“Global Issues Affecting Healthcare: Role and Impact of Nurses”

March 23, 2017, 1:00-5: 00 pm, UP Collage of Nursing Auditorium

Opening session by Madam Jenniffer T. Paguio, MA, RN, as an EMCEE.

 Madam Jennifer T. Paguio, RN welcomed the guest speaker and also the participants of the seminar. The participants came from different nursing collage and also different institution. The participants were coming from Pamantasan ng Lungsod ng Maynila or University of the city of Manila (PLM) (they were coming with their dean and also faculty staff), Jose Rizal University, Centro Escolar University, Philippines General Hospital (PGH), and also Master students from UP Manila. Among the Participants, there were the former dean of UP Collage of Nursing

Welcome remarks from Chancellor Carmencita D. Padilla, MD, MHPS.

The chancellor of University of the Philippines, Madam Carmencita D. Padilla, Md, MHPS was not able to come. So, welcome remark was delivered by Dean Lourdes Marie S. Tejero, PhD, RN followed by introduction of the Guest speaker.

The chancellor highlight several issues in global health challenges that directly effecting nursing as professional. She also added that the role of nurses is ‘vital’ to face these variant issues.

Currently, global health issue which has the relationship with the important of nurses as a profession is the increasing of global health gap within the development countries. The development countries share the common problem in infection diseases, maternity problem, and also economical problem like poverty. Globalization and highly mobilization also become part of global health issues. Society hope that nurses can become part of the solution, make a different and give the intervention through advance health care.

Nurses is required to increase they inter-professional relationship, team building and not only depend on their role as care givers. Nurse mst expand their role in many different areas such as education, research and so on. In the education system, nurses need to implement the transformational nursing education as one of the way to fulfil those challenging in global health gap. Nurses can also increase their participation to face the global challenges with partnership and collaboration, increase the capacity of exploring, learning and motivating one and another.

“Nurses Transforming Care Through Leading Change Effectively “Delivered by Dr. Peter Carter OBE.

Dr. Peter Carter OBE is the Interm Chairman in Medway National Health Services (NHS) Foundation Trust Gillingham, Kent, South England, United Kingdom. He has mental health and psychiatric nursing background. He trained for 6 years as a psychiatric nurse at Hill End Hospital in St. Albans, worked at the adolescent unit, then undertaking further training in family therapy and crisis intervention. He spent almost 12 years as the Chief Executive of the central North west London Mental Health NHS Trust, in January 2007 became General Secretary and Chief Executive for the Royal Collage of Nursing (RCN).

Before Dr. Carter delivered his topics, he invited nurses from the Philippines to join and become part of nursing family in United Kingdom. He challenged the audience to take a chance and register themselves as a nurse who will work in the UK.

Dr. Carter said that Global context of Healthcare can be seen from various side, such as Economy, Sustainability, Public Health, Demographic Changes and conflict. Nurses in here can influence change in different area such as practice, research, education and also management.

Learn from the case of “Bereavement and Donor Support Service” in United Kingdom, the nurses can learn how to provide excellent end of life care in acute settings, every patient and in every time. One of the nurses who able to giving the example in the practice area is Fiona Murphy MBE, an Assistant Director of Nursing for Bereavement and Donor Support. In Her report for Journal of Anaesthesia, Vol 64, Issue 8 in 2009 with tittle “Impact of a Bereavement and Donation Service”, with co-author Cochran and Thornton, she gave the concrete example of nurses who led imitative in the field. She and her co-author highlight nursing role to do transformational and tenacity, to do the right thing for patients and their families and to inspiring. Nurses must be able to work across boundaries and built effective relationships.

Another example also come from a Nurse in the United States. Dorcas Gwata, a clinical nurse specialist in Mental health. She integrated gangs unit to support young people and families who affected by gang culture. She did accessing hard to reach groups of young people and also the families, appreciating cultural differences, working at street level and valuing everyone’s constitution and improving health outcomes for young men and women.

Nurses as influential change agents also can work his/her career in and through research. We can take the best example from Linda Aiken, Director of the centre for Health Outcomes and Policy research. In 2002, she did research which link between patient load and mortality. The journal of the American Medical Association (JAMA) published her landmark research that studied 10.000 nurses in 168 Pennsylvania hospital. In 2006, she made contribution in nursing education and patient outcomes. She and her colleagues completed another major study which showed that hospitals employing higher percentages of bachelor’s degree prepared nurses had lower surgical patient mortality than hospitals that staffed with fewer bachelor’s prepared nurses.

Leadership and team effectiveness in health workplace, based on research in National Health Services (2010) cooperated with Aston University Senior Fellow King Fund reported that team effectiveness and leadership management contribute in reducing hospitalisation and cost, increasing effectiveness and innovation and increasing well-being of team members. Multi-disciplinary teams deliver high quality patient care and implement more innovations, it will also lower patient mortality, reduce error rates and reduce turnover and sickness absence.

In terms of team work, we as nurses can learn from the geese when it related with team coordination. As we know mother nature is the best way to learn about life. First, as each goose flaps its wings, it creates an uplift for the bird behind it. By flying in a V-formation, the whole flock adds 71 percent more flying range than if each bird flew alone. Lesson learning that we can take from those fact is people who share a common direction and sense of community can get where they are going quicker and easier when they are traveling on the thrust of one another. In teamwork, by significant co-ordinating and working together the productivity rate is increase dramatically. Second, when a goose gets sick, wounded, or shot down, two geese drop out of formation and follow it down. They stay with the goose to help and protect it until it is able to fly again or dies. Then they launch out with another formation to catch up with the flock. Lesson learning from those fact is if we have as much sense as geese, we will stand by each other. Stand by each other does mean that we need to be supportive and sensitive to the needs of others particular in times of crisis is paramount. Working in the Health Service generally, and nursing specifically is a highly-pressurised ad stressful occupation. The need to support each other has never been greater. Third, whenever a goose falls out of the formation, it suddenly feels the drag and resistance of trying to fly alone and quickly gets back into formation to take advantage of the lifting power of the bird in front. Lesson learning from it is if we have as much sense as a goose, we will stay in formation with those who are headed where we want to go. Fourth, when the lead goose gets tired, it rotates back into the formation and another goose flies at the point position. Lesson learning from that fact is it pays to take turns doing the hard tasks and sharing leadership. Workload in the group must and should be evenly distributed. Too much reliance should never be placed on one individual. Fifth, the geese in formation honk from behind to encourage those up front to keep up their speed. Lesson that we can take is we need to make sure our honking from behind is encouraging- -not something less than helpful. Communicating is critical to ensure effective teamwork and leadership.

As conclusion, he stated that culture impact directly in nurse’s ability to realise their true potential but these impacts must be seen in positive way. So that, the nurses will have equal contribution to impacting Global Healthcare challenges.

Panel Reactor I from Madam Gisela D. Luna, PhD, RN, Dean of Trinity University of Asia.

Madam Gisela D. Luna, PhD RN highlighted that the presentation delivered by Dr. Peter Carter is in line with nature and scope of Philippines nursing education. The grand plan for nursing education in the Philippines enhance the important of evidence based practice and also competence based in nursing to build the strong and highly competitive professional nursing.

To develop good nursing education, we need a good curriculum. The new nursing curriculum that will implemented in 2018-2019 is outcome based curriculum. It has been developed by ASEAN nursing education and it integrated in ASEAN countries. The outcome based curriculum in nursing will focus on outcome as indicator to produce professional nurses. The key elements in this curriculum are developing nurses to handle the basic competencies in leadership management, research and direct patient care. In addition, the curriculum will add some important topic in the process such as transcultural nursing, disaster nursing and care for older people.

The main purpose of all these effort is to face the challenges in global health issues and gap. Through the education, Nursing school is fully in charge to produce the nurses who employable and have highly ethical care, good collaboration skills and teamwork.

 Panel Reactor II from Madam Ruth Thelma P. Tingda, PhD, RN, National President of Philippines Nurses Association.

Madam Ruth Thelma P. Tingda, PhD, RN delivered her reaction for Dr. Charter presentation, focusing in nursing practice especially in Filipino nurses. With all the challenges and variables that affecting nursing care, she hopes that Filipino Nurses can give their best to expand their role and fulfil Filipino dream to give and to get the best nursing care in the field.

She also highlighted the importance of research as the strongest aspect in nursing education and practice. Many establish researcher has born under the Philippines nursing education system. This will not stop just in here; the organization will work hard in the future to achieve the goals and make a better life for Filipino citizens. She asked active participation and contribution from the audience to make all it happen



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