The global health community should continue to fast-track progress toward elimination of all preventable causes of maternal and newborn mortality. What makes this issue more pressing and a worldwide focus is that these are preventable deaths. Leading causes of maternal deaths in the United States overlap with the main global causes; hemorrhage, pregnancy-related hypertensive disorders and infection are among the top causes of death in both the U.
The largest numbers and highest rates of maternal, neonatal and child deaths are in the country of sub-Saharan Africa and South Asia Bhutta et. Maternal-newborn health issues require the nurse to consider not just one, but two or more patients, when seeking to improve care and quality outcomes.
This requires a focus on wellness care and prevention as opposed to illness care. Nursing care provided during the birth process is critical but nurses also have an impact in the antenatal setting. One goal associated with improving antenatal care is to emphasize the importance of other healthcare needs, such as tetanus immunization, family planning, and prevention and treatment of human immunodeficiency virus HIV.
A key factor for successful education of nurses and other interprofessional team members is an evidence based practice approach. The evidence based movement over a decade ago created a culture for questioning and guiding the content of interventions.
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Working with families and communities is necessary to focus on improving access to and use of quality health programs that include prevention initiatives. One means to achieve this goal is to implement strategies concentrated on education, provision of care, and health system strengthening. Nurses and other healthcare professionals have knowledge, opportunity, and often political leverage. Patients and families expect knowledgeable caregivers, and specialty certification can provide reassurance about nurse competence.
Nurses who specialize in the field of maternal newborn health should be encouraged to achieve certification in this area. It is official recognition of achievement, expertise, and clinical judgment from the profession and requires continued learning and skill development to maintain American Nurses Credentialing Center, Public awareness of the value of nurse certification is increasing. The first of eight essential nurse leader competencies for , established by the Canadian Nurses Association , is a global perspective or mindset regarding healthcare and professional nursing issues.
Perhaps these essential competencies should be considered as an exemplar to other economically advantaged countries. The role of the nurse leader has to expand beyond the walls of hospitals and other healthcare settings if we are to successfully impact the fight against emerging GHIs. Each day brings new and greater challenges that nurses must face head-on. Leaders must be strong, innovative, financially savvy, and willing to take on increasingly difficult and complex situations. Nurses must be willing to lead by example, set clear expectations, and require accountability.
A leader must also be visionary and forward thinking. If we are to create and sustain change, it must come from the nurse who is both a leader and a change agent. The role of the nurse leader is key to help an organization prepare for and lead change. Nurse leaders must model the role of change agents and lead by example in change implementation demonstrating equanimity.
An effective change agent is disciplined, thinks rationally with an open mind, and is informed by evidence Oulton, Administrative support is also critical to gain the trust of frontline nurses as they embark on a journey of change that will positively impact GHIs they face in practice on a daily basis.
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Being a global leader requires an understanding of the wider context; it means having a view greater than the local perspective and realizing connections and relationships that exist globally. Nurse leaders are also instrumental in facilitating change within the community and should seek such opportunities. For example, by becoming a member of a local board, the contribution of nurses and nursing is represented at community tables and can positively impact change that reaches far beyond traditional healthcare delivery settings.
Global leadership in health requires vision, strategic thinking, credibility, and the ability to work with and influence others. It also requires the leader to be a global citizen, or someone who works to make the world a better place. A global citizen is aware of the wider world; respects and values diversity; and is outraged by social injustice at any level Oulton, Global leaders who act as change agents work to develop this enhanced global perspective in frontline nurses.
An interprofessional approach to GHIs provides a more united front and an increased chance of success. Nurse leaders also have the opportunity to engage physicians, advanced practice nurses, and other ancillary healthcare providers in a global level response. The more people are able to reach out and impact the community, the louder the message delivered.
Leaders must take responsibility to filter knowledge of GHIs downward and upward within organizations. In response to any emerging GHI, this bi-directional pathway is important to both heighten awareness and gain support at all levels. Global health issues do not exist in a vacuum Global health issues do not exist in a vacuum; they are problems of high complexity that must be fully and comprehensively considered.
Simple solutions do not exit. These multidimensional problems require global collaboration, organization, and resources, applied with a bold vision and true commitment. The lens of social justice may better frame solutions required at micro-, meso-, and macro-system levels.
A profession such as nursing Nurses are positioned in settings such as government roles, public health, academia, clinical care, leadership, and private industries with the ability to develop a creative and effective network to respond to multifaceted problems. There is a clear need to increase nurse awareness and education about GHIs, including, but not limited to emerging infectious diseases, human trafficking, and maternal-newborn health. Professional nurses can contribute as global leaders of change by becoming active in communities; professional nursing organizations; policy making and advocacy organizations; and their workplaces.
A profession such as nursing, with millions of providers both in the United States and worldwide, has the opportunity to positively impact GHIs, perhaps like no other. Trent-Adams hhs. Cindy McCain Email: meghan. June Marshall is a nurse scientist for Texas Health Resources, an entrepreneur and leader in nursing. Advisory Board. But why? Allen, E. Domestic minor sex trafficking. Washington D. Retrieved from judiciary. Almidei, N.
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To improve global health, experts call for a standard list of essential diagnostic tests
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