WEBVTT 00:00:06.008 --> 00:00:08.440 position:50% align:middle - [Baroness Watkins] Well, thank you very much, David. 00:00:08.440 --> 00:00:15.200 position:50% align:middle And it's really wonderful to be with you here today to celebrate your anniversary 00:00:15.200 --> 00:00:22.390 position:50% align:middle and I particularly also want to thank your president, Catherine, for inviting me. 00:00:22.390 --> 00:00:30.080 position:50% align:middle Nursing Now is a social movement, and it has been developed out of the UK 00:00:30.080 --> 00:00:40.560 position:50% align:middle but already involves 40 countries. The idea of Nursing Now is to work as a 00:00:40.560 --> 00:00:46.200 position:50% align:middle campaign to improve health globally by raising the profile and status 00:00:46.200 --> 00:00:51.304 position:50% align:middle of nurses worldwide. You're probably aware that the WHO has a 00:00:51.304 --> 00:00:59.140 position:50% align:middle sustainable development goal for 2030, which is that every country involved 00:00:59.140 --> 00:01:05.937 position:50% align:middle in WHO should be able to provide basic health care for its population by 2030. 00:01:05.937 --> 00:01:13.780 position:50% align:middle And the work we've done estimates that we will need at least 20 million more people 00:01:13.780 --> 00:01:19.550 position:50% align:middle working in the nursing workforce to achieve that goal particularly if you 00:01:19.550 --> 00:01:25.840 position:50% align:middle think of the mental health challenges as well as the physical health challenges. 00:01:25.840 --> 00:01:32.170 position:50% align:middle So our aim is to influence policy makers and support nurses across the globe 00:01:32.170 --> 00:01:38.380 position:50% align:middle to lead, learn, and build a global movement so that nursing is 00:01:38.380 --> 00:01:46.040 position:50% align:middle on everybody's lips, now. I was struck by the phrase that you used 00:01:46.040 --> 00:01:52.790 position:50% align:middle to describe your founders, audacious. I have been called amongst other things 00:01:52.790 --> 00:01:58.980 position:50% align:middle audacious but also bonkers at attempting to get this charity off the ground 00:01:58.980 --> 00:02:04.510 position:50% align:middle with others. So I much prefer the word audacious for our campaign. 00:02:04.510 --> 00:02:09.740 position:50% align:middle It is a three-year global campaign with the idea that whatever we leave 00:02:09.740 --> 00:02:12.689 position:50% align:middle behind will be left behind in individual 00:02:12.689 --> 00:02:15.928 position:50% align:middle countries or you are such huge countries here 00:02:15.928 --> 00:02:20.890 position:50% align:middle it might be in individual states and some will go on with the work and some will 00:02:20.890 --> 00:02:25.276 position:50% align:middle feel that they've done what they can. We're working in collaboration with the 00:02:25.276 --> 00:02:30.870 position:50% align:middle International Council of Nurses and the World Health Organization and have real 00:02:30.870 --> 00:02:36.590 position:50% align:middle support from the very top. The program is part of a charity 00:02:36.590 --> 00:02:43.000 position:50% align:middle in Britain called the Burdett Trust who have bravely funded our infancy, 00:02:43.000 --> 00:02:50.080 position:50% align:middle I suppose. And the idea is based on a report that came out of our government, 00:02:50.080 --> 00:02:55.670 position:50% align:middle a joint committee between the Houses of Commons and Lords, and I was 00:02:55.670 --> 00:03:03.403 position:50% align:middle on that committee. The global campaign was launched on the 27th of February in 2018. 00:03:03.403 --> 00:03:11.210 position:50% align:middle And the Duchess of Cambridge is patron of our campaign, which of course, 00:03:11.210 --> 00:03:19.900 position:50% align:middle has given it significant global interest and has encouraged our government to give 00:03:19.900 --> 00:03:27.320 position:50% align:middle £5 million through its overseas development budget for nursing projects 00:03:27.320 --> 00:03:31.200 position:50% align:middle over the next 10 years, so we're challenging other governments 00:03:31.200 --> 00:03:38.620 position:50% align:middle to think similarly. We've got all sorts of champions from the World Bank to the 00:03:38.620 --> 00:03:46.160 position:50% align:middle Commonwealth and also the Prime Minister of India has himself tweeted about the 00:03:46.160 --> 00:03:52.880 position:50% align:middle need for more nurses there and is a supporter of Nursing Now. The idea, 00:03:52.880 --> 00:03:55.800 position:50% align:middle as I've already said, is to improve health globally 00:03:55.800 --> 00:04:03.280 position:50% align:middle through nursing and on our board we have representatives from all the WHO regions. 00:04:03.280 --> 00:04:08.510 position:50% align:middle We particularly want to focus on how nurses can work with non-communicable 00:04:08.510 --> 00:04:19.980 position:50% align:middle diseases and promote fundamental health care in primary and community settings. 00:04:19.980 --> 00:04:27.710 position:50% align:middle Because we know in many parts of the world such as Africa, Pakistan, Mongolia, 00:04:27.710 --> 00:04:33.180 position:50% align:middle that enabling health professions nearest their communities can have a much 00:04:33.180 --> 00:04:38.610 position:50% align:middle greater impact. And we have to remember that some people are still 200 miles 00:04:38.610 --> 00:04:45.620 position:50% align:middle from a local health clinic let alone a hospital. We want to develop leadership 00:04:45.620 --> 00:04:52.044 position:50% align:middle and influence in policymaking, and we hope that by 2020 we will be able 00:04:52.044 --> 00:04:58.340 position:50% align:middle to announce 2,000 scholarships for nurses to study leadership programs 00:04:58.340 --> 00:05:05.600 position:50% align:middle with other people. So it might be one nurse goes to Harvard and does an MBA, 00:05:05.600 --> 00:05:09.510 position:50% align:middle and it might be another nurse goes to Oxford and does a health 00:05:09.510 --> 00:05:15.840 position:50% align:middle economics program. I am, you know, a beneficiary of having been sent on the 00:05:15.840 --> 00:05:21.610 position:50% align:middle British top civil service management program, and I was the only nurse in a 00:05:21.610 --> 00:05:26.400 position:50% align:middle group of 20. And I learnt so much from people that didn't just think 00:05:26.400 --> 00:05:32.070 position:50% align:middle about nursing, and I also made sure they understood the value of nursing. 00:05:32.070 --> 00:05:35.450 position:50% align:middle So we really want to look at how can we get those scholarships funded, 00:05:35.450 --> 00:05:39.500 position:50% align:middle and we're challenging universities actually to offer free places. 00:05:39.500 --> 00:05:43.140 position:50% align:middle And we've already got a competition. Florida University has already offered 00:05:43.140 --> 00:05:48.510 position:50% align:middle us some, so I ask you to think about that. And we obviously want to create and 00:05:48.510 --> 00:05:54.410 position:50% align:middle disseminate evidence about the power of nursing. We believe that this can only be 00:05:54.410 --> 00:06:01.300 position:50% align:middle done by investing in more nurses and enabling them to learn, lead and thrive. 00:06:01.300 --> 00:06:06.330 position:50% align:middle And I'm standing in a country where nursing is really, really valued. 00:06:06.330 --> 00:06:12.900 position:50% align:middle But there are countries in the world where nursing is not seen as a proper profession 00:06:12.900 --> 00:06:17.010 position:50% align:middle and where many families, as they become more successful, 00:06:17.010 --> 00:06:23.220 position:50% align:middle do not want their sons or daughters to go into nursing. And, you know, 00:06:23.220 --> 00:06:28.440 position:50% align:middle we've got David and I here. We went into nursing about the same time, 00:06:28.440 --> 00:06:35.170 position:50% align:middle but there are still very many less Davids than me. And I would like to see more men 00:06:35.170 --> 00:06:40.568 position:50% align:middle in nursing because I don't think that we will be able to get to this extra 20 00:06:40.568 --> 00:06:48.200 position:50% align:middle million people by only using half the population of the world. 00:06:48.200 --> 00:06:53.820 position:50% align:middle We also want to empower nurses to use their knowledge, skills, 00:06:53.820 --> 00:07:00.500 position:50% align:middle and expertise to their level of qualification. We know that in some 00:07:00.500 --> 00:07:08.590 position:50% align:middle countries for example, in parts of Africa, there's a charity called Sightsavers that 00:07:08.590 --> 00:07:15.620 position:50% align:middle has taught nurses to undertake cataract operations, and it's very successful, 00:07:15.620 --> 00:07:21.480 position:50% align:middle very cheap. But there are some countries that will not allow that in my opinion, 00:07:21.480 --> 00:07:29.250 position:50% align:middle because of the private practice values to doctors of such operations. 00:07:29.250 --> 00:07:34.540 position:50% align:middle I'm always happy to make this statement in front of a group of surgeons as I've been 00:07:34.540 --> 00:07:39.750 position:50% align:middle married to one for 40 years and that has been a very good relationship. 00:07:39.750 --> 00:07:45.410 position:50% align:middle But it doesn't mean that we shouldn't be taking over roles that have been 00:07:45.410 --> 00:07:50.320 position:50% align:middle traditionally done by others if we are capable of doing them and reaching a 00:07:50.320 --> 00:07:59.040 position:50% align:middle greater population at a lower cost. Because there is no way that we can go 00:07:59.040 --> 00:08:08.940 position:50% align:middle on as we are at the moment. We also want to support nurses in their 00:08:08.940 --> 00:08:15.440 position:50% align:middle drive to encourage health promotion, as well as treatment and 00:08:15.440 --> 00:08:22.780 position:50% align:middle disease prevention. We know that in parts of Africa if we can get to young people 00:08:22.780 --> 00:08:29.220 position:50% align:middle who have been scarred by violence and war early, that we can prevent, not in all, 00:08:29.220 --> 00:08:37.230 position:50% align:middle but in some real long-term mental health problems. We also know if we can stop 00:08:37.230 --> 00:08:45.920 position:50% align:middle the kind of absolute best thing you can do with the small amount of money you earn is 00:08:45.920 --> 00:08:52.600 position:50% align:middle to buy fast food or a proprietary drink, but that it might actually be better 00:08:52.600 --> 00:08:58.910 position:50% align:middle to feed the whole family with more basic food. So there are things that we know 00:08:58.910 --> 00:09:03.630 position:50% align:middle nurses working in rural communities can be really powerful in some 00:09:03.630 --> 00:09:09.330 position:50% align:middle of these countries. And we, indeed, in Britain have seen that power 00:09:09.330 --> 00:09:15.230 position:50% align:middle through nurses working with young people that are involved in gangs and criminality 00:09:15.230 --> 00:09:21.661 position:50% align:middle both in Glasgow and in London. And I've spent a day with a fantastic 00:09:21.661 --> 00:09:27.750 position:50% align:middle nurse who comes from Zimbabwe actually, who's working with the gang community 00:09:27.750 --> 00:09:33.730 position:50% align:middle in South London. And she doesn't turn every life around. But if she turns one 00:09:33.730 --> 00:09:37.580 position:50% align:middle of three lives around, that is the value of mental 00:09:37.580 --> 00:09:46.360 position:50% align:middle health nursing. We also want to work really, really strongly to involve nurses 00:09:46.360 --> 00:09:51.370 position:50% align:middle in health decision-making at policy level. I mean, I never thought that I would 00:09:51.370 --> 00:09:54.807 position:50% align:middle be standing here saying that I know, that I'm 00:09:54.807 --> 00:09:57.242 position:50% align:middle actually able, in my new role, to do that. 00:09:57.840 --> 00:10:02.390 position:50% align:middle It doesn't necessarily have to be at government level. It can be at local 00:10:02.390 --> 00:10:09.010 position:50% align:middle county level, it can be in our country at council level. But if you can influence 00:10:09.010 --> 00:10:16.590 position:50% align:middle how the tax is spent so that nursing can give the best possible outcome 00:10:16.590 --> 00:10:21.410 position:50% align:middle to its population, be that for people who are supported at home 00:10:21.410 --> 00:10:25.690 position:50% align:middle in end-stage dementia, Alzheimer's disease, 00:10:25.690 --> 00:10:31.070 position:50% align:middle or young mothers who really are so frightened of their new babies that they 00:10:31.070 --> 00:10:38.760 position:50% align:middle need intervention to understand that even fit and happy babies can be quite 00:10:38.760 --> 00:10:42.270 position:50% align:middle difficult to manage. And there are many of you in this room 00:10:42.270 --> 00:10:46.770 position:50% align:middle both men and women who will know what I talk about. But most of us had people 00:10:46.770 --> 00:10:51.450 position:50% align:middle to turn to for help. We know that some people are completely 00:10:51.450 --> 00:10:56.980 position:50% align:middle alone in that situation and the value of community support that might be done 00:10:56.980 --> 00:11:02.920 position:50% align:middle through clinics led by nurses and that in time people develop confidence, is 00:11:02.920 --> 00:11:08.970 position:50% align:middle really important. So I, for example, am very involved in trying to ensure and 00:11:08.970 --> 00:11:15.890 position:50% align:middle protect the health visiting budget out of the health promotion budget in the UK 00:11:15.890 --> 00:11:21.300 position:50% align:middle at the moment which has been a kind of easy win to catch. So you have to think 00:11:21.300 --> 00:11:26.860 position:50% align:middle about how we can do those kind of things collectively as a force. 00:11:26.860 --> 00:11:34.570 position:50% align:middle So I've already said something about our aims by 2020. But we want to do these 00:11:34.570 --> 00:11:41.180 position:50% align:middle things but particularly create, identify, and disseminate the evidence of impact 00:11:41.180 --> 00:11:47.740 position:50% align:middle of nursing. And Singapore University is funding to the tune of 2 million a project 00:11:47.740 --> 00:11:53.980 position:50% align:middle that will report in 2020 on those issues. David is coming as well, but a group 00:11:53.980 --> 00:11:57.920 position:50% align:middle of senior nurses are now going to the WISH Conference in Doha to talk 00:11:57.920 --> 00:12:03.330 position:50% align:middle with international leaders about the value of nursing on day two, 00:12:03.330 --> 00:12:10.682 position:50% align:middle and that's being taken very seriously in the Middle East. And we have at least one 00:12:10.682 --> 00:12:14.910 position:50% align:middle private healthcare sponsor that has recently given us quarter of a million 00:12:14.910 --> 00:12:18.590 position:50% align:middle pounds with no strings attached recognizing that if they haven't got 00:12:18.590 --> 00:12:22.260 position:50% align:middle nurses to deliver what they're insuring for, there's going to be a problem 00:12:22.260 --> 00:12:27.710 position:50% align:middle across the world. So, you know, there are real opportunities here. 00:12:27.710 --> 00:12:33.600 position:50% align:middle But what I also want to say right now is I met some of your delegates last night and 00:12:33.600 --> 00:12:39.620 position:50% align:middle right today we are getting our 41st country to lead Nursing Now. 00:12:39.620 --> 00:12:49.410 position:50% align:middle And Botswana is entering today 41 on your 40th birthday. So they'll be delighted 00:12:49.410 --> 00:12:52.820 position:50% align:middle to know they'd been mentioned here. So what are we doing? 00:12:52.820 --> 00:12:56.330 position:50% align:middle Well, we're working with partners to advocate for more nurses 00:12:56.330 --> 00:13:01.445 position:50% align:middle in leadership roles. We have a new nurse at the WHO, 00:13:01.445 --> 00:13:07.490 position:50% align:middle Elizabeth Iro, so we are back to having a nurse at the top table at WHO that is as a 00:13:07.490 --> 00:13:13.510 position:50% align:middle direct result of Nursing Now's relationship with WHO. 00:13:13.510 --> 00:13:19.170 position:50% align:middle We are mapping how many countries have a nurse at government level who can 00:13:19.170 --> 00:13:23.650 position:50% align:middle influence, and if they haven't, we are challenging those countries 00:13:23.650 --> 00:13:30.425 position:50% align:middle to start to think about how to do that. We're encouraging nurses to organize 00:13:30.425 --> 00:13:37.080 position:50% align:middle at country, regional, and global level. And I can't say yet, but one particular 00:13:37.080 --> 00:13:43.140 position:50% align:middle state here has their governor's backing and they've asked me to come over in the 00:13:43.140 --> 00:13:49.720 position:50% align:middle New Year and launch Nursing Now for that particular state. May I say that I hope 00:13:49.720 --> 00:13:53.650 position:50% align:middle that all of you are saying this time next year that you've managed to think 00:13:53.650 --> 00:14:00.080 position:50% align:middle about whether you want to do that. We have, for the United States, Maureen 00:14:00.080 --> 00:14:04.410 position:50% align:middle Bisognano who works for the Institute of Health Improvement on our board. 00:14:04.410 --> 00:14:09.950 position:50% align:middle So I can leave her email for anybody that might want to contact her. 00:14:09.950 --> 00:14:14.330 position:50% align:middle We want to help nurses get better education, training, and develop 00:14:14.330 --> 00:14:18.005 position:50% align:middle good regulators. And I think that's partly why I've been asked here because 00:14:18.005 --> 00:14:26.160 position:50% align:middle of course, my challenge to your leadership team is that you should become a partner 00:14:26.160 --> 00:14:32.230 position:50% align:middle with Nursing Now, but you have to decide that for yourself. And we want to support 00:14:32.230 --> 00:14:36.180 position:50% align:middle nurses to share research and evidence, and we hope that we'll leave a better 00:14:36.180 --> 00:14:42.630 position:50% align:middle database behind when we finish in three years. I just want to talk a bit 00:14:42.630 --> 00:14:47.100 position:50% align:middle about what you do. When I was asked to give this lecture, I obviously looked 00:14:47.100 --> 00:14:52.900 position:50% align:middle at some of your publications and the Journal of Nursing Regulation volume 8 00:14:52.900 --> 00:15:00.290 position:50% align:middle shows me so clearly how many nurses you've got in which state and what their levels 00:15:00.290 --> 00:15:04.590 position:50% align:middle of qualification are. And I think you're used to that and that 00:15:04.590 --> 00:15:09.310 position:50% align:middle you don't realize that most countries can't do that. And, therefore, 00:15:09.310 --> 00:15:13.800 position:50% align:middle I think you would have so much to give emerging countries that are looking 00:15:13.800 --> 00:15:21.380 position:50% align:middle towards more detailed regulation to help work with them as perhaps a gift 00:15:21.380 --> 00:15:28.300 position:50% align:middle to the globe. The regulation 2030, there are countries who are taking their 00:15:28.300 --> 00:15:34.087 position:50% align:middle first steps of a journey that you took 40 years ago. And they haven't yet got a 00:15:34.087 --> 00:15:40.460 position:50% align:middle comprehensive list of those who've completed training other countries have. 00:15:40.460 --> 00:15:43.770 position:50% align:middle And they're also asking these kind of questions, "In future, 00:15:43.770 --> 00:15:49.410 position:50% align:middle who should be the regulators?" One country has such variations in job 00:15:49.410 --> 00:15:53.420 position:50% align:middle title that you can't really tell who is a nurse and who isn't. 00:15:53.420 --> 00:15:58.300 position:50% align:middle They have very complex teams. We all know that we have differing roles, 00:15:58.300 --> 00:16:00.310 position:50% align:middle and the nature of the workforce is changing 00:16:00.310 --> 00:16:04.217 position:50% align:middle as so rightly pointed out by the two 00:16:04.217 --> 00:16:08.020 position:50% align:middle previous speakers. So, who should we be regulating? 00:16:08.020 --> 00:16:12.060 position:50% align:middle And in the UK we've had this huge debate about whether we should be regulating 00:16:12.060 --> 00:16:18.200 position:50% align:middle nursing assistants as more and more things are delegated to them. 00:16:18.200 --> 00:16:21.010 position:50% align:middle We've kind of fudged that, and we're having a new role called the 00:16:21.010 --> 00:16:26.435 position:50% align:middle nursing associate which is not quite the same as your VPN. But we have been trying 00:16:26.435 --> 00:16:31.760 position:50% align:middle to sort out what's our responsibility if we are leaders of a team and then people 00:16:31.760 --> 00:16:37.610 position:50% align:middle are doing some work unsupervised because we've delegated. And, of course, 00:16:37.610 --> 00:16:43.650 position:50% align:middle we've all said that public protection should be the guiding principle. 00:16:43.650 --> 00:16:48.880 position:50% align:middle I'm going to just quote David here. He says, "Nursing regulation is 00:16:48.880 --> 00:16:53.470 position:50% align:middle increasingly influenced by globalization and the growing complexity of the health 00:16:53.470 --> 00:16:57.470 position:50% align:middle care system." I completely agree with that and so does the whole of the 00:16:57.470 --> 00:17:01.880 position:50% align:middle Nursing Board. He argues that, "Development of a contemporary approach 00:17:01.880 --> 00:17:06.820 position:50% align:middle to regulation, including a systematic examination of the literature and 00:17:06.820 --> 00:17:12.200 position:50% align:middle analysis of the potential implications of identified trends is required." 00:17:12.200 --> 00:17:15.738 position:50% align:middle I completely agree with that. And I suppose I kind of threw you out a 00:17:15.738 --> 00:17:20.830 position:50% align:middle challenge that if you really want to join and work with Nursing Now, 00:17:20.830 --> 00:17:27.640 position:50% align:middle is that a gift in kind that you could give to Nursing Now by funding together 00:17:27.640 --> 00:17:33.130 position:50% align:middle through some kind of social movement, that piece of work and producing it for the 00:17:33.130 --> 00:17:40.970 position:50% align:middle world to report it in 2020 at what will be a huge conference in London about the 00:17:40.970 --> 00:17:47.230 position:50% align:middle output of Nursing Now but also recognizing that it will be 200 years since Florence 00:17:47.230 --> 00:17:52.260 position:50% align:middle Nightingale was born? And therefore, we're having this huge international 00:17:52.260 --> 00:17:56.880 position:50% align:middle conference to look a little bit at the past but really to say, 00:17:56.880 --> 00:18:04.040 position:50% align:middle "What is the future for the next 200 years?" Your State Boards of Nursing 00:18:04.040 --> 00:18:09.460 position:50% align:middle values you know better than I do, but I really enjoyed reading them. 00:18:09.460 --> 00:18:16.091 position:50% align:middle And I thought again how much you would have to offer Nursing Now. So I ask, 00:18:16.091 --> 00:18:20.730 position:50% align:middle I know you're going to talk about your global future over the next two days, 00:18:20.730 --> 00:18:26.760 position:50% align:middle but could you have at the back of your mind, what can I do, or what can my state, 00:18:26.760 --> 00:18:30.161 position:50% align:middle or what can you as a collective do, to have 00:18:30.161 --> 00:18:34.002 position:50% align:middle greater influence in helping other parts 00:18:34.002 --> 00:18:41.350 position:50% align:middle of the world in looking at safe regulation to protect the public and to ensure that 00:18:41.350 --> 00:18:48.890 position:50% align:middle nursing is at the heart of the future of achieving the WHO goals? 00:18:48.890 --> 00:18:54.110 position:50% align:middle I urge you to share your ideas. Individually, you can join Nursing Now 00:18:54.110 --> 00:19:01.120 position:50% align:middle by just going to the Twitter site @NursingNow and just raise awareness 00:19:01.120 --> 00:19:05.940 position:50% align:middle of the campaign. Sign our pledge to support Nursing Now. 00:19:05.940 --> 00:19:11.880 position:50% align:middle And think, is there something you would like to do to think about the world's 00:19:11.880 --> 00:19:19.390 position:50% align:middle health by 2030 and how many of us there will need to be to help deliver that aim? 00:19:19.390 --> 00:19:25.710 position:50% align:middle Now I was given exactly 20 minutes, and I've got 46 seconds left. 00:19:26.505 --> 00:19:32.530 position:50% align:middle But I have asked for special dispensation from David to end on the note of showing 00:19:32.530 --> 00:19:38.670 position:50% align:middle you a short video from Uganda, which has been one of the early adopters. 00:19:38.670 --> 00:19:45.280 position:50% align:middle And what I'm really excited about Uganda is the president had only ever visited the 00:19:45.280 --> 00:19:50.280 position:50% align:middle colleges of medicine before but as a result of Nursing Now, 00:19:50.280 --> 00:19:56.520 position:50% align:middle he has been to a nursing college and is beginning to think about what nursing 00:19:56.520 --> 00:20:01.190 position:50% align:middle might do for Uganda. I'm sure he always knew that 00:20:01.190 --> 00:20:06.670 position:50% align:middle nursing existed, but it's turned him around. And I hope you enjoy this video. 00:20:06.670 --> 00:20:09.628 position:50% align:middle Thank you very much for inviting me today. 00:20:11.245 --> 00:20:14.300 position:50% align:middle ♪ [music] ♪ 00:20:18.113 --> 00:20:22.786 position:50% align:middle - [Woman] Nurses and midwives have formed the backbone of Uganda's health workforce 00:20:22.786 --> 00:20:30.370 position:50% align:middle constituting 75%. With the population, Uganda has 62,000 registered nurses 00:20:30.370 --> 00:20:32.330 position:50% align:middle serving 40 million people. 00:20:32.330 --> 00:20:35.470 position:50% align:middle - [Catherine] And really, this gives us the force. 00:20:35.470 --> 00:20:40.360 position:50% align:middle It gives us that joy knowing that we are the ones who are really providing the 00:20:40.360 --> 00:20:43.150 position:50% align:middle highest health care in the country. 00:20:43.819 --> 00:20:49.330 position:50% align:middle - To appreciate this, we focus on four major areas: education, regulation, 00:20:49.330 --> 00:20:53.610 position:50% align:middle policy, and practice. The education system of nurses in Uganda 00:20:53.610 --> 00:20:58.050 position:50% align:middle has steadily evolved, and this has presented many opportunities. 00:20:58.579 --> 00:21:03.460 position:50% align:middle - [Dr. Nanyonga] We have moved education into tertiary-level education, 00:21:03.460 --> 00:21:09.010 position:50% align:middle which opens up opportunities for nurses to study at a bachelor's degree level, 00:21:09.010 --> 00:21:13.120 position:50% align:middle for nurses to study at a master's degree level. Nurses have a lot more 00:21:13.120 --> 00:21:19.260 position:50% align:middle opportunities in managing from the bedside all the way to the executive boardroom. 00:21:20.114 --> 00:21:23.960 position:50% align:middle - The training of nurses in Uganda is done by the Ministry of Education 00:21:23.960 --> 00:21:29.720 position:50% align:middle through public and private institutions. After graduating, candidates are certified 00:21:29.720 --> 00:21:31.275 position:50% align:middle and licensed to practice. 00:21:31.275 --> 00:21:35.487 position:50% align:middle - On top of the registration bit, the council also participates 00:21:35.487 --> 00:21:41.740 position:50% align:middle with Ministry of Education and sports in approving courses of study for nurses and 00:21:41.740 --> 00:21:48.170 position:50% align:middle midwives right from certificate to degree level including masters and PhD. 00:21:48.170 --> 00:21:53.000 position:50% align:middle - Nurses are the first contacts at all levels of health care in the country. 00:21:53.000 --> 00:21:57.020 position:50% align:middle They provide service with passion to the community, and this is trained right 00:21:57.020 --> 00:21:59.330 position:50% align:middle from their institutions of learning. 00:21:59.330 --> 00:22:05.240 position:50% align:middle - [Mary] So when we teach students in our demonstration room in the university, 00:22:05.240 --> 00:22:07.956 position:50% align:middle we give them skills that they can use in the community. 00:22:08.971 --> 00:22:10.446 position:50% align:middle - Here at the national 00:22:10.446 --> 00:22:14.110 position:50% align:middle referral hospital, nurses provide specialized and nursing care 00:22:14.110 --> 00:22:17.996 position:50% align:middle in cardiology, critical care, oncology, among others. 00:22:20.171 --> 00:22:22.670 position:50% align:middle - [Beatrice] They have now taken the specialized courses. 00:22:22.670 --> 00:22:26.680 position:50% align:middle They are now giving specialized services. The nurses, because of their specialized 00:22:26.680 --> 00:22:31.560 position:50% align:middle training now, you find nurses interacting and discussing with the doctors in the 00:22:31.560 --> 00:22:33.332 position:50% align:middle care of the patients. 00:22:34.276 --> 00:22:38.080 position:50% align:middle - The Nursing Now Campaign presents an opportunity for renewed 00:22:38.080 --> 00:22:42.560 position:50% align:middle global commitments, efforts and collaborations to advance nursing and 00:22:42.560 --> 00:22:45.600 position:50% align:middle midwifery in order to attain a global platform. 00:22:45.600 --> 00:22:51.200 position:50% align:middle - [Dr. Oketcho] As an organization passionate about the health workforce, 00:22:51.200 --> 00:22:57.180 position:50% align:middle IntraHealth will take advantage of the Nursing Now Campaign to consolidate its 00:22:57.180 --> 00:22:59.420 position:50% align:middle efforts in supporting nurses. 00:22:59.420 --> 00:23:04.550 position:50% align:middle - Uganda is proud to be representing Africa in this campaign. 00:23:04.550 --> 00:23:09.160 position:50% align:middle It is optimistic that Nursing Now Campaign will help in shaping its priorities 00:23:09.160 --> 00:23:13.830 position:50% align:middle in redefining roles and capabilities of nursing care in the country to clearly 00:23:13.830 --> 00:23:17.000 position:50% align:middle demonstrate that nursing is the backbone of health care. 00:23:17.000 --> 00:23:23.190 position:50% align:middle - [Prof. Francis] We are hoping that the Nursing Now Campaign will put Ugandan 00:23:23.190 --> 00:23:27.800 position:50% align:middle nurses on fire and get them to be the leaders, the change agents. 00:23:27.800 --> 00:23:34.800 position:50% align:middle - [Dr. Atwiine] We want to bring out that nitty-gritty of the activities that the 00:23:34.800 --> 00:23:41.530 position:50% align:middle nurses do to actually demonstrate that nursing is the backbone of health care. 00:23:41.530 --> 00:23:47.480 position:50% align:middle Without a nurse, even if you have the best-skilled doctors, 00:23:47.480 --> 00:23:50.120 position:50% align:middle you will never achieve what you want to do. 00:23:50.120 --> 00:23:53.696 position:50% align:middle - [All] Nursing Now Uganda. We are ready. 00:23:58.111 --> 00:24:02.470 position:50% align:middle - [David] Baroness Mary Watkins, all I can say is thank you very much 00:24:02.470 --> 00:24:08.310 position:50% align:middle for being with us, for citing us on the issue that we are seeing a massive 00:24:08.310 --> 00:24:12.800 position:50% align:middle increase in the number of nurses that need to be trained, and that affects all of us. 00:24:12.800 --> 00:24:16.345 position:50% align:middle It's not just in developing countries, it's around the world. 00:24:16.915 --> 00:24:23.680 position:50% align:middle The need to think about how we get that balance between prevention and treatment 00:24:23.680 --> 00:24:30.270 position:50% align:middle and how we as individuals work to change the future in a way that is healthier 00:24:30.270 --> 00:24:33.734 position:50% align:middle for all of us. Mary, thank you very much.