Nurses in the frontline to ensure access and equity in health care

Nurses in the frontline toensure access and equity in health care

International Council of Nurses ICN Report 2010-2011

ICN’s Mission

To represent nursing worldwide,advancing the professionand influencing health policy

ICN REPORT 2010-2011

Foreword 6

ICN Pillar 1: Professional Practice

Building Nursing Leadership 8

Combatting Counterfeit Medical Products 9

Addressing the Global Crisis of Non-Communicable Diseases (NCDs) 10

Advancing eHealth Technologies 11

New ICN Publications on Professional Practice 2010-2011 12

ICN Pillar 2: Nursing Regulation

Facilitating Global Collaboration 14

Serving as Expert Advisors 15

New ICN Publications on Regulation 2010-2011 15

ICN Pillar 3: Socio-Economic Welfare

Addressing Workplace Issues 17

Strengthening the Nursing Workforce 19

New ICN Publications on Socio-Economic Welfare 2010-2011 20

Advancing Nurses and Nursing Worldwide

Influencing Health Policy 22

Protecting the Rights of Nurses in Disasters and Conflict Areas 24

Leveraging Relations - Collaborating with Others 25

Recognising Achievement 26

Addressing the Millennium Development Goals

MDG 2: Achieving Universal Primary Education 28

MDG 3: Promoting Gender Equality and Empowering Women 28

MDG 4: Reducing Child Mortality 28

MDG 5: Improving Maternal Health 28

MDG 6: Combatting HIV/AIDS, Malaria and Other Diseases 28

Bringing Nursing Together Worldwide

Increasing Nursing Knowledge 32

Facilitating Communication and Networking 34

Honouring Florence Nightingale's Legacy 36

Representing Nurses Globally 37

All rights, including translation into other languages, reserved. No part of this publication may be reproduced in print, by photostatic means or in any other manner, or stored in a retrieval system, or transmitted in any form, or sold without theexpress written permission of the International Council of Nurses. Short excerpts (under 300 words) may be reproduced without authorisation, on condition that the source is indicated.

Copyright © 2012 by ICN - International Council of Nurses, 3, place Jean-Marteau, 1201 Geneva, Switzerland

ISBN number: 978-92-95099-02-9

Contents

Nurses in the frontline to ensure access and equity in health care


New from ICN in 2010-2011

4

Credentialling and Regulators Forum Analysing the impact of today's critical issues on health care, the regulatory environmentand the evolution of nursing practice, the first joint Credentialing and RegulatorsForum was held in the USA in 2010. The second forum was held in 2011 in Taiwan.

See page 14

WHPA Global Anti-Counterfeiting campaignWith its partners in the World Health Professions Alliance (WHPA), ICN has initiatedthe Be Aware, Take Action campaign, to better equip health care professionals tocombat counterfeit medical products.

See page 9

GCEF Florence Nightingale BearIn 2011, the Florence Nightingale teddy bear was launched in support of the GirlChild Education Fund. Proceeds from the sale of the Florence Nightingale bearhave raised almost £6,000 for the GCEF.

See page 28

New ICN websiteOn 12 May 2010, ICN launched a new and improved website, offering the globalnursing profession a modernized and user-friendly gateway to nursing knowledge,networks, news and events worldwide.

See page 34

French Mobile LibraryIn 2011, a French-language version of the ICN Mobile Library-the BibliothèqueMobile-was launched by ICN and Elsevier Masson. French-language libraries havenow been delivered to Burkina Faso, Congo, Haiti, Senegal and Togo.

See page 31

Global non-communicable diseases survey In 2011, ICN and Pfizer carried out a global survey of nurses and non-communicablediseases. Nurses want to lead in the global fight against the further spread of non-communicable diseases but workload and time constraints are holding them back.

See page 10


ICN Board of Directors 2009-2013

Officers:Rosemary BryantPresident (Australia)

Rudolph CiniFirst Vice-President (Malta)

Teresa J.C. YinSecond Vice-President (Taiwan)

Marlene SmaduThird Vice-President (Canada)

Members:Beatríz Carvallo Suaréz (Colombia)

Sylvia Denton (United Kingdom)

Anna Karin Eklund (Sweden)

Marion Guy (New Zealand)

William Holzemer (USA)

Masako Kanai-Pak (Japan)

Maria Angela Elias Marroquin (El Salvador)

Elizabeth Oywer (Kenya)

Peter Pozun (Slovenia)

Julita Sansoni (Italy)

Maria Augusta Sousa (Portugal)

The International Council of Nurses(ICN) is a federation of more than130 national nurses associationsrepresenting the millions of nursesworldwide. Operated by nursesand leading nursing internationally,ICN works to ensure quality nurs-ing care for all and sound healthpolicies globally.

Our scope of work is guided by the following values and foundedon three main pillars:• professional practice• regulation• socio-economic welfare

ICN’s core values are: • inclusiveness• visionary leadership • flexibility • partnership • achievement

We are pleased to share this accountof our work from 2010 to 2011 with all our stakeholders, colleagues andcollaborators.

About ICN

5

Nurses in the frontline to ensure access and equity inhealth careDespite significant achievements in health care globally, there are still major gapsin the health status and life expectancy between high, middle and low incomecountries, between men and women and between rural and urban residents.

The ability to access health services is key to improving the health, well-being andlife expectancy of all. Yet, achieving this fundamental requirement remains limitedby policies and practices, cost, language, proximity, and other factors. Nurses areunique in their ability to help address these gaps. As the principal and, in somecases, the only group of health professionals providing primary health care inmany of the most challenging settings, nurses are essential to improving equityand access to health care and adding quality to the outcome of care.

The International Council of Nurses (ICN) has long advocated for the developmentof national health care systems that provide a range of essential health servicesaccessible to all the population, as determined within the country in bothpreventive and curative care. Where such services are not publicly funded, ICNbelieves that governments have a responsibility to ensure accessible health services to vulnerable groups.

Over the last biennium ICN, in collaboration with its member national nursesassociations and a wide variety of NGO, UN and corporate partners, has focusedmuch of its activity towards achieving access and equity in health care anddeveloping a clear understanding of how the health sector can act to reducehealth inequities and address the social determinants of health.

We invite you to learn more about this activity in this report, including the ICNGlobal Nursing Leadership Institute; the Wellness Centres for Health CareWorkers programme; the TB and MDR-TB project; the Girl Child Education Fund;the campaigns to address the epidemic of non-communicable diseases andcounterfeit medical products; and, ICN's on-going work to strengthen the nursingworkforce and the working conditions of nurses as well as the regulation andeducation of nursing globally.

ICN has also supported efforts by national nurses associations to influence healthand public policy based national health priorities, equity and accessibility ofessential services and ensuring that policy for publicly funded health servicesdoes not downgrade the level of nursing. ICN has promoted educational preparation in management and leadership development that prepares nurses for a broad range of roles and responsibilities.

A healthy population is a vital national resource and powerful force for the development of societies everywhere. Nursing has a pivotal role in enabling communities and societies to achieve the best health status possible for the population within the resources available.

Foreword


Rosemary BryantPresident

David C BentonChief Executive Officer

6

“Pioneers in leadership management andnegotiation skill development”

ICN PILLAR 1: Professional Practice


7

Building NursingLeadership ICN has been a pioneer in leadership,management and negotiation skilldevelopment for nurses for more than20 years through the highly successfulLeadership for Change™ andLeadership in Negotiation programmesand the recently inaugurated GlobalNursing Leadership Institute (GNLI).

The ICN-Burdett Global NursingLeadership Institute Over 2010-2011, 57 distinguished nurseleaders from across all world regionsgraduated from the ICN GlobalNursing Leadership Institute (GNLI),held annually in September in Geneva.Established by ICN in 2009, with support from Pfizer's InternationalExternal Medical Affairs Group, theGNLI offers an advanced leadershipprogramme for senior and executivelevel nurses from low, middle andhigh-income countries. It providesparticipants opportunities to developunderstanding of global health challenges, obtain insight into international leadership styles, and be exposed to and analyse globalleadership activity. Facilitated by anexpert international faculty, it employsan action-learning approach within a collaborative and stimulating learning culture.

In 2011 the GNLI was funded by the Burdett Trust for Nursing and PfizerExternal Medical Affairs Group. Furtherinformation about the GNLI, includinghow to apply, can be accessed atwww.icn.ch/pillarsprograms/global-nursing-leadership-institute/.

ICN Leadership for ChangeProgramme

The Leadership for Change (LFC) isan ICN programme aimed at buildingstrategic nurse leadership capacity at the national and organisationallevel. LFC has been preparing nursesglobally for leading and shapingchange since 1996.

l LFC Phase One An LFC Phase I programme typically involves fourworkshops over 18 -24 months, delivered by the ICN LFC ProgrammeDirector or an approved LFC RegionalTrainer. In 2010-11 this phase was on-going in Iran, Hong Kong, Portugal,Syria and South Africa.

l LFC Training of Trainers (TOT)A Training of Trainers (TOT) phase follows Phase One, including suitableparticipants from the Phase I programme and graduating certifiedLFC Trainers, qualified to deliver theLFC Programme in country. Over2010-11 the following countries wereinvolved in TOT activity: Hong Kong,Kenya, Mauritius and Guyana.

l LFC Monitoring Visits Phase II andsubsequent programmes are deliveredby LFC Certified Trainers in country,under a License Agreement with ICN.The LFC Programme Director remainsavailable for technical assistance. Thisactivity has been in progress over 2010-11in Bahamas, Guyana, Kenya, Mauritius,Nepal, Seychelles and St. Lucia.

l LFC Licence Agreement The LFCLicence Agreement licenses theProvider Organisation, approves theprogramme and certifies the LFCTrainers to deliver the programme fora period of three years. Over 2010-11this has occurred in Guyana, HongKong, Jordan, Mauritius, Myanmar,Panama, Portugal, Suriname, UnitedArab Emirates, Vietnam and Yemen.

Leadership in Negotiation The Leadership in Negotiation programme seeks to equip nurseswith skills to help achieve safer working environments and fair levelsof remuneration as valued membersof the society. Over the past 20 yearsnearly 30 countries have beeninvolved in this programme.

The fourth year of the Leadership inNegotiation (LIN) Workshop in Russiawas implemented in Omsk (Siberia) in2010, hosted by the Omsk ProfessionalNurses Association. The programmewas delivered through collaborationbetween Vårdförbundet (The SwedishAssociation of Health Professionals),the Russian National Nurses Association(RNA) and ICN. The objective was toprepare strong nurse leaders to masternegotiation skills and thus influencehealth and nursing policies. This finalyear of the four-year-programme wasattended by 27 participants from sixregions in Russia.

As a result of the positive outcomesof the programme, the RNA, with thesupport of the ICN and Vårdförbundetagreed to deliver another four-yearprogramme with new regions participating from 2011-2014. In June2011 the first year of the four year LIN Workshop was held in Suzdal(Ivanovo region) Russia with 30 participants from 17 Russian regions.

ICN Pillar 1: Professional Practice


8

In Panama, LFC participantsimproved patient safety in 24 paediatric specialty surgical wards in several hospitals; developed acommunity-based, nurse-led drugprevention programme with 7thgrade students from various schoolsin the nation; and promoted roadsafety strategies for the preventionof accidents with transport drivers.

Fact


9

Combatting CounterfeitMedical Products

Anti-Counterfeit MedicinesCampaign In 2010, with its partners in the WorldHealth Professions Alliance (WHPA),ICN launched the Be Aware, TakeAction campaign, to better equiphealth care professionals to combatcounterfeit medical products. Thecampaign provides tools and strategiesfor nurses, dentists, pharmacists,physicians and physical therapists, as well as health care advocates and patients.

In March 2010, the WHPA issued ajoint statement on counterfeiting ofmedical products. This was followedin May 2010 with the launch of the Be Aware, Take Action toolkit whichseeks to help educate and improvethe capacity of health professionals todetect, report and prevent counterfeitmedical products.

In October 2010 the first regionalworkshop on counterfeit medicalproducts was held in San José, Costa

Rica during which 23 national healthprofessional organisations agreedupon and signed the WHPA San JoséCall to Action on Counterfeit MedicalProducts. This was followed by multi-professional regional workshops inNigeria in November 2010 and Taiwanin July 2011, during which participantsendorsed the WHPA Taipei Call toAction to reduce the harmful impactof falsified and counterfeit medicalproducts on patients and the public.

In November 2011, national healthprofessions organisations attendingthe WHPA workshop held in Prague

endorsed the WHPA Prague Call toAction, to reduce the harmful impactof falsified medical products onpatients and the public and to urgegovernments to ramp up the fightagainst falsified medical products.

Additional information about the WHPABe Aware, Take Action campaign is available at www.whpa.org

In Kenya in 2011, nearly 3,000 patientswere affected by a falsified batch ofantiretroviral drugs.

WHO Fact Sheet No. 275 2012

Fact

Addressing the Global Crisis of Non-Communicable Diseases (NCDs)

As the world faces a massive increasein the levels of death and disabilityresulting from chronic disease, there isan urgent need for nurses everywhereto proactively engage with all parts ofthe community and all sectors toaddress this growing threat to globalhealth and development.

Nurses, in numbers exceeding 13 million worldwide want to enableindividuals and communities to enhancetheir wellness. With the globally escalating problems of NCD mortality

and morbidity and soaring costs, ICN has not missed the opportunity to capitalize on the enthusiasm andexpertise that nurses can bring toaddressing this global health crisis.Over 2010 and 2011 ICN worked toprovide maximum support to nurses,so as to unleash their power to fightthese debilitating and deadly diseases.

ICN Multinational Survey of NursesIn 2011, ICN and Pfizer carried out aglobal survey on non-communicablediseases, which showed that althoughnurses want to lead in the global fight against the further spread ofnon-communicable diseases (NCDs) workload and time constraints areholding them back.

The survey showed that 95% of the1,600 nurses across the eight countriespolled want to use their skills and time to educate individuals on thethreat and prevention of NCDs.Nurses think they should be spendingalmost twice the time they currentlyare able to devote, on preventing the development of NCDs. It alsorevealed that 95% of nurses surveyedexperience time pressures that arehaving negative effects on patienthealth and one third reported thattheir workload has worsened over the last five years.

Diabetes and DepressionAs part of ICN's overall commitmentto the prevention and control of non-communicable diseases, ICN haspartnered with the Dialogue onDiabetes and Depression (DDD) - a global initiative involving severalorganisations - and the Associationfor Improvement of Mental HealthProgrammes (AIMHP) to implementthe African Nurse Training Programme(ANTP) to improve awareness, recognition and management ofco-morbid diabetes and depression.

Nearly a third of persons with diabetes suffer from clinically relevantdepressive disorders and persons with depressive disorders are twice as likely as the rest of the population to also suffer from diabetes. This co-morbidity complicates the management of the two conditions.

ICN believes it is essential that werecognise the profound link betweenmental and physical health. Thenurse training programme sees people as individuals, placing themat the centre of care with full voicein the decision-making process. In2010-2011, the programme prepared30 nurses each from Botswana,South Africa and Uganda; 15 nurseseach from Lesotho and Swazilandand 28 from Uganda.


10

WHO projects that NCD deaths willincrease by 15% globally between2010 and 2020 (to 44 million deaths).The greatest increases will be inAfrica, South-East Asia and theEastern Mediterranean, where they will increase by over 20%.

WHO (2010) Global status report on NCDs

Fact


11

IND Kit 2010 Nurses Leading Chronic Care

In 2010, ICN chose as the theme forInternational Nurses Day, NursesLeading Chronic Care. The IND Toolkitprovides extensive background information about the increasing needand demand for chronic care, usingtype-2 diabetes as an example. It challenges nurses and others tounderstand the enormity of the problemand to recognise that with knowledge,courage, vision and commitment nurses are well placed to assume a

lead role. ICN called upon nurseseverywhere to move to action, in their personal lives and professionalroles, to stem the pandemic of chronic disease.

WHPA's Global Campaign on NCDsIn collaboration with the World Health Professions Alliance (WHPA),ICN launched a campaign againstnon-communicable diseases. In a joint statement released December2010, the global leaders of nurses,pharmacists, physical therapists, dentists and physicians, said what is needed is a single strategy to prevent and manage NCDs. The Campaign has released aneasy-to-use, practical guide to help individuals and their healthprofessionals reduce the risk of non-communicable diseases (NCDs) - conditions which currently accountfor 60% of global deaths. The WHPAHealth Improvement Card consists of a health scorecard, with “how to”explanatory guides for individuals and health professionals. It was beendeveloped by health professionalswith input from patients, health partners, and the WHO, to educateindividuals on positive behaviour and lifestyle changes. For more information about the WHPA NCD campaign please seewww.whpa.org/ncd_campaign.htm

Advancing eHealthTechnologiesThe ICN eHealth programme, launchedMay 2011 at the ICN Conference inMalta, encompasses the InternationalClassification for Nursing Practice(ICNP®), the ICN Telenursing Networkand Sanofi Connecting Nurses. TheeHealth Programme aims to transformnursing through the visionary applicationof information and communicationtechnology; and to advance nurses'knowledge of and involvement ineHealth worldwide.

The Filipino nurses' podcast respondsto the needs of the Filipino people byproviding essential health informationand education in the local dialect andrelating to the Filipino cultural back-ground… The nurses' podcast will alsoteach nurses how to intervene withtheir clients and discuss strategiesthat will be related to their patients'level of understanding. The nurses'podcast will use the power of internetand social media, making it moreaccessible to every nurse in the countrywhile also targeting ordinary listeningand watching Filipinos by givingimportant tips on health management,promotion and prevention of diseases.

Fact

International Classification forNursing Practice (ICNP®)ICNP is a standard terminology fornursing that supports the documentationof nursing diagnoses, interventions andoutcomes in electronic health records.ICNP is an integral part of the globalinformation infrastructure informinghealth care practice and policy toimprove patient care worldwide. Theterminology is accessible through theC-Space platform in different formats,depending on the user's needs. ICNPcatalogues are available on C-Space.These are clinically relevant subsets ofthe terminology that can be used inelectronic health records for a specifiedspecialty or setting. A multilingual ICNPbrowser is also available via C-Space,making the nursing terminology available and accessible to usersworldwide. The multilingual browserfacilitates translations of ICNP, markinga significant step forward for the application of a standard terminology inclinical settings. The clinical applicationof ICNP in more countries, with dataderived from standard documentation,will support national and internationalreporting of quality indicators relatedto patient outcomes.

The work with ICNP includes partnerships with software vendors,health ministries, professional nursingorganisations and other internationalstandards organisations. In 2010, ICNP was recognised as a member ofthe WHO Family of InternationalClassifications (FIC) and, in 2011, ICNwas recognised by the WHO-FIC as oneof three professional non-governmental

organisations in affiliation with theFIC. Also in 2010, a HarmonizationAgreement was signed between ICNand the International Health TerminologyStandards Development Organization(IHTSDO) to develop a clinically useful interface between ICNP andSNOMED-CT.

Ten ICN-Accredited ICNP Researchand Development Centres continue tosupport the terminology developmentand work toward clinical applicationof ICNP. The Centres are the GermanSpeaking User Group, CanberraAustralia, Flinders Australia, ParaibaBrazil, Concepcion Chile, Tehran Iran,Seoul Korea, Lodz Poland, PortoPortugal, and Minnesota USA.Representatives from each Centre met at the ICN Conference in Malta in May 2011.

ICN staff attended and made presentations at Medical InformaticsEurope in Norway, 28-31 August 2011.

Sanofi Connecting NursesConnecting Nurses is an initiative for nurses supported by Sanofi inpartnership with ICN and other nursing organisations. ConnectingNurses seeks to provide a forum fornurses from around the world to share their ideas, advice and innovations.One element of Connecting Nurses is Care Challenge, a contest that highlights nursing innovations andhelps to put them into practice. CareChallenge entries will be judged by an independent jury. More informationis at the Care Challenge web site:www.care-challenge.com

New ICN Publicationson Professional Practice2010-2011l HIV/AIDS Network Bulletins,

February 2010, September 2010,March 2011, July 2011

l IND Kit 2010 Delivering Quality,Serving Communities: NursesLeading Chronic Care

l IND Kit 2011 Closing the Gap:Increasing Access and Equity

l eHealth Network Bulletins, June 2011, December 2011

l ICNP Network Bulletins, June 2010,December 2010

l Telenursing Network Bulletins, June 2010, December 2010

l Leadership Network Bulletins, June 2010, November 2010, May 2011

l ICNP® Catalogue on NursingOutcome Indicators

l WHPA Be Aware, Take Action toolkit

l WHPA Counterfeit NewsletterAugust 2010

l Research Network Bulletins,April 2010, October 2010, June 2011,December 2011.


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13

“Ensuring high standards of nursing education and practice globally”

ICN PILLAR 2: Nursing Regulation

ICN has long recognised that settingand enforcing standards for nursingeducation and practice is a majorresponsibility of organised nursingand a key aspect of nursing's progressas a profession. The various means ofsetting standards are the credentialing(licensing and certification) of nursesand specialists, approval of schools andaccreditation of nursing services inhospitals and other settings. ICN'sposition, developed and promulgatedwithin its member associations, is thatfor nursing to be recognised and tocontribute as a profession, its educationalstandards must be equivalent to thoseof other professions. The reports fromthe two meetings are available at:www.icn.ch/news/credentialing-and-regulators-forum-2012/

Facilitating GlobalCollaborationICN and ICM Regulators ForumIn May 2010, ICN and the InternationalConfederation of Midwives (ICM) hosted the sixth Regulators Forumwith participants from 23 countries.Main topics discussed included behavioural markers in performanceassessment; the impact of scaling upeducation and regulators access toprimary source data. The meetingreport and communiqué are available atwww.icn.ch/news/triad-meetings-2012/

Credentialing and Regulators ForumThe annual Forum provides participantswith an opportunity for interaction,information sharing and dialogue on international issues pertaining tocredentialing and regulation.

The first joint Credentialing andRegulators forum took place inMaryland, USA, 1-3 November 2010.Thirty-three participants from 16 countries gathered to discuss:advanced practice; regulatory reform;fraud in regulation; credentialing andregulatory research; and evolving scopesof practice in health care delivery.

A second meeting of the Forum washeld in Taipei, Taiwan, 31 October-2November 2011 with a total of 41 participants from 14 countries. Thetopics discussed at this meetingincluded: the influence of social mediaon regulators and credentialing agencies; the impact of the economiccrisis; evolving scopes of practicesand continuing competence.

ICN, ICM and WHO Triad meetingGovernment chief nursing and midwifery officers, representatives ofnational nursing and midwifery associations and regulatory bodiesfrom 85 countries met in Geneva on14-15 May 2010, together with ICN, the International Confederation ofMidwives and the World HealthOrganisation, to address issues criticalto the provision of safe, quality nursingand midwifery care and effective regulation. Three themes were examined:the economic crisis; the growing burden of chronic disease; and healthsystem strengthening.

ICN Observatory on Licensure andRegistrationThe ICN Observatory on Licensureand Registration enables ICN and thenursing profession to anticipate andrespond in a timely, appropriate manner to international regulatorydevelopments by providing leadershipin influencing policy on global regulatory matters.

In November 2010, the Observatoryprovided feedback on a draft of themost recent planned addition to ICN'sregulation toolkit series on ComplaintsManagement and had discussion onthe impact of the global economicrecession on regulation; capacitybuilding of regulators; regulation ofmidwifery and its relationship withregistered nursing and the regulatoryimplications of two recent WHODocuments: “Code of Practice on theInternational Recruitment of HealthPersonnel” and “Increasing Access toHealth Workers in Remote and RuralAreas through Improved Retention” .

ICN Pillar 2: Nursing Regulation


14

ICN's work enables NNAs to compareand contrast the regulatory situationin their own country to that of nursingregulation in other countries. ICN willcontinue to work with its membersassociations, regulators, the nursingprofession and the public to ensurethat it responds to the challenges andopportunities the current environmentpresents.

Fact


15

Second World Health ProfessionsConference on RegulationBringing together policy makers, healthsystem managers and administrators;researchers and scientists; as well asleaders from ICN, the InternationalPharmaceutical Federation, the WorldDental Federation and the WorldMedical Association, the secondWHPCR was held in Geneva from 18-19 February 2010 and was attendedby 256 delegates from 45 countries.The conference focused on threeareas - exploring a desired future forhealth professional regulation, examiningthe regulatory and professional issuesrelated to the international migrationof health professionals and criticallyevaluating the relationship amonghealth professional education, regulation and standards of practice.

International Roundtable: Maternal Mortality, Human Rights and AccountabilityICN attended this roundtable inGeneva on 2 September 2010 organizedby Clemens Nathan Research Centre,International Initiative on MaternalMortality and Human Rights, SAHAYOG,CARE Peru, Health Equity Group (East Africa) and Essex UniversityHuman Rights Centre. The focus ofthe roundtable was on monitoring and accountability with respect to ahuman rights-based approach tomaternal mortality. Attendees wereprimarily from international NGOs,international professional organisationsand advocacy organisations.

Serving as ExpertAdvisorsState of Midwifery ReportICN was a member of the advisorycommittee on the development of“The State of the World's MidwiferyReport”. This report which wasreleased in June 2011 provides a“snapshot” of the situation of midwifery in 58 high priority countries. It includes an update ofmajor issues such as education, competencies, regulation, professionalassociation, maternal health workforcedistribution and retention issues. ICN brought the perspective of thenurse-midwife to the report as midwifery is practiced by nurse-midwives in many of the countriesincluded.

World Health Organization Patient Safety Curriculum Guide:Multi-Professional EditionICN sat on the expert working groupto develop a Multi-professional Patient Safety Curriculum Guide which was released in October 2011and continues to work in an advisorycapacity with respect to the dissemination and utilisation of thisguide. The guide was developed tosupport capacity building in patientsafety of health-care educators.

World Health Organization Guidelinesfor the Transformative Scale up ofHealth Professional Education ICN is part of a multi-health professionalgroup formed to develop guidelineson the transformation and scale up ofhealth professional education. The firstmeeting of this group took place inMay 2011. The guidelines will focus onthe areas of accreditation and regulation,faculty development, partnerships and financing.

New ICN Publicationson Regulation 2010-2011 l Global Issues and Trends in Nursing

Educationl Scope of Nursing Practice and

decision-making framework toolkitl News for Regulators March 2010,

October 2011l Nursing Education Network Bulletin

February 2011l Student Network Bulletin

November 2011l Nurse Practitioner/Advanced

Practice Network Bulletins: April2010, November 2010, April 2011,December 2011

l Rural and Remote Nursing NetworkNewsletter April 2011

l Regulators Forum Report May 2010l Credentialing and Regulators Forum

Reports November 2010 andNovember 2011

l Triad Meeting Report 2010.

Nurses are expected to be leaders andcoordinators on the health team andassume high degrees of clinical andmanagerial responsibility, communicationand decision making. This has givenimpetus to efforts to raise the level ofnursing education, especially as moreevidence is appearing to indicate thatthe presence of the well prepared registered nurse (RN) is associatedwith better patient outcomes.

Global Issues and Trends in NursingEducation (ICN 2010)

Fact


16

“Safeguarding and promoting nurses’ workplace issues”

ICN PILLAR 3: Socio-Economic Welfare

Fair and equitable compensation andother work benefits for nurses aremajor concerns of ICN. ICN serves asa resource to its member associationsin the campaign for equitable treatmentand regularly supports its membersby lobbing governments for neededchange. ICN collects essential data onthe contributions of nurses to healthcare and disseminates this informationto its members, along with newsabout trends in remuneration. In addition, we conduct regional andnational workshops where associationleaders compare trends, problems and solutions regarding workplaceand economic issues.

On an international level, ICN represents nurses and nursing withinthe International Labour Organisationto ensure that their universal definitionsand guidelines justly reflect the competencies and responsibilities ofnurses. Eternal vigilance and activismare necessary to safeguard and promote nurses' workplace interests.

Addressing WorkplaceIssuesPositive Practice EnvironmentsCampaignThe Positive Practice Environments(PPE) Campaign is a joint effort byICN, the International HospitalFederation, the InternationalPharmaceutical Federation, the WorldConfederation for Physical Therapy,the World Dental Federation, theWorld Medical Association and theGlobal Health Workforce Alliance(GHWA). It aims to improve the qualityof health services by raising awareness,identifying good practice and developing tools for managers andhealth professionals, and implementingnational and local projects to improvepractice environments. The campaignpromotes safe, cost-effective andhealthy workplaces, thereby strength-ening health systems and improvingpatient safety. In addition to globalefforts, the PPE campaign supportsthe design and implementation ofnational projects to improve practiceenvironments.

PPE activities 2010-2011As the PPE Campaign Secretariat and member of the Global SteeringCommittee, ICN met with partnerorganisations on a number of occasions in 2010 and 2011 to monitorand inform the strategic direction of the campaign.

Inaugural workshops were undertaken in the three GHWA-fundedcountries (Morocco, Uganda andZambia) in March and May 2010.Country case studies of the nationalpractice environment situation andhealth worker retention were published for the three countries.

Launched in April 2010, the PPEwebsite is a portal to human resourcesfor health tools, events and updatedinformation on campaign activities.

In January 2011, ICN delivered anall day workshop on PPE at theSecond Global Forum on HumanResources for Health in Bangkok,Thailand. The focus of the forum wason the achievement of the MillenniumDevelopment Goals and the urgencyof all stakeholders to work towardshuman resources for health andhealth system strengthening, torespond appropriately, efficiently andeffectively. The workshop provided an insight to the multi-stakeholderand multi-disciplinary campaign,created awareness of the importanceof PPE for staff well-being and qualityof care delivery and shared the experience of introducing the campaignin Zambia, Uganda and Morocco.

ICN was the key informant and focal

point for the Global Health WorkforceAlliance (GHWA) independent external evaluation of the PPECampaign which was conducted inNovember/December 2011.

Due to lack of funding the corepartners agreed to suspend the campaign under the current operatingframework, therefore the PPECampaign Secretariat closed at theend of May 2011. However each corepartner agreed to use the PPECampaign brand to advocate for individual projects without a centralCampaign Secretariat structure.

ICN continues to promote positivepractice environments and work topromote safe, cost-effective andhealthy workplaces worldwide tostrengthen health systems andimprove patient safety. In addition,ICN is committed to addressing factors and situations such as under-investment in the health sector, theshortage of health care professionalsand the deterioration of health careworking conditions worldwide. ThePPE Campaign has been a feature of all the socio-economic welfaremeeting agendas in 2010 and 2011.


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ICN Pillar 3: Socio-Economic Welfare

A study of nurses in the United States,Canada, England, Scotland andGermany showed that 41% of hospitalnurses were dissatisfied with their jobsand 22% planned to leave them in lessthan one year; findings confirmed therelationship between workplace stressand nurses' morale, job satisfaction,commitment to the organisation andintention to quit.

Fact

Workplace ViolenceICN was a member of the SteeringGroup for the Second InternationalConference on Violence in the HealthSector: From awareness to sustainableaction, which was held in Amsterdam,27-29 October 2010. Topics addressedincluded: violence against patients andstaff, staff to staff violence, violence in emergency departments, partner violence, impact, stigma, blame andstrategies to manage violence includingawareness promotion and education.

Workforce ForumsICN has a number of workforceforums including the ICN InternationalWorkforce Forum, Asia WorkforceForum and the Latin AmericanWorkforce Forum. The cooperationbetween Forum participants enablesissues specific to the region to be

identified, to share experiences tosolve problems and collectively driveand support the strategic direction.The Forum also assists to maintain therelevance of ICN programmes andsupport international work. Its purposeis to stimulate thinking, enhance learning and ultimately to developproactive strategies.

International Workforce ForumThe 16th International Workforce Forumwas held in Japan, 16-17 September2010. Subjects covered included: positive practice environments; workinghours; bullying; economic downturnand potential threats to nursing.

The 17th International WorkforceForum was held in Sweden, 19-21September 2011. Subjects coveredincluded: the impact of the economicdownturn; respectful workplace/dignityat work; the impact of demographicchanges; delegation; national andmanmade disasters; salaries; and positive practice environments.

Concerned that austerity measuressuch as funding cuts coupled with thedrive for efficiency savings is resultingin ill-advised cut backs in essentialhealth services impacting on the quality of patient care delivered, theForum developed a Communiqué thatrecommended:

l In budget planning populationhealth care needs and quality safecare must drive decision making.

l Countries develop and implementeffective health workforce planning,education, training and retention strategiesto sustain the nursing workforce.

l All health sector employers, be theyprivate or public, governmental ornon-governmental, address theirrespective and specific roles andresponsibilities to foster a positivepractice environment to achieve qualityworkplaces for quality care.

l Governments and employers toimplement the evidenced based findingsrelating to positive practice environmentsto support and develop the nursingworkforce capable of consistentlymeeting established standards of careand the expectations of the public.

Asia Workforce Forum The 11th Asia Workforce Forum washeld in Malaysia, 25-26 November 2010.Subjects covered included: nurse wages;the positive practice environment campaign; research; mutual recognitionagreements; the impact of the economicrecession; mandatory vaccination; nursing image; working hours and family/work balance.

The 12th Asia Workforce Forumwas held in Macau, 24-25 November2011. Subjects covered included: natural and manmade disasters;impact of economic downturn; theimpact of demographic changes;impact of professional nurses in society; working hours; and positivepractice environments.


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According to a study published by theNational Institute for OccupationalSafety and Health- NIOSH in 2002,nurses and other health care workersare almost three times more likely toexperience violence on the job thanany other workers. Many efforts have been made to reduce workplaceviolence. The American NursesAssociation and nurses organisationsin many other countries have raisedawareness and sought solutions bycreating taskforces, passing resolutionsand implementing recommendationsto address this issue.

ICN SEW News April 2011

Fact


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Latin American Workforce ForumThe first Latin American NurseWorkforce Forum was held in Ecuador,22-23 August 2011. Subjects coveredincluded: professional regulation; positive practice environments: impactof the economic downturn; workinghours; and salaries. Participants identified two major challenges: thelack of nursing involvement in policyforums tasked with the responsibilityof achieving health priorities, and thelack of coherent workforce plans linkedto educational and service developmentplans. Through a Communiqué, Forum participants recommendedthat their governments:l immediately introduce or enforceexisting laws that prosecute thosepersons who assault nurses undertakingtheir dutiesl involve nurses in the strategic planning processes at regional, nationaland sub-national levels l develop and finance a coherentcareer structure for nurses which isbased on competence; linked to differentiated and articulated educationprogrammes; and rewarded with atransparent and equitable pay andbenefits system. l accelerate work on developing andimplementing workforce plans maximising the contribution of licensednurses in order to increase access andimprove patient outcomes.

The Communiqués, country reports,meeting reports, nursing workforceprofile data and the wage surveys forall the Forums are available on theICN website at: www.icn.ch/pillarspro-grams/socio-economic-welfare/.

Strengthening theNursing WorkforceInternational Centre for HumanResources in Nursing The International Centre for HumanResources in Nursing (ICHRN) wasestablished in 2006 by ICN and itspremier foundation, the FlorenceNightingale International Foundation. The Centre is dedicated to strengthening the nursing workforceglobally through the development,ongoing monitoring and disseminationof comprehensive information, standards and tools on nursing humanresources policy, management,research and practice. ICHRN is aunique, online resource serving policy makers, planners, educators,associations, employers, regulators,researchers and practitioners in thefield of nursing human resources.

The ICHRN Knowledge Library, aweb based, interactive and fullysearchable database holding a comprehensive range of informationand documents covering all aspects ofnursing human resources, grew toover 800 publications in 2010-2011.

The ICHRN also commissioned andproduced original monographs on awide range of topics including nursingpensions, skill mix, turnover, planningand management competencies andthe impact of the global financial crisis.As well, three issues of the ICHRNnewsletter, a free, electronic newsletteravailable online at: www.icn.ch/news/ichrn-enews/, were produced in 2010-2011.

International Centre on NurseMigrationThe International Centre on NurseMigration (ICNM) is a joint partnershipbetween ICN andCGFNS International.It occupies a key role in establishingdynamic, effective global and nationalmigration policy and practice thatfacilitate safe patient care and positivepractice environments for nursemigrants. The mission of the Centre is to serve as a global resource for the development, promotion and dissemination of research, policy andinformation on nurse migration. TheStrategic Advisory Group, which metin June and November 2010, is madeup of experts from the World HealthOrganization, The World Bank,International Labour Organization,International Organisation forMigration, World Trade Organisation,National Nursing Organisations andothers with specific expertise inmigration and workforce issues

The Research Centre, a new facility to allow individuals to submithigh quality migration related materials(journal articles, research reports,conference papers, dissertations andthesis), has been established.(www.intlnursemigration.org).

Some 40% of presently employednurses in the industrialised countriesmay retire in the coming decade,while the highly demanding conditionsof work and, in several countries, relatively low pay, do not retain sufficient numbers of younger personsin the profession

ICHRN 2010 Decent pensions for nurses

Fact

ICN intervenes on issues of particular concern to nursing.

International Global Summit on NurseFaculty MigrationICN and the Honor Society of Nursing,Sigma Theta Tau International (STTI),with the support of The ElsevierFoundation, in July 2010 convened theInternational Summit on Nurse FacultyMigration in Geneva, Switzerland.International leaders and health careexperts from various disciplines metto examine the problem, and discussissues that lead to the migration ofnurse educators, the shortage, its consequences, and pragmatic solutions.ICN and STTI joint policy position isthat nurse faculty migration is of majorimportance and has not yet beenproperly addressed. Therefore, thesummit provided a unique opportunityto gather leaders with a body of international intelligence on facultymigration to identify current and futureissues to inform the body of knowledgeand contribute to developing the strategicdirection and action for the future.

New ICN Publicationson Socio-EconomicWelfare 2010-2011l Career Moves and Migration: Critical

Questionsl Essential Services During Labour

Conflict Guidelinel Law and the Workplacel Guidelines on Job Evaluationl It's Your Career: Take Charge Career

Planning and DevelopmentWorkbook and Trainer's Manual

l SEW Network Bulletin, April 2010,April 2011

l Positive Practice Health CareEnvironments in Morocco

l Positive Practice in Ugandal Positive Practice Environments in

Zambia: Quality Workplaces forQuality Care

l Fact sheet on Meeting the informationneeds of health professionals

l Decent Pensions for Nursesl Decent Pensions: The Issuesl Dynamic Issues: the Impact of the

Economic Recession on Nursing andNurses in Iceland

l Fact sheet on Skill Mixl Impact of Turnover and the Benefit

of Stability in the Nursing Workforcel The nursing community, macroeco-

nomic and public finance policies:towards a better understanding(revised edition WHO & ICN)

l Nursing Human Resources Planningand Management Competencies

l Nursing in Mauritius: Case Studyl ICHRN Newsletter, June 2011l ICHRN Environmental Scanl ICNM eBrief on Medical Tourism l ICNM eBrief on the Nurse Labour

Markets in English-Speaking CARICOM: Issues and Options for Reform

l ICNM Fact Sheet on the WHOGlobal Code of Practice on theInternational Recruitment of Health Personnel

l ICNM bi-annual newsletter.


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Unhealthy environments affect nurses'physical and psychological healththrough the stress of heavy workloads,long hours, low professional status,difficult relations in the workplace,problems carrying out professional roles,and a variety of workplace hazards.

Fact


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“Using evidence and partnership to optimum effect”

Advancing nurses and nursing worldwide

Influencing HealthPolicyWorld Health Assembly InterventionsICN enjoys formal relations with theWorld Health Organization and, as aresult we are permitted to attendmeetings of the World Health Assembly(WHA) and to speak on key issues.Each year ICN lobbies governments toinclude a nurse on their delegation tothe WHA as well as including membernational nursing association on itsown delegation. ICN intervenes onissues of particular concern to nursing.

The Sixty-third session of theWorld Health Assembly took place inGeneva during 17-21 May 2010. At thissession, ICN made interventions onseveral issues, including:l Prevention and control of non-communicable diseases l Progress report on strengtheningnursing & midwifery l International recruitment of healthpersonnell Draft Global Strategy to reduce theharmful use of alcohol

l Prevention and control of Multidrugresistant (MDR) Tuberculosis andextensively drug resistant (XDR)Tuberculosis.

The Sixty-fourth World HealthAssembly was held from in Genevafrom 16-May 2011. ICN intervened on the following topics:l Prevention and control of non-communicable diseasesl Health systems strengtheningl Health-related MillenniumDevelopment Goals (MDGs).

Climate Change and HealthICN signed the Durban Declaration on Climate and Health calling onnational delegations to the 17thConference of the Parties of theUnited Nations FrameworkConvention on Climate Change(UNFCCC) to:l Recognize the health benefits of climate mitigation and take boldand substantive action to reduceglobal greenhouse gas emissions in order to protect and promote public health.

l Ensure greater health sector representation on national delegationsas well as within key mechanisms ofthe UNFCCC, recognizing the role of the World Health Organization asthe voice for public health within theUN system.l Actively include the participationand empowerment of youth, womenand indigenous peoples in the climatechange processes.l Adopt a strong second commitmentperiod of the Kyoto Protocol whichcurrently includes emission reductiontargets for the time until 2012, to protect and continue the only bindingclimate law the world has;l By 2015, negotiate a fair, ambitiousand binding agreement that:- Places the protection of human healthas a primary objective of any agreement.- Establishes an ambitious fair sharesframework to reduce global emissionsin order to avoid a global publichealth disaster.- Fosters both energy efficiency and clean,renewable energy that protects public healthby reducing both local and global pollution.- Provides the immediate necessaryresources to operationalize the GreenFund, and in the longer term, appropriatemitigation and adaptation fundingrequired to address the health impactsof climate change, assuring all countries'rights to sustainable development andtheir ability to pursue a low carbondevelopment pathway.

Advancing nurses and nursing worldwide


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Climate change will be the definingissue for health systems in the 21stcentury. Health professionals have theknowledge, cultural authority andresponsibility to protect health fromclimate change.

WHO

Quote

International Nurses DayInternational Nurses Day is celebratedaround the world every May 12, theanniversary of Florence Nightingale'sbirth. ICN commemorates this important day each year with the production and distribution of theInternational Nurses' Day (IND) Kit.

In 2010, the IND theme was:Delivering Quality, Serving Communities:Nurses Leading Chronic Care. The INDtoolkit provided background informationabout the increasing need and demandfor chronic care, using type-2 diabetesas an example. It challenged nursesand others to understand the enormityof the problem and to recognise thatwith knowledge, courage, vision andcommitment nurses are well placed totake a lead role. ICN issued a call toaction for nurses everywhere to lead thefight against chronic disease; to act ashealthy role models for their families,their patients and their communities;and, through their national nursesassociations, to engage with ICN andits partners to advocate for necessarysocial, economic and political change.

In 2011, the IND theme was Closingthe Gap: Increasing Access and Equity.The toolkit aimed to strengthen nurses'understanding of access and equity

and the effect of inequality on health.It outlined the barriers that exist andhow we can increase access and equity.It also shone a light on the importanceof the social determinants of health,demonstrating how nurses can addressthese and in so doing improve accessand ensure equity in the care provided. Both IND Kits are available on the ICNwebsite at: www.icn.ch/publications/inter-national-nurses-day/

UN Agency for WomenSince 2007 ICN has joined the Call fora UN Agency specifically targetingwomen's issues. In 2010, just prior tothe meeting of the United NationsGeneral Assembly, ICN issued a Callfor Action recommending that thatindividuals, organisations, professionalassociations write to their head ofstate and key legislators and missionscalling for their energetic support for the quick passage of the recommendation to establish the new women's agency. ICN providedmodel letters, addresses of UNAmbassadors, a sample press releaseand frequently asked questions toensure that this key structure forwomen's empowerment was created.On 2 July 2010, the UN GeneralAssembly voted unanimously to createa new entity known as UN Women.

Increasing Nursing Presence in theWorld Health Organization

At the ICN Conference in Malta inMay 2011, ICN's governing bodypassed an emergency resolutionexpressing ICN's extreme concern at the lack of nursing policy presencewithin the World Health Organization(WHO). ICN President RosemaryBryant followed this with wrote anopen letter to WHO Director GeneralDr Margaret Chan calling for animmediate remedy to the appallinglack of nursing leadership positionsthroughout WHO structures, includingat headquarters and in the regionaloffices, beginning with reestablishmentof the post of WHO Chief NurseScientist. This concern was raisedagain at the 2011 World Health Assembly.


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“UN Women is a recognition of a simple truth: Equality for women andgirls is not only a basic human right, it is a social and economic imperative.Where women are educated andempowered, economies are more productive and strong”.

UN Secretary-General, Ban Ki-moon

Quote

Data from the WHO human resourcesannual report of December 2011reveals 0.7% of professional staff are nurses and 90.5% are medical specialists. Dieticians and nutritionists(at 2.6 %) and pharmacists (at 2.0%)have greater representation than nurses.

ICN Fact Sheet

Fact

Protecting the Rights of Nurses in Disastersand Conflict AreasSupporting Nurses and Nursing in Haiti FundIn January 2010 a 7.0 magnitudeearthquake struck the poorest countryin the Americas, Haiti, killing and injuring hundreds of thousands ofpeople and destroying homes, hospitals,schools and infrastructure. TheNational School of Nursing in Port-au-Prince was completely destroyed,killing 200 nursing students. ICNestablished the “Supporting Nursesand Nursing in Haiti Fund” in order tostrengthen nursing and education inHaiti. More than 230 thousand Swissfrancs was donated by nurses andnursing associations around the world.ICN worked with the AssociationNationale des Infirmières Licenciéesd'Haïti (ANILH) to identify priorityareas for the Fund. These included:l Immediate funds to assist nurseswith their personal needs, includingblankets, tents, soap, clothing andtemporary housing;

l Funds to support volunteer nurses in the fight against the choleraoutbreak.l A special nationwide meeting ofnurses in Haiti to assess the bestapproach to rebuilding the ANILH and nursing services in the country. l Rebuilding of the Haitian NNA'sphysical structure and support of itsprogrammes.l Supporting ANILH to hold an international congress in November2011. The Elsevier Foundation provideda US $15,000 grant to ICN to produce

and deliver five French Mobile Libraries(Bibliothèque Mobile), specially adaptedfor the post-disaster situation in Haiti.

ICN President Rosemary Bryantvisited Haiti at the end of 2010 to meetwith the ANILH and Haitian nurseleaders, to bring the moral support ofthe global nursing community, and to assist with pressing policy matters.

Advocating for fair trials in BahrainIn June 2011, following the arrests of 47 doctors and nurses for theiractions during pro-democracyprotests in Bahrain, ICN and the WorldMedical Association issued a jointstatement calling on the Bahrainiauthorities to ensure a fair trial.

In September 2011, 20 of thehealth workers were convicted by amilitary court. ICN wrote directly tothe Government of Bahrain demandingthat charges be dropped and sentencesreprieved. ICN CEO, David Benton,gave an exclusive interview to Press TVsaying, “It is completely unacceptablethat nurses and doctors should betreated in this way. They have a moraland ethical duty to treat everyone


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“As one of the most trusted professionsin the world, nurses are uniquely positioned to provide informationregarding disaster preparedness tothe community. Additionally, theirspecial knowledge, skills, and abilitiesmake them key providers of disasterrelief services, especially in relation to meeting the health needs of victimsand workers.”

Rosemary Bryant, ICN President

Quote

that comes into the hospital irrespectiveof their colour, irrespective of theirpolitical affiliation. Someone thatcomes in need needs to be treatedand that is their responsibility.”

We also called on our membernational nurses associations and individuals to write to the Kingdom ofBahrain. The following month, the sentences were overturned, and it wasannounced that the defendants wouldbe retried by a civilian court in 2012.

Supporting nurses following theGreat East Japan Earthquake On 11 March 2011, a 9.0 magnitudeearthquake struck Japan, causing atsunami and damage to the Fukushimanuclear power plant, as well as thedeaths of almost 16,000 people, loss ofhomes, property, etc. Immediately afterthe earthquake the Japanese NursingAssociation (JNA) set up a task forcefor the disaster response, established asupport system for nurses, and dispatched 3,674 disaster relief nursesto the affected areas. Volunteer nursesprovided nursing care, including mentaland physical support to those in theaffected areas. ICN and national nursingassociation from around the worldoffered their condolences and financialsupport, which, due to the scale of thedisaster, was appreciated and acceptedby JNA. Mid- to long-term support wasalso required for reintegration and tohelp people get back to their daily lives.JNA conducted a survey of membernurses in the affected areas on theirliving and working conditions. The resultscan be found on: www.nurse.or.jp/jna/eng-lish/pdf/interim.pdf

On 24 August 2011, ICN facilitatedthe study visit of the Japanese Red CrossHiroshima College of Nursing as part oftheir preparatory course for internationalrelief. The focus of the visit was theactivities of ICN with a particular focuson the disaster nursing competences,international and national collaborationand participation in relief efforts.

Leveraging Relations - Collaborating withOthersWorld Economic Forum (WEF)Global Health Advisory BoardICN is a member of the WEF GlobalHealth Advisory Board and participatedin the inaugural meeting of the Boardin New York and in the 2010 meeting inLondon. The GHAB is the governancefocal point for health initiatives at theWEF. ICN is also part of the WEFcommunity of project supporters ofnon-business stakeholders identifiedas key players in the global healtharena, with the aim of fosteringgreater collaboration on health issues.

Global Health Cluster ICN is a member of the Global HealthCluster which focuses on disasters invarious countries. ICN participates inteleconferences to provide technicaland nursing expertise. The GlobalHealth Cluster met in Geneva inOctober 2011.

International College of PersonCentred Medicine (ICPCM)For a number of years, ICN has beenan active participant in the work ofthe International Network of PersonCentred Medicine. The Network islargely composed of medical professionals and ICN's presence hasadded a nursing dimension to the presentations and discussions thataim to promote person-centred carein multi-discipline settings. In 2011 theNetwork changed to become theInternational College of PersonCentred Medicine and ICN was invitedto be a member of the Board, givingus a voice in adding a nursing elementinto its decisions and policies.

International Federation of Healthand Human Rights Organisations(IFFHRO)ICN has observer status in IFHHROand we collaborate with them on anumber of health and human rightsissues including human rights ofnurses and other health professionals.ICN was involved in discussions withIFHHRO on access to adequate paintreatment which was adopted in 2011as an IFHHRO position statement,addressing pain management as anethical duty of all health professionals.

International Healthcare Terminology Standards DevelopmentOrganisation (IHTSDO)In March 2010, ICN and IHTSDOannounced a collaborative agreementto advance terminology harmonizationand foster interoperability in healthinformation systems. ICN will be anactive participant in the work of theIHTSDO and will facilitate involvementof the nursing community through theIHTSDO Nursing Special InterestGroup and ICNP® programme activities.

World Health Professions AllianceICN is a founding member of theWHPA, which today brings togetherthe global organisations representingthe world's dentists, nurses, pharmacists,physical therapists and physicians.WHPA work to facilitate collaborationamong the health professions andmajor stakeholders such as governmentsand international organizations, includingthe World Health Organization. Byworking in collaboration, instead ofalong parallel tracks, patients andhealth care systems benefit. Together,the partners of the WHPA include morethan 600 national member organizations,making us the key point of globalaccess to health care professionalswithin the five disciplines. In 2010-2011,WHPA collaborated on a counterfeitmedicine campaign (see page 9), anon-communicable disease campaign (see page 11) and interventions at theWorld Health Assembly (see page 22).In addition, joint statements were issuesregarding the situation of the healthworkers in Bahrain (see page 24).


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RecognisingAchievementPartners in Development Award The ICN Partners in Development Awardrecognises foundations, corporationsor non-governmental organisationsthat have demonstrated outstandingengagement, leadership and investment in supporting capacitybuilding in nursing and health care.

The 2011 recipient of the ICNPartners in Development Award wasglobal medical technology companyBD (Becton, Dickinson and Company).BD's moral, financial and technicalsupport for nurses leading the ICNWellness Centres for Health CareWorkers programme since its initiationin 2006 has contributed significantlyto ensuring access to health and wellness services for health care workers and their families in sub-Saharan Africa. The award wasbestowed during the OpeningCeremony of the ICN InternationalConference in Valletta, Malta.

International Achievement Award The International Achievement Awardis given every two years to a mid-career practising nurse who is currentlyinfluencing nursing at the internationallevel in two of nursing's four domains:direct care, education, research andmanagement. The award accordsworldwide recognition of the recipient'sachievements and contribution tonursing internationally.

The 2011 recipient of the InternationalAchievement Awards was Dr LiisaHallila, a Finnish nurse-entrepreneurfor her outstanding contribution tonursing education and management inmany regions of the world. A pioneerin her field, Dr Hallila was among thefirst to create a career as a nurseentrepreneur by offering her skills forinternational health care managementand consulting projects. She hasfocused on developing basic health

care and educational structures internationally, and in promoting evidence-based nursing among vulnerable populations in developingcountries.

ICN-Lilly TB Award The ICN/Lilly Award for NursingExcellence in TB/MDR-TB is one aspectof ICN's work in TB and multi-drugresistant TB as a founding member ofthe Lilly MDR-TB Partnership. Duringthis partnership, since 2005 morethan 30'000 nurses and allied healthworkers have been trained in TBendemic countries. This annual award,supported by Eli Lilly and Company,recognizes nursing expertise and aimsto motivate nurses working with thoseaffected by TB and MDR-TB in countries

included in the TB project. It showcasesthe contribution made by nurses toTB prevention, care and treatment andoffers the recipients an educationalgrant to continue their professionaldevelopment along with a speciallydesigned medal. Recipients are selectedby their national nurses association for their outstanding achievement inTB prevention, care and treatment.

In 2010, the award was given to 12 nurses from 11 countries, and in2011, to 15 nurses from 11 countries.More information on the recipient and the awards can be found onwww.icn.ch/projects/icnlilly-award/

International Continuing NursingEducation CreditsContinuing professional developmentis necessary for nurses to keep up todate with the rapidly changed healthcare environment and often for maintaining the nurse's professionallicense to practice nursing. ICN hasinstituted a system of credits for participation in ICN approved continuingeducation activities, which are deemedsuitable for furthering learning andenhancing professional competencies.One ICNEC is equivalent toapproximately 60 minutes of an ICNapproved, organised learning experience.Because the ICNEC system isdesigned to assure the quality of theevent, provide evidence of attendanceand the successful achievement oflearning objectives, ICNECs constituteevidence of continuing professionaldevelopment. In 2010, ICN providedICNECs for 16 regional, national orinternational events. In 2011, ICNECswere provided for 12 events.


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“From the nurses in Lesotho providingTB training to chiefs in the local community, to the Russian nurse whohas developed a standard to avoidlaboratory errors in TB diagnostics,and the nurse in the Philippines whotrains nurses in the management ofdrug-resistant TB throughout theWestern Pacific and South East Asianregion - these nurses are leading their countries in TB prevention, careand treatment,”

David Benton, ICN Chief ExecutiveOfficer.

Quote

“ICN is proud to count BD as a generous,reliable, respectful collaborator andpartner in supporting nursing and ICNin efforts for nurses and other healthworkers in sub-Saharan Africa.”


Quote


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“Increasing access and meeting the needs of the most vulnerable”

Addressing the MillenniumDevelopment Goals

Achieving UniversalPrimary Education,Promoting GenderEquality andEmpowering WomenThe Girl Child Education Fund The Girl Child Education Fund (GCEF)is a signature project of the ICN andthe Florence Nightingale InternationalFoundation. It supports the primaryand secondary schooling of girlsunder the age of 18 in developingcountries whose nurse parent or parents have died, paying for fees,uniforms, shoes and books. We work in partnership with membernational nurses associations to ensurethat the money goes directly to education costs.

In 2010-2011 the Girl Child EducationFund (GCEF) programme supported250 girls in the four implementingcountries - 55 in Kenya, 48 in Swaziland,105 in Uganda and 42 in Zambia; andenabled 27 to graduate from highschool in 2010 and another 33 in 2011.The Stephen Lewis Foundation andSymphasis Foundation, as well asmany individual donors, nursing association and nursing schools, generously supported the GCEF overthis period.

GCEF Coordinators Workshopswere held 6-8 September 2010 inSwitzerland and 21-23 September 2011in Zambia to help develop the leadership, management and technologyskills of the in-country GCEFCoordinators and enable them tostrengthen build their capacity tomake this programme the best it canbe for the girl scholars. A programmeevaluation was held during 2010-2011which included a stakeholder analysis,and an audit of finances. NurseVolunteer Workshops were held inSwaziland in January 2011, in Kenya inMarch 2011 and in Uganda and Zambiain August 2011.

Florence Nightingale Teddy Bear In 2011, the Florence Nightingaleteddy bear was launched in support

of the Girl Child Education Fund.Created by The Great British TeddyBear Company, Ltd, the 34cm tallteddy bear wears a miniature of theblue and white dress once worn by'Nightingale nurses', and carries areplica of Florence Nightingale'sfamous lamp and a khaki canvas bagof bandages. In 2011, proceeds fromthe sale of the Florence Nightingalebear raised almost £6,000 for theGCEF. Florence can be purchased onwww.gcefbear.com.

Reducing ChildMortality, ImprovingMaternal Health andCombatting HIV/AIDS,Malaria and OtherDiseasesThe Wellness Centres for Health Care Workers The ICN Wellness Centre for HealthCare Workers programme aims tostrengthen health systems through theprovision of quality comprehensivehealth services for all cadres of healthcare workers and their immediatefamilies. The Wellness Centres areresponsive to needs, managed bynurses and supported by inter-sectoralpartnerships in the following countries:Lesotho, Malawi, Swaziland, Uganda,Zambia and work to achieve astrengthened health workforce, betterable to meet the population needs.

In November 2011 partners andrepresentatives from each WellnessCentre gathered in Pretoria, SouthAfrica to share experience and enhanceskills. Participants at the conferencedeveloped strategies to sustain andstrengthen their organisations. Hosted by the Democratic NursesOrganization of South Africa(DENOSA), the conference was organized by ICN and the nationalnurses associations (NNAs) ofDenmark, Ethiopia, Ireland, Lesotho,Malawi, Norway, Swaziland, Sweden,Uganda and Zambia.

Addressing the Millennium Development Goals


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“Nurses are the prime deliverers ofprimary health care in many nationsand they are therefore key to achievingthe Millennium Development Goals.Nurses also have an important role toplay in health services as they formthe largest of the health professionsand in some countries are the soleprofessional health care providers forsections of the population. Nurse leadersmust be involved in the developmentof any programmes introduced toimprove health services as it is theywho have the practical knowledge ofhow health service delivery can bedesigned, coordinated and effectivelyimplemented.”


Quote

This programme is my mother and myfather. It means everything to me. Joy, aged 9

The Girl Child Education Fund hasbeen a miracle in my life.Vumile, aged 16

The future is promising because theGCEF came into existence and mydreams will be accomplished.Cynthia, aged 8

Quote

Swaziland The Swaziland WellnessCentre was launched in 2006 andsupported by the Danish NursesOrganization, the Stephen LewisFoundation, the Ministry of Health andBD Corporation. The Centre hasreached more than 7,000 health workersof all cadres and their family members,either through services delivered atthe Centre or via mobile outreachusing the Centre's Mobile Clinic. The garden produces fresh vegetableswhich are shared with clients comingto the Centre or with those receivinghome-based care. The Centre is also a distribution point for the WorldFood Programme and thus can offerclients cooking oil, maize and grain.They have completed a first-ever blanket Hepatitis B vaccination for allhealth care workers. Using a rotatingstaff schedule, the Centre providesservices on Saturday as well, so thatclients who work full time during theweek are able to access services onthe weekend.

Most recently, a new wing wasadded on to the Wellness Centrespecifically to cater to the needs ofhealth workers with TB and to supportthe integration of HIV and TB services.Funds for this were provided by theICN/Lilly MDR-TB Project and theCentre will become the focal point forthe Project's training activity. Anotherinnovation is the development of electronic patient records and datasystems, in partnership with ICAP.

In February 2011, the Governmentof Swaziland recognized the ICNWellness Centre for Health CareWorkers as a partner in the healthsector by signing a Memorandum ofUnderstanding that commits the government to provide resources andsupport for the Centre.

Lesotho Opened in 2008, the LesothoWellness Centre is supported by the Swedish Association of HealthProfessionals, the Stephen LewisFoundation, BD Corporation and theLesotho Ministry of Health. The MoHregularly and reliably supplies HIV andTB treatments and other medications.Two physicians from the ElizabethGlaser Paediatric AIDS Foundationwork at the Centre on a weekly basis.The foundation also supplies HIVmedicines in paediatric formulations.

The Lesotho Centre has a successfulsupport group programme for clientson HAART. Staff members maintainflexible hours so that clients can visitthe Centre during lunch hours andafter regular work hours. The Centreuses the mobile clinic for outreach tothe rural areas, where 70% of Lesothocitizens live and many health workersare assigned.

The Lesotho Wellness Centre hasalso enjoyed very useful donations ofbasic equipment from SHARED, a smallfoundation dedicated to improvingglobal health for the world's poorestby increasing the availability of the

essentials of good health – medicines,medical supplies, medical equipmentand community gardens.

Uganda Established in 2011 by ICN, BD Corporation and PEPFAR (thePresident's Emergency Fund for AIDS),the Uganda Wellness Centre is managed by the Uganda NationalAssociation of Nurses and Midwives.Staff oversee and manage the Centreand carry out mobile outreach to bothmarket the Wellness Centre services andinitiate workplace-based programmes.Support from the Ugandan Ministry ofHealth includes medicines, diagnosticsand staffing support.

Malawi The Malawi Wellness Centre issupported by the Norwegian NursesOrganization, BD Corporation and theRose Project. A part-time Coordinator,funded by a local AIDS organisation,offers counselling as well as at somesatellite clinics moving from place toplace thanks to a used but serviceable4-wheel drive vehicle which wasdonated by MSF.

Zambia With support from theNorwegian Nurses Organization, BDand PEPFAR the Zambian WellnessCentre has been operational since 2010.

Ethiopia A new Wellness Centre isbeing established in Addis Ababa,Ethiopia by the Ethiopian NursesAssociation (ENA) with support fromBD, PEPFAR and the Irish Nurses andMidwives Organisation (INMO). TheINMO will sit on the Wellness CentrePolicy and Advisory Board, working inan advisory capacity with the ENA fororganisational strengthening and thedevelopment of the facility. The sitefor the Centre has been donated bythe Ethiopian Ministry of Health.


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“I no longer shed tears. I feel that Ican carry on. You accompany apatient through all the stages fromdiagnosis to death and when they die,you feel like you have died. Then thenext day it starts all over again withnew patients. We all need a place toshare our experience. To think that Icould have been a motor car mechanictoday, but the Wellness Centre haskept me in Swaziland and in my job”.

Masitsela Mhlanga, Past PresidentSwaziland Nurses Association

Quote

Tackling TB & MDR TB In spite of tuberculosis (TB) being acurable disease it continues to killaround 1.7 million people every year.Multidrug resistant TB (MDR-TB), whichaffects about 450,000 people eachyear, is also curable but more difficultto treat. It represents a growing threatto global public health and it is essentialthat we do all we can to address thisthrough good quality prevention careand treatment programmes for allforms of TB. Nurses, so often at theforefront of these programmes, needto be properly supported, skilled andequipped to respond to the on-goingthreat to life and health which isposed by this disease.

The TB/ MDR-TB Project has beenbuilding global nursing capacity in the prevention, care and treatment ofTB as part of the Lilly MDR-TBPartnership since 2005. The projectuses a transformational trainingmethodology, designed specifically toencourage practice development. This means that experienced nurses,working mainly in the TB and HIVfield, are trained to assess practice intheir local working environment andcascade relevant information to nursing colleagues and other healthworkers with the purpose of makingimprovements to patient care delivery.

The ICN training methodology promotes peer education and utilizesa problem-solving, practical approachthat takes into account nurses' working environments. More than1,300 nurses in countries with a high burden of TB and MDR-TB haveparticipated in ICN training for trainers(TOT) courses. These nurses have, in turn, been involved in training

59,000 additional nurses and alliedhealth workers. The countries includeChina, Colombia, Ethiopia, India,Indonesia, Kenya, Lesotho, Malawi,Mozambique, Philippines, Russia,South Africa, Swaziland, Uganda and Zambia.

Feedback from training reviews,NNA reports and a multi-level evaluation,which took place in Kenya in August2010, demonstrate that in addition to the numbers of people beingtrained exceeding expectation, there is real change happening in practice - in attitude, approach, safer workingenvironments and management ofpatient care.

In 2011, the training was implemented for the first time inSpanish in Colombia.

TB e-course In 2010, ICN launched aninteractive e-learning course offeringinstruction on the care, preventionand management of tuberculosis (TB)and drug-resistant TB. The course,produced in collaboration with CityUniversity London and supported by an unrestricted educational grantfrom Eli Lilly, can be accessed atwww.icn.ch/projects/tb-online-learn-ing-resources/. The online course usesa practical, best practice approach toencourage nurses and other frontlinehealth care professionals to improvepatient care. An invaluable resource

and applicable for all settings, thecourse recognizes the challenges ofproviding good quality care with highworkloads and scarce resources. Inaddition to building capacity, the e-learning course provides worldwideaccess to nurses and other health careprofessionals.

ICN TB Publications 2010-2011 RiskReduction and Inter-ProfessionalCollaboration for TB Infection Control. Now available in English,Spanish, French, Portuguese, Chineseand Russian.


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Given the critical shortage of healthcare providers and generally poorhealth care systems in low-incomecountries with a high TB burden,enhancing and fostering proper inter-professional collaboration isregarded as imperative. Recognitionof its pivotal role in the fight againstTB remains relatively low, yet it is onlythrough an integrated holisticapproach involving all providers thatwe can have a real impact on theexpanding TB crisis.

Fact


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Delivering Nursing Knowledge:ICN/MSD Mobile LibrariesThe ICN/MSD Nursing Mobile Libraryis an innovative resource bringing up-to-date health information to nursesworking in remote areas of developingcountries. The Library containsapproximately 90 nursing and healthpublications including books, manualsand fact sheets.

The books are housed in a durabletrunk, which protects the materialfrom dust, water, insects and hardknocks. This means that the librarycan be easily transported to remoteareas even over difficult terrain.

The ICN/MSD Nursing MobileLibrary gives nurses in developingcountries and remote areas access tohealth information. A team of industryand nursing partners work together tomake this initiative possible: Merck &Co., Inc. provided start-up funding and continues with on-going support;Elsevier Publishing handles the packing and shipping of the libraries;ICN and its member national nursesassociations on the ground manageand implement the project. To date,more than 300 mobile libraries havebeen made available to nurses working in 16 African countries.

The following organizations andgroups have also contributed anddonated to the project during 2010-2011: Korea Nurses Association;LIMS; Rwamagana School of Nursingand Midwifery in Rwanda; Institut für Pflegewissenschaft MedizinischeFakultät, Basel, Switzerland.

In 2011, a French-language versionof the ICN Mobile Library-theBibliothèque Mobile-was launched byICN and Elsevier Masson, a leadingpublisher of scientific reference textbooks, French-language libraries

have now been delivered to BurkinaFaso, Congo, Haiti, Senegal and Togo.

The following organizations contributed funds for BibliothèquesMobiles in Africa and Haiti: theFédération Nationale des Infirmièresde Belgique (FNIB), Belgium; LaFamille de l'Infirmière, Belgium; theFondation suisse pour les sciencesinfirmières; the Association Suisse desInfirmières/Infirmiers (ASI); two Swissuniversity hospital groups, the CentreHospitalier Universitaire Vaudois(CHUV) and Les Hôpitaux Universitairesde Genève (HUG); SIDIIEF in collaboration with the Ordre des infirmières et infirmiers du Québecand the Institut et Haute Ecole de lasanté La Source; the Ordre Nationaldes Infirmières de Paris, France; theNurses Association of New Brunswick,Canada; and Sigma Theta Tau; ICRCand we also received an individualdonation from Switzerland.

The Mobile Library is also availablein Portuguese, sponsored by theOrdem dos Enfermeiros in Portugal.In 2011, a Portuguese library was sent

to East Timor, sponsored by the Royal College of Nursing Australia.

In addition, the ElsevierFoundation provided a US $15,000grant to ICN to produce and delivereight mobile libraries with contentsadapted for post-disaster situations to nurses in Haiti following the devastating earthquake that hit thatcountry in 2010.

“We shall indeed be empowered with knowledge and skills becausethese topics I have seen in thesebooks can really help us to give what is needed to the patients that we attend to.”

“They make it easy for me to cope with emergencies and alleviatesuffering.”

Mashonaland, Zimbabwe

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“Speaking with one voice for increased impact”

Bringing nursing togetherworldwide

Increasing NursingKnowledgeICN Conference, Malta 2011: Driving Access, Quality and Health

ICN held its International Conferencein Valletta, Malta, 4-8 May 2011. The Conference brought togetherover 2,000 participants from 127countries to discuss and celebrate key issues facing the internationalnursing community.

The richly packed scientific programme offered three plenaryspeakers, 25 main sessions, 11 networkmeetings and a student assembly. In parallel, participants chose from208 concurrent sessions, 38 symposiaand 454 posters selected from a total of 2,063 submitted abstracts.

Highlights of the conferenceincluded addresses by: Dr DianaMason, Professor and Director of theCenter for Health, Media and Policy at Hunter College, New York on the

conference theme, Nurses DrivingAccess, Quality and Health, the firstLady of the Republic of Rwanda, Mrs Jeanette Kagame, on the Role ofWomen and Education of Girls, andAlice Darkoa Asare Allotey of Ghanaon Social Movements Health SystemTransformation.

The conference also included morethan 70 expert speakers on pressinghealth issues including disaster nursing, climate change, primaryhealth care and the MDGs, healthfinancing, mental health, patient safety,HIV/AIDS, health human resourcemanagement and an animated debateon mandatory vaccination of healthprofessionals.

International Nursing ReviewThe International Nursing Review isICN's official journal. A key resourcefor nurses world-wide, INR is a quarterly,peer-reviewed journal that focuses onoriginal articles that help to forwardICN's mission worldwide by representingnursing, advancing the profession andshaping health policy. INR encouragesnurses to describe their work and todocument their experience andresearch, and to submit articles thatreflect ICN's values.

Bringing nursing together worldwide


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“In order to continue to improveaccess, we must work together, promote each other, and speak with aunited voice. We must work towardsincreasing access - access to healthservices, to information and advice, toeducation and resources for nurses,and access to the international policyarena. We must use our collectiveknowledge, skilIs and drive to providethe best possible care, for the peoplewe serve.”


Quote

Facilitating networkingand communication New ICN websiteOn International Nurses Day, 12 May2010, ICN launched a new andimproved website, offering the globalnursing profession a modernized anduser-friendly gateway to nursingknowledge, networks, news andevents worldwide.

The structure of the new websitehas a technical platform permittingfull in-house administration of thewebsite, dynamic content management,new functionality and a special password protected 'Members Only'area with services and privilegedinformation for ICN Member NNAs.

The home page contains links tothe ICN's sister websites: the FlorenceNightingale International Foundation(FNIF), the World Health ProfessionsAlliance (WHPA), the InternationalCentre for Human Resources in

Nursing (ICHRN) and the InternationalCentre on Nurse Migration (ICNM).The website also provides access tothe International Nursing Review.

ICN Nursing NetworksLiving in an increasingly complex andfast changing world, Networks provideimmediate ways to communicate andpursue common professional interests.Networks are about: getting to knowpeople outside your immediate circleof contacts; establishing and usingcontacts for information, support andother assistance; building relationships;and communicating. Networks can go beyond organisational, professional,disciplinary and national boundaries.They may: identify issues early andmonitor how they develop; followtrends; offer special expertise throughcreating a resource pool from networkmembers; and disseminate ICN's and others' work in the area of interest; and organise meetings andconferences.

ICN HIV/AIDS Network The ICNHIV/AIDS Network was launched in May 2005 and interest in the Networkcontinues to grow. The HIV/AIDSNetwork Bulletin is produced twiceyearly and ICN also sends Networkmembers information related toHIV/AIDS research, education andvacancies in international organisations.

Research Network The ICN ResearchNetwork provides a vehicle for continualexchange of knowledge and experience,and serves as a forum for exchange of ideas, experience and expertise andas a vital resource bank for globalnursing and health research. TheNetwork is growing fairly rapidly andcurrently represents diverse researchinterests and expertise.

Nursing Education NetworkEstablished in 2009, the ICN NursingEducation Network provides a forumto address nursing education issuesworldwide. This is a fast growing network and by the end of 2011, it had865 members from 73 countries. Anonline forum was launched in October2010. The first Network bulletin wasdisseminated in February 2011 and anetwork meeting was convened inMalta in May 2011.

Student Nurse Network The StudentNurse Network, launched in 2007,aims to create an international networkof individual nursing students and isbased upon the values of inclusiveness,diversity, equity, accountability andcollegial communication which serveto collaboratively advance the international nursing agenda in theinterest of the public. In 2010-2011 the Network had 1410 members from94 countries. An online forum waslaunched in October 2010. A networkbulletin was disseminated in November2011 and a network meeting was convened in Malta in May 2011.

Rural and Remote Nurses NetworkThe ICN Rural and Remote NursingNetwork aims to connect, educate,support and collaborate with nursesfrom across the globe who have an


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A South African study published in theLancet on 16 June 2010, suggests thatnurses are able to manage patients on antiretroviral (ARV) therapy aseffectively as doctors, supporting thecase for "task-shifting" in HIV treatment.

ICN HIV/AIDS Bulletin

Fact

A study conducted at three US institutions has revealed that apatient's mortality risk rises as theirexposure to understaffed nursingshifts increases. The research - carriedout at the University of California LosAngeles' School of Public Health, theMayo Clinic and Vanderbilt University- also found that mortality risk

increased when nurses' workloadsincreased due to high patient turnover.

ICN Research Bulletin

Fact

interest in rural and remote nursing,with the goal of improving the timeliness, quality and access of abroad range of health care servicesand nursing practice for individuals,their families, communities andcountries. The Network enables thesharing of nursing knowledge andexpertise and stimulates reflection onthe changing nature of nursing caredelivery systems across the globespecifically for people living in ruraland remote areas. The Network alsoserves as a resource for rural andremote nurses in the areas oftechnology development, policy,standards, education and research.In 2010-2011 there were 319 membersfrom 54 countries. The first networkbulletin was disseminated and an online forum was launched inOctober 2010. A network meetingwas convened in Malta in May 2011.

Leadership for Change Network Anyparticipant who graduates a LFC programme has the opportunity tojoin the LFC Network which waslaunched in 2003. Essentially this hasbeen an information sharing networkbut there are plans to create a LFCNetwork Forum and give members theopportunity to exchange experiencesand take part in discussion. Face toface meetings of the LFC Networktake place every two years at the ICNCongress and Conference.

Telenursing Network The ICNTelenursing Network aims to seek,educate, support and collaborate withnurses and nurse supporters fromacross the globe who have an interestin telenursing and promote nursinginvolvement in the development anduse of telehealth technologies, withthe goal of improving the timeliness,quality and access of a broad range of health care services for individuals,their families, communities and countries. In 2010-2011 the Networkhad over 140 members representing47 countries. The ICN TelenursingBulletin was published biannually. A Telenursing main session andTelenursing Network meeting were convened in 2011 at the ICNConference in Malta.

Nurse Practitioner/Advanced PracticeNetwork This very active networkwas established in 2000 to act as anevolving and continually updatedforum that identifies issues early andmonitor how they develop; followtrends; offer special expertise throughcreating a resource pool from networkmembers; disseminate ICN's and others' work in the field; and organisemeetings and conferences. In 2010-2011 there were 1852 members from77 countries. Two Network Bulletinswere published in 2010 and two in2011. In September 2010, the networkput on a very successful conferencein Brisbane, Australia. An onlineforum was launched in December2010 and a network meeting wasconvened in Malta in May 2011.

Regulation Network Established in1997, the ICN Regulation Networkaims to identify trends in regulation,offer special regulatory expertise,disseminate ICN's and others' work in regulation, and organisemeetings at our regular congressesand conferences. In 2010-2011 theNetwork had 227 members from 60countries. Two Network Bulletins werepublished in 2010-2011, an onlineforum was launched in December2010 and a network meeting wasconvened in Malta in 2011.

Disaster Response NetworkTheDisaster Response Network providesuseful information and resources forthose interested in joining disasterrelief efforts or improving relevantskills. It helps to highlight the significantcontributions of individual nurses andother persons of various disciplinesinvolved in disaster relief.

Nurse Politicians Network The ICNNurse Politician Network (NPN) isdesigned to serve as a forum forelected and appointed nurse politiciansto communicate. NPN is the international link for nurse politiciansto exchange information and learnfrom each other. It can assist in thementoring of new and/or aspiringnurse politicians. The network alsorepresents for ICN an access to skilledlobbyists and policymakers who canoffer advice and help identify key current and future issues.

ICN AffiliatesIn 2010-2011 nine nursing organisationshad ICN affiliate status.

l European Federation of NursingAssociations (EFN)

l Council on International NeonatalNurses (CINN)

l International Federation of NursesAnaesthetists (IFNA)

l International Federation ofPerioperative Nurses (IFPN)

l International Society of Nurses inCancer Care (ISNCC)

l International Skin Care NursingGroup (ISNG),

l NANDA-Il Sigma Theta Thau International

(STTI)l World Federation of Critical Care

Nurses (WFCCN).


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Honouring FlorenceNightingale's LegacyThe Florence NightingaleInternational Foundation The Florence Nightingale InternationalFoundation, established in 1934 as aliving memorial to Florence Nightingale,is the premier foundation of the International Council of Nurses, supporting and complementing thework and objectives of ICN.

The signature project of FNIF isthe Girl Child Education Fund (GCEF)which supports the primary and secondary schooling of girls under theage of 18 in developing countrieswhose nurse parent or parents havedied. More about the GCEF can befound on page 28.

FNIF assumes sole sponsorship ofthe International Achievement Award.More about the Award and the 2011recipient can be found on page 26.

Florence NightingaleCommemorative CoinOn International Nurses Day, May 122010, Archbishop Desmond Tutu led aspecial service at Westminster Abbeyto commemorate the 100th anniversaryof Florence Nightingale's death.During the service, the Royal Mint presented Archbishop Tutu with a goldcommemorative Florence Nightingale£2 coin, which was launched in conjunction with the FNIF/ICN 2009publication of the modern edition ofNightingale's classic Notes on Nursing:A Guide for Today's Caregivers.

A silver commemorative £2 coinwas also presented by the InternationalCommittee of the Red Cross (ICRC) to three Haitian nurses along with the Florence Nightingale Medal fortheir unwavering commitment to helping the sick and wounded.Michaëlle Collin, Germaine Pierre-Louis,and Jude Célorge were presentedwith the Florence Nightingale Medal,which honours exceptional courageand devotion in caring for victims ofcrisis situations.

Florence Nightingale RoseTo commemorate the centenary of the death of Florence Nightingale andof Henri Dunant, founder of theInternational Red Cross and RedCrescent Society, a special planting ofthe Florence Nightingale AnniversaryRose was held at the International RedCross and Red Crescent Museum inGeneva on 12 May 2010.

FNIF LuncheonThe 8th Biennial FNIF Luncheon washeld on 6 May 2011 during the ICNConference in Valletta, Malta.Highlights of the Luncheon, whichraises funds for FNIF projects, includeda presentation by the recipient of the2011 International achievement Award,Dr Liisa Hallila (see page 26) and amotivating speech by Paula DeCola,External Medical Affairs, Pfizer, whosponsored the event.


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“When we open the door to girls' education, we begin to close the dooron the feminization of HIV/AIDS and onmaternal and infant mortality. Whenwe open the door to girls' education,we begin to close the door on harmfulgender norms, and to violence andabuse of females. And when we openthe door to girls' education, we leavethat door open for generations of girlswho are behind her and any and all ofher children”.

Paula de Cola, Pfizer FNIF Luncheon 2011

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Representing NursesGloballyNew ICN MembersIn 2010-2011, ICN was delighted towelcome three new members to the ICN family:l National Association of Nurses

and Midwives of Montenegro l Rwanda Nurses and Midwives

Association l Indian Nursing Council.


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Anniversary of ICN Membership

Egyptian Nurses Syndicate 50 years 2011

Ghana Registered Nurses Association 50 years 2011

Guyana Nurses Association 50 years 2011

Jordan Nurses and Midwives Council 50 years 2011

National Nurses Association of Kenya 50 years 2011

Colegio Nacional de Enfermeras, A.C. Mexico 50 years 2011

Myanmar Nurses and Midwives Association 50 years 2011

Polskie Towarzystwo Pielegniarskie 50 years 2011

Singapore Nurses' Association 50 years 2011

Taiwan Nurses Association 50 years 2011

Nurses Association of Thailand 50 years 2011

Federación de Colegios de Profesionales de Enfermería de la Rep. Bolivariana de Venezuela 50 years 2011

Sociedad Cubana de Enfermería , Cuba 30 years 2011

Hungarian Nursing Association 30 years 2010

Lesotho Nurses Association 30 years 2011

National Organisation of Nurses and Midwives of Malawi 30 years 2011

Nurses Association of the Republic of Seychelles 30 years 2010

Tonga Nurses Association 30 years 2011

Aruba Nurses Association (ODEA) 20 years 2011

British Virgin Islands Nurses Association 20 years 2011

Asociación Dominicana de Enfermeras Graduadas 20 years 2011

Association nationale des infirmiers/ères du Togo 20 years 2010

Nurses Association of Belize 10 years 2011

Malta Union of Midwives & Nurses 10 years 2011

Mongolian Nurses Association 10 years 2011

NNA Anniversaries 2010-2011ICN would like to congratulate all our member NNAs who celebrated a significant anniversary of ICN membership in 2010and 2011.

AndorraAngolaArgentinaArubaAustraliaAustriaBahamasBahrainBangladeshBarbadosBelgiumBelizeBermudaBoliviaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoCanadaChileColombiaCongo Democratic RepublicCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDominican RepublicEast TimorEcuadorEgyptEl SalvadorEritreaEstoniaEthiopiaFijiFinlandFranceFYR MacedoniaGambiaGeorgiaGermanyGhana

GreeceGrenadaGuatemalaGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIrelandIslamic Republic of IranIsraelItalyJamaicaJapanJordanKenyaKoreaKuwaitLatviaLebanonLesothoLiberiaLithuaniaLuxembourgMacaoMalawiMalaysiaMaltaMauritiusMexicoMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNepalNetherlandsNew ZealandNicaraguaNigeriaNorwayPakistan

PanamaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSt. LuciaSt. Vincent & the GrenadinesSamoaSao Tome & PrincipeSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSouth AfricaSpainSri LankaSurinameSwazilandSwedenSwitzerlandTaiwanTanzaniaThailandTogoTongaTrinidad & TobagoTurkeyUgandaUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayVenezuelaZambiaZimbabwe

ICN National Nurses Associations 2010-2011


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International Council of Nurses 3, place Jean Marteau, 1201 Geneva, SwitzerlandTel +41 22 908 0100, email [email protected]

www.icn.ch

Nurses in the frontline to ensure access and equity in health care

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