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Integrating Palliative Care Into Global Health Initiatives: Opportunities and Challenges


Journal of Hospice & Palliative Nursing: April 2018 - Volume 20 - Issue 2 - p 195–200
doi: 10.1097/NJH.0000000000000415
Global Exemplar Series

The landscape of global health is quickly evolving as international health care systems and nursing organizations are developing solutions to dilemmas that face the global village and planet as a whole. Nurses remain key players in advancing all major transnational initiatives. Despite admirable efforts by many governing bodies to unify globalized health improvement, palliative care as a specialty has often not been included as a priority for health research, education, practice, or policy. The purpose of this article is to identify both opportunities and challenges for nurses to integrate palliative care into established global health initiatives and the emerging professional organizational movements impacting the future development of both global and palliative nursing. Partnerships across disciplines, with policy makers, and in research, education, and practice will assist in the creation of new knowledge and in continuing to establish the evidence-based value of palliative care on a global scale.

William E. Rosa, MS, AGPCNP-BC, ACHPN, AHN-BC, CCRN-CMC, is Robert Wood Johnson Future of Nursing Scholar at the University of Pennsylvania, School of Nursing, Philadelphia.

Address correspondence to William E. Rosa, MS, AGPCNP-BC, ACHPN, AHN-BC, CCRN-CMC, University of Pennsylvania, School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104 (

The author has no conflicts of interest to disclose.

Editor's Note: In this issue we also launch a new series titled “Global Exemplars” which in each future issue will highlight models of palliative nursing care around the globe. Future papers will tell stories of work in Rwanda, a Pakistani perspective of Islamophobia, being Black and in need of palliative care in America, and palliative care in India. We are grateful to William Rosa, MS, RN, who is serving as the series editor for these Global Exemplar articles as he and the authors will take us deeper into the worlds we have often ignored and expand our perspectives on the needs for global palliative care. This raising of awareness of nursing care around the world is our “Radical Kinship,” as we share the common stories of palliative care nurses around the world.

© 2018 by The Hospice and Palliative Nurses Association.