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Global issues facing nursing Roger Watson PhD FRCN FAAN Professor of Nursing Faculty of Health & Social Care
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Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Mar 22, 2018

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Page 1: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Global issues facing nursing

Roger Watson PhD FRCN FAAN

Professor of Nursing

Faculty of Health & Social Care

Page 2: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Global issues facing nursing

• Ageing of the nursing workforce

• Migration of nurses

• Poor image of nursing

• Demonstrating cost-effectiveness

• Miscellaneous

– Genomics– Preparation for disasters– Climate change

• GAPFON

Page 3: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Ageing nursing workforce

Page 4: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness
Page 5: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness
Page 6: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges of an ageing nurses workforce

• Recruitment and replacement

• Retention of older nurses

• Flexible work patterns (sandwich generation)

• Professional development

• Valuing older nurses

Page 7: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Migration of nurses

Page 8: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness
Page 9: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness
Page 10: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges of a migratory nursing workforce

• Regulation and registration

• Cross cultural issues

• Negative effect on healthcare in developing countries

• Lack of standardisation of nursing registration globally

Page 11: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Poor image of nursing

Page 12: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges of a poor image of nursing

• We undervalue ourselves (“I’m ONLY a nurse”)

• Lack of places at the ‘high table’ on policy issues

• Low investment in professional development

Page 13: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Demonstrating cost-effectiveness

Page 14: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness
Page 15: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness
Page 16: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges of demonstrating cost-effectiveness

• We must work harder to demonstrate cost-benefit of nursing

• Demonstrating cost-benefit beyond acute care

• Development of Registered Nurse sensitive outcomes

Page 17: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges related to genomics

• Pre-diagnostic care (eg Alzheimer’s disease)

Page 18: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Preparation for disasters

Page 19: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges related to disasters

• Professional and psychological preparation of workforce

Page 20: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Climate change

Page 21: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Challenges related to climate change

• Preparation for the care of vulnerable groups (especially older people)

Page 22: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Read about GAPFON

From January 2015 JNS:

• Abstract

http://onlinelibrary.wiley.com/doi/10.1111/jnu.12118/abstract

• Full Article (enhanced HTML)

http://onlinelibrary.wiley.com/enhanced/doi/10.1111/jnu.12118/

• PDF

http://onlinelibrary.wiley.com/doi/10.1111/jnu.12118/pdf

Page 23: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

Global Advisory Panel on the Future of Nursing

Page 24: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

The Final Four(in order of importance)

1. Leadership

2. Policy

3. Workforce/Work Environment/Practice

4. Education/Curriculum

Page 25: Global issues facing nursing/file/Roger...Global issues facing nursing •Ageing of the nursing workforce •Migration of nurses •Poor image of nursing •Demonstrating cost-effectiveness

THANK YOU

email: [email protected]

@rwatson1955