Evidence map›Paper›PMID 40798966›Full record

ArticleInternational nursing review2025

Fostering International Collaborations to Inform Nursing and Midwifery Policy: A Caribbean Initiative.

Eileen T Lake, Adelais Markaki, Oscar Ocho, Tina J Kavukattu, Denise Bryant-Lukosius, Jody R Lori, Dawn Munroe, Susan M Walsh, Edwin Bolastig, Bruna Moreno Dias and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Eileen T LakePAHO/WHO Collaborating Centre for Nursing and Midwifery Leadership, School of Nursing, University of Pennsylvania, Philadelphia, USA.ORCID https://orcid.org/0000-0002-8823-3436
Adelais MarkakiPAHO/WHOCC for International Nursing, School of Nursing, The University of Alabama at Birmingham, Birmingham, USA.ORCID https://orcid.org/0000-0002-2038-3139
Oscar OchoPAHO/WHO Collaborating Centre in Nursing Policies and Leadership, The UWI School of Nursing, St. Augustine, Faculty of Medical Sciences, The University of the West Indies, Saint Augustine, Trinidad and Tobago.ORCID https://orcid.org/0000-0002-3620-4043
Tina J KavukattuGlobal Health Leadership Office, College of Nursing, University of Illinois Chicago, Chicago, USA.ORCID https://orcid.org/0009-0006-6666-0687
Denise Bryant-LukosiusPAHO/WHO Collaborating Centre in Primary Care Nursing and Health Human Resources, School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Canada.ORCID https://orcid.org/0000-0002-8269-7977
Jody R LoriSchool of Nursing, University of Michigan, Ann Arbor, USA.ORCID https://orcid.org/0000-0003-0564-5783
Dawn MunroePAHO/WHO Collaborating Centre for Nursing and Midwifery Development in the Caribbean, The UWI School of Nursing, Mona, Faculty of Medical Sciences, The University of the West Indies, Saint Augustine, Trinidad and Tobago.ORCID https://orcid.org/0009-0003-3484-907X
Susan M WalshPAHO/WHO Collaborating Centre for International Nursing Development in Primary Health Care, College of Nursing, University of Illinois Chicago, Chicago, USA.ORCID https://orcid.org/0000-0001-8008-9508
Edwin BolastigHuman Resources for Health, Caribbean Subregional Program Coordination, Pan American Health Organization, Bridgetown, Barbados.ORCID https://orcid.org/0009-0006-3120-1552
Bruna Moreno DiasDepartment of Health Systems and Services, Pan American Health Organization, Bridgetown, Barbados.ORCID https://orcid.org/0000-0002-7346-4848
Vishwanath PartapsinghHealth Systems and Services, Office for Barbados and the Eastern Caribbean Countries, Caribbean Subregional Program Coordination, Pan American Health Organization, Bridgetown, Barbados.ORCID https://orcid.org/0009-0009-5589-093X
Carmen AlvarezDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, USA.ORCID https://orcid.org/0000-0002-6417-4494
Pauline Anderson-JohnsonPAHO/WHO Collaborating Centre for Nursing and Midwifery Development in the Caribbean, The UWI School of Nursing, Mona, Faculty of Medical Sciences, The University of the West Indies, Saint Augustine, Trinidad and Tobago.ORCID https://orcid.org/0009-0007-5238-0112
Monique LynchPAHO/WHO Collaborating Centre for Nursing and Midwifery Development in the Caribbean, The UWI School of Nursing, Mona, Faculty of Medical Sciences, The University of the West Indies, Saint Augustine, Trinidad and Tobago.ORCID https://orcid.org/0000-0002-4758-2939
Jaime Wynter-HewittThe UWI School of Nursing, Mona, Faculty of Medical Sciences, The University of the West Indies, Saint Augustine, Trinidad and Tobago.ORCID https://orcid.org/0009-0002-8145-7354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis initiative aimed to contribute to the Pan American Health Organization/World Health Organization's (PAHO/WHO) strategic goals for nursing and midwifery workforce development in the Caribbean by establishing a collaboration to streamline processes to collect comprehensive region-wide data and reduce respondent burden.

backgroundThe Caribbean region faces persistent challenges in nursing and midwifery workforce development due to high migration rates, workforce shortages, and limited regional data collection. Seven PAHO/WHO Collaborating Centers (CCs) for Nursing and Midwifery were tasked separately with Terms of Reference to support the human resources for health (HRH)-related Sustainable Development Goals of Caribbean countries. SOURCES OF EVIDENCE: PAHO-tasked Terms of Reference for CC activities and strategic priorities in the Caribbean. DISCUSSION: Using Donabedian's structure-process-outcome model, we described the development, implementation, and impact of this initiative. Structural components included the Pan American Collaborating Centers for Nursing and Midwifery (PANMCC) network, formal leadership, PAHO support, team commitment and expertise, and resources. The process emphasized regular communication, stakeholder engagement, and a collaborative approach to survey design and distribution. Outcomes included the successful development and implementation of a comprehensive survey, improved data quality, reduced respondent burden, and shared learning. Unexpected benefits were the strengthening of the PANMCC network and further opportunities for collaboration.

conclusionThe success of this initiative was attributed to structures and processes that set the foundation for effective communication, collaboration, and synergies among the CCs to achieve project goals. IMPLICATIONS FOR NURSING POLICY AND PRACTICE: This international collaboration showcased the importance of strong leadership, mutual commitment, and unwavering support from the PANMCC network. The findings demonstrate the potential of coordinated efforts to inform nursing and midwifery HRH policy and practice in resource-constrained regions.

Indexed as

Health PolicyInternational CooperationMidwiferyCaribbean RegionFemaleHumansPan American Health OrganizationPregnancyWorld Health OrganizationAdvanced practice nursingCaribbean regionhealth serviceshuman resources for healthInternational Collaborationmidwiferynetworksnursing educationPan American Health OrganizationWorld Health Organization

Identifiers

PMID40798966
PMCPMC12344391

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.