1. 1 ARNBC AGM June 26, 2013 Nurses as Global Citizens Reflections on the 2015 International Nurses Council Conference and Global Nursing Opportunities September 22, 2015 Julie Fraser, RN, MN & Dr. Karima Velji, RN, PhD, CHE

2. Learning Objectives At the end of this webinar, participants will be able to: 1.Describe what it means to be a 'global citizen' in the context of nursing. 2.List 2-3 cross-cultural health and/or nursing issues that will require global cooperation to resolve. 3.Describe the relationships between the Association of Registered Nurses of BC (ARNBC), the Canadian Nurses Association (CNA) and the International Council of Nursing (ICN). 4.Describe several ways nurses can prepare themselves to work in global health.

3. 7000 nurses attended the conference from 150 countries representing the 16 million nurses around the world Aim of the conference was for nurses to explore the importance of a cross-cultural understanding and global cooperation in nursing and build relationships and to disseminate nursing knowledge and leadership across specialties, cultures and countries

4. International Council of Nurses The International Council of Nurses (ICN) is a federation of more than 130 national nurses associations representing the millions of nurses worldwide. Operated by nurses and leading nursing internationally, ICN works to ensure quality nursing care for all and sound health policies globally.

5. Global Citizen, Global Nursing Understanding how we now live in an connected global society. We are connected by: Environment Communicable diseases Global travel Internet/Social Media Marketing There is an integrated impact on of health on global economy and civil society.

6. Sustainable Development Goals 1.End poverty in all its forms everywhere 2.Ensure health lives and promote well being for all at all ages 3.Promote sustained, inclusive and sustainable economic grow, full and productive employment and decent work for all United Nations, 2015

7. End poverty in all its forms everywhere Wealth Disparity is the most extreme in 50 years 85 people hold the same wealth as 3.5 billion people 70% of the poor globally live in middle-income countries Sub-Goals: End extreme poverty (living on less than 1.25 a day by 2030) Reduce poverty (national definition) by half by 2030)

8. Ensure healthy lives and promote well being for all at all ages Limited Health Care Access 1 billion individuals do not have access to health care 2.4 billion have restricted access 40-60% of a countries budget is required to provide universal health care Sub-Goals: Ensure universal health coverage …access to quality essential health care services and access to safe effective quality and affordable essential medicines and vaccines for all

9. Ensure healthy lives and promote well being for all at all ages Health Trends 35 million individuals living with HIV 15 countries make up 75% of HIV cases Rise of non-communicable diseases in developed countries in cancelling out their socio – economic advantages Infant and maternal mortality Access to skill personal for births: 50% in African regions as compared to 90% in North America Sub-Goals: By 2030 end the epidemics of AIDS, tuberculosis, malaria, and neglected tropical diseases and combat hepatitis, water-born diseases and other communicable diseases.

10. Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all Nursing Issues Short 8 million nurses world wide Limited role of nurses in policy making 3 HHR issues – availability, distribution and performance Disparity on nurse to patient ratios – 7 nurses to 10, 00 compared to 1 per 110,000 Sub-Goals: substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in lease developed countries and small island developing states

11. International Connections ICN ARNBC CNA

12. Global Citizenship “The world faces global challenges, which require global solutions. These interconnected global challenges call for far-reaching changes in how we think and act for the dignity of fellow human beings.” “Technological solutions, political regulation or financial instruments alone cannot achieve sustainable development. It requires transforming the way people think and act.” Source: Priority #3: Foster Global Citizenship

13. HHR Planning Globally Follows on policy discussion held at June ICN that was supported by CNA Advisory Committee established who's tag line is NO HEALTH without a workforce: NO WORKFORCE without nurses and midwives 7 countries leading the work, Canada is one of 7 Sandra Macdonald-Renz, former senior Nurse at Health Canada is supporting this work, CNA is providing in kind support purpose of the work is to build concensus and provide advice and input to the upcoming WHO HHR Global Strategy 2030 and to the WHA ‎ discussions on HHR policy issues

14. CNA as a global citizen Refugee health Harmful practices Universal access to determinants of health Universal access to health human resources

15. Theory to Action UNLEASH THE POWER OF 16M NURSES FOR HEALTH Advocacy to action Expand scope of practice Lead always

16. Tools and Links ARNBC Blog – Lessons from Guatemala and Verna Huffman Splane: http://www.arnbc.ca/blog/?s=global&submit.x=5&submit.y=6 Canadian Nurses Association: http://www.cna-aiic.ca/en/download-buy/global-health-issues International Council of Nurses: http://www.icn.ch/events/icn-conference-2015-speakers-presentations/ World Health Organization: www.who.int http://www.who.int/topics/disasters/en/ http://www.who.int/hrh/nursing_midwifery/internships/en/ United Nations: http://www.un.org/ Doctors without Boarders: http://www.doctorswithoutborders.org/work-us/work-field/who-we-need/registered-nurses-nurse-practitioners

17. Questions

18. References Canadian Nurses Association http://www.cna-aiic.ca/en/international-work International Council of Nurses http://www.icn.ch/who-we-are/who-we-are/ United Nations https://sustainabledevelopment.un.org/post2015/transformingourworld World Health Organization http://www.who.int/mediacentre/factsheets/fs290/en/#