2023年国际护士理事会大会的经验教训

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The International Council of Nurses (ICN) met in Montreal, Canada from July 1–5, 2023. Approximately 6000 nurses from 130 countries attended the first in-person event held since 2019. The theme of the Congress was Nurses Together: A Force for Global Health. I was struck by the juxtaposition of hope, progress and ongoing challenges within the profession presented at the various presentations I attended. Indeed, it is true that nurses represent the largest group of healthcare providers globally. It is also true that we are the most trusted profession and that there would be no health without nurses. It was heartwarming to see representatives from brand new nursing organizations attending what was their first global meeting. It was encouraging to hear that there was consensus among the nursing organizations that what is needed is monumental investment in nursing globally in the areas of education/practice preparation, a decent salary, nursing practice and healthcare policies, workforce expansion and development and infusion of mental health skills and knowledge across the nursing profession. There were discussions about optimizing roles and responsibilities across the continuum of our profession, and the need to demand and garner respect for the work of nurses by our fellow healthcare providers.

A few notable presentations for me included ‘After Your Parent is Gone: Stories from the Girl Child Education Fund’ which educates and mentors young girls in numerous countries. This presentation focused on countries in Africa including Eswatini, Kenya, Uganda and Zambia. Jhpiego, the presenter, in partnership with Johns Hopkins University has been involved in innovative strategies across the globe, championing the health of women and families in poorly resourced environments since the 1970s. In another presentation I attended, I learned more about the application of the Project ECHO Model to healthcare. It highlighted valuing solving needs of the underserved using accessibility of information and an all teach all team approach to solve healthcare challenges. The model was discussed in the context of its stated beliefs of teamwork, trust and respect, innovation and learning, accountability and service. More on the ECHO Model can be found at https://hsc.unm.edu/echo/about-us/echo-values.html.

Dr. Madeline Naegle, globally known mental health and substance use healthcare practitioner and Dr. Mark van Ommeren, Head of the World Health Organization presented at a plenary titled, ‘Shaping the Future of Mental Health Care: The Pivotal Role of Nurses in Transforming Mental Health for All.’ A summary of the WHO World Mental Health Report was presented initially followed by clear and practical recommendations from Dr. Naegle on what nurses across diverse communities can do to advance mental health care. These recommendations included calling out stigma whenever and wherever it occurs, providing care that is person-centered and human-rights based, integrating mental health care in primary care, providing care in the community, expanding and providing more training for the mental health workforce, and more fully and intentionally engaging those with lived experiences as partners in innovative solutions to meet their mental health care needs.

American Nurses Association representatives Drs. Ernest Grant and G. Rumay Alexander along with representatives from the Canadian Nurses Association were panelists on a symposium titled, ‘Addressing Racism Within the Nursing Workforce.’ The presenters discussed what each organization is doing to confront and eliminate racism within the nursing profession. The action items include acknowledging past and current racist behaviors, engaging in difficult conversations, and identifying and dismantling systems that maintain oppressive and racist practices.

While there were many positive things that came out of the Congress, what was challenging for me as I reflected on the overall experience, was the absence of the voice of First Nation nurse members at the opening ceremony and during key plenary sessions. I think this was both a missed opportunity and an indication that our work specific to inclusion and respect for the rich heritage within our own profession was not intentionally attended to. I am also left wondering what steps our profession should take to accelerate the work needed to obtain crucial resources. Human and financial resources along with innovative strategies are needed in order to build the profession and workforce to meet the complex and variable healthcare needs across different global communities.

全文翻译（仅供参考）

国际护士理事会（ICN）于2023年7月1日至5日在加拿大蒙特利尔举行会议。来自130个国家的约6000名护士参加了自2019年以来首次举办的面对面活动。大会的主题是护士们在一起：全球健康的力量.在我参加的各种演讲中，希望、进步和持续的挑战并存，这让我印象深刻。事实上，护士是全球最大的医疗保健提供者群体。我们是最值得信赖的职业，没有护士就没有健康，这也是事实。看到来自全新护理组织的代表参加他们的第一次全球会议，真是令人感动。令人鼓舞的是，听到护理组织之间达成共识，即需要在教育/实践准备，体面的工资，护理实践和医疗保健政策，劳动力扩展和发展以及整个护理行业的心理健康技能和知识的注入等领域对全球护理进行大量投资。有关于优化角色和责任的讨论，在整个连续的我们的职业，并需要要求和争取尊重护士的工作，由我们的同胞医疗保健提供者。

对我来说，一些值得注意的演讲包括“当你的父母离开后：女童教育基金的故事在许多国家教育和指导年轻女孩这一介绍侧重于非洲国家，包括斯威士兰、肯尼亚、乌干达和赞比亚。主持人Jhpiego与约翰霍普金斯大学合作，参与了地球仪范围内的创新战略，自20世纪70年代以来，在资源匮乏的环境中倡导妇女和家庭的健康。在我参加的另一个演讲中，我了解了更多关于项目ECHO模型在医疗保健中的应用。它强调重视利用信息的无障碍性和一个可持续的发展战略来解决得不到充分服务的人的需要。All teach all team 解决医疗保健挑战的方法。在其所述的团队精神、信任和尊重、创新和学习、问责制和服务等信念的背景下讨论了该模式。

Madeline Naegle博士，全球知名的心理健康和物质使用保健医生和Dr.世界卫生组织总干事Mark货车Ommeren在题为“塑造精神卫生保健的未来：护士在为所有人转变心理健康方面的关键作用.'首先介绍了世界卫生组织世界精神卫生报告的摘要，随后介绍了来自世界卫生组织精神卫生研究所的Dr. Naegle对不同社区的护士可以做些什么来促进精神卫生保健。这些建议包括无论何时何地发生的污名，提供以人为本和以人权为基础的护理，将精神卫生保健纳入初级保健，在社区提供护理，扩大精神卫生工作队伍并提供更多培训，以及更充分和有意识地让那些有生活经验的人成为创新解决方案的合作伙伴，以满足他们的精神卫生保健需求。

美国护士协会代表Dr. Ernest Grant和G. Rumay亚历山大沿着加拿大护士协会的代表一起参加了一个名为“解决护士队伍中的种族主义问题.'演讲者讨论了每个组织正在做什么，以面对和消除种族主义的护理专业。行动项目包括承认过去和现在的种族主义行为，进行困难的对话，并确定和拆除维持压迫和种族主义做法的系统。

虽然有许多积极的事情，出来的国会，什么是具有挑战性的，我反思的整体经验，是缺乏第一民族护士成员的声音在开幕式上，并在关键的全体会议。我认为这既是一个错失的机会，也表明我们在本行业内的包容和尊重丰富遗产的工作没有得到有意的重视。我也想知道我们的专业应该采取什么步骤来加快获得关键资源所需的工作。需要人力和财政资源沿着创新战略，以建立专业和劳动力，以满足全球不同社区复杂多变的医疗保健需求。

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