DENOSA statement on the outcomes of its NEC meeting  ...

Media statement  

Monday, 02 July 2018  

The Democratic Nursing Organisation of South Africa (DENOSA) reconvened its National Executive Committee (NEC) meeting which sat from Thursday 28 June to 29 June at DENOSA Head Office in Pretoria where it deliberated on health matters in general, and nursing in particular.              

On the release of NHI Bill and Medical Schemes Amendment Bill  

The NEC notes the release of two critical bills that intend to shape the country’s healthcare system towards realization of universal access to health for all South Africans – Medical Schemes Amendment Bill and National Health Insurance (NHI) Bill – which are out for public comment. 

DENOSA believes that the release of the bills takes the country a few steps towards this goal of achieving universal health coverage. The injustice in the creation of two health systems in the country – the private healthcare which is catering specifically for the 16% of South African income-earners who can afford to pay and the public healthcare for both medical scheme members and the 84% South Africans who are either unemployed or in informal employment. 

Creating a single healthcare funding mechanism for ALL South Africans’ health needs was always the logical and non-discriminatory route the country needed to have taken a long time ago. May the processes of setting up structures of NHI as well as finalization of its financing model move faster. 

In the Medical Schemes Amendment Bill, DENOSA is particularly happy with the proposals to do away with the co-payment provision, abolishing of brokers and the abolishing of Prescribed Minimum Benefits (PMBs). These will surely have positive effects on the lowering of costs for those belonging to medical schemes, and that the schemes will also be forced to include primary healthcare in their packages. 

As an organisation for nurses who are majority health professionals, we understand that it is impossible to eradicate every deficiency in the country’s healthcare system before NHI is ushered in. However, we feel that there should be a clearly defined forward-looking way of dealing with the current backlog of problems, particularly the issue of the severe shortage of nurses and other health professionals who will be greatly needed if both quality and affordable healthcare is to be achieved.  Currently, we do not see that forward-looking commitment and solutions-based plan, and already we are entering the second-phase of NHI.  

One such solution, which DENOSA will include in its comments to the NHI Bill, is the essence of reopening the previously closed nursing colleges so that production levels of nursing professionals could satisfy the country’s dire need.  

NHI gives great emphasis on primary healthcare, and primary healthcare is dominated by nursing cadres with Schools Health programme and the introduction of Community Health Workers at the apex of it, both of which are dominated by nursing cadres.  

DENOSA really hopes that the minister finds it in his good heart to accept that there is a dire need to fulfil the promise made by government in 2011 to reopen and revitalize the previously closed nursing colleges, and that the Treasury and Presidency see the importance of this in line with the achievement of NHI.   

DENOSA congratulates government for releasing these two ground-breaking bills as they stand to benefits patients and communities.  

On the call for Health Minister to resign in light of crises that have besieged the country’s healthcare system   

DENOSA has noted with great concern the fast pace at which the country’s healthcare system is going down, with very little intervention from the top despite glaring evidence of this down spiral.  More disappointing to DENOSA has been the continuous absence of leadership from the national Department of Health, particularly from the Minister of Health.

DENOSA fully agree with Health Ombudsman’s version that the country’s healthcare is collapsing. In fact the World Health Organization share the similar view, when it recently revealed that the country’s health system is one of the worst in the world.

The NEC reiterates the call that the Minister of Health is overwhelmed by the magnitude of the multifaceted challenges in health and that the best possible solution is for President Cyril Ramaphosa to cut the loss and appoint a new minister with a clear vision and a turn-around strategy before the country regress on the successes that it has made on the health outcomes.

DENOSA believes the minister has had a good nine-year period where he could have brought solutions to many health challenges that the country faces, including the concurrency issue which he views as an impediment for him to intervene in problems that occur in provinces. We are now at the tail-end of his second term and no moves have been made towards resolving this issue. 

The classical example of a more disaster that is coming under the leadership of the current minister is when he envisions a total of six million South Africans getting into the country’s Anti-retroviral Treatment programme in the next few months and yet he does not match that with the commitment to employ additional nurses as the programme is now fully run by nurses. The shortage of nurses, which the minister does not see at all, is threatening the health of South Africans because, due to long queues, many patients face the possibility of defaulting on treatment as they often have to turn back from facilities whose dispensaries close at 16h00. The Centralised Chronic Medicines Dispensing and Distribution (CCMDD) programme has not proven to be a solution so far as not many people pick up their chronic medications in convenient pick-up points nearer to their homes.  

Furthermore, his lack of early planning for the crisis caused by a number of immigrants in the country into the healthcare service is what has led to this crisis. Immigrants too have a right to health and they must be cared for in the countries they are in, and the responsibility to plan lies with the Department of Health. 

Therefore, it cannot be that all key stakeholders in health are of the same view that the health is on the verge of collapse and only one person, the minister, sees otherwise. 

On the need to strengthen the Chief Nursing Officer position and establishment of provincial nursing directorates in South Africa 

Following the World Health Assembly (WHA) meeting in Geneva in May where matters of health, including nursing, were discussed and the essence of the roles of Government Chief Nursing and Midwifery Officers (GCNMOs) were emphasized, DENOSA NEC calls on South African government to strengthen the work of its own Chief Nursing Officer in the country, following a number of crises in health that have come to affect many nurses negatively. 

Establishing and strengthening these offices is critical for leadership, policy and management of nursing. Currently, there is no synergy into nursing management in the country from head office to provinces. In one province, nursing matters are under Human Resource Directorate (HRD), which is a support function within the department of health while nursing is a core function. In essence, core function is under the support function. This is part of the reason there is no solution to many nursing challenges. 

South Africa was among the first countries in the African continent to establish the office in line with the call by World Health Organization (WHO) in the early 2000s for countries to establish Chief Nursing Officer positions which will look into affairs of nursing and midwifery, including personnel, resources and remuneration as means to achieve Universal Health Coverage (UHC). 

However, DENOSA notes with some level of concern that the office has been underplayed for a number of reasons. While it was great that the Chief Nursing Officer was appointed in 2014, as a nursing association in South Africa, DENOSA feels that the office remains underutilized, much to the disservice of nurses in the country. 

For starters, the office remains largely understaffed which makes the work of the person in that office ineffective. Secondly, there should have been Nursing Directorates and Chief Nursing Officers positions established in provinces to synergize the nursing function in the country, which will help improve better health outcomes for communities as nurses form the largest group of health professionals. Not more than three provinces have established both the nursing directorates and chief nursing officer position so far. 

DENOSA particularly makes this call in the wake of recent spate of crises in many health departments in provinces, which have become a serious challenge to the achievement of quality healthcare service and gave rise to the need of that office. South African nursing cadres are finding the working environment in the country’s health facilities extremely challenging and impossible to cope under. As a result, DENOSA has noticed that some of the skilled nurses have started to leave the country for developed countries where opportunities and conditions of service are far better. 

There is a glaring lack of staff retention strategy by the Department of Health currently, as the old strategy, in the form of Occupation-Specific Dispensation (OSD), has long passed its sell-by-date as it should have been reviewed in 2012. The absence of this incentive or retention strategy is largely owed to the fact the Chief Nursing Officer position has been pitched so low that it does not even report to the Director-General. Just as we have Police Commissioner or Major-General in the army, DENOSA is of the view that the Chief Nursing Officer for the country should be the person who is in a similar stature as the accounting officer on the country’s nursing function, because nursing is classified as an essential service.   

Now that the World Health Organization (WHO) has also appointed the Chief Nursing Officer in January, Elizabeth Iro, which will assist with the coordination of nursing matters from the world body to the member countries, South Africa must move a gear up and ensure that the Chief Nursing Officer function is strengthened for the benefit of South African communities.  

On performance of non-nursing duties by nurses 

The NEC has noted with concern that nurses in health facilities are still subjected to performing non-nursing duties. Nurses still scrub floors due to non-hiring of cleaners; some are dispensing medication in the absence pharmacists, and, moreover, some assistant nurses are heading up clinics due to non-hiring of professional nurses.

Once again, DENOSA calls on nurses to stop and refuse to do work that is not under their scope of practice. DENOSA further urges nurse managers to desist from enforcing non-nursing duties onto nurses. Continuing with this practice will only prolong the existing lack of urgency on the employer to hire sufficient stuff. 

DENOSA calls on affected nurses to inform DENOSA in their province of this abuse. DENOSA will be embarking on a nationwide campaign to stop nurses from performing non-nursing duties.      

On the Ebola outbreak in the DRC and shortage of protective equipment for nurses

DENOSA has noted with grave concern the outbreak of Ebola virus in the Democratic Republic of Congo and the high risk in which nurses were exposed to infection due to shortage of equipment.

Nurses have had to care for Ebola-infected patients with their naked hands due to shortage of working gloves. What is even worse, which needs the urgent intervention of SADC leaders, is that those nurses whose fear for their life are fetched from their homes by security forces and forced to health facilities to care for patients without protective gear.

This is a serious violation of their right, as they have a right to work in an environment that is safe and not compromising their own right to health. 

DENOSA calls on governments in the SADC region to assist the DRC because chances of the virus outbreak spreading throughout the region are quite high.

DENOSA is particularly concerned with the vulnerability of health workers in rural areas where the guard is low against outbreaks like the Ebola in terms of resources. Most concern is on the nurses working in health facilities closer to the borders where community members from different countries visit those facilities in large numbers, as nurses often have to work without protective gear. 

End 

Issued by the Democratic Nursing Organisation of South Africa (DENOSA)

For more information and comment, contact:

Cassim Lekhoathi, DENOSA Acting General Secretary

Mobile: 082 328 9671 

OR 

Simon Hlungwani, DENOSA President

Mobile: 082 328 9635

Website: www.denosa.org.za

Facebook: DENOSA National Page 

Twitter: DENOSAORG  

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DENOSA statement on the release of NHI and Medical Schemes Amendment bills...

Media statement

Friday, 22 June 2018

The Democratic Nursing Organisation of South Africa (DENOSA) notes the release of two critical bills that intend to shape the country’s healthcare system towards realization of universal access to health for all South Africans – Medical Schemes Amendment Bill and National Health Insurance (NHI) Bill – which are out for public comment.

DENOSA believes that the release of the bills takes the country a few steps towards this goal of achieving universal health coverage. The injustice in the creation of two health systems in the country – the private healthcare which is catering specifically for the 16% of South African income-earners who can afford to pay and the public healthcare for both medical scheme members and those who are either unemployed or in informal employment.

Creating a single healthcare funding mechanism for ALL South Africans’ health needs was always the logical and non-discriminatory route the country needed to have taken a long time ago.  May the processes of setting up structures of NHI as well as finalization of its financing model move faster.

In the Medical Schemes Amendment Bill, DENOSA is particularly happy with the proposals to do away with the co-payment provision, abolishing of brokers and the abolishing of Prescribed Minimum Benefits (PMBs). These will surely have positive effects on the lowering of costs for those belonging to medical schemes, and that the schemes will also be forced to include primary healthcare in their packages.

As an organisation for nurses who are majority health professionals, we understand that it is impossible to eradicate every deficiency in the country’s healthcare system before NHI is ushered in. However, we feel that there should be a clearly defined forward-looking way of dealing with the current backlog of problems, particularly the issue of the severe shortage of nurses and other health professionals who will be greatly needed if both quality and affordable healthcare is to be achieved.  Currently, we do not see that forward-looking commitment and solutions-based plan, and already we are entering the second-phase of NHI.

One such solution, which DENOSA will include in its comments to the NHI Bill, is the essence of reopening the previously closed nursing colleges so that production levels of nursing professionals could satisfy the country’s dire need.

NHI gives great emphasis on primary healthcare, and primary healthcare is dominated by nursing cadres with Schools Health programme and the introduction of Community Health Workers at the apex of it, both of which are dominated by nursing cadres.

DENOSA really hopes that the minister finds it in his good heart to accept that there a need to fulfill the promise made by government in 2011 to reopen and revitalize the previously closed nursing colleges, and that the Treasury and Presidency see the importance of this in line with the achievement of NHI.  

DENOSA congratulates government for releasing these two ground-breaking bills as they stand to benefits patients and communities. 

End

Issued by the Democratic Nursing Organisation of South Africa (DENOSA)

For more information, contact:

Simon Hlungwani, DENOSA President.

Mobile: 082 328 9635

Or

Cassim Lekhoathi, DENOSA Acting General Secretary

Mobile: 082 328 9671

Website:www.denosa.org.za

Facebook: DENOSA National Page

Twitter: @DENOSAORG  

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DENOSA Mpumalanga statement on the attack of a nurse yesterday ...

Media statement 

Tuesday, 19 June 2018 

 

The Democratic Nursing Organisation of South Africa (DENOSA) in Mpumalanga is disturbed by yesterday’s attack and stabbing of a nurse by a patient inside the facility at Glenmore Clinic, in the Chief Albert Luthuli Sub-District in Gert Sibande region which is a pilot site for National Health Insurance in Mpumalanga and calls for the Department to deploy armed guards in clinics like in hospitals and CHCs. 

This recent incident is disturbing because DENOSA always emphasized that securities must do their work; now it’s evident that our nurses are not safe in facilities. We are reminding nurses across Mpumalanga that safety is their right at the workplace and we call on them not to agree to work in an unsafe environment and that they must inform DENOSA should their safety be compromised. We call all progressive forces to join us on the fight for safety in the workplace. 

Not long ago, a doctor was shot at Mapulaneng Hospital which prompted the Department to deploy armed guards in hospitals and Community Health Centres (CHCs). But clinics were left out as if a health worker must first be killed or injured before safety issue is looked at. 

“As DENOSA, we call on government of Mpumalanga to allow Department of Health in the province to manage safety of facilities,” says DENOSA Mpumalanga Provincial Secretary, Mzwandile Shongwe. 

“Because it is evident that the Department of Safety and Security in Mpumalanga has failed to ensure safety in health facilities. We call on the Department of Health in Mpumalanga to stop outsourcing security, even where there outsourced securities, they are always found wanting and not well-resourced, let alone efficient. It’s high time that they insourced security.”

The issue of tenderpreneurs is not meant to assist workers but to loot the state. Patients are killed in health facilities, our members are being assaulted, shot at in the workplace. We call on workers to unite across all spheres to fight for their safety in the workplace which is a right that they enjoy.

End 

Issued by the Democratic Nursing Organisation of South Africa (DENOSA) in Mpumalanga

For more information, contact:

Mzwandile Shongwe, Mpumalanga Provincial Secretary 

Mobile: 079 501 5131 or 072 564 0136 

Tel: 013 752 4943

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Trauma Nursing Matters...

Evidence based practice: Is cricoid pressure effective in preventing gastric aspiration during rapid sequence intubation in the emergency department?

By Ntombifuthi Jennet Ngiba (BN) (UKZN).

There is on-going change within trauma nursing due to increased research in the area. Practices have been routinely adopted as the norm, but subsequently on further examination proven to be useless and more of a risk to the patient (Moore & Lexington, 2012). Research has brought into question practices or techniques such as the application of cricoid pressure during rapid sequence tracheal intubation. This practise was goaled at preventing the regurgitation of gastric content into the pharynx and subsequent aspiration into the pulmonary tree, but now questioned.

Cricoid pressure was briefly defined by Sellick in 1961 as a method used to reduce the risk of aspiration during the induction phase of anaesthesia. Sellick`s technique was to apply backwards pressure to the cricoid cartilage, compressing the oesophagus against the underlying vertebral body (Ellis, Harris & Zideman 2007; Priebe 2005). In this application of pressure the oesophageal lumen is occluded, preventing the passage of regurgitated gastric content into the pharynx and subsequent aspiration into the pulmonary tree (Stewart et al, 2014). Cricoid pressure is incorporated into the overall approach in reducing the chances of aspiration through rapid sequence induction of anaesthesia (Ellis et al., 2007; Priebe 2005). Over the years rapid sequence induction has been adapted by emergency physicians to allow ventilation as required to prevent hypoxia and subsequently termed “rapid sequence tracheal intubation”. Rapid sequence tracheal intubation (RSTI) is now the most widely used technique for tracheal intubation in the emergency department (ED) and cricoid pressure is taught as a standard component of emergency airway management (Ellis et al., 2007).

Despite inadequate scientific evaluation of the risks and benefits of cricoid pressure it is adopted as an integral component of rapid sequence intubation in EDs. No randomised controlled trials have shown any benefit of its use during rapid sequence intubation (Trethewy, Burrows, Clausen & Doherty, 2012). Furthermore, the application of cricoid pressure may be linked to increased risks to the patient such as  impeding airway management, prolonging intubation time by concealing laryngeal view, inducing nausea/vomiting and oesophageal rupture with excessive force (Ellis et al., 2007; Priebe 2005;Trethewy, et al, 2012). Paradoxically, cricoid pressure may promote aspiration by relaxing the lower part of the oesophagus (Ellis et al., 2007). Some case reports note that tracheal intubation was impeded by cricoid pressure and regurgitation occurred despite application of cricoid pressure, possibly due to its improper application (Trethewy, et al, 2012). According to Bhatia, Bhagat and Sen (2014) the application of cricoid pressure increases the incidence of lateral displacement of the oesophagus from 53% to 91%.

However despite this evidence and the outcome of Trethwy’s (2012) RCT the judicial system appears guided in its judgement by outdated practises. A judge in UK ruled against an anaesthesiologist for failing to apply cricoid pressure to a patient with irreducible hernia who had regurgitated and aspirated. The judge argued that “We cannot assert that cricoid pressure is not effective until trials have been performed, especially as it is an integral part of anaesthetic technique that has been associated with a reduced maternal death rate from aspiration since the 1960's” (Bhatia et al. 2014). Therefore one may say that despite cricoid pressure entering medical practice on limited evidence and only supported by common sense, it somehow remains the practice of choice (Bhatia et al., 2014).

Thus it is about time nurses and doctors embrace evidence-based practice within the emergency department and let go of traditional practice that are proven to do more harm than good. There is still a great need for further evidence-based practice within the emergency department, to investigate the validity of the notion that cricoid pressure prevents regurgitation.

Ntombifuthi Jennet Ngiba is a Professional Nurse at Greytown Hospital.

REFERENCES

Bhatia N, Bhagat H & Sen I. (2014). Cricoid pressure: Where do we stand? J Anaesthesiol Clin Pharmacol, Vol 30 pp 3 – 6.

Ellis D.Y, Harris T & Zideman D. (2007). Cricoid pressure in the emergency department rapid sequence tracheal intubations: a risk-benefit analysis. American College of emergency physicians.Vol 50, pp 653 – 665. 

Moore K & Lexington K.Y (2012). Evidence-based practise guidelines for trauma care. Journal of emergency nursing. Vol 38, pp 401-402.

Priebe H.J, (2005). Cricoid pressure: an alternative view. Elsevier. Germany.

Stewart J.C, Bhananker S, & Ramaiah R. (2014). Rapid-sequence intubation and cricoid pressure. J Crit Illn Inj Sci, Vol 4, pp 42 - 49.

Trethewy C.E, Burrows J.M, Clausen D & Doherty S.R. (2012). Effectiveness of cricoid pressure in preventing gastric aspiration during rapid sequence intubation in the emergency department: study protocol for a randomised controlled trial. BioMedCentral. Australia. Retrieved 04 August 2016: http://www.trialsjournal.com/content/13/1/17


 

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National changes in nursing training: South African perspectives 2015...

Dr. Respect Mondli Miya,(D.Lit et Phil)

Senior Lecturer: Psychiatry at Durban University of Technology, Department of Nursing Science

 

Nursing is a career of love rooted in rich and fertile soil governed by caring ideologies and philosophies. Individuals within the profession have strong and inexplicable desires to serve and preserve humanity at all cost. The nursing profession drives the health care system and is forever in the forefront of preventing, promoting and management of various diseases.  Nurses have always been there and have survived trials and tribulations. Nursing demands not only the brain for cognitive purposes but a humble heart, selflessness in daily duty execution. An individual without passion for the sick will never survive a minute of nursing’s demanding tasks.

Nursing novices are professionally socialized and groomed on their first day of training. Noble traditions of nursing are gradually unpacked and monitored up to graduation to enhance relevance and dignity of nursing profession. Nursing demands the utmost respect for humanity even after death itself. Most professions have minimum set of working hours yet nursing philosophy calls and promotes dedication beyond duty. Nursing is a way of living not just mere qualification written on papers but lived and experienced charisma. 

Historically, nursing was viewed as a religious vocation and was predominantly religious in nature which explains chapels, and meditation designated facilities utilized for prayers before commencing daily duties in old hospitals. Nursing training in South Africa before 1976 was hospital-based hence the notion of viewing nursing as a “hands-on” career has been accepted nationally and acknowledged by most prolific nursing scholars who remain sceptical to have nursing pitched at a degree level and offered in higher training of education in South Africa.   

Such training exposed and subjected nurses to poor recognition as a career.  Nurses were abused and viewed as medical officers’ hand maids who were good for nothing but to offer a bed pan, bathing the sick, and carry orders as prescribed without being objective. The training at that time was strict and limiting, even the scope of practice was limited and nobody could imagine a degree in nursing or university based nursing teaching and learning. Hospitals mostly trained nurses in general nursing and later midwifery.

Around 1987, nursing in South Africa was gradually introduced in tertiary education system and scope of practice and curriculum were amended. Nursing graduates were introduced to a 4-year degree obtaining general, psychiatry, midwifery and community health nursing. That made older nurses to feel bitter and never fully accepted university graduates as satisfactorily trained. Even medical officers were threatened and witness role change from nurses as hand maids into fully recognized members of the multidisciplinary health team with independent roles and functionality. These changes failed to bridge the gap of scope of practice and remuneration packages. Even to this date, the university and hospital trained nurses earn the same salary and follow same stream of training regulated by the same nursing Act 50 of 1978 as amended with specification stipulated in Regulation 425 (R.425).

The nursing act 33 of 2005 introduced community service of one year post- training for both hospital- and university-trained individuals. Errors still exist within the nursing education such as same recognition of a hospital and university trained graduate have similar scope of practice, universities are allowed to implement R425 differently. For example, some South African universities train students for six months in midwifery while others dedicate two full years for midwifery and three years for community health nursing which is offered for six months in colleges and some universities. The problem in South Africa is that there is one R.425 and implemented differently from one university to the other.

The current health ministry is proposing nursing training restructurization. In the proposal dated 23 July 2015, it recommends reintroduction of the old nursing training system with a hope of extending the nursing training duration and to phase out the R.425 of Act 50 (1978). The current proposal overlooks scope of practice and remuneration packages of such graduates irrespective of their qualification which is an error not even Occupational Specific Dispensation (OSD) could resolve in 2007. OSD failed to address issues of salaries in the nursing fraternity; an obvious error is that a nursing lecturer is graded as a nursing specialist.

The unresolved question here is: Who teaches the other? And why do they earn same salary if the other is a teacher? Up to the very same date, the public health system continues to fail to distinguish university graduates from hospital nursing graduates yet continues to differentiate auxiliary social worker from a University graduate Social Worker, and experienced Medical Officer from a Master of Medicine graduate. Why not with nursing in South Africa? 

The proposed training changes are as follows: general nursing and midwifery be done in a college over a period of four years without indicating whether that shall be Bachelor of nursing offered in a college which can never materialize as colleges do not offer degrees but universities do. If agreed upon, this will mean degrading the dignity of nursing as a profession over medicine which continues to be offered in the university without interruptions.

According to the proposed plan, nursing training is extended to 9 years (four year of midwifery and general, 18 months of psychiatry and one year of community health) which is unnecessary waste of time for an undergraduate qualification yet medicines years of training have been reduced to 5 years (MBCHB).

 

There is absolutely no need for such drastic changes in the nursing education.  It is alarming to witness MBCHB years of training have been reduced to five years and get paid a satisfactory remuneration package compared to Bachelor of Nursing graduates with stagnant remuneration. The introduction of Masters Degree in Medicines in South Africa is preparing sound clinical researchers and such projects (thesis and dissertations) are evaluated by nursing professors who in turn receive less recognition and degrading salaries compared to MMed graduates.

The South African health system requires the following:

1.     Strong and vocal task team of nursing professors who shall preserve the image and dignity of nursing as a profession and strongly oppose plans to change nursing training.

2.     No college shall be allowed to offer a bachelor of nursing, strictly universities only.

3.     Salary packages to be reviewed and sort clear distinction of a university graduate over a hospital trained graduate.

4.     Revised scope of practice, degree holders be given more opportunity to execute complex clinical procedures and be given better remuneration packages.

5.     Chief Nursing Officer to be more vocal and avoid external influences to disorganise nursing training.

6.     Hospitals to create portfolios and acceptable remuneration packages for all nursing qualifications from a diploma to PHD level.

7.     All South African universities to adopt and implement similar training structure  that is two years of midwifery, two years of psychiatry and two years of community health nursing

8.     Develop a Nursing Ministry by nurses with nurses and for nurses.

9.     MBCHB degree be afforded same status as B.Cur degree thereafter if need be.

10.  South African nursing council to be headed by prolific PHD holders and nursing qualifications be regulated and registered up to PHD level.

11.  Any qualification obtained outside university be regarded as either associate professional nurse and associated medical office until related exam has been endorsed by the regulating body.

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WHY DO WE SAY NURSING IS A CALLING? ...

 
We are professionals, and let us fight to be recognised as such… 
Vuyolwethu Mashamayite - 20150728_073623
By Vuyolwethu Mashamaite 
Ever since I joined nursing in 2005 I have heard nurses say nursing is a ‘calling’ and it's not about money. I couldn't understand why they said so and I still don't.   
I believe that everyone is called by God to be in the profession or job they are doing, unless nurses consider themselves in the same umbrella as ‘Sangomas’ and ‘Preachers’. Those are the people who will leave their profession or jobs and focus on their calling or do both, regardless of whether they are paid or not. 
Perhaps this could be the reason why nurses are under-paid and left to work in extreme unfavourablecircumstances ...because it’s a "Calling".
Don't get me wrong; I have passion and great respect for human life as a nurse. But I cannot keep quiet. Nurses are the most abused professionals by the employer because they consider themselves "called" instead of being employed professionals.
Nurses you are jack of all trades doing everyone's jobs from a cleaner to a doctor but come pay day you are the ones who cry the most because you are underpaid while doing everyone's jobs. I guess it's the consequences of having been “called" instead of being professional.
We feel so comfortable working out of our scope of practice to an extent that we run a risk of performing tasks that we are not equipped to do. When told it's not your scope of practice you tell us of how long you've been doing this and you didn't kill anyone. But the South African Nursing Counci (SANC) is out there nailing nurses and not considering your "calling" but rather your profession and scope of practice.
What hurts the most is the fact that you studied for four years and someone from another discipline who studied the same years is treated and paid better than you. I guess they are professionals and you are in a "calling". 
Nurses, let's STOP hiding behind "CALLING" and start taking our profession seriously. If you don't do it, no one will do it for you. Like it or not we are professionals and let us fight to be recognised as such. 
Vuyolwethu is a nurse based in Kimberley, Northern Cape   
End

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Publications

Nursing Update

         
January 2018

Nursing Update is jointly published by the Democratic Nursing Organisation of South Afr... More.

Curationis

         
January

Curationis provides a forum for cutting-edge theories and research models related to th... More

About us

The Democratic Nursing Organisation of South Africa (DENOSA) in its current form was established on 5 December 1996.

The organisation was formed through political consensus after the transition to democracy and was mandated by its membership to represent them and unite the nursing profession. Prior to this, the South African Nursing Council (SANC) and the South African Nurses Association (SANA) were statutory bodies which all nurses had to join. It was also important after the transition to democracy to incorp... Read more