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1 Introduction
Pages 1-6

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From page 1...
... What this report does not address are the precise quality measures of clinical skills and practice that could lead to a successful enterprise. The report also does not focus on specific educational requirements or individual competencies needed for developing entrepreneurial skills and how to identify personality traits of successful entrepreneurs.
From page 2...
... . BOX 1-1 Statement of Task An ad hoc committee under the auspices of the Institute of Medicine will plan a 2-day public workshop that is aimed at exploring, explaining, and inform ing translation of models and lessons learned relating to innovative investment in nursing and midwifery training and enterprising practices as avenues for em powerment of women and strengthening of community-based health services in lower-income countries.
From page 3...
... At times, said Salmon, this has resulted in improved access to services for their clients and their communities, as well as increased opportunities for enhancing their own status and well-being through greater autonomy, broadened scopes of practice, and even ownership or operation of their own enterprises. Categories for nursing and midwifery enterprise include provision of general and specialty direct services as well as indirect care support and coordination services such as scheduling medical procedures, charting patient progress, and providing effective communication between families and social service providers.
From page 4...
... By expanding their traditional scope of services, nurses and midwives could build practices in areas that require strong coordination and collaborative skills; for example, this could include housing-based services for managing the care and support of vulnerable families, pharmacy-based services linking care to medication analysis and delivery, or early childhood-based services for special health care needs. These examples, which broaden the scope of practice while taking advantage of distinctive assets and skills of nurses and midwives, could open new opportunities for unique enterprise.
From page 5...
... There is a convergence of forces at work, said Salmon, that make nursing and midwifery particularly critical at this moment in time: overtaxed health systems, growing unmet health needs, recognition of the importance of women's development to health and societal well-being, growing publicand private-sector engagement, increased investment in the health sector, and expansion of innovative models of service. In addition, within the global context, the health and development agendas are becoming intertwined as countries see the importance of this in order to advance society.
From page 6...
... Appendix D is a paper written by speaker Oscar Picazo and colleagues, which describes in more detail four major innovations using nurse and midwife empowerment in the Philippines. REFERENCE WHO (World Health Organization)


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