HYBRID EVENT: You can participate in person at Baltimore, Maryland, USA or Virtually from your home or work.

8th Edition of Nursing World Conference

October 17-19, 2024 | Baltimore, USA

October 17 -19, 2024 | Baltimore, USA
NWC 2017

Betty Ann Pilgrim

Speaker at Nursing Conference - Betty Ann Pilgrim
Southern Medical Company Ltd, Trinidad and Tobago
Title : Quality healthcare in developing countries -Utopia or reality?


This Presentation will provide a critical review of quality healthcare practice in Trinidad & Tobago, from which some generalizations may be made for the wider Caribbean region, wherever appropriate. Using an ‘autoethnographic methodology’, I would chronicle my journey in pursuit of Viable Quality Health Care as a Nurse Manager in a ‘third world’ health care institution; while I describe and systematically analyze my findings at the beginning of the journey; recount the challenges encountered; as well as identify the achievements and successes attained, plus projections. Within the presentation I would highlight key elements of Health Care in the Twin Island Republic of Trinidad and Tobago.

The sub-geographical focus of the study is the South West Regional Health Authority (SWRHA), the largest single public healthcare system or authority in the southern Caribbean – based in Trinidad; with approximately 1500 nursing and allied nursing staff, 750 beds; and over 50 facilities nationwide. The size and scope of this institution ensures that any appropriate research executed there would have implications for the wider national and regional healthcare sectors. Empirical literature points out that ‘external and internal environmental’ factors do affect the healthcare product generated by any institution. These are generally captured by the PESTEL Factors Framework (Political, Economic, Socio-cultural, Technological, Environmental, and Legal or Regulatory). Owing to the structural make-up of the countries of the Caribbean, this study specifically sheds light on the impact of socio-cultural and political factors on effective healthcare practice in developing countries such as those of the Caribbean.

 Additionally, the study will identify and evaluate several leadership-initiatives which were implemented, including the acclaimed practice of Case Reviews; the Electronic Fetal Monitoring training for midwives at the Obstetric Unit; the Nurse Hourly Rounds; and the rejuvenated Team Nursing. In a bid to produce and develop quality leaders, especially in the healthcare sector, the highly successful “Embracing Leadership Symposium” program was launched in 2012, and continued in 2013, 2014 and 2015.Therefore, one of the questions being addressed in this auto-ethnographic study is “to what extent does innovative-leadership practices, processes and projects impact on a viable quality healthcare service in Trinidad & Tobago and thus the wider Caribbean”.

Audience Take Away:

• A sample of innovative leadership practices, processes and projects that may impact positively on quality healthcare

• An environmental impact framework for corporate or institutional evaluation

• A critical review of viable healthcare practice in Trinidad & Tobago and the Caribbean

• An understanding of the power and use of auto-ethnographic studies in Healthcare research

• In Strategic Planning for your institution

• In Turnaround strategies for healthcare institutions

• To develop an appreciation for and a knowledge of auto-ethnographic research methodologies

• It should help Nursing and Healthcare professionals to become more observant of their professional environment, including their product/service, processes, physical evidence, etc.

• It should facilitate Strategic Planning for small and medium sized healthcare institutions.

• Researchers may choose to adopt this methodology exemplified in this Presentation, thereby providing a rich vein of experiential learning opportunities for many who read their research outputs.

• Healthcare researchers may also combine auto-ethnographic research as part of a blended research methodology design.


Betty-Ann is a UK-Trained Registered General Nurse, Midwife, and Clinical Nurse Specialist (CNS), with speciality in the Care of Children and Families with Haemoglobinopathies. She has a MSc in Social Anthropology of Children and Child development. As a distinguished national leader, Betty-Ann held the posts of Nurse Manager /Administrator, Director of Nursing, Lecturer, Board Member of the Trinidad & Tobago Registered Nursing Association, inter alia. Throughout her tenure, she accomplished numerous noteworthy initiatives that attracted national and international acclaim. Recently, she was head-hunted as the Nursing Administrator of one of the most respected private hospitals in the country.