There are barely 500 nursing schools in the country. Imagine the number of graduates from these schools. subsequently, thousands of them would fortunately pass the boards. For many, it seems they've hit the jackpot and got a golden ticket to greener pastures. Well, in my mind they are too idealistic. However, some already acknowledged the reality that this country cannot cater these thousands of board passers. The unemployment rate of nurses is very frustrating. After years of toil and hard work just to obtain a degree and pass the boards, what's waiting for these nurses?
What is really the problem? What is really the cause? I admit that I may not have the authority to write about this for the reason that I am not a nurse. However, this won't stop from presenting my speculations and observations about this matter.
As observed in current events, the following are some of causes that probably led to the current problem in the nursing profession:
1. Oversupply of Nurses
Many persons posit the argument that there is already an oversupply of nurses in the country. This claim arises from the observation that many of the newly registered nurses are still unemployed and that many resort to volunteering in hospitals and some work in call centers. However, is this really true? Is there an oversupply of nurses or just an under-supply of jobs for nurses. If you go to provinces, how many hospitals are there in a locality? There are hospitals but you see nurses very exhausted because of the load of work they have. They are to look over a huge number of patients. Some of them do not even sleep for extended shifts because of lack of nurses. However, these hospitals don't even bother to hire nurses for additional workforce. Well, we cannot blame them because there are no funds especially on government-funded hospitals. Private healthcare institutions are afraid of investing because of the instability of the economy and also of the government itself.
What would be a remedy?
Since there is no such thing as oversupply of nurses only under-supply of job opportunities, it is the duty of the government to give them jobs. How? Maybe building hospitals, clinics and other healthcare institutions. This would not only benefit the nurses but also the general public because they can easily avail medical services without minding long lines because of lack of health personnel. The RN HEALS program of the Department of Health is an innovative mechanism in order to provide jobs for nurses.
Well, the government may venture into medical tourism in the country. By strengthening or enhancing the medical services provided by the healthcare industry. The appropriate agencies must formulate standards for healthcare and medical services to the country that can be at par with other nations. If the government can do this, then the former president cannot take refuge to other countries for her medication because the Philippines has competent doctors. And that the incumbent president will not hire a foreign doctor so that it would not create an impression that our healthcare personnel are incompetent. If Medical Tourism would be successful, then many would invest in providing healthcare and medical services in the country thus creating more jobs to doctors and nurses.
2. Low Salary
Many nurses do not want to be employed in the country because of low salary plus many deductions from their income. Even though they passed the boards, many are not practicing their profession. Many are in the call centers. Well, there are some in the academe which is good for the education of aspiring nurses. What the state must do is to increase the salary of nurses. Looking at the nature of a nurse's duty, it affects directly the life of a person. Nurses do not only administer medicines, monitor blood pressure of patients or count sponges after an operation. They provide care. What is so special about it is that there is a Heart in what they do. They are concerned in the well-being of the patients. It is good that a bill is drafted to increase nurses' salary.
The first two will bring another problem, FUNDS.
3. Lack of Funds
The government will always invoke this excuse. There are no sufficient funds. One sector needs more appropriation than this sector. Silly excuses. They can remedy for appropriation for their pockets but not in more important subject matters. They can apply for loans from other countries just to satisfy and reach their own quotas.
Appropriation is not really a problem. The laws of this Land have vested the government to formulate any scheme to generate funds. the government units are given to exercises their creative, innovative, imaginative minds to make a creature to make exactions. The problem really in here is the process. After generating the funds, what's next? Magic! In this stage, many are innately magicians. They are capable of making money disappear. of course, there is an appropriation of these funds. However, do these projects for which the funds are appropriated really exist? Assuming they exist, will these funds be spent for these projects? And assuming again they will spend for the purposes for which the funds are intended, will they all go to the projects or to the pockets?
4. Existence of Many Nursing Schools
The Nursing Act of 2002 establishes the Board of Nursing. The law also provides under Sec.9 that
Sec. 9. Powers and Duties of the Board. - The Board shall supervise and regulate the practice of the nursing profession and shall have the following powers, duties and functions:
(c) Monitor and enforce quality standards of nursing practice in the Philippines and exercise the powers necessary to ensure the maintenance of efficient, ethical and technical, moral and professional standards in the practice of nursing taking into account the health needs of the nation;
(d) Ensure quality nursing education by examining the prescribed facilities of universities or colleges of nursing or departments of nursing education and those seeking permission to open nursing courses to ensure that standards of nursing education are properly complied with and maintained at all times. The authority to open and close colleges of nursing and/or nursing education programs shall be vested on the Commission on Higher Education upon the written recommendation of the Board;
(h) Prescribe, adopt issue and promulgate guidelines, regulations, measures and decisions as may be necessary for the improvements of the nursing practice, advancement of the profession and for the proper and full enforcement of this Act subject to the review and approval by the Commission.
Now based on the quoted provision, the Board of Nursing has the power to regulate and prescribed standards not only in the practice but also in nursing education. Well, giving the presumption that the Board has prescribed standards in nursing schools, the problem maybe traced in the implementation of these standards. A school upon its application to open a nursing school may have complied with the prescribed standards, facilities, curriculum, personnel and other requirements, however, some schools are only good at the start. These standards must be a continuing set of requirements for the continued operation of these schools. Since there are barely 500 nursing schools in the country, it is difficult for the Board to monitor if the schools are in compliance with the prescribed standards. Another problem would be corruption since even if there is an inspection and monitoring, some unqualified schools can still continue to operate by bribing. Stricter implementation and compliance must be done. Otherwise, they can recommend for the closure of the school. However, the Boards power is to recommend the closure. It is still within the discretion of CHED to close the school or not. CHED's job is discretionary. If it would have been provided by law that it is ministerial for CHED to close a school upon the failure of the latter to comply with the continuing requirements for the operation of the school, then it is easier to close down low-standard nursing schools.
Since there are a lot of graduates, may be it is possible to trim them down even before admission. What do we mean by that? Well, a uniform admission test analogous to NMAT can be imposed as an additional requirement for those who want to enroll in nursing schools. This issue may be a subject of a debate whether it would be constitutional or not. Since there is no controversy yet, The Board can formulate a policy requiring to pass this kind of exam before being admitted to nursing schools. Why? Because the nursing profession is analogous to that of a doctor. It directly affects lives of the people. There are already cases of nursing malpractice which led to injury and even death of patients.
To conclude, the government is burdened to solve the problems in the nursing industry. The enhancement of this profession will in turn benefit the whole public as well.
-RWN