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* Nursing Jobs / DEDA Hospital Vacancies for Registered Nurse / Midwife Date in Abuja by Idowu Olabode: November 21, 2017, 10:22:57 PM
Deda hospital, located in Abuja, seeks the services of qualified candidates to provide medical support to patients, to fill the position below:
Position: Registered Nurse / Midwife
Location: Abuja
Job Description
* As a midwife, to provide quality care to midwifery patients during all stages of their pregnancy.
* Provide support and assistance to new mothers including breastfeeding advice and assistance with general parent crafting.
* Be available for "on call" roster as required to provide escort for midwifery patient requiring transfer or assistance if more than one patient in Delivery Suite.
* Provide quality nursing care that includes assessment, planning and evaluation of care.
* Attend relative study days/seminars to maintain current level of knowledge in all aspects of midwifery/medical/surgical nursing.
* Identifies learning needs and actions as able, or discusses with the relevant manager either before or during regular performance review processes.
* Active participation in Health Service activities and meetings.
* Maintain interest and understanding of current trends in nursing and in the healthcare industry.
* Demonstrate a professional approach in regard to time keeping, appearance and behaviour.
* Excellence in customer service, facilitating relations with patients, extended families, friends and the broader community
* Provide emergency care and advice to patients presenting to the emergency department as required.
* Demonstrate competency in professional and clinical skills.
* Ensure appropriate documentation and discharge planning for patients as required.
* To effectively and efficiently use ward equipment and supplies.
* To communicate effectively with patients, nursing colleagues and all members of the healthcare team
* Liaise with medical, allied health and other nursing staff to ensure continuity of patient care.
* Maintain interest and understanding of current trends in nursing and in the healthcare industry.
* Demonstrate a professional approach in regard to time keeping, appearance and behaviour.
* Excellence in customer service, facilitating relations with patients, extended families, friends and the broader community.
* Practices in accordance with the Deda Hospital’s Vision, Values and Core Objectives
* Maternal Child Health qualifications
* Minimum two years’ experience.
* Knowledge of and experience in quality improvement activities
* Knowledge of current issues, trends and research in acute services and maternity services / early years.
Application Closing Date:
8 December, 2017
Method of Application
Applicants should send their CV's to: Using "Registered Nurse / Midwife" as subject of your mail.
Note: Only applications with this subject and CV ONLY will be viewed.
* News / NHS North West Hospitals in UK in Need of 3,200 Nurses by Idowu Olabode: November 21, 2017, 07:22:28 PM
Hospitals across the North West are short of thousands of nurses and consultants, according to NHS figures.

Over 3,200 nurses and 500 consultants are needed by trusts in the area, Freedom of Information requests by BBC North West Tonight have revealed.

NHS bosses said trusts had to "help themselves to find ways of attracting qualified staff".

Estephanie Dunn, regional director for the Royal College of Nursing (RCN), called the figures "concerning".

She said the increased use of unregistered support staff had resulted in "significantly" worse outcomes for patients.

'Shortages in key areas'

Greater Manchester had the highest number of vacancies, with 1,559 nurses and 223 consultants needed.

The figures reveal that one trust - the Manchester University NHS Foundation Trust - is 450 nurses short, equivalent to 9.7% of full staffing.

A trust spokesperson said this was "in line with the lower end of the national average."

Greater Manchester Health and Social Care

Partnership's Jon Rouse said the "bottom line is that we can't rely on national workforce planning".

"We've got shortages in a whole number of key areas."
He added that it "means getting our act together, using that strong brand, getting out into the market and finding ways of attracting qualified personnel to work here in Greater Manchester".

Across Lancashire and Cumbria, there is a shortage of 696 nurses, 40 junior doctors and 150 consultants.

Nursing vacancies in the North West

Central Manchester University Hospitals Foundation Trust: 449.6

University Hospital of South Manchester NHS Foundation Trust: 288.5

East Lancashire Hospitals NHS Trust: 213

Stockport NHS Foundation Trust: 195

Pennine Acute Hospitals NHS Trust: 163

Recruiting Indian doctors

The latest NHS figures, taken between January and March 2017, show the North West has the third highest number of doctor vacancies in England.

In response to the crisis, many hospital trusts have been getting increasingly creative in their search for staff.

Wrightington, Wigan and Leigh Foundation Trust has begun recruiting hundreds of doctors from India and Pakistan through a mixture of contacts and social media.

The medics are already qualified, but will get extra training and experience while the hospitals get the staff they need.

Dr Mikhil Jain, from Mumbai, India, said he came to the UK for surgical experience.

"It's also just to enjoy some quality of life here. I'm massively interested in football as well," Dr Jain added.

The same trust is also is also running a scheme to train - and retain - local nurses.

Once qualified, they are then invited to come and work for the trust, with the eventual plan to develop an on-site academy in Wigan.

'Pipeline of nurses'

Assistant Director of Nursing, Amanda Cheesman, said the scheme began after some European nurses started to return home following the Brexit referendum.

"We want to recruit new talent into the organisation but we want to retain it as well and that's what we're trying to do. To invest that loyalty into the organisation."

She added: "Hopefully by 2020, we're going to have a lovely pipeline of nurses coming through some of our initiatives to get where we want to be."

Student nurses Molly Evans and Jane Woodall went straight from school to the Royal Albert Edward Infirmary in Wigan.

After two years' training at the hospital, and at the local college, they'll go to university, before returning to Wigan to work.

"We're all going to go on to become nurses... we've been told we've got a guaranteed job by the age of 21. So it's really good."

Source :
* Free Nursing Books / Open Educational Resources for Nursing by Idowu Olabode: November 21, 2017, 03:45:06 AM
Clinical Procedures for Safer Patient Care:
an open education resource

George Washington University list of open resources:

OER Commons
an open education resource collection
a number of resources for class materials
links to other resources for OER
OER for Nursing (University of California)
AACN Website
multimedia educational resource for learning and online teaching
“MERLOT is a curated collection of free and open online teaching, learning, and faculty development services contributed and used by an international education community.”
UVIC Space Publications Depository – School of Nursing
Houses all publications from the department, including theses for Master of Nursing-Nurse Educator degree
DOAJ: Directory of Open Access Journals
DOAB: Directory of Open Access Books
BioMed Central
Open Access publisher
PubMed Central
run by the US National Library of Medicine, National Institutes of Health
Notes on Nursing by F. Nightingale
Caring and Curing by Dianne Dodd and Deborah Gorham
This collection of essays takes the reader from the early 19th century struggle between female midwives and male physicians right up to the late 20th century emergence of professionally trained women physicians vying for a place in the medical hierarchy.
1994, so a bit old
Nursing Care at the End of Life by Susan E. Lowey (forthcoming 2015)
American, 2015
More Moments in Time: Images of Exemplary Nursing by Beth Perry
The Rise of Mental Health Nursing: A History of Psychiatric Care in Dutch Asylums, 1890-1920 by Geertje Boschma
The Acute-Care Nurse Practitioner: A Transformational Journey by Judy Rashotte
Teaching Health Professionals Online: Frameworks and Strategies by S. Melrose, C. Park, and B. Perry

Mahara as Medium: Feeding the Learning Spirit through aesthetic and reflective expression
Presented at COHERE: Collaboration for Online Higher Education Research Conference: Theme: Open Resources, Open Courses: Their Impact on Blended and Online Learning October 24th, 2013 in Vancouver, BC
PowerPoint presentation
Journal of Nursing Education and Practice
entirely open-access journal
Science Direct Open Access Journals
Lists more than 20 open access journals on nursing
Open Medicine
a peer-reviewed, independent, open-access journal
PLOS One: Medicine and Health Sciences
 “New Pedagogies for Teaching Thinking” Journal of Nursing Education
American, 2003
 “Pedagogy as Influencing Nursing Students’ Essentialized Understanding of Culture” International Journal of Nursing Education Scholarship
Canadian (ULethbridge), 2010
“In this qualitative study, we explored how students understood “culture.” Participants defined culture and wrote narratives regarding specific cultural encounters… Pedagogy is implicated in nursing students’ essentialized understanding of culture.”
“Ignatian Pedagogy: Transforming Nursing Education” Jesuit Higher Education
American, 2013
“Despite the ever-changing complexity of health care delivery, nursing education must continue the commitment to the provision of holistic care, supported by critical reflection. The Ignatian Pedagogy Model presented in this article, a teaching-learning strategy, asks critical reflective questions that focus on context, experience, action, and evaluation that support the nursing tradition of a holistic focus. This article provides explanation and application exemplars of this Ignatian Pedagogy Model in addition to descriptive survey results pertaining to use of this strategy.”
“Feminist Learning Strategies in Health Professions Education” AMA Journal of Ethics
American, 2014
“Empowerment is critical to the nurse’s ability to create change in health care and society at large. Feminist pedagogy can help bring this about.”
“Cultivating Nurturing Learning e-scapes: A Food Forest Analogy” Canadian Journal of Nursing Informatics
Canadian, 2014
“This conceptual paper focuses on the implementation of a diverse technological landscape within a blended post-baccalaureate nursing program (BSN-PB) in Western Canada.”
“Fatigue and physical activity in older adults with cancer” Oncology Nursing Forum
2009, Canadian
 “A mixed methods pilot study with a cluster of randomized control trial to evaluate the impact of a leadership intervention on guideline implementation in home care nursing” Implementation Science
2008, Canadian
 “Physiological weight loss in the breastfed neonate” Open Medicine
“An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss” International Breastfeeding Journal

 “Addressing the Spiritual Dimension in Canadian Undergraduate Nursing Education” Canadian Journal of Nursing Research
2003, Canadian
 “Managing patient deterioration: a protocol for enhancing undergraduate nursing students’ competence through web-based simulation and feedback techniques” BMC Nursing
British, 2012
* News / District nurse numbers under pressure by Idowu Olabode: November 21, 2017, 03:28:37 AM
District nurses play a vital role in keeping patients out of hospital by providing care in their own homes, but official figures show their numbers have nearly halved since 2010.

In the Seacroft area of Leeds, community matron Temba Ndirigu is driving to see his first patient of the day.

He pulls up in front of a semi-detached house and calls out a cheery "Hello!" as he steps through the front door.

In a front room converted into a bedroom, he finds Maurice Welbourn and his wife Nora.

Maurice has suffered a stroke, throat cancer, diabetes and has liver problems, all of which have left him dependent on the support of his wife and the community health team.

Nora has also developed Parkinson's disease, meaning Maurice's main carer is also herself in need of support.

She says that without people like Temba, her husband would constantly be in and out of hospital.

"No matter what time of the day, you can ring them any time, the district nurses, you know, the carers.

"I wouldn't be able to keep him at home without them."

Despite the complexity of his health problems, Maurice is a fairly typical patient for a community health team working in one of the more deprived parts of Leeds.

And for Temba and his colleagues, working in a community setting, rather than hospital, presents its own challenges.

"In a hospital, it is your environment, you know what you're doing, you're more or less in charge.

"In someone's home, the tables are completely reversed.
"You are a guest in their home, and this sense of being alone, it's just you and the patient or the family.

"There are all these people looking at you to make a decision or come up with a plan and that can be quite difficult."

Back at base, the phones are ringing as the team try to manage a growing number of cases and it's not easy.

Constant pressure

Service manager Lucy Hall is trying to schedule the team's appointments for the next day, while at the same time knowing there will be unexpected calls.

"For the past 18 months we have been really busy, it seems to have stepped up a notch.

"The problem is we just don't know what's coming through the door the next day

"So when the hospitals have a big surge in referrals or a big surge in bed management, we often see the outcome of that."

But as well as meeting the demand for services, there is a problem in the supply of staff qualified and willing to do this complex and demanding work.

Thea Stein is the chief executive of Leeds Community Healthcare NHS Trust, which runs the district nursing team in Seacroft.

"We do constantly struggle with the supply of staff to do the job we need done," she says.

Official figures also show a 46.4% drop in full-time district nurses working for the NHS in England from May 2010 to July 2017.

Some of that drop may be down to nurses moving to work for other health organisations outside the NHS.

But the Royal College of Nursing says the data reflects a recent survey it carried out that suggested community teams are being stretched to the limit.

And Ms Stein says that keeping patients at home and out of hospital is a daily battle.

"We just have pressure day in and day out to do it.
"If services like mine aren't there, 24/7, our hospitals are completely full."

Next we are back on the road with staff nurse Lisa Heyward, this time to check up on Colin, who has problems with his legs.

Keeping patients like Colin at home rather than in hospital is central to plans for the future of the NHS in England.

This is work often unseen, requiring dedication and compassion.

But it is vital if the health service is to cope with the growing number of frail, older people living with multiple health conditions.

Source :
* News / Nurses of the future must embrace High Technology by Idowu Olabode: November 21, 2017, 03:11:09 AM
Picture someone who works in tech. They might fit a stereotype: Heavy-rimmed glasses, hoodie, T-shirt branded with a start-up’s logo, male. You probably don’t imagine a nurse.

Yet integrated electronic health records, wearables, health-monitoring apps, artificial intelligence, 3D printers and telemedicine are just some of the technologies that have entered the clinical environment.

Robots are already operating in a few hospitals across Canada. The nurses of the future could be the next app developers, data analysts, coders and artificial intelligence experts.

As a young nurse who entered the field for the human aspect of care, I can see how putting a screen between provider and patient might feel cold. But technology should be looked at collaboratively, and the profession is behind when it comes to embracing technological change.

As technology creeps into more areas of health care and more kinds of care delivery move online, nurses will have to redefine their roles to remain relevant in their field — and to their increasingly tech-savvy patients.

Intimidated by technology

Nursing informatics has made a lot of progress since the early 1980s. Most nursing schools across Canada, with the introduction of simulation labs and high-fidelity mannequins — simulated humans that breathe, talk and exhibit a heartbeat and pulse — are teaching with technology. Nursing students are creating websites. Initiatives to advance clinical data standards in nursing in Canada are in place.

Nursing informatics specialists can be found in most clinical settings. And experts and “techie” nurse types are bringing the spirit of Silicon Valley entrepreneurship into the field.

However, no Canadian nursing schools have incorporated a nursing informatics program into their undergraduate curriculum. A few have elective courses. Many have a few hours of content. I asked Dr. Lynn Nagle, an assistant professor in the Lawrence S. Bloomberg Faculty of Nursing at the University of Toronto, about this and she spoke to the heart of the problem:

“There’s a lot of intimidation. I think particularly among nursing faculty. In terms of nurse leaders, I don’t think there’s been enough advocacy to get nurses engaged in the whole decision-making process, or actively involved in technology projects that are going on,” said Dr. Nagle.

Dr. Nagle points out this is not the case in every organization. And a lot of faculty do embrace new technology.

Paper charting systems

Nursing hasn’t been the easiest field in which to innovate. Technology in hospitals is often changing. New systems come in under the “guise” of giving more time to nurses, but on the ward and in the operating room it often feels like the opposite. And much of the technology is wasting time. In many cases it’s outdated, inefficient and regularly malfunctions. Nurses are often charting on modern systems that are run through old equipment.

In some organizations, nurses simply aren’t being trained to operate the many technologies that are entering the clinical environment. As a result, we have all this unused technological capability.

Budgets are tight though. It’s expensive to update processes and time-consuming to train people. And nurses have a lot of things to do without having to troubleshoot technology or circulate through janky equipment.

Innovation tends to be localized in pockets when what the system needs is a virus. The world is online, and yet the majority of nurses in Canada are still using paper charting systems in some capacity. In some hospitals, nurses are prohibited from carrying their cellular devices with them while working — despite the wealth of information they offer.

As a nurse in the field, I can tell you that nothing stifles innovative morale more than an environment that assumes you can’t moderate your own behaviour.

Physicians, meanwhile, seem to incorporate technology as a part of their practice. I asked Dr. Tracie Risling, an assistant professor in the University of Saskatchewan’s college of nursing, about why the nursing profession is trailing behind their medical peers in this aspect.

“I think part of what has driven the advancement of our medical colleagues in technology is the fact that many of them have been incentivized to use electronic medical records, or gain access to test results — especially diagnostic testing,” said Dr. Risling. “In a lot of areas, diagnostic testing was one of the first things to go digital, and in some instances, in fact (in the earlier days), physicians were the only ones who were given access to these things online.”

In particularly prehistoric pockets of the health care system, nurses were — according to Dr. Risling — just getting access to email as recently as five years ago. That is two years after Google’s fleet of self-driving cars had driven their first mile.

Robot nurses on the ward?

So why the nursing profession’s lag in embracing technological change?

Innovation in any area of health care is expensive, for one. Secondly, a lack of nurse input into the development of technology has a lot to do with the dissatisfaction. The tech industry has a history of undervaluing the female contribution to innovation. Nursing is a largely female workforce.

Nurses also have a long history of having to defend their place within the health- care system. Where cheaper health-care providers have threatened their survival, now automation does. Increasingly intimate nursing tasks are now being outsourced to bots.

In Japan, a greater demand for elder care, along with a nursing shortage, has inspired the development of nursing-care robots like “Robear.” While these robots do not yet care for patients, they might be replacing nurses one day in the not-so-distant future. That’s Japan though. And the nursing role is multifaceted, and too complex to be directly replaced by artificial intelligence.

Robots have arrived in North American health care, too. Experts in the field see a place for them in freeing up nurses and doctors from repetitive tasks — like fetching medical supplies and delivering food and drugs.

One Canadian professor, Dr. Richard Booth, is introducing robots into the nursing curriculum at Western University. He told me that he doesn’t know any nurses who are developing robots. He believes that if we don’t participate in technological advancement, we risk losing our competitive edge as health-care providers.

Elizabeth Mattsson is one nurse who is working with a robot on a regular basis - da Vinci is her robot co-worker. As the robotic nursing coordinator at Toronto General Hospital, Elizabeth’s role is to provide training and clinical support to nurses and medical staff in the robotic operating room

Tech-enabled and at the heart of it

Dystopian feelings aside, nurses are, for the most part, positive about technological change. They should be. Technology in health care inspires creative solutions. In Saskatchewan, for example, bedside cameras allow families a live view inside their babies’ incubators in the neonatal intensive care unit (NICU) of Jim Pattison Children’s Hospital.

Advocating for the patient of tomorrow will mean advocating for them on all the platforms where they will be accessing care; meeting them where they are.

Technology is not going away. Neither are nurses. But with the advancement of telehealth and other technologies, the physical presence of a nurse, as we know it, will change. Nurses need to decide where they belong in the health care of the future; that’s at the heart of the conversation. It will mean collaborating with the new health-care technologies, giving up tasks that are well-suited to automation and leaving more time for the job of nursing.

In a world that will soon be functioning largely on autopilot, tech-enabled nurses who value innovation and the visceral human experience will reveal their own value in the process.

Source :
* News / Five years of cyber-bullying an example of abuse nurses face by Idowu Olabode: November 20, 2017, 06:41:35 PM
 A nurse continuously cyber bullied for more than five years by anonymous blog posts, some of which falsely accused her of being a sex worker, is just one example of the abuse those in the profession now have to face, a researcher says.

Massey University PhD student Natalia D'Souza studied the experiences of nurses and found that no longer was it just traditional face-to-face bullying they had to deal with but that cyber bullying was becoming an increasing problem.

Of the eight bullied nurses D'Souza interviewed, seven of them had experienced both forms during their careers.

While other research showed many nurses experienced bullying from other staff, she was concerned to find many had been attacked by students they had taught, patients or the family of patients.

Another nurse, who worked in a mental health service, faced continuous abuse from a patient's mother through voicemails and phone calls, even after the case was transferred to another worker, she said.

"She used her son to gain access. She would call to ask for help for her son, but then start abusing the nurse, so the nurse was hesitant to block the calls in case it was a genuine emergency," D'Souza said.

A major concern among nurses was that cyber bullying meant people outside their organisation could bully them constantly - even when they were not at work.

The public nature of some cyber bullying also left nurses fearing their reputations could be tarnished, she said.

"Emails are distressing but it's more distressing when more people viewed it and it affected their reputation," D'Souza said. "When it was potentially impacting their career, that was the worst."

The nurse accused of being a sex worker also had her contact details posted online and had false complaints about her made to the Nursing Council.

D'Souza said the incidents caused the woman a lot of anxiety, not just because of the potential damage to her reputation, but because she had not told her children about it and was worried they might come across it online.

"So the traditional bullying impacts of anxiety and depression apply, but there is an almost unique anxiety associated with the public nature of cyber bullying, along with the constant accessibility outside of work hours."

The researcher was concerned there seemed to be little done to deal with cyber bullying in many companies. A lot of organisations had social media policies for staff but did not have policies to protect staff from external abuse.

She said there needed to be more awareness of the issue and recommended explicitly including cyber bullying in workplace bullying and harassment policies to show staff it was taken seriously.

New Zealand Nurses Organisation professional nursing adviser Suzanne Rolls agreed cyber bullying was an emerging problem.

It seemed some people were using social media to have an "unfiltered" say rather than using formal complaint channels, she said.

"There is a huge issue around access to health care. Money is tight for a lot of people or people are dealing with complex issues and have many reasons for doing what they do," she said.

"We can understand that but would like to work with them rather than having that stuff out there [on social media]."

Rolls said cyber bullying was harmful to both the physical and emotional wellbeing of nurses.

"The essence of being a nurse comes from a willingness to care for people and provide relief from suffering and when that is criticised, people feel that quite deeply."

She said health providers needed to take action to engage with the complainant to understand why they were doing it and try to come to a resolution.

Netsafe chief executive Martin Cocker said the organisation now received 50 to 60 complaints a week under the Harmful Digital Communications Act.

People who performed frontline roles, such as nurses, were more exposed to cyber bullying and online criticism because of the job they did, he said.

If people were unhappy with the care or service received, it was often easiest to take it out on frontline staff like nurses.

Cocker said employers could only support their staff in the event they were targeted and refer them to Netsafe for support and help.

Netsafe would work to come to a resolution between the two parties and could have posts removed or blocked if need be. If it was not able to deal with the issue, the matter would be referred to the courts.
* News / Cebu Nurse in viral video mulls legal action against patient by Idowu Olabode: November 20, 2017, 06:33:47 PM

The nurse who was shown in a viral video being struck by a female patient and her husband in the Balamban District Hospital will meet with the Provincial Health Office tomorrow to deal with her case.

Dr. Olivia Dandan, chief of the Balamban District Hospital, told Cebu Daily News in a phone interview that their team will discuss what legal recourse they will take concerning the incident that had been blottered at the Balamban police precinct.

As of November 20, the video gained 1.4 million views and shared 20,850 times.

The nurse’s identity is withheld for her protection, Dandan said. The nurse did not report for work yesterday.

The female patient shown in the video has yet to issue her statement on the incident and charges have not been filed, said SPO3 Bendie Nuñez desk officer of the Balamban Police Office.

The hospital’s initial investigation showed that the patient attacked the nurse when she failed to address the backflow on her daughter’s dextrose tube.

The patient and her daughter were hospitalized for diarrhea. There were two nurses in the hospital and two nursing assistants at the time last November 14.

The hospital was serving 45 patients that day, 10 of whom were emergency cases. If complaints occurred, the patients are advised to meet with the chief nurse. But the female patient went to the nurse’s station and attacked the nurse, Dandan said.

The Philippine Nurses Association (PNA) issued a statement saying they were “outraged” by the patient’s assault and “denounced in the strongest terms all forms of workplace violence against nurses.” “But clearly, the patient and her relative as shown in the video overstepped the bounds of what can be considered reasonableness of their actions,” their statement read.

Sought for comment, Cebu Gov. Hilario Davide III said he will wait for the results of the investigation. “I haven’t seen the video,” he said.

* News / Nigeria: Government should concession Teaching Hospitals, -UCH CMD by Idowu Olabode: November 20, 2017, 06:27:38 PM
The University College Hospital (UCH), Ibadan is 60 years old this month (November). In this interview with Bisi Oladele, the Chief Medical Director, Prof. Temitope Alonge, who is the seventh chief executive, shares the rich breakthroughs of the first teaching hospital in West Africa in research, training and healthcare services.

YOU joined the hospital as a student in the 70s and since that time you’ve been in the system. Can you compare the UCH of that time with the UCH of today?

Quite frankly, I have not prided myself in having seen the good, the bad and the ugly but I can confidently say that with the university system in focus and the UCH in perspective, I have been privileged to see the good, the bad and the ugly. The good, when I came into the University of Ibadan in 1977-78, at Nnamdi Azikwe Hall, I met just one term of opulence. Our clothing were laundered for us and ironed, food was 50 kobo per day and we had free cola drinks and a lot of freebies. Wednesday afternoon was sports day in the University of Ibadan.

What do you consider as the biggest problem in the health sector?

I don’t think one can lay too much emphasis on one but I am going to break it down into three. The first is the governed; the second is the government and third is the system. The workers are the ones who are doing the job, the healthcare workers, those are the governed. The government is the institution that makes the policy and then the patients are in between us. They are actually sandwiched between those two big monsters or elephants, whichever way you want to call it. The patients are the reason why we are healthcare workers in the first place. The major preoccupation of all workers in the hospital must be centred on patients’ care. Whether you are an accountant, or auditor in the system, everything you do revolves around patients care not to talk about the core healthcare professionals. Now, because government’s policies do not address the fundamentals of how systems work outside this country, the healthcare workers are seeing themselves as purely civil servants without any doubt in their minds and those doubts should have arisen on the account of the fact that we are not making biscuits here neither are we manufacturing electricity. We are talking about human lives. We must get that right. I have no blames on anybody’s footsteps but as a stakeholder in the health sector, we need to plead for legislations that are geared towards improvements, not punitive legislations. Our legislators are so concerned with punitive legislations so much so that their emphasis is on punitive legislations. We need constructive legislations that will lift up all the sectors of governance in Nigeria. The central government in its own right must be very proactive and be firm in taking decisions. The judiciary must have laws and rules that will guide our practices again not in the area of punitive measure but in the area of constructive corrections that will make people do the right things.  That is the government. The governed are those of us who are actually healthcare professionals. We must see ourselves as members of a particular team and there is no weak link in a team that will not expose the team. Once you have one weak link in the team, that team is subject to defeat. But I believe all of these things revolve around what people call remunerations. All of them are important but you chose to pick up a field of interest and you must be remunerated for that. As long as we continue to see everybody as civil servants and there is no differential payments, because in England and America that we talk about often times, we have various classes of call duties. It’s only in Nigeria that everybody gets paid the same call duty whether you are in institute or internal medicine or paediatrics or ophthalmology, you get paid the same amount of money but you don’t do the same job and that starts from when you are resident doctors.

Judging by their behaviours, don’t you think the labour organizations are playing a negative role in the efforts to appropriately handle the issue of remuneration?

Sure! I agree with that, but you see, we talk a lot about other countries. Let me let you know that maybe 80 to 90 per cent of the hospitals are not managed by government; they are public-private partnered. In England where I trained, there are NHS Trust. In India, maybe 99 per cent hospitals visited by Nigerians are private hospitals, private in the sense that they have been privatized. If we carry on the way we are going and allow labour to destroy us and destroy the system, many Nigerians will die without anybody batting an eyelid, then we are going to be in big trouble and at the end of the day we may have to concession the hospitals and when we do that, there will be sanity because people are going to do their jobs as at when due and then there will be appropriate remunerations. In fact, doctors, pharmacists, physiotherapists may earn a lot more than they are earning at the moment because of the service they are going to deliver. I remember many years ago people earned more money in private hospitals than teaching hospitals. So, we had more people in private hospitals then. But when the money in teaching hospitals increased, they all migrated here. So it’s like economic migration as it were. But if today we concession these teaching hospitals and federal medical centres, I can bet you, some hospitals are going to pay their workers well.

Are you recommending that?

Well, if you ask my candid opinion, it’s not something you shouldn’t talk about. It should be on the table as well for discussion because at the end of the day, if you want to have proper first class healthcare delivery system, you must find out how they do it outside rather than just come here and we are making ourselves feel good by going on strike on a daily basis.

UCH is 60 years old this month. Looking back has this hospital recorded any major breakthrough?

The University College Hospital, Ibadan, has technically given birth to all teaching hospitals and medical centres in Nigeria by extension. There is no teaching hospital today or Federal Medical Centre where you have not had an Ibadan trained either as a medical student or as a resident doctor working there, meaning that the dream of 1952 has been fulfilled. So, we have managed to give birth to so many children but we want to stay alive as well because the challenges we have is with ageing.

Do your products look back?

Unfortunately, what these other institutions would love to do is to outdo their father and mother and many of them are positioned by virtue of political correctness and by the virtue of connections in trying to outdo UCH but unfortunately, they can’t. You know this Yoruba adage that says “no matter how many clothes a child has, he can’t have as many rags as the parents.” That is exactly why we are head and shoulders above anybody. We have the largest number of departments among hospitals in this country. Only UCH has a palliative care and auspices department. UCH is the first to have a nuclear medicine department. Only UCH in the whole of Africa has a geriatric centre, not a department, a whole fully fledged centre and we have so many departments that others don’t have, and we are top heavy. We have more professors than any other teaching hospital, we have more readers, more lecturers, more consultants, more resident doctors as well.

We have many major breakthroughs in training. Virtually everybody wants to train in Ibadan, forget about what you hear outside. Everybody wants to come and train as resident doctor in Ibadan. Everybody wants to come to University of Ibadan as a medical student because they know that from there they can come here and get the best of hospital care and hospital training as a clinical student and the same thing with nursing.

UCH is unique going by the history that you just narrated.  What model do you think will make the hospital stand out as you step into another 60 years of excellent service, training and research?

When I assumed duty, I had a model called the three Bs. The first B is to build people and building people entails having people get to the maximum they could. In fact, it becomes an offence that you don’t attend conferences, whether local or international, it actually becomes an offence at the end of the year that you have no input in terms of elevating your own standard. When I came back, it was abysmal that some of my colleagues had never attended conferences in five years. Now, for UCH to grow, I instituted the first B which is building people. You have to identify various courses and training programmes in every professional grouping. I even gave them financial incentives that if you have a publication or a presentation in a conference, I was going to pay part of the conference fee and I did that from 2011 till date. That is to build capacity. So, people know that they have to be up on their toes. You must be able to stand up to your colleagues abroad and be able to present your papers. So for those who did that and who are still doing it, they know they will always get financial support. When you build people you build their capacity to the point that they will build systems. That’s the second B – to build systems and protocols. The whole world works on systems and the whole world works on protocols. When you board an aircraft, there is a system of operation before the aircraft moves. The pilot will come in there are various buttons he has to press and all of that, that is the system of operation. So it is the people that have been built up in terms of knowledge base that will now build the systems. They build protocols. So, when the patients come in- we are building an app now in UCH. It is called UCH app. There are so many protocols inside of it so you are not confused as to what to do. When the patient comes to the emergency department and has head injury, if you have forgotten, you just go through the UCH app and see the step-by-step analysis. So, these people that have been built up, like a pilot does its simulation before it flies, you have built these people up to the point that they can provide you systems and structures and protocols for you to do the job that you have been called here to do which is to look after patients. So, the man who has had an updated knowledge of neurosurgical, cardiothoracic, orthopaedic practice knows the modern trend of doing things, therefore he can apply that modern trend in the care of his patients. The world is a global village. No human being is different except for the melanin in your skin. Your heart is the same heart, the liver is still the same liver there and, therefore, we build people up and those people that you have built now build systems, structures and protocols for you. When that one is in place, then you build institutions. The institution’s name is actually going to be flagged all over the place when those people have been built up and the system has been built.

What problem won’t go away at UCH? It has been there or they have been there and even in the future, some will still be there?

Attitude! Attitude! Attitude! The attitude of the healthcare workers has been bastardized because they now have the mindset that they are civil servants and they are not healthcare providers. Until we desensitize them and remove some of the bad attitudes, things may not work as desired. Some say ‘we go to the same supermarket to go and buy food, so why should I not get N5 million a month?’ That is a poor attitude of a health worker because at the end of the day, after getting that N5 million and the patient is not well looked after by the virtue of the fact that you are incompetent or you have not done what you should do by not training yourself up, by not building yourself up, the N5 million is going to be counter-productive, even when you spend it. So, we need to change attitudes and change mindsets. So, attitudes and mindsets are the two things that must be addressed on the long term basis such that you don’t have to like me to work with me.

UCH is a very big hospital. Yet the majority of Nigerians are poor. Are there ways UCH tries to help poor patients? Are there systems or programmes that philanthropists can respond to in empowering UCH to help poor patients?

There are philanthropists in this country that are exemplary and on November 14, we are going to be inviting them and the beneficiaries of their philanthropy to a luncheon called “Meet the benefactors”. These are men and women who are quiet in their ways but they’ve done wonderful things. I begin with Chief Tony Anenih. He did not only fund the geriatric centre, he provides even what you called the most mundane things like clothing  sown and unsown, caps and they come in trucks to give to the needy elderly patients apart from his money which he gives to them. Part of the money we put in the bonds and when the returns on the bonds come, we give it to the centre. The second person is Basorun Kola Daisi. He instituted the Itunu Fund. Ninety per cent of the beneficiaries are children who come in with diseases that N5,000 can treat and we disburse the funds between N10,000 and N30,000. Daisi and the Foundation give us N500,000 every quarter. We don’t even ask before the next cheque comes in and we have a table every year for the beneficiaries. Three, we have Dr Sola Kolade and his family. There is a fund for patient in the Emergency Department that we are disbursing on their behalf to accident victims who come in and have nothing because nobody will go out and plan to have an accident. Sometimes they are unconscious but he has provided funds that we put part in a bond and we’ve taken the leftovers and begin to give the patients in a pack. We have the likes of Alhaji Oluwasola, who singlehandedly funded the construction and equipping of special diagnostic Centre for Molecular Pathology so that when diseases come, you are guided on what to do. Four is Sir Kessington Adebutu, who has given us a N100 million to build a geriatric rehabilitation centre for those patients who come to the Geriatric Centre who have acute illness. We have several others such as Otunba Subomi Balogun who endowed the Otunba Tuwase Emergency Ward for children who come in with emergencies. These are just few Nigerians who have volunteered without prompting to be part of the healthcare service delivery. There is also Aare Afe Babalola who donated the Nuclear Medicine building for us.

Source: The Nation Newspaper
* News / Tamil Nadu Nurses to go on ‘peaceful protest’ by Idowu Olabode: November 20, 2017, 03:41:45 PM
The Tamil Nadu MRB Nurses Empowerment Association, at its meeting here on Sunday, decided to start its ‘peaceful protest’ demanding job regularisation from November 27 onwards.

The association members, numbering more than 8,000, will converge on the premises of Directorate of Medical and Rural Health Services for the protest demanding recruitment on time-scale basis, it was decided at the meeting of the Association's State Executive chaired by its State president K. S. Pushpalatha.

The tenure of the one-month notice given to the Government for undertaking the protest comes to an end on November 25, and there has been no invitation yet from the Government's side for talks.

Hence, the association was constrained to decide on going ahead with the protest, a spokesperson said. The notice issued to the Government, with copies marked to the Health Department, and the Chief Justices of the Supreme Court of India and Madras High Court states that the association will exercise the 'Right to Peaceful Protest' guaranteed under Articles 19 (1)(a), 19(1)(b), 19(1)(c), and 19(1)(d).

The meeting discussed in detail the Interim Order of the High Court of Madras in the Writ Petitions 16774 and 17039 of 2015 (Association of Government Trained and Trainee Nurses Vs Health Secretary, State of Tamil Nadu), which states that even if their recruitment was made only for the various Central government schemes, it was not contractual.

The High Court had found much force in the submission of the counsel for the petitioners that “even if appointments are made to the (Central) schemes, they cannot be appointed to a meagre sum of Rs. 7,700, on consolidated pay basis. The nursing students undergo three and half years course and they belong to skilled category.”

The counsel for the petitioners had further stated that while doctors were appointed on time-scale pay in the schemes as per Government Order 109 of the Health and Family Welfare Department issued on March 15, 2013, the same treatment was not given to nurses.

The emphasis of the Tamil Nadu MRB Nurses Empowerment Association is that temporary appointments already made must be regularised immediately with effect from the dates of their joining duty in the post with monetary benefit arrears.

Source : The Hindu
* News / OAUTHC Holds Celebratory Lecture in Honour of First Director of Nursing Educatio by Idowu Olabode: November 20, 2017, 03:30:56 PM
Obafemi Awolowo University Teaching Hospitals Complex cerebrating the FIRST DIRECTOT of NUSING EDUCATION OAUTHC, Ile-Ife Mrs Olubunmi Adeduntan Lawal
Lecture Titled: GOOD LEADERSHIP OF MENTORING IN NURSING:  A Panacea to Professional Development & Recognition
Date: 22nd November, 2017
Time: 11:00am
Venue: OAUTHC Mini Auditorium, Opp. SON, Ile-Ife

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