Nursing Perspectives and the “Nursing Now” Campaign

Abstract

Nursing constitutes half of the health workforce, and nurses have been identified as the main responsible for coordinating health teams at different levels of Health Care. The "Triple Impact of Nursing" report has pointed to the crucial role of Nursing in the global agenda in the face of demographic and epidemiological changes; the need for different forms of care, policies and services in the community and home, and the alignment of Nursing philosophy, practice and values to the changes that are occurring. The report recommended that governments and international agencies work to raise the profession's profile, make it central to health policies, and establish programs for the development of nursing leaders (1). The World Health Organization, for its part, calls on governments to invest in policies that value the role of Nursing given the shortage of nine million nurses, their low pay, gender inequality, and the lack of professionals in leadership positions. Since 2013, the Pan American Health Organization/World Health Organization (PAHO/WHO) has been pointing out to the international community the need to broaden the role of nurses at the first level of care as practitioners of advanced practice. Such professionals with postgraduate training would be integrated to the interprofessional team of the Primary Health Care services, contributing to the management of the care of patients/ users with mild acute diseases and chronic disorders diagnosed according to protocols or clinical guidelines (2). However, factors such as ongoing training, adequate work opportunities, sufficient and well-distributed numbers of professionals, valorization, financial incentives, political will and leadership recognition remain the major challenges for advancement of the profession in all regions of the world and consequently, achievement of conditions and capabilities to expand access and universal health coverage. The International Council of Nurses (ICN), the WHO and the UK All Party Parliamentary Group on Global Health in the UK, to address these difficulties, launched the "Nursing Now" campaign in February 2018, having as patroness the Duchess of Cambridge and with several leaders supporting the campaign. The campaign, which will end in 2020, when the bicentenary of Florence Nightingale will be celebrated, counts today the accession of 30 countries. Brazil, Canada, the United States, Jamaica and Mexico are participating in the campaign. Other countries interested in joining the campaign should establish their objectives and plan of action, contact campaign coordination, sign commitment to disseminate it at the national level and support global actions. The "Nursing Now" aims at increasing investment in improving education, professional development, regulation and working conditions for nurses; increasing their influence on national and international policies; increasing the number of nurses in leadership positions with more opportunities for development at all levels of leadership; increasing evidence to support policy; increasin...

200 Years of Florence and the challenges of nursing practices management in the COVID-19 pandemic

“…The movement aims to enhance nursing, highlighting its importance to improve health services around the world (21) . In order to achieve healthy working conditions and exercise the profession with fullness and security, there is a need to persist in the struggle for better working conditions and for the recognition of the essentiality of nursing in health services (22) .…”

“…In addition, there are failures in the protection of workers, causing contamination, illness, and even the death of some involved in victims' attendance. better working conditions (18)(19)(20)(21)(22)(23)(24)(25)(26) .…”

Crise e enfermagem na atenção primária: notas da prática social pelo materialismo histórico dialético

“…Os deslocamentos do processo de trabalho da enfermagem na APS, no entanto, não se limitam à conjuntura nacional, estando em debate a ampliação do escopo de práticas do enfermeiro neste nível de atenção, assim como um movimento de valorização da profissão (e sua autonomia profissional?) em âmbito internacional 5,35 . Entretanto, é necessário relacionar as modificações normativas da APS às estratégias do Estado para superação da crise econômica e política, e seu reflexo no desfinanciamento do sistema público de saúde, com consequente precarização do trabalho e sucateamento dos serviços.…”

“…A PNAB tem representado um grande retrocesso no marco institucional no país por seu caráter focalizado em detrimento da abordagem integral de APS 34,36 . É neste cenário de restrições e cortes para o SUS que é proposto a ampliação do escopo de práticas do enfermeiro na APS, o qual aponta para um reforço da atuação clínica biomédica de intervenção e focalização da assistência 5,35 .…”

Nursing now: agora é a hora, depois será passado!

“…O lançamento global da campanha ocorreu em Londres, no dia 27 de fevereiro de 2018, tendo como patrona a Duquesa de Cambridge, Kate Middleton, objetivando estimular a capacitação de enfermeiros, com a finalidade de contribuir para a melhoria da saúde global, tornando esses profissionais mais influentes na luta contra os desafios da saúde no século XXI 3,4 . Seu término ocorrerá em 2020, ano em que será comemorado o bicentenário do nascimento de Florence Nightingale 4 .…”