Good practices in nursing and midwifery WHO Europe Home

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Good practices in nursing and,midwifery from expert. A manual for creating country case studies, Address requests about publications of the WHO Regional Office for Europe to. Publications,WHO Regional Office for Europe,UN City Marmorvej 51. DK 2100 Copenhagen Denmark, Alternatively complete an online request form for documentation health information or for permission to quote or translate on the. Regional Office web site http www euro who int pubrequest. World Health Organization 2013, All rights reserved The Regional Office for Europe of the World Health Organization welcomes requests for permission to.
reproduce or translate its publications in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion. whatsoever on the part of the World Health Organization concerning the legal status of any country territory city or area or. of its authorities or concerning the delimitation of its frontiers or boundaries Dotted lines on maps represent approximate. border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or. recommended by the World Health Organization in preference to others of a similar nature that are not mentioned Errors and. omissions excepted the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this. publication However the published material is being distributed without warranty of any kind either express or implied. The responsibility for the interpretation and use of the material lies with the reader In no event shall the World Health. Organization be liable for damages arising from its use The views expressed by authors editors or expert groups do not. necessarily represent the decisions or the stated policy of the World Health Organization. Images Petr Yancheuski,Introduction 1,Template guidelines 4. Creating case studies 4,Submitting case studies 7,Selection process 7. References 7,Annex 1 Country case study template 9. Annex 2 Sample country case studies 10,Finland 10,Iceland 13. Ireland 15,United Kingdom 18, Good practices in nursing and midwifery from expert to expert.
Introduction, Demographic trends and patterns of diseases have changed significantly over the last years. Meanwhile new developments in diagnostic technologies and non invasive treatments have. allowed new means of health service delivery and health care models In order to manage the. trends the World Health Organization WHO Regional Committee for Europe adopted Health. 2020 1 which sets the goal To significantly improve health and well being of populations to. reduce health inequities and to ensure sustainable people centred health systems 2 In order to. deliver on the goal Member States of the WHO European Region are now faced with the. challenge of providing equal access to health services and improving the quality of services. given limited financial and human resources, Nurses and midwives the largest health workforce of the Region and one that works closely with. patients are central to the efforts to deliver on the priorities of Health 2020 In the Munich. Declaration 3 endorsed by ministers of health of the Region in 2000 Member States. recognized nurses and midwives as a real force for public health and effective contributors to. health systems However in order to realize their potential it is vital that nurses and midwives. develop and enhance their roles to meet the challenge. WE BELIEVE that nurses and midwives have key and increasingly important roles. to play in society s efforts to tackle the public health challenges of our time as well. as in ensuring the provision of high quality accessible equitable efficient and. sensitive health services which ensure continuity of care and address people s. rights and changing needs,Munich Declaration 2000 3. The 2002 2008 Strategic directions for strengthening nursing and midwifery services 4 and the. more recently updated Strategic directions for strengthening nursing and midwifery services for. 2011 2015 5 seek to provide policy makers practitioners and other stakeholders at every level. with a flexible framework for broad based collaborative action to enhance the capacity of nurses. and midwives Building on the global strategic directions the WHO Regional Office for Europe. has prepared the Strengthening nursing and midwifery services European strategic directions. towards Health 2020 6 The shared goal is to strengthen the contribution of nursing and. midwifery in improving the health and well being of populations and reducing health. inequalities, In many Member States much work has been done in the development of nursing and midwifery. education and enhanced professional roles including the development of nurse and midwife led. services This has enabled the management of more complex patient care There still exists. however large variation between countries and also little documentation of the ways in which. nurses and midwives in the Region have changed their roles and expanded services in order to. respond to health changes 7 An evidence based approach to treatment and care is crucial for. the development of nursing and midwifery practice and is important to ensure effectiveness. efficiency and equity of care 8 It is recognized that achieving better health outcomes requires. substantially strengthening nursing and midwifery For this reason the Regional Office has. decided to profile country case studies of good practices in nursing and midwifery. Good practices in nursing and midwifery from expert to expert. The aim of this manual is to gather evidence from Member States on good nursing and. midwifery practices and act as a supporting document to Strengthening nursing and midwifery. services European strategic directions towards Health 2020 6 For this purpose a template is. provided to guide collection of this information through country case studies In this manual. good practice is defined as practice that has been proven to work well and produce positive. results thereby deserving the status of a recommendation. Country case studies are an excellent way to share experiences in new services and expanded. roles Case studies also enable decision makers to review the benefits of the contribution of. nurses and midwives to population health Above all country case studies aim to inspire and. encourage the development and dissemination of good nursing and midwifery practices In. addition country case studies can provide technical guidance to individual Member States by. identifying ways to improve workforce capacity professional education working conditions. health related regulations and legislation, Case studies can also demonstrate to policy makers how nurses and midwives contribute.
effectively to patient care and service needs Case studies also demonstrate how nurses provide. increased access to care and improve outcomes while also improving cost efficiency and. continuity of care Furthermore new policy recommendations can be formulated on the basis of. the evidence gained, Once collected the country case studies will be compiled into a compendium under the guidance. of the Regional Office The compendium should provide a comprehensive summary of case. studies collected from all over Europe and from a variety of health care settings The focus is on. reflecting on the role nurses and midwives play in strengthening and revitalizing health care. Good practice is based on the best available evidence and appraised as a relevant. course of action in its operational environment Good practice can be. characterized as beneficial for the client supportive of the client s well being. justifiable evaluated effective efficient results oriented subject to modelling and. co modification applicable transferable widely distributed and ethically. sustainable, National Institute for Health and Welfare in Finland in Finnish 9. The current and emergent public health challenges require intersectoral collaboration and a. coordinated approach across the multidisciplinary teams of health professionals 1 Nurses and. midwives have key and important skills and expertise which are essential for population health. in addition to ensuring the provision of quality and equitable services. As public health and health system challenges change so do the roles of nurses and midwives. How have nurses and midwives initiated change What have been the benefits for the patient. Good practices in nursing and midwifery from expert to expert. Due to the changes in the health system efforts to scale up transform and optimize the capacity. of nursing and midwifery are more pressing than ever Revising roles and expanding the scope of. practice of nurses and midwives can result in more effective responses to population health. needs This can respectively lead to higher quality of care and better health outcomes It can also. increase job satisfaction and professional status of nurses and midwives. Achieving a sustainable and competent health workforce is crucial to the progress and. implementation of the Health 2020 policy framework Nurses and midwives can and do play a. key role in implementing Health 2020 by means of,promoting health. promoting behaviour change through life course approach. empowering people,promoting healthy ageing,managing chronic conditions and long term care. applying evidence based and safe practice, Within the context of community health nursing the role of the Family Health Nurse introduced.
by the Regional Office in 2000 10 can bring important contributions to public health primary. health care and integrated health care services The number of countries developing the role of. family health nurses has increased and the implementation of this model has been reported to be. positive in terms of services provision 6, One of the latest surveys conducted by the Registered Nurse Forecasting study focused on. hospital nurses in 12 European countries and the United States of America Their main. conclusions were that improved work environments of nursing care and reduced patient nurse. ratios were associated to improved nurse well being nurse perceived quality of care patient. satisfaction and decreased odds of patient deaths 11 Moreover nurses and patients agreed on. which hospitals provided good care and could be recommended 12 Although across the. Region numerous examples of nurses and midwives developing new and innovative ways of. providing effective efficient and financially viable health care exist no single reference resource. or standard data collection tool to collate this innovation and good practice is available. In primary care it appears that appropriately nurses can produce as high quality. care and achieve as good health outcomes for patients as doctors However the. research available is still quite limited,Laurant M et al 13. More knowledge however is needed about the actual amount of improvement In addition more. documentation is needed about the added value of innovative good practices in nursing and. Building the capacity of nursing and midwifery will help address the two main strategic. objectives of Health 2020 working to improve health for all and reducing health inequities and. improving leadership and participatory governance for health. Good practices in nursing and midwifery from expert to expert. The Regional Office calls for experts contributions in creating a European compendium of. country case studies to demonstrate evidence on the impact of good nursing and midwifery. practices on health outcomes,Template guidelines, The template is provided to guide individuals in describing their case studies of good nursing and. midwifery practice in the Region see Annex 1 The manual provides an explanation of each. component of the template Examples of country case studies are provided in Annex 2 to assist. with the completion of the template, Country case studies can focus on any target population health concern and or level of health. care system including local regional and national initiatives and innovation All are relevant as. long as the case study maintains a clear focus on the nurses or midwives role in contributing to. a new service or an expanded role, Case studies will be compiled for a Regional Office compendium to reflect the diversity of.
practice in the Region They should emphasize and highlight the country context where. applicable as well as emphasize the ways in which they address the goal of Health 2020 2. Government chief nurses chief midwives and national focal points for nursing and midwifery. are invited to coordinate the contribution of national experts in nursing and midwifery to. complete the country case studies of good practice The WHO collaborating centres for nursing. and midwifery as well as the European Forum of National Nursing and Midwifery Associations. are committed to this collaboration on the basis of their mission. Information can be collected via interviews with nursing and midwifery experts such as. nurse midwife managers researchers teachers senior clinicians and practitioners If possible. please include a narrative in English between 500 and 1000 words and in full sentences. Wherever possible support the information by available evidence e g expert reviews reports. Good practices in nursing and midwifery from expert to expert page 3 Due to the changes in the health system efforts to scale up transform and optimize the capacity of nursing and midwifery are more pressing than ever Revising roles and expanding the scope of practice of nurses and midwives can result in more effective responses to population health needs This can respectively lead to

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