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It’s not often that such wide-ranging and global a body as the World Health Organization (WHO) deems it appropriate to give a whole year over to two health professions. However, in 2020 it has decided to do just that, deeming this the Year of the Nurse and Midwife.
There are good reasons for this. In 2016, the UK All-Party Parliamentary Group on Global Health (APPGGH) launched a report on the Triple Impact of nursing and midwifery on global health and development. The conclusions of that report were clear – if we want to see significant progress towards universal access to healthcare, we need to invest in nurses and midwives. Furthermore, we improve community health, economic development and the empowerment of women and girls in so doing. This is the triple impact of nursing.
This spurred the Burdett Trust for Nursing, the International Council of Nursing (ICN) and the WHO to launch the three-year Nursing Now campaign in late 2016. It had the vision to improve health globally by promoting nursing and midwifery. National governments and international bodies have been lobbied to invest in nurse training, recruitment and career development. The campaign has initiated studies and evidence gathering globally on the impact of nursing and midwifery on local and national health outcomes.
It has also been lobbying for more nurses and midwives to have voices into national and international health policymaking.
A significant early win for that campaign was in 2017, when the incoming Director-General of the World Health Organization, Dr Tedros Adhanom Ghebreyesus, appointed a Chief Nursing Officer as one of his principal health advisors. This was a first for the WHO.
In 2019, Nursing Now launched The Nightingale Challenge, which calls for all employers of nurses and midwives globally to provide development opportunities in influential leadership for young nurses and midwives during 2020. The hope is that this will enable 20,000 nurses and midwives under the age of 35 to build their skills as advocates and influential leaders in healthcare.
The Year of the Nurse and Midwife is the culmination of this campaign and shows that the WHO has recognised that it cannot promote the health and well-being of nations and local communities without frontline nurses and midwives. They make up 50 per cent of the global workforce and regularly work in settings where there is limited or no access to doctors, hospitals or pharmacies.
But there are still a considerable number of obstacles. We know in the UK that we face as many as 40,000 unfilled nursing vacancies and 3,500 unfilled midwifery posts. Notwithstanding the UK government’s election pledges, this is a massive gap to bridge. There is an even more significant gap in skills and experience, with so many older and more experienced nurses quitting the profession it is leaving less experienced nurses to take on responsibilities with fewer experienced mentors and leaders to support them.
And this is in the seventh-largest economy in the world. The skills gap and the staffing gap in many other nations is far, far worse than this. The WHO estimates we are short of nine million nurses worldwide. Even with drives to increase the numbers trained and retained, that number will still be 7.6 million by 2030, because the need is growing far faster than the workforce.
If the UK thinks that we can overcome our nursing shortage by recruiting overseas, we will find it is not so simple. Every developed nation is now doing so, and many offer better working conditions and training opportunities than we do. If we want to recruit, train and retain more nurses and midwives, we need to make it a far more attractive career, far less costly to get into and with far better working conditions.
So why is the WHO focusing on 2020 as the year of the nurse and midwife?
On May 12, 1820, in Florence, Italy, the Nightingale family rejoiced in the birth of a daughter who, unbeknownst to them, would go on to shape healthcare around the world for the next two centuries.
Florence Nightingale took the ancient art and vocation of nursing, embedded from antiquity within the Christian church across Europe and the near-East, and wedded it with the scientific method, rigorous data collection and statistical analysis of Victorian rationalism, to create the modern profession of nursing. As much an art as a science, Florence saw no contradiction in holding up compassion and evidence-based rigour as the profession’s central virtues.
Twenty-first-century nursing is a highly technical and skilled profession, with many nurses and midwives now performing tasks such as minor surgery, caesarean sections and anaesthetics. Ninety per cent of all patient contact worldwide is with nurses. Yet nurses still do not have a seat at the table when it comes to decision making, and even in some developed countries, like Germany, the profession is barely recognised as much more than handmaids to doctors.
At its heart, though, nursing and midwifery have their roots in an ancient Christian tradition of care and compassion for the sick, marginalised and forgotten. This year, more than ever we need to wake up national governments and international bodies to the importance of nurses and midwives in leadership, to train and recruit more nurses to an ever-higher standard, to share good practice far and wide and to improve the standing and working conditions of those working in nursing and midwifery.
Steve Fouch is Head of Communications for the Christian Medical Fellowship in the UK. He has worked in community nursing, HIV & AIDS and palliative care. He serves on the International Board of Nurses Christian Fellowship International. This article is republished from the CMF blog with permission.