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The
Global Nursing Review Initiative: Policy Options and Solutions
The Global Nursing Review Initiative:
Policy Options and Solutions
Related ICN Position Statements
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The Global Nursing Review Initiative: Policy Options and Solutions was launched in March 2004 in response to the global nursing crisis. Led by the International Council of Nurses (ICN) and its sister organisation the Florence Nightingale International Foundation, and supported by the Burdett Trust for Nursing, the project aims to clarify the extent of the global nursing shortage; provide an analysis of key nursing workforce issues globally; identify priorities for policy intervention; and develop recommendations to address issues.
Project Components
Reference Group
The reference group is a key component of the project and its members play an important advisory and consultative role. The group members are listed below:
Jonathan Asbridge
Nursing and Midwifery Council – United KingdomGilles Dussault
World Bank InstituteMarilyn Elegado Lorenzo
National Institutes of Health –- PhilippinesThembeka Gwagwa
The Democratic Nursing Organisation of South AfricaSilvina Malvárez
Pan American Health OrganizationKen Sagoe
Ghana Health ServiceRagnhild Seip
Norwegian Agency for Development CooperationJudith Shamian
Victorian Order of Nurses
(Formerly of Health Canada)Sissel Hodne Steen
Norwegian Agency for Development CooperationDuangvadee Sungkhobol
World Health Organization, Regional Office for South-East AsiaPiyasiri Wickramasekara
International Labour OfficeRepresentatives of the World Health Organization, Geneva, Switzerland
The Global Shortage of Registered Nurses: An Overview of Issues and Actions
The overview represents the first output from ICN's programme of work on the global nursing workforce. The report highlights key trends, main challenges and provides a framework for policy interventions to address workforce challenges. The full report can be accessed here [
419 KB] .
Executive Summary (
[French and Spanish translations of the report available ]Issue-based Papers
The Global Shortage of Registered Nurses: An Overview of Issues and Actions is complemented by a series of issue-based papers examining specific global and regional aspects of the nursing workforce in more detail. The papers are available in the Publication section of this page.
High-Level Consultation on the Global Nursing Workforce
Some fifty representatives of governments, employers, donors, trade unions, policy analysts, planners, researchers and professional nursing organisations, from all regions of the world met in Geneva, Switzerland 14-16 March 2005 at the invitation of the International Council of Nurses to identify priorities and actions to deal with the critical imbalance and shortage in the nursing workforce worldwide.
Participants called on global and national partners to take immediate action along the following lines:
Action at the global level
- Increase resources to support the development of comprehensive human resource strategies;
- Explore using global health funds to strengthen human resource delivery infrastructures, including education;
- Form strategic alliances between governments, donors, agencies, educators, regulators, unions and associations;
- Build capacity in the area of human resource planning and management;
- Build national self-sufficiency to manage domestic issues of supply and demand;
- Support international code for ethical recruitment; effective monitoring of international flows; regulation and independent monitoring of international recruitment agencies; and respect for international labour instruments; and
- Improve access to high-quality technical assistance.
Action at the country level
- Consider the range of nursing personnel required to meet national health needs;
- Embrace new models of care, with an emphasis on primary care, and new technologies;
- Address issues of skill mix and the delegation/devolution of some tasks to other workers; and
- Improve workloads and working conditions.
International Summit on the Global Nursing Workforce
As follow-up to the March 2005 Consultation, ICN convened an International Summit on the Global Nursing Workforce, which was held on 24 May 2005 during ICN’s 23rd Quadrennial Congress in Taipei, Taiwan. Nurse leaders from research, management, practice and education joined representatives from health sector planning and human resources development to exchange ideas, opinions and solutions on priority workforce issues.
The Summit and findings from an on-site survey validate the five priority areas of intervention for ICN and nursing. The five areas are:
- Macroeconomic and health sector funding policies;
- Workforce policy and planning, including regulation;
- Positive practice environments and organisational performance;
- Recruitment and retention; addressing in country maldistribution, and out migration; and
- Nursing leadership.
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Press Release 29 March 2006 Priorities to Address Global Nursing Shortages Announced
Press Release 3 March 2005 ICN Releases First Series of Issue Papers on the Global Shortage of Registered Nurses
Press Release 8 March 2004 First Comprehensive Picture of the Global Nursing Workforce
Press Release 8 November 2004 The inadequate supply of nurses is having a negative affect on care outcomes globally
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Project Publications
Project Communiqué N°3- July 2005 [PDF file
Project Communiqué N°2 - December 2004 [PDF file
Project Communiqué N° 1 - May/June 2004 [PDF file
The Global Nursing Shortage: Priority Areas for Intervention
(The Global Shortage of Registered Nurses: An Overview of Issues and Actions
Executive Summary (
Full Report (
Issue Paper 1
Regulation, roles and competency development (
Issue Paper 2
Nursing Workforce Planning: Mapping the Policy Trail (Issue Paper 3
What Makes a Good Employer? (Issue Paper 4
Nurse Retention and Recruitment: Developing a Motivated Workforce (Issue Paper 5
International Migration of Nurses: Trends and Policy Implications (Issue Paper 6
Overview of the Nursing Workforce in Latin America (Issue Paper 7
The Nursing Workforce in Sub-Saharan Africa (
Other ICN Publications
Workload Measurement in Determining Staffing Levels
Understanding Mutual Recognition
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Related ICN Position Statements
Socio Economic Welfare of Nurses
Abuse or violence against nursing personnel (2000)
Career development in nursing (2001)
Ethical Nurse Recruitment (2001)
Impact of HIV/AIDS on nursing/midwifery personnel (2000)
International Trade Agreements (1999)
Nurse retention, transfer and migration (1999)
Occupational health and safety for nurses (2000)
Socio-economic welfare of nurses (1999)
Health Care Systems
Health Human Resources Development (HHRD)(1999)
Participation of Nurses in Health Services Decision Making and Policy Development (2000)
Promoting the value and cost-effectiveness of nursing (2001)
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Equal Opportunity: Gender Issues
ICN on International Trade Agreements
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Commission on Graduates of Foreign Nursing Schools
International Centre on Nurse Migration
International Council of Nurses (ICN)
Florence Nightingale International Foundation
Human Resources for Health Online Journal
National Institutes of Health – Philippines
Norwegian Agency for Development Cooperation
Nursing and Midwifery Council UK
Organisation for Economic Co-operation and Development
Pan American Health Organization
The Democratic Nursing Organisation of South Africa
WHO Department of Health Service Provision (OSD)
World Health Organization, Regional Office for South-East Asia
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For more information contact:
Patricia Caldwell
Project Coordinator
International Council of Nurses
3 Place Jean Marteau
1201 Geneva, Switzerland
Tel: (+41 22) 908 0100
Fax: (+41 22) 908 0101
Email:
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