Paper
Thursday, July 12, 2007
This presentation is part of : Primary Care Initiatives
An International Nursing Organization: Linking Primary Care and Economic Development
Carole Kenner, DNS, RNC, FAAN, College of Nursing, University of Oklahoma Health Science Center, Oklahoma City, OK, USA, Noreen M. Sugrue, College of Nursing, University of Illinois at Urbana-Champaign, Urbana, IL, USA, and Anita Kaiser, IL, USA.
Learning Objective #1: understand the clinical and policy justification for support of an international organization of neonatal nurses.
Learning Objective #2: better understand the links between health care delivery at the neonatal level and economic development and sustainabilty at the national level.

Intro sentence with purpose of presentation:
No nation can sustain poor neonatal and/or maternal health outcomes and have improved economic and social development.  To that end, COINN was formed. In this paper, we address the international coalition-COINN which represents over 45 countries and how nursing and economic development are linked. 

 Brief description/highlights of presentation:
Some specific examples of lessons learned will be presented along with social/health policies that are impacting on maternal/newborn health.  Using this information, recommendations will be made as to how to address the unmet clinical needs of women and children in the developing world and influence the formulation of international economic and health policies.  We further present a conceptual model and empirical data for why it is necessary that COINN in conjunction with local groups actually addressing unmet clinical needs, be fully integrated into the international policy making process.

 Summary of findings and/or other relevant info
There are vast inequities in neonatal/maternal health outcomes, worldwide.  These inequities can be addressed with appropriate neonatal nursing interventions.  Neonatal/maternal health outcomes are global issues with serious implications for the economic, political, and educational infrastructure of developing nations. 

 Conclusion and implications:
Until there is a clear intersection between clinical services and policy - global contingency plans and protocols that can be adapted to become culturally sensitive, country specific outcomes cannot be developed and implemented.