing health care practice and policy to improve patient care worldwide. The terminology is accessible through the C-Space platform in different formats, depending on the user's needs. ICNP catalogues are available on C-Space. These are clinically relevant subsets of the terminology that can be used in electronic health records for a specified specialty or setting. A multilingual ICNP browser is also available via C-Space, making the nursing terminology available and accessible to users worldwide. The multilingual browser facilitates translations of ICNP, marking a significant step forward for the application of a standard terminology in clinical settings. The clinical application of ICNP in more countries, with data derived from standard documentation, will support national and international reporting of quality indicators related to patient outcomes. The work with ICNP includes partnerships with software vendors, health ministries, professional nursing organisations and other international standards organisations. In 2010, ICNP was recognised as a member of the WHO Family of International Classifications (FIC) and, in 2011, ICN was recognised by the WHO-FIC as one of three professional non-governmental
organisations in affiliation with the FIC. Also in 2010, a Harmonization Agreement was signed between ICN and the International Health Terminology Standards Development Organization (IHTSDO) to develop a clinically useful interface between ICNP and SNOMED-CT. Ten ICN-Accredited ICNP Research and Development Centres continue to support the terminology development and work toward clinical application of ICNP. The Centres are the German Speaking User Group, Canberra Australia, Flinders Australia, Paraiba Brazil, Concepcion Chile, Tehran Iran, Seoul Korea, Lodz Poland, Porto Portugal, and Minnesota USA. Representatives from each Centre met at the ICN Conference in Malta in May 2011. ICN staff attended and made presentations at Medical Informatics Europe in Norway, 28-31 August 2011. Sanofi Connecting Nurses Connecting Nurses is an initiative for nurses supported by Sanofi in partnership with ICN and other nursing organisations. Connecting Nurses seeks to provide a forum for nurses from around the world to share their ideas, advice and innovations. One element of Connecting Nurses is Care Challenge, a contest that highlights nursing innovations and helps to put them into practice. Care Challenge entries will be judged by an independent jury. More information is at the Care Challenge web site: www.care-challenge.com
New ICN Publications on Professional Practice 2010-2011

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HIV/AIDS Network Bulletins, February 2010, September 2010, March 2011, July 2011 IND Kit 2010 Delivering Quality, Serving Communities: Nurses Leading Chronic Care IND Kit 2011 Closing the Gap: Increasing Access and Equity eHealth Network Bulletins, June 2011, December 2011 ICNP Network Bulletins, June 2010, December 2010 Telenursing Network Bulletins, June 2010, December 2010 Leadership Network Bulletins, June 2010, November 2010, May 2011 ICNP Catalogue on Nursing Outcome Indicators
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WHPA Be Aware, Take Action toolkit WHPA Counterfeit Newsletter August 2010 Research Network Bulletins, April 2010, October 2010, June 2011, December 2011.
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ICN PILLAR 2: Nursing Regulation

Ensuring high standards of nursing education and practice globally
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ICN Pillar 2: Nursing Regulation

Facilitating Global Collaboration
ICN and ICM Regulators Forum In May 2010, ICN and the International Confederation of Midwives (ICM) hosted the sixth Regulators Forum with participants from 23 countries. Main topics discussed included behavioural markers in performance assessment; the impact of scaling up education and regulators access to primary source data. The meeting report and communiqu are available at www.icn.ch/news/triad-meetings-2012/ Credentialing and Regulators Forum The annual Forum provides participants with an opportunity for interaction, information sharing and dialogue on international issues pertaining to credentialing and regulation. The first joint Credentialing and Regulators forum took place in Maryland, USA, 1-3 November 2010. Thirty-three participants from 16 countries gathered to discuss: advanced practice; regulatory reform; fraud in regulation; credentialing and regulatory research; and evolving scopes of practice in health care delivery. A second meeting of the Forum was held in Taipei, Taiwan, 31 October-2 November 2011 with a total of 41 participants from 14 countries. The topics discussed at this meeting included: the influence of social media on regulators and credentialing agencies; the impact of the economic crisis; evolving scopes of practices and continuing competence. ICN, ICM and WHO Triad meeting Government chief nursing and midwifery officers, representatives of national nursing and midwifery associations and regulatory bodies from 85 countries met in Geneva on 14-15 May 2010, together with ICN, the International Confederation of Midwives and the World Health Organisation, to address issues critical to the provision of safe, quality nursing and midwifery care and effective regulation. Three themes were examined: the economic crisis; the growing burden of chronic disease; and health system strengthening. ICN Observatory on Licensure and Registration The ICN Observatory on Licensure and Registration enables ICN and the nursing profession to anticipate and respond in a timely, appropriate manner to international regulatory developments by providing leadership in influencing policy on global regulatory matters. In November 2010, the Observatory provided feedback on a draft of the most recent planned addition to ICN's regulation toolkit series on Complaints Management and had discussion on the impact of the global economic recession on regulation; capacity building of regulators; regulation of midwifery and its relationship with registered nursing and the regulatory implications of two recent WHO Documents: Code of Practice on the International Recruitment of Health Personnel and Increasing Access to Health Workers in Remote and Rural Areas through Improved Retention .
Fact ICN's work enables NNAs to compare and contrast the regulatory situation in their own country to that of nursing regulation in other countries. ICN will continue to work with its members associations, regulators, the nursing profession and the public to ensure that it responds to the challenges and opportunities the current environment presents. ICN has long recognised that setting and enforcing standards for nursing education and practice is a major responsibility of organised nursing and a key aspect of nursing's progress as a profession. The various means of setting standards are the credentialing (licensing and certification) of nurses and specialists, approval of schools and accreditation of nursing services in hospitals and other settings. ICN's position, developed and promulgated within its member associations, is that for nursing to be recognised and to contribute as a profession, its educational standards must be equivalent to those of other professions. The reports from the two meetings are available at: www.icn.ch/news/credentialing-andregulators-forum-2012/
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Fact Nurses are expected to be leaders and coordinators on the health team and assume high degrees of clinical and managerial responsibility, communication and decision making. This has given impetus to efforts to raise the level of nursing education, especially as more evidence is appearing to indicate that the presence of the well prepared registered nurse (RN) is associated with better patient outcomes. Global Issues and Trends in Nursing Education (ICN 2010) Second World Health Professions Conference on Regulation Bringing together policy makers, health system managers and administrators; researchers and scientists; as well as leaders from ICN, the International Pharmaceutical Federation, the World Dental Federation and the World Medical Association, the second WHPCR was held in Geneva from 18-19 February 2010 and was attended by 256 delegates from 45 countries. The conference focused on three areas - exploring a desired future for health professional regulation, examining the regulatory and professional issues related to the international migration of health professionals and critically evaluating the relationship among health professional education, regulation and standards of practice. International Roundtable: Maternal Mortality, Human Rights and Accountability ICN attended this roundtable in Geneva on 2 September 2010 organized by Clemens Nathan Research Centre, International Initiative on Maternal Mortality and Human Rights, SAHAYOG, CARE Peru, Health Equity Group (East Africa) and Essex University Human Rights Centre. The focus of the roundtable was on monitoring and accountability with respect to a human rights-based approach to maternal mortality. Attendees were primarily from international NGOs, international professional organisations and advocacy organisations.
Serving as Expert Advisors

State of Midwifery Report ICN was a member of the advisory committee on the development of The State of the World's Midwifery Report. This report which was released in June 2011 provides a snapshot of the situation of midwifery in 58 high priority countries. It includes an update of major issues such as education, competencies, regulation, professional association, maternal health workforce distribution and retention issues. ICN brought the perspective of the nurse-midwife to the report as midwifery is practiced by nursemidwives in many of the countries included. World Health Organization Patient Safety Curriculum Guide: Multi-Professional Edition ICN sat on the expert working group to develop a Multi-professional Patient Safety Curriculum Guide which was released in October 2011 and continues to work in an advisory capacity with respect to the dissemination and utilisation of this guide. The guide was developed to support capacity building in patient safety of health-care educators.
World Health Organization Guidelines for the Transformative Scale up of Health Professional Education ICN is part of a multi-health professional group formed to develop guidelines on the transformation and scale up of health professional education. The first meeting of this group took place in May 2011. The guidelines will focus on the areas of accreditation and regulation, faculty development, partnerships and financing.
New ICN Publications on Regulation 2010-2011

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Global Issues and Trends in Nursing Education Scope of Nursing Practice and decision-making framework toolkit News for Regulators March 2010, October 2011 Nursing Education Network Bulletin February 2011 Student Network Bulletin November 2011 Nurse Practitioner/Advanced Practice Network Bulletins: April 2010, November 2010, April 2011, December 2011 Rural and Remote Nursing Network Newsletter April 2011 Regulators Forum Report May 2010 Credentialing and Regulators Forum Reports November 2010 and November 2011 Triad Meeting Report 2010.
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ICN PILLAR 3: Socio-Economic Welfare

Safeguarding and promoting nurses workplace issues
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ICN Pillar 3: Socio-Economic Welfare

Fair and equitable compensation and other work benefits for nurses are major concerns of ICN. ICN serves as a resource to its member associations in the campaign for equitable treatment and regularly supports its members by lobbing governments for needed change. ICN collects essential data on the contributions of nurses to health care and disseminates this information to its members, along with news about trends in remuneration. In addition, we conduct regional and national workshops where association leaders compare trends, problems and solutions regarding workplace and economic issues. On an international level, ICN represents nurses and nursing within the International Labour Organisation to ensure that their universal definitions and guidelines justly reflect the competencies and responsibilities of nurses. Eternal vigilance and activism are necessary to safeguard and promote nurses' workplace interests. PPE activities 2010-2011 As the PPE Campaign Secretariat and member of the Global Steering Committee, ICN met with partner organisations on a number of occasions in 2010 and 2011 to monitor and inform the strategic direction of the campaign. Inaugural workshops were undertaken in the three GHWA-funded countries (Morocco, Uganda and Zambia) in March and May 2010. Country case studies of the national practice environment situation and health worker retention were published for the three countries. Launched in April 2010, the PPE website is a portal to human resources for health tools, events and updated information on campaign activities. In January 2011, ICN delivered an all day workshop on PPE at the Second Global Forum on Human Resources for Health in Bangkok, Thailand. The focus of the forum was on the achievement of the Millennium Development Goals and the urgency of all stakeholders to work towards human resources for health and health system strengthening, to respond appropriately, efficiently and effectively. The workshop provided an insight to the multi-stakeholder and multi-disciplinary campaign, created awareness of the importance of PPE for staff well-being and quality of care delivery and shared the experience of introducing the campaign in Zambia, Uganda and Morocco. ICN was the key informant and focal
Fact A study of nurses in the United States, Canada, England, Scotland and Germany showed that 41% of hospital nurses were dissatisfied with their jobs and 22% planned to leave them in less than one year; findings confirmed the relationship between workplace stress and nurses' morale, job satisfaction, commitment to the organisation and intention to quit. point for the Global Health Workforce Alliance (GHWA) independent external evaluation of the PPE Campaign which was conducted in November/December 2011. Due to lack of funding the core partners agreed to suspend the campaign under the current operating framework, therefore the PPE Campaign Secretariat closed at the end of May 2011. However each core partner agreed to use the PPE Campaign brand to advocate for individual projects without a central Campaign Secretariat structure. ICN continues to promote positive practice environments and work to promote safe, cost-effective and healthy workplaces worldwide to strengthen health systems and improve patient safety. In addition, ICN is committed to addressing factors and situations such as underinvestment in the health sector, the shortage of health care professionals and the deterioration of health care working conditions worldwide. The PPE Campaign has been a feature of all the socio-economic welfare meeting agendas in 2010 and 2011.
Addressing Workplace Issues

Positive Practice Environments Campaign The Positive Practice Environments (PPE) Campaign is a joint effort by ICN, the International Hospital Federation, the International Pharmaceutical Federation, the World Confederation for Physical Therapy, the World Dental Federation, the World Medical Association and the Global Health Workforce Alliance (GHWA). It aims to improve the quality of health services by raising awareness, identifying good practice and developing tools for managers and health professionals, and implementing national and local projects to improve practice environments. The campaign promotes safe, cost-effective and healthy workplaces, thereby strengthening health systems and improving patient safety. In addition to global efforts, the PPE campaign supports the design and implementation of national projects to improve practice environments.
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Fact According to a study published by the National Institute for Occupational Safety and Health- NIOSH in 2002, nurses and other health care workers are almost three times more likely to experience violence on the job than any other workers. Many efforts have been made to reduce workplace violence. The American Nurses Association and nurses organisations in many other countries have raised awareness and sought solutions by creating taskforces, passing resolutions and implementing recommendations to address this issue. ICN SEW News April 2011 Workplace Violence ICN was a member of the Steering Group for the Second International Conference on Violence in the Health Sector: From awareness to sustainable action, which was held in Amsterdam, 27-29 October 2010. Topics addressed included: violence against patients and staff, staff to staff violence, violence in emergency departments, partner violence, impact, stigma, blame and strategies to manage violence including awareness promotion and education. Workforce Forums ICN has a number of workforce forums including the ICN International Workforce Forum, Asia Workforce Forum and the Latin American Workforce Forum. The cooperation between Forum participants enables issues specific to the region to be
identified, to share experiences to solve problems and collectively drive and support the strategic direction. The Forum also assists to maintain the relevance of ICN programmes and support international work. Its purpose is to stimulate thinking, enhance learning and ultimately to develop proactive strategies. International Workforce Forum The 16th International Workforce Forum was held in Japan, 16-17 September 2010. Subjects covered included: positive practice environments; working hours; bullying; economic downturn and potential threats to nursing. The 17th International Workforce Forum was held in Sweden, 19-21 September 2011. Subjects covered included: the impact of the economic downturn; respectful workplace/dignity at work; the impact of demographic changes; delegation; national and manmade disasters; salaries; and positive practice environments. Concerned that austerity measures such as funding cuts coupled with the drive for efficiency savings is resulting in ill-advised cut backs in essential health services impacting on the quality of patient care delivered, the Forum developed a Communiqu that recommended:
G In budget planning population health care needs and quality safe care must drive decision making. G Countries develop and implement effective health workforce planning, education, training and retention strategies to sustain the nursing workforce.
G All health sector employers, be they private or public, governmental or non-governmental, address their respective and specific roles and responsibilities to foster a positive practice environment to achieve quality workplaces for quality care. G Governments and employers to implement the evidenced based findings relating to positive practice environments to support and develop the nursing workforce capable of consistently meeting established standards of care and the expectations of the public.
Asia Workforce Forum The 11th Asia Workforce Forum was held in Malaysia, 25-26 November 2010. Subjects covered included: nurse wages; the positive practice environment campaign; research; mutual recognition agreements; the impact of the economic recession; mandatory vaccination; nursing image; working hours and family/work balance. The 12th Asia Workforce Forum was held in Macau, 24-25 November 2011. Subjects covered included: natural and manmade disasters; impact of economic downturn; the impact of demographic changes; impact of professional nurses in society; working hours; and positive practice environments.
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Latin American Workforce Forum The first Latin American Nurse Workforce Forum was held in Ecuador, 22-23 August 2011. Subjects covered included: professional regulation; positive practice environments: impact of the economic downturn; working hours; and salaries. Participants identified two major challenges: the lack of nursing involvement in policy forums tasked with the responsibility of achieving health priorities, and the lack of coherent workforce plans linked to educational and service development plans. Through a Communiqu, Forum participants recommended that their governments: G immediately introduce or enforce existing laws that prosecute those persons who assault nurses undertaking their duties G involve nurses in the strategic planning processes at regional, national and sub-national levels G develop and finance a coherent career structure for nurses which is based on competence; linked to differentiated and articulated education programmes; and rewarded with a transparent and equitable pay and benefits system. G accelerate work on developing and implementing workforce plans maximising the contribution of licensed nurses in order to increase access and improve patient outcomes. The Communiqus, country reports, meeting reports, nursing workforce profile data and the wage surveys for all the Forums are available on the ICN website at: www.icn.ch/pillarsprograms/socio-economic-welfare/.
Strengthening the Nursing Workforce

International Centre for Human Resources in Nursing The International Centre for Human Resources in Nursing (ICHRN) was established in 2006 by ICN and its premier foundation, the Florence Nightingale International Foundation. The Centre is dedicated to strengthening the nursing workforce globally through the development, ongoing monitoring and dissemination of comprehensive information, standards and tools on nursing human resources policy, management, research and practice. ICHRN is a unique, online resource serving policy makers, planners, educators, associations, employers, regulators, researchers and practitioners in the field of nursing human resources. The ICHRN Knowledge Library, a web based, interactive and fully searchable database holding a comprehensive range of information and documents covering all aspects of nursing human resources, grew to over 800 publications in 2010-2011. The ICHRN also commissioned and produced original monographs on a wide range of topics including nursing pensions, skill mix, turnover, planning and management competencies and the impact of the global financial crisis. As well, three issues of the ICHRN newsletter, a free, electronic newsletter available online at: www.icn.ch/news/ ichrn-enews/, were produced in 2010-2011.
International Centre on Nurse Migration The International Centre on Nurse Migration (ICNM) is a joint partnership between ICN andCGFNS International. It occupies a key role in establishing dynamic, effective global and national migration policy and practice that facilitate safe patient care and positive practice environments for nurse migrants. The mission of the Centre is to serve as a global resource for the development, promotion and dissemination of research, policy and information on nurse migration. The Strategic Advisory Group, which met in June and November 2010, is made up of experts from the World Health Organization, The World Bank, International Labour Organization, International Organisation for Migration, World Trade Organisation, National Nursing Organisations and others with specific expertise in migration and workforce issues The Research Centre, a new facility to allow individuals to submit high quality migration related materials (journal articles, research reports, conference papers, dissertations and thesis), has been established. (www.intlnursemigration.org). Fact Some 40% of presently employed nurses in the industrialised countries may retire in the coming decade, while the highly demanding conditions of work and, in several countries, relatively low pay, do not retain sufficient numbers of younger persons in the profession ICHRN 2010 Decent pensions for nurses
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Fact Unhealthy environments affect nurses' physical and psychological health through the stress of heavy workloads, long hours, low professional status, difficult relations in the workplace, problems carrying out professional roles, and a variety of workplace hazards. International Global Summit on Nurse Faculty Migration ICN and the Honor Society of Nursing, Sigma Theta Tau International (STTI), with the support of The Elsevier Foundation, in July 2010 convened the International Summit on Nurse Faculty Migration in Geneva, Switzerland. International leaders and health care experts from various disciplines met to examine the problem, and discuss issues that lead to the migration of nurse educators, the shortage, its consequences, and pragmatic solutions. ICN and STTI joint policy position is that nurse faculty migration is of major importance and has not yet been properly addressed. Therefore, the summit provided a unique opportunity to gather leaders with a body of international intelligence on faculty migration to identify current and future issues to inform the body of knowledge and contribute to developing the strategic direction and action for the future.
New ICN Publications on Socio-Economic Welfare 2010-2011

G G G G G
G G G G
G G G G
ICN intervenes on issues of particular concern to nursing.

G G G G G G G G G
Career Moves and Migration: Critical Questions Essential Services During Labour Conflict Guideline Law and the Workplace Guidelines on Job Evaluation It's Your Career: Take Charge Career Planning and Development Workbook and Trainer's Manual SEW Network Bulletin, April 2010, April 2011 Positive Practice Health Care Environments in Morocco Positive Practice in Uganda Positive Practice Environments in Zambia: Quality Workplaces for Quality Care Fact sheet on Meeting the information needs of health professionals Decent Pensions for Nurses Decent Pensions: The Issues Dynamic Issues: the Impact of the Economic Recession on Nursing and Nurses in Iceland Fact sheet on Skill Mix Impact of Turnover and the Benefit of Stability in the Nursing Workforce The nursing community, macroeconomic and public finance policies: towards a better understanding (revised edition WHO & ICN) Nursing Human Resources Planning and Management Competencies Nursing in Mauritius: Case Study ICHRN Newsletter, June 2011 ICHRN Environmental Scan ICNM eBrief on Medical Tourism ICNM eBrief on the Nurse Labour Markets in English-Speaking CARICOM: Issues and Options for Reform ICNM Fact Sheet on the WHO Global Code of Practice on the International Recruitment of Health Personnel ICNM bi-annual newsletter.
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Advancing nurses and nursing worldwide

Using evidence and partnership to optimum effect
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Advancing nurses and nursing worldwide

Influencing Health Policy
World Health Assembly Interventions ICN enjoys formal relations with the World Health Organization and, as a result we are permitted to attend meetings of the World Health Assembly (WHA) and to speak on key issues. Each year ICN lobbies governments to include a nurse on their delegation to the WHA as well as including member national nursing association on its own delegation. ICN intervenes on issues of particular concern to nursing. The Sixty-third session of the World Health Assembly took place in Geneva during 17-21 May 2010. At this session, ICN made interventions on several issues, including: G Prevention and control of noncommunicable diseases G Progress report on strengthening nursing & midwifery G International recruitment of health personnel G Draft Global Strategy to reduce the harmful use of alcohol
G Prevention and control of Multidrug resistant (MDR) Tuberculosis and extensively drug resistant (XDR) Tuberculosis.
Quote Climate change will be the defining issue for health systems in the 21st century. Health professionals have the knowledge, cultural authority and responsibility to protect health from climate change. WHO
G Ensure greater health sector representation on national delegations as well as within key mechanisms of the UNFCCC, recognizing the role of the World Health Organization as the voice for public health within the UN system. G Actively include the participation and empowerment of youth, women and indigenous peoples in the climate change processes. G Adopt a strong second commitment period of the Kyoto Protocol which currently includes emission reduction targets for the time until 2012, to protect and continue the only binding climate law the world has; G By 2015, negotiate a fair, ambitious and binding agreement that: - Places the protection of human health as a primary objective of any agreement. - Establishes an ambitious fair shares framework to reduce global emissions in order to avoid a global public health disaster. - Fosters both energy efficiency and clean, renewable energy that protects public health by reducing both local and global pollution. - Provides the immediate necessary resources to operationalize the Green Fund, and in the longer term, appropriate mitigation and adaptation funding required to address the health impacts of climate change, assuring all countries' rights to sustainable development and their ability to pursue a low carbon development pathway.
The Sixty-fourth World Health Assembly was held from in Geneva from 16-May 2011. ICN intervened on the following topics: G Prevention and control of non-communicable diseases G Health systems strengthening G Health-related Millennium Development Goals (MDGs). Climate Change and Health ICN signed the Durban Declaration on Climate and Health calling on national delegations to the 17th Conference of the Parties of the United Nations Framework Convention on Climate Change (UNFCCC) to: G Recognize the health benefits of climate mitigation and take bold and substantive action to reduce global greenhouse gas emissions in order to protect and promote public health.
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and the effect of inequality on health. It outlined the barriers that exist and how we can increase access and equity. It also shone a light on the importance of the social determinants of health, demonstrating how nurses can address these and in so doing improve access and ensure equity in the care provided. Both IND Kits are available on the ICN website at: www.icn.ch/publications/international-nurses-day/ UN Agency for Women Since 2007 ICN has joined the Call for a UN Agency specifically targeting women's issues. In 2010, just prior to the meeting of the United Nations General Assembly, ICN issued a Call for Action recommending that that individuals, organisations, professional associations write to their head of state and key legislators and missions calling for their energetic support for the quick passage of the recommendation to establish the new women's agency. ICN provided model letters, addresses of UN Ambassadors, a sample press release and frequently asked questions to ensure that this key structure for women's empowerment was created. On 2 July 2010, the UN General Assembly voted unanimously to create a new entity known as UN Women. Quote UN Women is a recognition of a simple truth: Equality for women and girls is not only a basic human right, it is a social and economic imperative. Where women are educated and empowered, economies are more productive and strong. UN Secretary-General, Ban Ki-moon
Increasing Nursing Presence in the World Health Organization Fact Data from the WHO human resources annual report of December 2011 reveals 0.7% of professional staff are nurses and 90.5% are medical specialists. Dieticians and nutritionists (at 2.6 %) and pharmacists (at 2.0%) have greater representation than nurses. ICN Fact Sheet
International Nurses Day International Nurses Day is celebrated around the world every May 12, the anniversary of Florence Nightingale's birth. ICN commemorates this important day each year with the production and distribution of the International Nurses' Day (IND) Kit. In 2010, the IND theme was: Delivering Quality, Serving Communities: Nurses Leading Chronic Care. The IND toolkit provided background information about the increasing need and demand for chronic care, using type-2 diabetes as an example. It challenged nurses and others to understand the enormity of the problem and to recognise that with knowledge, courage, vision and commitment nurses are well placed to take a lead role. ICN issued a call to action for nurses everywhere to lead the fight against chronic disease; to act as healthy role models for their families, their patients and their communities; and, through their national nurses associations, to engage with ICN and its partners to advocate for necessary social, economic and political change. In 2011, the IND theme was Closing the Gap: Increasing Access and Equity. The toolkit aimed to strengthen nurses' understanding of access and equity
At the ICN Conference in Malta in May 2011, ICN's governing body passed an emergency resolution expressing ICN's extreme concern at the lack of nursing policy presence within the World Health Organization (WHO). ICN President Rosemary Bryant followed this with wrote an open letter to WHO Director General Dr Margaret Chan calling for an immediate remedy to the appalling lack of nursing leadership positions throughout WHO structures, including at headquarters and in the regional offices, beginning with reestablishment of the post of WHO Chief Nurse Scientist. This concern was raised again at the 2011 World Health Assembly.
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Protecting the Rights of Nurses in Disasters and Conflict Areas

Supporting Nurses and Nursing in Haiti Fund In January 2010 a 7.0 magnitude earthquake struck the poorest country in the Americas, Haiti, killing and injuring hundreds of thousands of people and destroying homes, hospitals, schools and infrastructure. The National School of Nursing in Portau-Prince was completely destroyed, killing 200 nursing students. ICN established the Supporting Nurses and Nursing in Haiti Fund in order to strengthen nursing and education in Haiti. More than 230 thousand Swiss francs was donated by nurses and nursing associations around the world. ICN worked with the Association Nationale des Infirmires Licencies d'Hati (ANILH) to identify priority areas for the Fund. These included: G Immediate funds to assist nurses with their personal needs, including blankets, tents, soap, clothing and temporary housing;
Quote As one of the most trusted professions in the world, nurses are uniquely positioned to provide information regarding disaster preparedness to the community. Additionally, their special knowledge, skills, and abilities make them key providers of disaster relief services, especially in relation to meeting the health needs of victims and workers. Rosemary Bryant, ICN President
G Funds to support volunteer nurses in the fight against the cholera outbreak. G A special nationwide meeting of nurses in Haiti to assess the best approach to rebuilding the ANILH and nursing services in the country. G Rebuilding of the Haitian NNA's physical structure and support of its programmes. G Supporting ANILH to hold an international congress in November 2011. The Elsevier Foundation provided a US $15,000 grant to ICN to produce
and deliver five French Mobile Libraries (Bibliothque Mobile), specially adapted for the post-disaster situation in Haiti. ICN President Rosemary Bryant visited Haiti at the end of 2010 to meet with the ANILH and Haitian nurse leaders, to bring the moral support of the global nursing community, and to assist with pressing policy matters. Advocating for fair trials in Bahrain In June 2011, following the arrests of 47 doctors and nurses for their actions during pro-democracy protests in Bahrain, ICN and the World Medical Association issued a joint statement calling on the Bahraini authorities to ensure a fair trial. In September 2011, 20 of the health workers were convicted by a military court. ICN wrote directly to the Government of Bahrain demanding that charges be dropped and sentences reprieved. ICN CEO, David Benton, gave an exclusive interview to Press TV saying, It is completely unacceptable that nurses and doctors should be treated in this way. They have a moral and ethical duty to treat everyone
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that comes into the hospital irrespective of their colour, irrespective of their political affiliation. Someone that comes in need needs to be treated and that is their responsibility. We also called on our member national nurses associations and individuals to write to the Kingdom of Bahrain. The following month, the sentences were overturned, and it was announced that the defendants would be retried by a civilian court in 2012. Supporting nurses following the Great East Japan Earthquake On 11 March 2011, a 9.0 magnitude earthquake struck Japan, causing a tsunami and damage to the Fukushima nuclear power plant, as well as the deaths of almost 16,000 people, loss of homes, property, etc. Immediately after the earthquake the Japanese Nursing Association (JNA) set up a task force for the disaster response, established a support system for nurses, and dispatched 3,674 disaster relief nurses to the affected areas. Volunteer nurses provided nursing care, including mental and physical support to those in the affected areas. ICN and national nursing association from around the world offered their condolences and financial support, which, due to the scale of the disaster, was appreciated and accepted by JNA. Mid- to long-term support was also required for reintegration and to help people get back to their daily lives. JNA conducted a survey of member nurses in the affected areas on their living and working conditions. The results can be found on: www.nurse.or.jp/jna/english/pdf/interim.pdf On 24 August 2011, ICN facilitated the study visit of the Japanese Red Cross Hiroshima College of Nursing as part of their preparatory course for international relief. The focus of the visit was the activities of ICN with a particular focus on the disaster nursing competences, international and national collaboration and participation in relief efforts.
Leveraging Relations - Collaborating with Others

World Economic Forum (WEF) Global Health Advisory Board ICN is a member of the WEF Global Health Advisory Board and participated in the inaugural meeting of the Board in New York and in the 2010 meeting in London. The GHAB is the governance focal point for health initiatives at the WEF. ICN is also part of the WEF community of project supporters of non-business stakeholders identified as key players in the global health arena, with the aim of fostering greater collaboration on health issues. Global Health Cluster ICN is a member of the Global Health Cluster which focuses on disasters in various countries. ICN participates in teleconferences to provide technical and nursing expertise. The Global Health Cluster met in Geneva in October 2011. International College of Person Centred Medicine (ICPCM) For a number of years, ICN has been an active participant in the work of the International Network of Person Centred Medicine. The Network is largely composed of medical professionals and ICN's presence has added a nursing dimension to the presentations and discussions that aim to promote person-centred care in multi-discipline settings. In 2011 the Network changed to become the International College of Person Centred Medicine and ICN was invited to be a member of the Board, giving us a voice in adding a nursing element into its decisions and policies. International Federation of Health and Human Rights Organisations (IFFHRO) ICN has observer status in IFHHRO and we collaborate with them on a number of health and human rights issues including human rights of nurses and other health professionals. ICN was involved in discussions with IFHHRO on access to adequate pain treatment which was adopted in 2011 as an IFHHRO position statement, addressing pain management as an ethical duty of all health professionals.
International Healthcare Terminology Standards Development Organisation (IHTSDO) In March 2010, ICN and IHTSDO announced a collaborative agreement to advance terminology harmonization and foster interoperability in health information systems. ICN will be an active participant in the work of the IHTSDO and will facilitate involvement of the nursing community through the IHTSDO Nursing Special Interest Group and ICNP programme activities. World Health Professions Alliance ICN is a founding member of the WHPA, which today brings together the global organisations representing the world's dentists, nurses, pharmacists, physical therapists and physicians. WHPA work to facilitate collaboration among the health professions and major stakeholders such as governments and international organizations, including the World Health Organization. By working in collaboration, instead of along parallel tracks, patients and health care systems benefit. Together, the partners of the WHPA include more than 600 national member organizations, making us the key point of global access to health care professionals within the five disciplines. In 2010-2011, WHPA collaborated on a counterfeit medicine campaign (see page 9), a non-communicable disease campaign (see page 11) and interventions at the World Health Assembly (see page 22). In addition, joint statements were issues regarding the situation of the health workers in Bahrain (see page 24).
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Recognising Achievement
Partners in Development Award The ICN Partners in Development Award recognises foundations, corporations or non-governmental organisations that have demonstrated outstanding engagement, leadership and investment in supporting capacity building in nursing and health care. The 2011 recipient of the ICN Partners in Development Award was global medical technology company BD (Becton, Dickinson and Company). BD's moral, financial and technical support for nurses leading the ICN Wellness Centres for Health Care Workers programme since its initiation in 2006 has contributed significantly to ensuring access to health and wellness services for health care workers and their families in subSaharan Africa. The award was bestowed during the Opening Ceremony of the ICN International Conference in Valletta, Malta. Quote ICN is proud to count BD as a generous, reliable, respectful collaborator and partner in supporting nursing and ICN in efforts for nurses and other health workers in sub-Saharan Africa. Rosemary Bryant, ICN President
Quote From the nurses in Lesotho providing TB training to chiefs in the local community, to the Russian nurse who has developed a standard to avoid laboratory errors in TB diagnostics, and the nurse in the Philippines who trains nurses in the management of drug-resistant TB throughout the Western Pacific and South East Asian region - these nurses are leading their countries in TB prevention, care and treatment, David Benton, ICN Chief Executive Officer.
care and educational structures internationally, and in promoting evidence-based nursing among vulnerable populations in developing countries. ICN-Lilly TB Award The ICN/Lilly Award for Nursing Excellence in TB/MDR-TB is one aspect of ICN's work in TB and multi-drug resistant TB as a founding member of the Lilly MDR-TB Partnership. During this partnership, since 2005 more than 30'000 nurses and allied health workers have been trained in TB endemic countries. This annual award, supported by Eli Lilly and Company, recognizes nursing expertise and aims to motivate nurses working with those affected by TB and MDR-TB in countries
included in the TB project. It showcases the contribution made by nurses to TB prevention, care and treatment and offers the recipients an educational grant to continue their professional development along with a specially designed medal. Recipients are selected by their national nurses association for their outstanding achievement in TB prevention, care and treatment. In 2010, the award was given to 12 nurses from 11 countries, and in 2011, to 15 nurses from 11 countries. More information on the recipient and the awards can be found on www.icn.ch/projects/icnlilly-award/ International Continuing Nursing Education Credits Continuing professional development is necessary for nurses to keep up to date with the rapidly changed health care environment and often for maintaining the nurse's professional license to practice nursing. ICN has instituted a system of credits for participation in ICN approved continuing education activities, which are deemed suitable for furthering learning and enhancing professional competencies. One ICNEC is equivalent to approximately 60 minutes of an ICN approved, organised learning experience. Because the ICNEC system is designed to assure the quality of the event, provide evidence of attendance and the successful achievement of learning objectives, ICNECs constitute evidence of continuing professional development. In 2010, ICN provided ICNECs for 16 regional, national or international events. In 2011, ICNECs were provided for 12 events.
International Achievement Award The International Achievement Award is given every two years to a midcareer practising nurse who is currently influencing nursing at the international level in two of nursing's four domains: direct care, education, research and management. The award accords worldwide recognition of the recipient's achievements and contribution to nursing internationally. The 2011 recipient of the International Achievement Awards was Dr Liisa Hallila, a Finnish nurse-entrepreneur for her outstanding contribution to nursing education and management in many regions of the world. A pioneer in her field, Dr Hallila was among the first to create a career as a nurse entrepreneur by offering her skills for international health care management and consulting projects. She has focused on developing basic health
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Addressing the Millennium Development Goals

Increasing access and meeting the needs of the most vulnerable
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Addressing the Millennium Development Goals

of the Girl Child Education Fund. Created by The Great British Teddy Bear Company, Ltd, the 34cm tall teddy bear wears a miniature of the blue and white dress once worn by 'Nightingale nurses', and carries a replica of Florence Nightingale's famous lamp and a khaki canvas bag of bandages. In 2011, proceeds from the sale of the Florence Nightingale bear raised almost 6,000 for the GCEF. Florence can be purchased on www.gcefbear.com.
Quote Nurses are the prime deliverers of primary health care in many nations and they are therefore key to achieving the Millennium Development Goals. Nurses also have an important role to play in health services as they form the largest of the health professions and in some countries are the sole professional health care providers for sections of the population. Nurse leaders must be involved in the development of any programmes introduced to improve health services as it is they who have the practical knowledge of how health service delivery can be designed, coordinated and effectively implemented. Rosemary Bryant, ICN President
Achieving Universal Primary Education, Promoting Gender Equality and Empowering Women
The Girl Child Education Fund The Girl Child Education Fund (GCEF) is a signature project of the ICN and the Florence Nightingale International Foundation. It supports the primary and secondary schooling of girls under the age of 18 in developing countries whose nurse parent or parents have died, paying for fees, uniforms, shoes and books. We work in partnership with member national nurses associations to ensure that the money goes directly to education costs. Quote This programme is my mother and my father. It means everything to me. Joy, aged 9 The Girl Child Education Fund has been a miracle in my life. Vumile, aged 16 The future is promising because the GCEF came into existence and my dreams will be accomplished. Cynthia, aged 8
In 2010-2011 the Girl Child Education Fund (GCEF) programme supported 250 girls in the four implementing countries - 55 in Kenya, 48 in Swaziland, 105 in Uganda and 42 in Zambia; and enabled 27 to graduate from high school in 2010 and another 33 in 2011. The Stephen Lewis Foundation and Symphasis Foundation, as well as many individual donors, nursing association and nursing schools, generously supported the GCEF over this period. GCEF Coordinators Workshops were held 6-8 September 2010 in Switzerland and 21-23 September 2011 in Zambia to help develop the leadership, management and technology skills of the in-country GCEF Coordinators and enable them to strengthen build their capacity to make this programme the best it can be for the girl scholars. A programme evaluation was held during 2010-2011 which included a stakeholder analysis, and an audit of finances. Nurse Volunteer Workshops were held in Swaziland in January 2011, in Kenya in March 2011 and in Uganda and Zambia in August 2011. Florence Nightingale Teddy Bear In 2011, the Florence Nightingale teddy bear was launched in support
Reducing Child Mortality, Improving Maternal Health and Combatting HIV/AIDS, Malaria and Other Diseases
The Wellness Centres for Health Care Workers The ICN Wellness Centre for Health Care Workers programme aims to strengthen health systems through the provision of quality comprehensive health services for all cadres of health care workers and their immediate families. The Wellness Centres are responsive to needs, managed by nurses and supported by inter-sectoral partnerships in the following countries: Lesotho, Malawi, Swaziland, Uganda, Zambia and work to achieve a strengthened health workforce, better able to meet the population needs. In November 2011 partners and representatives from each Wellness Centre gathered in Pretoria, South Africa to share experience and enhance skills. Participants at the conference developed strategies to sustain and strengthen their organisations. Hosted by the Democratic Nurses Organization of South Africa (DENOSA), the conference was organized by ICN and the national nurses associations (NNAs) of Denmark, Ethiopia, Ireland, Lesotho, Malawi, Norway, Swaziland, Sweden, Uganda and Zambia.
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Swaziland The Swaziland Wellness Centre was launched in 2006 and supported by the Danish Nurses Organization, the Stephen Lewis Foundation, the Ministry of Health and BD Corporation. The Centre has reached more than 7,000 health workers of all cadres and their family members, either through services delivered at the Centre or via mobile outreach using the Centre's Mobile Clinic. The garden produces fresh vegetables which are shared with clients coming to the Centre or with those receiving home-based care. The Centre is also a distribution point for the World Food Programme and thus can offer clients cooking oil, maize and grain. They have completed a first-ever blanket Hepatitis B vaccination for all health care workers. Using a rotating staff schedule, the Centre provides services on Saturday as well, so that clients who work full time during the week are able to access services on the weekend. Most recently, a new wing was added on to the Wellness Centre specifically to cater to the needs of health workers with TB and to support the integration of HIV and TB services. Funds for this were provided by the ICN/Lilly MDR-TB Project and the Centre will become the focal point for the Project's training activity. Another innovation is the development of electronic patient records and data systems, in partnership with ICAP. In February 2011, the Government of Swaziland recognized the ICN Wellness Centre for Health Care Workers as a partner in the health sector by signing a Memorandum of Understanding that commits the government to provide resources and support for the Centre.
Quote I no longer shed tears. I feel that I can carry on. You accompany a patient through all the stages from diagnosis to death and when they die, you feel like you have died. Then the next day it starts all over again with new patients. We all need a place to share our experience. To think that I could have been a motor car mechanic today, but the Wellness Centre has kept me in Swaziland and in my job. Masitsela Mhlanga, Past President Swaziland Nurses Association
essentials of good health medicines, medical supplies, medical equipment and community gardens. Uganda Established in 2011 by ICN, BD Corporation and PEPFAR (the President's Emergency Fund for AIDS), the Uganda Wellness Centre is managed by the Uganda National Association of Nurses and Midwives. Staff oversee and manage the Centre and carry out mobile outreach to both market the Wellness Centre services and initiate workplace-based programmes. Support from the Ugandan Ministry of Health includes medicines, diagnostics and staffing support. Malawi The Malawi Wellness Centre is supported by the Norwegian Nurses Organization, BD Corporation and the Rose Project. A part-time Coordinator, funded by a local AIDS organisation, offers counselling as well as at some satellite clinics moving from place to place thanks to a used but serviceable 4-wheel drive vehicle which was donated by MSF. Zambia With support from the Norwegian Nurses Organization, BD and PEPFAR the Zambian Wellness Centre has been operational since 2010. Ethiopia A new Wellness Centre is being established in Addis Ababa, Ethiopia by the Ethiopian Nurses Association (ENA) with support from BD, PEPFAR and the Irish Nurses and Midwives Organisation (INMO). The INMO will sit on the Wellness Centre Policy and Advisory Board, working in an advisory capacity with the ENA for organisational strengthening and the development of the facility. The site for the Centre has been donated by the Ethiopian Ministry of Health.
Lesotho Opened in 2008, the Lesotho Wellness Centre is supported by the Swedish Association of Health Professionals, the Stephen Lewis Foundation, BD Corporation and the Lesotho Ministry of Health. The MoH regularly and reliably supplies HIV and TB treatments and other medications. Two physicians from the Elizabeth Glaser Paediatric AIDS Foundation work at the Centre on a weekly basis. The foundation also supplies HIV medicines in paediatric formulations. The Lesotho Centre has a successful support group programme for clients on HAART. Staff members maintain flexible hours so that clients can visit the Centre during lunch hours and after regular work hours. The Centre uses the mobile clinic for outreach to the rural areas, where 70% of Lesotho citizens live and many health workers are assigned. The Lesotho Wellness Centre has also enjoyed very useful donations of basic equipment from SHARED, a small foundation dedicated to improving global health for the world's poorest by increasing the availability of the
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Fact Given the critical shortage of health care providers and generally poor health care systems in low-income countries with a high TB burden, enhancing and fostering proper inter-professional collaboration is regarded as imperative. Recognition of its pivotal role in the fight against TB remains relatively low, yet it is only through an integrated holistic approach involving all providers that we can have a real impact on the expanding TB crisis.
Tackling TB & MDR TB In spite of tuberculosis (TB) being a curable disease it continues to kill around 1.7 million people every year. Multidrug resistant TB (MDR-TB), which affects about 450,000 people each year, is also curable but more difficult to treat. It represents a growing threat to global public health and it is essential that we do all we can to address this through good quality prevention care and treatment programmes for all forms of TB. Nurses, so often at the forefront of these programmes, need to be properly supported, skilled and equipped to respond to the on-going threat to life and health which is posed by this disease. The TB/ MDR-TB Project has been building global nursing capacity in the prevention, care and treatment of TB as part of the Lilly MDR-TB Partnership since 2005. The project uses a transformational training methodology, designed specifically to encourage practice development. This means that experienced nurses, working mainly in the TB and HIV field, are trained to assess practice in their local working environment and cascade relevant information to nursing colleagues and other health workers with the purpose of making improvements to patient care delivery. The ICN training methodology promotes peer education and utilizes a problem-solving, practical approach that takes into account nurses' working environments. More than 1,300 nurses in countries with a high burden of TB and MDR-TB have participated in ICN training for trainers (TOT) courses. These nurses have, in turn, been involved in training
59,000 additional nurses and allied health workers. The countries include China, Colombia, Ethiopia, India, Indonesia, Kenya, Lesotho, Malawi, Mozambique, Philippines, Russia, South Africa, Swaziland, Uganda and Zambia. Feedback from training reviews, NNA reports and a multi-level evaluation, which took place in Kenya in August 2010, demonstrate that in addition to the numbers of people being trained exceeding expectation, there is real change happening in practice - in attitude, approach, safer working environments and management of patient care. In 2011, the training was implemented for the first time in Spanish in Colombia. TB e-course In 2010, ICN launched an interactive e-learning course offering instruction on the care, prevention and management of tuberculosis (TB) and drug-resistant TB. The course, produced in collaboration with City University London and supported by an unrestricted educational grant from Eli Lilly, can be accessed at www.icn.ch/projects/tb-online-learning-resources/. The online course uses a practical, best practice approach to encourage nurses and other frontline health care professionals to improve patient care. An invaluable resource and applicable for all settings, the course recognizes the challenges of providing good quality care with high workloads and scarce resources. In addition to building capacity, the e-learning course provides worldwide access to nurses and other health care professionals. ICN TB Publications 2010-2011 Risk Reduction and Inter-Professional Collaboration for TB Infection Control. Now available in English, Spanish, French, Portuguese, Chinese and Russian.
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Quote We shall indeed be empowered with knowledge and skills because these topics I have seen in these books can really help us to give what is needed to the patients that we attend to. They make it easy for me to cope with emergencies and alleviate suffering. Mashonaland, Zimbabwe
Delivering Nursing Knowledge: ICN/MSD Mobile Libraries The ICN/MSD Nursing Mobile Library is an innovative resource bringing up-to-date health information to nurses working in remote areas of developing countries. The Library contains approximately 90 nursing and health publications including books, manuals and fact sheets. The books are housed in a durable trunk, which protects the material from dust, water, insects and hard knocks. This means that the library can be easily transported to remote areas even over difficult terrain. The ICN/MSD Nursing Mobile Library gives nurses in developing countries and remote areas access to health information. A team of industry and nursing partners work together to make this initiative possible: Merck & Co., Inc. provided start-up funding and continues with on-going support; Elsevier Publishing handles the packing and shipping of the libraries; ICN and its member national nurses associations on the ground manage and implement the project. To date, more than 300 mobile libraries have been made available to nurses working in 16 African countries. The following organizations and groups have also contributed and donated to the project during 2010-2011: Korea Nurses Association; LIMS; Rwamagana School of Nursing and Midwifery in Rwanda; Institut fr Pflegewissenschaft Medizinische Fakultt, Basel, Switzerland. In 2011, a French-language version of the ICN Mobile Library-the Bibliothque Mobile-was launched by ICN and Elsevier Masson, a leading publisher of scientific reference textbooks, French-language libraries
have now been delivered to Burkina Faso, Congo, Haiti, Senegal and Togo. The following organizations contributed funds for Bibliothques Mobiles in Africa and Haiti: the Fdration Nationale des Infirmires de Belgique (FNIB), Belgium; La Famille de l'Infirmire, Belgium; the Fondation suisse pour les sciences infirmires; the Association Suisse des Infirmires/Infirmiers (ASI); two Swiss university hospital groups, the Centre Hospitalier Universitaire Vaudois (CHUV) and Les Hpitaux Universitaires de Genve (HUG); SIDIIEF in collaboration with the Ordre des infirmires et infirmiers du Qubec and the Institut et Haute Ecole de la sant La Source; the Ordre National des Infirmires de Paris, France; the Nurses Association of New Brunswick, Canada; and Sigma Theta Tau; ICRC and we also received an individual donation from Switzerland. The Mobile Library is also available in Portuguese, sponsored by the Ordem dos Enfermeiros in Portugal. In 2011, a Portuguese library was sent
to East Timor, sponsored by the Royal College of Nursing Australia. In addition, the Elsevier Foundation provided a US $15,000 grant to ICN to produce and deliver eight mobile libraries with contents adapted for post-disaster situations to nurses in Haiti following the devastating earthquake that hit that country in 2010.
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Bringing nursing together worldwide

Speaking with one voice for increased impact
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Bringing nursing together worldwide

Increasing Nursing Knowledge
ICN Conference, Malta 2011: Driving Access, Quality and Health
ICN held its International Conference in Valletta, Malta, 4-8 May 2011. The Conference brought together over 2,000 participants from 127 countries to discuss and celebrate key issues facing the international nursing community. The richly packed scientific programme offered three plenary speakers, 25 main sessions, 11 network meetings and a student assembly. In parallel, participants chose from 208 concurrent sessions, 38 symposia and 454 posters selected from a total of 2,063 submitted abstracts. Highlights of the conference included addresses by: Dr Diana Mason, Professor and Director of the Center for Health, Media and Policy at Hunter College, New York on the
conference theme, Nurses Driving Access, Quality and Health, the first Lady of the Republic of Rwanda, Mrs Jeanette Kagame, on the Role of Women and Education of Girls, and Alice Darkoa Asare Allotey of Ghana on Social Movements Health System Transformation. The conference also included more than 70 expert speakers on pressing health issues including disaster nursing, climate change, primary health care and the MDGs, health financing, mental health, patient safety, HIV/AIDS, health human resource management and an animated debate on mandatory vaccination of health professionals.
International Nursing Review The International Nursing Review is ICN's official journal. A key resource for nurses world-wide, INR is a quarterly, peer-reviewed journal that focuses on original articles that help to forward ICN's mission worldwide by representing nursing, advancing the profession and shaping health policy. INR encourages nurses to describe their work and to document their experience and research, and to submit articles that reflect ICN's values. Quote In order to continue to improve access, we must work together, promote each other, and speak with a united voice. We must work towards increasing access - access to health services, to information and advice, to education and resources for nurses, and access to the international policy arena. We must use our collective knowledge, skilIs and drive to provide the best possible care, for the people we serve. Rosemary Bryant, ICN President
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Fact A study conducted at three US institutions has revealed that a patient's mortality risk rises as their exposure to understaffed nursing shifts increases. The research - carried out at the University of California Los Angeles' School of Public Health, the Mayo Clinic and Vanderbilt University - also found that mortality risk increased when nurses' workloads increased due to high patient turnover. ICN Research Bulletin
Facilitating networking and communication

New ICN website On International Nurses Day, 12 May 2010, ICN launched a new and improved website, offering the global nursing profession a modernized and user-friendly gateway to nursing knowledge, networks, news and events worldwide. The structure of the new website has a technical platform permitting full in-house administration of the website, dynamic content management, new functionality and a special password protected 'Members Only' area with services and privileged information for ICN Member NNAs. The home page contains links to the ICN's sister websites: the Florence Nightingale International Foundation (FNIF), the World Health Professions Alliance (WHPA), the International Centre for Human Resources in Fact A South African study published in the Lancet on 16 June 2010, suggests that nurses are able to manage patients on antiretroviral (ARV) therapy as effectively as doctors, supporting the case for "task-shifting" in HIV treatment. ICN HIV/AIDS Bulletin
Nursing (ICHRN) and the International Centre on Nurse Migration (ICNM). The website also provides access to the International Nursing Review. ICN Nursing Networks Living in an increasingly complex and fast changing world, Networks provide immediate ways to communicate and pursue common professional interests. Networks are about: getting to know people outside your immediate circle of contacts; establishing and using contacts for information, support and other assistance; building relationships; and communicating. Networks can go beyond organisational, professional, disciplinary and national boundaries. They may: identify issues early and monitor how they develop; follow trends; offer special expertise through creating a resource pool from network members; and disseminate ICN's and others' work in the area of interest; and organise meetings and conferences. ICN HIV/AIDS Network The ICN HIV/AIDS Network was launched in May 2005 and interest in the Network continues to grow. The HIV/AIDS Network Bulletin is produced twice yearly and ICN also sends Network members information related to HIV/AIDS research, education and vacancies in international organisations.
Research Network The ICN Research Network provides a vehicle for continual exchange of knowledge and experience, and serves as a forum for exchange of ideas, experience and expertise and as a vital resource bank for global nursing and health research. The Network is growing fairly rapidly and currently represents diverse research interests and expertise. Nursing Education Network Established in 2009, the ICN Nursing Education Network provides a forum to address nursing education issues worldwide. This is a fast growing network and by the end of 2011, it had 865 members from 73 countries. An online forum was launched in October 2010. The first Network bulletin was disseminated in February 2011 and a network meeting was convened in Malta in May 2011. Student Nurse Network The Student Nurse Network, launched in 2007, aims to create an international network of individual nursing students and is based upon the values of inclusiveness, diversity, equity, accountability and collegial communication which serve to collaboratively advance the international nursing agenda in the interest of the public. In 2010-2011 the Network had 1410 members from 94 countries. An online forum was launched in October 2010. A network bulletin was disseminated in November 2011 and a network meeting was convened in Malta in May 2011. Rural and Remote Nurses Network The ICN Rural and Remote Nursing Network aims to connect, educate, support and collaborate with nurses from across the globe who have an
34
interest in rural and remote nursing, with the goal of improving the timeliness, quality and access of a broad range of health care services and nursing practice for individuals, their families, communities and countries. The Network enables the sharing of nursing knowledge and expertise and stimulates reflection on the changing nature of nursing care delivery systems across the globe specifically for people living in rural and remote areas. The Network also serves as a resource for rural and remote nurses in the areas of technology development, policy, standards, education and research. In 2010-2011 there were 319 members from 54 countries. The first network bulletin was disseminated and an online forum was launched in October 2010. A network meeting was convened in Malta in May 2011. Leadership for Change Network Any participant who graduates a LFC programme has the opportunity to join the LFC Network which was launched in 2003. Essentially this has been an information sharing network but there are plans to create a LFC Network Forum and give members the opportunity to exchange experiences and take part in discussion. Face to face meetings of the LFC Network take place every two years at the ICN Congress and Conference. Telenursing Network The ICN Telenursing Network aims to seek, educate, support and collaborate with nurses and nurse supporters from across the globe who have an interest in telenursing and promote nursing involvement in the development and use of telehealth technologies, with the goal of improving the timeliness, quality and access of a broad range of health care services for individuals, their families, communities and countries. In 2010-2011 the Network had over 140 members representing 47 countries. The ICN Telenursing Bulletin was published biannually. A Telenursing main session and Telenursing Network meeting were convened in 2011 at the ICN Conference in Malta.
Nurse Practitioner/Advanced Practice Network This very active network was established in 2000 to act as an evolving and continually updated forum that identifies issues early and monitor how they develop; follow trends; offer special expertise through creating a resource pool from network members; disseminate ICN's and others' work in the field; and organise meetings and conferences. In 20102011 there were 1852 members from 77 countries. Two Network Bulletins were published in 2010 and two in 2011. In September 2010, the network put on a very successful conference in Brisbane, Australia. An online forum was launched in December 2010 and a network meeting was convened in Malta in May 2011. Regulation Network Established in 1997, the ICN Regulation Network aims to identify trends in regulation, offer special regulatory expertise, disseminate ICN's and others' work in regulation, and organise meetings at our regular congresses and conferences. In 2010-2011 the Network had 227 members from 60 countries. Two Network Bulletins were published in 2010-2011, an online forum was launched in December 2010 and a network meeting was convened in Malta in 2011. Disaster Response NetworkThe Disaster Response Network provides useful information and resources for those interested in joining disaster relief efforts or improving relevant skills. It helps to highlight the significant contributions of individual nurses and other persons of various disciplines involved in disaster relief.
Nurse Politicians Network The ICN Nurse Politician Network (NPN) is designed to serve as a forum for elected and appointed nurse politicians to communicate. NPN is the international link for nurse politicians to exchange information and learn from each other. It can assist in the mentoring of new and/or aspiring nurse politicians. The network also represents for ICN an access to skilled lobbyists and policymakers who can offer advice and help identify key current and future issues. ICN Affiliates In 2010-2011 nine nursing organisations had ICN affiliate status.
G G G G G G G G G
European Federation of Nursing Associations (EFN) Council on International Neonatal Nurses (CINN) International Federation of Nurses Anaesthetists (IFNA) International Federation of Perioperative Nurses (IFPN) International Society of Nurses in Cancer Care (ISNCC) International Skin Care Nursing Group (ISNG), NANDA-I Sigma Theta Thau International (STTI) World Federation of Critical Care Nurses (WFCCN).
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Honouring Florence Nightingale's Legacy

The Florence Nightingale International Foundation The Florence Nightingale International Foundation, established in 1934 as a living memorial to Florence Nightingale, is the premier foundation of the International Council of Nurses, supporting and complementing the work and objectives of ICN. The signature project of FNIF is the Girl Child Education Fund (GCEF) which supports the primary and secondary schooling of girls under the age of 18 in developing countries whose nurse parent or parents have died. More about the GCEF can be found on page 28. FNIF assumes sole sponsorship of the International Achievement Award. More about the Award and the 2011 recipient can be found on page 26. Florence Nightingale Commemorative Coin On International Nurses Day, May 12 2010, Archbishop Desmond Tutu led a special service at Westminster Abbey to commemorate the 100th anniversary of Florence Nightingale's death. During the service, the Royal Mint presented Archbishop Tutu with a gold commemorative Florence Nightingale 2 coin, which was launched in conjunction with the FNIF/ICN 2009 publication of the modern edition of Nightingale's classic Notes on Nursing: A Guide for Today's Caregivers.
A silver commemorative 2 coin was also presented by the International Committee of the Red Cross (ICRC) to three Haitian nurses along with the Florence Nightingale Medal for their unwavering commitment to helping the sick and wounded. Michalle Collin, Germaine Pierre-Louis, and Jude Clorge were presented with the Florence Nightingale Medal, which honours exceptional courage and devotion in caring for victims of crisis situations.
FNIF Luncheon The 8th Biennial FNIF Luncheon was held on 6 May 2011 during the ICN Conference in Valletta, Malta. Highlights of the Luncheon, which raises funds for FNIF projects, included a presentation by the recipient of the 2011 International achievement Award, Dr Liisa Hallila (see page 26) and a motivating speech by Paula DeCola, External Medical Affairs, Pfizer, who sponsored the event.
Quote When we open the door to girls' education, we begin to close the door on the feminization of HIV/AIDS and on maternal and infant mortality. When we open the door to girls' education, we begin to close the door on harmful gender norms, and to violence and abuse of females. And when we open the door to girls' education, we leave that door open for generations of girls who are behind her and any and all of her children. Paula de Cola, Pfizer FNIF Luncheon 2011
Florence Nightingale Rose To commemorate the centenary of the death of Florence Nightingale and of Henri Dunant, founder of the International Red Cross and Red Crescent Society, a special planting of the Florence Nightingale Anniversary Rose was held at the International Red Cross and Red Crescent Museum in Geneva on 12 May 2010.
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Representing Nurses Globally

New ICN Members In 2010-2011, ICN was delighted to welcome three new members to the ICN family: G National Association of Nurses and Midwives of Montenegro G Rwanda Nurses and Midwives Association G Indian Nursing Council.
NNA Anniversaries 2010-2011 ICN would like to congratulate all our member NNAs who celebrated a significant anniversary of ICN membership in 2010 and 2011. Anniversary of ICN Membership Egyptian Nurses Syndicate Ghana Registered Nurses Association Guyana Nurses Association Jordan Nurses and Midwives Council National Nurses Association of Kenya Colegio Nacional de Enfermeras, A.C. Mexico Myanmar Nurses and Midwives Association Polskie Towarzystwo Pielegniarskie Singapore Nurses' Association Taiwan Nurses Association Nurses Association of Thailand Federacin de Colegios de Profesionales de Enfermera de la Rep. Bolivariana de Venezuela Sociedad Cubana de Enfermera , Cuba Hungarian Nursing Association Lesotho Nurses Association National Organisation of Nurses and Midwives of Malawi Nurses Association of the Republic of Seychelles Tonga Nurses Association Aruba Nurses Association (ODEA) British Virgin Islands Nurses Association Asociacin Dominicana de Enfermeras Graduadas Association nationale des infirmiers/res du Togo Nurses Association of Belize Malta Union of Midwives & Nurses Mongolian Nurses Association 50 years 50 years 50 years 50 years 50 years 50 years 50 years 50 years 50 years 50 years 50 years 50 years 30 years 30 years 30 years 30 years 30 years 30 years 20 years 20 years 20 years 20 years 10 years 10 years 10 years 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2011 2010 2011 2011 2010 2011 2011 2011 2011 2010 2011 2011 2011
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ICN National Nurses Associations 2010-2011

Andorra Angola Argentina Aruba Australia Austria Bahamas Bahrain Bangladesh Barbados Belgium Belize Bermuda Bolivia Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Canada Chile Colombia Congo Democratic Republic Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominican Republic East Timor Ecuador Egypt El Salvador Eritrea Estonia Ethiopia Fiji Finland France FYR Macedonia Gambia Georgia Germany Ghana Greece Grenada Guatemala Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Ireland Islamic Republic of Iran Israel Italy Jamaica Japan Jordan Kenya Korea Kuwait Latvia Lebanon Lesotho Liberia Lithuania Luxembourg Macao Malawi Malaysia Malta Mauritius Mexico Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nepal Netherlands New Zealand Nicaragua Nigeria Norway Pakistan Panama Paraguay Peru Philippines Poland Portugal Romania Russia Rwanda St. Lucia St. Vincent & the Grenadines Samoa Sao Tome & Principe Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa Spain Sri Lanka Suriname Swaziland Sweden Switzerland Taiwan Tanzania Thailand Togo Tonga Trinidad & Tobago Turkey Uganda United Arab Emirates United Kingdom United States of America Uruguay Venezuela Zambia Zimbabwe
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International Council of Nurses 3, place Jean Marteau, 1201 Geneva, Switzerland Tel +41 22 908 0100, email icn@icn.ch
www.icn.ch

Nurses in The Frontline To Ensure Access and Equity in Health Care

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International Council of Nurses ICN Report 2010-2011

Nurses in the frontline to ensure access and equity in health care

ICN REPORT 2010-2011

Nurses in the frontline to ensure access and equity in health care

ICN REPORT 2010-2011

New from ICN in 2010-2011

Credentialling and Regulators Forum

WHPA Global Anti-Counterfeiting campaign

GCEF Florence Nightingale Bear

New ICN website

French Mobile Library

Global non-communicable diseases survey

Nurses in the frontline to ensure access and equity in health care

ICN Board of Directors 2009-2013

ICN REPORT 2010-2011

Rosemary Bryant President

David C Benton Chief Executive Officer

Nurses in the frontline to ensure access and equity in health care

ICN PILLAR 1: Professional Practice

ICN REPORT 2010-2011

ICN Pillar 1: Professional Practice

Nurses in the frontline to ensure access and equity in health care

Combatting Counterfeit Medical Products

ICN REPORT 2010-2011

Addressing the Global Crisis of Non-Communicable Diseases (NCDs)

Nurses in the frontline to ensure access and equity in health care

IND Kit 2010 Nurses Leading Chronic Care

Advancing eHealth Technologies

ICN REPORT 2010-2011

New ICN Publications on Professional Practice 2010-2011

Nurses in the frontline to ensure access and equity in health care

ICN PILLAR 2: Nursing Regulation

ICN REPORT 2010-2011

ICN Pillar 2: Nursing Regulation

Nurses in the frontline to ensure access and equity in health care

Serving as Expert Advisors

New ICN Publications on Regulation 2010-2011

ICN REPORT 2010-2011

ICN PILLAR 3: Socio-Economic Welfare

Nurses in the frontline to ensure access and equity in health care

ICN Pillar 3: Socio-Economic Welfare

Addressing Workplace Issues

ICN REPORT 2010-2011

Nurses in the frontline to ensure access and equity in health care

Strengthening the Nursing Workforce

ICN REPORT 2010-2011

New ICN Publications on Socio-Economic Welfare 2010-2011

ICN intervenes on issues of particular concern to nursing.

Nurses in the frontline to ensure access and equity in health care

Advancing nurses and nursing worldwide

ICN REPORT 2010-2011

Advancing nurses and nursing worldwide

Nurses in the frontline to ensure access and equity in health care

ICN REPORT 2010-2011

Protecting the Rights of Nurses in Disasters and Conflict Areas

Nurses in the frontline to ensure access and equity in health care

Leveraging Relations - Collaborating with Others

ICN REPORT 2010-2011

Nurses in the frontline to ensure access and equity in health care

Addressing the Millennium Development Goals

ICN REPORT 2010-2011

Addressing the Millennium Development Goals

Nurses in the frontline to ensure access and equity in health care