Cargando…

Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis

BACKGROUND: Nurses and midwives are the largest component of the health workforce in many countries. The World Health Organization (WHO) together with its partners facilitates the joint development of strategic policy guidance for countries to support the optimization of their nursing and midwifery...

Descripción completa

Detalles Bibliográficos
Autores principales: Ajuebor, Onyema, McCarthy, Carey, Li, Yin, Al-Blooshi, Sumaya Mohamed, Makhanya, Nonhlanhla, Cometto, Giorgio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626395/
https://www.ncbi.nlm.nih.gov/pubmed/31300058
http://dx.doi.org/10.1186/s12960-019-0392-2
_version_ 1783434568845492224
author Ajuebor, Onyema
McCarthy, Carey
Li, Yin
Al-Blooshi, Sumaya Mohamed
Makhanya, Nonhlanhla
Cometto, Giorgio
author_facet Ajuebor, Onyema
McCarthy, Carey
Li, Yin
Al-Blooshi, Sumaya Mohamed
Makhanya, Nonhlanhla
Cometto, Giorgio
author_sort Ajuebor, Onyema
collection PubMed
description BACKGROUND: Nurses and midwives are the largest component of the health workforce in many countries. The World Health Organization (WHO) together with its partners facilitates the joint development of strategic policy guidance for countries to support the optimization of their nursing and midwifery workforce. The Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 (SDNM) is a global policy guidance tool that provides a framework for Member States, the WHO and its partners to adapt, develop, implement and evaluate nursing and midwifery policy interventions in Member States. As part of the broader monitoring and accountability functions of the WHO, assessing the progress of the SDNM implementation at a country level is key to ensuring that countries stay on track towards achieving universal health coverage (UHC) and the sustainable development goals (SDGs). METHODS: This is a cross-sectional mixed methods study involving the analysis of quantitative and qualitative data on the implementation of country-level interventions in the SDNM. Data was provided by government chief nursing and midwifery officers or their representatives using an online self-reported questionnaire. The quantitative data was assessed using a three-level scale and descriptive statistics while qualitative comments were analysed and presented narratively. RESULTS: Thirty-five countries completed the survey. Summing up the implementation frequency of interventions across all thematic areas, 19% of responses were in the category of “completed”; 55% were reportedly “in progress” and 26% indicated a status of “not started”. Findings reveal a stronger level of implementation for areas of nursing and midwifery development related to enhancing regulation and education, creating stronger roles for professional associations and policy strengthening. Leadership and interprofessional collaboration are intervention areas that were less implemented. CONCLUSION: Monitoring and accountability of countries’ commitments towards implementing nursing and midwifery interventions, as outlined in the SDNM, contributes to strengthening the evidence base for policy reforms in countries. This stock-taking can inform policy- and decision-makers’ deliberations on strengthening the contributions of nurses and midwives to achieving UHC and the SDGs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12960-019-0392-2) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6626395
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-66263952019-07-23 Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis Ajuebor, Onyema McCarthy, Carey Li, Yin Al-Blooshi, Sumaya Mohamed Makhanya, Nonhlanhla Cometto, Giorgio Hum Resour Health Research BACKGROUND: Nurses and midwives are the largest component of the health workforce in many countries. The World Health Organization (WHO) together with its partners facilitates the joint development of strategic policy guidance for countries to support the optimization of their nursing and midwifery workforce. The Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 (SDNM) is a global policy guidance tool that provides a framework for Member States, the WHO and its partners to adapt, develop, implement and evaluate nursing and midwifery policy interventions in Member States. As part of the broader monitoring and accountability functions of the WHO, assessing the progress of the SDNM implementation at a country level is key to ensuring that countries stay on track towards achieving universal health coverage (UHC) and the sustainable development goals (SDGs). METHODS: This is a cross-sectional mixed methods study involving the analysis of quantitative and qualitative data on the implementation of country-level interventions in the SDNM. Data was provided by government chief nursing and midwifery officers or their representatives using an online self-reported questionnaire. The quantitative data was assessed using a three-level scale and descriptive statistics while qualitative comments were analysed and presented narratively. RESULTS: Thirty-five countries completed the survey. Summing up the implementation frequency of interventions across all thematic areas, 19% of responses were in the category of “completed”; 55% were reportedly “in progress” and 26% indicated a status of “not started”. Findings reveal a stronger level of implementation for areas of nursing and midwifery development related to enhancing regulation and education, creating stronger roles for professional associations and policy strengthening. Leadership and interprofessional collaboration are intervention areas that were less implemented. CONCLUSION: Monitoring and accountability of countries’ commitments towards implementing nursing and midwifery interventions, as outlined in the SDNM, contributes to strengthening the evidence base for policy reforms in countries. This stock-taking can inform policy- and decision-makers’ deliberations on strengthening the contributions of nurses and midwives to achieving UHC and the SDGs. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12960-019-0392-2) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-12 /pmc/articles/PMC6626395/ /pubmed/31300058 http://dx.doi.org/10.1186/s12960-019-0392-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Ajuebor, Onyema
McCarthy, Carey
Li, Yin
Al-Blooshi, Sumaya Mohamed
Makhanya, Nonhlanhla
Cometto, Giorgio
Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis
title Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis
title_full Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis
title_fullStr Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis
title_full_unstemmed Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis
title_short Are the Global Strategic Directions for Strengthening Nursing and Midwifery 2016–2020 being implemented in countries? Findings from a cross-sectional analysis
title_sort are the global strategic directions for strengthening nursing and midwifery 2016–2020 being implemented in countries? findings from a cross-sectional analysis
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626395/
https://www.ncbi.nlm.nih.gov/pubmed/31300058
http://dx.doi.org/10.1186/s12960-019-0392-2
work_keys_str_mv AT ajueboronyema aretheglobalstrategicdirectionsforstrengtheningnursingandmidwifery20162020beingimplementedincountriesfindingsfromacrosssectionalanalysis
AT mccarthycarey aretheglobalstrategicdirectionsforstrengtheningnursingandmidwifery20162020beingimplementedincountriesfindingsfromacrosssectionalanalysis
AT liyin aretheglobalstrategicdirectionsforstrengtheningnursingandmidwifery20162020beingimplementedincountriesfindingsfromacrosssectionalanalysis
AT alblooshisumayamohamed aretheglobalstrategicdirectionsforstrengtheningnursingandmidwifery20162020beingimplementedincountriesfindingsfromacrosssectionalanalysis
AT makhanyanonhlanhla aretheglobalstrategicdirectionsforstrengtheningnursingandmidwifery20162020beingimplementedincountriesfindingsfromacrosssectionalanalysis
AT comettogiorgio aretheglobalstrategicdirectionsforstrengtheningnursingandmidwifery20162020beingimplementedincountriesfindingsfromacrosssectionalanalysis