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HOW TO START A NURSING CAREER IN NIGERIA, US AND CANADA


How to Start a professional career in Nursing


Certificate or degree programs in nursing typically embrace fundamental patient care skills and provide students for entry-level nursing jobs. Here, in this article, we'll find out about the requirements of these programs, and learn about career opportunities, job growth and wage info for nursing graduates.


Stay back and relax, as I equip you with information you every need to know about this prestigious career across the globe. 
First, who is a nurse practitioner? A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans. (Wikipedia

TO BECOME A REGISTERED NURSE IN THE US AN CANADA 

There is more than one way to become a nurse, especially, in the western countries. Let’s consider the two of the most common ways to become a nurse are to first, become a registered nurse (RN) or a licensed practical or vocational nurse. These two entry fields require only undergraduate work in nursing, either through an associate's or bachelor's degree or through a diploma or certificate program; this is most particular to the USA and Canada. On the other hand, 

HOW TO BECOME A REGISTERED NURSE IN NIGERIA

In Nigeria, there are three entry to becoming a registered nurse or midwife
1) The 3 year Basic General Nursing Programme
2) The 3 year Basic Midwifery Training Programme and 
3) The 5-year Generic BNSc Nursing Programme

One interesting thing about this is that three entry routes partake the same admission conditions of five (5) credits courses or subjects that included: English language, Maths, Biology, Physics and Chemistry in not more than 2 sittings in NEC, WAEC or related examination board in the country. The only variation is the JAMB terms for the BNSc programme, indicating you have an option to either go pick up a form for either the basic nursing/ basic midwifery program or go the additional-mile and sit for JAMB for the BNSc Program.

HOW DOES THE COURSE GO? 

The 5-year BNSc program is sketched to make you a polyvalent nurse practitioner at the end of which you graduate with the General Nursing program qualification (RN), the Midwifery program qualification (RM) and a Bachelors degree in Nursing (BNSc). The most institution now put an icing on the cake with an extra qualification in Public health Nursing. 
Further studies are available to a Masters Degree and PhD in nursing in some schools in Nigeria. 

 Basic Midwifery Training curriculum 
An explicit major draw-back to the 3-year basic midwifery course is the truth that even after passing as a Registered Midwife, most hiring organizations would always demand a double qualified practitioner, thus you still have to go back for extra 18 months post-basic general nursing course. The truth that most universities do not accept RM qualification for direct entry purposes is a different huge challenge.

 Basic General Nursing Programme 

For the basic general, the nursing programme, you'll necessitate to hack up an aggregate of or between #150,000 to N250, 000 (suggested to change over time) for entry fees first of all. You should also know that the 3-year span isn't inclusive of the 6 months that you would use in PTS. This 3 years can within the blink of an eye extend to 4, 5 years in various semblances such as demotion, reproduction, flimsy suspensions by our greatly SON principals, indexing challenge, exceeded admission quota by schools, accreditation issues, failure in either of the NMCN Qualifying exams or Hospital finals etc. The list is limitless.

Even after writing the NMCN exams, you still get to spend some extra months working in the wards for "free" in the training hospital pending when the council releases your final qualifying result. I probably missed out how you can’t quickly apply for direct entry or go for a post-basic course as there is no specific timeline as to when the council would release your license and/or notification. Academic sessions and job opportunities fly by while you wait endlessly on the council.

An essential point you should comprehend is that the general nursing and basic midwifery programs are both hospital-based programs with professional licensure and it was only in October of 2007 that an expert assessors committee accorded the qualifications obtained therein the same as HND drawing a grade level08 (step 1) for job purposes only and NOT for academic objectives.

A major advantage though, of getting an RN qualification either via route 1, 2 or 3 is that it qualifies you to practice as a nurse abroad. RN qualification is also a solid requirement for more studies in the Nigerian university scheme for direct entry (DE) into degree programs in philosophy, psychology, social works etc.

The notable disadvantage here is that the profession at the moment is entangled in a bitter struggle for the soul of Nursing professionalism. Obtaining a degree in these beforehand and erroneously marked "degrees allied to Nursing" according to our statutory regulatory body, NMCN does not qualify one to progress to the directorate Nursing Cadre. This stance by the NMCN reinforced the position of the National Council on Establishment (NCE) at its 37th Meeting in Akure where it stated that "Possession of a first degree in NURSING, not allied courses is a sine qua non of running the nursing officers cadre. 

LUTH management also reaffirmed this when it declined accepting Masters levels in these "allied course" obtained by lecturers in its school of Midwifery insisting that professional progression must be dependent on the acquisition of masters degree in core Nursing courses for holders of BNSc qualification, not masters in an allied course. Thus the route may provide an avenue for further degrees in other professional domains but these degrees outside of Nursing may count for nothing professionally.

On the long run, the abysmal remuneration of being a single qualified (RN) nurse would force you to seek further post-primary qualification which costs an average of another N250,000 to N300,000 in admission charges. I omitted to add that most post basic programs would require that you should have practised for at least 2 years before applying; a two-year experience you would gain trolling from one private hospital to another where you would be overburdened and underpaid. 


CONCLUSION

Recognize, this post-basic qualification is a requirement if you would want to be employed on GL 08 step 4 instead of step 1 if you had only an RN. What this means is that you may never get to the peak as your professional growth eliminates abruptly at grade level 14 and you can only go beyond this on lateral conversion to the officers' cadre following the attainment of a Nursing degree

By this time, six years or more would have gone on. You presumably have gotten married with kids and wishing you went with program 3 (BNSc Nursing). Albeit late, you decide to start the 4-year university route. If financially lively, you probably enrol in a neighbouring country like Benin republic,  ghana, niger for a BNSc program or you use another two years battling to get a DE admission to a Nigerian school. 





Reference: 
  image source: https://making-the-web.com

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