1. Maggie Roberts on behalf of the Nottingham Team (Carol Hall, Mary Brown and Aaron Fecowycz) The University of Nottingham, UK. Wo r k I n g Across Borders

2. The Aim To identify the training requirements and nursing skills for mobility* for working nurses. * The term Mobility here embraces the movement of nurses, patients and workforce colleagues. Travel may be European, international long term or transient, result from incoming migration to a country or outward migration to another, and may include circular or transitional migration between countries.

3. EU Funding This project was made possible by:- Leonardo Da Vinci Lifelong Learning Funding – The application was for the mobility stream and so the emphasis was on travel, – – The emphasis was on the cross cultural sharing of ideas – And learning about each others’ health care systems and practices

4. Staging The Work 1.This project took place over a two year period. 2.It involved a series of educational dialogues 3.It included visits to each other’s countries 4.Was shaped by investigative inquiry with post registration student practitioners

5. Belgium Finland Germany Ireland Portugal Turkey UK Project Partners

6. A.I.

7. Appreciate inquiry  Derived from organisational change model,  It is humanistic, valuing peoples views  It focuses on best practice and positive approaches  It affirms good practice  It stimulates the imagination  And asks why not ?

8. WP 1 = Project Steering WP 2 = Dreaming - Creating a Vision of the International Nurse WP 3 = Discovering – Identifying Skills for Mobility WP 4 = Discovering - Best Practice Mobility Education / Preparation WP 5 = Discovering - The Organisational Contribution to Mobility WP 6 = Designing - Agreed Statements and a Framework of Self Assessment WP 7 = Dissemination – through Self Assessment tools & Publicity Materials The Work Packages

9. Language The project language was English This made it hard for some – more time had to be allotted for communication and meetings slowed down Differences of use were discovered Debate around nursing stimulated A conceptual glossary was developed.

10. Language

11. MY Journey FROM Ignorance to Bliss European Legislation Insight into other healthcare systems The commonalities of nursing The differences between cultures

12. Hospitality

13. Collating the ResultS Collect data eg interviews/ focus groups Identify patterns, themes and/or intriguing possibilities Create bold statements of ideal possibilities ("Provocative Propositions") Collect determine "what should be" (Set principles & priorities) Take action

14. No complaints about project workload We appreciate to be a member of this group. We are enjoying the opportunity to work with all of you in this process.

15. PROJECT PRINCIPLES /VALUES Teamwork Respectful Acceptance Negotiation Support Friendship Open-mindedness Reflective Mindfulness Portuguese Summary

16. www.transformnursing.eu September 2012

17. Discovery and Visioning – The best of what is…. What does the International nurse look like??? “We believe that all nurses practice globalised health care”

18. The Project Process EXAMPLE Visualising the needs of the International nurse (Discovery) Provocative vision statement (Dream) Framework of Nursing skills (Design) Self Assessment (Deliver)

19. A Holistic View of Nursing Roles The Nurse as Practitioner The Nurse as Educator The Nurse as Clinical Leader

20. The Project Process EXAMPLE Explore best practice (Discover) Provocative vision statement (Dream) Framework of Nursing skills (Design) Self Assessment (Deliver)

21. The Project Process EXAMPLE “When I spoke with her in Farsi, I saw that she trusted me immediately” Language and communication are important factors All nurses possess intercultural communications skills I possess intercultural communication skills All nurses communicate with patients carers and their families using verbal and no- verbal communication which is culturally sensitive I communicate with patients, carers and their families using verbal and non- verbal communication which is culturally senstivie Evidence Exploration Provocative vision Nursing skills Self assessment

22. Self Assessment I possess intercultural communication skills I communicate effectively with patients, families, carers and other professionals, using verbal and non-verbal communication which is culturally sensitive. Examples NO My learning needs are ? SOME My learning needs are ? YES Ready for mobility?