Clinical Instructors and lecturers with no hospital experience?

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With the rapid increase in Nursing students in the last few years, schools are forced to hire clinical instructors (CI's) and lecturers even though they have zero work experience. While a lot of them are likely very competent and versed in Nursing theory, I can't help but wonder if ill-prepared lecturers are part of the reason why Nursing in our country has deteriorated.

The salary is part of the allure while a lot of nurses, especially newly licensed ones, want to be a CI. In our economy right now, 20,000 - 40,000 pesos is a big amount but unless they want to be a CI forever, these new CI's are doing a disservice to their career buy not looking for work in a hospital. What's the hospital employment prospects of someone who graduated say, 5-10 years ago and has worked as a CI since then? Probably no better than someone who just earned their RN.

Specializes in Nurse Anesthetist.

Simple and let us not make this complicated.

To be a n efficient Clinical Instructor:

1.) One must inherit the passion for teaching.

2.) Meet the requirements/qualifications to be a nurse educator.

a.) Has the licensed to practice nursing in your country.

b.) Must have MAN/MSN (If you are in the Philippines)

b.) Musr HAVE the needed experience.

Experience is the best teacher, once you have it, you will be more competent to share the nursing KSA to your students. Remember that Nursing is both, a science and an art. To stick with Science, you must be knowledgeable about the course, and to stick with ART, you must be skillful. Skills can greatfully acquired through years of experience. Therefore, quite obvious as it is, a NURSE must have the experience as well before ever thinking of becoming a nurse educator.

Well personally, If I am to be a nursing student again, I wont allow any new graduate nurse to be my mentor. I am paying the right amount of tuition fees, so I deserve to be taught and trained by high caliber Clinical Instructors.

My bad, But I guess it is not rightful for newly grads to immedietly venture in Nursing education right after passing the board exam. It is against the Philippine nursing act. ( Not a MAN/MSN holder or even masteral units for that matter) . Be aware that the Philippine Nursing Licensure passing rate is slowly deteriorating each year, partly the nursing school is to be blamed as some of their C.I's doesn't have what it takes to be.

Big NO NO....well just my opinion.

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though i'm on the side of allowing newly grads in nursing education..i don't think i agree with them teaching without having post-graduate units first before being employed..coz that's one credential that a nurse has to meet right?! after passing the boards, you can enroll for post-gradute studies and finish in a year and a half if you're a full time student..12 units for 3 semesters plus 1 summer of 6 units......the university where i came from still ranks as one of the top nursing schools in the country, yet they hire newly grad alumni as clinical instructors..i believe i got my money's worth..

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Specializes in Nurse Anesthetist.
though i'm on the side of allowing newly grads in nursing education..i don't think i agree with them teaching without having post-graduate units first before being employed..coz that's one credential that a nurse has to meet right?! after passing the boards, you can enroll for post-gradute studies and finish in a year and a half if you're a full time student..12 units for 3 semesters plus 1 summer of 6 units......the university where i came from still ranks as one of the top nursing schools in the country, yet they hire newly grad alumni as clinical instructors..i believe i got my money's worth..

Well that should be the case. Even if they have masteral units, but the fact that they are fresh from school, without having hospital experience, Is nothing but dangerous both for them and for the students. Yes I agree, they may have the nursing skills. But the fact that they are newly grads, their skills are considered as that of the beginners as well. And a beginner must not teach, but instead, must have some frequent hands-on experience first to master the skills, and eventually be able to share it to learners with all their expertise. In such a way, they will be able to teach well with all their confidence.

I believe that some school remains to be a placer in the nursing board. But it bears little. If you come to think of it, in a general perspective, foreign employers and the international community will tend to look more on the National Passing Rate, rather than the rank of a specific school. So having a deteriorating national passing rate reflects how bad the entire nursing education system in the Philippines is becoming. Partly because of hiring Educators that are not well rounded or shall I say, Inexperienced ones....

I THINK ITS ABOUT TIME FOR THE PHILIPPINE GOVERNMENT, PHILIPPINE NURSE ASSOCITION, CHED AND ANY OTHER BODIES RELATED TO PHILIPPINE NURSING EDUCATION TO DO SOMETHING ABOUT THIS. THE ISSUE IS BECOMING VERY ALARMING AND IT ACTUALLY POSES A THREAT THAT SOMEDAY, FOREIGN EMPLOYERS WILL LOSS THEIR TRUST OVER OUR NURSING EDUCATION SYSTEM, AND WILL TEND TO LOOK FOR NURSES OTHER THAN THE FILIPINO NURSES.

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To RN11- I would love to see how you feel about your instructors when you have 5 years experience. There is book knowledge and clinical knowledge, go to know you feel happy with your education, after all that is what is important.

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Specializes in Neuro-Surgery, Med-Surg, Home Health.
though i'm on the side of allowing newly grads in nursing education..i don't think i agree with them teaching without having post-graduate units first before being employed..coz that's one credential that a nurse has to meet right?! after passing the boards, you can enroll for post-gradute studies and finish in a year and a half if you're a full time student..12 units for 3 semesters plus 1 summer of 6 units......the university where i came from still ranks as one of the top nursing schools in the country, yet they hire newly grad alumni as clinical instructors..i believe i got my money's worth..

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I respectfully disagree with you, I don't think you got your money's worth. How can a "clinical" instructor teach nursing students if that clinical instructor doesn't have "clinical" experience? There are many things that books alone can't teach a new nurse. When I was a preceptor in our medical center here in the San Francisco Bay Area I had the priviledge of precepting both new-grad and experienced RNs alike. There is a saying: experienced nurses are like wines, it takes years to produce a good one.

It doesn't matter which school the new-grad RN graduated from, the new RN needs "exposure" to the real world and it must be under the guidance of an experienced and qualified nurse preceptor. This is how you convert theory into actual experience, there is no other way. (OK, new pilots for big jets can acquire flying experience from sophisticated simulators that cost millions of dollars, unfortunately a similar simulator for nurses hasn't been invented yet!)

Were the graduates from such nursing schools adequately educated and trained? As a former preceptor, I think that they were not. What is the Philippine government doing about this? Why are the Filipino nursing leaders been so quiet about this?

If nothing is done to elevate the quality of Philippine nursing education to where it was once, then word will spread all over the world about the poor quality of nursing education in many nursing schools in the Philippines. There are still many excellent nursing schools in the Philippines but remember, one bad apple can affect the rest of the apples in the basket.

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A fresh new grad can put together a lecture, and possibly can teach from it...but they wont be able to apply anything from clinical because they don't have the clinical experience....IMO, I don't feel that someone going to this nursing school is getting their education and moneys worth....I'm not saying that the students aren't applying themselves, I do believe that they're working hard for their degree...but to me I'm seeing it as limited....if this is limited nursing education, and if they're going to go abroad and seek employment then the countries that are going to employ them must seriously take this into consideration....If I were working at the board of nursing, I would see this as a huge red flag and request that additional education and experience must be met before allowing them to sit for the NCLEX exam...after all, they didn't graduate from here so this country doesn't have to honor their education...

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Experienced internationally educated physicans who wish to practice in the USA have to complete a US Residency. There are no short cuts. When I was a patient I had interns ( who were very skilled) in their 40's who had to complete the 5+ surgical residency program. I am wondering now if US nursing should adopt a similar program, besides passing the NCLEX a nursing residency program, this way the US does not have to worry about the quality of clinical instructors.

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LatinaVNStudentRN2B, Im glad youre not working for the BON because that is unfair. The foreign nurses already have their Transcripts reviewed by CGFNS. they had a 4 year degree. they had 2 years of related learning experience which would be about 2000+ hours what else can you add?

The books that they used at school are the same ones you used here.

A little competition wouldnt hurt. :)

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LatinaVNStudentRN2B, Im glad youre not working for the BON because that is unfair. The foreign nurses already have their Transcripts reviewed by CGFNS. they had a 4 year degree. they had 2 years of related learning experience which would be about 2000+ hours what else can you add?

The books that they used at school are the same ones you used here.

A little competition wouldnt hurt. :)

If someone is foreign educated, then there is no guarantee that transcripts will be accepted...Why? The US doesn't have to accept them...Just because someone has a degree from whatever country they came from doesn't mean that the US is obligated to accept them...Each state has it's standards, and some schools in the US aren't accepted by certain states...Why? They don't have to...The books may be the same, I'm not doubting you there, but obviously the education level is slightly different....Just because you use the same books doesn't mean that you're getting an excellent education....All it means is that someone read off of a book and can put together a lesson plan...But will they be able to apply years of experience with that lecture? Probably not....Will they be able to apply clinical experience with theory? Most likely not, why? They lack the experience.....They can only go by what they were taught, but everyone knows that what you learn in school is wayyyyyyyyyy different than when you actually get on the floor and work as a nurse...Also, do they use a lot of high tech equipment that they use here? Are they familiar with monitored units...If you come from a 3rd world country then most likely you wont..Some foreign schools are producing outstanding nurses and some aren't...That's all there is to it....They can have 2000+ plus learning experience, but were they taught by instructors with actual floor experience? Or were they taught by nurses who have little to no experience as a floor nurse? The older generation foreign graduate nurses can compete because they were educated in the times when their degree meant something and the schools were producing outstanding nurses....The graduates that are being produced now sad to say but some wont make it.....they will be running with the back of the pack, and it shows once they step foot on the floor. That's why it's important to raise the bar in order to weed out those at the back...

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Y'all are talking about how bad having new nurses for CIs are... I think it's worse to be taught by the older circa 1970s nurses, who hold very arcane ideals, skills and knowledge in nursing, and who aren't able to keep up with the latest in updates and innovation...For example, younger nurse CIs would have knowledge of what a pleurevac is, but the old nurses will definitely show you only the three-bottle system, if you start asking about chest tube drainage systems.. hahaha

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did i say that their transcripts were gonna be accepted? i dont think i said that. i said they will be reviewed by the Commission on graduates of foreign nursing schools and these results will be reviewed by the BON. I also didnt say that the US is obligated to do anything for foreign graduates.

Regarding the high tech equipments, thats why theres an orientation to the unit. who said they are hard to learn??!! just because they dont have it in their country doesnt mean they cant learn it. Again thats why theres something called orientation.

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I promise not to bother myself anymore with this but i'll break it just this once:coollook:....

GEEeeZZZZz,are we still talking about the same thing over and over again here???:confused: is it just me who gets tired reading this??

Just a suggestion,maybe you can write a letter to the BONs or maybe the immigration and discuss with them your concern about filipino nurses..We dont have the power to change the requirements for foreign nurses but your BONs have. Maybe addressing the issue directly it to the proper authority will give you the things that you intentionally want in a speedier way...

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