Nurses finding a global voice by becoming influential leaders through advocacy

Elizabeth A. Madigan, Emily McWhirter, Greta Westwood, Ruth Oshikanlu, Zipporah M. Iregi, Munashe Nyika, Jonathan Bayuo
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Abstract

Nursing has long faced barriers to effective advocacy, based on the gendered identity of the profession and its status as a second class or “softer” profession. The Covid pandemic showed the importance of the profession to the health of the world and the profession has been adversely impacted as a result of the pandemic. The nursing profession has long had skill in advocating for the recipients of their care but many nurses do not make the connection with advocacy for change in the health care systems in which they work or for themselves. Yet, advocacy for change in the health care system and for the profession will impact larger areas of global health than advocacy at the individual care recipient level. Advocacy for system change includes: recognizing the context, problem solving, building relationships, excellent communication skills and leveraging influence. Nursing has a long history of advocating for those who are historically marginalized and now it is time to advocate for nurses who are historically marginalized, like those who are internationally educated and working outside their home countries. Effective advocacy techniques that go beyond individual interactions to advocating for policy and systems change must be included in future leadership development for nurses.

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护士通过倡导成为有影响力的领导者,找到了全球的声音
长期以来,护理一直面临着有效宣传的障碍,这是基于该职业的性别身份及其作为第二类或“较软”职业的地位。新冠肺炎疫情表明了该行业对世界健康的重要性,该行业因疫情而受到不利影响。长期以来,护理专业一直有能力为他们的护理对象进行宣传,但许多护士并没有将其与倡导改变他们工作或为自己服务的医疗保健系统联系起来。然而,与个人护理接受者层面的倡导相比,倡导医疗保健系统和职业变革将影响更大的全球卫生领域。倡导制度变革包括:认识背景、解决问题、建立关系、出色的沟通技巧和利用影响力。长期以来,护理工作一直在为那些历史上被边缘化的人辩护,现在是时候为历史上被边际化的护士辩护了,比如那些受过国际教育并在国外工作的护士。在护士未来的领导力发展中,必须包括超越个人互动、倡导政策和制度变革的有效倡导技术。
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