WEBVTT 00:00:05.887 --> 00:00:08.175 position:50% align:middle - [Elizabeth] Good afternoon, everyone. 00:00:08.730 --> 00:00:12.500 position:50% align:middle President Julia George, Board of Directors, and, of course, 00:00:12.500 --> 00:00:15.034 position:50% align:middle CEO, David Benton, greetings. 00:00:15.400 --> 00:00:18.550 position:50% align:middle Ladies and gentlemen, it is a great pleasure to be with you all 00:00:18.550 --> 00:00:23.090 position:50% align:middle here at this annual meeting of the National Council of State 00:00:23.090 --> 00:00:24.324 position:50% align:middle Boards of Nursing. 00:00:28.690 --> 00:00:36.650 position:50% align:middle I feel very honored having come from a background where I was also a regulator 00:00:36.650 --> 00:00:47.750 position:50% align:middle for the Cook Islands in a very small island stage and to be among some of you 00:00:47.750 --> 00:00:52.502 position:50% align:middle distinguished guests, distinguished participants and delegates, 00:00:52.890 --> 00:00:56.266 position:50% align:middle looking at this very, very important function that will guide 00:00:56.266 --> 00:01:03.424 position:50% align:middle the work of nurses and midwives going forward beyond 2020. 00:01:05.202 --> 00:01:09.830 position:50% align:middle The NCSBN is an important partner, especially as we plan to develop the World 00:01:09.830 --> 00:01:13.866 position:50% align:middle Health Organization's first State of the World's Nursing Report. 00:01:14.250 --> 00:01:19.799 position:50% align:middle It is great to have David Benton on the steering committee for this work. 00:01:20.900 --> 00:01:25.570 position:50% align:middle Since taking up my post as the WHO chief nursing officer, I have witnessed this 00:01:25.570 --> 00:01:29.936 position:50% align:middle amazing synergy with the nursing and midwifery organizations. 00:01:30.674 --> 00:01:34.430 position:50% align:middle They be in education, practice and welfare, civil societies, 00:01:34.430 --> 00:01:39.291 position:50% align:middle or regulations in policy at local, national, or international level. 00:01:40.427 --> 00:01:46.629 position:50% align:middle I think many of us would've felt this movement of the coming together of these 00:01:46.629 --> 00:01:48.801 position:50% align:middle really important professions. 00:01:49.850 --> 00:01:54.940 position:50% align:middle Galvanizing this energy among the nursing and midwifery workforce has been possible 00:01:54.940 --> 00:01:56.611 position:50% align:middle with your interventions. 00:01:57.440 --> 00:02:00.606 position:50% align:middle As a political appointment to the World Health Organization, 00:02:00.606 --> 00:02:05.720 position:50% align:middle I am mindful that some of you have been instrumental in mobilizing and 00:02:05.720 --> 00:02:07.424 position:50% align:middle influencing my appointment. 00:02:08.210 --> 00:02:11.994 position:50% align:middle At the same time, I know that the director-general of WHO is committed 00:02:11.994 --> 00:02:16.615 position:50% align:middle to the provision of health for all and recognizes the contribution that 00:02:16.615 --> 00:02:20.465 position:50% align:middle nurses and midwives can make to achieve this vision. 00:02:20.980 --> 00:02:26.290 position:50% align:middle I believe my appointment was part of his transformation of the WHO organization. 00:02:27.650 --> 00:02:32.030 position:50% align:middle As David mentioned, I have been in this role as chief nursing officer 00:02:32.030 --> 00:02:35.662 position:50% align:middle since January, 2018. 00:02:36.284 --> 00:02:39.510 position:50% align:middle Just a little bit more about my background, I was born in, 00:02:39.510 --> 00:02:43.459 position:50% align:middle I grew up and went to school in the Cook Islands, a small island 00:02:43.459 --> 00:02:46.114 position:50% align:middle with population of about 17,000 people. 00:02:46.860 --> 00:02:49.640 position:50% align:middle I decided to be a nurse for three reasons. 00:02:50.860 --> 00:02:54.540 position:50% align:middle One was not one of those that was mentioned earlier on that David mentioned 00:02:54.540 --> 00:02:56.653 position:50% align:middle as to why we get into this profession. 00:02:56.850 --> 00:02:58.500 position:50% align:middle I got into this profession... 00:02:58.500 --> 00:03:01.116 position:50% align:middle I decided when I was 16 years old that I wanted to be a nurse, 00:03:01.116 --> 00:03:05.750 position:50% align:middle one, because I could see the job security, I could get a job anywhere. 00:03:05.750 --> 00:03:09.930 position:50% align:middle I heard that if I had a New Zealand qualification, I could get a job anywhere 00:03:09.930 --> 00:03:11.240 position:50% align:middle in the world. 00:03:11.240 --> 00:03:15.172 position:50% align:middle And two, the training was three years, it is not too long. 00:03:16.031 --> 00:03:21.689 position:50% align:middle And third, I wanted to travel and I could get a job anywhere in the world. 00:03:22.220 --> 00:03:26.126 position:50% align:middle So those were my reasons for getting into this profession. 00:03:26.420 --> 00:03:30.573 position:50% align:middle Health for all was not a focus in my very early career decision. 00:03:30.854 --> 00:03:35.732 position:50% align:middle However, in my journey since, it has clearly been the focus. 00:03:36.888 --> 00:03:41.212 position:50% align:middle I have been a president of the Nursing Association of the Cook Islands affiliated 00:03:41.212 --> 00:03:43.448 position:50% align:middle to the International Council of Nurses. 00:03:43.880 --> 00:03:48.140 position:50% align:middle I was the registrar of the Cook Islands Nursing Council and in nursing leadership 00:03:48.140 --> 00:03:51.490 position:50% align:middle roles prior to taking on the role as secretary of health for the Cook Islands 00:03:51.490 --> 00:03:52.746 position:50% align:middle Ministry of Health. 00:03:53.580 --> 00:03:57.770 position:50% align:middle Without realizing it, this was my somewhat preparation 00:03:57.770 --> 00:04:04.779 position:50% align:middle of over 30 years for my transitioning from a local to a global platform. 00:04:05.710 --> 00:04:10.470 position:50% align:middle So, my association and collaboration with the National Council of State Boards 00:04:10.470 --> 00:04:15.470 position:50% align:middle of Nursing as the global leader in nursing regulations to improving the safety and 00:04:15.470 --> 00:04:18.995 position:50% align:middle welfare of patients through education, research and service, and 00:04:18.995 --> 00:04:24.076 position:50% align:middle public protection can only enhance the work we do to strengthen our profession. 00:04:24.400 --> 00:04:26.194 position:50% align:middle And for this, I commend you. 00:04:26.920 --> 00:04:30.680 position:50% align:middle Today, it is my intention to draw from my work as the chief nursing officer 00:04:30.680 --> 00:04:36.842 position:50% align:middle of World Health Organization and to share priorities of the World Organization's 00:04:36.842 --> 00:04:41.208 position:50% align:middle 13th program of works and how nursing can contribute to this. 00:04:43.660 --> 00:04:47.470 position:50% align:middle And second, to provide an update on the Nursing Now campaign, and the State of the 00:04:47.470 --> 00:04:51.630 position:50% align:middle World's Nursing Report, and the planned events that will take place to commemorate 00:04:51.630 --> 00:04:53.891 position:50% align:middle the Year of the Nurse and the Midwife. 00:04:54.903 --> 00:04:58.870 position:50% align:middle And thirdly, I want to explore the role regulators will play in realizing the full 00:04:58.870 --> 00:05:02.760 position:50% align:middle potential of nursing in supporting universal health coverage and 00:05:02.760 --> 00:05:04.062 position:50% align:middle the health systems. 00:05:05.677 --> 00:05:08.720 position:50% align:middle As I mentioned earlier, the World Health Organization is entering 00:05:08.720 --> 00:05:14.825 position:50% align:middle a new era and it's recognition of the contributions of nursing and midwifery. 00:05:15.300 --> 00:05:19.195 position:50% align:middle The WHO Director-General. Dr. Tedros has stated, and I quote, 00:05:19.195 --> 00:05:24.091 position:50% align:middle "We simply cannot achieve universal health coverage and the health-related targets 00:05:24.091 --> 00:05:29.723 position:50% align:middle in the SDGs unless we empower and equip nurses and midwives 00:05:29.723 --> 00:05:31.468 position:50% align:middle and harness their power." 00:05:33.320 --> 00:05:38.250 position:50% align:middle There are significant efforts underway to better engage the global nursing and 00:05:38.250 --> 00:05:42.900 position:50% align:middle midwifery communities to accelerate collaboration and progress on the 00:05:42.900 --> 00:05:47.665 position:50% align:middle achievement of UHC and the health-related SDGs. 00:05:48.820 --> 00:05:53.320 position:50% align:middle One of my initial courses of action upon starting my role as the chief nursing 00:05:53.320 --> 00:05:58.580 position:50% align:middle officer at the World Health Organization was to establish a task force on nursing 00:05:58.580 --> 00:06:04.860 position:50% align:middle and midwifery that was open to any nurse, midwife, or champions of these professions 00:06:04.860 --> 00:06:09.950 position:50% align:middle working through our WHO at headquarters, at the six regional offices, and 00:06:09.950 --> 00:06:11.591 position:50% align:middle at country offices. 00:06:13.950 --> 00:06:18.280 position:50% align:middle The intention was to provide a platform to strengthen nursing leadership, 00:06:18.280 --> 00:06:22.670 position:50% align:middle advocate for political commitment, develop research and evidence, 00:06:22.670 --> 00:06:25.680 position:50% align:middle improve coordination, and embed nursing and midwifery 00:06:25.680 --> 00:06:30.253 position:50% align:middle perspectives in WHO's work and global health initiatives. 00:06:30.253 --> 00:06:33.248 position:50% align:middle This remains a work in progress. 00:06:34.500 --> 00:06:41.380 position:50% align:middle This taskforce aligns well with the 13th WHO general program of work, 00:06:41.380 --> 00:06:44.430 position:50% align:middle often referred to as GBW 13. 00:06:44.440 --> 00:06:51.497 position:50% align:middle It sets out WHO's next 5-year strategic plan with 3 priorities, 00:06:51.810 --> 00:06:56.340 position:50% align:middle with each priority targeting 1 billion more people benefiting from universal 00:06:56.340 --> 00:07:02.320 position:50% align:middle health coverage, a billion more people better protected from health emergencies, 00:07:02.320 --> 00:07:06.236 position:50% align:middle and a billion more people enjoying better health and wellbeing. 00:07:06.647 --> 00:07:10.937 position:50% align:middle This is the triple-billion target of WHO. 00:07:11.230 --> 00:07:16.630 position:50% align:middle This new program of work for WHO seeks to promote health, to keep the world safe, 00:07:16.630 --> 00:07:18.060 position:50% align:middle and to serve the vulnerable. 00:07:19.040 --> 00:07:23.560 position:50% align:middle The health workforce is a critical component to achieving these targets and 00:07:23.560 --> 00:07:28.915 position:50% align:middle more so, especially nurses and midwives, who make up 50% of the workforce globally. 00:07:29.680 --> 00:07:34.450 position:50% align:middle The sheer magnitude of the nursing and midwifery workforce, coupled with the vast 00:07:34.450 --> 00:07:38.400 position:50% align:middle range of health services they provide in different health care settings, 00:07:38.400 --> 00:07:41.662 position:50% align:middle their collaboration, and coordination of services makes nurses 00:07:41.662 --> 00:07:46.454 position:50% align:middle and midwives integral to improving health and wellbeing around the world. 00:07:47.000 --> 00:07:51.922 position:50% align:middle But we should not only focus on the numbers, we must focus on quality 00:07:51.922 --> 00:07:54.083 position:50% align:middle of nursing and midwifery care. 00:07:54.620 --> 00:07:59.820 position:50% align:middle Increasing evidence shows that death due to poor quality of health care in low 00:07:59.820 --> 00:08:07.746 position:50% align:middle middle-income countries accounts for 10% to 15% of all deaths and between 5.7 00:08:07.746 --> 00:08:13.171 position:50% align:middle and 8.4 million deaths annually are from poor quality of care, including access. 00:08:14.610 --> 00:08:18.640 position:50% align:middle Globally-speaking, we are dealing with some critical issues confronting the 00:08:18.640 --> 00:08:21.079 position:50% align:middle nursing and midwifery professions. 00:08:21.620 --> 00:08:26.600 position:50% align:middle Issues such as gender bias, low pay, limited scope of practice, 00:08:26.600 --> 00:08:31.460 position:50% align:middle low staffing ratios, accreditation and regulations issues, all 00:08:31.460 --> 00:08:35.735 position:50% align:middle continued to hold nurses back from reaching their full potential or 00:08:35.735 --> 00:08:40.354 position:50% align:middle from having the powerful positive global impact that they could contribute to. 00:08:41.331 --> 00:08:45.120 position:50% align:middle Training more nurses and midwives is critical to address the 9 million 00:08:45.120 --> 00:08:54.877 position:50% align:middle shortfall the WHO has projected will be needed to achieve and sustain UHC by 2030. 00:08:55.520 --> 00:08:59.984 position:50% align:middle This shortfall mainly effects low and middle-income countries, 00:09:00.698 --> 00:09:04.557 position:50% align:middle but how they are educated and where they work is even more important. 00:09:05.505 --> 00:09:10.096 position:50% align:middle Last week, I was honored to visit some of the Pacific islands with Dr. Tedros 00:09:10.096 --> 00:09:14.470 position:50% align:middle and it highlights with me some of these challenges in small island states, 00:09:14.470 --> 00:09:19.330 position:50% align:middle and the capacity-building options available, and why we need to consider 00:09:19.330 --> 00:09:24.580 position:50% align:middle options such as training hubs in regions, and make human capital investments, and 00:09:24.580 --> 00:09:28.610 position:50% align:middle increase service education, particularly education institutions 00:09:28.610 --> 00:09:33.850 position:50% align:middle in rural areas, as well as recurrent investment such as employment and 00:09:33.850 --> 00:09:35.790 position:50% align:middle retention of health workers. 00:09:36.410 --> 00:09:42.497 position:50% align:middle Regulatory function is critical in these situations, but what would this look like? 00:09:43.666 --> 00:09:48.469 position:50% align:middle WHO has developed policy documents and strategies to provide a framework 00:09:48.469 --> 00:09:52.120 position:50% align:middle for broad-based actions to enhance capacity of nursing 00:09:52.120 --> 00:09:53.829 position:50% align:middle and midwifery developments. 00:09:53.950 --> 00:10:00.165 position:50% align:middle The Global Strategic Directions for Nursing and Midwifery 2016-2020 reinforces 00:10:00.165 --> 00:10:05.741 position:50% align:middle the preexisting Global Strategy for Human Resources for Health: Workforce 2030, 00:10:05.741 --> 00:10:11.010 position:50% align:middle which outlines policy options for countries, the WHO secretariat, 00:10:11.010 --> 00:10:16.170 position:50% align:middle and other stakeholders such as yourselves to optimize the health workforce and 00:10:16.170 --> 00:10:19.249 position:50% align:middle progress towards UHC and the SDGs. 00:10:19.986 --> 00:10:24.850 position:50% align:middle The 2016 United Nations High-Level Commission on Health Employment and 00:10:24.850 --> 00:10:29.990 position:50% align:middle Economic Growth concluded that investment in the health workforce can result in not 00:10:29.990 --> 00:10:34.670 position:50% align:middle only improved health outcomes and that health workers are not a cost, 00:10:34.670 --> 00:10:37.501 position:50% align:middle they're an investment, an investment that pays 00:10:37.501 --> 00:10:41.777 position:50% align:middle a triple return for health, gender equality, and economic growth. 00:10:43.050 --> 00:10:48.550 position:50% align:middle The WHO recognizes that health workforce and services are important building blocks 00:10:48.550 --> 00:10:53.785 position:50% align:middle of a health system, but mere availability of health workers is not sufficient. 00:10:54.330 --> 00:10:59.581 position:50% align:middle Only when they are equitably distributed and accessible by population, when they 00:10:59.581 --> 00:11:04.852 position:50% align:middle possess the required competency, and are motivated and empowered to deliver quality 00:11:04.852 --> 00:11:10.240 position:50% align:middle care that is appropriate and acceptable to the expectations of the communities and 00:11:10.240 --> 00:11:15.910 position:50% align:middle people, and when they are adequately supported by the health system, 00:11:15.910 --> 00:11:19.071 position:50% align:middle can we say that there is effective service coverage. 00:11:19.071 --> 00:11:24.150 position:50% align:middle This is a challenge for many countries, especially those with weak health systems, 00:11:24.150 --> 00:11:29.050 position:50% align:middle small island states and why some countries will require development assistance 00:11:29.050 --> 00:11:30.193 position:50% align:middle in the long term. 00:11:30.193 --> 00:11:34.994 position:50% align:middle This assistant can fall within the regulator support mechanisms as well. 00:11:36.240 --> 00:11:40.426 position:50% align:middle In recent times, we have seen this energized focus on nursing globally. 00:11:41.180 --> 00:11:45.470 position:50% align:middle The launch of the Nursing Now campaign has seen the strength and collaboration of key 00:11:45.470 --> 00:11:52.260 position:50% align:middle partners, WHO, ICN, and Nursing Now, with the Burdett Nursing Trust and the uptake 00:11:52.260 --> 00:11:56.720 position:50% align:middle of over 200 Nursing Now groups in over 80 countries globally. 00:11:57.920 --> 00:12:03.710 position:50% align:middle In 2018, the 3-year Nursing Now global campaign was initiated to improve global 00:12:03.710 --> 00:12:06.400 position:50% align:middle health by raising the profile of nurses. 00:12:06.710 --> 00:12:11.756 position:50% align:middle The campaign was based on the findings from the Triple Impact Report, which 00:12:11.756 --> 00:12:15.920 position:50% align:middle showed that by empowering nurses and midwives, it would also contribute 00:12:15.920 --> 00:12:19.719 position:50% align:middle to improvements in gender equality, strengthen economies, 00:12:19.719 --> 00:12:21.559 position:50% align:middle and improve health globally. 00:12:22.427 --> 00:12:27.236 position:50% align:middle This movement aims to have nurses and midwives playing central roles 00:12:27.236 --> 00:12:31.137 position:50% align:middle to addressing the 21st-century health challenges and threats, 00:12:31.137 --> 00:12:34.649 position:50% align:middle and they are doing so in various roles and positions 00:12:34.649 --> 00:12:37.703 position:50% align:middle from the frontlines to the levels of leadership. 00:12:38.490 --> 00:12:42.300 position:50% align:middle Now, more than ever, nurses are using their voices and drawing 00:12:42.300 --> 00:12:46.600 position:50% align:middle from their unique perspective to shape policy and find solutions. 00:12:47.890 --> 00:12:53.370 position:50% align:middle What is also exciting is Nursing Now has launched a Nightingale Challenge, which 00:12:53.370 --> 00:12:58.280 position:50% align:middle aims to equip and empower the next generation of nurses as practitioners, 00:12:58.280 --> 00:13:00.628 position:50% align:middle advocates, and leaders in health. 00:13:00.628 --> 00:13:05.010 position:50% align:middle The Nightingale Challenge asks every health employer to provide leadership 00:13:05.010 --> 00:13:09.923 position:50% align:middle development training for a group of young nurses and midwives during 2020, 00:13:09.923 --> 00:13:12.205 position:50% align:middle the Year of the Nurse and the Midwife. 00:13:13.120 --> 00:13:19.590 position:50% align:middle The aim is to have at least 20,000 nurses and midwives aged 35 and under benefiting 00:13:19.590 --> 00:13:25.368 position:50% align:middle from this in 2020, with at least 1,000 employers taking part. 00:13:25.880 --> 00:13:29.894 position:50% align:middle Each employer will determine how best to respond to the Nightingale Challenge. 00:13:29.894 --> 00:13:34.470 position:50% align:middle Programs can be any mix of formal course, mentoring, shadowing, 00:13:34.470 --> 00:13:37.898 position:50% align:middle or learning from other professions or sectors. 00:13:38.380 --> 00:13:42.982 position:50% align:middle Organizations are welcome to involve other age groups and other professions in their 00:13:42.982 --> 00:13:47.495 position:50% align:middle program as well, but only nurses and midwives under 35. 00:13:48.470 --> 00:13:52.327 position:50% align:middle Age 35 and under will count towards the 20,000 goal. 00:13:53.440 --> 00:13:56.561 position:50% align:middle By participating in the Nightingale Challenge, you can demonstrate that you 00:13:56.561 --> 00:14:01.760 position:50% align:middle are committed to investing in your nurses and midwives in particular during the year 00:14:01.760 --> 00:14:04.670 position:50% align:middle when the two professions will be in the spotlight. 00:14:05.490 --> 00:14:08.560 position:50% align:middle Already over 200 employers have signed up. 00:14:08.930 --> 00:14:12.693 position:50% align:middle I hope you can distribute this information to your networks. 00:14:14.090 --> 00:14:17.340 position:50% align:middle Find out more and accept the Nightingale Challenge. 00:14:17.340 --> 00:14:24.943 position:50% align:middle You can log into the website, www.nursingnow/nightingale. 00:14:27.020 --> 00:14:31.340 position:50% align:middle Another exciting activity that has seen the collaboration of many key partners 00:14:31.340 --> 00:14:36.810 position:50% align:middle such as ICN Nursing Now, WHO Collaborating Centers for Nursing and Midwifery, 00:14:36.810 --> 00:14:41.000 position:50% align:middle government chief nursing and midwifery officers, or the equivalent, 00:14:41.000 --> 00:14:46.980 position:50% align:middle the World Innovation Summit for Health, [inaudible], and NCSBN is the development 00:14:46.980 --> 00:14:50.208 position:50% align:middle of the first State of the World's Nursing Report. 00:14:50.940 --> 00:14:55.260 position:50% align:middle The report will provide a global picture of the nursing workforce and its 00:14:55.260 --> 00:14:58.864 position:50% align:middle contributions to WHO triple-billion goals. 00:14:58.864 --> 00:15:03.790 position:50% align:middle It will inform national policy dialog and drive development of national nursing 00:15:03.790 --> 00:15:10.040 position:50% align:middle workforces to optimize their contributions towards UHC and primary health care at the 00:15:10.040 --> 00:15:13.660 position:50% align:middle same time, progress across the SDGs. 00:15:16.859 --> 00:15:21.260 position:50% align:middle And we anticipate that the data and policy dialog will unlock investment 00:15:21.260 --> 00:15:25.935 position:50% align:middle in nursing, the health workforce, and the gender equity agenda. 00:15:26.880 --> 00:15:30.900 position:50% align:middle The report will provide us with valuable data that will help to identify the major 00:15:30.900 --> 00:15:35.060 position:50% align:middle gaps in nursing practice, specifically the data collected will help 00:15:35.060 --> 00:15:39.878 position:50% align:middle to shape policy and shed a light on countries' specific needs. 00:15:40.320 --> 00:15:44.690 position:50% align:middle This provides the opportunity to shape better nursing regulation and 00:15:44.690 --> 00:15:46.167 position:50% align:middle standard of practice. 00:15:46.630 --> 00:15:51.805 position:50% align:middle What more does this mean for country, regional, and global nursing regulations? 00:15:52.260 --> 00:15:56.936 position:50% align:middle I'll look to the support advice from NCSBN to guide us in this. 00:15:58.050 --> 00:16:03.590 position:50% align:middle The report will identify the active stack of nurses, the number, demographics, 00:16:03.590 --> 00:16:08.648 position:50% align:middle distribution, looking at geographicals and service category. 00:16:08.960 --> 00:16:12.640 position:50% align:middle It'll look at the nursing education, the duration, the standards, 00:16:12.640 --> 00:16:16.990 position:50% align:middle and annual graduates, the accreditation, fitness for practice assessments. 00:16:17.600 --> 00:16:22.262 position:50% align:middle It also looks into the nursing regulations, the nursing council model. 00:16:23.270 --> 00:16:28.060 position:50% align:middle The labor market flows will provide us with informations on graduate 00:16:28.060 --> 00:16:33.750 position:50% align:middle starting practice, the unemployment rate, the foreign-born and trained and also 00:16:33.750 --> 00:16:37.620 position:50% align:middle looks into the employment characteristics in terms of working conditions and 00:16:37.620 --> 00:16:42.044 position:50% align:middle entry-level wages, social protections in various countries. 00:16:43.530 --> 00:16:45.437 position:50% align:middle At the same time, governance and leadership 00:16:45.437 --> 00:16:48.008 position:50% align:middle will also be highlighted in the report, 00:16:48.748 --> 00:16:53.150 position:50% align:middle identifying chief nursing and midwifery officer positions, the leadership 00:16:53.150 --> 00:16:56.921 position:50% align:middle development programs, and the leading care teams in countries. 00:16:57.590 --> 00:17:02.694 position:50% align:middle The gender and nursing composition pay gaps will also be highlighted. 00:17:03.430 --> 00:17:07.131 position:50% align:middle This report would compromise four main sections. 00:17:08.020 --> 00:17:11.855 position:50% align:middle One, how the nursing workforce will help deliver the triple-billion goals, 00:17:11.855 --> 00:17:17.614 position:50% align:middle and two, results of aggregated country data and modeling to present a global 00:17:17.614 --> 00:17:22.215 position:50% align:middle picture of the nursing workforce, and three, a forward-facing policy agenda 00:17:22.215 --> 00:17:25.319 position:50% align:middle for advancement towards 2030 targets. 00:17:25.850 --> 00:17:29.480 position:50% align:middle And four, the country profiles, detailing the nursing workforce and 00:17:29.480 --> 00:17:32.976 position:50% align:middle projections for meeting population health needs. 00:17:36.030 --> 00:17:42.099 position:50% align:middle This report will be launched on April the 7th, World Health Day, in 2020. 00:17:43.011 --> 00:17:48.010 position:50% align:middle I'm really excited about this report although it appears very ambitious, 00:17:48.010 --> 00:17:53.660 position:50% align:middle but I think it will actually allow countries to make decisions based on their 00:17:53.660 --> 00:17:56.194 position:50% align:middle data and their health needs. 00:17:56.390 --> 00:17:59.970 position:50% align:middle And I think our role in supporting countries around policy 00:17:59.970 --> 00:18:02.928 position:50% align:middle dialog is critical. 00:18:03.300 --> 00:18:10.589 position:50% align:middle And I mean us regulators, WHO, and all the partners engaged in this work. 00:18:12.130 --> 00:18:17.700 position:50% align:middle At this year's World Health Assembly, members agreed that 2020 is the 00:18:17.700 --> 00:18:20.453 position:50% align:middle International Year of the Nurse and the Midwife. 00:18:21.140 --> 00:18:27.850 position:50% align:middle The World Health Assembly is made up of 194 member countries represented at the 00:18:27.850 --> 00:18:31.515 position:50% align:middle World Health Assembly through the ministers of health. 00:18:32.000 --> 00:18:37.500 position:50% align:middle And it's a decision-making body and we're really pleased that this year that they 00:18:37.500 --> 00:18:41.839 position:50% align:middle have designated 2020 the Year of the Nurse and the Midwife. 00:18:42.528 --> 00:18:47.889 position:50% align:middle This decision effectively shines the global spotlight on nursing and midwifery 00:18:47.889 --> 00:18:50.800 position:50% align:middle and the significant contributions that they bring to achieving 00:18:50.800 --> 00:18:52.238 position:50% align:middle universal health care. 00:18:53.500 --> 00:18:59.394 position:50% align:middle We must take the approach that 2020 is a year of opportunity for us all. 00:18:59.850 --> 00:19:03.480 position:50% align:middle We not only have the opportunity to highlight the global contributions 00:19:03.480 --> 00:19:08.160 position:50% align:middle of nurses and midwives to better health for all, but I would also challenge each 00:19:08.160 --> 00:19:13.510 position:50% align:middle of you to consider how you can use this year to move forward in a strategic and 00:19:13.510 --> 00:19:18.312 position:50% align:middle empowered way in your current projects and areas of expertise. 00:19:18.840 --> 00:19:24.487 position:50% align:middle We must use this opportunity to initiate nursing agendas for beyond 2020. 00:19:24.487 --> 00:19:29.640 position:50% align:middle It's not just a year of celebration of our successes and where we've been, 00:19:29.640 --> 00:19:34.480 position:50% align:middle but I think it's an opportunity to look beyond 2020 and what more can we 00:19:34.480 --> 00:19:36.607 position:50% align:middle contribute to health for all. 00:19:39.667 --> 00:19:41.954 position:50% align:middle Some of the key dates noted. 00:19:41.954 --> 00:19:47.218 position:50% align:middle In 1st of January, a kickoff to 2020 Year of the Nurse and the Midwife, 00:19:47.320 --> 00:19:51.630 position:50% align:middle we aim to get as many global health political leaders to share a message 00:19:51.630 --> 00:19:55.005 position:50% align:middle of support or refer to the Year of the Nurse and the Midwife 00:19:55.005 --> 00:19:57.058 position:50% align:middle in their New Year addresses. 00:19:57.650 --> 00:20:02.340 position:50% align:middle You can influence your leaders in your areas to also highlight or 00:20:02.340 --> 00:20:03.981 position:50% align:middle amplify this message. 00:20:04.720 --> 00:20:08.940 position:50% align:middle On the 7th of April, of course, as I mentioned, the global launch of the 00:20:08.940 --> 00:20:13.350 position:50% align:middle State of the World's Nursing Report, the main international launch is planned 00:20:13.350 --> 00:20:19.471 position:50% align:middle for Geneva with simultaneous launchers events held in WHO regions. 00:20:20.610 --> 00:20:24.380 position:50% align:middle The report launch toolkit will be developed with partners to encourage 00:20:24.380 --> 00:20:28.950 position:50% align:middle countries and key stakeholders to get involved in organizing policy dialog 00:20:28.950 --> 00:20:30.897 position:50% align:middle events to launch the report. 00:20:31.250 --> 00:20:35.784 position:50% align:middle The toolkit will contain key messages, social media, and infographics. 00:20:37.320 --> 00:20:40.300 position:50% align:middle Other key dates are in May the 5th is the International Day 00:20:40.300 --> 00:20:41.430 position:50% align:middle of the Midwife. 00:20:41.430 --> 00:20:48.464 position:50% align:middle We also intend to amplify some of our messages around this date as well as the 00:20:48.464 --> 00:20:51.593 position:50% align:middle International Nurses Day, which is May the 12th. 00:20:51.850 --> 00:20:58.210 position:50% align:middle The celebration in Geneva, hosted by WHO, ICN, and Nursing Now as a kickoff to the 00:20:58.210 --> 00:21:02.200 position:50% align:middle Global Forum of Government Chief Nursing and Midwifery Officers and 00:21:02.200 --> 00:21:03.710 position:50% align:middle the triad meeting. 00:21:04.260 --> 00:21:08.990 position:50% align:middle On May the 13th to the 15th, WHO will host the global forum, 00:21:08.990 --> 00:21:13.717 position:50% align:middle a meeting of government chief nursing officers and midwives, to discuss the 00:21:13.717 --> 00:21:18.770 position:50% align:middle State of the World's Nursing findings and inform national delegations of the policy 00:21:18.770 --> 00:21:21.751 position:50% align:middle recommendations for countries and regions. 00:21:24.540 --> 00:21:29.090 position:50% align:middle We have encouraged delegations that are attending the World Health Assembly 00:21:29.090 --> 00:21:33.325 position:50% align:middle to include their government chief nursing and midwifery officers as part of their 00:21:33.325 --> 00:21:38.534 position:50% align:middle official delegation, but they come prior to the World Health Assembly 00:21:38.534 --> 00:21:41.299 position:50% align:middle to attend this WHO forum. 00:21:42.870 --> 00:21:49.590 position:50% align:middle The triad meetings of WHO, ICN and ICM, and the regulators, and I think this is a 00:21:49.590 --> 00:21:58.490 position:50% align:middle really key meeting to ensure that you are engaged moving forward. 00:21:58.490 --> 00:22:05.140 position:50% align:middle I think we're used to seeing ICN taking the lead in the regulatory work when David 00:22:05.140 --> 00:22:06.600 position:50% align:middle wasn't CEO. 00:22:06.600 --> 00:22:13.416 position:50% align:middle But I think we need to revisit the space and see how this engagement can actually 00:22:13.416 --> 00:22:20.280 position:50% align:middle be embedded in this triad meeting so that we've got key partners at the table when 00:22:20.280 --> 00:22:21.844 position:50% align:middle we're making decisions. 00:22:23.920 --> 00:22:28.320 position:50% align:middle So that an opportunity for widened discussions among nursing stakeholders 00:22:28.320 --> 00:22:30.961 position:50% align:middle on the findings of the State of the World's Nursing Report 00:22:30.961 --> 00:22:34.998 position:50% align:middle and implications for policy investment is made. 00:22:35.690 --> 00:22:40.880 position:50% align:middle On May the 18th to 23rd is the 73rd World Health Assembly. 00:22:42.051 --> 00:22:47.440 position:50% align:middle This is an opportunity to ensure nursing and midwifery is firmly on the agenda and 00:22:47.440 --> 00:22:51.760 position:50% align:middle champion through relevant discussions with potential participations 00:22:51.760 --> 00:22:55.367 position:50% align:middle of high-level champions and health ministers. 00:22:55.910 --> 00:23:04.370 position:50% align:middle In addition, a Walk the Talk, an event that WHO holds annually and is 00:23:04.370 --> 00:23:09.600 position:50% align:middle held just prior to the start of the World Health Assembly, we anticipate a main 00:23:09.600 --> 00:23:14.131 position:50% align:middle feature showcasing nursing and midwifery during this event. 00:23:14.131 --> 00:23:17.266 position:50% align:middle And you're quite welcome if you're in Geneva to join us. 00:23:20.960 --> 00:23:26.340 position:50% align:middle We continue to explore opportunities for official events and side events during the 00:23:26.340 --> 00:23:27.740 position:50% align:middle World Health Assembly. 00:23:28.507 --> 00:23:34.290 position:50% align:middle Really critical that we do this because, you know, political leaders from 194 00:23:34.290 --> 00:23:39.632 position:50% align:middle countries will be attending this meeting, so I think this is the opportunity we 00:23:39.632 --> 00:23:41.063 position:50% align:middle can't afford to miss. 00:23:41.063 --> 00:23:48.480 position:50% align:middle We need to maximize the exposure that it's offered us as part of the Year of the 00:23:48.480 --> 00:23:49.887 position:50% align:middle Nurse and the Midwife. 00:23:51.590 --> 00:23:57.820 position:50% align:middle Then in September to October, WHO has regional committee meetings and we 00:23:57.820 --> 00:24:03.840 position:50% align:middle anticipate to highlight nursing and midwifery and see their commitments 00:24:03.840 --> 00:24:08.606 position:50% align:middle on their health workforce during their discussions and deliberations. 00:24:09.630 --> 00:24:14.300 position:50% align:middle This is our early discussion on activities and as they get finalized, 00:24:14.300 --> 00:24:20.090 position:50% align:middle we want to amplify our messages throughout the year by linking with our networks. 00:24:20.090 --> 00:24:23.850 position:50% align:middle I encourage you to share any of your planned activities so we can 00:24:23.850 --> 00:24:25.332 position:50% align:middle achieve this together. 00:24:27.910 --> 00:24:32.720 position:50% align:middle The State of the World's Nursing Report offers opportunity to consider impact 00:24:32.720 --> 00:24:36.865 position:50% align:middle of regulatory functions at country, regional, and global levels. 00:24:37.407 --> 00:24:42.330 position:50% align:middle And I look forward to working with NCSBN to see how we can best support countries 00:24:42.330 --> 00:24:45.128 position:50% align:middle and regions to advance in this area. 00:24:45.820 --> 00:24:52.770 position:50% align:middle The Global Regulatory Atlas puts the world's nurses at your fingertips. 00:24:52.770 --> 00:24:59.104 position:50% align:middle It was really quite exciting to hear that you have 200 countries on this platform. 00:25:01.690 --> 00:25:06.645 position:50% align:middle This is so important in an increasingly connected world. 00:25:07.940 --> 00:25:10.230 position:50% align:middle But at the same time, I acknowledge the work in the different 00:25:10.230 --> 00:25:14.360 position:50% align:middle countries and regions as nurse leaders strengthen nursing practices 00:25:14.360 --> 00:25:19.690 position:50% align:middle through strengthening regulatory functions and some because gaps were identified due 00:25:19.690 --> 00:25:25.210 position:50% align:middle to changes in models of care as nurses and midwives in response to the continuous 00:25:25.210 --> 00:25:30.435 position:50% align:middle changes in practices, for example, of HIV treatment without the necessary 00:25:30.435 --> 00:25:35.095 position:50% align:middle regulations to support the shifting of practice from physician to midwives. 00:25:36.690 --> 00:25:42.069 position:50% align:middle While the concept of task sharing was endorsed by the WHO in 2008, 00:25:42.069 --> 00:25:48.950 position:50% align:middle many of the regulations throughout Sub-Sahara… Sorry, Sub-Saharan Africa 00:25:48.950 --> 00:25:52.492 position:50% align:middle failed to support the changes taking place. 00:25:52.965 --> 00:25:57.320 position:50% align:middle Regulations involving scopes of practice, licensure examinations, 00:25:57.320 --> 00:26:01.444 position:50% align:middle pre-service education, etc., that are central to HIV treatment 00:26:01.444 --> 00:26:03.473 position:50% align:middle were largely overlooked. 00:26:04.020 --> 00:26:08.960 position:50% align:middle Therefore, the African Health Professional Regulated Collaborative aimed to engage 00:26:08.960 --> 00:26:13.030 position:50% align:middle countries where treatment for HIV was largely being carried 00:26:13.030 --> 00:26:15.003 position:50% align:middle out by nurses and midwives. 00:26:16.160 --> 00:26:19.320 position:50% align:middle Some strategic developments of regional regulatory functions came 00:26:19.320 --> 00:26:23.970 position:50% align:middle out of regulatory systems strengthening in response to many changes, 00:26:23.970 --> 00:26:29.460 position:50% align:middle challenges faced, including limited numbers of personnel in small, low, 00:26:29.460 --> 00:26:31.130 position:50% align:middle and middle-income countries. 00:26:31.858 --> 00:26:37.080 position:50% align:middle One answer is to regionalize efforts among countries that share common histories, 00:26:37.080 --> 00:26:41.730 position:50% align:middle cultural values, languages, and economic conditions to work together 00:26:41.730 --> 00:26:47.400 position:50% align:middle to establish more efficient systems such as the one established in the 00:26:47.400 --> 00:26:49.267 position:50% align:middle Caribbean Regulatory System. 00:26:49.790 --> 00:26:55.340 position:50% align:middle This initiative has helped to enhance sustainability in resource constraint 00:26:55.340 --> 00:27:00.368 position:50% align:middle contexts such as building human resource capacity in nursing and midwifery. 00:27:01.820 --> 00:27:06.240 position:50% align:middle Another example of cross-regulatory initiatives includes the Western Pacific 00:27:06.240 --> 00:27:10.210 position:50% align:middle Government Chief Nursing and Midwifery Officers Alliance, where small island 00:27:10.210 --> 00:27:14.630 position:50% align:middle nations provide aid for each other by mobilizing their nursing and midwifery 00:27:14.630 --> 00:27:20.484 position:50% align:middle workforce during disasters due to climate change such as hurricanes and cyclones. 00:27:20.940 --> 00:27:25.659 position:50% align:middle These initiatives can deploy nurses and midwives where they are most needed. 00:27:25.760 --> 00:27:30.415 position:50% align:middle These are just two examples of how nurses and midwives can formulate strategies 00:27:30.415 --> 00:27:33.074 position:50% align:middle and align influence for the greater good. 00:27:34.100 --> 00:27:37.710 position:50% align:middle I believe that the first State of the World's Nursing Report will identify 00:27:37.710 --> 00:27:44.100 position:50% align:middle critical gaps in education, registration, practice, advanced practice that can be 00:27:44.100 --> 00:27:46.750 position:50% align:middle addressed through strengthened regulations. 00:27:48.520 --> 00:27:52.370 position:50% align:middle Telemedicine has been shown to have success in overcoming geographical 00:27:52.370 --> 00:27:57.041 position:50% align:middle challenges that limit access to quality health care around the world. 00:27:57.280 --> 00:28:01.480 position:50% align:middle However, there are still many barriers that need to be addressed in order 00:28:01.480 --> 00:28:03.158 position:50% align:middle to ensure its success. 00:28:03.158 --> 00:28:09.650 position:50% align:middle As in all areas of medicine, telemedicine is only successful if staff 00:28:09.650 --> 00:28:15.873 position:50% align:middle receive adequate training and management to maximize healthy results. 00:28:16.030 --> 00:28:20.220 position:50% align:middle Therefore, what are we going to ensure the competencies in regulations 00:28:20.220 --> 00:28:22.258 position:50% align:middle for telemedicine practice? 00:28:23.430 --> 00:28:28.800 position:50% align:middle Advanced practice roles are developing globally and opportunities for advanced 00:28:28.800 --> 00:28:34.015 position:50% align:middle practice nursing are expanding worldwide due to a need for expert nursing care 00:28:34.015 --> 00:28:36.063 position:50% align:middle at an advanced-level practice. 00:28:36.560 --> 00:28:42.640 position:50% align:middle It is well acknowledged globally that APRN practice encompasses several components, 00:28:42.640 --> 00:28:46.490 position:50% align:middle including the ability to diagnose, prescribe medication, 00:28:46.490 --> 00:28:50.640 position:50% align:middle prescribe treatments, perform and interpret diagnostic tests, among other 00:28:50.640 --> 00:28:51.995 position:50% align:middle aspects of care. 00:28:52.630 --> 00:28:56.500 position:50% align:middle However, as the advanced practice role continues to develop, 00:28:56.500 --> 00:29:01.550 position:50% align:middle we must ensure that we are addressing the existing barriers that prevents APRNs 00:29:01.550 --> 00:29:06.078 position:50% align:middle from practicing within their full scope of training and education. 00:29:06.550 --> 00:29:10.870 position:50% align:middle Complex issues relate to role clarification, access to education 00:29:10.870 --> 00:29:16.210 position:50% align:middle programs globally, lack of respect for the nursing profession, variation in scope 00:29:16.210 --> 00:29:23.192 position:50% align:middle of practice, and more complicate promotion of global-uniformity APRN practice. 00:29:24.832 --> 00:29:28.970 position:50% align:middle As a global nursing community, we must continue to support programs 00:29:28.970 --> 00:29:30.181 position:50% align:middle such as these. 00:29:30.181 --> 00:29:34.690 position:50% align:middle Now is the time when we must closely evaluate what is globally taking place 00:29:34.690 --> 00:29:36.240 position:50% align:middle on the ground. 00:29:36.240 --> 00:29:40.090 position:50% align:middle To further advance the nursing and midwifery professions and to achieve 00:29:40.090 --> 00:29:45.200 position:50% align:middle universal health coverage, we must pool all our resources together 00:29:45.200 --> 00:29:48.378 position:50% align:middle and offer support where it is very much needed. 00:29:48.969 --> 00:29:53.636 position:50% align:middle NCSBN continues to play a pivotal role in supporting global recollective 00:29:53.636 --> 00:29:57.789 position:50% align:middle standards that ensure to advancement of the profession of nursing. 00:30:00.390 --> 00:30:07.060 position:50% align:middle Altogether, I hope you can see how our mandates are being used globally in high 00:30:07.060 --> 00:30:09.933 position:50% align:middle and low-middle income countries to serve the public. 00:30:11.360 --> 00:30:15.580 position:50% align:middle "You are," I quote, "envisioning and refining recollection systems 00:30:15.580 --> 00:30:19.860 position:50% align:middle for increased relevance and responsiveness to changes in health care, 00:30:19.860 --> 00:30:25.140 position:50% align:middle championing regulatory solutions to address borderless health care delivery, 00:30:25.140 --> 00:30:30.500 position:50% align:middle expanding the active engagement and leadership potential of all members, and 00:30:30.500 --> 00:30:35.297 position:50% align:middle pioneering competency assessments to support the future of health care and the 00:30:35.297 --> 00:30:38.089 position:50% align:middle advancement of regulatory excellence. 00:30:39.642 --> 00:30:45.130 position:50% align:middle But we as a nursing profession must have our own mandate, one that ensures that 00:30:45.130 --> 00:30:50.540 position:50% align:middle nurses and midwives have equal educational opportunities and standards of quality 00:30:50.540 --> 00:30:54.132 position:50% align:middle practice regardless of regions, country, or community. 00:30:54.700 --> 00:30:58.060 position:50% align:middle We're hearing about some of the exciting work that is being done from a global 00:30:58.060 --> 00:31:02.680 position:50% align:middle perspective and we must take the momentum from the International Year of the Nurse 00:31:02.680 --> 00:31:04.935 position:50% align:middle and the Midwife in 2020. 00:31:05.392 --> 00:31:08.989 position:50% align:middle Nurses and midwives are key vessels of change in their communities 00:31:08.989 --> 00:31:10.303 position:50% align:middle around the world. 00:31:10.930 --> 00:31:15.990 position:50% align:middle NCSBN and WHO have key roles to play in the global empowerment 00:31:15.990 --> 00:31:17.519 position:50% align:middle of the nursing profession. 00:31:17.519 --> 00:31:22.410 position:50% align:middle And I truly believe that if supported, the ambitious triple-billion target 00:31:22.410 --> 00:31:23.816 position:50% align:middle can be achieved. 00:31:24.190 --> 00:31:29.270 position:50% align:middle I anticipate the results of 2020 with great hope and I look forward to seeing 00:31:29.270 --> 00:31:34.720 position:50% align:middle how we can all work together to elevate the global nursing profession and achieve 00:31:34.720 --> 00:31:35.941 position:50% align:middle health for all. 00:31:38.200 --> 00:31:40.240 position:50% align:middle I conclude with a quote. 00:31:40.240 --> 00:31:43.868 position:50% align:middle Ms. Julia, she mentions that people normally conclude with quotes. 00:31:44.997 --> 00:31:52.267 position:50% align:middle And I actually take one of Dr. Tedros', the WHO DJ's statement 00:31:52.267 --> 00:31:57.570 position:50% align:middle from the ICN Congress, where he says, and I end, 00:31:57.570 --> 00:32:02.870 position:50% align:middle "Together we can ensure that nurses and midwives get the education, the training, 00:32:02.870 --> 00:32:07.310 position:50% align:middle the jobs, the conditions, the opportunities, the dignity, 00:32:07.310 --> 00:32:09.200 position:50% align:middle and the respect they deserve." 00:32:09.200 --> 00:32:10.295 position:50% align:middle Thank you very much. 00:32:18.972 --> 00:32:21.690 position:50% align:middle - [David] So we have some time for some questions. 00:32:21.690 --> 00:32:27.620 position:50% align:middle If you want to go to the microphone and I'll recognize whoever's at the microphone 00:32:27.620 --> 00:32:30.763 position:50% align:middle and you can then ask your question. 00:32:30.763 --> 00:32:34.450 position:50% align:middle And while people are thinking that one through, I have a question 00:32:34.450 --> 00:32:35.632 position:50% align:middle for you, Elizabeth. 00:32:36.293 --> 00:32:43.850 position:50% align:middle I want to draw on you're very impressive resume in terms of making policy change 00:32:43.850 --> 00:32:45.530 position:50% align:middle in the Cook Islands. 00:32:45.530 --> 00:32:50.800 position:50% align:middle And here at NCSBN at the moment, we're going through a process of reviewing 00:32:50.800 --> 00:32:56.980 position:50% align:middle our model act and rules, and one of the issues that we have recognized is that 00:32:56.980 --> 00:33:02.800 position:50% align:middle to be as agile as we need to be to keep peace with the very changing 00:33:02.800 --> 00:33:07.050 position:50% align:middle health care demands, the changes in education, etc., 00:33:07.050 --> 00:33:12.870 position:50% align:middle we need to write that act in a way that is sufficiently permissive 00:33:12.870 --> 00:33:15.004 position:50% align:middle to enable rapid change. 00:33:15.230 --> 00:33:20.030 position:50% align:middle Part of the problem is obviously getting legislative time and that can 00:33:20.030 --> 00:33:20.770 position:50% align:middle take some time. 00:33:20.770 --> 00:33:26.250 position:50% align:middle Any advice you can offer us in terms of how we might come up with that 00:33:26.250 --> 00:33:32.890 position:50% align:middle next-generation legislative framework that really keeps peace with all of the demands 00:33:32.890 --> 00:33:34.102 position:50% align:middle that we're facing? 00:33:35.428 --> 00:33:39.013 position:50% align:middle - I think, you know, any legislative change is 00:33:39.013 --> 00:33:45.080 position:50% align:middle always challenging, but I think for me, I would like to say that, you know, 00:33:45.080 --> 00:33:51.910 position:50% align:middle before kind of moving on to that process, I think the State of the World's Nursing 00:33:51.910 --> 00:33:59.050 position:50% align:middle Report is going to be a critical report that can actually inform the way forward 00:33:59.050 --> 00:34:02.410 position:50% align:middle in regards to legislative changes. 00:34:03.411 --> 00:34:08.870 position:50% align:middle I think the key thing would be about consultation, is how widely you consult 00:34:09.633 --> 00:34:19.030 position:50% align:middle because I think there are experts in this area and I think it's important to also 00:34:19.030 --> 00:34:26.270 position:50% align:middle ensure that you've captured the differences in our context because if 00:34:26.270 --> 00:34:29.990 position:50% align:middle you're making some changes, that's going to be forward looking, 00:34:29.990 --> 00:34:34.490 position:50% align:middle I think it's important that you actually capture what exists right now in terms 00:34:34.490 --> 00:34:35.620 position:50% align:middle of people's needs. 00:34:35.620 --> 00:34:39.800 position:50% align:middle And that's why I kind of say that the State of the World's Nursing Report is 00:34:39.800 --> 00:34:44.590 position:50% align:middle going to be a key document that can actually inform on that process as well. 00:34:46.190 --> 00:34:49.733 position:50% align:middle Process itself though, as you know, it's not that simple. 00:34:49.817 --> 00:34:52.182 position:50% align:middle It's a long process. 00:34:52.182 --> 00:34:58.400 position:50% align:middle It's really about getting the right people to the table and as part of that 00:34:58.400 --> 00:35:04.550 position:50% align:middle consultation… Sorry, David, I don't have any kind of easy reference 00:35:04.550 --> 00:35:07.254 position:50% align:middle for this because it's not an easy process. 00:35:08.214 --> 00:35:13.571 position:50% align:middle - Well, I'll give a little shoutout for the Texas Board of Nursing's Act 00:35:13.571 --> 00:35:20.810 position:50% align:middle because it has a provision in it which enables, "pilot work" to be done. 00:35:20.810 --> 00:35:25.450 position:50% align:middle And I think that's a very…it protects the public, but it also gives some 00:35:25.450 --> 00:35:26.710 position:50% align:middle flexibility as well. 00:35:26.710 --> 00:35:30.990 position:50% align:middle And I think we need to look at those examples, whoever has got those examples 00:35:30.990 --> 00:35:34.370 position:50% align:middle that find solutions, and to bring them together so that we can all 00:35:34.370 --> 00:35:35.803 position:50% align:middle learn from them. 00:35:36.487 --> 00:35:37.393 position:50% align:middle Thank you. 00:35:38.827 --> 00:35:41.460 position:50% align:middle Any questions for Elizabeth? 00:35:42.230 --> 00:35:43.788 position:50% align:middle If not, I have another one. 00:35:47.440 --> 00:35:55.133 position:50% align:middle So, let me ask another question in terms of how we might work with you to help 00:35:55.133 --> 00:36:00.286 position:50% align:middle really make 2020 a springboard for the future. 00:36:01.266 --> 00:36:09.050 position:50% align:middle As you know, the World Health Organization is one of almost 200 UN agencies and many 00:36:09.050 --> 00:36:13.150 position:50% align:middle of them touch upon the work that we do. 00:36:13.799 --> 00:36:17.660 position:50% align:middle The International Labor Organization obviously looks at some of the issues 00:36:17.660 --> 00:36:21.030 position:50% align:middle around how many people are there and what conditions they have. 00:36:21.030 --> 00:36:28.360 position:50% align:middle But in today's world with both nurses and patients being highly mobile, 00:36:28.360 --> 00:36:32.130 position:50% align:middle the World Trade Organization, the International Organization 00:36:32.130 --> 00:36:39.800 position:50% align:middle of Migration, and many other groups, how might we embrace those other parts 00:36:39.800 --> 00:36:46.520 position:50% align:middle of the UN so it's not… And it's great that the World Health Organization is really 00:36:46.520 --> 00:36:50.970 position:50% align:middle embracing nursing, but if we can get some of these other parts, particularly, 00:36:50.970 --> 00:36:55.090 position:50% align:middle as regulators, the World Trade Organization, the way that people move 00:36:55.090 --> 00:36:58.010 position:50% align:middle is something that we are very interested in. 00:36:58.010 --> 00:37:01.370 position:50% align:middle How might we work together to kind of raise the profile within these 00:37:01.370 --> 00:37:03.320 position:50% align:middle other UN agencies? 00:37:04.310 --> 00:37:09.160 position:50% align:middle - I think, you know, this is about how you influence key movers 00:37:09.160 --> 00:37:11.582 position:50% align:middle and shakers within those organizations. 00:37:11.760 --> 00:37:17.070 position:50% align:middle I think with the ILO, they've definitely got a place there where 00:37:17.070 --> 00:37:23.690 position:50% align:middle I think nursing has an entry point in regards to the Convention for Nursing 00:37:23.690 --> 00:37:30.870 position:50% align:middle Personnels and I think we probably have an opportunity to revise what that definition 00:37:30.870 --> 00:37:35.217 position:50% align:middle might be because I think that has impact on regulations. 00:37:35.640 --> 00:37:41.030 position:50% align:middle So I think there's some entry, definitely some…early conversations have 00:37:41.030 --> 00:37:47.450 position:50% align:middle happened with WHO and ILO in regards to what those classifications 00:37:47.450 --> 00:37:48.626 position:50% align:middle might look like. 00:37:49.380 --> 00:37:54.790 position:50% align:middle In terms of the World Trade Organizations, I think, you know, this is 00:37:54.790 --> 00:38:03.626 position:50% align:middle about organizations at the highest level, getting our leaders engaged to actually 00:38:03.626 --> 00:38:07.254 position:50% align:middle recognize the contributions that nurses can make. 00:38:07.470 --> 00:38:15.128 position:50% align:middle I think we have a place and I think 2020 is the opportunity we need to take. 00:38:15.300 --> 00:38:22.682 position:50% align:middle And I think that this is about making it...this is about collaborating so that 00:38:22.682 --> 00:38:28.844 position:50% align:middle we're actually going forward as one unit rather than, you know, various partners 00:38:28.844 --> 00:38:29.970 position:50% align:middle taking their own initiative. 00:38:29.970 --> 00:38:34.664 position:50% align:middle So I think we have opportunity to actually, you know, get together 00:38:34.664 --> 00:38:38.658 position:50% align:middle and maximize on how we influence those organizations. 00:38:38.658 --> 00:38:39.743 position:50% align:middle - Thank you. 00:38:39.910 --> 00:38:40.962 position:50% align:middle Number one. 00:38:43.020 --> 00:38:44.570 position:50% align:middle - [Woman] Good afternoon, and thank you so much 00:38:44.570 --> 00:38:45.931 position:50% align:middle for your presentation. 00:38:45.980 --> 00:38:50.910 position:50% align:middle The question that I had to ask is how can and/or what recommendations do you have 00:38:50.910 --> 00:38:55.680 position:50% align:middle for local state boards of nursing to prepare for, educate others, 00:38:55.680 --> 00:38:59.262 position:50% align:middle and promote the 2020 Year of the Nurse and Nurse-Midwife? 00:38:59.501 --> 00:39:01.048 position:50% align:middle - Thank you. Great question. 00:39:01.060 --> 00:39:08.300 position:50% align:middle I think that this talks to...speaks to opportunity and I think what you do 00:39:08.300 --> 00:39:15.006 position:50% align:middle as your organization and who you are actually already networking with in terms 00:39:15.006 --> 00:39:17.663 position:50% align:middle of countries. 00:39:18.816 --> 00:39:23.387 position:50% align:middle If you don't have anyone, I'd be happy to kind of link you to some 00:39:23.387 --> 00:39:30.394 position:50% align:middle countries who are actually looking to engaging with regulators to support what 00:39:30.394 --> 00:39:31.827 position:50% align:middle they do in-country. 00:39:32.484 --> 00:39:38.219 position:50% align:middle So I think that this is really your… We don't want to be telling you what to do 00:39:38.219 --> 00:39:43.510 position:50% align:middle to celebrate the Year of the Nurse, but what I asked is that you actually 00:39:43.510 --> 00:39:50.110 position:50% align:middle consider what existing projects you may have or if you want to engage 00:39:50.110 --> 00:39:56.370 position:50% align:middle with country-level regulators, I'd be happy to link you with them because 00:39:56.370 --> 00:40:02.180 position:50% align:middle I think this is the time and this is the opportunity that perhaps we can maximize 00:40:02.180 --> 00:40:07.690 position:50% align:middle and have the reach further than what you're perhaps, you know, managing 00:40:07.690 --> 00:40:09.293 position:50% align:middle within your organization. 00:40:10.110 --> 00:40:16.223 position:50% align:middle So, you know, happy to talk to you about some linkages and network. 00:40:16.590 --> 00:40:21.950 position:50% align:middle I have to say, when I went to the Pacific, I talked about coming to this conference, 00:40:21.950 --> 00:40:27.300 position:50% align:middle to this meeting and I had a…Tonga chief nursing officer was very excited and 00:40:27.300 --> 00:40:29.990 position:50% align:middle wants to engage with this organization. 00:40:29.990 --> 00:40:35.350 position:50% align:middle So, I do have some interested parties already out there that wants to either 00:40:35.350 --> 00:40:38.461 position:50% align:middle learn more or see what more you can do together. 00:40:39.253 --> 00:40:44.870 position:50% align:middle - And I would just add that Elizabeth's agreed to be interviewed and Dawn Kappel 00:40:44.870 --> 00:40:49.850 position:50% align:middle is going to write an article [inaudible], so that that will be disseminated and you 00:40:49.850 --> 00:40:55.590 position:50% align:middle can use that locally as well to help have the discussion at your state 00:40:55.590 --> 00:40:56.754 position:50% align:middle boards as well. 00:40:56.870 --> 00:41:03.920 position:50% align:middle And Maryann Alexander and her team have been analyzing the data within the 00:41:03.920 --> 00:41:07.250 position:50% align:middle Regulatory Atlas and there will be a special edition of the supplement 00:41:07.250 --> 00:41:13.110 position:50% align:middle next year because the State of the World Nursing Midwifery Report will have a 00:41:13.110 --> 00:41:20.256 position:50% align:middle section related to regulation in there, but it's limited in terms of the 00:41:20.256 --> 00:41:26.275 position:50% align:middle page length, and therefore, because we have the data, we're using that to really 00:41:26.275 --> 00:41:32.633 position:50% align:middle do a very detailed analysis of the 320 jurisdictions that we've got data on, so. 00:41:35.175 --> 00:41:36.558 position:50% align:middle Any more questions? 00:41:36.558 --> 00:41:39.371 position:50% align:middle Everyone wants their dessert, I guess. 00:41:42.710 --> 00:41:43.538 position:50% align:middle No? 00:41:44.120 --> 00:41:45.358 position:50% align:middle Going once. 00:41:45.853 --> 00:41:46.615 position:50% align:middle - Thank you very much. 00:41:46.615 --> 00:41:47.957 position:50% align:middle - Going twice. 00:41:50.630 --> 00:41:51.413 position:50% align:middle Okay. 00:41:51.580 --> 00:41:55.591 position:50% align:middle Well, please join me again in thanking Elizabeth for her wonderful presentation.