Building nursing and midwifery leadership capacity in the Pacific

Rumsey, Michele; Catling, Christine; Thiessen, Jodi; Neill, Amanda

doi:10.1111/inr.12274

Cited by 11 publications

(22 citation statements)

References 10 publications

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“…Incomplete data from Hospitals A and B. Fiji-specific may not be generalisable to the Pacific region. 5 Rumsey [46] 2016 Cook Islands, Kiribati, PNG, Solomon Islands, Tonga, Vanuatu, Fiji, Nauru, Samoa, Tokelau, Tuvalu, Niue To describe the experiences of 34 nursing and midwifery leaders in the South Pacific region who undertook the Australian Award Fellowship (AAF) program. Descriptive study Qualitative – semi-structured interviews (individually or in pairs).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Some focused on the wider health system environment including strengthening relationships between community-based services and broader health promotion [ 28 , 49 ], development of action, strategy and annual activity plans [ 29 , 50 – 53 ] and strengthening the education sector [ 41 , 54 – 56 ]. A leadership program for nursing and midwifery leaders [46] was considered to operate at both the care team and organisation level. Regional strategies and action plans generally encompassed a whole of health system approach [ 50 , 51 ].…”

Section: Resultsmentioning

confidence: 99%

“…Other interventions included a contraceptive implant outreach service [44] , prevention of parent to child HIV transmission programs [45] , development of maternal and newborn health action plans [31] , reviews of national clinical policies and standards [29] , midwifery leadership programs [46] and the formation of Public Private Partnerships at regional and national levels [ 31 , 47 ]. Proportion of Australian and international participants who were knowledgeable and confident regarding management of perinatal deaths increased from pre-to post-workshop for all items and stations (p < 0.001).…”

Section: Overview Of Quality Improvement Interventionsmentioning

confidence: 99%

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Improving the quality of maternal and newborn care in the Pacific region: A scoping review

Wilson

Spotswood

Hayman

et al. 2020

The Lancet Regional Health - Western Pacific

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Background: Quality care is essential for improving maternal and newborn health. Low-and middleincome Pacific Island nations face challenges in delivering quality maternal and newborn care. The aim of this review was to identify all published studies of interventions which sought to improve the quality of maternal and newborn care in Pacific low-and middle-income countries.Methods: A scoping review framework was used. Databases and grey literature were searched for studies published between January 20 0 0 and July 2019 which described actions to improve the quality of maternal and newborn care in Pacific low-and middle-income countries. Interventions were categorised using a four-level health system framework and the WHO quality of maternal and newborn care standards. An expert advisory group of Pacific Islander clinicians and researchers provided guidance throughout the review process.Results: 2010 citations were identified and 32 studies included. Most interventions focused on the clinical service or organisational level, such as healthcare worker training, audit processes and improvements to infrastructure. Few addressed patient experiences or system-wide improvements. Enablers to improving quality care included community engagement, collaborative partnerships, adequate staff education and training and alignment with local priorities. Conclusions:There are several quality improvement initiatives in low-and middle-income Pacific Island nations, most at the point of health service delivery. To effectively strengthen quality maternal and newborn care in this region, effort s must broaden to improve health system leadership, deliver sustaining education programs and encompass learnings from women and their communities.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Overview Of Quality Improvement Interventionsmentioning

confidence: 99%

See 2 more Smart Citations

Improving the quality of maternal and newborn care in the Pacific region: A scoping review

Wilson

Spotswood

Hayman

et al. 2020

The Lancet Regional Health - Western Pacific

View full text Add to dashboard Cite

show abstract

“…This is in keeping with a low-cost, essential care approach [ 20 ]. Despite this, each country has reported increased access to training, despite a historical lack of educational opportunities for nursing staff [ 21 ]. The uptake of this training has been high, and nurses report increases in confidence, knowledge and skill.…”

Section: Staffmentioning

confidence: 99%

Rising to the challenge: The emergency nursing response to COVID-19 in the Pacific

Bornstein

Elton

Kennedy³

et al. 2021

Australasian Emergency Care

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Achieving Universal Health Care in the Pacific: The need for nursing and midwifery leadership

Rumsey¹,

Leong²,

Brown³

et al. 2022

The Lancet Regional Health - Western Pacific

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Summary The quality of healthcare services and outcomes in the Pacific vary widely, with some countries enjoying some of the world's longest life expectancies, others have high rates of maternal and child mortality and relatively low life expectancy. Nurses and midwives make up more than two thirds of the regional regulated healthcare workforce. This paper argues that if countries are to meet Universal Health Coverage nursing and midwifery leaders need to be explicitly involved in shaping policy at the highest levels of government to optimise individual and community health both now and in the future. Using United Nations 2019 declaration towards building a healthier world, this paper provides a rationale for inclusion of these leaders into national and regional decisionmaking forums related to health policy to provide an informed voice in ministerial deliberations on health policy. We suggest that following several comprehensive regional and global studies, South Pacific Chief Nursing and Midwifery Officer Alliance and the newly developed Pacific Heads of Nurses and Midwifery provide a vehicle for this to occur. As outlined in the WHO Strategic Directions, it is now time to embed Chief Nurses in national and regional health policy development.

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Building nursing and midwifery leadership capacity in the Pacific

Abstract: Global aid programs and the recipients of the program would benefit from comparable health strengthening approaches to nursing and midwifery in similar developing countries.

Cited by 11 publications

References 10 publications

Improving the quality of maternal and newborn care in the Pacific region: A scoping review

Improving the quality of maternal and newborn care in the Pacific region: A scoping review

Rising to the challenge: The emergency nursing response to COVID-19 in the Pacific

Achieving Universal Health Care in the Pacific: The need for nursing and midwifery leadership

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