GH Curriculum: Sarah Lapey

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Building a Curriculum in Global Health: Lessons learned and steps ahead Session Title: Global Health Curriculum Pre/Post Graduate Training

Education Health & Medicine

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Contents lists available at ScienceDirect Journal of Professional Nursing journal homepage: www.elsevier.com/locate/jpnu Transforming nursing curricula for a global community Jennifer Dohrn⁎, Karen Desjardins, Judy Honig, Heidi Hahn-Schroeder, Yu-hui Ferng, Elaine Larson Columbia University School of Nursing, 617 West 168th Street, New York, NY 10032, USA A R T I C L E I N F O Keywords: Global Health Nursing education Clinical education A B S T R A C T With nurses and midwives providing the majority of health care globally, nursing education in all countries must prepare students for broader responsibilities to move the agenda forward for equitable care and universal health coverage. Columbia University School of Nursing developed and implemented a vibrant approach to curriculum transformation that included a new didactic course followed by a program of global clinical experiences to expand students' learning environments in global health. Program planning included defining learning objec- tives, mobilizing support within the school, establishing new sites, recruiting and preparing students, overseeing of students with host institutions, and evaluating the program. A total of twenty-four students were placed over five sites for a six-week credit-bearing global clinical experience. Students had varied clinical experiences with new understandings of the reality of health disparities. Host sites expressed a commitment to have students return in the next year, and all students stated that they would chose a global experience again. This innovation provides a transformative addition to nursing education with a deepened understanding of health disparities and nursing roles in different health systems. It strengthens the school's network of nursing and midwifery educators and opens doors for new exchanges. Introduction Nurses and midwives provide the majority of clinical care around the world. Their roles and responsibilities are substantial in advancing the global mandate to provide health care for all and universal health coverage. The health care environment has rapidly moved from a na- tional to global focus, influenced by increased technological advances, record migrations of people and increased disparities, necessitating a framework for global equity. Nursing and midwifery education needs to prepare students to assume broader roles in the global environment with competencies that include a rigorous understanding of the organization of health systems and access to resources, leadership skills, and advocacy for the most marginalized populations to ensure equitable health care as a fundamental human right (Wilson et al., 2016). The Global Strategic Directions for Nursing and Midwifery 2016–2020, recently released by the World Health Organization, states: “Nurses… are critical in achieving global mandates such as universal health coverage and the Sustainable Development Goals. The mandates provide a challenge as well as an opportuni ...

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