Tuesday, June 10, 2014 McMaster University Doctor in Sciences honoris causa Discurso de Orden Address to Convocation Dear Chancellor LeBarge, President Deane, Provost Wilkinson and members of the Chancellor’s Procession, Honorable Members of McMaster Faculty and Graduands of Nursing and Medical Radiation Sciences To receive the degree of Doctor in Sciences Honoris Causa from McMaster University is not just an addition to my curriculum vitae, it is a profound honour for myself, my country and my family and for the nurses and the health professionals in the Americas. It is a distinction that is worthy on it’s own. It is an important tribute to wisdom, dedication and social commitment. It is also a statement about the human values of your University. For a nurse from Latin America always dedicated to human care and to university life, who believes in the values of nursing for all societies, and the capacities of 1 Tuesday, June 10, 2014 universities for freedom and transformation, the acceptance of this degree is a maximun honor that challenges me and demands of me even more responsibility and commitment. May you all be assured that I will honor this distincton while I am alive. I just want to say thank you. I come from a country where education has been honored from the very time of Independence. In Argentina, primary and secondary education are obligatory by law, and not sending children to school is illegal. Every child regardless of his or her social condition, dreams to go to the university and to be a doctor or a lawyer or an architect! I come from a university with more than four centuries of history founded in 1613. It has 103 research centers, 25 libraries, 17 museums, 105 graduate university programs, 194 post graduate programes, 120,000 students and 9,000 faculty profesors; a university that has produced Presidents and Nobel Prize winner. “It is a university that has been a cradle of historical revolutions. In fact, this is the University of the Reform, the one that initiated in 1918 the transformation of argentinean and latin american universties through a 2 Tuesday, June 10, 2014 students movement calling for liberty in education, autonomy, participatory government, free teaching and research and community extension as university functions.”* I want to say that, having done almost all my education there, the most appreciable values that it has given me, are the values of humility, respect for the dignity of every single human being and solidarity. Also it has given me the value of knowledge and research which made me regard nursing as a science. I worked for The Pan American Health Organization in Washington for more than a decade, I worked with all the countries of the Americas collaborating with governments, profesional and educational institutions in the constant effort to bring more and better nursing and healthcare to the people, through human resource development. The highest values that I learned from that life are the values of health as a human right and that nursing care is a key contributor to wellness and human development. Today I come to McMaster to recieve this honorary degree from this University that promotes creativity, innovation and excellence and highlights the value of 3 Tuesday, June 10, 2014 leadership in every student, it is especially dedicated to the human sciences, with more than 90% of its professors with doctoral degrees; a University that trains educated health professionals to contribute both to the Canadian and global society. I honor and admire your University because of that!!!! And because, having learned about the focus of programs and activities, I have always been aware of the dedication to train and specialize healthcare professionals committed to social and health priorities. Today I have the privilege to see all of you receiving your degrees and this is for me such an important moment. My profound respect and congratulations to all of you, graduands. You have chosen the best professions in the world! They are professions of love! As new professionals, specialists, researchers, as citizens, as public health workers we are sharing a world where nothing is so permanent as change, a world in a fascinating transition and a world where communications and velocity seems to gather us altogether in a common village. Health conditions, well-being and daily life have improved for most of us during the last three decades but 4 Tuesday, June 10, 2014 not for all. Increasing inequities, poverty and marginality and their social consequences are challenging governments, thinkers, activists, and full societies: one quarter of the global population lives with only one dollar a day and half with two dollars a day. At the same time, health indicators tell us that most healthy societies are not necessarily the richest but those with more even distribution of incomes and goods. General and extended inequities related to social determinants of health and health services, have put health on the top of the global agenda. In 2012 again UN declared that health is a key component for development and will be a part of the agenda post-15. At the same time Ministers of Health have agreed in the World Health Assembly that Universal Health Coverage must be the base for organizing health services in a way of assuring full access to high quality health care, technologies and medicines, for prevention, treatment and financial risk protection. Therefore UHC is the ultimate expression of fairness. My questions are: how healthcare services such as medical radiation and nursing are being accessed by populations? Are we nurses caring for all?. What is the 5 Tuesday, June 10, 2014 quality of the services and nursing care that is being delivered to populations? Are we providing adequate care? In my opinion, these two simple questions should orient policy and nursing thinking and decisions to a new era of re-shaping the definition of nursing, historically focused on the individual, illness and hospitals. I am aware that many universities in our Region have started this interesting discussion and even transformation, McMaster University School of Nursing is one of them. The World Health Collaborating Centres, such as the one in Nursing at McMaster, play an important part in Health institutions of higher learning around the world that don’t have the same resources and capabilities. We need to bring the social value of nursing care to the universal health coverage debate and to the center of the profession debate, if we are to make some significant change for equity and quality in health. This means that nursing must be thought of as a social science, that must highlight its role in social determinants of health, that should include communities as its main place of nursing care delivery, that should assure that every person has access to oportune quality care, and that nursing care 6 Tuesday, June 10, 2014 makes a significant contribution to universal health coverage. My recent work has focused on the perspective of the social sciences. This includes nursing, not only as a Science and an art, but the philosophy, ethics and politics of human care while related to health. Many nurses in this continent are discussing and organizing activities relating these concepts to the “right of health”. I invite you all to explore these ideas and promote the concept in your discussions. We can do more than expected by strengthening the social concepts of care. I appreciate your patience and thank again McMaster University for its generosity and for this incredible moment. *University of Cordoba website 7