nursing and midwifery - who report and recommendations (2008-2014)
DESCRIPTION
N/ATRANSCRIPT
Technical Report
10th Conference of the Global Network of WHO
Collaborating Centres, 28-29 July, 2014
Coimbra, Portugal
Annette Mwansa Nkowane
Technical Officer, Health Workforce Department
Health Systems and Innovations, WHO, Geneva, Switzerland
2 |
Focus of presentation
Framework for collaborative action
The WHO progress report on nursing and
midwifery 2008-2012
The Global Forum of Government Chief
nursing and Midwifery Officers 2012 and 2014
Tools and publications
Conclusion
3 |
The Strategic Directions for
Strengthening Nursing and midwifery
2011-2015
SDNM is an overarching framework for collaborative
action
Vision Statement
improved health outcomes for individuals, families
and communities through the provision of
competent, culturally sensitive, evidence-based
nursing and midwifery services.
4 |
The Strategic Directions for Strengthening
Nursing and midwifery 2011-2015
http://www.who.int/hrh/resources/nmsd/en/
Strategic Directions for Nursing and
Midwifery
2011-2015
Contribution to the
strengthening of health systems and services
Nursing and Midwifery Policy and Practice
Nursing and Midwifery Education,
Training and Career
Development
Nursing and Midwifery Workforce
Management
Partnership for Nursing and Midwifery Services
Monitoring and Evaluation
5 |
Nursing and midwifery progress report
2008-2012 Highlights progress between 2008 and 2012
in the five SDNM KARs
Acknowledges much more needs to be
done
WHOCCs have played a great part in WHO
headquarters achievements
http://www.who.int/hrh/nursing_midwifery/progress_report/en/
6 |
Highlights of the 2008-2012 progress report
on strengthening nursing and midwifery
Nurse-led multidisciplinary and multiprofessional teams are growing,
complemented by medical officers and other specialists
Nursing and midwifery boards and councils are being established to
oversee regulation and legislation implementation.
Dynamic response to training in leadership skills at all levels of nursing
and midwifery education evident
Progress in career development is gradually improving with several
countries developing bridging programmes to upgrade nurses and
midwives from associate to bachelor’s degrees.
Fellowships to enhance faculty development are being awarded through
South-South and North-South partnerships/collaborations between
educational institutions.
7 |
Future perspectives and best
practices
PHC and
People Centred Care
• Revitalizing PHC with improved and appropriate referral system support
• Maximize functional utilisation of HRH to address NCD crisis, palliative care, mental health within community based health service models
• Increase interdisciplinary, multi-professional, nurse-led teams and leadership skills
Policy
and Practice
• Implement recommendations from mapping and benchmarking to increase appropriate HRH workforce & education capacities
• Accelerate reliable data collection to inform policy, planning and research
• Empower nursing and midwifery workforces by clear role clarification, valid job descriptions and professional recognition
Education
and Career
• Competence based education and training available at all service and faculty levels
• Faculty development and accreditation through synergy partnerships
• Empower nurse leaders for decision making positions with the support to implement timely reforms and enhance public HRH investments
8 |
Future perspectives and best
practices
Workforce Management
• Scale up actions to resolve HRH distribution imbalances
• Implement Positive Work Environments to improve motivation and retention
• Action innovative approaches to accellerate scale up of HRH capacities
Partnerships
• Improve networks to integrate internal and cross border partnerships to support capacities and faculty (South-South / North-South /Twinning)
• Enhance cross sector partnerships for Emergency and Disaster preparedness
• Explore synergy partnerships for grant awards and sustainable collaborative actions
Monitoring and Evaluation
• Improve utilisation and dissemination of information exchange through modern technologies and platforms i.e. open/distance learning programmes, web conferencing, Elluminate, GAVI forum
• Use common monitoring indicators to evaluate strategic directions to be better able to assess progress and gaps at national and sub-national level
9 |
2012 GNMO Forum
Noncommunicable Diseases GCNMO Forum statement
Key commitments:
Policy and advocacy- NCDs in national policy and
strategies, Integration of NCDs into nursing and midwifery
actions, Advocacy on risk factors, screening and evidence-
based interventions
Education- NCDs emphasis, More collaboration with
WHOCCs, Increased access to CPD
Research- Prioritize nursing and midwifery research on
NCDs, work with partners on specific areas
10 |
2012 GNMO Forum Report
http://www.who.int/hrh/nursing_midwifery/2012forum_
report/en/
11 |
Publications: Enhancing nursing and
midwifery contribution to the prevention,
treatment, management of NCDs Highlights recent evidence on NCDs in general
Summarizes documented interventions involving
nurses and midwives
Suggests nursing interventions around advocacy
and policy, education and research
http://www.who.int/hrh/resources/observer12/en/
A collaborative effort between WHO and School of nursing, University of California, Los Angeles,
USA
12 |
Draft publication
NCD Interventions Involving Nursing and
Midwifery List of Countries Noncommunicable
Diseases
Interventions
• Australia
• Brazil
• Japan
• Korea
• Mexico
• Hong Kong
• Tonga
• USA
• Botswana
• China
• Thailand
• Guatemala
• Chile
• Zambia
• Peru
• New Zealand
• Diabetes
• Hypertension
• Cancer
• Cardiovascular
Disease
• Dementia
• Life-style; healthy food
selections, exercise
• Self-management; phone-
based palliative care
(communication)
• Tobacco control
• Educational institutions;
professional programmes,
building research
• Community mobilization
• Community development
Committees
• Spiritual
• Environmental; Reduction
of household air pollutants,
and water sanitation
• Obesity clinics
13 |
Global Forum 2014
Universal Health Coverage
Forum Statement:
http://www.who.int/hrh/nursing_midwifery/en/
Key areas in the statement
Leadership and management
Education and training
Collaborative partnerships
Forum report in publication process
14 |
The Competencies
15 |
Draft competencies
Global consultations (Dec. 2012)
Literature review and
informational consultations
Jun.-Dec. 2012
Technical review.
Group set up
Revision of the
competencies Final review Aug. 2013
Validation (AFRO and
EMRO)
Midwifery educators competencies
16 |
Midwifery educators competencies
Identified competencies :
Ethical and legal principles of midwifery
Midwifery practice
Theoretical learning
Learning in clinical area
Assessment and evaluation of students
Organization and management
Communication leadership and advocacy
Research
17 |
Midwifery Educator Core
Competencies Adaptation Tool
The tool aims to:
Assist Member States international midwifery consultants,
experts educationists to review, adopt and apply the
Midwifery Educator core competencies
Build consensus building for strengthening midwifery
Be a resource for non-midwifery healthcare provider
educationalists as well
18 |
WHO Midwifery Educator Core
Competencies
Building Capacities of Midwifery Educators
This tool is a companion to the 2014 Midwifery
Educator Core Competencies Adaptation Tool to
maximize understanding and Midwifery Educator
Core Competencies 2014.
Designed to help countries put together short-term
programmes to update current and/or maintain the
competencies of midwife teachers.
19 |
Other Education and Practice Tools
AFRO three distinct curricula for:
(i) general nursing; (ii) midwifery and (iii) integrated nursing
and midwifery curricula
EMRO: Standards for Nursing Education, Mental health
nursing and framework for specialization
20 |
Interprofessional education and
collaborative practice
Case studies
http://www.who.int/hrh/resources/observer13
/en/
http://www.who.int/hrh/resources/observer/en/
22 |
Strategic support on old
and emerging agendas
e.g. MDGs and UHC and
dissemination of tools
and reports
Generation of evidence
including case studies
Much more collaboration
across regions
Way Forward
23 |