Abstract

Nurses are the primary and the largest personnel of any health care system. However, global nursing shortages continue due to high turnover, inequitable work distribution and compensation, increase international mobility, under resourced or harsh conditions of work, and few or no education opportunities. In the midst of a decrease from 6.6 to 5.9 million nurses in 2018, 5.3 million (89%) of this shortage affects low- and low-middle countries, where populations' growth tends to increase compared to high-income countries. In addition, globally 90% of the nursing workforce is composed by women, who only hold 25% of health leadership positions. As a result, studies reporting nurses’ feelings of being undervalued and unappreciated are emerging. Having nurses in key leadership positions within the health care systems could open spaces for these professionals to work on par, inter-professionally, with the care team, particularly in countries where medical hegemony still exists and where the nursing profession have yet to achieve the hierarchy and protagonism desired. This can leverage nursing to enhance health institutional inclusiveness and strengthen the quality of services (SDG 16) for populations to achieve good health and well-being (SDG 3), and in the long run reverse nursing shortages. The present global action, using as an exemplar the country of Bolivia, a low-middle-income country, proposes an advocacy plan with the purpose of raising awareness on the country's influential health individuals, professional organizations, and others about the myriad contributions nurses make at the clients, community, and systems' levels of health care, to then collaboratively, strengthen nurses protagonism within the Bolivia's health case system. This proposal can be a guide for other countries facing similar issues on this topic.

Description

Dr. Garcia was an academy scholar in the Sigma Virtual Mini Academy: Global Advocacy 2024 cohort.

Authors

Daisy S. Garcia

Author Details

Daisy S. Garcia, PhD, MSN, RN, Clinical Assistant Professor

Sigma Membership

Theta Upsilon

Lead Author Affiliation

Seattle University, Seattle, Washington, USA

Type

Presentation

Format Type

Text-based Document, Video Recording

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Developing Countries, Nursing Leadership, Protagonism

Conference Name

Sigma Virtual Mini Academy: Global Advocacy

Conference Host

Sigma Theta Tau International

Conference Location

Virtual Event

Conference Year

2024

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Review Type

Faculty/Mentor Approved: Sigma Academy Participant Presentation

Acquisition

Self-submission

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Ensuring nurses' protagonism within the healthcare systems in developing countries

Virtual Event

Nurses are the primary and the largest personnel of any health care system. However, global nursing shortages continue due to high turnover, inequitable work distribution and compensation, increase international mobility, under resourced or harsh conditions of work, and few or no education opportunities. In the midst of a decrease from 6.6 to 5.9 million nurses in 2018, 5.3 million (89%) of this shortage affects low- and low-middle countries, where populations' growth tends to increase compared to high-income countries. In addition, globally 90% of the nursing workforce is composed by women, who only hold 25% of health leadership positions. As a result, studies reporting nurses’ feelings of being undervalued and unappreciated are emerging. Having nurses in key leadership positions within the health care systems could open spaces for these professionals to work on par, inter-professionally, with the care team, particularly in countries where medical hegemony still exists and where the nursing profession have yet to achieve the hierarchy and protagonism desired. This can leverage nursing to enhance health institutional inclusiveness and strengthen the quality of services (SDG 16) for populations to achieve good health and well-being (SDG 3), and in the long run reverse nursing shortages. The present global action, using as an exemplar the country of Bolivia, a low-middle-income country, proposes an advocacy plan with the purpose of raising awareness on the country's influential health individuals, professional organizations, and others about the myriad contributions nurses make at the clients, community, and systems' levels of health care, to then collaboratively, strengthen nurses protagonism within the Bolivia's health case system. This proposal can be a guide for other countries facing similar issues on this topic.