Reform in Nursing Education in Nigeria, Matters Arising By Abdulhaleem Ishaq Ringim

There are two educational pathways to nursing profession in Nigeria; the hospital-based pathway and the University-based pathway. The University based pathway is followed through a degree programme offered only in the university which runs for 5 years and leads to the award of BNSc(Bachelor of Nursing Science) , Registered Nurse(RN) certificate, Registered Midwife (RM) certificate and Registered Public Health Nurse (RPHN). The university-based nursing programme is jointly regulated by the NUC and the Nursing and Midwifery Council of Nigeria(NMCN)   The hospital-based pathway however is is followed through a 3-year certificate programme offered in schools and colleges of nursing in Nigeria. Completion of this programme leads to the award of the Registered Nurse (RN) certificate otherwise called the Basic Nursing Certificate(BNC) only. Unlike the university-based nursing education, schools and colleges of nursing are singly regulated by the NMCN.    Now, it is worthy to note that Schools and Colleges of Nursing in Nigeria do not qualify as tertiary institutions going by the National Policy on Education definition of tertiary education which so defines it as “the education given after Post Basic education in institutions such as Universities and Inter-Universities Centres such as the Nigeria French Language Village, Nigeria Arabic Language Village, National Institute of Nigerian Languages, institutions such as Innovation Enterprise Institutions(IEIs), and Colleges of Education, Monotechnics, Polytechnics, and other specialized institutions such as Colleges of Agriculture, Schools of Health Technology and the National Teachers’ Institutes(NTI).”   Also, these schools and colleges are not regulated by any of the 3 regulating bodies we have in Nigeria saddled with the responsibility of regulating institutions that award certificates with academic value which are; • The National Universities Commission(NUC) • National Board for Technical Education(NBTE) • National Commission for Colleges of Education(NCCE).   By implication, the 3-year hospital based nursing programme is not recognized as tertiary education in the Nigerian context and the Registered Nurse certificate awarded on completion has no academic value. In fact, one could view it as a mere professional programme for the only difference is the fact that graduates of the programme earn a license to practice as Registered Nurses in any health care institution and for employment purposes are placed in the same salary grade level as Higher National Diploma holders (Grade level 8, step 1).  

For one to earn a BNSc (Degree) certificate after the hospital based programme, he/she have to spend another 4 years in the university as the RN-BNSC programme usually spans for 4 years. That means, a registered nurse upon admission into the university through Direct Entry (DE) starts from 200 level just like a graduate of a Basic 1-1½ advanced level programme. Hence, this path allows for an individual to become a degree holding nurse after almost 8 years.    Isn’t this too much?  The Nursing and Midwifery council on its quest towards reforming the system and finding a solution to this problem proposed two options during the NMCN leadership conference held in Kaduna in 2017;  1. Schools of nursing and midwifery be absorbed or assimilated by universities that have departments of nursing inline with the requirement of NUC 2. Those unable to get absorbed should move to National Board for Technical Education (NBTE) as Colleges of Nursing Science so as to get the academic recognition of ND/HND for their graduates.    In consolidation, the NMCN on 16th February 2016 released a circular mandating all schools of nursing to adhere to any of the above mentioned options before the year 2023.   But why the ND/HND option when the system is gradually railing towards extinction?  The Nigerian government in June 2016 scrapped the award of HND ,a decision that was reached by the Federal Executive Council as part of the comprehensive reform of Nigeria’s tertiary education. The same policy also established the scrapping of all non-technical courses out of polytechnics.    Where is NMCN heading with its proposal for the ND/HND nursing programme?   Is nursing a technical course?    Why go for an ND/HND choice when sister professions in the medical space like Physiotherapy and Pharmacy are pressing for Doctor of Physiotherapy(DPT) and Doctor of Pharmacy(Pharm.D)?   We see the ND/HND model not as an option but as a pathway towards consolidating the nursing profession in a more darker abyss.    We have two major problems;  1. The academically non-valued certificate awarded on completion of schools/colleges of nursing,  2. The inconsiderate long duration of the RN-BNSc transition programme.    I therefore suggest that the NMCN in collaboration with the ministry of health, the NUC and ministry of education move every school/college of nursing to universities with departments of nursing or effect a holistic reform on school of nursing curriculums which will lead to its upgrade and the inclusion of core pre-clinical courses with adequate training in courses like Anatomy, Physiology, Biochemistry, Pathology, microbiology etc just as it is being done for university nursing students in their early pre-clinical years. With this, there would be a substantial reduction in the RN-BNSc transition period to at least 2 years (I. E School of Nursing graduates will be admitted into 400L).    This will not only reduce the inconsequential duration of nursing education but also proffer solutions to the contemporary problems nursing as a profession is facing like professional disharmony (in having many labour unions representing the profession eggs NANNM and UGONSA); political apathy – as the university programme or reformed schools of nursing curriculum would offer courses in politics, law and humanities which will rekindle the sense of direction in professionalism of nurses; gender issues etc.    I hereby call on JOHESU, NANNM, UGONSA, NANS, NUNSA and other relevant pressure forces to help in agitating for these reforms.    #WeSayNoToHNDNursing #MoveUsToUniversity or reduce the #RN_BNScTopUp to 2 years!    About The Author Abdulhaleem Ishaq Ringim is a student nurse, political and public affairs analyst, activist and an advocate for youth development. He is the serving president of ABU Teaching Hospital Student Nurses Association(ABUTHSNA).    He is based in Zaria and can be reached through haleemabdul1999@gmail.com

Unaccredited Medical, Nursing College in Nigeria Shut Down

A fake medical and nursing college called the International College of Professions, located in Nsukka, Enugu State, has been shut down by the Independent Corrupt Practices and Other Related Offences Commission (ICPC). The school, located in a decrepit and run-down one-storey building in Eha Alumona, an outskirt of Nsukka, has faculty of applied and natural sciences, with degree programmes in basic and advanced auxiliary nursing, medicine and surgery, as well as Public Relations and Mass Communication.

The Rector of the fake college, Rev. Dr. Nnamdi Obiukwu, claimed before operatives of the Commission that the school is affiliated to California University FCE, with accreditation from the National Universities Commission (NUC) and the Ministry of Education, Enugu State. But checks by officers of ICPC indicate that such accreditation does not exist, as the fake college was only given approval by the Enugu State Ministry of Education to run vocational programmes.

On staff strength, Obiukwu admitted that the school had just four staff on its payroll. One staff is the Registrar and doubles as a lecturer, while there are two full-time lecturers and a part-time one. None of the lecturers has the requisite qualifications. The college has over 20 students from first year to final year, paying over N45, 000 per semester.

While final year students have been made to pay as much as N250, 000 as graduation fees. It is estimated that the students of the college, which is also called Revo International College, have been defrauded of over N2.6 million since it began its illegal programmes in 2016.

Nurse Confession: “I Swapped Close To 5,000 Babies In 12 Years I Worked In The Maternity Ward”

“May God Forgive me for my sins”, says a UTH Nurse”

“I used to swap babies at UTH for fun”!, she confessed on Monday in her sick bed.
“I have terminal cancer and I know I will be dying soon. I wish to confess my sins before God and before all the affected people especially those who were giving birth at UTH during my service. I have found God, Ia, now born again. I have nothing to hide, In the 12 years I worked in the maternity ward at UTH, I swapped close to 5000 babies”, she said.

“If you were born in UTH between the years 1983 to 1995 chances are your parents may not be your biological parents. I had developed a habbit of swapping newly born babies just for fun. So take a good look at your siblings, if for example everyone is light and you are darkie… you are that child and I am really sorry for that”

“I know I sinned against God and may he forgve me for that. I am also asking Zambians to forgive me for the evil things I was doing to innocent children. I have caused some faithful couples to divorce after going for DNA Tests. Its now that I have realised I was just being used by a demon to do that. I have causeed many mothers to breastfeed children who are not theirs biologically. I dont want to go to Hell for that, Am really sorry I have sinned alot. Please FORGIVE me”, said Sister Elizabeth Bwalya Mwewa.

Ghana Nursing and Midwifery Council Releases January 2019 Examination Result

This is step by step guide to check your result online

The Nursing and Midwifery Council of Ghana has released the results of candidates who sat for the January 2019 Post Basic Nursing online licensing examination.

A statement from the Nursing and Midwifery Council said 94% of the 250 candidates who wrote the examination passed.

“Out of the 250 candidates who sat for the examination 94% passed,” the statement added.

The Council urged the candidates who took part in the exams to visit the Regional Offices of the Council from Wednesday, April 3, 2019, to obtain a result-checking scratch card to access their results online.

The number of candidates from the various post basic nursing training schools who sat for the online licensing examination were made up of the following:

Critical Care Nursing              –        68

Ophthalmic Nursing               –        59

Peri-Operative Nursing           –        75

Public Health Nursing             –        48

In the statement, the Registrar of the Council, Mr. Felix Nyante, told those who were unsuccessful in the online licensing examination to join the next batch of candidates to sit for the online licensing examination in July 2019.

CHECKING OF RESULTS ONLINE

The Registrar disclosed that for the first time in the history of the Council, and as part of the digitization agenda of the government, it has developed an online results-checking system which will allow the nursing and midwifery candidates for the licensing examinations to check their results using the Council’s online web portal.

He noted that the online results-checking was part of the online licensing examination project, NICHE 261, which was initiated in 2016.

The Council, together with a consortium composed by CINOP Global and Advisory Services and the Kwame Nkrumah University of Science and Technology initiated the NICHE 261 project to strengthen the capacity of the Council to conduct credible examination through the use of advanced ICT solutions.

In support of the project, NUFFIC through the Embassy of the Kingdom of the Netherlands provided financial support.

PROCEDURE TO CHECK RESULTS ONLINE

All candidates who sat for the Post Basic Nursing online licensing examination in January 2019 would be required to obtain results checking scratch card from any of the Regional Offices of the Nursing and Midwifery Council across the Country at the cost of Ten Ghana Cedis only (GHC 10.00)

“Please note that the Regional Offices of the Nursing and Midwifery Council are the only designated centres for the sale of the scratch cards,” the statement added.

The candidates can check on this link for more: http://nmc.gov.gh or http://nmcgh.org

By: citinewsroom.com | Ghana

Nigerian Nurses Are Not Doctors’ Assistants –Professor Adejumo

Professor Prisca Olabisi Adejumo, a lecturer at the University of Ibadan, has said that nurses and midwives are not doctors’ assistants and should be rated appropriately in the country’s healthcare delivery system.

Delivering her inaugural lecture at the University she said, “Nurses and midwives are not doctors’ assistants. They are health professionals in their own right, with specific skills and training that enable them to perform a wide variety of essential roles. They make up half of the health workforce; they are close to people and critical too health care teams”.

While quoting the words of Dr. Tedro, she made a veiled reference to the dichotomy in the nation’s healthcare delivery system where nurses are still battling to be rated like their colleagues in Western Europe and North America.

Adejumo, a professor of nursing science in the University while delivering the university’s 452nd inaugural lecture, argued that nurses are the gate-keepers in the health care delivery system, adding that “understanding who a nurse is also vital in the bid to know who the nurse is”.

She explained, “A nurse is a gate-keeper to life at birth and death, an angel who opens the eyes of a newborn and gently closes the eyes of a dying man. It is indeed a big privilege to be the first to witness the beginning and the end of life”.

In the inaugural lecture which was laced with her research findings in HIV and cancer counseling, Professor Adejumo called for adequate financial support for nurses to enable them carry out the enormous task of nursing the nursed.

“Adequate support in terms of finance and personnel must be made available for the nurse not only to nurse the nursed but also not to transit to become the nursed,” she suggested.

Quoting from one of her research findings, Professor Adejumo argued that exhaustion due to work pressure from few nurses attending to a large number of patients could lead to “medication administration errors among nurses”, hence the need for adequate personnel in healthcare facilities.

She also called for adequate remuneration for nurses to stop the financial pressure that could make them “transit to become the nursed”.

Professor Adejumo’s inaugural lecture entitled: “Riding through risks into new frontier: The nurse, the nursed and nursing” was witnessed by a mammoth crowd made up of academics, her professional colleagues and her students who took turns to hug her after the presentation.
Source: Independent Newspaper

Canadian Nurse Fired After Allegedly Inducing Labour Without Consent

A nurse in Moncton was fired after allegations that labour was induced without consent, Horizon Health Network confirmed Saturday.

A press release from Horizon Health said it fired the labour and delivery nurse after an internal investigation revealed “strong evidence” the nurse administered Oxytocin, which caused two patients to require an urgent caesarean section. Horizon said it took immediate action to launch an investigation.

Oxytocin is a drug that causes contractions and is used to induce labour, speed up labour and stop bleeding following labour. If it’s not administered properly, contractions can become too strong.

The health authority said the two affected patients and their families have been contacted. Hospital staff were informed of the situation March 27.

“Our investigation at this point has identified these two patients and these two patients alone,” said Ken Gillespie, an obstetrician and chief of staff of Moncton  Hospital, when asked if there could be more than two patients affected.

Gillespie said patients should reach out to Horizon if they have questions about their care.

“On behalf of Horizon we would like to apologize to the patients and families affected by the actions of our former employee,” the press release said

The press release also said the two mothers and their babies are “safe and doing well.”

Horizon said it will not be commenting any further at this time.

RCMP said they are investigating an incident at the request of Horizon Health. They say no arrest has been made.

Source : https://www.cbc.ca/news/canada/new-brunswick/moncton-hospital-labour-nurse-1.5078436

Ogun State School Of Nursing Abeokuta, Ilaro, Ijebu 2019/2020 Admission Form on Sale

Interested Candidates are hereby invited for Admission into Ogun State Schools of Nursing.

NOTE: ONLY ONLINE APPLICATION IS ACCEPTED.

QUALIFICATION

Eligible Candidates Must Possess WASC/GCE/NECO  O’Level with Minimum of five (5) Credits which Must Include English Language. Mathematics, Physics, Chemistry and Biology at not more than Two (2) Sittings. Candidates AWAITING RESULT CAN ALSO APPLY

APPLICATION PROCEDURE

Collect bank name and account number/code from the account department of ministry of health
Present the bank teller/print out to the account department after 48 hours to collect log in pin for your online registration.
proceed online to www.mohsonmportal.com for the completion of your registration and print your examination photo card
Application closes friday, 7th June. 2019
Examination comes up on Saturday 15th June, 2019.
Venue: Son, idi-aba, Abeokuta

Time: 8 00am

PLEASE NOTE

Applicants are requested to have a functioning e-mail address for future contact.
Examination is computer based testing in the following subjects: English Language Physics, Chemistry, Biology and General Paper.
Candidates are advised to keep their log in PIN as loss of log in PIN will attract payment of another fee For Application Form.
All enquiries should be directed at the director Of Nursing Services Ogun State Ministry Of Health (Room 104) Only.
Dr. Nafiu Aigoro

Permanent Secretary

More Abu Dhabi Nurses Need Specialized Skills

The emirate of Abu Dhabi’s public healthcare facilities have enough nurses to cater to patients, but there is still a need to advance their skills, a top healthcare official said in the capital on April 1.

“We have 7,800 nurses working across our hospitals and clinics. However, most nurses possess only general skills. What we are looking for now is nurses who are certified specialists in their field of care, including surgery, renal care, emergency adult and paediatric care, and midwifery,” said Dr Aysha Al Mahri, group nursing and allied health director at the Abu Dhabi Health Services Company (Seha).

Nurses with advanced skills can greatly uplift the standard of care across our facilities, and this is our focus at the moment
– Dr Aysha Al Mahri, group nursing and allied health director at the Abu Dhabi Health Services Company
To that end, Seha is working to introduce include an academic qualification programme by the end of the year that will allow nurses to become certified while on the job.

“Nurses with advanced skills can greatly uplift the standard of care across our facilities, and this is our focus at the moment,” Dr Al Mahri told Gulf News.

She was speaking on the sidelines of the first Seha International Nursing Excellence Conference, a two-day forum where hundreds of nurses are meeting with healthcare officials to discuss the future needs of the sector.

As Abu Dhabi’s public healthcare provider, Seha currently manages and operates 13 hospitals with 2,775 beds, 41 primary healthcare centres, three mobile clinics, four dental centres, two blood banks and 10 disease prevention and screening centres. Between them, the facilities see 100,000 inpatients and five million outpatients each year.

Gulf News reported in September 2017 that Seha hired 2,000 new nurses between 2017 and 2018 in order to maintain nurse-to-patient ratios at international standards. Dr Al Mahri said at the time that the skills required of nurses were shifting, especially as the growth of specialist hospitals and medical fields call for specialised nursing care.

“At present, Seha facilities boast nurses with advanced skills in critical care and community healthcare, but most of them have gained the skills through years of experience. We now want to encourage our existing direct care nurses to pursue advanced certifications and become nursing practitioners,” Dr Al Mahri explained. Nursing practitioners must have a minimum of a master’s degree in their specific fields.

In addition, Seha is also looking to boost the number of Emiratis in the sector, as the number has remained stagnant at 124 Emirati nurses since 2017. This requires a change in perception about the profession, and a better awareness of the advancement opportunities it offers, Dr Al Mahri said.
Source : Gulf News

UK: Number of Nurses Being Attacked By Dogs While Visiting Patients on The Rise

An increasing number of community nurses in Derbyshire are being bitten by dogs while visiting patients in their homes.

Leadership at the Derbyshire Community Health Services NHS Foundation Trust (DCHS) say that much of the risk around these incidents is “unpreventable” due to the very nature of the job.

A report published by the trust says that there has been an “increase in the number of dog bites”.

At a meeting of the trust’s governing board on Thursday, March 28, Ian Lichfield, a non-executive director, suggested that staff could call the patient they were about to visit, ask if they have a dog, and if they do, “ask them to put it away”.

Amanda Rawlings, the trust’s director of people and organisational effectiveness, said: “I hate to say this, but some of this is almost unpreventable.

“When staff visit patients, it is in the patient’s home environment and it is hard to avoid this risk if they own dogs.

“It is a similar problem as that faced by those in the postal service. The number of incidents we are seeing is increasing.”

There have been 12 incidents of staff being injured by dogs while giving care to patients at home in the current financial year.

In the previous year, 2017 through to March 2018, there were 12 injuries sustained by staff from dogs and one in which a member of staff was scratched by a cat.

A spokesperson from Derbyshire Community Health Services NHS Foundation Trust said: “We all need to do our best to keep staff safe while they are visiting patients at home to deliver care.

Source: https://www.derbytelegraph.co.uk/news/local-news/number-nurses-being-attacked-dogs-2709721

Douglas Adu-Fokuo Declares To Contest for GRNMA National PRO position

Dear All,
Tell the world I am coming home to put smiles on the faces of Nurses Midwives
Douglas Adu-Fokuo (Kofi Ghana) is a Registered Nurse with BA in Communication Studies (with specialization in journalism). He is currently pursuing MPH. He has been an active advocate for nurses and midwives since 2012, until he was sent to the GRNMA Disciplinary Committee on 20th October 2017.
Among the alleged misconduct for the appearance before GRNMA DC included :
▪Advocating for nurses and midwives to have a fair representation on the National Health Insurance Authority board
▪Reacting to an officer for removing my name from the 2017 GRNMA Conference Delegates’ album
▪Mobilizing members of the association to attend the 2017 GRNMA conference in their numbers
▪A publication dubbed “Mahama’s scrap of allowance the most senseless decision
▪Visiting schools to sensitize the students on GRNMA
▪Granting interviews on radio and TV to advocate for nurses and midwives
▪I did not work for 3 years before contesting for that Greater Accra Regional PRO
These allegations have been responded respectively. However, a copy of the GRNMA Disciplinary Committee’s report has not been given to me for over a year now. The GRNMA DC advised me not to talk on behalf of nurses and midwives, especially on TV and Radio.
Douglas has been doing much for the GRNMA Association and the entire nurses and midwives in Ghana.
▪From 2017 to date, as a member of the GHS PR Unit, he has ensured officers who extort unapproved monies from nurses and midwives, especially interview fees and few others, are sanctioned. This has deter most officers from charging promotion interview fees from nurses and midwives.
▪Advocating for some nurses and midwives to attend international short courses
▪Lobbied and advocated for some nurses and midwives to go on secondment at Food and Drugs Authority.
▪Collaborated with Mathias and Rebecca Kumah to ensure a colleague wrongfully arrested over 10 billion old currency, was granted bail. By God’s grace the issue has been addressed.
▪With a team, advocated for possible fair representation on boards of health agencies and other appointments for nurses and midwives
▪Assisted some nurses and midwives, especially those in undeserved areas to get study leave approval
▪Serving as an errand officer for some nurses and midwives by following up on their letters (transfer, promotion, study leave)
▪Ensuring refund of money extorted from nurses midwife interns
▪Protecting my integrity and ensuring ati-corrupt crusade by rejecting or refusing money meant to appreciate my services and meant to influence my works

▪Played an active role in the implementation of the online recruitment portal system which has ensured fairness in distribution of staff and also removed human influence on distribution of staff. In future this online system will be used for study leave application to reduce reported unfairness in selection.
▪In february 2017, he investigated into a strange death of a nurse in Axim Nzima, Central region. The nurse was found dead in a galamsey pit (pond). The investigation was done in collaboration with the Western regional Chairperson, Philimon Agyapong.
▪Douglas is the reason why GRNMA active social media platforms.
▪The first active GRNMA Whatsapp platform he created was the GAR GRNMA Youth Wing platform on *11th November, 2015*
▪In consultation with David Tenkorang, he created GRNMA Youth Wing Whatsapp platform on *24th July 2016*
▪Created GAR GRNMA Instagram page with almost 1000 followers, GAR GRNMA twitter account, GAR GRNMA facebook account (Nurses Midwives) with about 5,000 member, and GAR GRNMA facebook page with about 6,000 followers
▪Reach more than 10,000 nurses and midwives via Whatsapp broadcast
▪Piloting of broadcast messages for Greater Accra Regional Council Members
▪In 2017, Advocated for the last batch of certificate nurse trainees to be included in the restoration of trainees allowances
▪As GAR GRNMA PRO from 2016 to date, *83 percent of my campaign messages has been fulfilled*. (effective communication, advocating for financial support for districts, youth involvement, district tour by regional executives, collaborating with the regional executives to ensure regional financial reports are made available and minutes are sent via a common mail for all to access)
▪With the assistance of GAR GRNMA Assistant PRO, Solomon Ajao, the GAR GRNMA Communication Team, we have increased the turn out at regional meetings and improved communication in the region.
▪Sensitization of students on GRNMA
▪In collaboration with few others set the media agenda for formation of the new Midwives group
▪Part of the team addressing the stoppage of GRNMA deductions are the initial stage, but I was no more involved for reasons best known to the National Officers
▪Part of the validation team to ensure all unpaid salary arrears and promotional arrears are duly paid, but I was no more engaged for an allegation by the auditor, without the National Officers giving me a fair hearing. As a result, to date some nurses and midwives have their salary arrears and promotional arrears unpaid.
▪Advocated for over 7,000 nurses and midwives for their salary arrears and promotional arrears to be paid. As at 2016, 30 percent had been paid, though there were some anomalies.
▪n 2015, Douglas ensured effective communication and helped to revive Osu-Klottey district GRNMA.
He produced a letter head at no cost, for the district, and some local branches of GRNMA.
▪He went to the aid of then Unposted Nurses and Midwives who were arrested for picketing till they were granted bail, in collaboration with the then GNMTA President, Akadzie Godwin
▪With a team, he formed the GAR GRNMA youth wing and organized a get together party for them to ensure Youth involvement in the association
▪In 2012/2013, he caused the arrest of one fraudster, Collins Appiah /Michael Asante, who extorted huge amount from over 200 nurse midwife trainees, especially from Mampong Midwifery Training College, in the name of helping them pass their resit exams.
▪In 2014, he advocated against the mistreatment of the midwives at KATH by some community members, over the missing babies saga. He advocated for their protection for physical threats, of which he was threatened by a National GRNMA Executive, that he life will be made miserable in Ashanti Region and he will not get employment.
▪In 2012, as a GRNMA National Projects Manager, he and his co-GNMTA executives toured almost all nursing and midwifery training colleges in all the 10 regions to sensitive nurse midwife trainees in Ghana on GNMTA and GRNMA. This tour was financed by the individual National GNMTA Executives. This tour was proposed to GRNMA for adoption.
Plans for 2020 to 2023 GRNMA PR office will be outlined soon
I hereby declare my intention to file for nomination in May to contest for the GRNMA National PRO position
I will need your massive support.
Thank you.
—Signed—
Douglas Adu-Fokuo
(GAR GRNMA PRO)