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2.
Ann Glob Health ; 88(1): 31, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35646612

RESUMO

Short- term experiences in global health (STEGH), also known as short-term medical missions continue to be a popular mode of engagement in global health activities for students, healthcare providers, and religious groups, driven primarily by organizations from high-income countries. While STEGH have the potential to be beneficial, a large proportion of these do not sustainably benefit the communities they intend to serve, may undermine local health systems, operate without appropriate licenses, go beyond their intended purposes, and may cause harm to patients. With heightened calls to "decolonize" global health, and to achieve ethical, sustainable, and practical engagements, there is a need to establish strong guiding principles for global health engagements. The Advocacy for Global Health Partnerships (AGHP), a multi-sectoral coalition, was established to reflect on and address the concerns relating to STEGH. Towards this end, AGHP created the Brocher Declaration to lay out six main principles that should guide ethical and appropriate STEGH practices. A variety of organizations have accepted the Declaration and are using it to provide guidance for effective implementation of appropriate global health efforts. The Declaration joins broader efforts to promote equity in global health and a critical reevaluation of volunteer-centric, charity-based missions. The current state of the world's health demands a new model of collaboration - one that sparks deep discussions of shared innovation and builds ethical partnerships to address pressing issues in global health.


Assuntos
Saúde Global , Missões Médicas , Humanos , Voluntários
3.
Nurs Outlook ; 69(6): 961-968, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34711419

RESUMO

The purpose of this consensus paper was to convene leaders and scholars from eight Expert Panels of the American Academy of Nursing and provide recommendations to advance nursing's roles and responsibility to ensure universal access to palliative care. Part I of this consensus paper herein provides the rationale and background to support the policy, education, research, and clinical practice recommendations put forward in Part II. On behalf of the Academy, the evidence-based recommendations will guide nurses, policy makers, government representatives, professional associations, and interdisciplinary and community partners to integrate palliative nursing services across health and social care settings. The consensus paper's 43 authors represent eight countries (Australia, Canada, England, Kenya, Lebanon, Liberia, South Africa, United States of America) and extensive international health experience, thus providing a global context for the subject matter. The authors recommend greater investments in palliative nursing education and nurse-led research, nurse engagement in policy making, enhanced intersectoral partnerships with nursing, and an increased profile and visibility of palliative nurses worldwide. By enacting these recommendations, nurses working in all settings can assume leading roles in delivering high-quality palliative care globally, particularly for minoritized, marginalized, and other at-risk populations.


Assuntos
Consenso , Prova Pericial , Enfermagem de Cuidados Paliativos na Terminalidade da Vida , Cuidados Paliativos , Assistência de Saúde Universal , Educação em Enfermagem , Saúde Global , Disparidades em Assistência à Saúde , Humanos , Enfermeiros Administradores , Sociedades de Enfermagem
4.
Lancet Oncol ; 22(9): e410-e418, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34478677

RESUMO

Cancer mortality rates in low-income and middle-income countries (LMICs) are unacceptably high, requiring both collaborative global effort and in-country solutions. Experience has shown that working together in policy, clinical practice, education, training, and research leads to bidirectional benefit for LMICs and high-income countries. For over 60 years, the UK National Health Service has benefited from recruitment from LMICs, providing the UK with a rich diaspora of trained health-care professionals with links to LMICs. A grassroots drive to engage with partners in LMICs within the UK has grown from the National Health Service, UK academia, and other organisations. This drive has generated a model that rests on two structures: London Global Cancer Week and the UK Global Cancer Network, providing a high-value foundation for international discussion and collaboration. Starting with a historical perspective, this Series paper describes the UK landscape and offers a potential plan for the future UK's contribution to global cancer control. We also discuss the opportunities and challenges facing UK partnerships with LMICs in cancer control. The UK should harness the skills, insights, and political will from all partners to make real progress.


Assuntos
Países em Desenvolvimento , Cooperação Internacional , Neoplasias/prevenção & controle , Pesquisa Biomédica , Atenção à Saúde , Países em Desenvolvimento/estatística & dados numéricos , Saúde Global , Pessoal de Saúde/educação , Humanos , Oncologia/organização & administração , Neoplasias/epidemiologia , Reino Unido
7.
Nurs Outlook ; 67(6): 628-641, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31420180

RESUMO

The United Nations 2030 Agenda for Sustainable Development was implemented on January 1, 2016 and is composed of 17 Sustainable Development Goals (SDGs) and further delineated by 169 targets. This article offers background information on the 2030 Agenda as it relates to nursing and midwifery, professional organizational initiatives currently advancing the SDGs, the ethos of global citizenship, the urgency to respond to dwindling planetary health, the salience of nursing and midwifery advocacy in SDG attainment, and the myriad opportunities for nurses to lead and collaborate toward realizing these Global Goals. A US-based perspective is employed to underscore the Agenda's relevance to the US nursing workforce and healthcare system. The SDGs, with their holistic bio-psycho-social-environmental approach to health, present enormous opportunities for nurses and midwives. The SDG framework is naturally aligned with the foundational philosophy and purpose of our professions.


Assuntos
Defesa do Consumidor , Saúde Global , Tocologia/organização & administração , Cuidados de Enfermagem/organização & administração , Desenvolvimento Sustentável , Feminino , Humanos , Objetivos Organizacionais , Gravidez , Nações Unidas
8.
J Clin Nurs ; 27(21-22): 4050-4057, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29791745

RESUMO

AIM AND OBJECTIVE: To assess the impact of nursing education on the intergenerational mobility of graduates of nursing upskilling programmes. BACKGROUND: Challenges for low- and middle-income countries include poverty and limited access to health, education and social services compounded by workforce shortages, inequality and female disempowerment. Little is known about the impact of nursing education on women's empowerment and intergenerational mobility in such settings. DESIGN: A cross-sectional study using data collected through an online alumni survey. METHODS: Data were collected March to May 2016 using an online questionnaire, as part of a larger nursing programme alumni survey. Intergenerational mobility was assessed by comparing the respondents' educational qualification with their fathers' and mothers' education levels. Descriptive statistics were analysed using frequencies and percentages. Associations between parental and respondents' education levels were assessed using chi-square tests. RESULTS: Out of 446 female respondents who completed the survey, 379 and 366 indicated their fathers' and mothers' education level, respectively. A third of the respondents' mothers had no formal schooling; lower levels of parental education are significantly associated with increase in respondents age (p < 0.001) and associated shift from Uganda to Kenya and Tanzania (p < 0.001). Respondents had a marked upward intergenerational education mobility with 76% (278/366) and 59% (223/379) of them achieving a qualification two levels above their mothers and fathers, respectively. Tanzanian respondents had significantly higher rates of upward mobility than Kenyan and Ugandan respondents. CONCLUSIONS: Nursing education positively impacted gender, economic factors and health outcomes. Further research is needed to confirm the "triple impact" of nursing education on improving health, gender equality and economic growth in low- and middle-income countries. RELEVANCE TO CLINICAL PRACTICE: Nurses are frontline providers of healthcare services. Provision of high-quality nursing upgrade programmes enhances nursing leadership ability, with aligned improvements in health outcomes while supporting gender empowerment and intergenerational mobility.


Assuntos
Estudos Transversais , Educação em Enfermagem , Escolaridade , Poder Psicológico , Adulto , Pai/educação , Feminino , Humanos , Quênia , Masculino , Pessoa de Meia-Idade , Mães/educação , Pobreza , Fatores Socioeconômicos , Inquéritos e Questionários , Tanzânia , Uganda , Adulto Jovem
12.
Lancet ; 388(10062): e24-e27, 2016 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-27726950

RESUMO

Brexit and the troubled state of the NHS call for re-thinking the UK's approach to health. The EU referendum vote reveals deep social divisions as well as presenting the country with important decisions and negotiations about the future. At the same time, health problems are growing; the NHS faces severe financial constraints and appears to lurch from crisis to crisis, with leaving the European Union likely to exacerbate many problems including staffing issues across the whole sector. However, new scientific developments and digital technology offer societies everywhere massive and unprecedented opportunities for improving health. It is vital for the country that the NHS is able to adopt these discoveries and see them translated into improved patient care and population health, but also that the UK benefits from its capabilities and strengths in these areas.


Assuntos
Pesquisa Biomédica/organização & administração , Atenção à Saúde/organização & administração , Política de Saúde/tendências , Promoção da Saúde/organização & administração , Serviços de Saúde Comunitária , Serviços de Assistência Domiciliar , Humanos , Assistência Centrada no Paciente/métodos , Medicina Estatal , Reino Unido
13.
Healthc (Amst) ; 3(4): 221-4, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26699347

RESUMO

This paper describes the scope for mutual learning and the sharing of innovation between different parts of the world. It argues that the top-down concept of international development--with its connotations that low income countries need to develop in ways that emulate progress in richer more "developed" ones needs to be replaced with the idea of co-development and learning and sharing together. Similarly, it advocates for replacing the term of "reverse innovation" with the concept of global sourcing of innovation.


Assuntos
Difusão de Inovações , Cooperação Internacional , Países em Desenvolvimento , Saúde Global , Necessidades e Demandas de Serviços de Saúde , Humanos , Aprendizagem , Inovação Organizacional
14.
Health Syst Reform ; 1(2): 98-106, 2015 Feb 17.
Artigo em Inglês | MEDLINE | ID: mdl-31546313

RESUMO

Abstract-Portugal's Gulbenkian Foundation set up an independent commission to look forward 25 years to create a new vision for health and health care and make recommendations how that vision could be achieved and sustained. The Commission recognized the wide public support for the health system and the good clinical skills of its health professionals. It noted that Portugal had an aging population, high levels of chronic diseases (particularly diabetes, obesity, and mental health problems), low fertility rates, and high levels of migration. The Commission also noted that Portugal's health system had wide variability in performance and outcomes, did not use evidence systematically, and duplicated many specialist services. The Commission's final report proposed a two-part approach of tackling the social determinants of health and seeking to improve health care delivery. It did not treat finance as a separate strategy or variable but as an integral part of both of these approaches. Thus, for example, on sustainability the report concluded that whilst incentives and financial mechanisms could help, the sustainability of the system would be dependent on politicians being willing to introduce health into all policies and action by citizens, wider society and health professionals. This Commission's report is relevant to other countries that need to address both improving the health of their population and improving health care. In Portugal, a program of activities is underway after publication of the Commission's report. The Gulbenkian Foundation is promoting these activities by supporting three Gulbenkian Challenges: reducing hospital infections, preventing 50,000 people from getting diabetes in the next five years, and improving child health.

15.
Global Health ; 10: 14, 2014 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-24673828

RESUMO

There is a clear and evident need for mutual learning in global health systems. It is increasingly recognized that innovation needs to be sourced globally and that we need to think in terms of co-development as ideas are developed and spread from richer to poorer countries and vice versa. The Globalization and Health journal's ongoing thematic series, "Reverse innovation in global health systems: learning from low-income countries" illustrates how mutual learning and ideas about so-called "reverse innovation" or "frugal innovation" are being developed and utilized by researchers and practitioners around the world. The knowledge emerging from the series is already catalyzing change and challenging the status quo in global health. The path to truly "global innovation flow", although not fully established, is now well under way. Mobilization of knowledge and resources through continuous communication and awareness raising can help sustain this movement. Global health learning laboratories, where partners can support each other in generating and sharing lessons, have the potential to construct solutions for the world. At the heart of this dialogue is a focus on creating practical local solutions and, simultaneously, drawing out the lessons for the whole world.


Assuntos
Difusão de Inovações , Saúde Global , Necessidades e Demandas de Serviços de Saúde/organização & administração , Cooperação Internacional , Aprendizagem , Países Desenvolvidos , Países em Desenvolvimento , Humanos , Conhecimento
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