Shamian Judith
President, International Council of Nurses, Geneva, Switzerland.
Nurs Leadersh (Tor Ont). 2014 Dec;27(4):44-50. doi: 10.12927/cjnl.2015.24140.
We know from rigorous evidence that nurses can exert an incredible impact on the everyday lives of people and their health. Nurses can also contribute in much wider spheres of influence by applying their knowledge and skills to address broader issues affecting population health across communities, nations and globally. Despite the prevalence of so many vexing health and social issues, nurses often fail to think globally, or even regionally, when they are lobbying for change. And while much political influence is local, some issues are simply too complex to rely on local influence alone. Importantly in all this, we must acknowledge the ways these complex health issues are shaped by economic and political agendas and not necessarily by healthcare agendas. As such, the nursing community has to act globally and locally, both within and outside of the nursing arena. This paper explores early thinking about an evolving model of spheres--or "bubbles"--of policy influence in which nurses can and must operate to more effectively impact key global health and healthcare challenges.
我们从确凿的证据中了解到，护士能够对人们的日常生活及其健康产生令人难以置信的影响。护士还可以通过运用他们的知识和技能来解决影响社区、国家乃至全球人口健康的更广泛问题，从而在更广泛的影响领域做出贡献。尽管存在如此多棘手的健康和社会问题，但护士在游说变革时，往往没有从全球甚至区域的角度去思考。虽然许多政治影响力是局部的，但有些问题过于复杂，仅靠局部影响力是不够的。在所有这些当中，重要的是我们必须认识到，这些复杂的健康问题是由经济和政治议程塑造的，而不一定是由医疗议程塑造的。因此，护理界必须在全球和地方层面采取行动，无论是在护理领域内还是领域外。本文探讨了对一种不断演变的政策影响范围——或“气泡”——模型的早期思考，在这种模型中，护士能够且必须发挥作用，以更有效地应对关键的全球健康和医疗挑战。
