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* News / Will New Nursing Associates Become a Cheap Substitute for Nurses in UK? by katty: March 16, 2018, 09:27:16 AM
"The Royal College of Nursing, says it is already getting reports of trusts planning to cut registered nurse posts and replace them with Nursing Associates "

As the first cohort of trainees prepare for this new NHS role, there are fears it could be exploited and become a dead-end job

Hilda Alexis has always wanted to be a nurse. But lack of educational opportunity and raising a family meant that being a healthcare assistant was the closest she thought she would ever get. Now, mid-career, she has a chance to realise her dream.

Alexis is one of the first 2,000 trainee nursing associates (NAs) who are part way through preparation for a new role in the NHS in England. The job is seen as a bridge between healthcare assistant and registered nurse (RN), taking on some tasks usually performed by the latter. But it will also offer a route for some NAs to qualify as nurses.

For Alexis, 49, who has worked for Barts health NHS trust in London for more than 15 years, this is the incentive she has been waiting for. “I’ve wanted to be a nurse all my life,” she says. “This is a wonderful opportunity for people like me. And I think it’s wonderful for the NHS.”

Not everyone agrees. Some critics see NAs as a threat to nursing’s graduate-entry status, implemented five years ago, and a reinvention of the state-enrolled nurse (SEN), training for which was phased out from the 1980s.

Others are wary of the speed with which NAs are being introduced, seeing the initiative as a knee-jerk response to nurse shortages that need more considered workforce planning. The number of unfilled advertised nursing and midwifery posts in England is at a record of more than 34,000.

The idea of NAs emerged from a 2015 review of education and training for nursing and midwifery, which recommended widening the entry gate for healthcare assistants wishing to enter the professions. Creation of the role was announced the same year, with the first trainees starting in late 2016. In addition to the first 2,000, a further 5,000 are due to start in April.

Such has been the speed of implementation that the necessary legislative changes have yet to be made to enable NAs to be regulated by the Nursing and Midwifery Council. That means there are not yet any agreed standards of education, training, conduct and performance, although the council has just closed a consultation on its proposal that NAs will have to pay the same – £120 a year – to be on its books as nurses and midwives.

With the first 1,000 NAs due to complete their training at the end of this year, the timetable for finalising arrangements is extremely tight if they are to move seamlessly into new jobs.

Because of the lack of a national template, other than an advisory framework, training of the first NAs is being conducted in a variety of ways across the 35 pilot sites involved so far. While this has obvious pitfalls, it has enabled the new role to be tailored to local needs

Prof Debbie Dzik-Jurasz, deputy director of the Barts Health academy and coordinator of the NA pilot across north-east London, which involves 127 trainees, says: “Our real focus has been on trying to develop a practitioner who understands the complexity of the health needs of our local population. We have much higher incidences of mental illness, particularly depression and anxiety, for example, and of diabetes in young people.”

Training is principally on-the-job: trainees typically spend a day a week at a participating university, but the bulk of the course involves working under supervision in a variety of care settings. This ensures that those from hospital backgrounds get experience of community healthcare and vice versa.

Undoubtedly the most controversial aspect of the NA programme’s development has been the intention that NAs administer drugs: while national guidelines are awaited, universities are reportedly taking a range of approaches to teaching on this, depending on local practice and often on the backgrounds and experience of individual trainees.

Almost all the first 2,000 trainees are, like Alexis, experienced healthcare assistants. Those used to working in hospitals are likely to have less experience of helping with drugs administration. According to a breakdown by Health Education England (HEE), the healthcare education and training body, 84% of the 2,000 are women and the most common age range is 24-35 – although the youngest began at 18 and the oldest at 65.

Prof Warren Turner, dean of the school of health and social care at South Bank University, London, which is working with the north-east London pilot, says many of the trainees have never set foot in a university nor undertaken any non-vocational study since leaving school

He recalls seeing one trainee hovering outside South Bank’s front door on her first day. Another arrived and they linked arms and marched in together. “I thought that said a lot,” Turner says. “If I’m honest, I was expecting a relatively high drop-out rate. But I could count on the fingers of one hand how many we have lost.”

The minimum entry requirement for NA training is GCSE grade 9 to 4 (A to C) in maths and English, or key skills level 2 in each. Alexis is unusual in having further qualifications: a diploma in health and social care, gained in 2014, and a foundation degree in rehabiltation therapy, which she completed in 2016. With that recent discipline under her belt, she is finding the NA course not too much of a shock to the system.

“It’s intense, and the standard is high, but pretty straightforward,” she says.

Up to half of all qualified NAs are expected to elect to undergo a further two years’ workplace-based training to become registered nurses. Projections indicate that this could add 2,400 nurses a year to the workforce from 2021 (pdf) – a significant number, but small by comparison with the 22,000 a year from undergraduate nurse training.

Health employers are more interested in the NA role itself. They see it as a key part of a more flexible healthcare workforce, responding to changes in the way – and where – care is delivered, and freeing up nurses to take on more complex tasks. However, the NA role will always remain nurse-led.

Critics will be watching carefully to check that NAs, who will be paid at NHS band 4 (£19,406-£22,683) on qualification, do not simply become a cheap substitute for nurses, and that the job does not ossify in the way that the SEN route became a dead end for too many.

The Royal College of Nursing, which says it is already getting reports of trusts planning to cut registered nurse posts and replace them with NAs, warns: “Substitution of registered nurses with NAs by financially challenged employers, particularly in the context of significant shortfalls in the registered nurse workforce, could have unintended consequences on the ability to provide safe and effective care.”

There are also many issues yet to be resolved, not least professional standards for NAs and the cost of their training to employers. Although the HEE says it is meeting all costs of the pilot trainees, who are paid at band 3 (£16,968-£19,852), NHS trusts fear they will have to bear the cost in the long term, including paying for cover for trainees while they gain experience of different healthcare settings.

Dzik-Jurasz says: “We will have to think hard about how we model that. It’s really important that associates get this wider experience, and it’s great to see how excited they are for the learning opportunities, but it’s a significant issue for the employer when they are spending six to eight weeks at a time working in other areas.”

Source :
* News / Firefighters, Nurses are the most Respected Professionals in Canada - Poll Shows by katty: March 15, 2018, 06:04:42 PM
It appears Canadians have the utmost respect for firefighters and nurses — even journalists — but are more wary of lawyers, real estate agents, and politicians.

A new poll from Insights West found that 92 per cent of respondents have a positive opinion of firefighters, while 91 per cent feel the same way about nurses.

Following those are farmers at 88 per cent and doctors at 87 per cent. Also high on the respect scale (above 80 per cent) are teachers, scientists, engineers, veterinarians, and architects.

The poll also found that seven-in-ten Canadians have a positive opinion of dentists, accountants, military officers, police officers, psychiatrists, athletes, and journalists.

Insights West notes that when compared with the same survey last year, the biggest improvements in public opinion were with pollsters, which jumped to 42 per cent from 34 per cent, and with journalists, which went up to 70 per cent from 62 per cent.

More than half of the Canadians polled had a positive opinion of judges (68 per cent), auto mechanics (62 per cent), actors and artists (61 per cent), building contractors (56 per cent), priests and ministers (52 per cent) and bankers (51 per cent).

The lowest ranked professions when it comes to respect, according to the poll, are lawyers, followed by realtors and real estate agents, business executives, pollsters, and car salespeople.

The lowest scoring are politicians, with only 22 per cent saying they have a positive view of the job.

The professions that saw the biggest drop compared with last year’s poll were auto mechanics, actors and artists, and priests and ministers.

“There is an interesting generational gap in the way Canadians perceive police officers,” said Insights West spokesman Mario Canseco, in a statement.

He said one third of Canadians aged 18-to-34 (34 per cent) say they have a negative view of police officers, compared to 23 per cent for those aged 35-to-54 and 19 per cent for those aged 55 and over.

The survey of 1,012 Canadian adults was conducted from March 2 to March 5. The margin of error is plus or minus 3.1 percentage points.
Source : Vancouver Sun
* News / NCSBN Unveils Free New Nurse Booklet as Part of its 40th Anniversary Celebration by katty: March 15, 2018, 06:00:22 PM
The National Council of State Boards of Nursing, Inc. (NCSBN®), has just published a new “NCSBN Welcomes You to the Nursing Profession” booklet. Offered as a gift to newly licensed nurses in honor of its 40th anniversary, NCSBN created this booklet as a resource to help nurses better understand nursing regulation and their board of nursing (BON). It is the goal of the organization to provide each newly licensed nurse in the U.S. with this booklet.

 “When I see a picture of a nurse on social media holding up a sign that says ‘I passed my NCLEX!’ it’s always a photo of unadulterated joy,” remarks Michael R. Bleich, PhD, RN, NEA-BC, FNAP, FAAN, President NursDynamics, LLC and committee member, IOM Future of Nursing report.  “It further symbolizes the nurse’s relationship to their BON.  The resources of NCSBN and the BONs help guide and protect nurses who face multiple publics and a myriad of clinical practice challenges.”

Designed to ease the transition from student to working professional, the booklet provides information about the nursing licensure process and the responsibilities of nurse licensure. The booklet also features case studies that cover a wide variety of topics including substance use disorder, the appropriate use of social media and professional boundaries. Additionally, the document provides links to free online resources such videos, brochures, posters, magazines and newsletters.

Diane Mancino, EdD, RN, CAE, FAAN, executive director, National Student Nurses’ Association (NSNA), comments, “This is a must read resource for new graduate RNs and is essential to launching a nursing career.  The information is not included in the nursing curriculum and it is indispensable to ensure successful entry into the nursing profession.”

Hard copies of the booklet can be ordered here or accessed online at


NCSBN marks its 40th anniversary milestone in 2018 with the inspiring theme of “Regulatory Excellence Surging Toward the Future.” Founded March 15, 1978, as an independent not-for-profit organization, NCSBN was initially created to lessen the burdens of state governments and bring together boards of nursing (BONs) to act and counsel together on matters of common interest. It has evolved into one of the leading voices of regulation across the world.

NCSBN’s membership is comprised of the BONs in the 50 states, the District of Columbia, and four U.S. territories — American Samoa, Guam, Northern Mariana Islands and the Virgin Islands. There are also 30 associate members that are either nursing regulatory bodies or empowered regulatory authorities from other countries or territories.

NCSBN Member Boards protect the public by ensuring that safe and competent nursing care is provided by licensed nurses. These BONs regulate more than 4.8 million licensed nurses.

Mission: NCSBN provides education, service and research through collaborative leadership to promote evidence-based regulatory excellence for patient safety and public protection.

The statements and opinions expressed are those of NCSBN and not the individual member state or territorial boards of nursing.

Contact: Dawn M. Kappel
Director, Marketing and Communications
312.525.3667 direct
312.279.1034 fax
* Nursing Jobs / International Rescue Committee Vacancies for Stabilization Nurse by katty: March 15, 2018, 04:22:02 PM
The International Rescue Committee (IRC) responds to the world’s worst humanitarian crises and helps people to survive and rebuild their lives. Founded in 1933 at the request of Albert Einstein, the IRC offers lifesaving care and life-changing assistance to people affected by war or disaster. At work today in over 40 countries and 22 U.S. cities, we restore safety, dignity and hope to millions who are uprooted and struggling to endure. The IRC leads the way from harm to home
Position: Stabilization Center Nurse
Location: Gujba, Yobe
Scope of Work
* The SC nurse is the focal point for nutrition care at the IRC's stabilization center and will ensure 24 hour coverage. S/he will report to the SC medical Doctor and work closely with the MOH staffs for day to day administrative issues.
* The SC nurse will ensure the implementation of a quality nursing care at the stabilization Centre and ensure that all nutrition roles and responsibilities are done as per Nigeria national CMAM inpatient guidelines.
* The SC nurse will identify gaps in stabilization Centre and take the necessary steps to address those gaps. S/he provides assistance in planning, implementing and monitoring of high impact interventions and provides support in system strengthening and promotion of childhood nutrition, with special focus to the most vulnerable and unreached population groups. In addition, provide co-ordinate support and technical assistance to Health Department and management of on-going programs statewide and establishing nutrition surveillance systems.
* S/he will directly supervise the SC help mothers and cleaners and work hand in hand with stabilization Centre Doctor.
Key Responsibilities
* Ensure quality and timely identification and treatment of medical complications associated with malnutrition in SC in liaison with the clinical services .Give and advice on the drug regimen for children in the SC.
* Supervise and coordinate the strict patient management of children in the Stabilization Centre and ensure the laid protocols are followed.
* Participate in daily ward rounds in the SC ward with the medical team.
* Strictly monitor and record the vital signs as required and report any deviation from the Normal
* Prepare for and assist the doctors during the rounds and whenever required.
* Ensure that all required observations, prescribed treatment and procedures are properly carried out and documented on patient’s charts.
* Refer to the doctor in charge or to the doctor on call relevant information such as patient’s status and laboratory results, which would assist in proper clinical management.
* Assist patients with activities of daily living while in the ward.
* Arrange and submit weekly ward work schedule and plan daily duties and responsibilities for each refugee staff.
* Escort patient to other referral hospital when necessary.
* Maintain equipment’s in good condition and submit regular inventory report of the same.
* Maintain drug registers and drug consumption within the ward level.
* Ensure that all admissions, discharges, transfers and deaths are properly recorded as they occur.
* Ensure the establishment of nutrition monitoring activities and train health staff in case detection and referral system.
* Improvement of the MIYCN program in the ward and ensure mother establish breastfeeding while in the ward
* Monitor therapeutic Feeds and ensure that children get 3 hourly therapeutic feeds as required.
* Ensure timely reporting in accordance with set deadlines.
* Improve the provision of quality nutrition counseling in the hospital
* Plan and Conduct continuous monitoring of the OTP and SC patient management through quality of care (QoC) assessments.

Required Qualifications
* Diploma/OND/NCE in nursing.
* Registration with the Nursing Council of Nigeria
* Must possess at least three (3) years’ experience in implementing nutrition related activities in a busy community set up.
* S/He must possess ability to analyze and interpret both quantitative and qualitative programmed data.
* Must possess excellent planning and organizational skills.
* Must be able to work with minimal supervision.
* Must have cognate skills in computer appreciation.
* MUST possess a high level of integrity and with good interpersonal skills
* Ready to work in difficult environmental conditions.
Specific Security Situation/Housing:
* The security situation in the NE continues to be volatile at level 3 (orange). Security level as it’s one of the three states of emergency (SoE) in the NE of the country.
* The candidate should be prepared to implement programming in insecure environments
* Monthly salary, 13Month Salary Inclusive, Health Insurance Coverage for Family, Pension, Creche Facilities available for Women with babies under 24 Months.
Application Deadline:
29th March, 2018
Method of Application
Applicants should send their Applications addressed to the "Senior Human Resource Manager" via: Subject of the application should read: Stabilization Centre Nurse, Gujba OR "Health Clinical Officer, Monguno" OR Senior Health Officer, Monguno.
* Hand delivery applications should be submitted in Yobe Field office.
* IRC is an Equal Opportunity Employer IRC considers all applicants on the basis of merit without regard to race, sex, color, national origin, religion, sexual orientation, age, marital status, veteran status or disability.
* News / NUNSA Meets Nursing Council Registrar on Nursing Internship, Nurse Consultants by Idowu Olabode: March 15, 2018, 02:55:51 PM

The executives, congratulated the registrar (Alh. Faruk Abubakar) and also appreciated him for the achievements made so far within the short period of assumption of office.
The meeting commenced at 9:10am and ended at 10:00am, the following issues were  discussed:

The registrar said there was no budgetary provision for Nurse interns for the year 2017 and NMCN has ensured that all the federal hospitals includes it in their submissions to the Federal Government for 2018. Most or all the hospitals that have already started the program are using their Internally Generated Revenue (IGR).
The Nursing Internship has not been gazetted yet, and Nursing students are advised to keep calm and allow the internship gain it's deserved stability first, then we can make the needed corrections thereafter.
Internship is a gradual process. As from 2018, no graduate Nurse would be eligible for NYSC without having succesfully passed through internship program.
He informed that a temporary licence for interns would be issued to the departments of Nursing alongside a logbook which can be gotten for N1500

He said it might not be possible to achieve this but efforts are being made to ensure we have Nurse preceptors who are specialists in their field and would readily put Nursing students through all they need to know during their clinical posting in such unit.

The registrar said The West African Council of Nurses, (WACN) already pushed for that and are awaiting its approval by the honorable Minister of Health.

There are plans on ground to institute an "operation show your licence" where a taskforce will be constituted to carry out the assignment in conjuction with state councils and law enforcement agents to ensure the apprehension of nurses and midwifes practising without operational licences. He also said his office gives immediate response to any information about quackery and that state Directors of Nursing have already been empowered to checkmate this problem.
He also stated that NMCN is making moves against any form of quackery including unacredited institutions and other bodies training quacks and that there are plans to review the penalty to organizations/individuals training people for such act. He also informed that two universities has recently been accredited (Osun state university and Usman DanFodio university)

We suggested that NMCN should set a standard and uniform examination for promotion from one cadre to another in the profesion across the country. The registrar said it is not within the scope of NMCN but an administrative or an establishment issue of the local hospital i.e vacancies might not be open to every cadre but most commonly the entry point only which the said individual has the choice to take or leave.

"The challenges are enormous", he said. One of which includes;
 GOVERNMENT : issues related to budgetary provisions.

7. FINALLY, a unified scheme of service for Nurses for the very first time has been designed to harmonize both SON and university graduates.
He also encouraged and gave us words of advice, that we should be of good behaviour and be obedient, abide by rules and regulation and prove that Nurse interns are needed by showing our skills especially in practice. Also, we should enlighten our members on efforts of NMCN to take Nursing to the next level.

In attendance was four executives which includes the President ( Ibrahim Sagir - Ado), Vice President ( Fahad Umar Basa), Secretary General (Kamaku Damilola), Academic director 1(Omosekeji Blessing) and two concerned Nunsites (Oyelekan Henry and Rufai Gbenga).


Ibrahim Sagir - Ado

Kamaku Damilola
* News / Denosa Statement On the Eastern Capes Ticking Psychiatric Time Bomb by katty: March 15, 2018, 01:57:19 PM
DENOSA has noted with great concern the report by City Press on 4 March 2018 about the dire situation in Tower Psychiatric Hospital.
If the situation at Tower Psychiatric Hospital goes out of hand, nurses, and not the management, will be the first targets by the department. We have experienced that when there is a patient care crisis, the department goes after nurses. Equally, the hospital management has a tendency of shifting blame to nurses because of the independent functioning of a nurse as prescribed by the regulatory body, the South African Nursing Council (SANC).
In all SANC cases referred for professional misconduct, there had never been a single nursing manager taking a stand; nurses always stand alone and face the music in front of the disciplinary committee with no support from the department whatsoever.
"The allegations raised are very serious and are of great concern," says DENOSA Eastern Cape Provincial Secretary, Khaya Sodidi.
DENOSA notes the response with reservations by the spokesperson of the department, Sizwe Khupelo that during the "surprise" vist by MEC of Health everything was rosy in Tower Hospital. DENOSA would like to stress that any "unannounced" visit by the department at the hospital after media reports was always going to get a different picture.
"We strongly support the proposed independent investigation to that institution. We believe that where there is smoke, there is fire. In the meantime, DENOSA congratulates Dr Kiran Sukeri for his bravery and courage in raising these devious actions by the management until proven otherwise."
Source: COSATU
* News / Revealed: How Oyo Govt Walked into Graduation Ceremony of Auxiliary Nurses by katty: March 15, 2018, 11:38:22 AM
"The task force met a graduation ceremony for Auxiliary nurses ongoing at one hospital, while another had slated a graduation ceremony for its nine trainees."

OYO State government has warned that it will continue to seal private hospitals that employ or train any auxiliary nurse in their health facilities as part of its efforts to reduce quackery in the state.

Commissioner for Health, Dr Azeez Adeduntan made the disclosure after Oyo State Taskforce on Private Medical Practice sealed eight private health facilities in Ibadan and reassessed others for reopening.

At Apete, a suburb of Ibadan, the task force met a graduation ceremony for nurses ongoing at one hospital, while another had slated a graduation ceremony for its nine trainees.

Also, another hospital being run by an unregistered nurse, that was initially closed in 2008, but practicing under another name in Orogun, was also sealed.

Offences of the sealed hospitals range from non-registration of the premises, unhygienic hospital environment, improper disposal of medical wastes and failure to have qualified medical staff on ground.

Dr Adeduntan, speaking through Chairman, Oyo State Taskforce on Private Medical Practice, Dr Adebisi Ayoola, said only those that trained at accredited and approved training institutions are expected to be working in these facilities.

He declared: “there is no room for the training of the so-called auxiliary nurses; anybody that is interested in the profession should attend established and government accredited medical and nursing schools.

“In Oyo State alone, there are 12 institutions where they can be trained as nurses. Often, those we called auxiliary nurses are mostly people who do meet the criteria to attend such schools.  Auxiliary nurses are quacks, as far as Oyo State government is concerned.”

Dr Adeduntan, however, warned private hospitals and medical laboratories with their annexes that only registered with the Corporate Affairs Commission to also get them registered appropriately by Oyo State government.

According to him, all facilities found culpable for any offence that regulates private health facility practice stand to face a penalty of N100, 000 or one-year imprisonment.

The exercise, which he said was a continuous one, he declared, was not targeting anybody or vindictive but corrective, urging people who need information on criteria for registration on any health facility, including medical laboratories to freely come to the ministry.

Source : Nigerian Tribune
* News / Oyo Govt Goes Tough on Quacks, Shut Down Hospitals for Training Auxiliary Nurses by katty: March 15, 2018, 11:10:16 AM
The Oyo State Government on Wednesday said it had closed eight health facilities in the state found guilty of quackery and training of auxiliary nurses.
The state government said the move was to express its commitment to eradication of quackery in the health sector, warning that the training of auxiliary nurses in private facilities would not be tolerated in the state.
The government also announced the receipt of 34 motorcycles donated by the World Health Organisation to Disease Surveillance and Notification Officers in Ibadan.
The State Commissioner for Health, Dr Azeez Adeduntan, while leading the task force of the Ministry of Health on a routine monitoring exercise and inspection of private health care facilities within Ibadan metropolis, urged anyone who had interest in becoming a nurse to enrol in a medical school recognised by the state government.
Adeduntan, who spoke through the Director of Secondary Health Care and Training, Dr Ayoola Adebisi, pointed out that eight out of the 11 health facilities visited were closed for illegal operations, use of unqualified medical personnel and failure to maintain the minimum standard practice.
“The monitoring exercise is not to victimise anybody or private health care facilities in the state, but to sanitise the system and ensure that rules and regulations guiding the operations of private health care facilities are followed.”
Among the areas visited by the task force were Apete, Awotan, Ijokodo, Arometa, Sango, and Mokola in Ibadan.
By: Olufemi Atoyebi, Ibadan
The Punch News
* Nursing Jobs / Diamond Helix Medical Assistance (DHMA) Vacancies For Nursing Officers by katty: March 15, 2018, 11:06:28 AM
Diamond Helix Medical Assistance (DHMA), a medical service company providing medical, ambulance and homecare services located at No 2a Omorinre Johnson street, Lekki phase 1, Lagos has vacancies to fill the following positions:-
1. Vacancy: Nursing officer.
Location: Lagos.

Interested candidates must have:
. A bachelor degree in nursing with not less than 3 years experience or other Nursing equivalents with not less than 5 years experience.
. Certification in BLS and ALS will be an advantage 
Application Deadline:
25th of March 2018
Method of application:
email:- and copy
* Nursing Jobs / Diamond Helix Medical Assistance (DHMA) Vacancies For Home Care Supervisors by katty: March 15, 2018, 11:05:32 AM
Diamond Helix Medical Assistance (DHMA), a medical service company providing medical, ambulance and homecare services located at No 2a Omorinre Johnson street, Lekki phase 1, Lagos has vacancies to fill the following position:-
Vacancy: Homecare Supervisor
Location: Lagos.

Interested candidates must have:
. A bachelor degree in nursing with not less than 5 years nursing experience.
. Certification in BLS and some Homecare experience would be an added advantage
Application Deadline:
25th of March 2018
Method of application:
email:- and copy
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