PRE CONFERENCE DAY
CHANGING LANDSCAPE HEALTHCARE
PRE CONFERENCE DAY
CHANGING LANDSCAPE HEALTHCARE
The maturation of the Dutch Nurse Practitioners
The way nurse practitioners are implemented in the Netherlands is remarkable. It was a more or less individual initiative with support of the government but without the professional nursing organization. It appeared to be a success story, although with hindrances. Now there is an opportunity for them to profile themselves as the first point of care. The so-called medical model is responsible for an enormous progress in medical technologies. However, the demand for care is changing. Not for every problem is the only solution a medical one. People ask for shared decision making and a more holistic approach is needed. That’s why Advanced Practice Nurses with their broad scope in cure and care are challenged to play an important role in the Dutch healthcare. There is a need for a paradigm shift to a bio psychosocial model with shared decision making and taken into the account of the wishes of the patients, personal and environmental factors. To accomplish this, it is important to have a clear unambiguously vision al a professional group of your scope and standards. Meet each other in networks for discussion to profile the role of the nurse practitioners strongly in our society.
The workshops/network meetings are thoughtfully facilitated by V&VN VS, the Dutch association for Nurse Practitioners and will cover the following themes:
– Elderly care (Nursing home and Geriatrics)
– First line
– Mental healthcare
Welcome by the Organising Committee
Petrie Roodbol, Riet van Dommelen en Jeroen Peters
Welcome remarks by Melanie Rogers
Chair of Core Steering Group NP/APN Network
Address by Annette Kennedy
President of the International Council of Nurses
Keynote by Marieke Schuurmans
Professor Nursing Science, UMC Utrecht en Chief Nursing Officer
Els Borst Award
Dr. Kim Byas, Sr.
Nurse Practitioners (NPs) and Advanced Practice Nurses (APNs) are trained to be excellent clinicians, but mastery of leadership and an international perspective are not always part of educational curricula. As NPs and APNs seek professional autonomy and embrace leadership roles in various health care settings and organizations, they need to manage complex organizations and to lead teams within rapidly evolving health care delivery systems. To do this, NPs and APNs need training, tools, supports, and resources from international sources that develop leadership skills.
This session will provide an international perspective about a rapidly changing health care environment impacted by an aging population with multiple chronic conditions and technological innovations that APNs must anticipate. While NPs and APNs are well-positioned to lead in such an environment, they will need key leadership skills beyond being trained as excellent clinicians. In fact, NPs and APNs will need to embrace innovation, adopt an international perspective, and consciously develop critical leadership skills.
Prof. Dr. Nico van Meeteren
The increased life expectancy and vastly expanding number of people of old age during the last two centuries is a sign of one of the greatest achievements of mankind. This success is a straight forward consequence of intertwined macro-developments as urbanization, industrialization, education and innovation in the medical field. This massive global aging process already has and will in the near future have tremendous sociocultural and economic impact on close to all aspects and sectors of all countries. How to continue this apparent success …?
Dr. Silvia Cassiani
In 2013, countries of the Pan American Health Organization (PAHO), Regional Office of the WHO for the Americas, adopted the Resolution Human Resources for Health: Increasing Access to Qualified Persons in Health Systems based in Primary Health Care (PHC) to guide the strengthening of health systems in countries. It urges to “promote reforms in health professions education to support PHC-based health systems and increase the number of seats in training programs in the health professions relevant to PHC, including family doctors, advanced practice nurses, and non-physician clinicians, according to priorities and public policies in PHC”.
Advanced Practice Nursing is a cost-effective model for the first level of care that contributes to the advancement of the Universal Health Strategy and ensures the quality of health care for the population. However, there is no existence of APN education, regulation and labor market in Latin America countries. Since this resolution, PAHO is promoting discussions about broadening the scope of nursing practice in PHC in Latin America and the Caribbean and the role of APN in this regard. Establishing master’s level APN education programs, define the core competences of the APN in the primary health care and engage and influence decision makers, legislators, and other key stakeholders are key steps to implement the APN role in Latin America. The work done by the PAHO/WHO will be presented.
Dr. Ann-Lise Guisset
Universal health coverage is a global priority for WHO, and the linchpin of the health-related SDGs. It’s the one target that, if achieved, will help to deliver all others. For health care to be truly universal, it requires a shift from health systems designed around diseases and health institutions towards health systems designed for people. A renewed focus on service delivery through an integrated and people-centred lens is critical to achieving this, particularly for reaching underserved and marginalized populations to ensure that no one is left behind.
In 2016 the World Health Assembly adopted the Framework on Integrated people-centred health services (IPCHS), giving WHO the official mandate to work with its Member States and other key stakeholders to support the implementation of the Framework. IPCHS is an evolution of the primary health care (PHC) movement embedded in the Alma Ata Declaration of 1978.
This session will provide an overview on WHO Framework on IPCHS and will call for Advanced Nurses to take an active role in advocacy and implementation of the Framework.
The world continues to confront major challenges in the resourcing and delivery of health care. These challenges derive from changes in demography and disease patterns as the populations ages, and the burden of chronic illness grows; increasing costs of medical advances; problems with appropriately skilled workforce supply and distribution; achieving access to affordable, quality and safe services; and uncertainty about where to invest across the continuum of care. For Governments and health services to get the best out of the finite resources available to them, difficult decisions will need to be made.
Nurses, and in particular Advanced Practice Nurses, are the critical determining factor for the success of global priorities (SDGs, UHC, and Health as a Human Right) in addressing these challenges. With a core role as a patient advocate, their scientific reasoning skills, numbers and spectrum of care across the continuum, nurses are ideally placed to lead and inform health services decision making and policy development.
This session aims to provide guidance on key issues affecting global health and how nurses can influence health policy and service delivery. It also seeks to inform nurses of the work that is being undertaken internationally to ensure that nursing practice is best equipped to improve health and health services.
The global health crisis, including a soaring disease burden, has placed new value on the role of advance practice nurses across all settings. While addressing disease burdens remain vital, there is also a growing recognition that health and well-being depends equally, or even more so, on what happens outside of health care settings. Following in the footsteps of Florence Nightingale and Lillian Wald, nurses have historically ventured into the community to ameliorate the conditions that bring about illness and injury. And today nurses are being called upon to consider the social determinants of health alongside patients’ medical concerns. Determinants such as a person’s education, income, food access, trauma and where they live. This perspective informs the work advance practice nurses do in all settings to improve health and well-being across the lifespan. The time is now for all advance practice nurses, to break through the barriers that prevent them from practicing to the top of their education and training and rise to new leadership levels, whether on the front lines or in the board rooms, to create healthier, well, and more economically viable global societies.
In the 2010 report The Future of Nursing: Leading Change, Advancing Health the Institute of Medicine put forward the challenge that “the nursing profession has the potential capacity to implement wide-reaching changes in the health care system” and “we need to prepare and enable nurses to lead change to advance health.” Advance Practice Nurses (APNs) in their varied roles as expert clinicians, case managers, resource persons, educators, mentors, advocates for safe, high quality patient care, collaborative practice partners, and practitioners who can inform and influence health policy are in a unique position to lead that transformation of the healthcare system. Since 1967 the American Organization of Nurse Executives (AONE) has assumed the charge of developing professional nurse leaders from the bedside to the board room focusing on professional development, advocacy and research to advance nursing practice and patient care, promoting nursing leadership excellence and shaping public policy for health care nationwide. This session will provide an overview of how AONE conceptualizes nurses leading the transformation of the healthcare system, and projects the specific capability of the Advance Practice Nurse (APN) to fulfill that leadership role.
Professor Barbara Safriet
The role, scope of practice and professional responsibilities for both Nurse Practitioners (NPs) and Advanced Practice Nurses (APNs) are diverse, complex and country specific. Healthcare restructuring and regulation of the NP/APN role has led to substantial increases in the number of APNs and a variety of roles and titles. Many barriers currently exist that block the realization of full practice authority for NPs/APNs. There is increasing need for collaboration with other healthcare providers and creation of organizations that advance the practice and promote the utilization of the role globally. National and International organizations need to focus on critical issues related to independent, full practice authority, access to healthcare for all, patient advocacy and public safety.
Dr. Leslie Mancuso
In low-and middle-income countries (LMIC) and beyond,nurses and midwives are providing obstetrical care, including caesarian sections; managing acute illnesses in outpatient departments; diagnosing and treating people living with HIV and non communicable diseases like diabetes; and providing increased access to safe surgical and anesthesia care. They are proving time and again that they are capable of
providing quality advanced care, from home to hospital. village to city. If we are going to reach the lofty Sustainable Development Goals (SGDs) and achieve universal health coverage, we need more nurse leaders who have the skills and regulatory support to expand their scope of practice and reach all of those in need of care. This session will discuss the leadership barriers and opportunities for nurses and midwives to ensure quality care for the women, children and families.
Professor Dr. Petrie Roodbol & Professor Dr. Rijck Gans
Collaboration between nurses, nurse practitioners and physicians as key players in health care is essential to meet all the needs of patients and to achieve coordinated care and unambiguous communication. The importance of this competence is clear and currently it is a part of the initially educational programs. However, bringing it into practice appears not to be easy. Hindrances are differences in the status, moral, professional language, social identity, power and unfamiliarity with each other’s scope of practice. Nurses, nurse practitioners and physicians presume they know what the other professionals can expect from each other, but this largely wrong. Traditional images prevail in spite of developments of the professions. Communication problems are one of the main causes of errors in healthcare.
Professionals derive their social identity from the group to which they belong and aspire to a positive social identity, which is based on a favourable comparison between the group to which one belongs and other related groups. Being invited or belonging to a new team with a specific healthcare goal depends on mutual respect to each individual member.
IKONE’s goal is to improve the quality of care by facilitating collaborations between patients and healthcare, together with patient experts. IKONE developed a patients included transformation program. The program is all about equivalent contact with patients at an organizational level, the process from head to heart into concrete thinking and actions steps. Because of the trans disciplinary approach co-creation and cooperation with nurses is key.
After this session, participants will be able to:
1.Understand the value and necessity of cooperation with patients at the organizational level in hospitals
2.Getting insight about how to work together with patients and how employees can re-energize from this process.
3. Learning where a transformed hospital meets the needs of patients living in the 21st century.
Professor Thomas Kearns
content will follow
Professor Lisbeth Fagerström
The provision of healthcare services occurs within complex healthcare systems, and due to economic, technological, professional and client demands extensive changes are currently being seen. Traditional professional roles are being challenged and task shifting is being utilized at an increasing rate. New complex models of healthcare services are being developed, in which teamwork will become of even greater importance than today. In that advanced practice nurses hold a key role in multi-professional teamwork, one should ask whether and how advanced practice nursing contributes to a person-centered healthcare system. What is known about the impact of person-centeredness in healthcare? Is the concept still viable or is it more a case of “the Emperor’s new clothes”? These topics will be highlighted through research findings, the Nordic model for advanced practice nursing’s core nursing values and competence areas, and insights from research conducted in the Nordic countries in advanced practice nursing.
Dr. Melanie Rogers
Dr Rogers is the Chair of the International Council of Nurses, Nurse Practitioner/Advanced Practice Nurse Network. She is a Queens Nurse having been awarded this title for her work in practice and education. Her work currently includes running the MSc Advanced Nurse Practitioner course at the University of Huddersfield as well as still working as a Nurse Practitioner in Primary Care. Dr Rogers is passionate about advanced practice as a way of providing the care needed at the point of need for patients. Her work and research has focused on how to provide truly holistic care to patients and her doctoral studies have led to a framework for Nurse Practitioners to help patients find hope, meaning and purpose during times of illness and challenge.
Her presentation will focus on some of the global issues facing APNs and NPs and the work of the ICN NP/APN Network. She will give an overview of recent and current research projects undertaken by the Network and introduce the work of the Network in clinical practice, education, health policy, research and fundraising.
Dr. Madrean Schober
In this presentation Dr. Schober highlights significant messages from the conference and presents visionary recommendations for advancing the implementation and integration of advanced nursing practice and advanced practice nursing roles. The importance of leadership, collaboration and inter professional coordination in development of standards and policy for advanced nursing practice is the focus. In addition, the complexities of attempting to define the future that includes unanticipated outcomes in the developmental processes relevant to advanced nursing practice will be discussed.
Following the presentation of Dr. Schober, there will be a panel discussion about (inter-professional) collaboration.
Network closing remarks
Dr, Melanie Rogers
Handing over of 3 travel grants
Daniela Lehwaldt and Li Gao
Announcement NP/APN Conference 2020
Awards for best poster and best presentation
Prf. Dr. Petrie Roodbol
Closing and take home message
Dr. Madrean Schober