Week 11: Role of Nurses in Our Global Society Flashcards
Global Health
the goal is to improve health and achieve health equity for everyone worldwide.
Transnational issues
focus of
What impacts global health?
economy, politics, government, social status, education, the social determinants of health
What are the top global issues?
the COVID-19 pandemic, mental health for trauma survivors, politics and power shifts
Also, social determinants of health: employment, housing security, financial security, education and enduring wealth gap
Globalization
“a process resulting from a combination of forces that is increasing the flow of information, goods, capital and people across political and geographical boundaries.”
How does globalization impact global health?
Increase spread of infections
What needs to be considered in global health?
Ethics
Politics
Social factors
Global health: ethics
“Global Health must be guided by an ethical vision. Just because we have the skills, technology, money or government support, it does not mean that what is being proposed is ethical.”
Ethics is always: just doing good, nonmaleficence-do not harm, justice—which includes fairness and equity, autonomy
Ethics needs to be expanded to include:
-Humility - acknowledging one’s limitations and being open to learning from others
- Introspection - reflecting on one’s motives and one’s privilege
- Solidarity - working with community to align goals
- Social justice - understand influence of politics, economics, power relationships related to equity in health system
Global health: politics
Government – welcoming or unwelcoming; stable or unstable
Finances and economy
Wars – defense and military costs
Infrastructure – buildings, transportation
Communication system – technology
Education system
Policy
Social factors:
Culture
Religion
Language
Values, beliefs, and social norms
Resources – food, water, transportation, supplies, access to additional resources
Social Determinants of Health
Impact nurse migration
Shortages in countries nurses are leaving
Rural to urban leaves rural in shortages
Fewer nurses are being allowed to immigrate to the US
Fundamental needs to achieve health equity (Canadian Nursing Association)
Accessibility
Health promotion
Inter-sectoral collaboration
Respect for diversity
Integration of cost-effective, quality research findings into health system practices
Global citizen
Global social responsibility
A sense of interconnectedness
Ethical obligations to each other
Be informed about issues affecting wellbeing of communities worldwide (PLUS our own)
Strategies to Develop Global Citizenship
Reflexivity - critically reflecting on own beliefs, culture, traditions
- “as a student nurse this means you need to be aware of your own culturally established perspectives on healthcare”
Moral cosmopolitanism – everyone has equal moral worth and should be considered equally
Narrative imagination – what is it like to be another person? (live in someone else’s shoes)
- “requires developing political awareness of what is happening in the world & demonstrating a commitment to social change & social justice.”
More on global citizenship strategies
Understand your culture and beliefs of others (Serafin, 2010)
Education – programs related to global awareness (Opollo et al, 2012)
Partnerships – built on respect, collaboration, interest (Opollo et al, 2012)