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* News / Japan: Tokyo Getting 700 Nurses to Speak English Before 2020 Olympics by Idowu Olabode: August 20, 2017, 04:22:42 PM
As the wave of tourists to Japan keeps swelling, Tokyo is getting 14 hospitals in the capital to be foreign-patient ready.

The plan is to certify the hospitals -- those run by the metropolitan government and Tokyo Metropolitan Health and Medical Treatment Corp. -- as institutions ready to provide medical services in multiple languages by fiscal 2020.



Under the plan, the 14 hospitals will be recognized by the Japan Medical Education Foundation as institutions sufficiently equipped to accept foreign patients under the Japan Medical Service Accreditation for International Patients (JMIP) system.

Currently, Tokyo Metropolitan Hiroo Hospital is the only JMIP-certified institution operated by the metro government.

The requirements for JMIP accreditation include the availability of manuals for receiving and treating foreign patients as well as interpreter services.

Besides Hiroo Hospital, only seven other hospitals in Tokyo had received JMIP accreditation as of May. They are NTT Medical Center Tokyo, Center Hospital of the National Center for Global Health and Medicine, Tokyo Nishi Tokushukai Hospital, International University of Health and Welfare Mita Hospital, Tokyo Saiseikai Central Hospital, Toranomon Hospital and Tokyo Takanawa Hospital.

In a separate program, the metro government will provide subsidies to medical institutions that meet certain standards for handling foreign patients.

Institutions that meet the criteria, such as foreign language signage and website information, will be eligible to receive up to 500,000 yen ($4,560) in subsidies. The metro government expects 180 medical institutions to become eligible for the subsidies during the three years through March 2020.

Responding to the metro government's drive, the Tokyo Nursing Association has launched an English language course for its members.

The association plans to provide "support nurses" for the 2020 Tokyo Olympics. It is working to ensure that about 700 nurses take the course in fiscal 2017. The course will focus on medical terms and phrases used in asking patients about their symptoms and in giving first-aid treatment.

A once a week class of 90-minutes will be provided for 10 times. An official at the association said the vocabulary that the nurses will acquire will also come in handy before the Olympics.

Meanwhile, the Japan Institute for Global Health, a Tokyo-based think tank focused on health care issues, will increase staffing at its video-call service by about 40%, to 400 interpreters, by 2020, up from the current 280 or so.



The expansion will focus on interpreters specializing in Portuguese and Spanish, according to JIGH's representative. Becoming a qualified medical interpreter requires at least three years of training, the representative said, due to the range of medical knowledge and linguistic skills required.

The number of foreigners seeking medical services in languages other than Japanese is on the rise. The Tokyo Metropolitan Government offers a telephone service that refers non-Japanese speakers to linguistically-able medical institutions. In fiscal 2016, the service -- which covers English, Chinese, Korean and two other languages -- handled some 8,500 inquiries, up more than 80% from five years earlier.

The metro government is hoping to attract 25 million foreign visitors to Tokyo in 2020.

Source :https://asia.nikkei.com/Japan-Update/Tokyo-getting-700-nurses-to-speak-English-before-2020-Olympics?page=2
* News / Hospital Declares One Week of Free Surgery to Celebrate Buhari's Return by Idowu Olabode: August 20, 2017, 01:31:43 PM
As a way of expressing our gratitude to Almighty Allah,for returning safely, our President,Muham
madu Buhari(GCFR), to continue the stewardship of our dear country Nigeria; we at Sultan Hospital hereby declare a week of free surgeries for indigent Nigerians. We pray to Almighty Allah to grant Mr President more strength and wisdom to steer the affairs of this Nation. All concerned patients are welcomed!

* News / Kenya: Reprieve for Patients as Hospital Signs Deal to End Strike by Idowu Olabode: August 20, 2017, 12:41:24 PM
There was  reprieve on Saturday after nurses working at the Moi Teaching and Referral Hospital (MTRH) in Eldoret returned to work following an agreement between their union and the hospital’s management.

“We have suspended the strike at Moi Teaching and Referral Hospital after reaching an agreement with the board of management.

"The nurses are back to work,” Kenya National Union of Nurses acting secretary-general Michael Opetu said.



ALLOWANCE


This is a sigh of relief to patients from western Kenya who largely depend on the hospital for health services.

“We agreed that the hospital will seek from SRC a no-objection letter to facilitate the implementation of the already agreed items in the CBA within seven days,” the return-to-work agreement seen by Sunday Nation reads.

In the letter, the two parties also agreed that the over 1,400 nurses will receive a total of Sh20,000 as uniform allowance annually (being Sh10,000 payable as per the CBA and an additional Sh10,000 payable by the hospital from internal funding).

The allowance shall be payable in the 2017/18 financial Year.

NEW GOVERNORS


There were fears that the strike might take longer due to a looming shake-up in the Council of Governors following last week’s General Election.

After former Kisumu Governor Jack Ranguma failed to recapture his seat, the CoG will have to pick a new chairman of the health committee for talks to resume.

As the committee’s chairman, Mr Ranguma was crucial in negotiating a return-to-work formula with the nurses union.

The nurses will have to wait longer for all the governors to be sworn in, a special committee constituted and a health chair appointed.

NEGOTIATION

But the CoG Director of Communication, Mr Andrew Teyie, moved to allay fears that fresh talks would resume only after the Council’s reconstitution, saying negotiations are ongoing.

“County governments have a negotiation team led by Mr Joseph Tanui as chairman.

"This is the team that directly negotiates with nurses. It can continue in the absence of the chair of health,” Mr Teyie said.

He said on August 2 that the negotiating team met the nurses’ top leadership and the CoG offered to withdraw any disciplinary action taken against the nurses, agreeing that no party would be victimised.

SALARIES

The county government also called on nurses to suspend the strike and give room for further negotiations.

“We agreed to pay withheld salaries and allowances for the period they have been on strike and to initiate the appeal on job evaluation and grading of nurses to Salaries and Remuneration Commission.

"But the nurses are dragging their feet,” Mr Teyie said.

He added that the union officials promised to consult members on the offer but they have since not given any feedback.

COMMITTEE

He said that last week, the Council of Governors wrote a letter to the nurses union to nominate members to work with the County Public Service Boards Human Resources Committee to embark on a job description exercise scheduled to start on August 21.

They are yet to get feedback from the union official.

Mr Opetu, in a phone interview, said they are yet to receive any communication from the Council of Governor’s office.

He said the only communication they have had was for job evaluation, which they have committed to participate in, and not on the CBA engagement.

“Job evaluation is ongoing with the SRC. We are done with the national government nurses and are embarking on county nurses from next week,” Mr Opetu said.

STRIKE

He said the national strike is ongoing until the CBA is signed.

“We are willing to go back to our various hospitals and help. We have had negotiations with governors and President Uhuru Kenyatta and are willing to wait a little longer to resolve the dispute,” Mr Opetu explained.

He said they are not to blame for deaths that have occurred during the strike, adding that governors and the national government had ample time to resolve the issue.

On December 14, 2016, nurses suspended their strike after they reached a return-to-work formula with governors.

CASH SHORTAGE

They were given a nursing allowance of between Sh15,000 and Sh20,000.

This pushed the signing of the CBA to March 2, but the governors became reluctant to sign, arguing that they did not have the extra Sh40.3 billion needed.

The Salaries and Remuneration Commission and governors have had a back and forth fight on the nurses’ issue.

The SRC chairperson, Ms Sarah Serem, ruled out a pay increase unless the governors (employers) say they have the money to do so.

CBA BREACH

Governors, on the other hand, blame the commission for taking time and refusing to approve the nurse’s salary increase.

Nurses started the strike to protest what they said was a breach of a collective bargaining agreement that was to be signed by the government on March 2.

According to the draft CBA, nurses are demanding monthly allowances amounting to Sh25,400 each.

They want a Sh15,400 health risk allowance, a Sh5,000 extraneous allowance and a Sh5,000 responsibility allowance.

DEMANDS


They are also pushing for a Sh50,000 uniform allowance, paid annually.

According to the Kenya Health Workforce Report, the country has 51,649 registered nurses aged 60 and below, though only 31,896 are active compared with 9,497 doctors, 13,913 clinical officers and 1,066 dentists.

Slightly less than 25,000 of the nurses are taking part in the countrywide strike.

Mr Opetu said the Commission and the governors have shown little interest to end the strike.

Source :http://www.nation.co.ke/news/Reprieve-for-patients-hospital-signs-deal-to-end-strike/1056-4063988-dlrvy6/
* News / UK:Lack of Nurses blamed for the spread of a deadly Japanese fungus in Hospitals by katty: August 20, 2017, 07:51:11 AM
Nursing shortages have been blamed for the spread of a dangerous Japanese fungus through hospital wards.

More than 200 hospital patients have contracted the drug-resistant Candida auris fungus since it arrived in the UK four years ago.

A total of 20 NHS and private hospitals have reported cases of the potentially deadly fungus, including three large outbreaks, officials state.

King's College Hospital in South London was responsible for 31 of such cases during a year-long outbreak, figures show.

In documents obtained by The Times, the trust responsible for running the hospital noted the dangers of a growing nursing shortage.

The papers read: 'It was noted that the spread of the pathogen is affected by low nursing levels.'

The Royal Brompton and Harefield in West London was the worst affected, as the infections forced it to close its intensive care unit for a fortnight last year.

How dangerous is the fungus?

Most patients have no symptoms and won't know they are carrying the fungus. But it can cause serious bloodstream and wound infections.

If a person is healthy they are unlikely to be affected by the fungus, but if a patient has a damaged immune system, it can prove fatal and cause major disabilities.

Public Health England (PHE) is urging hospitals to improve their hygiene measures to prevent it spreading further. 

These three outbreaks are now over and despite the recent increase in infections, PHE says it is still rare.

Detected by routine screening

Dr Colin Brown, from PHE's national infection service, said most of the UK cases had been detected by routine screening.

Most patients didn't report having any symptoms and weren't even aware they had the fungus, he added.

He said: 'Our enhanced surveillance shows a low risk to patients in healthcare settings.

'Most cases detected have not shown symptoms or developed an infection as a result of the fungus.

'NHS hospitals that have experienced outbreaks of Candida auris have not found it to be the cause of death in any patients.'

What is the fungus?

The Candida auris fungus has been resistant to all three main classes of anti-fungal drug treatment.

It belongs to a family of fungi which live on skin and inside the body and is related to the yeast infection thrush.

It was first identified in the ear canal of a 70-year-old woman in Japan and has been likened to a 'superbug'.

No patients have died as a result fungus in the UK, but worldwide studies showed 60 per cent of those infected with the fungus die.

Officials have previously warned of a state of crisis in the nursing workforce, with more than 40,000 vacancies in England alone.

NURSING SHORTAGES LAID BARE

Nurses and midwives are leaving the profession in their droves amid rising workloads and low pay, figures in July revealed.

The number quitting before they reach retirement age has increased by more than half in just four years, according to the Nursing and Midwifery Council.

For the first time in recent history, more midwives and nurses are leaving the register than are joining, with homegrown UK nurses leaving in the largest numbers.

Between 2016 and 2017, a fifth more people left the register than joined it, and among those first registered in the UK, the figure was 45 per cent.

The Royal College of Nursing and the Royal College of Midwives called on the Government to scrap the pay cap as a matter of urgency.

Source :http://www.dailymail.co.uk/health/article-4794958/Lack-nurses-blamed-spread-Japanese-fungus.html
* News / Jordanian Nursing Council awards specialisation titles to 4,230 RMS Nurses by katty: August 20, 2017, 07:37:23 AM
The Jordanian Nursing Council, in a session on Thursday chaired by HRH Princess Muna Al Hussein, the JNC president, approved granting professional specialisation titles to 4,230 Royal Medical Services (RMS) nurses.

The decision came in accordance with Paragraph A of Article 14 in the by-law No 85 for the year 2016 on specialisation and professional classification for nursing and midwifery.



The paragraph stipulates that any person who has been granted a professional title by the JNC, the syndicate or the RMS prior to the enactment of the by-law is deemed competent of the title itself or in the same degree in the specialisation or professional classification.
Source: Jordan Times
* Articles / How Technology Is Changing Nursing: The Impact of Telehealth by Aparna Bala by Idowu Olabode: August 19, 2017, 10:08:54 PM
How Technology Is Changing Nursing

Within the past decade, many advances in technology have been made available to help nurses and clinicians perform their jobs and care for patients more efficiently and safely. Consequently, nursing today isn't the same as it was 30 years ago. From such inventions as tablet computers and mobile electronic charts, to radio-frequency identification (RFID)-enabled devices, the healthcare landscape is becoming more advanced and efficient, and the field of nursing has adapted along with these advances..

Naturally, many of these technologies did and still do require education, training, and a period of adoption for nurses to fully embrace them; implementation doesn't simply happen overnight. Evolving care delivery processes in such areas of the hospital as intensive care units (ICUs), emergency/trauma treatment, and recovery rooms have created a need for nurses with advanced clinical skills and technical savvy. Today, nurses are adapting along with the industry to take advantage of new career opportunities and expand their roles across the care continuum.

Nurses and Telehealth: An Ideal Match


As a relatively new healthcare delivery approach, telehealth is transforming how nurses approach and deliver care. Telehealth is currently on the rise, and experts predict that the industry could become a $34 billion market by the end of this decade. Telehealth comes in many flavors, from monitoring patients with chronic conditions through video chat, to providing critical care to patients in remote areas. For example, some healthcare systems have created an eHospital care delivery model in which a small team of nurses and intensivists can remotely monitor and support patient care for more than 100 beds in multiple ICUs. The remote team is stationed around the clock in a "bunker," from which they serve as the clinical resource for smaller hospitals. Moreover, with cameras in all rooms, the remote team can view and interact with patients and their nurses in this version of telehealth.

While this is a common application of telehealth, the care delivery approach can also be as simple as a health system leveraging a mobile application that allows clinicians to collaborate remotely. Increasingly, the objective of telehealth is efficiency, with asynchronous workflows that are highly mobile as opposed to the traditional real-time, provider-to-patient encounter that relies on video or voice technology. In an asynchronous situation, nurses can use telehealth to communicate directly (although not simultaneously) with remote physicians for questions or consultations. This improves the quality and efficiency of patient care in an increasingly dynamic healthcare environment.

The Power of Telehealth

At a time when the aging population is increasing and chronic conditions are becoming more prevalent, the cost of care is also rising. Now more than ever, the healthcare industry needs to prioritize its activities using more cost-effective care delivery processes to streamline clinical workflows and improve patient outcomes. In addition to reducing costs, telehealth and remote monitoring will effectively extend nursing care to a larger and more diverse patient population, which is especially important for areas where clinical resources are limited. This ability to fill in gaps and provide direct care regardless of location means that telehealth can greatly benefit nurses, patients, and health systems.
In rural areas, hospitals face two types of challenges at both the patient and caregiver levels. Nurses and clinicians in remote areas may be responsible for delivering general care to patients, while specialists are centralized in the nearest urban setting. Telehealth offers an alternative means of providing the best care possible should these nurses find themselves in situations in which they need a specialist's assistance to assess and treat certain patients. For example, a pregnant woman might live more than an hour's drive away from the obstetrician managing her high-risk pregnancy. Through leveraging telehealth, she can be monitored remotely from home with self-administered non-stress tests, obviating the need to travel hours to reach a clinic. This can reduce the unnecessary transporting of patients, an undertaking that can worsen their conditions and increase costs.

Telehealth: An Enabler


Telehealth technology is only an enabler. To be successful, telehealth must fit into nurses' workflows. While some nurses may prefer to care for patients at the bedside or lack confidence in describing patient conditions to doctors over the phone, the reality is that technology is becoming embedded into everyday life, including the workplace, because it has a uniquely positive influence on the way nursing is practiced.

However, as with any medical technology, telehealth tools need to meet the high standards that nurses require to protect and care for their patients.

First and foremost, telehealth must meet HIPAA standards for privacy, security, and auditing. Nurses deal with private patient data that cannot be at risk of getting lost or sent to the wrong person. The consequences of such an error are costly and potentially painful for patients.

The second requirement is for nurses to have the proper training and resources to confidently use these tools. Because nurses spend their days multitasking to address the needs of multiple patients, new tools—no matter how well intentioned—need to fit seamlessly into the workflow. Everything must work. Proper training upfront and the availability of resources to troubleshoot problems are critical components of successful telehealth adoption and, subsequently, improved patient care. Also, protocols and standards of practice must be established to define nursing roles and expectations in various telehealth settings.

Adapting to the Workflow


Telehealth and smart devices are challenging nurses to adopt technology that will sharpen their ability to care for multiple patients. By checking an app, a nurse may be able to determine that the alarm going off in another room is actually a false alarm and that there is no need to rush from the bedside of one patient to assess another. Or perhaps, in the middle of the night, a patient in a community hospital requires urgent care that isn't available from an in-house specialist. Instead of rousing the on-call clinician or making a best judgment, telehealth provides access to a specialist who can give advice after reviewing the patient's chart and near-real-time data.

Certain telehealth applications, such as mobile devices that foster clinician communication, can be directly embedded into any nurse's daily workflow. Laws, regulations, and policies that govern the use of other types of telehealth can differ from state to state and faculty to facility.

No certification for telehealth nursing is yet available, but the American Academy of Ambulatory Care Nursing (AAACN) recognizes telehealth as a subspecialty with defined competencies for various care delivery models. Regardless of the type of technology, as leaders in healthcare, nurses will be expected to master the latest technology and information systems designed to improve care and patient outcomes, presenting a real opportunity to benefit patients and the nurses who care for them.

How Technology Is Changing Nursing: The Impact of Telehealth - Medscape - Jul 28, 2017.
* News / Ghana: Ministry to Check Bribery in Nursing Training College Admissions by Idowu Olabode: August 19, 2017, 09:46:42 PM
The Ministry of Health has set up an investigation machinery to check bribery and other improprieties that may arise with the introduction of the quota system for nursing training colleges.

The ministry said it would not entertain the situation where students were enrolled based on payment of bribes.

At a press conference in Cape Coast to explain the rationale behind the introduction of the quota system for the admission of students to the country’s nursing and midwifery colleges, the Minister of Health, Mr Kwaku Agyeman-Manu, reiterated that neither the reintroduction of the nurses’ allowances nor the picketing at the ministry’s premises by non-posted nurses informed the basis for the quota given to the health training institutions.

He explained that the quota system was a process to balance the category of health personnel in the system and ensure training of critical staff needed for the health sector.

“As a ministry, it is incumbent on us to ensure the availability of all categories of health professionals within our hospitals and the communities in Ghana.

He said over the years, the ministry had undertaken such exercises but not in such a robust and scientifically based manner as was being done this year.

He noted that the concentration had been skewed towards a few auxiliary staff, leaving out other critical health professionals whose work bordered more on the preventive aspect of health delivery in the country.

“It was after this scientific analysis, with the help of an analysis software, that the quota was given to the individual institutions,” he stated.

He noted for example that 8,046 nurse assistant clinicals were admitted  in 2016, while only 3,013 preventive nurses were enrolled.

Mr Agyeman-Manu explained that for the purpose of educating communities to reduce the disease burden, less clinical nurses were admitted, while those providing preventive services were increased.

Caution

The minister stressed that any student caught to have had admission upon paying any money would be sacked and the officers who facilitated the practice would be sanctioned appropriately.

He gave instances where in previous years admission forms printed and sold by some of the colleges could not be accounted for, saying such incidents would not be allowed to continue.

Stakeholder collaboration

Mr Agyeman-Manu explained that the ministry collaborated with the Nursing and Midwifery Council and major stakeholders before coming out with the quota system.

He said indicators considered in arriving at the quotas included equity, quality and capacity.

“Each training institution was then looked at vis-à-vis the number of tutors available, the number of classrooms, equipment for clinical practice, courses offered, among other considerations.

Based on yearly analyses and planning, he said, quotas in particular professional course areas may increase or decrease in an attempt to ensure the nation had the requisite skill mix in right numbers of all health professionals in all the hospitals.

Source : Graphic online
* Nursing Heroes / Nursesarena.com Exclusive Interview with Miss Idara 2017 Miss Nigeria USA Queen by Idowu Olabode: August 19, 2017, 12:51:02 PM
On the 12th of August, 2017 during a night of glamour inside the Schomburg Theater in New York Miss Idara Inokon, a Registered Nurse displayed her intelligence prowess, beauty and carriage in the presence of hundreds of guests to outshine 16 other beauties to win the most coveted crown.

The Akwa-Ibom representative who was the third to be crowned in the beauty pageant smiled home with the sum of $10,000 according to Joy Fakhoury, the organizer of the annual beauty pageant.

Barely a week after the contest, the newly crowned Queen who is also pursuing her Masters degree in Family Nurse Practitioner advises fellow nurses who want to excel in other areas to be disciplined, focused and persevere regardless of what obstacles arise in an exclusive interview with Nursesarena.com



Can you give us an insight into your background

My father is from Ikot Abasi; however I was born in the state of New Jersey in the United States. I return to Nigeria often, but I currently reside in New York City.

In 2010 I graduated from the University of Maryland, College Park with a Bachelor's degree in Psychology. After, I worked at Kennedy Krieger Institute, a specialty children's hospital in Baltimore, Maryland. In 2014 I graduated with a Bachelor's in Nursing from the University of Delaware. Currently, I am a second year student at Stony Brook University (in New York), pursuing a Master's in Nursing under the Family Nurse Practitioner specialty track.

 How did you become a contestant in the beauty pageant?


The sister of a former contestant first told me about Miss Nigeria USA a year ago. Afterwards, I saw on Instagram that the organization was accepting contestant applications for the 2017 Pageant. I then did research to see what the pageant was all about. I learned that the founder, Joy Ikedinma Fakhoury, started Miss Nigeria USA with the aim of promoting and appreciating young Nigerian women in America all the while providing a unique opportunity for them to showcase their beauty and passionately promote platforms with the aim of positively impacting communities. It was then that I knew this was an organization I wanted to be a part of, and so I decided to apply to become a contestant.



How did your parents react when you first told them you were taking part in the 2017 edition of Miss Nigeria USA Beauty Pageant?

My parents were very excited. They always support me in my academic endeavors and their support for the pageant was just the same. The pageant was particularly meaningful because of the emphasis on culture and service to the Nigerian community back home and here in the United States.

 Coming into the competition and seeing the array of beautiful contestants like yourself all battling for the crown; did you think you stood a chance of winning?


I felt confident in how much I prepared for the pageant, but I knew that it would be a close competition. Simply, I set out to do my absolute best, no matter the outcome. All of the contestants are beautiful, intelligent, warm-hearted and passionate about serving others. It was so much fun living with them for the3 days before the pageant! We truly grew close despite the fact that we were competing against each other. I knew that if I didn't win, I would genuinely be happy for whoever took home the crown.

What was the feeling like when your name was announced as the winner, how did you react?


It felt as if my heart skipped a beat. It was very surreal, as if I was in a movie. Sincerely, I am just grateful. It's a beautiful feeling to work so diligently for something and to see the outcome you dreamed of come to pass.

 Have you participated in any beauty pageant before?


In the U.S. there are several major pageant circuits. A few well known ones are Miss America, Miss USA, Miss United States and Miss World America. I competed in state pageants for the Miss America and Miss United States organizations.


 Did that experience help you with this?
My previous pageant experience definitely helped me with competing in Miss Nigeria USA. My experience allowed me to properly plan ahead, anticipate different obstacles and overall push to perform better than I have done in the past.

 Do you think your education as a Registered Nurse conferred an added advantage to you at the pageant?

My education and experience as a nurse lay the foundation for my platform. The passion that I have for educating others on preventing stroke and heart disease showed in the interview portions during the competition. I believe that the judges were able to see that this pageant meant more to me than winning a crown, but that it meant giving me the opportunity to better serve my community.

Some nurses back home (Nigeria) are of the opinion that Nurses shouldn’t participate in beauty pageants as it is a form of advertisement which the Nursing code forbids, what’s your thought on this?

According to the Nursing & Midwifery Council of Nigeria a nurse must "avoid the use of self in the advertisement, promotion or sale of commercial products, services and illicit trade such as trafficking in
hard drugs." The advertisement mentioned in the code of conduct relates to inappropriate/illegal products or services. I don't believe that competing in a pageant applies. I believe that as nurses we don't have to be limited to our work in clinical settings. Each of us should explore our gifts, talents, and other interests because God can use us to have an impact in the world in more than one way. As we consider various avenues to express ourselves, we are further developed and matured by our experiences.

 Can you give us a peep into your proposed pet project?


My year of service will focus on my platform: Stroke Prevention and Awareness. My platform aims to increase the availability of educational resources pertaining to stroke prevention and care for individuals post-stroke in Nigeria. Health literacy is fundamental in making lifestyle choices that contribute to a person's overall wellness. I hope that through coordinating educational health workshops and collaborating with non-profit organizations in Nigeria and in the America, I will be able to empower my community to strive for healthier living.

Give a word of encouragement to nurses out there who would love to be like you in the near future.

Nursing is a challenging profession that comes with great responsibility. I want to encourage any nurse out there to pursue excellence in their clinical knowledge and to serve their patients with compassion. Each of us does not know what tomorrow holds, and as we care for others we should remember that we could easily be in their place. For those who wish to pursue other interests alongside their nursing career, I say be disciplined, focused and persevere regardless of what obstacles arise. You never know - you may wake up one day and your dreams have manifested right before your eyes.

Like our Facebook page to follow all updates https://www.facebook.com/nursesarenaforum/

You can connect with her through
Websites: www.missnigeriausa.com www.mnusacares.org
Facebook: Miss Nigeria USA
Instagram: Miss Nigeria USA
* Articles / Menace Of Quackery In Nursing Profession by Yahaya Abdullahi PGDM,BNsc by Idowu Olabode: August 19, 2017, 07:51:52 AM
INTRODUCTION

NURSING PROFESSION is one of the oldest Professions known to mankind and acknowledges the complexities of the nature of man. The single dominant intellectual and practice essence of Nursing, acquired through comprehensive Nursing education is CARING. It is a learned humanistic and scientific discipline which is directed towards assisting people of different, cultural and social background by skillfully using caring act and process in order to help maintain healthy styles of living, of preventing illness state and regaining wellness by restorative caring modalities.

It is therefore pertinent to state that for the holistic need and nature of man to be met, the science of Nursing is not negotiable.

Nursing as a profession came into existence, rested, savoured and consolidated its position by developing its own language, rituals, ethics, arts and sciences from the physical needs of the patients, the principles and concepts of prevention, its own body of traditions, attitudes, culture and values which were mainly drawn from the army and religious orders. High discipline with stern reprimands formed the foundation of the profession and developed with it.

PROFESSIONALISM IN NURSING

A profession is a disciplined group of individuals that created, adopted and adhered to ethical standards. The group possess special knowledge and skills in a widely recognized body of learning derived from research, education and training at a high level, recognized by the public (professional standards council, 2016) in which they apply the acquired knowledge and skills nurses arena dot com. Professionals are governed by codes of ethics, and commitment to competence, integrity and morality, altruism, and the promotion of the public good within their expert domain and accountable to those they served and to society (Sylvia, Johnson & Cruess, 2004). Professionalism on the other side, can be seeing as the personal philosophy as relate to one’s own attitude as a professional. It entails the way an individual carry out his/her professional duty as transmit to its ethical principles.

THE NURSE, WHO IS A NURSE?
 According to Oxford Advanced Learner’s Dictionary, 6th edition, A Nurse is a person whose job is to take care of the sick or injured people, usually in a Hospital.   

The World Health Organization (WHO) defined a Nurse in the African sub-region (to which Nigeria belongs) as “a person who having received prescribed education and training, has acquired knowledge, skills and attitude in the promotion of health, the prevention of illness and the care of the sick. Thus, making him or her an integral member of a health team, capable of solving within the limit of his or her competence the health problems which arise in the community”

The International Council of Nursing (ICN, in 2015) defined a Nurse as a person who has completed a program of basic, generalized nursing education and is authorized by the appropriate regulatory authority (as in case in Nigeria, the NMCN) to practice nursing in his or her own country.

The Nursing and Midwifery Council of Nigeria (NMCN) defined a Nurse as a “person who has received authorized education, acquired specialized skills, and attitude and is Registered and licensed by the a regulatory body (in Nigeria, NMCN), to provides, promotes, preventive, restorative and rehabilitative care to individuals, families and the communities independently and in collaboration with other members of the health team” (NMCN, 2009).

WHAT IS MENACE OF QUACKERY? AND WHO IS A QUACK?

Menace is defined as a person or thing that is likely to cause harm; a threat or danger.

The Advanced Learner’s Dictionary of Current English, 6th edition defined quackery as the methods or behavior of somebody who pretends to have medical knowledge; according to Wikipedia, the free encyclopedia, defined quackery as the promotion of fraudulent or ignorant medical practices, Common elements of general quackery include questionable diagnoses using questionable diagnostic tests, as well as untested or refuted treatments, especially for serious diseases such as cancer, HIV/AIDs.

Stephen Barrett of Quackwatch defines quackery “as the promotion of unsubstantiated methods that lack a scientifically plausible rationale” and more broadly “anything involving over promotion in the field of health.” This definition includes nursesarena questionable ideas as well as questionable products and services, regardless of the sincerity of their promoters. Where the situation involves deliberate deception, it is often described as “health fraud” with the salient characteristics of aggressive promotion. 

Quackery is the promotion of deceitful or an ill-informed medical practice.

WHO IS A QUACK?

 A quack is a fraudulent or ignorant pretender to medical skill or a person who pretends, professionally or publicly to have knowledge or qualification he/she does not possess. For example, some patent medicine dealers performing surgical operations. Quacks received their training from unregistered and unregulated facilities for such training; their practices are not regulated as there is no agency recognized by law to do so. Quacks have no ethical codes and standards to guide their actions and activities. Nursesarena There is no standard to measure their performance and rate their quality of goods and services. A quack has no career progression and scheme of services hence they are ready to collect any amount from their employers.

CAUSES OF QUACKERY IN NURSING PROFESSION IN NIGERIA

COST: There are some people who simply cannot afford conventional treatment, and seek out a cheaper alternative. Nonconventional practitioners can often dispensed treatment at a much lower cost. This is compounded by reduced access to healthcare facilities.
FEAR OF SIDE EFFECTS: A great variety of pharmaceutical medications can have very distressing side effects, and many people fear surgery and its consequence, so they may opt to shy away from these mainstream treatments.
IGNORANCE: Those who perpetuate quackery may do so to take advantage of ignorance about conventional medical treatments versus alternative treatments, or may themselves be ignorant regarding their own claims. Mainstream medicine has produced many remarkable advances, so people may tend to also believe groundless claims.
DISTRUST OF CONVENTIONAL MEDICINE: Many people, for various reasons, have distrust of conventional medicine, or of the regulating organizations such as NAFDAC, or major drug corporations. For example the Pfizer drug test case in Kano that cause deformities and other related issues can result in disenfranchisement (discrimination) in conventional medical settings and resulting in distrust
DESPERATION: People with serious or terminal disease, nursesarena or who have been told by their practitioner that their condition is “untreatable”, may react by seeking out treatment, disregarding the lack of scientific proof for its effectiveness, or even the existence of evidence that the method is ineffective or even dangerous. Despair may be exacerbated by lack of palliative non-curative-end-of-life care.
PRIDE: Occasionally, once people found that they have endorsed or defended a cure, or invested time and money in it, they may be reluctant or embarrassed to later admit its ineffectiveness and therefore recommend a treatment that does not work.
FRAUD: For financial reward, some practitioners, fully aware of the ineffectiveness of their medicine, may intentionally produce fraudulent scientific studies and medical test results, thereby confusing any potential consumers as to the effectiveness of the medical fit.
CONFIRMATION BIAS: This is also known and called “myside bias”, it’s the tendency to interpret, or prioritize information in a way that confirms one’s beliefs or hypotheses. It is a type of cognitive bias and a systematic error of inductive reasoning.
REGRESSION FALLACY: There is also this lack of understanding that some health conditions change with no treatment and attributing changes in ailments to a given therapy.

EFFECTS OR MENACE OF QUACKERY IN NURSING PROFESSION

1)Quackery in Nursing profession is the bane of the numerous misconceptions about nursing and the Nurse in Nigeria and globally. Some of these misconceptions are:
a)The belief that nurses are not intelligent enough to study medicine.
b)That Nurses are incapable of independent thought and need to be given instructions by Medical doctors.
c)That a Nurse can be trained anywhere.
d)That the female ones flirt with male Medical doctors
e)That anybody (female) with white gown and cap is a Nurse.
2)It affects the image of the profession and the practitioners, as many wrongs perpetuated in a hospital setting by these quacks are most time blamed on Nurses.
3)Quackery in the Nursing profession in Nigeria, underrates the profession in the eyes of the people, since it is perceived that, without a formal education, one can become a Nurse.
4)Quackery in the Nursing profession is capable of deceasing the weight and value of the certificate issued by the Nursing and Midwifery Council of Nigeria to qualified  Nurses and Midwives in Nigeria.
5)Quackery in the Nursing profession is capable of affecting bursesarena the growth and development of the profession, as quacks infiltrate its file and rank and pollute the demand for qualified Nursing personnel for quality care.
6)Quackery in the Nursing Profession decreases the quality of service delivery to the people, thereby increasing the level of complications resulting in higher health bills to the individual, the family, the community and the Government.

RECOMMENDATIONS TO CURB/ERADICATE QUACKERY IN NURSING PROFESSION IN NIGERIA

i)There should be access to an affordable and qualitative healthcare services across the country
ii)Regulatory agencies such as the Nursing and Midwifery Council of Nigeria (NMCN) should be adequately funded to play their regulatory and supervisory roles, particularly in the areas of inspection and monitoring of services provider centers.
iii)Citizens, particularly the qualified Nurses/Midwives must collaborate with relevant Authorities to expose quacks and their trainers.
iv)The Government at all levels (Local, State and Federal) through nursesarena.com the National Orientation Agency should reactivate and invigorate the enlightenment of the citizens on the dangers of patronizing quacks. And those training them should be identified and promptly prosecuted.
v)The professional Association (National Association of Nigeria Nurses and Midwives, NANNM), particularly the private sector unit, must ensure they work closely with the NMCN by exposing quacks, their trainers and their employers to sanitize the profession.
vi)Appropriate legislation be put in place/strengthening to ensure culprits are adequately punished and their victims adequately compensated by the quacks.

CONCLUSION
Quackery in the Nursing profession is not only a danger to the profession, but carries a lot of health hazard on the citizens, the family, the community and the Government as outlined above and we strongly believed if all the steps suggested here above are taken by all concerned, the menace of quacks and quackery in the Nursing profession can be reduced to the barest minimum.

THANKS FOR YOUR ATTENTION.


REFERENCES
-   Oxford Advanced Learner’s Dictionary, 6th edition
-   Resuscitation technique, a paper presented by Nrs. A.D.Yahaya at Edebo and NANNM FCT Council workshop, 2009.
-   Wikipedia, the free encyclopedia

PAPER PRESENTER:
 NRS. A. D. YAHAYA, PGDM, BNsc, Dip in Law, RN, RAEN

TARGET AUDIENCE:
NURSES WORKING IN CLINICS ATTACHED TO SCHOOLS, INDUSTRIES, MINISTRIES, DEPARTMENTS AND AGENCIES (MDAs)


VENUE OF PRESENTATION:
MEDICAL AND HEALTH WORKERS’S NATIONAL SECRETARIAT, (AYUBA WABBA HOUSE), AFTER MOTOR PARK/MOUNTAIN OF FIRE CHURCH, AREA 1, ABUJA, NIGERIA

DATE: 18TH August, 2017
TIME: 12:00 NOON

* Upcoming Conference / Re: University of Rwanda School of Nursing and Midwifery 2nd International Conferenc by walex: August 19, 2017, 07:31:18 AM
Hi,will i also be issued visa on arrival if i am going for tourism and not for the conference? I just got a clue of where to spend my annual vacation outside Nigeria at a pocket friendly fees from your post. And please do you think 300,000naira will be enough for the journey? I plan to spend 1 week
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