Friday 15 July 2011

Compromising on Education and Health

 As Salam

 A Nurse In ICU.
 
This month will be fourth month, I am "staying home" I am happy, but I feel that my knowledge is not being  transferred. I can work full time in most private institutions but it will be against my principal.  Public and private institutions have different values and missions

One go for total profit, the other go for quality.  I am for quality and because of that I will not joining most private institution unless the private institution opted for profit (because they need to support them selves) at the same time maintain their quality and there are a few private institutions which do that. My focus for this topic is nursing

While the public institutions are struggling to cope with a small number of students (average 30-70 per/ year intake) for degree and diploma program, the private are taking in hundreds and a couple of time a year. And while the public institutions having many thoughts to start Master and PhD program, private institutions are eagerly wanting to run Masters and PhD program but they do not have the expertise for their students.  And they somehow get the program running though, many at time the program are not approved by experts who review their document.

Malaysia currently has less than 20 nurses with PhD and most of them are in Public institutions and I can named all of them.  Can we go for quality. Remember one thing, when a teacher is less knowledgeable and less experiences the students will have lesser knowledge with limited skills.  As times pass, less knowledge and poorer skills are transferred. The knowledge and skills become more and more diluted.  Where will these graduates work and who are they serving MAJORITY of POPULATION of MALAYSIA who are of medium and low-income group which include most of us. And at the same time the Malaysian nurses are less sought by other nations, namely middle east

The evidences are there.  Recently a friend who work in an established recruitment agency for middle eastern inform me, that the hospital from middle east that came to recruit nurses rejected all the, young nurses who came for interviews.  Why- poor command of English, could not answer skill based and written questions (something that was not done before) and could not explain orally on nursing issues during interviews.  Most of the potential nurses are from two giant private institutions. And there are few established teaching hospital will try to avoid employing graduates (diploma) from private institutions. (Of course there are few who excel)

To teach nursing, knowledge is vital but since nursing is a skill based profession, makes skills another vital components as well.  Sadly, many young graduate from Public institutions thinks that following graduation they are eligible to teach and do not require to do nursing job.  They are so arrogance with their undergraduate qualifications, making fun of those who are more qualified and experiences. 

There are graduate students who rejected nursing totally. They rather sell insurance by setting table at a mall.  To sell insurance you need a good communication skills and line of loyal customers. They should do nursing first for few years than sell insurance, in fact they can sell insurance while still doing nursing (to do after work hours of course).  I have a friends who worked as a nurse for a long period of time, now a successful insurance agents.  And I also have another  friend who also worked as a nurse for a period of time now is a successful lawyer.  These are smart people. Now they are asset to the agencies where they work

Nurses always wants respect and says that they do not get enough respect from doctors.  Asked yourself.  Doctors work hard and study hard, they practice their skill. within classroom by teaching and do their practice in hospital all the times. Doctors cannot immediately teach following graduation (they need 2 years housemenship, a few more years as medical officers, then they will chose a field of specialty they are interested to study (another four years) before they can call themselves lectures. For that they can speak, mingle around and produce quality ideas in any meeting.  These applied to the senior nursing lectures.

Most of the young arrogance nursing graduates, prefer not to be in hospital, if they go it is only to show faces. Students term them as TOUCH and GO lecturer (tutor in most University but in other they are call assistant lecturer).for clinical supervision and POWERPOINT lecturers (for classroom teaching). again there is those are excel during teaching.
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I have a nice who study in private institution. She mentioned that she has a tutor (my former student) who do not how to make bed, a very simple and basic nursing procedure.  It is not surprising when I further ask her bout normal reading of vital signs (BP and temperature) she cannot answer instantly, she needs to think.  This did not happen when you ask the senior experience nurses.

  Think about it

Dr Aishah

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