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* News / "There are 18,000 Illegal Nurses and Midwives in Uganda" - Nursing Council by katty: September 22, 2018, 07:47:13 AM
More than 18,000 nurses and midwives in both public and private health facilities are either fake or illegal as some are practicing without valid licenses and others lack the necessary qualifications, authorities have revealed.

The revelation was made on Thursday by Uganda Nurses and Midwives Council (UNMC), a professional regulatory and supervisory body committed to the provision of quality nursing and midwifery services in the country.



Speaking at the inauguration of the Uganda nurses and midwives board, the acting UNMC registrar, Ms Rebecca Nassuna, said the demand for nurses is high and many people want to join the profession yet some nurses and midwives have not renewed their licences .

“They are more than 18,000 nurses and midwives [without valid licences]. Some are still working in public facilities,” Ms Nassuna said.

She said there are 4,180 enrolled midwives and 5,760 nurses without valid practising licenses.

Appeal
Ms Nassuna asked the chief administrative officers (CAOs) in various districts to work with UNMC to weed out the culprits.

“We wrote to the CAOs, they accepted to help us but they have not,” she said.

According to Ms Nassuna, the council has set up satellite centres at the various regional referral hospitals to enable the health professionals to renewal their practising licences. Dr Ruth Jane Aceng, the Health minister, tasked the new council to improve the image of nurses and midwives in the country.

“Our population has complained that nurses are rude, have bad attitude and also neglect patients. The nurses and midwives practice needs to improve,” Dr Aceng said.
The outgoing UNMC boss, Ms Stella Namatovu, urged the new council leadership to ensure that nurses and midwives uphold standards in health facilities.

Ms Matovu asked the team to handle the issue of the lack of qualified teaching staff, especially in new nursing schools.

Ms Elizabeth Namukombe, the new board chairperson, said the Health ministry needs to work with the council in order to deal with illegal nurses and midwives.

New leaders
Other new board members include Olobo Petua Kiboko, Rebecca Nassuna, Hellen Christine Alura, Margaret Irebu, Deborah Kibicho, Patience Muwanguzi, Dr Fred Nyankori, Norah Ekata, Gertrude Kasujja, Richard Tumwesigye, Mary Gorret Musoke, Antoinette Biira and Mary Wasike.
Source: Uganda Monitor Newspaper
* News / Nurse, Nursing Student Commit Suicide In India by katty: September 21, 2018, 01:16:59 PM
In two separate incidents, a nurse attached to a private hospital and a nursing student of a private eye hospital in Coimbatore allegedly committed suicide.
 
In the first incident, R. Prema (24), a resident of Hudco Colony, hanged herself in her house on Sunday. She was a nurse in a private hospital in Peelamedu.
 
The police said that the woman, who had married eight months ago, had terminated her pregnancy three months back.

In the second incident, P. Malini (19), a native of Madathukkulam in Tirupur, was found hanging in her hostel room on Monday afternoon. The police said that she was pursuing a two-year course for mid-level ophthalmic personnel in a private eye hospital near Peelamedu.
 
Malini, who had gone to the hostel for lunch break, was found hanging around 3.30 p.m., the said.
 
The Peelamedu police have registered separate cases of unnatural death in connection with the two deaths.
Source: The Hindu
* News / Kenya: Nurse Union Wants Medical Audit at Pumwani by katty: September 21, 2018, 12:24:01 AM
The nurses’ union has asked for a comprehensive medical audit of Pumwani Maternity Hospital.

This follows claims of poor services and poorly maintained facilities that have been blamed for the death of infants.

Speaking at the hospital yesterday, the secretary general of the Kenya National Union of Nurses (KNUN), Seth Panyako (right) said a comprehensive audit would enable the authorities to identify the problem and those responsible.

“We are concerned about those unlucky mothers whose babies are dying every month. We want to find out what the cause is ,” Mr Panyako said. He said when Nairobi Governor Mike Sonko visited the facility earlier this week, he found nurses in a crisis meeting discussing the issues that were hampering delivery of services.

The union criticised those keen on addressing how the governor was running the county, saying that was running away from reality.

“Every leader has his or her own leadership style. We should not concentrate our efforts on how the governor did it; infants were found dead,” Panyako said.
He added that the union did not want attention diverted from the issues affecting the hospital and other health facilities.

Panyako noted that there were serious problems such as maternal deaths and delivery of services that must be addressed.

“It does not matter how Mike Sonko has brought out these issues. We know there are issues here,” he said.

He reiterated that the union wanted to find out what the cause of the infant deaths was, adding that if a nurse is found culpable, then he or she must take responsibility.

Pumwani has 160 nurses, which according to KNUN were not enough, considering the number of mothers who deliver at the hospital.

According to the union, the facility ought to have 480 nurses. Panyako stated that part of the nurses' grievances was that they were being overworked by the hospital's management.

The union said three units - a surgical ward, a theatre and the high dependency unit - had been closed down. Panyako said this was a sign that the hospital did not have enough nurses.

“There is a shortage of 320 nurses in this hospital,” Panyako said.

“Pumwani has remained a hospital of choice for mothers and the audit is what is going to help us know and address the issues affecting it,” Panyako reiterated.

Source : https://www.standardmedia.co.ke/health/article/2001296331/nurse-union-wants-medical-audit-at-pumwani
* News / Nurses Urged To Avoid Using Jargon and Euphemisms When Breaking Bad News by katty: September 20, 2018, 04:22:15 PM
A specialist Macmillan nurse in neuro-oncology at Addenbrooke’s Hospital in Cambridge has stressed the importance of using plain terminology when breaking devastating news to seriously ill patients and their families. Ingela Oberg made the appeal as she revealed one in five patients walked away from a diagnosis consultation without fully understanding what was wrong with them and what the implications might be.

“I always use the word cancer because I think that’s what they need to know”
Ingela Oberg
Addressing a conference for nurses and allied health professionals, Ms Oberg said: “The period around diagnosis is one of immense distress and uncertainty and I think we can do a lot to alleviative that.”
 
Ms Oberg was speaking at a study day hosted by the Brain Tumour Charity at the University of Birmingham on Wednesday, which aimed to share best practice when caring for people with brain tumours.
 
Having held her role since 2009, Ms Oberg said she had seen bad news broken badly many times and suggested clinical nurse specialists may be better equipped to have these conversations than clinicians or surgeons because of their “innate” compassion and communication skills.
 
However, Ms Oberg said it was essential to avoid using technical terms that patients may not understand such as “grade four glioblastoma” when giving a diagnosis as they could wrongly assume it was benign.
 
She said: “I always use the word cancer because I think that’s what they need to know – I’m not saying I’m right, but it works.”
“We need to demystify palliative care so they know it’s about living well with their diagnosis”
Ingela Oberg
Ms Oberg added: “Whether you are breaking the bad news or not you should be present at the time as their key worker, so if you know and if see the patients glazing over during the consultation then have another conversation with them after and go through it again in plain terminology and make sure they get the chance to ask their questions.”
 
She also warned against using sugar coated terms around death as well as using rhetoric like “warriors” and “battles”. “It’s not a battle they can necessarily win and for those patients who have lost the battle does that mean they didn’t fight hard enough,” she told delegates. Ms Oberg urged nurses to remember the “five Ts of grief” – time, talking, touch, tea and tears, and where possible to avoid having these tough conversations in clinical settings.

It is also important to be prepared before speaking to a patient and learn about their diagnosis, prognosis and treatment plan, Ms Oberg said.
 
While acknowledging it may sound strange to some, Ms Oberg said tears were to be considered a good sign, because “it makes me understand they have understood the severity of the situation and they have grasped what we have told them and what’s to come”.
 
Above all, Ms Oberg said it was vital to be honest with patients and their families, giving them realistic expectations about the future and finding out what matters to them.
 
Later in the conference during a panel discussion chaired by Ms Oberg, delegates discussed when a patient should be told they are to receive palliative care and the possible impact this could have on them.
“I don’t think there is specific process, I think it’s about identifying that patient’s needs”
Anna Crofton
One palliative care clinical nurse specialist in the audience said: “A lot of patients come to us and say when they are palliative care it’s almost as bad as giving them their diagnosis.”
 
Anna Crofton, an advanced nurse practitioner in neuro-oncology at the Walton Centre NHS Foundation Trust in Liverpool, who was sitting on the panel, said: “It’s very difficult to know when the right time is to refer patients in, we don’t want to take away that hope for that patient.
 
“It’s a very fine balance,” she said. “I don’t think there is specific process, I think it’s about identifying that patient’s needs.”
 
Ms Oberg said she believed patients should be referred to palliative care when they are given a diagnosis of a terminal illness. “It’s about enabling patients to live well with that diagnosis, it’s not end of life care, that comes further down the line, and I think there’s huge misconceptions about those two things,” she said. “We need to demystify palliative care so they know it’s about living well with their diagnosis.”
 
Panel member Nichola Peat, physiotherapist at Guy’s and St Thomas’ NHS Foundation Trust in London, said she often found showing patients pictures of a hospice helped to allay their fears around palliative care and that they were usually “beautiful” and “colourful” environments.

There was also a suggestion from an audience member that “withdrawing treatment” could be used as an alternative term. However, another said this may indicate to patients that treatment was being taken away from them when the reality was that it was not working anymore.
Nursing Times
* News / Indiana Hospital Now Allowing Nurses with Tattoos And Neon Hair by katty: September 20, 2018, 04:14:57 PM
What do you think? Should nurses be allowed to show their tattoos?

A hospital system in Indiana is making headlines across the country for a brand-new policy that some people are applauding, while others are appalled by. But just what is this controversial policy that is causing such a stir?
 
It comes down to tattoos.
 
The Indiana University Health system, a medical unit that includes 16 hospitals, just announced that it has retracted its former 50-page dress code for a new and streamlined 5-page document. The new policy has done away with the old rulebook that stated that nurses could not have visible tattoos, body piercings, or unnatural hair colors in favor of that is more focused on the care that an employee can provide.
 
Revolutionary, right?
 
Challenging the status quo
The hospital system, which is actually the largest in the state of Indiana, announced the change earlier this week, allowing employees, for the first time ever, to choose their own sock colors (exciting!), wear sports logos, and have visible tattoos.  The move, according to Michelle Janney, the chief nurse executive of IU Health, was representative of the organization’s overall value of “messaging authenticity.”
 
“We want you to bring your whole self to work while maintaining a professional image,” she told The Star Press. “We knew that many of our caregivers had tattoos that they were hiding and that just didn’t feel genuine to us. Actually what we’re saying is use good judgment and we trust you.”

Appearance and professionalism
For many years, the profession of nursing has had a long history of emphasizing the importance of appearance. There was a general consensus that things like tattoos, piercings, and dyed hair had no place in a professional healthcare setting where lives were at stake. Companies like Tat2X existed to offer nurses with arm tattoos sleeves they could wear to cover up while on the job, noting that, “tattoos and nursing don't always go well together.”
 
Many of us can recall the traditional white dresses, white caps, and stockings nurses were required to wear, all in the name of preventing a “professional” appearance that a nurse, always a woman in the past, would present. But now, thankfully, we have all evolved a bit to realize that 1) no one should be controlling what women look like in any way, shape, or form 2) nursing is a profession for all genders and 3) professional care is not dictated by appearance.
 
While the move may represent a change towards more inclusivity on the part of the state’s health system, it also may be a financially-motivated one. With the Bureau of Labor Statistics predicting that 1.09 million replacement nurses will be needed by 2024, a movement towards making the career one that welcomes all types may just help boost the number of nursing enrolling in the profession as well. Other prominent healthcare systems, such as the Mayo Clinic, have been relaxing their rigid rules on professional appearance in hopes of attracting more people to the field of nursing as well as acknowledging a new generation with different values and beliefs. For example, Mayo Clinic’s Career Awareness Guide for high school students advises prospective students to realize that employers have the right to determine what is “appropriate dress and decorum,” while still acknowledging that visible tattoos that do not contain violence or inappropriate content are allowed.
 
Celebrating the change
Regardless if there is one sole motivation for the move, inked-up nurses everywhere are celebrating the change and more importantly, highlighting the true intent of the policy change, which is to bring attention back to the patient-centered care, not what the person delivering that care looks like. Nurses within the IU Health system celebrated by doing things like sporting pink hair for breast cancer awareness, finally moving to their dream departments like OR, where they could openly scrub in and have their tattoos show, and sharing their stories on social media in hopes of proving once and for all, that tattoos and nursing can go together.
 
Amanda, a mom of four and an operating room nurse shared her support of the new policy on Instagram, writing, “my ability to be a good nurse isn’t decided by what’s on my skin. It turns out I’m just as smart with visible tattoos,” she captioned the photo.
 
By Chaunie Brusie, BSN, RN | Nurse.org
 
 What do you think? Should nurses be allowed to show their tattoos?
* News / 'We're overwhelmed by work,' nurses say after dead infants found stuffed in boxe by katty: September 20, 2018, 01:22:12 PM
Kenya: Nurses at Pumwani Maternity Hospital in Nairobi, Kenya, have reportedly denied any wrongdoing after bodies of at least 12 infants were found stuffed in cardboard boxes and plastic bags.

According to the Star newspaper, the nurses defended themselves saying that they were overwhelmed by work, resulting in the high mortality rate of new-born babies.

The nurses also blamed consultant workers for "failing in their work".

On the 12 bodies that were found at the hospital on Monday by the governor of Nairobi Mike Sonko, the nurses said they transported babies' bodies in boxes to the City Mortuary.

They said the bodies found had accumulated from the previous week after they had missed the mortuary transport.

Mysterious deaths

This came after the top hospital management was suspended after the corpses of the 12 infants were found stuffed in the boxes.

A video posted on YouTube by Daily Nation  showed staff at the hospital struggling to explain why the bodies were stuffed in boxes.

A report by Standard said that police were investigating the "mysterious deaths of the infants".

Meanwhile, a caretaker board had been appointed to "oversee urgent reforms at the Pumwani Maternity Hospital so that quality healthcare is restored at the facility" the report said.

According to BBC, the hospital was one of the top public centres in Kenya and had been dogged by controversy for many years, including "allegations about the mistreatment of pregnant women".
Source: News24
* Nursing Jobs / Opportunity in Dubai for Operation Room Nurse and NICU Nurses by Krupali Jani: September 19, 2018, 04:31:20 PM
The American Hospital Dubai is an acute care, general medical/surgical hospital whose mission is to provide high quality American standard healthcare that meets the needs and exceed the expectations of the people of Dubai, the UAE and the surrounding Gulf States.


Other benefits:
-   Free mobilisation flights
-   Annual return flight ticket
-   Healthcare insurance
-   Malpractice insurance
-   30 calendar days paid annual leave + 11 public holidays per year
-   End of Service bonus

Dubai Health Authority (DHA) issues license for all healthcare professionals who wish to work in hospitals and clinics in Dubai. We will guide you step-by-step on what documents are required in order to obtain this license.

To apply for the post please feel free to contact on krupali.jani@medacs.com  or Call on +44 0 203 198 9050.
* News / Ghana: Withdraw Nurses, Teacher Trainee Allowances - Prof Adei by katty: September 19, 2018, 02:07:23 PM
A renowned educationist and economist, Professor Stephen Adei, has advocated for the abolishing of allowances for trainee nurses and teachers and rather invest such funds into Technical and Vocational Education Training (TVET).

“I do not even think that today, teachers and even nurses should get free education... I know the teachers and nurses will kill me but, all die be die,” he said.

Prof Adei was speaking at a public lecture organised by the Takoradi Technical University (TTU) on enhancing the “Development of Ghana through Technical and Vocational Education Training (TVET) and the Role of Technical Universities.”

He argued that, “it is the neglect of technical and vocational education and training that makes the prospect of giving second cycle education to all seem daunting.”

As a nation, Prof Adei said, “we have chosen to continue general education of our colonial masters, who only needed clerks and few public servants and have made it the norm. Educational system meant for servitude is not adequate for self-government and development and Nkrumah knew that."

He explained that it is not to say that these professions (teachers and Nurses) are not important for national development. “I say so because as an economist I know that if the government does not support them we will still have enough people doing those courses as they do by going to private universities.”

“We cannot deny young people the basic tools to participate in a modern society because there are no university places. Even in advanced economies less than half of second level products go to universities,” he said.

Source : Graphic Online
* News / ICM Press Statement on Saifura Hussaini Ahmed Khorsa Killed By Boko Haram by katty: September 19, 2018, 02:02:35 PM
Every single death in the service of others is one death too many. 

For midwife Saifura Hussaini Ahmed Khorsa, who was killed today at the age of 25 after being kidnapped by Boko Haram six months ago, the injustice is compounded even more so by her selflessness, her compassion and her youth. We hereby call on her captors to release her colleagues, Hauwa Mohammed Liman and Alice Loksha.



Like many midwives, Saifura, who worked for the Red Cross, had the robust heart of a humanitarian. And as we mourn her today, we will not become consumed by hatred and fear – the very principles that run counter to her work and her character.

The great risk midwives take in the service of others is one that is well known to us. Midwives are a workforce predominantly comprised of women who, through their practise, represent the great power of women’s bodies as they bring life into the world. No wonder midwives - midwives like brave, brilliant Saifura - can feel confrontational to others. There is strength in our knowledge, and in our understanding of women's bodies. We believe the sacredness of childbirth. We believe in the future.

It is not only in this situation in Nigeria that midwives are marginalised as professionals and as individuals. As we mourn Saifura, we must not reduce her to one single death; one midwife. Saifura is every midwife. She is every life brought safely into the world and every mother that holds her newborn in her arms. She is also every woman who pursued education; every woman who found her vocation and who has a voice. She is all of us. 

And so we are bold and unified as we call on policy-makers to protect women, to protect girls, to protect the midwives who serve them. We advocate for everyone to respect the world's midwives – in policy, in the workplaces and at home – and we remain uncompromising in our love of midwifery. 

We must champion the name of Saifura Hussaini Ahmed Khorsa, and every midwife she represents. Because saving lives and improving lives is what midwives do.

We listen, we grieve, we let go and we grow.

 

 - Franka Cadée, President of the International Confederation of Midwives
* News / Toyin Sàràkí Demands Release of Abducted Nurses by katty: September 19, 2018, 12:22:08 PM
Global goodwill ambassador of the International Confederation of Midwives, Toyin Saraki, has called for the release of two abducted health workers held hostage since March after one other midwife working with the International Committee of the Red Cross was killed.
 
The murder of Saifura Hussaini Ahmed Khorsa is a tragedy for Nigeria and for the global community of midwives, said Saraki.
 
“We mourn her deeply. My thoughts and prayers are with her family, in particular her two children, and her International Red Cross colleagues.”
 
“I now call on all efforts to be made to secure the immediate release and rescue of Hauwa Mohammed Liman and Alice Loksha.
 
Health workers should never be a target; their abduction is an act of unimaginable cruelty” Liman and Loksha are still captive, and both the United Nations Office for Coordination of Humanitarian Affairs and the ICRC have called for the release.
 
“This is a tragic reminder of the threat to life and liberty faced by midwives, nurses and health-care workers who selflessly work for the health and wellbeing of others.
 
I stand in solidarity with them and will continue to advocate for their safety in carrying out their life-saving work,” Saraki said.
 
Source: Vanguard News
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