Empowering people!!! Educating and Training a competent workforce From Concept to Reality International Summer School on Integrated Care Empowering people!!! Educating and Training a competent workforce By Prof Iain Graham Dean of Health | Southern Cross University March 2018

What do we need them to be capable of? What is the work they will be doing? Discussion points, not just competent but capable and with capacity to do the work.   Question....what do we need them to be capable of and what is the work they will be doing?

Context & Trends Achieving a healthier future for all (WHO) What needs to happen now? Is there a difference between health and healthcare? Context and trends   Consider the future, the health/medical system needs to encompass health in the broadest sense. Besides the issues of human biology and psychology, disease treatment, services and technologies. The debate is about achieving a healthier future for all. ( WHO) So how will the role and scope of practice of health care professionals, the funding of health care change when this broadest sense takes on the discourse of environmental, social, economic, political, cultural, behavioural, biological and health determinants? What needs to happen now? Is there a difference between health and healthcare?

Wider considerations Poverty Private funding Education Public funding Status of women NANO Technology Access Microchip Quality assurance Gene Wider considerations   Poverty, education, the status of women, access, quality assurance, private / public funding. Impact of nano, microchip, and gene on society as a whole and healthcare specifically. What is the impact on society and healthcare?

What are your thoughts? What are you experiencing today as a consequence of this fast emerging future? What are your thoughts? What are you experiencing today as a consequence of this fast emerging future?

Empowerment What are we empowering? Health Professionals or Health Users   How do we involve the whole range of customers and community in the design of the health system? How do we refine curricula for Health Professionals as a consequence?   Empowerment 1) What are we empowering? Health professionals? Or health users? The consumer health movement is growing internationally, how are you acknowledging this in your practice? Looking into the near to medium future we are facing many challenges. Planners, policy makers, healthcare leaders and various practitioners are facing these challenges now. How do they learn to integrate more visionary and scenario- based planning within the current old paradigm, of organising healthcare access via the single practitioner’s model, the guild structure? How do we reconsider the roles of healthcare providers within the wider context of meeting the new health determinants society is facing? How do we involve the whole range of customers and community in the design of the health system?

Society’s focus needs to change to human ecological needs rather than economic and technological needs. We need to educate both practitioners and the public so that they can look beyond our current preoccupation with the health care delivery system to base activities on the real determinants of health and ones health status. Focusing attention on the human and ecological needs of society rather than on the economic and technological may lead our thinking to examine more closely what we do and how we live today and ask what will it take to create that healthier future.

Education and Learning We live in a post modern era! Healthcare is in a transition. The empowerment of practitioners, and of society, requires a change to how we do things. Education and learning   We now live in a post modern era! For healthcare, we know we are in a transition. There is a wider process of change occurring globally where the established post WWII world order is being challenged. Healthcare is part of the social condition of change. We cannot wait and see what is happening, we must participate fully and work to guide both minor and major change from a value base which speaks of individual rights and responsibilities . Acknowledging , all the while that we will struggle with our philosophy, professional and personal priorities and with an ever increasingly diverse society. So the empowerment of practitioners and of society requires a change to how we do things.

Consider the following: Patient centredness Inter-professional practice Alternative Healthcare The Characteristics of a healer Consider the following: - patient centredness   - Inter-professional practice - Alternative health care - the characteristics of a healer

Characteristics of a healer: Scientific & technical capability and competence Understanding suffering Ability to communicate Knowledge of the placebo effect & its role in scientific medicine  

Characteristics of a healer: Coming to terms with death Expanded & extended roles based on patient/user need Commitment & loyalty Ref:- Bulger, R.J. 1998, The quest for compassion. Note the evolution of the knowledge based economy!    

Education of the Preferred Workforce Community/ primary care based curriculum Immigration Case Management Incorporating new types of health workers Digital Technologies A system designed for preventing, curing and caring Being educated to be a collaborative partner Education of the preferred workforce.   Community/ primary care based curriculum Immigration of the health workforce requires the need for the curriculum to encompass language and cultural sensitivities Case management skills will rise to be based on language and multicultural knowledge Incorporating new types of health worker into the system, nb the future role of the health scientists, nb also the potential role of volunteers in health care provision particularly with the evolution of the expert patient and in providing care to the very elderly. Utilisation of digital technologies in information access and management in the provision of patient centred care. The shift to knowledge based power cannot be over looked. A system designed for preventing, curing and caring...what are the metrics and processes needed. Being educated to be a collaborative partner rather than an expert requires evolution of emotional intelligence by the practitioners.

Conclusion How would you restructure health practitioners education to prepare them for this fast approaching future? Conclusion   Keeping populations well in the digital age will mean less direct contact and more and more use of technology from the smart home. Therefore the practice and educational issues require careful thought, planning and implementation to ensure the adequate preparation of the health workforce. Accreditation and regulatory bodies and government structures need to start the conversation and sanction greater creativity and innovation. How would you restructure health practitioners education to prepare them for this fast approaching future? Prof Iain Graham, PHd, RN , FACN Prof Iain Graham, PHd, RN , FACN