A model operationalizing sustainability in global nursing

Edwards, R. A.; Markaki, Adelais; Shirey, Maria R.; Patrician, Patricia A.

doi:10.1016/j.outlook.2020.01.006

Cited by 8 publications

(11 citation statements)

References 53 publications

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“…Although counter-intuitive, it is important to consider avenues in which nurse migration may benefit palliative care integration in Jamaica. Several identified themes align with the Model of Sustainability in Global Nursing [ 41 ]. According to the model, fostering collaborative, cross-cultural partnerships that focus on advancing education, leadership, policy advocacy, and interprofessional collaborations, incentivizes nurses to expand their knowledge and skills, which leads to empowerment and sustained outcomes, such as reduced out-migration.…”

Section: Discussionmentioning

confidence: 93%

“…We utilized Grant and Booth’s methodologic framework for critical reviews to evaluate the literature following a narrative, chronological synthesis with the goal of developing working hypotheses [ 44 ]. This methodology involves: (a) appraisal focused on the article’s overall contribution to knowledge; (b) synthesis using a conceptual narrative to identify themes across articles; and (c) analysis of these themes in relation to the WHO PHM [ 39 , 40 ] and the Sustainability in Global Nursing Model [ 41 ].…”

Section: Methodsmentioning

confidence: 99%

“…These components are necessary to ensure that palliative care is embedded in existing health systems and that specialist services are available for the most complex patients. The Sustainability in Global Nursing Model supports that empowering nurses leads to sustainably strengthening the nursing workforce [ 41 ].…”

Section: Introductionmentioning

confidence: 99%

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Palliative care integration: a critical review of nurse migration effect in Jamaica

et al. 2021

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Background Provision of palliative care to individuals with late-stage serious illnesses is critical to reduce suffering. Palliative care is slowly gaining momentum in Jamaica but requires a highly skilled workforce, including nurses. Out-migration of nurses to wealthier countries negatively impacts the delivery of health care services and may impede palliative care capacity-building. This critical review aimed to explore the evidence pertaining to the nurse migration effect on the integration of palliative care services in Jamaica and to formulate hypotheses about potential mitigating strategies. Methods A comprehensive search in the PubMed, CINAHL, and ProQuest PAIS databases aimed to identify articles pertinent to nurse migration in the Caribbean context. Grant and Booth’s methodologic framework for critical reviews was used to evaluate the literature. This methodology uses a narrative, chronologic synthesis and was guided by the World Health Organization (WHO) Public Health Model and the Model of Sustainability in Global Nursing. Results Data from 14 articles were extracted and mapped. Poorer patient outcomes were in part attributed to the out-migration of the most skilled nurses. ‘Push-factors’ such as aggressive recruitment by wealthier countries, lack of continuing educational opportunities, disparate wages, and a lack of professional autonomy and respect were clear contributors. Gender inequalities negatively impacted females and children left behind. Poor working conditions were not necessarily a primary reason for nurse migration. Four main themes were identified across articles: (a) globalization creating opportunities for migration, (b) recruitment of skilled professionals from CARICOM by high income countries, (c) imbalance and inequities resulting from migration, and (d) mitigation strategies. Thirteen articles suggested education, partnerships, policy, and incentives as mitigation strategies. Those strategies directly align with the WHO Public Health Model drivers to palliative care integration. Conclusion Emerged evidence supports that nurse migration is an ongoing phenomenon that strains health systems in Caribbean Community and Common Market (CARICOM) countries, with Jamaica being deeply impacted. This critical review demonstrates the importance of strategically addressing nurse migration as part of palliative care integration efforts in Jamaica. Future studies should include targeted migration mitigation interventions and should be guided by the three working hypotheses derived from this review.

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Section: Discussionmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

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Palliative care integration: a critical review of nurse migration effect in Jamaica

et al. 2021

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“…A major concern for the nursing profession that challenges arguments for both increasing nursing numbers and education is a global nursing movement colloquially termed by scholars as “brain drain” (Edwards, Markaki, Shirey, & Patrician, 2020; Pozo‐Martin et al, 2017; Short et al, 2016; Thompson & Walton‐Roberts, 2019). Brain drain is the migration of educated nurses usually from low‐income to high‐income countries, which creates significant nursing shortages in both skill and number and further weakens the most vulnerable health systems (Edwards et al, 2020; Pozo‐Martin et al, 2017; Short et al, 2016; Thompson & Walton‐Roberts, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…Relating to this workforce issue, current evidence shows there are significant inequities in the distribution of nurses across the globe (WHO, 2020). The mobility and migration of nurses from low‐income to high‐income countries causing brain drain (Edwards et al, 2020; Pozo‐Martin et al, 2017; Short et al, 2016; Thompson & Walton‐Roberts, 2019) is an issue that requires attention from the nursing profession. SDG 10 (reduce inequality within and among countries), has “responsible migration" as one of its targets.…”

Section: Discussionmentioning

confidence: 99%

Nursing and the Sustainable Development Goals: A Scoping Review

Fields

Perkiss

Dean

et al. 2021

J of Nursing Scholarship

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In 2015, all member states that comprise the United Nations unanimously adopted the Sustainable Development Goals (SDGs), a set of ambitious and inclusive targets toward global economic, social, and environmental betterment. Nurses have a key role to play in the achievement of the SDGs. The aim of this article was to conduct a scoping review to synthesize the literature related to nursing and the SDGs. Methods: This scoping review utilized Arksey and O'Malley's five-stage framework. Several electronic databases were searched for literature published from 2015 to 2020 using the key words "nurse OR nurses OR nursing" and "Sustainable Development Goals OR SDGs". Findings: A total of 447 articles were identified through the databases searches, of which 35 articles were deemed relevant and included for final review and content analysis. Analysis of relevant literature on nursing and the SDGs revealed two distinct, yet connected, perspectives: the nurse and the profession. Conclusions: Individual nurses may feel disconnected from the SDGs and struggle to relate the goals to their clinical role, calling for an increase in awareness and education on the goals. The wider profession could also increase both research and policy with relation to the SDGs, strengthening nursing's position to have a voice in and contribute towards achievement of the goals. Clinical Relevance: Individual nurses and the wider nursing profession have opportunities to more meaningfully contribute to the SDGs, beginning with an increased awareness through education and a commitment to research and participation in local and global decision making.

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A New Innovative Method of Evaluating Orthopedics-Traumatology Medical Practices

Moldovan,

Bataga

2024

Lecture Notes in Networks and Systems

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A model operationalizing sustainability in global nursing

Cited by 8 publications

References 53 publications

Palliative care integration: a critical review of nurse migration effect in Jamaica

Palliative care integration: a critical review of nurse migration effect in Jamaica

Nursing and the Sustainable Development Goals: A Scoping Review

A New Innovative Method of Evaluating Orthopedics-Traumatology Medical Practices

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