Providing a Global Perspective to Nursing Students

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A review of the educational standards, and the application and adaptation of the polices of the National League for Nursing Accreditation Commission (NLNAC) and the Commission on Collegiate Nursing …

A review of the educational standards, and the application and adaptation of the polices of the National League for Nursing Accreditation Commission (NLNAC) and the Commission on Collegiate Nursing Education (CCNE).

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  • Globalization implies an ethical and moral obligation for professional nurses to enter and function in a world wide community – Madeline Leninger (2)N Interdependence among nations has increased significantly (5)N NLN urged nurse educators and researchers to become more internationally focused (3)N
  • prepare their nursing students for multicultural care (1)N offer international placement opportunities cultural competence attainable through a process (2)N students who will work for the next 30 – 40 years alliances with a broad range of stakeholders world bank, IMF, WHO, UNAIDS Justice
  • appropriate care for patients from culturally diverse backgrounds (1)N Lack of previous experience with people Chauvinism and bias avoid homogenizing or stereotyping a culture (3)N National Standards for Culturally and Linguistically Appropriate Services can be held liable (5)N
  • Less than 10% of USA participate in study Rural host schools do not feel the need for cultural competence (5)B Short term vs long term 1-4 weeks, >4 weeks (1)B Significant change attributable to a 2 – 3 week study abroad experience Higher long term impact if the experience was 12 – 16 weeks rather than 3 – 4 (3)B Developed vs undeveloped (1)B (jury’s out) educational not missionary or religious (1)B total cultural immersion are essential blending of western healthcare acquisition of a second language
  • enhance cultural sensitivity (1)B chance to be minority (1)B expand perception and acceptance as a nurse (1)B developed cognitively personal and professional growth Raise students’ awareness Expose nurses to other cultures (2) Improved cultural self efficacy and competence, More likely for intnl employment, volunteerism, support of international education, or encouragement of children or grandchildren to study in a foreign country (3)B
  • incorporate a multicultural perspective alternative nursing practice (1)B renewed enthusiasm for practice, increased confidence and self reliance (1)B Changed place of practice from acute care to pub health or medically midwifery, or intnl nursing alternative therapies for areas such as pain management and labour and delivery
  • first-hand knowledge of midwifery, not prevalent in their home country (1)B Professional staff treated each other more equally than staff in the US (3)B Nurses appeared to have higher levels of self esteem (3)B
  • increased awareness of local politics and global issues (1)B evaluate the strengths and weakness of health care system (1)B aware of the impact of health policy on health care participate in policy development (3)B
  • Require cultural competence to be addressed in curriculum
  • Also applies to practical, diploma and associate programs Key wording
  • Also applies to Master’s, and post masters cert program
  • CCNE should revise standards to reflect professional standards of nursing including a specific provision for cultural competency based learning NLNAC should strengthen existing language that addresses multicultural educational standards
  • Cost to education institutions Impact to shortage Impact to nurse satisfaction

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  • 1. Providing a Global Perspective to Nursing Students A review of the educational standards, and the application and adaptation of the polices of the National League for Nursing Accreditation Commission (NLNAC) and the Commission on Collegiate Nursing Education (CCNE). © G. Anthony Giannoumis 2009
  • 2.
    • G. Anthony Giannoumis Mph(c)
    • Information Resources Coordinator
    • Temple University Law School
    • [email_address]
    • anthonyg79
    • www.facebook.com/ganthonyg
    • (215) 948-2754
    • Susan B. Dickey RN, PhD
    • Associate Professor of Nursing
    • Temple University College of Health Professions
    • [email_address]
    • 215-948-2754
    © G. Anthony Giannoumis 2009
  • 3.
    • Raise awareness and promote advocacy of nurse educators to provide cultural competency for nursing students
    • Review and recommend revisions to current NLNAC and CCNE accreditation standards
    “ No good fish goes anywhere without a porpoise…” © G. Anthony Giannoumis 2009
  • 4. Objectives in the mirror may be closer than they appear…
    • Identify benefits to international education curricula
    • Review NLNAC and CCNE accreditation standards
    • Provide recommendations and cursory cost-benefit analysis for improvements to accreditation standards
    © G. Anthony Giannoumis 2009
  • 5. © G. Anthony Giannoumis 2009
  • 6.
    • The implications of globalization
    • Educational and professional organizations’ responsibilities
    • Professional responsibility of nursing
    © G. Anthony Giannoumis 2009
  • 7. © G. Anthony Giannoumis 2009 “ It’s a small world after all…” http://www.icseguess.com/uploads/images/globalization.jpg
  • 8. © G. Anthony Giannoumis 2009 “ Call and Response”-iblities
  • 9. Professional Responsibility © G. Anthony Giannoumis 2009
  • 10. © G. Anthony Giannoumis 2009 http://zedomax.com/blog/wp-content/uploads/2008/11/300px-incandescent_light_bulb.png
  • 11.
    • International education opportunities
    • Effects on students
      • Individual and ideological
      • … on practice
      • … on the profession
      • … on policy
    © G. Anthony Giannoumis 2009
  • 12. The Global Classroom © G. Anthony Giannoumis 2009 http://www.pacificu.edu/as/intlprograms/images/iStock_000002266764Small.jpg
  • 13. Effects on students
    • Individual and ideological
    © G. Anthony Giannoumis 2009
  • 14. Effects on students
    • Individual and ideological
    • … on practice
    © G. Anthony Giannoumis 2009
  • 15. Effects on students
    • Individual and ideological
    • … on practice
    • … on the profession
    © G. Anthony Giannoumis 2009
  • 16. Effects on students
    • Individual and ideological
    • … on practice
    • … on the profession
    • … on policy
    © G. Anthony Giannoumis 2009
  • 17. © G. Anthony Giannoumis 2009 http://www.rcpe.ac.uk/images/policy/policy.jpg
  • 18.
    • Current nursing organization recommendations and policies
    • Current NLNAC policies
    • Current CCNE policies
    © G. Anthony Giannoumis 2009
  • 19. Current nursing organization recommendations and policies © G. Anthony Giannoumis 2009
  • 20. Current NLNAC Policies © G. Anthony Giannoumis 2009
  • 21. Current NLNAC Policies © G. Anthony Giannoumis 2009
  • 22. Current CCNE Policies © G. Anthony Giannoumis 2009
  • 23. © G. Anthony Giannoumis 2009
  • 24. © G. Anthony Giannoumis 2009 http://blogs.chron.com/fighting/money-stacks-psd7122.png
  • 25. References
    • Button, L., Green, B., Tengnah, C., Johansson, I., & Baker, C. (2005). The impact of international placements on nurses' personal and professional lives: Literature review. Journal of Advanced Nursing, 50(3), 315-324.
    • Crigger, N. J., Brannigan, M., & Baird, M. (2006). Compassionate nursing professionals as good citizens of the world. ANS.Advances in Nursing Science, 29(1), 15-26.
    • Duffy, M. E., Farmer, S., Ravert, P., & Huittinen, L. (2005). International community health networking project: Two year follow-up of graduates. International Nursing Review, 52(1), 24-31.
    • Health workers: A global profile. (2006). Retrieved June 18, 2009, from http://www.who.int/whr/2006/06_chap1_en.pdf
    • Malvárez, S. M., & Agudelo, M. C. C. (2005). Overview of the nursing workforce in latin america. Retrieved June 18, 2009, from http://www.icn.ch/global/Issue6LatinAmerica.pdf
    • Munjanja, O. K., Kibuka, S. & Dovlo, D. (2005). The nursing workforce in sub-saharan africa. Retrieved June 18, 2009, from http://www.icn.ch/global/Issue7SSA.pdf
    • NLNAC accreditation manual. (2008). Retrieved June 18, 2009, from http://www.nlnac.org/manuals/NLNACManual2008.pdf
    • Oulton, J. A. (2006). The global nursing shortage: An overview of issues and actions. Policy, Politics & Nursing Practice, 7(3 Suppl), 34S-39S.
    • Rukholm, E. E., Stamler, L. L., Talbot, L. R., Bednash, G., Raines, F., Potempa, K., et al. (2009). Scaling up the global nursing health workforce: Contributions of an international organization. Collegian (Royal College of Nursing, Australia), 16(1), 41-45.
    • Standards for accreditation of baccalaureate and graduate degree nursing programs. (2009). Retrieved June 18, 2009, from http://www.aacn.nche.edu/Accreditation/pdf/standards09.pdf
    • Yu Xu, . (2007). Making a case for cultural competence in nursing. Home Health Care Management & Practice, 19(3), 219-221.
    © G. Anthony Giannoumis 2009