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Bellagio Conference
International Nurse Migration
July 5-10, 2005
National Level Recommendations:
1. Promote targetting of investments in education and work conditions.
2. Promote effective and integrated HHR planning that includes periodic review of skill mix.
3. Harmonize curricula and certifications within regions in order to promote regional self-sufficiency.
4. Adopt organizational strategies to support nursing services.
5. Include nurse/bed or patient ratios in hospital accreditation instruments, and explore similar indices for primary health care.
6. Promote return through overhaul of local regulations that discriminate against nurses coming home, including keeping jobs open for short term migrants and recognizing experience abroad in pay and seniority schedule.
7. Design and implement pilots to evaluate strategies for motivating and retaining nurses.
8. Evaluate the impact of trade agreements on nurse capacity.
9. Stabilize visas/work permits quotas offered by destination countries to enable more effective supply planning in source countries.
10. Promote creation of a high level governmental body to coordinate and recommend national and international HHR policy.
11. Develop oversight of recruitment agencies to align activities with national plans.
12. Promote and monitor immigrant nurses’ rights.
International Level Recommendations:
1. Develop “Learning networks” that provide technical cooperation for HHR data and planning.
2. Support international partnerships and cooperation to promote leadership development and nursing associations using “twinning”, distance learning and other strategies.
3. Explore initiatives to establish reciprocity/compensation between destination and source countries.
4. Construct of a Global Health and Nursing Equity Index, possibly related to HSPA. Possible elements: minimum work conditions, minimum level of nurse production, inflow/outflow of nurses, nurse/population ratio, burden of disease, etc.
5. Compile and synthesize “Good Practice Guidelines” linked to health systems performance assessments and to the Global Health and Nursing Equity Index mentioned above.
6. Promote the use of foreign aid to enhance nurse capacity as measured by composite indicators (see #4 Global Health and Nursing Equity Index).
7. Evaluate different bilateral and multilateral agreements that may include a commitment to improving health systems performance on both sides.
8. Create and publish an “annual report card” that targets the media an policy makers derived from the Global Health and Nursing Equity Index. .
9. Develop appropriate international credentialing to help recognize and elevate prestige of nursing work.
10. Promote temporary return of migrant nurses through destination country funding. One strategy would be to create a Fund managed by the destination country’s foreign aid office and nursing association, which collects fees from recruiters and employers to finance nurse’s leaves of absence and return to home country.
11. Align nurse recruitment and foreign aid in developed countries through projects such as proposal # 8 above.
12. Support cross-national evaluative research that aims to disseminate and promote adoption of successful and sustainable practices and policies,
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