Empowering Women and Strengthening Health Systems and Services Through Investing in Nursing and Midwifery Enterprise Lessons from Lower-Income Countries: Workshop Summary (2015) / Chapter Skim
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9 Models for the United States and the Larger Global Context
9 Models for the United States and the Larger Global Context
Pages 85-90
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From page 85... ...
She proposed that nurse- and midwife-led enterprises have the potential to effect a paradigm shift toward greater sustainability, but it would require detailed market research to evaluate outcomes. Examination of successes and failures in the United States and abroad would add to the knowledge base.
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From page 86... ...
Some of the successful models that had previously been described were started by Westerners, but even within the United States, long-term sustainability of small and medium-size enterprises would require local ownership. She noted that such models could spread beyond primary care to include other community health prevention interventions such as well-being and fitness.
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From page 87... ...
Leadership development for nurses that extends beyond the business acumen and intentionally addresses empowerment issues for greater work autonomy and job satisfaction might similarly be considered for midwives and community health workers. This model has the potential to shift thinking from a treatment mentality with "patients" to more service-oriented thinking with "clients." Such a business model might explore unique modes of entry to the health system that could, for example, engage women at hair and nail salons.
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From page 88... ...
The insight for her was a request for better engagement of women in health and health care. Knowing that women play such a vital role in keeping people and families healthy, and that such a large percentage of women work in nursing and midwifery, Bae speculated that greater opportunities for nurse- and midwife-led enterprises could be one strategy for strengthening health systems while empowering women in the United States and around the world.
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From page 89... ...
For the model to thrive and have impact within a health system, it needs to be sustainable. • Providing universal health coverage would involve a paradigm shift from acute care to community-based primary health care.
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