1. Nurse Graduates and Global Health David C Benton Chief Executive Officer International Council of Nurses

2. Global Trends (1) Globalisation – Transport – Multi-nationals – GATS, Regional, Bilateral and Legacy agreements Increase in Elderly – Health and Social Care Needs – Complexity – Reduction in number of children Increase in Non-communicable Disease – Diabetes – CHD

3. Global Trends (2) Technology – Communication – Diagnostic and Delivery systems – Intelligent environments Ethics – Bio-engineering – Nano-technology – Genomics Increase in Availability of Education – Lisbon, Bologna and Copenhagen Agreements – Private Sector Provision – Trans-National Provision } Can do OR Must Do

4. Education Today and Tomorrow

5. Regulation Trends Trends Early ConsolidatedEmergent Processes of RegulationEmergence of processesConvergence of processesStandardisation of processes Nature of the workforceStable workforceCasualisation introducedCasualisation increases Workforce PlanningNo workforce planningIneffective workforce planningCoordinated and comprehensive planning Types of PractitionerGeneralistSpecialisation within disciplinesCompetence differentiated practices Nature of the RegisterGuildsAutonomous bodies Ministerial Departments Accountable bodies (individual & umbrella) + Oversight groups Members of Governing Bodies Good old boys and girlsElected membersAssessed and appointed Those who should be regulated Charlatans and eliteProfessionsTeams Setting StandardsBased on Education and Training Formal standards, codes of conductBased on competencies and tasks Dealing with ComplaintsJudged by peers in secretJudged by mix of peers & lay members increasingly in public Judged by separate body, legal chair, mostly lay members Conduct SanctionsPoor Conduct IgnoredRigid Rules AppliedRisk based response and rehabilitation/re-education Curriculum ContentVariations of curricula across schools Variations of curricula across countries Global harmonisation of competencies AccountabilityAccountable to ProfessionAccountable to Profession and Government Accountable to Government The RegisterThe registerThe live registerThe register of the competent Protecting the PublicMonopoly (Only kid on the block) One amongst a range of disconnected actors A complex group of interdependent actors

6. Nursing Futures Nurses Homogenous Profile Fit for Purpose, Practice and Award Generalist Deliverer of Care Public Servant Country Licence Health Subject of Change Nursing Diverse Profile Initial and ongoing competence Specialist Coordinator of Care and Expert Resource Entrepreneur Global Licence Wellbeing Architect of Change

7. The World of Today and Tomorrow COMPLEXITY ACCOUNTABILITY INFORMED ARTICULATE GLOBALISED REGULATED DEMANDING TEAM