Nursing Leadership in the 21st Century Dr. Judith Shamian 27th ICN President (2013-2017) ICN President Emeritus April 16, 2018 Twitter: @judithshamian

Outline Global/local context Global Agenda Nursing and Nursing leadership for the 21st century what it is and what it should be

“The mind is like a parachute. It doesn’t work if it Is not open” Frank Zappa

Photo credit: Medsin.org

The World is in Motion: …we live in the information age… Civil Society Technology Climate change Political structures Role of Boards Gender “MeToo” Power of professionals Large Data…..

The 20+ Million Nurses in the World: What do we do??? Practice: Care, Cure, Prevent & Promote Research: Evidence, Education: Pre-licensing to post Doctorate to continuing education Management: Work in many sectors, manage the system Policy and Politics: Local to global

Global Agenda UHC: Universal Health Coverage SDG2030: Sustainable Development Goals NCD: Non Communicable Diseases HRH: Human Resource for Health Aging Health System Strengthening

Sustainable Development Goals 2030: Nursing ?!?!

The Big Question is What Should be the Role of the Nursing Profession and Nursing Leadership in the Future????

Nursings Professions’s Impact/voice Current and Future Vision Nursings Professions’s Impact/voice Current and Future Vision?!?! Where are we now and where should we be??? The Health Care Bubble The Nursing Bubble The Regional / National Bubble The Global Bubble

Whre we will be in 2030, 2050… Do we prepare nurses for today or for tomorrow?

Nursing Leadership in the 21st Century?!?! Where? and How? The 4 Bubbles What is the future of nursing looks like? Are we what we need to be? Do we have the IMPACT we should/can have? How we build the optimal future for nursing and nursing leadership for health? Role of Practice, Research, Policy and Politics, and Leadership -Nursing -Health System -National/Regional -Global

The 20 Million Nurses in the World Role of Nursing Leadership: Future Care, Cure, Prevent & Promote: Evidence Research: Build and disseminate Manage the system: Seat at the table Work in many sectors: Roles in all 4 Bubbles Make a difference: Policy and Politics

How: Leadership The Nursing Bubble The Health Care Bubble Generosity Respect Listening Dialogue Shared vision Caring for each other (love) The Nursing Bubble The Health Care Bubble The Global Bubble

How: Leadership The Nursing Bubble The Health Care Bubble Articulate Bold Evidence based Collaborative Relationships positioning The Nursing Bubble The Health Care Bubble The Regional / National Bubble The Global Bubble

How: Leadership The Health Care Bubble The Regional / National Bubble Strategic, articulate Networking, key relationships Organizational engagement Proactive, confident, courage Media, Art&Science The Global Bubble

LONG, RISKY and UNPREDICTABLE JOURNEY Persevere Be at the table Speak out Work together Be strategic Don’t give up Lead Local/regional/ International partnerships Teach and role model Placement with policy makers Formal and informal opportunities

How: Leadership The Nursing Bubble The Health Care Bubble The Regional / National Bubble The Global Bubble

How to progress and survive?! (my personal formula) Knowing why, believing in the why, and in the cause, wanting to make a difference anger/passion/drive/chutzpa/ can do it Courage/ mindfulness/ Articulate/evidence based/ confidence/purposeful Strategic/ Self promoting (the name of the game)but humble, not intimidated easily Realistic but ambitious The art of the challenge, the difficulty of the challenge Comfortable with feeling uncomfortable and not giving up Care for others: grow others

Change the Reality: Change the World The Nursing Bubble The Health Care Bubble The Regional / National Bubble The Global Bubble

Leaders Help to Shape the Future

UK All Party Parliamentary Group on Global Health

Policy and Political Impact: Case example Global Strategy on Human Resources for Health 2030

HRH Agenda Nurses have key role to play in Sustainable Development Goals. Universal Health Coverage will only be accomplished with appropriate deployment of and support for health human resources, and particularly nursing. WHO and member states need data on health and nursing human resources in order to make informed decisions.

The High-Level Commission on Health Employment and Economic Growth, established by the United Nations Secretary-General (UNSG) Ban Ki-Moon, on 2 March, 2016 is charged with proposing actions to stimulate and guide the creation of health and social sector jobs for inclusive growth in ways that address the shortage of 18 million health workers estimated to be required to achieve and sustain universal health coverage. These actions will harness the opportunity presented by the anticipated growth of a projected 40 million new health sector jobs by 2030 to achieve gains across the Sustainable Development Goals (SDGs).

UN Commission on Health Employment and Economic Growth

Need to have seats at the global and local tables!

Role of Education Policy courses Management & leadership Global awareness Placements with in and outside of nursing and health care communication

Remember Unless we are making progress in our nursing every year, every month, every week, take my word for it we are going back – Florence Nightingale.

REMEMBER!!!! WE HAVE THE KNOWLEDGE WE HAVE THE EXPERIENCE WE HAVE THE COMPASSION WE HAVE TO ACT WE HAVE TO TAKE OUR RIGHT PLACE WE HAVE TO HAVE A POLICY VOICE WE HAVE TO HAVE POLICY IMPACT

Dr. Judith Shamian RN, FAAN Thank you! Dr. Judith Shamian RN, FAAN