NURSES AND MIDWIVES: A Vital Resource for Health European compendium of good practices in nursing and midwifery towards Health 2020 goals ABSTR ACT Health 2020, the European health policy framework and strategy, aims to improve the health and well-being of populations, reduce inequalities and ensure people-centred health systems. In order to support the reali- zation of the Health 2020 goals, the European strategic directions for strengthening nursing and midwifery towards Health 2020 was developed guiding Member States and the WHO Regional Office to mobilize the potential of the nursing and midwifery workforce. This European compendium was produced to provide operational examples of the new nursing and midwifery roles and new service delivery models currently being employed across the Region. The case studies directly relate to the priority areas in Health 2020 and exemplify the types of activities needed to fully implement the objectives within the Strategic Directions framework. Keywords EUROPE HEALTH POLICY HEALTH SERVICES MIDWIFERY NURSING Address requests about publications of the WHO Regional Office for Europe to: Publications WHO Regional Office for Europe UN City, Marmorvej 51 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or trans- late, on the Regional Office websitehttp://www.euro.who.int/pubrequest ( ). © World Health Organization 2015 All rights reserved. The Regional Office for Europe of the World Health Organization welcomes requests for permission to re- produce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. 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European compendium of good practices in nursing and midwifery towards Health 2020 goals C ONTENTS A CKNOWLEDGEMENTS ............................................................................................................................5 FOREWORD ....................................................................................................................................................6 EXECUTIVE summarY .............................................................................................................................7 1 INTRODUCTION ..................................................................................................................................10 1.1 Purpose of the Compendium.......................................................................................................11 1.2 Target audience ..............................................................................................................................11 1.3 Methods ..........................................................................................................................................11 1.4 Limitations of the Compendium .................................................................................................15 2 CASE STUDIES: CONTRIBUTIONS TO HEALTH 2020 ............................................................. 15 2.1 Overview of priority areas ............................................................................................................15 2.2 Priority area 1 .................................................................................................................................17 2.3 Priority area 2 ................................................................................................................................ 26 2.4 Priority area 3 .................................................................................................................................33 2.5 Priority area 4 .................................................................................................................................47 3. KEY findinGS in reLATION TO EUROPEAN STRATEGIC DIRECTIONS ........................52 3.1 Priority areas of action ..................................................................................................................53 3.2 Enabling mechanisms .................................................................................................................. 58 4. CONCLUSIONS ...................................................................................................................................... 63 ANNEX 1. WHO TEMPLATE for reporTING counTRY case STUDIES ........................... 65 ANNEX 2. TaBLES presenTING anaLYSIS of case STUDIES ................................................ 66 3 European compendium of good practices in nursing and midwifery towards Health 2020 goals LIST OF TABLES AND FIGURES Tables Table 1. List of submitted case studies ...................................................................................12 Table 2. Examples of case studies contributing to action lines of Health 2020 priority areas ............................................................................................................................51 Table 3. Examples of case studies with workforce planning engagement ...........................54 Table 4. Examples of case studies having a positive impact on work environments ..........55 Table 5. Examples of outcomes of applying evidence-based practice ..................................57 Table 6. Legislative frameworks directing change ................................................................58 Table 7. National programmes and guidelines leading to practice development ...............59 Table 8. Examples of professional posts and service contributions .....................................62 Table 9. Analysis by main outcomes and key activities by nurse-and midwife-led services ................................................................................................................. 66 Table 10. Analysis by main outcomes and key activities by expanded and supplemen- tary roles ....................................................................................................................68 Table 11. Analysis by main outcomes and key activities by community- and home- based practices ...........................................................................................................70 Figures Figure 1. Health 2020 strategic policy framework for the WHO European Region ............10 Figure 2. Compendium of good practices in nursing and midwifery in the context of ESD and Health 2020 ................................................................................................52 Boxes Box 1. Career advancement opportunity as a result of nationally recognized formal education ....................................................................................................................53 Box 2. A Model for optimizing the structure of nursing personnel to provide high quality care ..................................................................................................................... 55 Box 3. Supportive virtual environment for health promotion ..........................................56 Box 4. Research and evidence-based practice .....................................................................60 Box 5. Partnerships in school nursing .................................................................................60 Box 6. Clinical leaders facilitating the development of pain management ......................61 4 European compendium of good practices in nursing and midwifery towards Health 2020 goals AC KNOWLEDGEMENTS The development of this Compendium of good practices in nursing and midwifery was commissioned by the WHO Regional technical programme on Human Resources for Health, Division of Health Systems and Public Health. Many individuals and organizations contributed to this work and their assistance and input is gratefully acknowledged. The case studies were reviewed, analysed and summarized by Marjukka Vallimies-Patomäki, Ministerial Advisor, Ministry of Social Affairs and Health, Finland, with the assistance of the WHO interns Lindsay Howard, Sigrid Veber, Wendy Chong, Amina Jama Mahmud and Elina Rau- tiainen. Jean White, Vivienne Bennett, Kay Currie, Claudia Maier, Sigrún Gunnarsdóttir, Sheila O’Malley, Billie Hunter, Valentina Sarkisova, Natalia Serebrennikova,