DENOSA Mpumalanga and Department of Health to host International Nurses Day event in Volkrust...

Press statement 

Tuesday, 21 May 2019

The Democratic Nursing Organisation of South Africa (DENOSA) in Mpumalanga, in collaboration with the provincial Department of Health, will be hosting International Nurses Day event at Volkrust Town Hall in Volkrust on Thursday 23 May.

 

The event will see close to 2000 nurses embarking on a health march from Amajuba Hospital to Volkrust Town Hall at 09h00 to highlight the essence of access of healthcare to all people, in line with this year’s theme for International Nurses Day, which is: “Nurses – A Voice To Lead – Health For All”.

 

The event will also highlight the need to enhance and advance quality healthcare for all through the use of National Health Insurance (NHI), and to advocate for the realization of Nursing Education as a critical indicator of community healthcare system.

 

DENOSA 2nd Deputy President, Thandeka Msibi, will deliver the keynote address. Head of Department at the Department of Health, Dr Savera Mohangi, will also address the event. To give messages of support will be COSATU Provincial Secretary in Mpumalanga, David Mokoena, NEA and alliance partners.

Members of the media are cordially invited to the event: 

For more information, contact:

DENOSA Provincial Secretary: Mzwandile Shongwe – 072 564 0136 or Provincial Organiser, Thulani Masombuka – 072 456 4902

Department of Health: Chris Nobela – 082 887 9465

End

Issued jointly by the Democratic Nursing Organisation of South Africa (DENOSA) in Mpumalanga and provincial Department of Health

…………………..

 

BACKGROUND:  

 

As the world observed International Nurses Day yesterday under the theme “Nurses – A Voice to Lead – Health for All”, with more events commemorating the day still lined up throughout the country in the month of May, the Democratic Nursing Organisation of South Africa (DENOSA) would like to applaud the excellent role that nurses continue to play in fighting diseases and illnesses despite the many challenges that they work under.

 

It is without a doubt that the many health successes the country registered over the years are thanks to the sterling work that nurses continue to do. Successes in terms of health outcomes are there for everyone to see, with the increased life expectancy among South Africans being the main outcome.

SA boasts having the world's biggest Anti-Retroviral Therapy (ART) programme that manages HIV, which is led by nurses. Since 2010, when nurses underwent training on the nurse-led Nurse-Initiated Management of Anti-Retroviral Therapy (NIMART), the many deaths caused by HIV/AIDS have been reduced drastically and people living with HIV are now living longer, working and providing for their families, and are healthier. NIMART meant that, just like doctors, nurses could test and give medication to HIV positive patients.        

 

Similarly, the country is leading in the world with its fight against TB, which, just like HIV/AIDS, was as deadly before. These and many other success stories in our healthcare are owed to the diligent work that nurses continue to do in our health facilities, often with little appreciation.  

                                                                                                                                                                                             

Despite the many successes, however, DENOSA would like to point to a number of systemic factors that are preventing both nurses from unleashing their full potential in rendering healthcare that is accessible to all and the country from achieving even greater positive health outcomes, including the realization of universal health coverage: 

 

  • The shortage of staff, medication, equipment and resources in facilities which often lead to community members getting angry at nurses and thus seeing the profession in a negative light; 

  • Poor support of nurses by the Departments of Health;

  • Lack of Continuous Professional Development opportunities afforded to nurses at work due to shortage of staff and poor HR Planning;

  • Poor remuneration of nurses; 

  • Poor safety for health workers and patients in health facilities; 

 

DENOSA would like to call on communities to come on board and make their voice heard about the challenges above, because they affect the very same communities. 

 

Furthermore, strengthened prevention programmes could do even more health services for communities if more nurses were to be hired by government in our public primary health facilities, which look after 84% of the country’s population plus people from other countries.  

 

In order for all communities and people to access our healthcare, the expansion of operating hours for many clinics into 24-hour service centres, fully staffed, well-resourced and equipped, must be realized. This will practicalize a truly re-engineered primary healthcare in the country.

 

DENOSA bows to every single nurse for making a difference in the lives of the people in their most vulnerable state. 

 

DENOSA has and will continue to host International Nurses Day celebrations for nurses in provinces in the following dates: 

 

 

 

DATE

PROVINCE

VENUE

CONTACT PERSON

12 May

Gauteng

Vaal

Bongani Mazibuko: 071 686 9544

Northern Cape

Galeshewe, Kimberley

Anthony Vassen: 072 569 9838

17 May

Free State

Gariep Resort, Xhariep

Matshidiso Dipudi: 072 561 8066

22 May

KwaZulu-Natal

Grey’s Hospital, Pietermaritzburg

Sindi Ngcobo: 071 643 3276

23 May

Mpumalanga

Volkrust Town Hall, Volkrust

Mzwandile Shongwe: 072 564 0136

24 May

North West

Mmabatho Civic Centre

Motlalepule Ramafoko: 071 645 7980

24 May

Western Cape

Bellville Community Hall, Bellville 

Danver Roman: 082 775 7739

29 May

Limpopo

United Reformed Church of South Africa (URCSA), Flora Park, Polokwane

Cornwell Khoza: 072 576 4979

TBC

Eastern Cape

TBC (events to be held in regions)

Khaya Sodidi: 072 573 3315

 

 

End 

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DENOSA KZN and Department of Health to host International Nurses Day event in Pietermaritzburg...

MEDIA ALERT

Tuesday, 21 May 2019

The Democratic Nursing Organisation of South Africa (DENOSA) in KwaZulu-Natal, in collaboration with the provincial Department of Health, will be hosting International Nurses Day event for the nurses in the province at Grey’s Hospital in Pietermaritzburg on Wednesday 22 May.

 

The event will be held under this year’s theme for International Nurses Day, which is: “Nurses – A Voice To Lead – Health For All”.

The event will also highlight the need to enhance and advance quality healthcare for all through the use of National Health Insurance (NHI), and to advocate for the realization of Nursing Education as a critical indicator of community-oriented healthcare system.

 

DENOSA 1st Deputy President, Professor Mavis Mulaudzi, will deliver the keynote address. Deputy Director-General at the Department at the Department of Health, Dr Zungu, will also address the event.

Members of the media are cordially invited to the event:

 

For more information, contact:

 

DENOSA Provincial Secretary: Mandla Shabangu – 071 643 3369  

 

End

 

Issued jointly by the Democratic Nursing Organisation of South Africa (DENOSA) in KwaZulu-Natal and KZN Department of Health

 

……………………….

 

BACKGROUND:  

 

As the world observed International Nurses Day yesterday under the theme “Nurses – A Voice to Lead – Health for All”, with more events commemorating the day still lined up throughout the country in the month of May, the Democratic Nursing Organisation of South Africa (DENOSA) would like to applaud the excellent role that nurses continue to play in fighting diseases and illnesses despite the many challenges that they work under.

 

It is without a doubt that the many health successes the country registered over the years are thanks to the sterling work that nurses continue to do. Successes in terms of health outcomes are there for everyone to see, with the increased life expectancy among South Africans being the main outcome.

 

SA boasts having the world's biggest Anti-Retroviral Therapy (ART) programme that manages HIV, which is led by nurses. Since 2010, when nurses underwent training on the nurse-led Nurse-Initiated Management of Anti-Retroviral Therapy (NIMART), the many deaths caused by HIV/AIDS have been reduced drastically and people living with HIV are now living longer, working and providing for their families, and are healthier. NIMART meant that, just like doctors, nurses could test and give medication to HIV positive patients.        

 

Similarly, the country is leading in the world with its fight against TB, which, just like HIV/AIDS, was as deadly before. These and many other success stories in our healthcare are owed to the diligent work that nurses continue to do in our health facilities, often with little appreciation.  

 

                                                                                                                                                                                                           

 

Despite the many successes, however, DENOSA would like to point to a number of systemic factors that are preventing both nurses from unleashing their full potential in rendering healthcare that is accessible to all and the country from achieving even greater positive health outcomes, including the realization of universal health coverage: 

 

  • The shortage of staff, medication, equipment and resources in facilities which often lead to community members getting angry at nurses and thus seeing the profession in a negative light; 

  • Poor support of nurses by the Departments of Health;

  • Lack of Continuous Professional Development opportunities afforded to nurses at work due to shortage of staff and poor HR Planning;

  • Poor remuneration of nurses; 

  • Poor safety for health workers and patients in health facilities; 

 

DENOSA would like to call on communities to come on board and make their voice heard about the challenges above, because they affect the very same communities. 

 

Furthermore, strengthened prevention programmes could do even more health services for communities if more nurses were to be hired by government in our public primary health facilities, which look after 84% of the country’s population plus people from other countries.  

 

In order for all communities and people to access our healthcare, the expansion of operating hours for many clinics into 24-hour service centres, fully staffed, well-resourced and equipped, must be realized. This will practicalize a truly re-engineered primary healthcare in the country.

 

DENOSA bows to every single nurse for making a difference in the lives of the people in their most vulnerable state. 

 

DENOSA has and will continue to host International Nurses Day celebrations for nurses in provinces in the following dates: 

 

DATE

PROVINCE

VENUE

CONTACT PERSON

12 May

Gauteng

Vaal

Bongani Mazibuko: 071 686 9544

Northern Cape

Galeshewe, Kimberley

Anthony Vassen: 072 569 9838

17 May

Free State

Gariep Resort, Xhariep

Matshidiso Dipudi: 072 561 8066

22 May

KwaZulu-Natal

Grey’s Hospital, Pietermaritzburg

Sindi Ngcobo: 071 643 3276

23 May

Mpumalanga

Volkrust Town Hall, Volkrust

Mzwandile Shongwe: 072 564 0136

24 May

North West

Mmabatho Civic Centre

Motlalepule Ramafoko: 071 645 7980

24 May

Western Cape

Bellville Community Hall, Bellville 

Danver Roman: 082 775 7739

29 May

Limpopo

United Reformed Church of South Africa (URCSA), Flora Park, Polokwane

Cornwell Khoza: 072 576 4979

TBC

Eastern Cape

TBC (events to be held in regions)

Khaya Sodidi: 072 573 3315

 

 

 

 

 

End 

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DENOSA statement on International Nurses Day events that will continue throughout the month of May...

Press statement  

Monday, 13 May 2019 

 

As the world observed International Nurses Day yesterday under the theme “Nurses – A Voice to Lead – Health for All”, with more events commemorating the day still lined up throughout the country in the month of May, the Democratic Nursing Organisation of South Africa (DENOSA) would like to applaud the excellent role that nurses continue to play in fighting diseases and illnesses despite the many challenges that they work under. 

It is without a doubt that the many health successes the country registered over the years are thanks to the sterling work that nurses continue to do. Successes in terms of health outcomes are there for everyone to see, with the increased life expectancy among South Africans being the main outcome.

 

SA boasts having the world's biggest Anti-Retroviral Therapy (ART) programme that manages HIV, which is led by nurses. Since 2010, when nurses underwent training on the nurse-led Nurse-Initiated Management of Anti-Retroviral Therapy (NIMART), the many deaths caused by HIV/AIDS have been reduced drastically and people living with HIV are now living longer, working and providing for their families, and are healthier. NIMART meant that, just like doctors, nurses could test and give medication to HIV positive patients.         

 

Similarly, the country is leading in the world with its fight against TB, which, just like HIV/AIDS, was as deadly before. These and many other success stories in our healthcare are owed to the diligent work that nurses continue to do in our health facilities, often with little appreciation.   

                                                                                                                                                                                                           

Despite the many successes, however, DENOSA would like to point to a number of systemic factors that are preventing both nurses from unleashing their full potential in rendering healthcare that is accessible to all and the country from achieving even greater positive health outcomes, including the realization of universal health coverage:  

-          The shortage of staff, medication, equipment and resources in facilities which often lead to community members getting angry at nurses and thus seeing the profession in a negative light;  

-          Poor support of nurses by the Departments of Health; 

-          Lack of Continuous Professional Development opportunities afforded to nurses at work due to shortage of staff and poor HR Planning; 

-          Poor remuneration of nurses;  

-          Poor safety for health workers and patients in health facilities;  

DENOSA would like to call on communities to come on board and make their voice heard about the challenges above, because they affect the very same communities.  

Furthermore, strengthened prevention programmes could do even more health services for communities if more nurses were to be hired by government in our public primary health facilities, which look after 84% of the country’s population plus people from other countries.   

In order for all communities and people to access our healthcare, the expansion of operating hours for many clinics into 24-hour service centres, fully staffed, well-resourced and equipped, must be realized. This will practicalize a truly re-engineered primary healthcare in the country. 

DENOSA bows to every single nurse for making a difference in the lives of the people in their most vulnerable state.  

DENOSA has and will continue to host International Nurses Day celebrations for nurses in provinces in the following dates:  

DATE

PROVINCE

VENUE

CONTACT PERSON

12 May 

Gauteng

Vaal 

Bongani Mazibuko: 071 686 9544 

Northern Cape

Galeshewe, Kimberley 

Anthony Vassen: 072 569 9838 

17 May 

Free State 

Gariep Resort, Xhariep 

Matshidiso Dipudi: 072 561 8066

22 May 

KwaZulu-Natal

Grey’s Hospital, Pietermaritzburg

Sindi Ngcobo: 071 643 3276

23 May 

Mpumalanga 

Volkrust Town Hall, Volkrust 

Mzwandile Shongwe: 072 564 0136 

24 May 

North West 

Mmabatho Civic Centre 

Motlalepule Ramafoko: 071 645 7980

24 May 

Western Cape

Bellville Community Hall, Bellville  

Danver Roman: 082 775 7739

29 May 

Limpopo

United Reformed Church of South Africa (URCSA), Flora Park, Polokwane

Cornwell Khoza: 072 576 4979 

TBC

Eastern Cape 

TBC (events to be held in regions) 

Khaya Sodidi: 072 573 3315

 

End 

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

For more information, contact:

Cassim Lekhoathi, Acting General Secretary: 082 328 9671 

Or 

Simon Hlungwani, DENOSA President:  082 328 9635 

Website: www.denosa.org.za

Facebook: DENOSA National Page 

Twitter: @DENOSAORG

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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

         
March 2019

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