Nursing & Midwifery Leadership: An Rx to the Global Human Resources for Health Crisis

March 5, 2014 Closing Remarks

Leslie Mancuso Patricia Davidson

Highlights of the Day

Over 130 attendees from 5 institutions representing multiple disciplines at JHU 18 roundtable facilitators from Jhpiego, SON, SPH with a range of specialties and disciplines Special guests: Debora Bossemeyer, Jhpiego Country Director-Mozambique and Zambia Senior Technical Advisor and Expert Trainer, Lastina Lwatula

Raising the Flag

87% of global health care workforce are nurses and midwives Millions of nurses and midwives are the first and only point of care for entire vulnerable populations Nursing and midwifery leadership is essential in addressing the HRH crisis

Take-Home Points
Roundtable 1: Ensuring quality nursing and midwifery education to maximize the impact of a prepared health care workforce 1. Curriculum design requires backwards planning with performance outcomes in mind 2. Current curricula and resources do not necessarily reflect daily work once in the field 3. We need to find a way to empower students to be responsible for their own learning

4. Critical thinking, not just memorization for a test is the ultimate goal
5. Take education (including the students) to the community

Take-Home Points
Roundtable 2: The task shifting agenda: nursing and midwifery leadership for advanced practice advocacy 1. Having a global standards in Advanced roles that takes into consideration socio-economic and cultural context of the setting (country/region) 2. As a starting point for advocacy for advanced practice, Nurses and Midwives should take the lead and demand the change they want in their roles work settings 3. Strong representation at regulatory bodies. (IOM report pushed that nurses work at their highest level of education)
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Take-Home Points
Roundtable 3: Nurses and midwives using mHealth technologies to alleviate the HRH crisis 1. The ubiquity of mobile phones are making this a possibility 2. It's not just about the digital solutions but also looking at the ecosystems and how you can strengthen these systems 3. Convergence of mobile health applications and mobile money applications to help improve the economic status of communities

Take-Home Points
Roundtable 4: The impact of nurses and midwives integrating postpartum family planning services 1. For any family planning method, the right stakeholders need to be on board = government leaders, community leaders, religious leaders, patients

2. Gender equity, gender roles, mens role in sexual reproductive health may be different everywhere
3. Respectful maternity care needs to be prioritized

Take-Home Points
Roundtable 5: Nurses and midwives addressing global genderbased violence

1. Creating safe clinical environments for survivors and for providers

2. Engaging survivors in developing clinical screening and response protocols 3. Integrating GBV in government minimum service package requirements

Take-Home Points
Roundtable 6: Leveraging your Peace Corps experience to address the HRH shortage as a global nursing/midwifery leader 1. 11 Jhpiego RPCVs along with 7 nurses/midwives from the community mentored 19 RPCV fellows SON students 2. >25 countries served from 1990s to present

3. RPCV fellows program >400 graduates since 1991

Take-Home Points
Roundtable 7: Promoting nurse representation in international health care governing organizational leadership 1. Develop a specific strategy for taking a place at the table learns from other who have been successful 2. MENTORING nurturing, career advising for leadership roles linking young professionals with mentors 3. Take risk volunteer or accept leadership roles - dont wait to be asked

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Take-Home Points
Roundtable 8: In-service training of nurses and midwives: using best educational practices for addressing the HRH crisis 1. For effective In-Service Training there is a need to know your audience, nursing is an effective work-force that knows this audience

2. Need systems approach to blend resources, identify limitations, and collaborate 3. "What your audience needs to know vs what would be nice to know"

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Take-Home Points
Roundtable 9: The GANM and FHWC communities of practice and coalitions promoting nursing and midwifery as part of the HRH solution

1.

Continue to leverage communities of practice (the GANM) to represent nursing/midwifery globally As a group we need to work together to put nurses and midwives in positions of leadership at WHO There is a strong role for advocacy for nursing/midwifery leadership from the frontline health worker coalition (FHWC)

2.

3.

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The Path Forward

Improve access to and quality of nursing/ midwifery education Prepare more nurses/midwives with educational programs that lead to maximum competency Use innovative approaches to recruiting, educating, deploying and retaining the nursing/midwifery workforce

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Jhpiego and the School of Nursing

Part of the Johns Hopkins family World-class institutions Leaders in training and education Nurse-led

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School of Nursing: Leaders in Global Health

Dr. Jacquelyn Campbell Dr. Lori Edwards Dr. Jason Farley Dr. Fannie Gaston Johansson Dr. Nancy Glass Dr. Joan Kub Dr. Elizabeth Sloand Dr. Phyllis Sharps Dr. Ibby Tanner Dr. Tener Goodwin Veenema Dr. Nicole Warren
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Jhpiego: Leaders in Global Health

285 nurses and midwives on staff around the world helping to build the capacity of other nurses and midwives to provide health care services to hard-to-reach populations Chantelle Allen (Country Director, Ghana) Julia Bluestone Dbora Bossemeyer (Country Director, Mozambique) Dr. Catherine Carr Dr. Cherrie Evans Leah Hart Lastina Lwatula Dr. Peter Johnson

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Next Steps
1. Exploring synergies 2. Leveraging existing partnerships 3. Working through the GANM to keep up todays momentum 4. Promoting nursing and midwifery leadership to contribute to HRH solutions

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Questions

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Thank you!
Please join us for a reception at Jhpiego busses are waiting outside to take you there!
Event website

Evaluations

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