The Evolution of World Health Organization's Initiatives for the Strengthening of Nursing and Midwifery

J Nurs Scholarsh. 2015 Sep;47(5):435-45. doi: 10.1111/jnu.12150. Epub 2015 Jul 14.

Abstract

Purpose: To describe the evolution in the resolutions approved by World Health Organization (WHO)'s World Health Assembly (WHA) to strengthen nursing and midwifery.

Methods: Qualitative and descriptive study, undertaken through a search of resolutions presented by WHA, on the WHO website, regarding the theme "strengthening of nursing and midwifery." The resolutions on the theme "nursing and midwifery" were included, whose titles were available and whose full texts were accessed, excluding those on general health themes. The key words used were resolutions, strengthening, and nursing and midwifery. Among the 20 resolutions found, 12 were selected, adopted between 1948 and 2013, in accordance with the study inclusion criteria. The data were interpreted using thematic qualitative analysis, identifying and grouping the data in categories related to the study theme.

Findings: Based on the content analysis of the 12 resolutions studied, three thematic categories were defined: "nursing and midwifery in primary health"; "role of nursing and midwifery in health for all"; and "nurses and midwives' professional training."

Conclusions: Based on the categories, the evolution in the strengthening of nursing and midwifery was demonstrated through the initiatives and resolutions approved by WHA, highlighting the importance of nurses and midwives as multiprofessional health team members and their fundamental role in the improvements of the health system. Therefore, in accordance with the needs of each country, the member states can implement strategies presented by the WHA resolutions to strengthen nursing and midwifery services.

Clinical relevance: This study has relevance for the development of health policies considering the relevant contributions of nurses and midwives to healthcare systems and services, based on the analysis of WHO resolutions involving these professions.

Keywords: Health policy; World Health Organization; midwifery; nursing; resolutions.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care* / organization & administration
  • Delivery of Health Care* / standards
  • Health Policy
  • Humans
  • Midwifery* / organization & administration
  • Midwifery* / standards
  • Nursing / organization & administration
  • Nursing / standards
  • Qualitative Research
  • World Health Organization*