On Tuesday, March 15, 2016, I attended the Global Health Nursing Conference held at the University of Toronto, hosted by the Nursing Undergraduate Society at UofT. The purpose and the theme of the conference this year was to shed light on Refugee and Immigrant Health.
This year’s conference is particularly poignant due to the current social climate regarding the war conflicts that have started occurring in 2011 (and are still ongoing) within Syria, and the large influx of Syrian refugees within Canadian borders. Throughout this night, we explored topics related to refugee and immigrant health, and ways in which nurses play a significant role in facilitating access to safe and appropriate for a vulnerable population. The wide variety of panelists, speakers, and session facilitators encompassed a diverse group of registered nurses [RNs] and nurse practitioners [NPs] from a variety of different global health backgrounds. They offered their experiences and perspectives on global health, the impact that nurses can create in health care on a global scale, and the types of work in which nurses can play a part in on an international health care level.
This event garnered significant attention from a variety of different undergraduate nursing students. The evening was comprised of attendees from UofT’s second-entry BScN program, Ryerson’s BScN program, Nippissing, York, etc. It was refreshing to see variety in different nursing backgrounds, making it an optimal night for opportunities to network, meet new people, and make new nursing friends!
The first part of the evening began with a panel of four RN speakers with diverse careers within global health. Some of them worked in various acute care and community health settings in different parts of the world (i.e Sudan, Ethiopa, Sierra Leone), implementing global health initiatives such as surgical programs, vaccination clinics, maternal health education, etc. Some of them worked within the local community (i.e Women’s College Hospital), addressing refugee and immigrant health needs and concerns in the Greater Toronto Area. Having these varied experiences and backgrounds in nursing come to light truly widened perspectives and opened many minds. The nursing students in attendance, a majority of whom have yet to have any solid exposure to global health nursing, were able to think of adequate health care outside of a framework that is well-resourced, highly affluent, and well-supported by a competent government structure. We were forced to think critically about what health care and health care delivery looks like in various populations and cultures, and how we – as Canadian nurses – can use our influence to affect change, in order to improve global health outcomes. Moreover, we also had the opportunity to think critically about how to address global health issues within our own local community. Various speakers spoke about what immigrants – specifically refugees – experience, in terms of health services, once on Canadian soil. We discussed barriers they often face to receiving appropriate care, such as a lack of adequate health care insurance coverage and a lack of unfamiliarity in terms of navigating a new system. The panelists did a fantastic job in articulating that our roles as nurses are to ensure that immigrants and refugees receive a care that is reflective of our health care system’s values and beliefs – that is, a care that is individualized, patient and family-centred, and comprehensive.
A highlighted global health organization that was brought to attention during this period of the evening was Medicins Sans Frontieres [MSF]/Doctors Without Borders. A number of the RN panelists discussed their own experience in working with this organization and how MSF carries out various global health initiatives in a number of resource deficient countries. The purpose of MSF is to provide medical support and services where it is most needed on a global scale, and to ensure that health care systems and organizations are well-supported and have sufficient resources to deliver adequate care across boarders. More information on MSF and their work, as well as how to get involved, can be found on:
The next portion of the evening was a dinner and Social, where we got to engage with the founders of the company iamsick.ca. iamsick.ca is a company that has created a technology platform in the form of an app and a website, to help facilitate access and equity to adequate health services in your own area. They have developed a system whereby one is able to access the most appropriate health care provider, for their specific needs, online. Furthermore, through this system, they are able to minimize things such as emergency visits, wait times, etc., as it specifically matches the individual’s health need with the specific health service and provider that addresses that need. iamsick.ca is a company that began at UofT and has grown over the last four years, with a large number of consumers that have been helped through its services. They work directly with healthcare providers and organizations to ensure that the link between patient and provider is more effectively established. iamsick.ca ensures that health needs do not go unaddressed and are addressed appropriately. For more information on iamsick.ca, please visit:
The last portion of the evening involved Breakout Sessions, from which students were to choose whichever session they would like to partake in, to develop more knowledge in more specific niches of global health nursing. I chose to take part in the Sick Kids International Paediatric Global Health session, due to my interests in maternal and paediatric health. In this last hour of the evening, the Nursing Manager and the Advanced Nursing Practice Educator from Sick Kids International and Sick Kids Centre for Global Child Health spoke about paediatric health and nursing care on a global scale. They spoke about their past, present, and future projects and global health initiatives to address gaps in international paediatric care. A significant gap that they have found in terms of global child health is that nurses internationally lack the advanced competencies of paediatric nursing care, making it difficult for them to deliver the care that their country’s paediatric population requires. Sick Kids Centre for Global Child Health has taken steps towards developing a project that educates nurses abroad about paediatric nursing and paediatric care, in order to empower that country’s health care providers. This project has been a focus for a large part of their work and they hope to continue educating various nurses in various parts of the world, to ensure they receive adequate paediatric nursing education and training. For more information on Sick Kids Centre for Global Child Health, and to learn more about their work, please visit:
Needless to say, the night was successful and the nursing students in attendance learned a lot about global health and how nursing plays a pivotal role in global health. With Canadian nursing school curriculums having a strong focus on nursing in the local and national community, there is a significant lack in education about the work nurses do on an international and global scale. This conference has definitely enabled nursing students across GTA to develop their knowledge and awareness in global health nursing, and has inspired us to build careers built on the foundation of community health development alongside with acute care development.