APRNs’ unique blend of clinical and leadership expertise can contribute greatly to policy development in globalization and international health.
APRNs’ unique blend of clinical and leadership expertise can contribute greatly to policy development in globalization and international health. As Salvage & White (2020) point out, APRNs can engage with international health organizations, participate in international health policy discussions, and advocate for adopting evidence-based policies in different countries. By participating in international collaborative research APRNs can address global health disparities. Then the findings of such research can lead to improved care models and interventions suitable for diverse populations. APRNs can also contribute to building healthcare capacities in low and middle-income countries by providing training and mentorship to local healthcare professionals (Wheeler et al., 2018). Another role of APRNs is their ability to participate in telehealth services. Given the increasing interconnectivity in our globalized world, APRNs can offer telehealth services across borders, especially to underserved regions.
APRNs specifically can contribute towards achieving three of the United Nations’ Millennium Development Goals (MDGs) by helping to promote gender equality (MDG 3), reduce child mortality (MDG 4), improve maternal health (MDG 5), and combat diseases (MDG 6) (United Nations, 2015). For MDG 3, APRNs can work towards ensuring women have equal access to healthcare services and can also engage in community education about gender rights and equality. For MDG 4, APRNs can play a role by participating in maternal and child health clinics, vaccination drives, and nutrition programs. A study by Macinko et al. (2007) conducted in Brazil found that primary care, a role that APRNs can provide, was associated with reduced infant mortality. Nurse-midwives in particular can help improve MDG 5, since they can play a crucial role in providing antenatal, childbirth, and postnatal care in areas lacking obstetricians. Midwifery-led care has been shown to reduce maternal and neonatal mortality and stillbirth rates. In fact, a Nove et al. (2021) study predicted that a significant rise in the scope of midwife-delivered interventions could equal over 2 million deaths averted per year by 2035. For MDG 6, APRNs can be involved in the management, education, and prevention of various global diseases.
References
?Macinko, J., Almeida, C., & de Sá, P. K. (2007). A rapid assessment methodology for the evaluation of primary care organization and performance in Brazil. Health Policy and Planning, 22(3), 167-177. https://doi.org/10.1093/heapol/czm008
Nove, A., Friberg, I., de Bernis, L., McConville, F., Moran, A., Najemba, M.,, Hoope-Bender, P. Tracy, S. & Homer, C. (2021). Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: A lives saved tool modelling study. The Lancet Global Health, 9(1), e24-e32. https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S2214109X20303971?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2214109X20303971%3Fshowall%3Dtrue&referrer=
Salvage, J., & White, J. (2020). Our future is global: Nursing leadership and global health. Revista Latino-Americana de Enfermagem, 28, e3339. https://doi.org/10.1590/1518-8345.4542.3339References
United Nations. (2015). United Nations Millennium Development Goals. https://www.un.org/millenniumgoals/
Wheeler, K., Schumann, L., Harkless, G., Ling, C., Bird, B., & Maybee, P. (2018). Global health: Dynamic roles for the APRN/APN. In Blair, K.A. & Michaelene, J.P. (Eds.), Advanced practice nursing, 5th Edition (77-122). New York: Springer. https://storage.aanp.org/www/documents/international/chapter-6.pdf
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