1. Nursing Leadership in the 21st Century
Dr. Judith Shamian
27th ICN President ( )
ICN President Emeritus
April 16, 2018

2. Outline Global/local context Global Agenda
Nursing and Nursing leadership for the 21st century what it is and what it should be

3. “The mind is
like a
parachute.
It doesn’t
work if it
Is not open”
Frank Zappa

4. Photo credit: Medsin.org

5. The World is in Motion: …we live in the information age…
Civil Society
Technology
Climate change
Political structures
Role of Boards
Gender “MeToo”
Power of professionals
Large Data…..

6. The 20+ Million Nurses in the World: What do we do???
Practice: Care, Cure, Prevent & Promote
Research: Evidence,
Education: Pre-licensing to post Doctorate to continuing education
Management: Work in many sectors, manage the system
Policy and Politics: Local to global

7. Global Agenda UHC: Universal Health Coverage
SDG2030: Sustainable Development Goals
NCD: Non Communicable Diseases
HRH: Human Resource for Health
Aging
Health System Strengthening

8. Sustainable Development Goals 2030: Nursing ?!?!

9. The Big Question is What Should be the Role of the Nursing Profession and Nursing Leadership in the Future????

10. Nursings Professions’s Impact/voice Current and Future Vision
Nursings Professions’s Impact/voice Current and Future Vision?!?! Where are we now and where should we be???
The Health Care Bubble
The Nursing Bubble
The Regional / National Bubble
The Global Bubble

11. Whre we will be in 2030, 2050…
Do we prepare nurses for today or for tomorrow?

12. Nursing Leadership in the 21st Century?!?! Where? and How?
The 4 Bubbles
What is the future of nursing looks like?
Are we what we need to be?
Do we have the IMPACT we should/can have?
How we build the optimal future for nursing and nursing leadership for health?
Role of Practice, Research, Policy and Politics, and Leadership
-Nursing
-Health System
-National/Regional
-Global

13. The 20 Million Nurses in the World Role of Nursing Leadership: Future
Care, Cure, Prevent & Promote: Evidence
Research: Build and disseminate
Manage the system: Seat at the table
Work in many sectors: Roles in all 4 Bubbles
Make a difference: Policy and Politics

14. How: Leadership The Nursing Bubble The Health Care Bubble
Generosity
Respect
Listening
Dialogue
Shared vision
Caring for each other (love)
The Nursing Bubble
The Health Care Bubble
The Global Bubble

15. How: Leadership The Nursing Bubble The Health Care Bubble
Articulate
Bold
Evidence based
Collaborative
Relationships
positioning
The Nursing Bubble
The Health Care Bubble
The Regional / National Bubble
The Global Bubble

16. How: Leadership The Health Care Bubble The Regional / National Bubble
Strategic, articulate
Networking, key relationships
Organizational engagement
Proactive, confident, courage
Media, Art&Science
The Global Bubble

17. LONG, RISKY and UNPREDICTABLE JOURNEY
Persevere
Be at the table
Speak out
Work together
Be strategic
Don’t give up
Lead
Local/regional/
International partnerships
Teach and role model
Placement with policy makers
Formal and informal opportunities

18. How: Leadership The Nursing Bubble The Health Care Bubble
The Regional / National Bubble
The Global Bubble

19. How to progress and survive?! (my personal formula)
Knowing why, believing in the why, and in the cause, wanting to make a difference
anger/passion/drive/chutzpa/ can do it
Courage/ mindfulness/
Articulate/evidence based/ confidence/purposeful
Strategic/
Self promoting (the name of the game)but humble, not intimidated easily
Realistic but ambitious
The art of the challenge, the difficulty of the challenge
Comfortable with feeling uncomfortable and not giving up
Care for others: grow others

20. Change the Reality: Change the World
The Nursing Bubble
The Health Care Bubble
The Regional / National Bubble
The Global Bubble

21. Leaders Help to Shape the Future

22. UK All Party Parliamentary Group on Global Health

23. Policy and Political Impact: Case example Global Strategy on Human Resources for Health 2030

24. HRH Agenda
Nurses have key role to play in Sustainable Development Goals.
Universal Health Coverage will only be accomplished with appropriate deployment of and support for health human resources, and particularly nursing.
WHO and member states need data on health and nursing human resources in order to make informed decisions.

26. The High-Level Commission on Health Employment and Economic Growth, established by the United Nations Secretary-General (UNSG) Ban Ki-Moon, on 2 March, 2016 is charged with proposing actions to stimulate and guide the creation of health and social sector jobs for inclusive growth in ways that address the shortage of 18 million health workers estimated to be required to achieve and sustain universal health coverage. These actions will harness the opportunity presented by the anticipated growth of a projected 40 million new health sector jobs by 2030 to achieve gains across the Sustainable Development Goals (SDGs).

27. UN Commission on Health Employment
and Economic Growth

28. Need to have seats at the global and local tables!

29. Role of Education Policy courses Management & leadership
Global awareness
Placements with in and outside of nursing and health care
communication

31. Remember
Unless we are making progress in our nursing every year, every month, every week, take my word for it we are going back –
Florence Nightingale.

32. REMEMBER!!!! WE HAVE THE KNOWLEDGE WE HAVE THE EXPERIENCE
WE HAVE THE COMPASSION
WE HAVE TO ACT
WE HAVE TO TAKE OUR RIGHT PLACE
WE HAVE TO HAVE A POLICY VOICE
WE HAVE TO HAVE POLICY IMPACT

33. Dr. Judith Shamian RN, FAAN
Thank you!
Dr. Judith Shamian RN, FAAN