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Nursing Education Situation in the Philippines


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Export of Filipino Nurses: From Brain Drain to National Hemorrhage to NLE Leakage

Published in: Health & Medicine
  • @ecaneysyd
    your school should not have allowed you to graduate before you finish your scrubs...go back to your school and complain to them cause it is only them who can help you.
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  • @agayhomo
    FYI - It is not a waste of time & money! In fact, you are saving time and money because nursing in the US is very expensive...
    fyi, even if you are already a licensed nurse in the Philippines, you will still be required to take the National Council Licensure Examination/NCLEX (previously called the State board examination) if you wish to work as a nurse in the US regardless of your citizenship. Therefore, it is not a discrimination for US citizens...that is a Philippine law. Respect it!
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    Please, DO NOT take up NURSING education in the Philippines! If you are a U.S. citizen the PRC & BON will DISCRIMINATE AGAINST YOU! And, you can NOT take the board exam. Therefore, you can NOT practice in the U.S. if your state requires a license from the country you were educated in.

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  • helpful website that help others. This website has practice exams for various nursing classes as well as videos, presentations, notes, nclex help, and many other tools . Hope they help
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  • i am a fresh graduate nursing here in the philippines.... supposed to be i will going to take the board exam this december 2010... but there's a problem, we still in stage of processing our scrubs. but we already finished the requirement before our clinical graduation. there is one who already toke the board exam and the other two are filling there papers in PRC. our dean priorities this three person. right now i am bothered if there's any law or any act that can persecute our deans for this action of his? the number of our batch who graduate this year are 88. only 1 finished the board and their are two who are still filling there papers. so meaning 85 are still processing the scrubs... please guys help if there is any one of you know any regulation that can punished the dean because of this...please help me.... i like to complain to the ched.. but i dont know what are the things will i do! please email me if there is in my account ECANEYSDY@YAHOO.COM
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Nursing Education Situation in the Philippines

  1. 1. Export of Filipino Nurses: From Brain Drain to National Hemorrhage to NLE Leakage Health Alliance for Democracy (HEAD) 13 September 2006
  2. 2. Exporting Health Human Resource <ul><li>No. 1 Exporter of Nurses </li></ul><ul><li>“ An estimated 85% of employed Filipino nurses (more than 150,000) are working internationally.” (Aiken et al 2004) </li></ul><ul><li>“ 70% of all Filipino nursing graduates are working overseas.” (Bach 2003) </li></ul><ul><li>No. 2 Exporter of Doctors </li></ul><ul><li>“ 68% of Filipino doctors work overseas, next to India.” (Mejia, WHO 1975) </li></ul><ul><li>(NIH 2004) </li></ul>
  3. 3. Hemorrhage of Human Resources: Nurses <ul><li>13,536 nurses left in 2001. </li></ul><ul><li>2000-2003: approx 50,000 nurses left. </li></ul><ul><li> “ Data casts doubt on the underreporting of the Philippine Overseas Employment Agency (POEA) that shows only 91 nurses left for the USA in 2000, 304 nurses in 2001, and 320 nurses in 2002.” (Tan et al 2004) </li></ul>
  4. 4. Top 5 Destinations of Filipino Nurses <ul><li>United States of America </li></ul><ul><li>United Kingdom </li></ul><ul><li>Saudi Arabia </li></ul><ul><li>Ireland </li></ul><ul><li>Singapore </li></ul><ul><li>“ The number of nurses that left in the last 4 years (50,000) far exceeds the production of nurses of only 20,000 in the same period.” </li></ul><ul><li>(NIH 2004) </li></ul>
  5. 5. Deteriorating Quality of Nursing Education <ul><li>The number of nursing schools have increased </li></ul><ul><li>1970s: only 40 </li></ul><ul><li>1990s: 170 </li></ul><ul><li>June 2003: 251 </li></ul><ul><li>April 2004: 370 </li></ul><ul><li>June 2005: 441 </li></ul><ul><li>June 2006: 470 </li></ul><ul><li>By June 2006, almost 200% increase in nursing schools nationwide since 2003 </li></ul><ul><li>(NIH 2004) </li></ul>
  6. 6. Deteriorating Quality of Nursing Education <ul><li>Decreasing proportion of nursing graduates who pass the national nursing licensure examinations </li></ul><ul><li>1970s and 80s: 80%-90% </li></ul><ul><li>1991: below 61% </li></ul><ul><li>2001-2003: 44%-48% </li></ul><ul><li>2004: 55.9% </li></ul><ul><li>2005: 49.7% </li></ul><ul><li>2006: 42.42% </li></ul><ul><li>(NIH 2004, PRC 2005) </li></ul>
  7. 7. Deteriorating Quality of Nursing Education <ul><li>In 2001 </li></ul><ul><li>116 nursing schools: passing rate of <50% </li></ul><ul><li>124 nursing schools: passing rate of >50% </li></ul><ul><li>In 2002, 150 nursing schools had a passing rate <50%, which was already 63% of the 237 nursing schools then. </li></ul><ul><li>In the last 3 NLE 2005, at least 20 schools consistently a <30 % passing rate. </li></ul><ul><li>(NIH 2004) </li></ul>
  8. 8. Hemorrhage of Human Resources: Other Professionals <ul><li>At least 37 Philippine nursing schools offer abbreviated 2-year courses for doctors to become nurses. </li></ul><ul><li>More than 60% of nursing schools are geared mainly for “second coursers” (non-health professionals who want to take up nursing, e.g. engineers, accountants, teachers, soldiers). </li></ul><ul><li>(HSA 2005, PNA 2005) </li></ul>
  9. 9. Hemorrhage of Human Resources: Other Professionals <ul><li>Initial HEAD estimates: </li></ul><ul><li>around 30% of nursing students are “second-coursers” </li></ul><ul><li>at least 80% of those taking up nursing are planning to work abroad </li></ul><ul><li>between 75%-90% of faculty members are planning to work abroad </li></ul><ul><li>(HSA 2005, PNA 2005) </li></ul>
  10. 10. Hemorrhage of Human Resources: Other Professionals <ul><li>Biggest review centers: </li></ul><ul><li>INRESS – P10,000 for 6 weeks </li></ul><ul><li>Gapuz – P13,400 for 3 weeks </li></ul><ul><li>Pentagon – P14,500 from Sept to Dec </li></ul><ul><li>Most nursing colleges also have compulsory “in-house” reviews that are paid for by the students (separate from tuition and other expenses) </li></ul><ul><li>Students/graduates spend around P40,000+ just for review </li></ul>
  11. 11. Exploited Health Human Resources <ul><li>Health workers and professionals are overworked and underpaid. </li></ul>
  12. 12. Exploited Health Human Resources <ul><li>Doctor to patient ratio (population) </li></ul><ul><ul><li>Cuba 1:225 </li></ul></ul><ul><ul><li>USA 1:450 </li></ul></ul><ul><ul><li>Philippines 1:10,000-26,000 </li></ul></ul><ul><ul><li>WHO (Ideal) 1:600 </li></ul></ul><ul><li>Nurses to patient ratio </li></ul><ul><ul><li>PGH 1:15-26 per shift </li></ul></ul><ul><ul><li>Davao del Sur 1:44-45 per shift </li></ul></ul><ul><ul><li>Ideal 1:4 per shift </li></ul></ul><ul><ul><li>Philippines 1:16,000 (population) </li></ul></ul><ul><ul><li>(AHW 2004, HealthWrights 2004) </li></ul></ul>
  13. 13. The Unhealthy Philippine Health Care System <ul><li>“ A health care system that cannot maintain </li></ul><ul><li>its own health human resource </li></ul><ul><li>is not healthy at all.” </li></ul>
  14. 14. The Nursing Exam Leakage <ul><li>The Nursing Licensure Examination (NLE) </li></ul><ul><li>Given by the PRC twice a year </li></ul><ul><li>Exam questions are prepared by members of the Board of Nursing </li></ul><ul><li>Has 5 parts: Test I (Community Nursing), Test II (Maternal and Child), Test III (Medical-Surgical Nursing), Test IV (Fundamentals), Test V (Psychiatric Nursing) </li></ul>
  15. 15. The Nursing Exam Leakage <ul><li>Basic chronology of the NLE leak </li></ul><ul><li>A few days before the June 2006 NLE, INRESS held an “final coaching” at one of the cinemas in SM North EDSA </li></ul><ul><li>Shortly after the NLE, the leakage was exposed in Baguio City. PRC-CAR immediately informed PRC national office. </li></ul>
  16. 16. The Nursing Exam Leakage <ul><li>Basic chronology of the NLE leak </li></ul><ul><li>PRC initially said it would investigate before releasing the list of those who passed. </li></ul><ul><li>Mass resignation of the Technical Committee on Nursing Education (TCNE) on July 7, citing “that CHED has instead (of implementing past memos) buckled down to pressure from poor performing schools, politicians and Malacañang, sacrificing quality for mediocrity and business interest .” </li></ul>
  17. 17. The Nursing Exam Leakage <ul><li>Basic chronology of the NLE leak </li></ul><ul><li>But even without an investigation, the PRC released the list of those who passed and stated there was no leak involved. </li></ul><ul><li>PNA President George Cordero also lobbied the PNA chapter in Baguio to keep the matter under wraps as it might jeopardize the country’s request to be made an NCLEX center. </li></ul>
  18. 18. The Nursing Exam Leakage <ul><li>Basic chronology of the NLE leak </li></ul><ul><li>Nursing groups were formed to pressure the PRC. The UST-led group called for a nullification of the entire NLE and a re-take. </li></ul><ul><li>The nursing community became embroiled and divided on the re-take debate. </li></ul><ul><li>The PRC allowed the oath-taking of those who passed even after promising the ADPCN that it will defer such action. </li></ul>
  19. 19. The Nursing Exam Leakage <ul><li>Basic chronology of the NLE leak </li></ul><ul><li>The UST-led group filed a TRO against the PRC for the oath-taking. The processing of papers also stopped. </li></ul><ul><li>The Senate and the HOR Committees on Health began conducting their respective investigations, but the gov’t agencies involved did not attend the hearings. </li></ul><ul><li>Witness testimonies already point to the involvement of key leaders/members of the PNA and BON. </li></ul>
  20. 20. The Nursing Exam Leakage <ul><li>Major groups implicated </li></ul><ul><li>Dr. George Cordero: owner of INRESS and Philippine Colleges of Health Sciences (PCHS); President of the Philippine Nurses Association (PNA) </li></ul><ul><li>BON members Anesia B. Dionisio and Virginia D. Madeja </li></ul><ul><li>Gapuz and Pentagon Review centers </li></ul><ul><li>PRC Chair Leonor Tripon-Rosero </li></ul>
  21. 21. The Nursing Exam Leakage <ul><li>Major government agencies involved </li></ul><ul><li>Professional Regulation Commission (PRC) </li></ul><ul><li>Board of Nursing (BON) </li></ul><ul><li>Commission on Higher Education (CHED) </li></ul><ul><li>Dante Ang (Commission on Overseas Filipino and Presidential Task Force on the National Licensure Exam/EO 550) </li></ul><ul><li>National Bureau of Investigation </li></ul>
  22. 22. The Nursing Exam Leakage <ul><li>Major groups of stakeholders </li></ul><ul><li>Association of Deans of Philippine Colleges of Nursing (President Carmelita Divinagracia, Dean UERM CN) </li></ul><ul><li>PNA and PNA-CAR </li></ul><ul><li>Concerned Nurses… (UST, FEU) </li></ul><ul><li>ANSWER (broad inter-school alliance) </li></ul><ul><li>BSN (Bukluran ng mga Samahang Nurses) </li></ul><ul><li>Health Alliance for Democracy (HEAD) </li></ul>
  23. 23. The Nursing Exam Leakage <ul><li>Positions regarding the issue </li></ul><ul><li>PRC: “No Leakage”  No Re-take  Voluntary re-take for free  Bonus 2% </li></ul><ul><li>Dante Ang/Arroyo admin: Compulsory Re-take  Compulsory re-take of Tests III and V </li></ul><ul><li>PNA: Re-take all  No re-take </li></ul><ul><li>UST, UE, UP: Compulsory re-take of Tests III, V </li></ul><ul><li>CHED: “Wala kaming kinalaman dyan!” </li></ul>
  24. 24. The Nursing Exam Leakage <ul><li>HEAD analysis </li></ul><ul><li>Leakage is only a symptom of a long-standing deterioration of the nursing education </li></ul><ul><li>Like other exams given by the PRC, the NLE has been fraught with leakages that have exemplified the collusion between gov’t officials and big business </li></ul>
  25. 25. The Nursing Exam Leakage <ul><li>HEAD analysis </li></ul><ul><li>Gov’t agencies (PRC, CHED, BON) have eroded the quality of nursing education and the integrity of the nursing profession </li></ul><ul><li>The actions of gov’t agencies are divisive and meant to distract stakeholders from the main issue </li></ul>
  26. 26. The Nursing Exam Leakage <ul><li>HEAD analysis </li></ul><ul><li>The commercialization of nursing education has worsened the quality of nursing education </li></ul><ul><li>This commercialization is rooted in the Labor Export Policy of the Arroyo regime </li></ul><ul><li>Rather than seek solutions, the Arroyo gov’t seeks to centralize everything (e.g. regulate review centers under gov’t control) to increase its revenues </li></ul>
  27. 27. Health Under the Arroyo Regime <ul><li>Filipino nurses have become a commodity: subject to TRADE and PROFITS </li></ul><ul><li>The national government has ABANDONED its responsibility to ensure the HEALTH of their PEOPLE </li></ul>
  28. 28. WHAT WE WANT <ul><li>HEAD proposals: IMMEDIATE </li></ul><ul><li>Conduct a speedy, thorough, impartial, and independent investigation of the leakage </li></ul><ul><li>Identify and prosecute the guilty </li></ul><ul><li>Completely revamp the PRC, BON, and CHED </li></ul><ul><li>Allow those who have passed to seek jobs without discrimination </li></ul>
  29. 29. WHAT WE WANT <ul><li>HEAD proposals: LONG-TERM </li></ul><ul><li>Review and uphold the recommendations set by the TCNE. Set the standards for nursing schools to operate and ensure compliance </li></ul><ul><li>Ensure the quality of education through a thorough review of the curricula and quality of nursing faculty </li></ul><ul><li>Ensure the integrity of the conduct of examinations and other tests pertinent to the competence of Filipino nurses </li></ul>
  30. 30. WHAT WE WANT <ul><li>HEAD calls: </li></ul><ul><li>Unite and Uphold the Integrity of the Nursing Profession! </li></ul><ul><li>Conduct a Speedy, Thorough, and Independent Investigation! Identify and Prosecute the Guilty! </li></ul><ul><li>Stop the Commercialization of Nursing Education! </li></ul><ul><li>Stop the Arroyo Administration’s Labor Export Policy! </li></ul>
  31. 31. <ul><li>HEAL. </li></ul><ul><li>STRUGGLE. </li></ul><ul><li>LIBERATE. </li></ul><ul><li>Health Alliance for Democracy (HEAD) </li></ul>