Nurses are not knowledgeable after graduation
By mimiang
@mimiang (3760)
Philippines
February 11, 2011 5:56am CST
The must be some modification with the way nurses are trained during their school days.Unlike doctors who knows what to do after we graduate, the nurses cannot perform. They can't catch a baby after delivery.They don't know when to clamp the cord or cut the cord in between the clamps. These we learn during clerkship which composed only a year of exposure.After our clerkship, in the intership we only have to polish what we already know.The nurses should have the same training as we do perhaps.
6 responses
@jhaidro (877)
• Philippines
11 Feb 11
Not all though. I have to admit that nurses need a lot more work even after graduation. They still need guidance as they go on training. I see a lot of factors why this is happening. The population of nursing students is one. There were just so many students and not enough hospitals to go on training to. The nursing students as they go on duty, they are in a group of about 10-12. And in a shift, not everyone has the chance to practice. Another thing is, a lot of patients would not allow the students to be involved with their delivery. Applying for a training program is also hard these days. The tests are harder and the waiting time is longer. Some even say that tests from hospitals are way harder compared to the board exam. I am just puzzled why there is so much to be sacrificed to become a nurse. Not to mention that the pay is nothing compared to the demands of the job.
@mimiang (3760)
• Philippines
11 Feb 11
Hello, Jhaidro. I guess you have explain it well.I see them have decking of patients but there are those who are not able to have their own patient. I think, the best way to meet the number of cases they need is to rotate them the way we did during clerkship. We rotate every 24 hours and we spend one to two months in every department so that we can be able to have the skills we need. There are patients who don't want them to get involved, however, the charity patients have no choice.
1 person likes this
@jhaidro (877)
• Philippines
11 Feb 11
That would be the best way to go I believe. With us before, we report to hospitals 3 days in a week and 8 hours in a day. For the first week, we go to the ward, then the next to the ER, then next to the OR or DR and so on. It just gets too confusing at times. A lot of students would complain of information overload. It is just so much to handle.
I am not sure if this is really the case but I think that the people involved in running the schools who produces nurses are more into the money they get than to the education they give. I love charity patients. They never complain. The thing is. Some of us never had the chance to have a rotation to government hospitals since their priority are those schools who had more contributions to the development of their facility like additional equipments. Our school unfortunately did not have a lot to give.
I guess that as you walk along the streets here in the Philippines, for sure there is at least one nursing graduate of a licensed nurse still looking for a job. And even with this situation, the number of nursing graduates still keep on coming each year.
Sometimes, as a nurse myself, it is tough. You can't go on training because they would say that you are not good enough for the institution. Some are the best on what they do but can no longer afford the training fee. It is a big ouch for the profession.
@chiyosan (30183)
• Philippines
13 Mar 11
well i guess that is why in the hospital where i work, nurses have a separate training and they are to be thought again for another couple of months on the job... while they are still called as aids not as nurses even if they passed the board exams in the country.
NUrsing and related jobs do require more internship, actual experiences and not only what they have learned in schools.
@schizoaffectivegurl (430)
• Canada
12 Feb 11
I beg your pardon. I am a nurse and I have been assigned in the Delivery room for 5months during my OJT. We're the one clamping the cord, we are the one catching the baby after delivery, suction the baby. And nurses have clerkship for 2 years cause it starts during the 3rd year to 4th year of the course. plus after graduation being a nurse is a continued learning process. we still undergo some training and physically browse back the lessons we had during college. Maybe the nurse that you have encountered came from a school that doesnt have good standards, or you have encountered a nursing aid and not a nurse.
@krajibg (11922)
• Guwahati, India
11 Feb 11
Hi mimiang,
Do not know the condition in your country but here in India there are mushroom growth of Nurse Training institutions and their main motto is to pile up money.
Afterwards when these girls complete their nursing here or there anywhere they get an entry and cut a sorry figure.
Actually the job of the nurse is more demanding than that of the doctors. But who cares?
Besides after they have graduated, they are finished, I mean there is no further study on th subject. If a nurse does not keep herself updated how would she maintain their job?
@Marmot (590)
• United States
12 Feb 11
I think maybe there are difference between your place and mine. In my place, nurse have to learn many things before they graduation. They also have to do intern for 2-3 semester to learn how a real hospital works. So, although new nurse are not good as a elder nurse, they still have most of the skills they need.
@cebumd (65)
• Philippines
4 Mar 11
I think the problem is magnified in recent times when the demand for nurses rose. Nursing schools were sprouting here and there with no proper preparation and capability to train nurses. Then there's the problem of shortage of clinical instructors who are themselves well-trained. A lot of clinical instructors nowadays are young, inexperienced nurses who become instant trainers without sufficient training as hospital staff themselves and armed only with units in masteral studies in nursing or are yet to finish masteral studies. Masteral studies without hospital experience is difficult because these instructors cannot model to students the proper nursing interventions, etc. Coupled with immaturity for some of them and the small age in gap between student and instructor, it is really difficult for new nurses to learn properly in this setting.
Some nursing schools on the other hand do not screen well their students taking the opportunity to get more students enrolled. They become lax with passing requirements because of this kind of thinking also, not thinking of the implications to future patients.
Some recent graduates on the other hand do not take advantage of learning during their student years, unwilling or unafraid to do procedures (with supervision), not willing to become soiled, etc. but these can be corrected if the nursing school with their staff encouraged these kids to try out procedures. Question is if the young instructors also were able to perform these procedures or are they confident of doing them. Sometimes, wrong information is even passed by supposed clinical instructors.
It is really unfortunate that these problems come as a result of a mixture of factors. I say the school should be strict in their training and not just see the education of nurses as a money-making venture.
I say there should also be interprofessional education, not exactly same training between nurses and doctors but a special training for doctors to be familiar with doctors' jobs and concerns and vice versa.
I cannot really single out the nursing profession as the only one having this problem, for this problem you mentioned may also happen to medical graduates with the wrong learning attitude in their medical school years or to medical schools who are to lenient to their students with regards to medical training.