Thursday 25 October 2012

Nasib Jururawat

As Salam and Hi

Sedih, hampa, kecewa dengan situasi yang melanda jururawat hari ini

value dan harga diri jururawat hari ini telah merudum dengan teruk sekali.
Lima tahun lalu, sebelum graduate ramai yang di tawarkan kerja, 

Ini adalah anecdotal saja.

Hari ini dah graduate bukan saja susah nak dapat kerja malah bagi mereka yang di tawarkan kerja ada yang dibayar lebih rendah dari pembantu rumah, malah ada juga ibu bapa yang membayar hospital untuk megambil anak mereka kerja kerana yang keep APC

SIAPA pERLU disalahkan JURURAWAT sendiri.

Untuk diperingkat yang lebih tinggi
Master- Terlalu ambil mudah dan tidak berusaha bersungguh, qualiti sad sangat. Macam mana nak compete with other profession if we tidak letak sepenuh usaha dan tenaga. Master is the next higher degree before PhD. 

Committment, discipline, hard work not seen yet in most of the students. 

PhD bila Master tak bagus, nak buat PhD the output pun sama. Malu tengok tapi yang sad nya ada yang sanggup compromise dignity, professionalism, dan self integrity to allow a nurse to GET pHD despite not producing a minimal standard of thesis. Jangan lah kita gadai integrity for friendship or status. Be professional.

SIAPA SALAH JURURAWAT SENDIRI. 
Jururawat yang membunoh jururawat sendiri.

Kalau Dulu, Matron Sister are well respected by doctors because they are knowledgeable, discipline, skillful, committed, dan berani bersuara demi pesakit dan kakitangan bawahan tetapi itu semua tiada lagi. 

Friday 12 October 2012

Nurses and Doctor

During the FIMA 2012 meeting, there were a lot of good experienced, noted, observed from papers presented, the people met and overall event. 

1. For a speaker/ presenter one person impressed me the most was a Year Four Medical Students (UIAM). She was excellent. Another issue with regards to speaker, it has become too monotonous to have a speaker talk about the problem in Palestine war. Yes talk about the health issue but minimized on the war because most people are aware of the war and how it has affected the lives of the people. Use other avenue to educate or inform people of the war.

2. The level of commitment especially the volunteers

3. The overall social interactions among the participantsOf course this still can further be improved especially among Muslim practitioners. I see a lot of segregation (unintentional or intentionally I am not sure) but It is worst mention.

This is what I would like to highlight and my words are based on one of the speaker whose paper was on maternal mortality. He said "in a quiet moment, one person voice will and can change things.  I am the one voice.
The main segregation is the not putting the nurses and allied health (includes dentist, dietitian  optometrist ect) in one podium. The main podium are all for doctors (MBBS).

Hina sangat ke nurses / allied health personal among Muslim Doctors. Kita talk a lot about being a good Muslim, show it and just say it.

This next point again is to the Muslim practitioners in general. 
This speaker was so concern about nurses (nurse practitioner) today taking over the role of doctors'. I think this is something doctors need to be more open. We live in the 21st century. Just like doctors nurses too need to move forward. It is happening and Malaysian nurses cannot be isolated especially the world of IT

NURSES Do NOT WANT TO BE DOCTORS, they can if they enter medical school for another three- four year, not in Malaysia). What our concern is to improve patient care and well being. Doctors need to change their mind set. Work with nurses as a one team. As one 'Doctor' in a drama "ARMY WIVES who say "There are a lot you can learn from good nurse."

Nurse Practitioner is now a new expended role of a nurse. The number of NP USA from Alabama to Wyoming in 2011 was 180,233. In Australia, New Zealand, Hong Kong and other European countries NP is also been promoted. Yes there are many who are against it especially doctors, but after having work with these NPs, and seeing the profit which is a big thing among doctor, and see how these nurses improved patient care, many are now for it. An Example, a cardiac hospital in California where friend of mine used to work, saw the number of patient increases along with the income. As a result. More Nurse practitioner was hired. What was the role of a nurses practitioner. I am sure this can be obtained from google. One simple task which a nurse can do is a ward round and reviewing the patient, reading and interpret ECG. Of course the critical cases are still being review by doctors. The time these doctors spend doing ward round is used for one small cardiac surgery/ procedure. In O&G, all pap smear can be done by nurse and they too can interpret the result.

One might say, how these nurses going do all these tasks. Yes they can when they have Master and PhD in specific area such as Cardiac Nurse Practitioner. University Malaya is now offering Master in Clinical Nursing.

 Don'tt worry Doctors, NPs are not coming to Malaysia anytime soon. There are a lot to do before we get to there
 Lastly, a few statements I get from my friend, a doctor (Malaysian) who work in New Zealand and another Malaysian nurse who study together in a class with doctors

The doctor said. Doctors kat sini jadi hamba (this is his really word)

The nurse said. When they first joined the class, doctors sat together with doctors, while nurse, biologist, dietician sat together. After one semester when the NON doctors did better while some doctors failed, they start to come close. Not until the end that the doctors group start accepting the non doctors group.

My own experience, this happened during FIMA dinner. I was sitting with four doctors, 3 (one female, who I talked with) local and one international. I did not say Hi to the foreigner because I do not know him but I did post a question to one of the local male doctor, he did not response and turned his face. May be he did not hear me, that was my assumption. The other male doctor noticed what happened so he asked the same question that I asked and got the response.

Fikirkan lah. What it indicates is that everyone has weakness and strength, good and bad. Not all doctors are smart and brilliant and not all nurses are stupid. Time, opportunity, circumstances, financial may play a part. 

Masyallah. Kalau kita di Malaysia boleh buat ini. We are really an absolute Negara Islam contoh