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Agents of Change: The Story of the Nursing Now campaign

Logo https://nursingnow.pageflow.io/agents-of-change

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Nursing Now is a programme of the Burdett Trust for Nursing.

In collaboration with the World Health Organization and International Council of Nurses, Nursing Now aimed to raise the status and profile of nursing, working to empower nurses to take their place at the heart of tackling 21st Century health challenges.

Nurses are vital agents of change who can improve health and transform health care. Governments that want to see health improvements reaching every citizen need to invest in nursing and enable nurses to work to their full potential.
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Nursing Now created a network of more than 700 independent and self-supporting Nursing now groups in 126 countries, and more than 31,000 young nurses and midwives participated in the Nightingale Challenge.

The first national group established was Uganda in 2018 and the last one was Saudi Arabia in January 2021.

Nursing Now groups created a unique platform bringing together nurses and non-nurses to advocate for change.


Find out more about the work of the groups here.
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Nursing Now, along with partners and allies, raised the profile and contribution of nursing in the global policy arena.

There have been global achievements, for example: advocating for 2020 to be the Year of the Nurse and the Midwife; successfully working with the WHO and the ICN to research and publish the first ever State of the World’s Nursing report.  

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Nurses Together launched in February 2021 to an audience of more than 400 people from 64 countries, to encourage nurses to advocate for increased investment in nursing. The initiative provided resources, case studies and insights from global experts in advocacy to help the Nursing Now network to make a strong case for investing in nursing.

View the toolkit
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The Nightingale Challenge was launched in 2019 as a challenge to all employers of nurses to provide development opportunities for young nurses and midwives.

More than 700 employers responded, evenly split between the public and private sectors. More than 31,000 young professionals have been involved, with India leading the way with about 8,000 young nurses signed up.

The Nightingale Challenge has championed innovation and global partnerships.

With the WISH, Qatar Foundation and Sigma Theta Tau, Nursing Now brought young nurses and midwives together at the World Health Assembly and provided opportunities for the early career nurses and midwives to connect globally and contribute to a global consultation on the Strategic Directions on Nursing and Midwifery.


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The combination of global, national and local action has created a social movement with energy, momentum and enormous reach. It has been immeasurably helped by social media and digital technology, bringing people together, creating digital communities and enabling anyone anywhere to spread ideas and innovation and start their own campaign for local and global improvements in nursing. It has also brought nurses together, sometimes for the first time, built confidence and strengthened links with partners and allies outside of nursing.

Sixty-three groups report increased investment in nursing during the campaign, with some evidence that in 24 countries investment was directly influenced by local Nursing Now groups. There has been an increase in nurses in leadership positions, as Chief Nursing Officers and on boards, who are able to exercise greater influence in shaping policy and service delivery. Nurse-led clinics, particularly for non-communicable diseases, nurse-based primary and community care, nurse specialists, nurse practitioners and nurses in public health are all playing a vital role in countries where they have been developed and employed.

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The Covid-19 pandemic has made nurses even more visible at the heart of every health team. Nurses have been with their patients at every step of the way – from the community to intensive care – providing intimate, personal care and looking after mental and physical well-being. They have innovated and adapted – as true agents of change – working alone and with colleagues in multidisciplinary teams to find solutions to the new problems that Covid has presented.

Sustainable long-term change in nursing will take a generation or more, as hierarchies are broken down, attitudes towards women change and a new and more holistic understanding of health takes hold in the population. Nurses will be at the forefront of all these changes – demonstrating by their actions and their values how health and society can be improved in the future.

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The Burdett Trust for Nursing has agreed to support the Nightingale Challenge, renamed as the Nursing Now Challenge, for another two years and to plan for its future thereafter.

This challenge has developed a remarkable network of young professionals who can work together to influence the future.

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Nurses and midwives are urged to:
  • Be confident and creative agents of change, using data to lobby politicians and policy makers for the investment that is needed to develop the nursing profession.
Resources
Strategic Directions for Nursing & Midwifery
The elevator pitch
Understanding and using data
Top tips for influencing decision-makers
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Employers should:
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Education bodies need to:
  • Develop their curricula to recognise the full extent of nurses’ roles and promote nursing as a STEM subject.
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Governments and international bodies need to:
  • Commit to implementing the recommendations in the WHO’s Strategic Directions for Nursing and Midwifery and invest in the future of nursing.

  • Sign up to and be accountable for implementing the proposed Care Compact with the WHO, which will protect health workers’ rights, decent work and practice environments.
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The WHO and the ICN are urged to:
  • Continue the momentum that has been built through the Nursing Now campaign

  • Prepare State of the World’s Nursing reports at regular intervals to monitor global trends in nursing.
Read Nursing Now’s recommendations in full here.
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Investing in nursing will strengthen the whole health team and the whole health and care system. It is one of the most important things that can be done to improve health globally.
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Photos courtesy of:
Chris Iduma, Stephan Kofi Osei, Wu Hong-Lin, Alyse Chernovol, Bonnie Yeh, Michelle Ajoc, Klienne Eco
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