A Letter To Newly Qualified Nurses From Nurse Emeka Nwosu

Season greetings to you in advance dearly beloved,my heart is filled with joy to know that you have sucessfully concluded your general Nursing program,i can relate my dear as i was in this euphoric state of excitement many years ago,as you celebrate with family and friends,i would love to share a few words of advice from my Nursing journey;

Please note that nursing in Nigeria in terms of earnings and job availability is yet to attain a uniform status,if you work outside lagos and few places like abuja,PortHarcourt,you are most likely going to earn less than your collegues.
2,it will be wise for you to save for the furture,if you do not have sponsors,please save on a monthly bases,i will be practical on how much you need to secure greener pastures abroad,if you want to register for IELTS which is complulsory for UK,AUSTRALIA,US,CANADA,you need 68k(sixty eight thousand naira).,if you prepare well you may end up writing it once,in my case however i wrote this exam more than once.

3,CBT exam for the UK will cost you about 75 TO 80K depending on were you are and other expenses you may need to make before the exam date.
4,You will need to make payments to the British NMC for your credential assessment and verification,that will cost about thesame amount,school transcript will cost you money,Nigerian nursing council will charge you for certificate verification,all your documents will need to be sent to the UK,some will be uploaded,others sent directly,if you add this up you will see that you need about 250k or more to conclude your process and that is if you pass all your exams at once,you will need to purchase or photocopy your Royal Marsdern textbook,it will cost money,this and many more are reasons why you need to work and save money if UK is your target.
Open University is available for you to start up and upgrade immediately if you are not a graduate Nurse.
UK Universities like Anglia Ruski,University of Sunderland will cost you about 4million,if you have a sponsor,it is a good option as IELTS is waved off for you after graduation as you can go ahead to write your CBT exam and complete your nursing registration process but how about the school fees,very expensive if you cant afford it then you need to try other options.
Direct entry to Nigerian University is also an option for you,if you have a degree already you might decide to pursue further degrees in public Health In countries like America,they are better,more reasonable and can provide you an avenue to work and live in the US.
One of the mistakes i made was going for postbasic Nursing,my sisters and brothers,if you have a diploma in Nursing,the best idea would be to obtain a degree,postbasic nursing is hyped,it will not change your status when you get to the Western World as it only gives you psychological satisfaction that you have done something extra,i would advice that you rather use the money for postbasic to write board exams,pursue your degrees or better still go for certifications on Safety and Health,BLS,ACLS and diversify,Nigerian system of certificate classification in Nursing gives Postbasic Nursing a very disheartening status that only has value when you are stranded in a government hospital,if you go abroad even in South Africa,you are certified in any postbasic field by simply working in that unit for a specific period of time,be wise,spend your money with wisdom and pursue your dreams.

FMC hospitals,TEACHING Hospitals,General Hospitals have a salary structure that is yet to be reviewed to a reasonable and respectable salary scale,if you are decieved by the name and compound size, you will find yourself in a prison yard like most of your senior metrons,i worked with them for years,the salary will discourage you from giving your best,as a young Nurse,i would advice you earn higher until Nigeria is ready to have your services at the right pay,a typical example,my collegues that have spent 10 years in luth are still earning less than 100thousand naira thats about 200hundred dollars,is that what you desire in life?,my dear newly qualified nurse think before you get admitted into their prison in the name of federal job,when i resigned and got a new job as a nurse else were,my salary currently is more than that of my collegues who have spent about 14years or more in service be wise,ask questions,demand for more,study for more,pray for more,travel wide for more,you deserve more.

Your time with the private hospitals should be strictly for the purpose of sharpening your skills,learning and practicing what youve been taught,it is not a place to go and relax,it is also a place to save money to plan for the furture while you wait for your dreams to come through,do not relax there,do not argue with their Auxillaries,if you can strenghten your hands on the job that will be great,please be hopeful,one day we will win the war against quackery in Nurisng here in Nigeria.

Male Nurses and Female Nurses should not limit their selves,when you get your experience,you can apply in oil firms,construction firms,multinationals,NNPC,Military and parlamilitary,Navy,Airforce,Immigrations,Police,Nigerian Prisons,NNPC,Customs,Samsung,Nestle,the list is endless,we are usually afraid that we wont get,but shell are still recruiting on Locum basis,Mobil etc,when you take up the contract jobs or call duties you can raise money and move on to your dreams.
You need to know that you can get to the top,you have to change things,do things differently if you do not want to retire as your metron,if you must go far,you must be vissionary,LIFE WILL GIVE YOU WHATEVER YOU DREAM AND PURSUE CALCULATIVELY SO DREAM HIGH.

From Nurse Emeka Nwosu

Challenges Facing Nursing Profession in Nigeria


1. Poor Remuneration
2. Lack of interest in Research
3. Poor Working Environment
4. Poor funding of healthcare
5. Advancement in science and technology
6. Non implementation of Nursing process
7. Non participant in policy making
9. Lack of hospital equipment
10. Lack of Continuous Training
11. Lack of commitment to nursing practice
12. Rural Urban Migration of Nurses
13. Poor information system
14. Nurses satisfaction with basic certificate
15. Poor academic regulations
16. Professional Rivalry
17. Nurse to patient ratio
18. Obsolete legislation on nursing education and practice
19. Poor Leadership
20. Female Dominated profession

OET: A Easier English Test Helping UK Easing Nursing Shortage

Many more nurses are successfully passing a healthcare-specific language test that enables them to work in the UK, having tried and failed other tests multiple times.

The “much higher pass rates” reported for the Occupational English Test (OET) follow concerns that the only other test accepted by the Nursing and Midwifery Council was preventing competent nurses from taking up posts at trusts desperate to fill vacancies.

The NMC started accepting OET in November last year and, since then, the company that runs it has seen a huge surge in the number of candidates.

Surge in overseas nurses taking new NMC-approved English test
Early evidence presented at the first ever OET Forum held in the UK, suggests a much greater proportion of nurses who sit OET go on to achieve the required standards for NMC registration – grade B in speaking, listening, reading and writing.

Previously, the only way for overseas nurses wishing to practice in the UK to demonstrate their language skills was to take the International English Language Testing System (IELTS) exam.

However, there was concern the test – which purely tests linguistic ability – was getting in the way of recruiting nurses with the skills to practice safely in health and care services hit by severe shortages of qualified staff.

Results from a survey of candidates sitting OET found more than a quarter of those taking the test in the UK and Ireland – often healthcare assistants already working successfully in the NHS – had previously failed other English tests.

In all, the survey of more than 4,000 candidates – including 200 from the UK and Ireland – found nearly three quarters – 75% – had opted to take OET because it was specific to healthcare.

Meanwhile, 53% said they felt more confident about taking the test because it was content they could relate to, according to the survey by test administrator Cambridge Boxhill Language Assessment.

Sujata Stead, chief executive of Cambridge Boxhill, told the forum that numbers taking the test had shot up dramatically since it had been accepted by both the NMC and General Medical Council.

She said numbers had increased from five to 10 per month before NMC acceptance last autumn to almost 1,000 per month across the UK and Ireland.

Globally, the numbers taking the test have gone from 2,000 between August and September 2016-17 to 8,000 for the same period during the current financial year.

The company hopes to double the number of test centres across the globe within the next year, as well as increase the number of test dates with the aim of moving from one test per month to three or four dates per month in the future, she revealed.

The success of OET has been linked to the fact it tests language and communication skills within a healthcare context with nursing candidates asked to do tasks relevant to everyday practice, including role plays where they interact with “patients”.

The fact candidates can relate to the tasks and topics they are being asked to do means they are more likely to persevere with studying, with participants learning new and useful communication skills along the way, according to developers.

NMC commits to further work on language test amid ‘urgency’ concerns
NMC to assess whether controversial English test is too hard
NMC finds ‘no evidence’ so far to lower English language test
Recruitment agencies, language teachers, and researchers said there was evidence more people were able to pass OET first time round – especially those who had been supported to prepare.

Chris Moore, managing director of Specialist Language Courses – an OET test centre and course provider – said he was seeing “much higher pass rates”.

Of 54 candidates who sat OET, 30 passed with four grade Bs first time round – a pass rate of 56%, he noted at the event held at the Royal College of Nursing.

Meanwhile, of the 216 individual speaking, listening, reading and writing tests taken by those candidates, 176 – or 81% – were marked grade B.

Shannon Dudley, of health and social care recruitment agency HCL, revealed her firm had stopped mass nurse recruitment drives overseas because so many candidates were failing English language tests.

However, since OET has been accepted by the NMC the company has started recruiting in volume again.

One such exercise saw the company recruit just over 200 nurses from the Philippines in February this year. Of those, 43% passed OET and most achieved that first time round.

Ms Dudley said nurses were successfully passing OET after “multiple IELTS attempts”. “The OET exam pass rates are significantly higher than we have seen – especially with IELTS,” she said.

“OET is not the solution for all English language problems for healthcare professionals”

She said issues included the cost of the OET exam, at around three times the cost of IELTS, although most trusts were offering to cover the cost of one attempt for nurses who took up a job.

Meanwhile, many had to complete IELTS anyway due to visa requirements so decided to stick with that.

Researcher and policy adviser Ceri Butler, who has investigated the role of international nurses in the NHS and investigated the challenges faced by refugee healthcare professionals, said there was evidence language testing – and IELTS in particular – was a barrier to recruitment.

Her research with refugee doctors in the UK found most had sat IELTS multiple times. Failure to pass the exam had a big impact on their confidence and self-esteem and led to some giving up trying to work as a doctor in this country, she told delegates.

However, she highlighted that some of this group had been able to pass OET first time – including one who had previously failed IELTS 13 times.

Reducing the time it took for skilled healthcare professionals to return to practice was a “hugely positive” step, she said.

She also stressed the need for ongoing support for overseas professionals when it came to helping them work in an unfamiliar health system and feel at home in a new country – a key message to come out of the event.

“OET is not the solution for all English language problems for healthcare professionals – people still need English language support,” she said.

Lyn Middleton, associate director of nursing at Aneurin Bevan University Health Board, also highlighted the importance of ongoing support and mentoring for overseas staff.

For the past year, she has looking at ways to recruit “under-employed” overseas nurses who were already living and working in the UK but employed in support roles.

This has included developing a support programme to get nurses through the requirements of NMC registration, including English language with the OET test now the “preferred choice”, she noted.

“They don’t write referral letters but nurses do write referral notes and read referral letters”

Professor Tim McNamara, who developed OET, described the challenges of creating a language test that balanced the need to ensure patient safety with a fair assessment of communication skills that did not place “unreasonable restrictions on practice”.

Extensive research has been carried out with nurses and doctors to try and pinpoint the elements of communication that “really matter” in clinical practice to inform the content, he said.

From this month, candidates taking OET will be judged on new “clinical communication” criteria including key skills, like building relationships, understanding a patient’s perspective and the ability to translate complex medical terms into lay language – although grades will still be weighted towards linguistic elements.

Professor McNamara, from the school of languages and linguistics at the University of Melbourne, said the changes were designed to make the test more relevant and “allow a better fit with what the test is asking and what really matters in clinical settings”.

One issue that emerged at the forum was the fact nurses were expected to write a referral letter in the writing element of the test – shown to be the part candidates found most challenging – despite the fact this was not something most nurses do.

Professor McNamara acknowledged this section of the test may appear less “authentic”. However, he added: “They don’t write referral letters but nurses do write referral notes and read referral letters – they read referral letters from doctors quite a lot.”

He highlighted that the test was constantly evolving and there was a need to ensure it did “reflect the majority of written communication with nurses”.

Source: NursingNews

Doctor Slaps Pregnant Nurse in Duty in Uganda Government Hospital

According to the Uganda Nurses and Midwives Union on Twitter a midwife in Kamuli District was slapped below is the message posted on her Twitter page

Assaulted Nurse

Heated day in Kamuli District as one of our Midwives Nangobi Sarah, who happens to be pregnant was slapped on duty by the Medical Superintendent in Kamuli General Hospital.

Who is A Nurse? Differentiating Nurses from Auxiliary or Quacks

According to International Council of Nurses (ICN),
“A nurse is a person who has undergone the basic training in the profession called nursing,in an authorized/accredited school licensed and authorised by NMC to practice the profession nursing”
So regardless of who trained you, or where you are trained,
what you are trained for,
your level of education or acceptance, who authorized you or licensed you,
if your training fall short of the above, you are definitely a QUACK,
an endangered species,
practicing what you know not.
It is great illegality and deceitfulness to dabble into what you are not proficient in.

Nursing is not what you think!
It is an art, you must learn it.
It is a science, its application is evidence based.
It is spiritual, nurses are called to act as angels to helpless humans
It is demanding, you need agility
It is interesting, you have to derive joy practicing it
It is incriminating, you have to be licensed.
It is thought provoking, hence, you need intelligence.
It is not so rewarding in Nigeria, hence, you need passion.
It requires your entire life, so you need to be dedicated
Do not dabble into nursing if you have not gone through the training in an accredited training school,
you will only be rendering unaccredited services to humanity, which can even land you in jail because you are not licensed to practice the profession.
Do not make yourself a stooge to those looking for cheap labour, you can still learn the art of nursing. Just with determination, you’ll get there!!!
Stay within your limits. Stay away completely!!!
To the general public, PLS note:

Nurses, Leadership and Seniority Examined by Olufemi Iseyemi Folakemi

Leadership and seniority are not same. A leader is a product of nature and environment, seniority can also be as a result of both,but a good leader lives by example to reproduce herself in her work place. She leads by example and should never be overwhelmed by the attitude of his subordinate because he is there to mentor them, mould them and reproduce himself in his/ her subordinate. Therefore, he must be up and about at all time. He is supposed to be the mirror through which her subordinate sees the work and the world. On the other hand a senior is concerned about getting respect from junior, being served right and how best to maintain her authority. They most often forget that respect is reciprocal. And they are sometimes drunk with thought for self and authority.

A leader is a senior in most cases, and she must be able to marry the two together in other to be a transformational leader and a leader that leaves her foots steps behind making the journey easy for those coming behind.

A leader that does not throw the ladder away after climbing to the top.
A leader that motivates and inspires others.

Let nurses try and marry these two elements together( leadership&seniority), so as to be able to have a lasting legacy of transformed leadership. Your colleagues should be able to trust and believe in you. They must be able to see you as their role model, their guiding angel and a disciplinarian that will not allow them to falter. We need these type of seniors leader to take nursing to the next level. We need nurses who will not carry seniority on their head but in their hands , using it to inspire others.

There is a level we get get to in any profession that seniority becomes less relevant but intellectual brainstorming at a horizontal level becomes the order of the day. The directorate level is ment for brainstorming , transformational activities, not seniority among colleagues of same cadre.. There should free flow of ideas without been biased. Nurses must use this opportunity to mentor their colleagues, institute and sustain change in their domain.

The leader must be creative in other to make themselves relevant.
We really need leaders who will use their seniority positively to the benefit of their colleagues, NURSINGNOW NIGERIA ADVOCATES TRANSFORMATIONAL LEADERSHIP. (A MUST FOR ALL NURSE LEADERS).

School of Post Basic Nursing Ear Nose and Throat Kaduna HOD is One year in Office

A year back, on the same date 14th Sept, 2017, I stepped into my present post as mentioned above.

I feel proud to complete one successful year with great satisfaction.

Yes, this is my 366th day as Coordinator and Head of the Institution.

First of all, I thank God for all the good things he gave in my first year and my fantastic team members whom I work with. They are of great support and fun to be with.

Initially it was full of challenges here and there trying to settle and position the system according to the global standard so that set goals of the organisation are to be confronted with focus.

My first quarter was slow but steady. I later improved very speedily during the subsequent quarters. This happened because my management believed in me and motivated me to an extent that all my institutional need(s) received prompt attention.

As a part of this journey, there was lot of achievements recorded by my administration to mentioned but a few apart from graduating good two sets of students all with 100% success in their respective N&MCN professional Examinations, the School secured approval for the extension of it’s probational Accreditation Status, the Nomenclature of the school is changed from the traditional ENT name to the most globally recognized name Otorhinolaryngology ‘ORL’ Nursing, all in this year and I hope, there is much more in store for me.

I, being a very optimistic person, hope that the coming years will be full of learning, challenges, more achievements and fun.

Since, the institution is a training institution that specializes in developing skills and knowledge of middle level manpower I am glad that I am a part of this wonderful Organization and I hope to complete many more years in it.

Thanks to all who made this start a happy and successful one.
Murtala Aliyu Sakwa
(Tafidan Sakwa)

Mukinge Nursing School EN-RN Conversion Program January 2019 intake

Good morning dear fellow nurses and midwives, Mukinge College of Nursing and Public Health wishes to inform you all not to panic over the EN-RN ABRIDGED CONVERSION PROGRAM. Mukinge will be conducting interviews within the shortest period. We have observed with sadness the levels of desperation from some of you hence taking this move to assure you that the program will be started in January 2019. The date for interviews will be communicated to you soonest. Please, don’t panic. Take this information as an official position of Mukinge College of Nursing and Public Health. For those interested, you can contact the school on the official phone numbers

Nurses Sleeping On Duty: A Satirical Post by Zambia Nurse

I have always aimed at delivering for my patients because that what I was trained for, ba nurse night is night, that’s why I always pray for Zambians not to get sick.

One day I was alone on duty in a fully parked male ward with almost everyone on I.V.F ,in actual sense we were supposed to be three on duty the other one got sick and the other one,the child was sick.

I got a handover and went into a duty room to pray to my God to deliver the service,that was the busiest night I had never experienced,besides we had a lot of last offices almost six.According to the hospital policy, it was the nurse taking charge of last offices.

My people ,I was really tired by 0300hrs,I became I unfunctional.I can’t even now remember how I found myself fast asleep in the duty room.I was told the patient was gasping in one of the rooms,relatives came trying to wake up me so that I could resuscitate the patient, kuti I was half dead.

This was total negligence, that’s how they looked the number for ba Bowman,while I was still dreaming sweet dreams for that matter. He came straight where I was sleeping, poured water on me,that even made my dreams worse,because I was dreaming that I was swimming on lake kariba.

At last they got cold water poured on me again,that’s when I realised I was on duty.”Tipase zina,you are sleeping on duty while patients are dying”the minister asked me.I didn’t feel pity for myself because I knew sleeping on duty was a very big case.I was told I was fired. That’s how my friend called me Mr potpher why are you crying while you are in a sleep.I then realised it was just a dream, I hate night duty 3/7.gudnite

How To Redeem Nurses Image

We all are crying for public recognition of the Nigeria Nursing Profession why sadly we deliberately and in deliberately refuse to add *Nurse* *(Nr)* to our personal beautiful names, and don’t address our colleagues as such.

So if we ain’t happy and proud of our titles how do we aspect Nigerians/ FG to feel we are important?

When our title are only *Mr, Mrs , Miss, Sister, matron* and so on

1. The change has to start with the way we address our self in public regardless of our years of experience and specializations
Eg *Am Nurse Paul Salihu*, nice to meet you.

2. The way we address our colleagues in public regardless of the year of experience and specialization. Eg Nurse Mrs Phina or simply *Nurse Fatima*, we happy you are soon to get your promotions.

3. Nursing student should be dignified by calling them for eg. *Student (STN) Nurse Abrahim,* you will go far with your nursing career.

3. Don’t understand why calling your senior colleagues (Even if he / she is a lecturer) eg *Nurse Aminu or Nurse Joy*, we enjoyed your Anatomy lecture. But she/ he feels insulteds Instead of felling proud. This altitude needs urgent charge

4. Our prof in nursing should be addressed for example *Nurse Prof Hassan*, we proud to have you.

Just see how Physician address them selves not Mr, Miss or sister but (Doctor john ) for example. They make them self relevant by been proud of their job title Dr

Lawyers not Miss but *(Barrister Abubakar)* for eg

Even Teachers no longer accept been called Uncle and Aunty but (*Teacher Hamisu*.for Eg

We beautiful *Nurse* need to rebrand *nursing*.

Advantages of this urgent change. ……..

1. This will sensitise the Doctors and the public that we are unique and important to health care

2. Add dignity to our role

3 more professionalism

4 other we have no choice but to addressed us as we want

5. It shows our relevance in society.
6. Help to unite Nurses

Its not profession for Drs and patient to be calling you sister or so called matron and forget your real title and name. For example Nurse Bashir, is far better.
But we can’t blame them because we have over the years not introduced our selves professionally.

But Please am begging all My fellow *Nurses* to give this a try most urgently in our hospitals and offices and in the public at large😘😘😘😘

Grt Nigeria *Nurses* the skies is our beginning !!!!😁😁😁
Can’t do it alone

Am Nr isma’il Ibrahim
RN, RNT, DNE, Bsc.