The most famous and quintessential enigma of the twentieth century, Virginia Avenel Henderson (November 30, 1897 – March 19, 1996) was a nurse, theorist, and author known for her “Need Theory” and defining nursing as, “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” [ Henderson & Nite, 1978].
Being a professional Nurse means the patients in your care must be able to trust you. It means you must be up to date with best practices and be able to treat patients and colleagues with dignity, kindness, respect and compassion.
Being a professional Nurse means understanding and being accountable to the NMCN’s code of conduct.
The role of any certified Nurse is to provide health care to individuals, families, and communities. We provide services designed to promote health, prevent illness, and achieve optimal recovery from or adaptation to health problems, but the question in mind is that does the life and livelihood of Nurses as core service providers matter? In as much as it does, we should acknowledge the fact that no one can discharge best services when pains have ravaged such heart.
With this background, I therefore present to you two case scenarios for review.
Case Scenario 1
I present to you Nurse Mr. Ajala Ifeoluwa Michael RN, RPON, BNSc, age 31, married, male. He finished his basic nursing programme in 2010 at BMC, Ogbomoso. He picked up BMC employment in 2011. It was during his service year in BMC, Ogbomoso, that he went to School of Perio-operative School UCH, Ibadan and finished with RPON in 2014 on sponsored bond by BMC, Ogbomoso. He joined the service of LTH, Ogbomoso, in 2014 and during their crisis he picked up National Hospital, Abuja new offer of appointment in 2017. He left National Hospital, Abuja, because of being distant to his family base and then accepted employment offer at UITH, Ilorin in 2018 where he is up till date. I am glad to let you know that he is still an NO II even 9 years post RN.
Case Scenario 2
I present to you Nurse Mr. Fabiyi Stephen Adedayo RN, RAEN, age 36, married, male. He finished his basic nursing programme in 2010 at BMC, Ogbomoso. He proceeded to SPBN, UITH, llorin in 2011 where he had RAEN. He was employed in 2013 as NOII though he has worked with 2 different private hospitals in Ogbomoso as “Nurse Consultant” prior then. In the year 2015 he was made the Ag.Unit Head Pediatric Emergency, BUTH [BMC], Ogbomoso. The unit was raised to standard with seasoned staffs. Due to his vast display of knowledge and good leadership prowess, he was moved to the adult section and became the Ag.Unit Head of Adult Emergency, BUTH [BMC], Ogbomoso in 2017. He picked the new offer of job at LTH, Ogbomoso because he considered the facts that it takes 24 years to reach the position of CNO in BUTH [BMC], Ogbomoso. Their cadre runs from NOII – NOI – SNO – PNO – ACNO – CNO and each promotion is every four years all things being equal which has not been over time. I am glad to let you know that he is still an NO II even 9 years post RN.
OBSERVATIONS DRAWN FOR CONSIDERATIONS
Observation 1 for consideration
Nursing cadre with 3 years promotion starts from NOII – NOI – SNO – PNO – SNO – CNO making 15 years all things being equal to be at the top. is it possible Sirs/Mas to have NMCN CBT cadre promotional exams? This exam can be 100 CBT [Computer Based Questions] in 120mins. This exam can be coming up every year in the months of May and November like we do have council exams. This exam will be at moderate cost for participants just like council exam fee provided the target aim can be achieved. Aside from the fact that this will generate good income for the council, it will also most importantly leads to award of cadre certificate for promotion exercise. Sir’s / Ma’s this will go a long way to prevent starting all over again anytime needs warrant to change job location without seeking the difficult process of transfer of service. As NO II one can apply for NO I exam before time and even write other cadre exams ahead of time once you are financially buoyant. It’s only left to each individual the numbers of time he/she sits to pass. Elders in the frontline, the pain of starting all over again is a leading cause of psychological trauma facing our colleagues aside from marital challenges being co-managed in various homes.
Case scenario 1 and 2 are true life story of wasted service years. Each of them have already wasted 9 good years out of their 35 years in service to start all over again in their new place of employment but if NMCN CBT cadre promotional exams is in place, their certified cadre promotional certificate will only be tendered in their new place of employment and each of them will continue at that pace. Sirs/Mas, l have seen a CNO who moved from BUTH [BMC] to LTH, Ogbomoso and started all over as NO II.
Observation 2 for consideration
I remembered that when some of our colleagues finished post basics in 2012, they were employed in some Northern states 2013 as NO I whereas here in the South, they would start as NO II.
How l wish this can be unified and even have upgraded entry points. At the point of entry, RN can start as NOII, Post basic should start as NO I. BNSc can start as SNO and MSc point of entry can be PNO.
If this is implemented, two things will definitely happened; increased academic progression among nurses and gradual phasing out of Schools of Nursing as truly, it is most hospital CMD that are benefitting from this as a business ventures.
In conclusion, Mahatma Gandhi said that, “we must become the change we wish to see in others”. This opinion was in line with Jose Ortega Gasset words that, “life is a series of collisions with future; it is not the sum of what we have been, but what we yearn to be”. The latter has driven me to sleepless nightmare and this is what am sharing with NMCN and leaders in Nursing.
Many are the in-depth thought of explored mind but only few comes into manifestation for the subconscious dictate the conscious and manifestation peak at what supreme stamped.
Appreciation from your “breast-nurtured” son. Endless are my opinions beyond ink and pen. More ideas in mind’s archive.
Always proud to be a nurse l choose to be.
Fabiyi Stephen Adedayo
NB: This write up is all about suggestions on the cadres and point of entry issues in Nigeria Nursing system. Discrimination on graduate or diploma stands not the matter but issues thrash in this write up by me are possibly or closely the way out if implemented by NMCN.