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* Travel Nursing / Re: NMC Overseas Nurses Registration:How to Become a Registered Nurse in UK by offorkelvin: September 15, 2017, 07:20:10 AM
please kindly remove my earlier post from your Facebook page for privacy purpose.
* News / Kenya: I will not sack striking Nurses in Nyandarua - Kimenia by Idowu Olabode: September 15, 2017, 06:02:54 AM
Nyandarua Governor Francis Kimemia has broken ranks with his colleagues and said he will not sack striking nurses in his county but will instead embrace dialogue.

The governor has faulted the approach the Council of Governors has used in addressing the nurses’ strike saying sacking them is not a solution.

He said the nurses and other county employees are not criminals but citizens of Kenya who deserve better leadership and not arbitrary sackings.



He said his administration is opposed to the sackings ordered by the council, adding that he will instead engage them through dialogue.

“I have refused to go that way even at the county government. The employees are qualified professionals serving Kenyans. They deserve a chance to be heard and opportunity to serve people,” said the governor.

He spoke after addressing the Nyandarua County Assembly.

COG DIRECTIVE

The governor’s position goes against the CoG’s directive to county bosses to replace all striking nurses who will not have reported to work by Friday.

The council wrote to governors asking them to advertise positions held by any nurses in their regions who do not report for duty on Friday.

The directive was based on a council meeting held on August 31 which resolved that all striking nurses should return to work by September 8, failing which county governments will issue show cause letters and advertise the positions to be filled competitively.

The letter was written by CoG chief executive officer Ms Jacqueline Mogeni and ordered governors to implement the resolutions arrived at during the meeting.

WORKABLE SOLUTIONS

However, Mr Kimemia Thursday said the governors’ council should strive to apply workable solutions in dealing with the nurses, suggesting more dialogue.

“Sacking them is not the way to go. We are embarking on dialogue with our nurses. They have expressed their desire to report back and we can still negotiate with them as they save lives. We have handled tougher strikes in the past,” the governor said.

He gave the example of teachers’ strikes which paralysed learning in public schools when he served as the secretary to the Cabinet which he said were all amicably resolved.

LEAN CABINET

On local issues, Mr Kimemia promised to have a lean cabinet of ten with fifteen departments, emphasising the need to have a special ministry to handle the affairs of the youth and disabled people.

He also challenged the county assembly to investigate and make public how billions of shillings allocated to the county government were utilised since the start of devolution.

“Nyandarua County is in a pathetic state. The poverty levels stand at 46 percent above the national’s 45 percent. In its oversight role, the assembly has the responsibility to have those funds accounted for,” said the governor.

Source :http://www.nation.co.ke/counties/nyandarua/Kimemia-dialogue-striking-nurses/3444764-4096832-okbp9a/index.html
* News / Kenya: Kiambu County Moves to Replace Striking Nurses by Idowu Olabode: September 14, 2017, 10:14:37 PM
The county government has advertised for nurses to replace those who are on strike.

In an advert placed in one of the local dailies on Wednesday, the county public service board advertised for the positions of 217 nurses.

"Kiambu County Public Service Board wishes to recruit competent and qualified persons to fill the positions of nursing officer in the department of health services," reads the advert.

More than 25,000 nurses in the country have been on strike for the past 95 days to demand the implementation of a collective bargaining agreement (CBA) signed with the Council of Governors (COG) in March this year.

Through the CBA, the nurses have been pressing for higher pay and better working conditions.

The acting county health chief officer, Dr Andrew Toro, said the county had initiated the process to sack the striking nurses.

"Yes, it is true we have initiated the process to replace the striking 217 nurses. I am appealing to residents who qualify for the job to apply. We want to make the replacements immediately," said Dr Toro.

Last week, governors ordered striking nurses to resume work by September 8 or risk being sacked.

They said counties would not hesitate to hire new personnel on contract basis if the current group defies the directive.

The Council of Governors further directed that striking nurses not be paid for the time they have been on strike.

Last month, Kiambu Governor Ferdinand Waititu said his administration would hire new nurses on temporary terms to alleviate the suffering of residents who cannot afford treatment in private and mission hospitals.

Mr Waititu said this would happen as his administration continued to negotiate with the striking nurses.

Speaking when he visited Kiambu Level 4 Hospital, Waititu said he would meet with all the county's leaders to discuss the matter and find solutions to the problems facing the health sector.

The governor urged the nurses to resume duty as negotiations continue, saying his administration needed time to settle in office.

Source : StandardMedia
* News / UCH Nurses, Others Issue 14 Days Ultimatum to Nigerian Government by Idowu Olabode: September 14, 2017, 09:04:55 PM
Nurses and other categories of health workers at the University College Hospital, Ibadan, have issued a 14-day ultimatum to the Federal Government to accede to their demands or risk losing their services.

At a joint press conference called by the executives of the various health workers’ association in Ibadan on Thursday, the workers said the ultimatum was in addition to the planned strike by the Joint Health Sector Union at the national level, which would commence on September 20, 2017.

The unions represented at the press conference were the National Association of Nigeria Nurses and Midwives, Nigerian Union of Allied Health Professionals, Non Academic Staff Union of Universities and Tertiary Institutions, Medical and Health Workers Union of Nigeria and Senior Staff Association of Universities, Teaching Hospitals, Research Institutes and Associated Institutions.

Chairman of NUAHP, Victor Sotiloye, told newsmen that the unions had reached a conclusion that if the FG refused to meet their demands at the expiration of the ultimatum, members would be mobilised to withdraw their services from the government hospital.

He said the decision was the workers’ last option after exhausting all other avenues to approach the hospital management and the FG, while also appealing to members of the public to show understanding.

The unions are clamouring for the payment of promotion arrears for 2013, 2014, 2015, 2016 and 2017.

The nurses and other health workers belonging to the unions in the hospital are also calling on the FG to address unpaid salaries of some members due to shortfall in subvention.

The health workers also expressed their sadness over withheld union dues and cooperative society deductions.

Source : Punch Newspaper
* News / Uk: Nurses forced to cook for hospital patients due to staff shortages by Idowu Olabode: September 14, 2017, 04:59:20 PM
There was fury in the north of the island as it was confirmed that nurses have been asked to take over catering duties at Portree Hospital.

Local politicians branded the move “utterly unacceptable” and further evidence of a “broken system”.

The health board said three members of catering staff at Broadford’s Dr MacKinnon Memorial Hospital are currently on sick leave which has meant moving their counterparts from Portree to cover the absences.



And that has led to Portree’s nursing staff having to step in to do the cooking at the hospital on a temporary basis.

The move emerged amid ongoing anger at the closure this week of the hospital’s urgent out-of-hours care service due to a vacancy in the rural support team and other staff shortages.

NHS Highland also suspended new admissions at Portree Hospital because of staff shortages last month.

Health services on Skye have hit the headlines in recent years following a controversial decision to locate a new island hospital in Broadford rather than Portree, which sparked a campaign of opposition.

Last night, local councillor John Gordon said the treatment of staff at Portree Hospital was “extremely concerning”.

He added: “Highly experienced nurses whose priority is to care are having to cook and clean.

“We were given an assurance no changes would happen until a new hospital was built, yet the downgrading of Portree has been done in the most callous manner, which is completely unacceptable.”

Fellow ward councillor Ronald MacDonald said: “I think it just demonstrates how broken the system is and typifies the management culture in NHS Highland.”

Skye MSP Kate Forbes said that the current situation is “utterly unacceptable” and said it is “a credit to the nurses on Skye that they are willing to go the extra mile for their patients.”

Last night, Scottish Conservative MSP Edward Mountain said healthcare provision on Skye and Raasay is “falling short of expectations”.

Bob McGlashan, senior officer at the Royal College of Nursing, said the situation was “not ideal and nursing staff should be focusing on providing clinical care for patients”, but highlighted assurances that it was just a “short term solution”.

A NHS Highland spokesman reiterated the “extreme staffing shortage” between the two hospital sites on Skye, adding: “As a result of this we have had to temporarily move staff to cover MacKinnon catering, as we have more patients there, and due to the few patients we have in Portree the nursing staff have been asked to support this situation.

“The staff have agreed to do the cooking as there are so few patients and it is not full meal preparation, simply re-heating and serving.”

Source :https://www.pressandjournal.co.uk/fp/news/highlands/1324826/nurses-forced-to-cook-for-hospital-patients-due-to-nhs-highland-staff-shortages-on-skye/
* Articles / Nursing Informatics: A Key to Improving Nursing Practice by Prof Ajibade B. L by Idowu Olabode: September 14, 2017, 01:28:45 PM
Abstract
Informatics are essential for nursing practice, and are critical to providing safe and effective patient care. This paper on nursing Informatics, a key to improving nursing practice was presented at the 17th Scientific Conference/General Meeting by the body of Heads of Nursing Services Department and principals of School in Federal Institutions hosted by the Department of nursing Services, Federal Medical Centre, Keffi. The Diffusion of Innovation theory by Rogers served as the theoretical framework for the write-up. The paper discussed the concepts of nursing informatics, nursing practice, definition of nursing, who is a nurse?, Roles of nurses in informatics, nursing informatics competencies, the importance of nurse in informatics functioning, the impact of nursing informatics on the health care system, impact of nursing informatics on the nursing profession and creating a supportive environment for nursing informatics in Nigeria. It was concluded that nursing informatics attempts to manage the explosion of ever increasing medical information by managing and communicating information in order to promote knowledge in nursing practice for quality care.



Introduction


Technology in health care is increasingly becoming an integral part of health care delivery system and is declared by strategist as a means whereby sustained improvement in healthcare outcomes may be attained1.

The healthcare delivery environment is dramatically changing and nursing has found itself in the midst of these revolutionary changes. Health care providers are expected to provide safe, competent care in a highly technical and digital environment. Today’s nursing requires nurses to be constantly aware of new developments, new medications, and new technologies among others2. Nursing practice encompasses a health care discipline derived from the concept that nurses are care providers who design, manage, and coordinate care, and are member of a profession.

Nurses are required to collect, store, and retrieve data and information, in order to synthesize and use wisdom to guide nursing care critically important to handling data and information, effective communication must be exercised at the professionals’ level in order to achieve safe patient care3.

A new major theme in this new healthcare arena is the use of information systems and technologies to improve the quality and safety of patient care4.

 Nursing practice is continuously changing, and the need for appropriate competencies to address specific areas of nursing are essential to the provision of safe and effective care5.

 Among the most important components of patient care are communication, clinical decision making, and patient safety. The practice of nursing is based on the collection, storage, retrieval and use of data, information and knowledge. Nurse must be competent in these areas in order to provide safe and effective patient care. Often times, technologies are used in practice to help with the management of information and clinical decision making. The development, implementation and use of technology is integral to the practice of nursing6. However, the use of technology in practice creates new educational needs for nurses in regards to possessing knowledge, behavior, and skill for practice. It is important that nursing professionals and other healthcare providers are educated and competent in the proper use of technology as it applies to the various disciplines in healthcare.

To be competent is to possess specific behaviours, knowledge, skills, and capacity within defined areas7,8,9. Nurse especially, must possess competence in nursing to practice safe and effective care. A critical areas of nursing competencies is that of nursing informatics which can be explained as possessing the appropriate knowledge, behavior, and skills required for nurses to collect, store, retrieve, and process information. In order for nurses to effectively manage patient care, they must understand how to appropriately manage information thus possessing informatics competencies is instrumental to practicing as a professional nurse .

Concept of Nursing Informatics


Nursing informatics emerged over the last 20 years to assist nurses fully use information technology to improve the delivery of care10. Nursing informatics is a specialty that integrates nursing sciences, computer science and information and knowledge in nursing practice11. Nursing informatics facilitates the integration of data, information and knowledge to support patients, nurses and other health- care  providers in their decision making in all roles and settings. This support is accomplished through the use of information structures, information processes and information technology. This definition is a product of review of other definitions and the most acceptable of all definitions. The American Nurses Association Nursing Informatics Scope and Standards also adopted this definition in 200812. Factors inherent in this definition is that nursing informatics is a multidisciplinary science practice  and secondly, the definition clarify that nursing informatics is not and synonymous with the generic term informatics, it is specific to nursing and nursing practice because of the inclusion of the nursing sciences domain. Nursing informatics is not just about computers but rather the core elements derived from computers involving data, information, knowledge and how best to structure nursing documentation systems to ensure that the output will meet the needs of patient care and nursing science13.     

Nursing informatics is defined as a “Science and practice which integrates nursing, it information and knowledge, and their management, with information and communication technologies to promote the health of people, families and communities worldwide14.

The foundation of nursing informatics is based on the concepts of data information and knowledge. Data are discrete observations that are interpreted, organized or structured. Information is data that has been interpreted, organized or structured to provide meaning to the data, for instance, age, number of home visits, blood pressure, diseases, and weight among others. Nursing informatics has the purpose and the potential to support and improve the care of patients and communities through the collection, management, and communication of information about and for the patient. Nursing informatics can assist in making the contributions of nursing visible in the medical record and assist the nurse by providing decision support tools. Nurses are presented with an increasing array and complexity of information that they are expected to synthesize and incorporate into their patient care decisions. More information does not necessarily result in better care unless it is thoughtfully analyzed, organized and presented in ways that are meaningful to nurses and their practice13.

The goal of nursing informatics is to improve the health of populations, communities, families and individuals by optimizing information, management and communication. This includes the use of information and technology in the direct provision of care, in establishing effective administrative systems, in managing and delivery educational experiences, in supporting lifelong learning and in supporting nursing research11.

Historical perspective


In 1857, Florence nightingale compiled and processed data in an effort to advocate for appropriate nursing and medical protocols. However, in more recent history, nurses have been involved in informatics since the 1960s15. Nurse utilized computer-readable punch cards to check-off their observations of patient as early as 1965. The data from this card were then read into computers at San Jose Hospital, which then served as an electronic record of patient care. In 1966, nurses at the institute of Living in Hartford used similar technology to document patient statuses.  In this case nurses used machine readable bubble sheet similar to Scranton technology that can read penciled markings. The term ‘marking informatics’ was not actually coined until 1980 by Scholes and Barbar16. Thereafter, in 1992, the American Nurses Association17 approved nursing, informatics as a recognized specialty. Since the mid 1990s, nursing informatics has virtually ‘exploded’ as a discipline. The USA began certifying nurses in informatics competencies in the early 1990s. This occurred concurrently with the development of the internet and desktop computing advances18. In Canada, concern about the effectiveness and efficiency of the Canadian healthcare systems beginning in the mid 1980s, led to a growing recognition of health informatics19. As the need for better information with which to manage the healthcare system became an increasing consistent theme and a national priority in Canada, the Canadian Institute for Health Information (CHI) was established. Its mandate is to provide ‘essential data and analysis on Canada’s health system and the health of Canadians(CHII, 2008).10

Nursing informatics evolved as nurses participated in the early initiatives in hospital information system adoption in various agencies across the nation. As these systems improved, specialized nursing components and even free standing nursing information system began to spring up. Early systems were primarily imported from other countries especially USA. By the late 1980s, most hospitals had at least a rudimentary information system that required nurses to enter common data such as admission profiles and basic care requirements like diet, medications and treatments into a computer as part of their routine duties6,2,5.

Concept Of Nursing Practice


Having elucidated on the concept of nursing informatics and  historical   basis of nursing informatics, let us now deliberate on the concept of nursing practice.

Nursing as an integral part of the health care system, encompasses the promotion of health, prevention of illness, and care of physically ill, mentally ill, and disabled people of all ages in all health care and other community settings. Within this broad spectrum of healthcare, the phenomena of particular concern to nurses are individual family, and group ‘reponses to actual or potential health problemms17”.

These human responses range broadly from health restoring reactions to an individual episode of illness to the development of policy in promoting the long-term health of population. The unique function of nurses in caring for individuals, sick or well, is to assess their responses to their health status and to assess them in the performance of those activities contributing to health or recovery or to dignified death that they would perform unaided if they had the necessary strength, will or knowledge and to do this in such a way as to help them gain full or partial independence as rapidly as possible20. Within the total health care environment, nurses share with other health professionals and those in other sectors of public service functions of planning, implementation, and evaluation to ensure the adequacy of the health system for promoting health preventing illness and caring for ill and disabled people21.

From the afore mentioned concept, it is crystal cleared that nursing practice is eclectic in nature and it is very wide in orientation. Therefore, nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well in all settings. Nursing includes the promotion of health prevention of illness and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles23.

The above definition of nursing has clearly shown the necessity of information management as being associated with nursing, therefore use of nursing informatics has become imperative in nursing practice.

Going back to the memory lane and for the purpose of this discourse, who is a nurse?. A nurse is a person who has completed a programme of basic, generalized nursing education and is authorized by the appropriate regulatory authority (in Nigeria, N & MCN) to practice nursing in his or her country. Basic nursing education is a formally recognized programme of study providing a broad and sound foundation in the behavioural, life, and nursing sciences for the general practice of nursing for a leadership role, and for post-basic education for specialty or advanced nursing practice. The nurse is prepared and authorized:

*To engage in the general scope of nursing practice including the promotion of health, prevention of illness, and people  of all ages and in all health care and other community settings
*To carry out health care teaching
*To participate fully as a member of healthcare team
*To supervise and terrain nursing and healthcare team
*To be involved in research

Theoretical Framework

Since we have all agreed that nursing is a science, its therefore imperative to have a theoretical basis for any write up on discourse in nursing. Therefore, the theory adopted for this discourse is the Diffusion of Innovation Theory.

Rogers Innovation diffusion Theory is one of the most popular theories for studying adoption of information technologies (IT) and understanding how IT innovations spread within and between communities. According to the theory, innovation is an idea, process, or technology that is perceived as new or unfamiliar to individuals within a particular area or social system. Diffusion is the process by which the information about the innovation flows from one person to another over time within the social system. There are four (4) main determinants of success of an IT innovation communication channels, the attributes of the innovation, the characteristics of the adopters, and the social system. The communication channels refer to the medium through which people obtain the information about the innovation and perceive its usefulness. It involves both mass media and interpersonal communication17.

The attributes of an innovation include five (5) users perceived qualities:- relative advantages, compatibility ,Complexity, triability and observability. Relative advantage is the degree to which the user perceives the benefit or improvements upon the existing technology by adopting an innovation (with this discourse, how do we as nurses perceive the benefit of nursing informatics? Do we see it as a step in improving the nursing practice? If the answer is yes, then this discourse will later mention the roles of nurses in nursing informatics.) The second attribute is the compatibility captures. The extent to which an innovation can integrate or co-exit  with existing values, past experience and the needs of potential adopters, the greater its prospects for diffusion and adoption. In the case of informatics, the filing systems of nursing care rendered will be reduced and the information can easily be retrieved from the computer thereby saving time while carrying out our nursing care. The third attribute is the complexity measures the degree to which an innovation is perceived to be difficult to understand, implemented or used. An innovation that is the less complex is more likely to be rapidly accepted by end users since the nursing informatics has now been introduced into the nursing programme curriculum, the complexity that may be assumed to be involved should have reduced. Equally there are now periodic continuing education programmes to make practicing nurses to be computer literate  for  the purpose of developing knowledge on the use of computers in the care of patients. The fourth attribute is Trialabilty which is the ability of an innovation to be put on trial without total commitment and with minimal investment. An innovation with higher trialability is more likely to be adopted by individuals. The last attributes is observability which is the extent to which the benefit of an innovation are visible to potential adopters. Only when the results are perceived as beneficial, will an innovation be adopted, hence the organization of this type of conferences on nursing informatics. Rogers went further to characterize the individuals of a social system into five groups based on their attitudes toward an innovation: innovators, early adopters, earlier majority, later majority and laggards. The first group of adopters comprises 16% of the population in a social system. The next two groups, which account for 68% of the population of the social system, are earlier and later majority adopters. The last 16% of individuals in the social system are called Laggards. They are the strongest resisters to the adoption of an innovation and most likely they tend to become non-adopters because of their limited resources and lack of awareness or knowledge of innovations.  As social system is a set of interrelated units engaged in joint problem solving to accomplish a common goals. It constitutes a boundary within which the diffusion of innovations takes place. Rogers suggests that the structure of a social system affects the individuals’ attitude toward the innovation, and consequently, the rate of adoption of innovations. This discourse demonstrated that Rogers, innovation theory is useful for conceptualization of technology (Nursing Informatics) adoption in the context of e-health. Therefore, this theory was used in this presentation to explain the nursing informatics as an innovation in nursing practice, and that some nurse will be resilient in accepting the innovation, as early as possible, majority will be delayed in their acceptance of nursing informatics while others will resist the acceptance of nursing informatics because of their lack of awareness.

Roles Of Nurses In Informatics


According to Hersher18, Several current and future roles for nurses in informatics include:

User Liaison:
A nurse in this role is involved in the installation of a computer information system and interfaces with the system vendor, the user and management of health care institutions

Product Manger:
The nurse in this role is responsible for constantly updating a current product and keeping abreast of new developments in the field. They develop applications like decision support system nurse staffing system, scheduling system, bedside information and handling terminal cases

Clinical Systems Initiator:
In this role the nurses work with the vendor who sold the computer systems to the healthcare institution. She/he helps train users of the system, serves as liaison between the healthcare institution and the vendor and works closely with the system coordinator for the healthcare institutions
Other roles of nurses in informatics could be inform of chief information officer, nursing informatics consultants, network administrator, data repository specialist, nursing informatics project manager, nursing informatics educator, clinical information liaison and nursing online programmers 23,6

In Nigeria, nursing informatics is a new specialty and therefore should cover major sectors of the health care system where nurse are working, these include the clinical, administrative, research and nursing education areas. These four areas interrelate to deliver evidence based nursing practice. The relevance of nurses in the four (4) areas are as highlighted below:-

Clinical practice

Provides a work schedule to remind staff of planned nursing actions
Electronic medical records and computer base patient record
Monitoring of devices that record vital signs and other measurement directly into the client/patient records.
Computer generated nursing care plan and critical pathway
Automatic billing for supplies and procedures or procedures with nursing documentation
Reminders and prompts that appear during documentation to ensure comprehensive charting
Nursing Administration / Management
Automated staff scheduling
E-mail for improved communication among departments
Cost analysis and finding trends for budget proposals
Quality assurance and outcome analysis

Nursing Education

Computerized record keeping
Computerized assisted instruction
Interactive video technology (Telenursing)
Distance learning web based courses and degree programmes
 Teaching and presentations

Nursing Research

Computerized literature searching
Retrieval of evidence based nursing practice
The adoption of standardized language related to nursing terminologies
The ability to find data derived from large population groups statistical software
Adoption of Epi-info analysis
Use of knowledge based internet

Nursing Informatics Competencies


Nursing informatics has developed into a mandatory focus for all registered nurses on a global scale. Now, in the twenty-first century, official organizations, schools, and continuing education which help prepare nurses for engaging in informatics related practice are springing up all over the world especially in technologically advanced nations. There is however a growing need for practicing registered nurses, nurse educators, nurse researchers, nurse administrators and mangers to ensure that the expected competencies in informatics are met. Nurses certified in nursing informatics are skilled in the analysis, design, and implementation of information systems that support nursing in a variety of healthcare setting, functions as translators between nurse clinical and information technology personnel and ensure that information systems capture clinical nursing information.

 Globe16 identify three levels of competencies as beginner entry or user level, intermediate or modifier level and advanced or innovator level of competency. Each of the three competency levels include both knowledge and skill required to use information and communication technologies to enter, retrieve and manipulate data; interpreter and organized data into information to affect nursing practice, and combine information to contribute for knowledge development in nursing. The expertise of these competencies is a continuum and include:

Technical competencies
Utility competencies
Leadership competencies

The Impact Of Nursing Informatics On The Health Care System


According to McGonigles and Mastrian,25 nursing informatics impacts the healthcare systems and the nursing profession in many ways, which includes
  Nursing informatics digitizes paper charting into interpretative electric charting hence decreasing documentation time which relieves nursing from writing on and handling of papers thus creating a paperless environment
Nursing informatics eliminates ambiguous of information, redundancy and tedious process of documentation
Nursing informatics reduce turnaround time. The turnaround time starts from the time a request is made to the time it is fully accomplished. For example, laboratory results can be sent directly to the nurses’ station with the use of an e-mail, so there is more time available to client care.
Nursing informatics impacts quality and cost of health care
Optimize information  management and communication among healthcare providers

Impacts Of Nursing Informatics On The Nursing Profession

Computer information systems prevent nurses from making medication errors
Computer order entry systems help nurses to interpret  prescriptions from physician in the management of a patient
There is better collaboration and sharing of patient information with other healthcare providers
Nursing perform better assessment and monitoring of patient disease and ailments
Helps nurses utilize research to provide evidence based care
Help nurses work faster, smarter and more competent

Creating A Supportive Environment For Nursing
Informatics In Nigeria

Nurse Leadership

Leaders in nursing must play the role of advocates for nursing informatics. Advocacy is about influencing people, polices, practices, structures and systems in order to bring about change28. In advocating for nursing informatics, nurse leaders need to communicate early and concisely and to structure their message to fit both the situation and the intended audience (the intended audience could be nursing students or practicing nurses). Leaders should be comfortable in communicating in verbal, written, and electronic formats. Nurse leaders as advocates must be able to influence others to action. Influence is the ability to alter or sway an individual’ or groups’ thoughts, beliefs, or actions30; it is essential to the advocacy process. Influence is built on competence, credibility, and trustworthiness hence all nurse leaders in education, administration and even in practice should be computer literate and have basic competencies of nursing informatics for them to influence others5. Lastly, nurse leaders must establish positive, collaborative relationships with others to garner the support necessary to address the issue of nursing informatics. Collaboration is working with other individuals or groups for example doctors, laboratory technicians, and administrators etc to achieve a common goal31. Successful collaboration requires careful communication with the groups involved in the process, seeking input when appropriate, and providing ongoing reports related to progress on achieving the goal33.

The Nursing and Midwifery Council of Nigeria (NMCN)

This is the governing body of nursing in Nigeria which also has a part to play in making polices and developing a national informatics agenda for Nursing Education and practice that are geared towards improving nurses’ use of information and technology. These includes: An agenda to educate nursing students and practicing nurses in core informatics content, this can be done by ensuring that all nursing schools have well equipped and functional computer rooms with internet facilities that will help nursing students be competent in the use of computers and in the sourcing of information that will help improve patient care; enhancing nursing practice and education through informatics projects and support for increased nursing preparation in informatics through the use of collaborative programmes among public and private organizations (National nursing Informatics discussion paper, 2007)26.

Education

Nursing education in Nigeria takes cognizance of the National Policy in developing sound educational principles which are essential to the preparation of nurses to function independently and/or as members of interdisciplinary and intersectoral teams. Hence there are so many programmes in the nursing education in Nigeria starting from the basic nursing programme, degree programmes (full time and part time), distant learning programmes, Open University few universities (like OAU, Ife, LAUTECH, Ogbmoso, ABU). Strategies for providing nursing informatics education within these programmes include; integrating nursing informatics into the curriculum or as programmes, make nursing informatics a specialty or elective for graduate programmes, have nursing informatics certificate program in formal continuing education for practicing nurses and could be a non credit/informal continuing education programme for nurse33. The need to adopt a culture in nursing that promotes acceptance and use of information technology has been identified as an important parallel initiative to establishing nursing informatics competencies and educational strategies, hence strategies for achieving nursing informatics competencies in the workplace include in-service training, internet ready modules for teaching and learning purposes, free access to online resources, and opportunities for continuing education.
Education units of hospitals should ensure a continuing education programme that includes training of nurses on the use of computers, their application programmes and sourcing information for research and application to patient care purposes5. Nurses need consistent training to feel comfortable with the use of information technology in their everyday practice. With the advent of computer technology use in nursing, the need for data to be analyzed and interpreted to become usable information in practice escalates with each passing year. In order to work with data, process information and derive knowledge, nurses must be able to apply synthesis and application to their practice. Therefore informatics competencies need to be developed in all three levels of expertise through basic and continuing nursing education programs4.

Research


Nurses spend a significant proportion of their time on information related activities as part of clinical decision making in order to lead, co-ordinate and support the delivery of safe, effective, person centered care. In order to provide high quality care for patients, nurses need up-to-date, accurate, relevant information about the person and access to the latest evidence or best practice at the point of care delivery3. Hence, research in nursing is necessary for the development of nursing practice since nursing informatics is a new specialty. It is important that research be carried out on nursing informatics being applied in the nursing practice in Nigeria.

Conclusion


Nursing informatics attempts to manage the explosion of ever increasing medial information by managing and communicating information in order to promote knowledge in nursing practice for quality care. The ultimate goal of nursing informatics is to use technology to bring critical information to the point of care to increase efficiency and make healthcare safer and more effective. To provide for the advancement of nursing informatics as a specialty practicing nurses nursing students, nurse leaders and even the NANMM the Nursing And Midwifery Council of Nigeria must be committed to continuing education and professional development. Voluntary certification, self-governance; involvement in influencing healthcare polices and active participation in research efforts are required to contribute to the body of nursing informatics knowledge. However, much work is still needed to educate nurse on informatics competencies so that technology can be embraced as a tool in everyday practice

LONG LIVE NIGERIA, LONG LIVE NURSES AND LONG LIVE NANMM.
Thanks for listening and remain blessed   

REFERENCES

Daniel, O.G and Oyetunde M.O (2013). Nursing Informatics: A key to improving nursing practice in Nigeria. IJNM 5, (5) 90-98
Greer, Hayes (2012). Nursing informatics Competencies: Implications for safe and Effective practice
Adesina A.A and Oluwatosin, A(2017). Implication of information communication technology (ICT) on nursing development and nursing outcome. International journal of healthcare sciences, 4(2) 1-10

Ajibade, B.L, Oladeji, N.O and Okunlade J.O (2013) Knowledge and altitude towards the introduction of informatics to nursing training among selected nurses educators / leaders in Nigeria. Journal of Dental and medial sciences,  9(5), 8-143

Adebanjo F, Olubiyi K. (2008) Reforms in nursing education: the national open university of Nigeria experience www.nou.edu.ng
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A PAPER PRESENTED BY
Nurse (Prof.) AJIBADE, Bayo Lawal

DURING THE 17TH SCIENTIFIC CONFERENCE / GENERAL ANNUAL MEETING ORGANIZED BY THE BODY OF HEADS OF NURSING SERVICES DEPARTMENT AND PRINCIPALS OF SCHOOL IN FEDERAL INSTITUTIONS

                                AT
THE FEDERAL MEDICAL CENTRE, KEFFI, NASARAWA STATE NIGERIA

10TH AND 16TH SEPTEMBER, 2017
* Free Nursing Books / Re: Lacharity Prioritization Delegation and Assignment Ebook in PDF Free Download by rozvette: September 14, 2017, 01:24:03 PM
Morning

Did anything receive the of version of this book? Interested in knowing.

Thanks
* News / At Last Nursing and Midwifery Council of Ghana Begins Online Licensing Exams by Idowu Olabode: September 14, 2017, 12:10:39 PM
The Nursing and Midwifery Council of Ghana has announced it will from July 2018 conduct an online Licensing examination for Nurses and Midwives.

This according to the council was part of measures to get Nurses and Midwives deliver to expectation.

The new online system is to ease the laborious processes associated with the manual system, as well as strengthen the capacity of the council.



The council has also introduced a therapeutic communication course to aid in an effective and efficient healthcare delivery in the country.

Registrar of the Council, Felix Nyante made the announcement at the Council’s 2017 mid-year review at Nsuta in the Ashanti region on the theme “Peak Performance”.

He said the Dutch Government has provided grant to the Council to revamp its examination processes and procedures.

Mr Nyante indicated that the grant is also to support the Council to strengthen its organizational capacity to conduct efficient, effective and credible licensing examination.

He noted the Council wants to focus on ICT deployment to accelerate on performance.

“Ghanaians should expect Nurses and Midwives delivering up to their expectations. So that when they go to the hospital, the attitude of Nurses towards them alone will create a therapeutic environment for them to get healed and the not the usual prescriptions and giving medication”.

Chief Director at the Ministry of Health, Dr Afisah Zakariah, commended the Council for its effort to introduce the online licensing examination next year.
According to her, the council has attained top achievement in its operation with the 2015 to 2019 strategic objective.

She attributed the council’s achievement to good leadership and staff commitment to excellence.

Dr Zakariah indicated that the online examination will ease the laborious processes experienced in the old manual system and will also go a long way to make licensing examination in Ghana trustworthy.

She charged the council to be fully decentralized to enable nurses and midwives carry out their engagements at the council’s regional office without traveling to Accra.

Source: citifmonline.com
* News / Kenya National Union of Nurses asks SRC to treat Nurses as Professionals by Idowu Olabode: September 14, 2017, 11:53:09 AM
“We are all professionals, therefore, you cannot pay one cadre up to 400 per cent increment while lowering the salaries of the other cadres, dismissing them as semi-skilled workers,” said Mr Panyako.

Nurses have remained adamant that they will not resume duty even as governors threaten to sack them.

Speaking Wednesday in Nairobi, Kenya National Union of Nurses Secretary-General Seth Panyako said the workers will not go back to work until their grievances are addressed.



“Nobody can coerce a worker to resume duty without having satisfactory agreements,” said Mr Panyako.

The official added that the strike will only be called off when the Salaries and Remuneration Commission (SRC) implements their Collective Bargaining Agreement like what was done for doctors.

DISCIPLINARY ACTION

“We are all professionals, therefore, you cannot pay one cadre up to 400 per cent increment while lowering the salaries of the other cadres, dismissing them as semi-skilled workers,” said Mr Panyako.

But in some counties, governors have threatened to move ahead with the disciplinary action against the nurses who have been on strike for the last three months.

Nakuru Governor Lee Kinyanjui has threatened to lay off more than 1,200 striking nurses if they fail to return to work by Friday.

Mr Kinyanjui on Wednesday said those who will not have reported to their respective areas by the end of the week will have their positions advertised for replacement.

DIALOGUE

He spoke as the nurses, through their national association, pleaded with the Council of Governors to give room for more dialogue.

“For three months now, hospitals have not been operational and patients have been forced to seek services in private facilities which they can’t afford. This is totally unacceptable,” said Mr Kinyanjui.

Three weeks ago when he assumed office, the governor formed a taskforce to look into issues affecting the county’s health sector, including the nurses’ strike. The team had 30 days to table its report.

The same case applies to Nandi and Baringo counties where the respective governors have issued a warning that those who will not resume duty by Monday next week will be dismissed for “engaging in an illegal action” that has affected provision of healthcare.

STRAINED SERVICES

Nandi Governor Stephen Sang said the nurses’ strike had strained services in the region’s public health facilities.

“Our health facilities are suffering from inadequate personnel. The current strike by the nurses has been declared illegal by the courts since it is not protected,” said Mr Sang in an address to the Nandi County Assembly.

Mr Sang said the striking nurses must abide by a directive from the Council of Governors which ordered all workers to return to work by September 8 failing which the county government will dismiss them summarily.

“We are in the process of compiling data in order to establish how many nurses are back at work and will proceed forthwith to engage nurses on a contract basis to replace those who deserted duty,” he said. Last month, Baringo County Health Executive Andrew Kwonyike said they had stopped the salaries of nurses who were still on strike.

WILLING

The nurses, led by their union secretary Francis Koros, said they were willing to return to work after the Collective Bargaining Agreement is signed.

The governors’ council had threatened to take disciplinary measures against the nearly 26,000 nurses who have been on strike for the last 102 days.

Despite the threats, the nurses accused the national government of delaying a solution to the strike by failing to listen to their demands.

Nurses from Kisii, Migori, Homa Bay and Nyamira, who staged a demonstration along the streets of Kisii town on Wednesday, said they will not be cowed by the governors’ threats and will only resume work when the CBA is signed. The union’s Kisii County Secretary-General Moses Riang’a said the national government, the governors’ council and SRC had conspired to prolong the strike situation.

DEMANDS

The nurses are demanding Sh25,000 in monthly allowances, Sh15,400 in risk compensation, Sh5,000 in extraneous allowances as well as Sh5,000 responsibility allowance.

They also want Sh50,000 annual allowance for uniform.

But both the governors’ council and SRC have said the caregivers must return to work and await an evaluation of their job descriptions.

“We are used to their threats to sack nurses but we are not afraid. Our stand remains strong and we will not go to work until our demands are met,” said Mr Riang’a.

Source :http://www.nation.co.ke/news/Treat-nurses-as-professionals-union-tells-SRC-/1056-4095094-cdgowjz/index.html
* News / Real Life Hero! Nurse Dives into River to Save Woman Trapped in her Sinking Car by Idowu Olabode: September 14, 2017, 11:45:47 AM
A South African nurse has been hailed as a hero after he dived into a river to save a woman who was trapped in her sinking car.

Ayanda, who works at the Zithulele Hospital in the Eastern Cape province, was off duty on the weekend of September 2-3 when he witnessed a car plunging into a river.

The car landed upside down. While some ran away and others didn't know what to do, Ayanda heroically dived into the river to save the occupant.

He found a woman on the back seat but she wasn't breathing. He mobilized witnesses to flip over the car to free the woman.

He then administered mouth-to-mouth resuscitation and CPR. Afterwards, he drove her to the hospital where she was stabilized.

The woman had to be transferred to another hospital but is now recovering. Without Ayanda's brave intervention, she might not have made it.

He is indeed a real life hero! Social media has been awash with comments praising his commitment even while off duty.
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