The Life of a New Nurse in the Philippines

I graduated as a nurse from a certain University in the Philippines. I was just as excited as any Nursing graduate. Earning a bachelors degree in Nursing was really something in my country. All of those sleepless nights of studying and not to mention the sky-rocketing tuition fees spent by my parents each semester for four years. Nurses General Nursing Article

Almost every parent hoped their son or daughter will finish up Nursing during my time and I think it continues on to the present. It is because of the promise of working abroad. The demand for nurses really perked up a few years back. I guess it was always the issue of searching for greener pastures. The promise of working abroad and earning a lot of money stirred up the ideas of most parents; believing that their son/daughter can fly to US and earn dollars after graduating and passing the Boards. I hope that was the real case...

After I earned the title BSN (Bachelor of Science in Nursing), it was time to review for the Nursing Board Exam. I remembered reviewing for almost a year (I really wanted to have a place on the top 10). I also remembered the efforts of the various review centers; trying to lure as many students as possible. Nursing students are really a good source of money.

So there it was, around 2-3 months of non-stop review and it's off to the board exams. All of the examinees are really aiming to pass the boards in any way possible. I was confident back then. I knew I was going to pass and I was also hoping to pass it with flying colors. The excitement of the boards began to ease out after the exam.

While anticipating for the results, a lot of my friends entered the Call Center industry. After a few months, the results were out, passers had their oath-taking, and we were made to think that we were closer to our goals of going to the promised lands. I immediately took the chance of applying for a nursing job in every hospital (both private and public hospitals).

It was one of the requirements that new board passers must have necessary trainings such as Intravenous insertion, Basic Life Support and the like to be able to be accepted as a nurse in any hospital.

I enrolled in all the trainings required and even had my seminars so that my resume would stand out amongst all job competitors. My efforts on applying in hospitals and clinics continued on even after I got a job from a Review and Training Center for Nurses.

I really liked to live my career as a Nurse in a hospital; caring for patients, but I was financially challenged. I couldn't afford working as a volunteer with less or no pay at all or worst having my training in hospitals and paying for the training with no guarantee of being one of its staffs.

Those were the current situations of newly nursing graduates or board passers here in the Philippines. Wherever I go, the policy is the same: you got to be a volunteer with or without pay or pay a certain amount for on-the-job trainings. If you'll take into consideration on the prices that these hospitals are charging Nurses, you'll also think that it is just a way to earn money out of the poor Nurse's pockets. Regular training costs at around 1000 Philippine peso a month.

Special areas and other well-known hospitals even charge at around 8000-15000 pesos. Do you think that's even fair for new Nurses, whom only depend unto their parents?

What would become of those unfortunate nurses who are unable to have the money necessary for training? This is what had happened to me...

After around a year of applying in various health institutions, I grew weary. I searched for other ways of preserving my knowledge of Nursing aside from trainings and seminars. Another pathway unto the Nursing career is continuing on in Nursing Education. I decided to have my Masters degree without having any clinical experience.

I did this while I am working for a private company on a medical account. Having a Master's degree offered a chance to be employed in a more promising job in Nursing: that is to be a Nursing lecturer or a Clinical Instructor either in the community or the hospital. I am actually doing this for a year now; working in a non-Nursing office while studying for Masters.

Another pathway is having all the exams necessary for landing job abroad. I am also planning to have those exams: IELTS, NCLEX, CGFNS and the like when I already have enough money. It seems to be a promising way to escape the fate of nurses here in the Philippines: to go abroad.

The only problem with applying for a job abroad is that it also requires clinical experience as a staff nurse. I remembered some of my friends being a volunteer for almost a year without pay or having an allowance of just around 50 pesos per day! Because of what is happening, I'm beginning to realize that Nursing is a profession made for rich people who can afford to supply an endless pool of money over trainings and seminars. I'm glad that the Philippine government is implementing some ways of giving a solution on the increasing rate of unemployment in Nursing.

Just last year, the NARS program was made to give nurses a chance to have their experiences for 6 months. Such a good opportunity for nurses, but I think it is not sufficient for answering the problems of unemployment. Nurses continue on having a really tough time here in the Philippines and I'm sure it'll continue on for a few years more as more student Nurses are planning to add on the Nursing population explosion.

Nursing unemployment is really a grave problem these days here in the Philippines. And I think hospitals are taking advantage of new nurses, making them pay for overpricing training fees or offering them a job without pay. I'm really saddened by the way nurses are treated here in the Philippines.

I really hope the newly elected officers of the country would try on considering more possible solutions for this problem. Fellow nurses are now petitioning for free on-the-job trainings for nurses which are to be considered as clinical experience.

Up to this very day, I'm still not losing my grip. I'm still hopeful that I could land a job in a hospital or any health institution, passing my resume to every health institution I can find. I am doing this for the last two years and still hoping...

Specializes in HIV/AIDS, Geriatric.

It is very sad but one must persevere. I just don't understand why the government doesn't address this problem. It has been going on for a while. I graduated 2006 and I had the same experience. I took my exam, passed it and looked for a job. The phrase "financially challenged" is very appropriate. We don't want to be a burden to our parents. Four years of school is no joke to them. Since, we were raised that after university/college graduation we are on our own and contribute to the family so our way out is to find a job which will give us money. At the end of the day, we need money to survive. I know money is not everything, however, these days, it's really frustrating if you can't even support yourself.

I took an ESL job, tried volunteering for an NGO for a sorta nursing job which is again not a real job for some hospitals and institution requires you to have all these trainings but these HORRID hospitals are trying to rob you money out of your pcoket. How nice of them? I understand the charging part but do they absorb you after, NO, they don't. Some might but after your so called "volunteer" you are on your way to finding a different place or maybe stay in the same place and pay more money to them.

I've had my share of bad experiences but I am lucky enough to be able to come here in Canada without the nursing experience. 2006 graduate and Dec. 2006 passer here, i did my nursing registration for the Province of British Columbia, approved 2007, found an employer 2007, applied visa and by 2008 received my visa. Came here in 2009, it's a rough road, arduous process but if you persevere and you have the drive, you will make it. On the other hand, drive and motivation don't work at times for the competition is getting stiff and hospitals in the Philippines only think of a way on how they can make money. However, it should not stop us in fulfilling our dreams.

Specializes in LTC/REHAB/GEROPSYCH/WOUND CARE/ICU.
I feel sad when I read this blog, thank you for sharing. You are fortunate to have your parent's support, and you sound like you have a great attitude and I hope great things come your way.

US nursing students, don't have to spend endless hours ( I am not saying that the students don't study) but many have to work numerous hours to support their families since they don't have parental support. In the US after students finish school they take a short course and pass at the rate of 85-90%. It my opinion it seems like you are spending time learning information that is not promoting academic success.

Being a nursing leader you need to be a change agent, why does your country allow so much to enter nursing knowing the majority won't pass the boards and the ones who do may not find employment.

With your masters in nursing why not explore why do the nursing students have to study so hard with poor results, I know believe your country's student are not intelligent enough, but it a failure in your system. That need to be changed and you can make a difference using evidence based nursing to show the current programs are not preparing nurses for the 21st century.

Be a nursing advocate to have a better programs reflecting your countries people's talent.

I beg to disagree about my country's student nurses being not intelligent enough to be in nursing school. Each university that has a nursing program in the Philippines has rigid rules in accepting nursing students into the program . We have this NCEE (National College Entrance Examination) which is equivalent to US' GED and most nursing schools ( during my time in 1991) , if I am not mistaken, would only accept 80 and above percentile rank. Aside from that , after a year in prep nursing school , nsg students have to go through nursing aptitude test which will determine whether they are eligible to continue in the nursing program. Competition is also fierce in the nursing school because most nursing students are the cream of the crop from their individual provinces. We have a lot of nursing graduates because having the degree as a BSN-RN gives us opportunity to go abroad and it is not only USA who benefit from FILIPINO nurses, China, Japan, British countries, Saudi, Singapore , to name a few. These nurses who work abroad had to go through a lot of tests too, to get qualified for their position. I know for a fact, because I had to go through the same experience when I started as a nurse. I passed my board exams in 1995 3 months after graduating from college, 1996 my CGFNS ( commision on graduates of foreign nursing schools) and then the ball dropped. US hiring was frozen. During my time, we had a lot of nursing graduates and everybody was vying for on the job trainings at various hospitals. I got lucky. I worked at a hospital for almost 7 long years before i was able to migrate to US after TOEFL, TSE AND TWE and a lot of US money spent on job application- my parents spent more than $3-4,000.00 to pay for my tests and job processing fees just to get to the coveted US job.

I think there was a miscommunication somewhere regarding spending so much time about learning info in nursing schools and that majority don't pass. In the Philippine nsg curricullum, it takes 4 years to be BSN and be qualified to take the RN licensure. We do have the associates degree on the second year right after capping ceremony and it be somewhat equivalent to a nurses' aide or midwife( im not sure). The reason why this new nurse mentioned herself being a clinical lecturer/ instructor in a review class was because, it is one of the lucartive business in the philippines because there are a lot of nsg graduates hoping to get the chance of working abroad and they had to undergo a series of tests to qualify for a workers immigrant visa (EB3 for US and theres one also for UK).

Filipino parents work hard with the intent to give their children a good future, Education-- this is their LEGACY. It is matter of family pride for a typical self-sacrificing Filipino parent to send off their children to college even to the point of selling their last piece of land or their only water buffalo (carabao) so they would be able to pay for their childrens tuition fees. In the Philippines, you have to have a college degree in order to land a decent job and even then...so much competition also....I guess the government is trying their best to better the system as with every other government. Unfortunately, Philippines is a third world country and still trying to improve the economy as much as help the Education system as much as they can.

For a fact, I am proud to say that I know of a lot of nursing leaders in big hospitals and long term care who are FILIPINO nurses and I am pretty sure that their education has prepared them enough to be the nurse they are right now. I just have to say that because I strongly believe that whatever my mentors and my clinical instructors taught me at school, I am using it right now.

Specializes in substance abuse, psych, LTC, corrections.

Not everyone is guaranteed to reap the benefits of the USA. I'm quite sure the Phillipine Islands needs nurses too! Good luck!!

Specializes in Medical and general practice now LTC.
Not everyone is guaranteed to reap the benefits of the USA. I'm quite sure the Phillipine Islands needs nurses too! Good luck!!

If you read the Philippine forum you will see that many many nurses are not able to find a job, there isn't enough work and a lot of hospitals offer volunteer spots and actually expect the nurse to pay to work there

Specializes in substance abuse, psych, LTC, corrections.

Then they should train for a job that's in some demand in their own country!!??

Specializes in substance abuse, psych, LTC, corrections.

Pretty soon, the P.I. Nurses will demand less $ and lower our OWN wages. We have our own problems getting what we are worth!!! WE DO NOT NEED A GLUT OF FOREIGN NURSES!!!

Specializes in substance abuse, psych, LTC, corrections.

Enough of importing foreign licences and paying them US wages! It lowers the standard of care, and undermines the nurses who worked their butts off to get licensed in America--where the live, and raised families, and are trying to fulfill the American dream!

Specializes in Medical and general practice now LTC.

I doubt that as employers have to pay the prevailing wage when they apply for visa allowing the nurse to work in the US also since Oct 2006 the US has had retrogression which means many nurses not just from the Philippines are in a long long queue waiting for a visa.

Historically the Philippines has had a huge export of nurses to the US as well as other professions, same goes for them going to other countries but for the last 5-7 years it has been getting harder for people in the Philippines to go abroad. You can't blame them as all they are trying to do is improve things for themselves.

just want to say that malemployment is around the world. we must try not to discriminate one another as people around the world migrate to other countries including Philippines for greener pastures. We are all in pursuit of happiness and greatness. we must love our neighbour as we love ourselves. let us try to make things work and be a little bit happier. That is the challenge. creativity, goodwill, and a lot of faith and hope. xx

Do not lose hope. You sound like you are a very intelligent person. I am sure you will find the job that you have always dreamed of.

Do not lose hope. You sound like you are a very intelligent person. I am sure you will find the job that you have always dreamed of!

Specializes in Trauma, ER, ICU, CCU, PACU, GI, Cardiology, OR.

i agree with the previous posters, just keep the faith and you shall overcome the obstacles that now stand before you... wishing you the very best in all of your future endeavors....aloha~