omoladams

hi, am highly interested in becomimg an Epidemiology and Biostatics Nurse. kindly help me with any school running the program online at master degree level. Thank you.

A midwife is an individual with required training and certified by the board to practice as a midwife. A midwife attends to various gynecology and obstetric cases as well the foetus. Midwife enhances maternal and child health in the global healthcare facility. Adequate and professional proficiency distinguished a midwife from an individual with a short training to reduce maternal and Infant mortality and morbidity. Maternal and Infant mortality and morbidity is high in Africa especially Nigeria. This is due to lack of political will to combat the menace. Midwives are in shortage with poor remuneration which doesn't commensurate with the work midwives delivered. Midwives in the rural area in Africa over-laboured, stressed up and traumatized. Patients and relatives want a midwife to attend to all of them at a time, leaving the nurse under work duress tantamount to error of commission and omission. The infrastructural decay in the primary healthcare centres is a major cause of poor maternal and child healthcare delivery. The midwife makes use of a head lamp or kerosene lamp to take a delivery of a pregnant woman as well as suturing of lacerations. In fact, the lamp is a private property of the midwife. The midwife works at the sterilization department; to ensure all the equipment for delivery and post delivery is made available for use. Once all the sterilized equipment is used, the midwife pleads with the remaining patients for another twenty to thirty minutes for the process of sterilization which include : washing, cleaning, soaking instruments inside disinfectants and boiling then drying the instruments for re-use. When the process is completed the midwife resumes delivery of Labour. Meanwhile, there are complicated delivery which the midwife will institute a referral system. The little available drugs is dispensed to patients. The midwife provides a comprehensive health education on care of the mother and the baby, some months after family planning is established after several counseling. The most terrible situation of it all is no assistant for the midwife, the patient's relative provides assistance based on instructions provided by the midwife. At secondary and tertiary healthcare level where all facilities are available provides some level of professionalism for midwife even though there isn't full autonomy in the care. Midwives in Africa holds the healthcare alive, they are the backbones of the primary healthcare facility. A midwife is a professional trained person that had acquired stipulated knowledge and technical know -how in managing all conditions including pathological of women and foetus. A midwife is accessible, available and adaptable in the rural community, yet they are underpaid, no compensation, no rural allowance and underrated. Highlighted below are possible suggestions to health organisation, health policy developers, Government (Ministry of health) and Non-Governmental Organisation Establish a functional primary health care centre with adequate facilitiesStaffing : All personnel required in the primary health care should be provided by relevant authority.Midwife should be well paid and compensated. Full autonomy should be given in order not to hinder the effectiveness of midwife service.Midwife should be enough at each centre during each shift to guard against over -labouredTraining and retraining should be instituted for midwife.

You are correct. Thanks for the observation.

Management skills are as important as leadership skills in addressing some of the failings identified in the Francis report. A management framework is required to provide a consistent approach to management development for all staff in healthcare, irrespective of discipline, role, function or seniority ( Joanna Kerridge). Nurses are the heart of any health care facility. They keep up the facility through divine and uniqueness of nursing skills, practices, and techniques. The profound knowledge acquired in training promotes systematic development of the health facility. The number of nurses in any health facility overrun other professionals, this is because nurses run a 24-hours job, staying by the patient's bedside providing nursing care. Nurses have more frequent contacts with patients for curative, preventive, promotive and rehabilitative nursing care. It's highly essential for nurses to have a ground knowledge of managing both human and materials resources in any health facility. A ward is often is headed by a nurse (nurse manager), who oversees everything happening in the ward ranging from staffing such as nurses, doctors, ward maids, specialist therapists, dietitians, etc, equipment, bedding and accessories, instrument, electronic e.g. computer, files for reporting etc. The head nurse communicates with every professionals related to the ward, in turn uses resourceful managerial skills as leader of the ward. Highlighted below are the four managerial skills of a nurseLEADERSHIP SKILLSA nurse should be versatile and endowed with quality leadership skill. This will create mutual understanding and enhance productivity. Leadership by example will increase access among the professionals working as a team. Everybody shall play scheduled duties in discharging their responsibilities. As the leader of the ward, the nurse shall provide instruments or equipment needed in the ward by communicating with the hospital authority, thus will promote unity among the staff of the ward. Then its effect will translate to the hospital at large. The leadership skill include the following four main principles: Organising - The ward leader organised the ward compartments with hierarchical step. Every member shall be adequately inform of their duties and be discharged professionally and diligently. This organization shall enhance the smooth - running of the ward. Beside, essential materials needed shall be provided by the ward leader through appropriate quarter.Scheduling - Every member of the ward shall be assigned a definite responsibility to be carried out. There shall be no conflict in discharging duties. Duty roaster is provided by taking into consideration the interest of everybody without preference nor favour to anyone. Equality plays a significant role.Planning - This is the centre of any successful management of a health facility. The ward leader is to plan adequately for the day-to-day activities weekly, monthly, and yearly for the smooth running of the ward. Such as in-house training, medications, Doctor ward round, Nurse ward round, visiting hour, etc. Without planning there is likelihood of failure which will translate into poor health care.Prioritising - As part of the quality skills of a nurse leader, is to prioritised every actions lined up to deliver adequate care. Most important and critical matters are attended to before any other one. This skills prevent conflict of interest thereby right member of the team is found at the right place at the right time.TIMING SKILLSFor any good manager, time is money, in fact time is more valuable than money because adequate timing produce wealth. The nurse manager shouldn't Condon perplexity in time management in every procedures and cares in the ward must be time - bound and discharged professionally. Resumption time should sacrosanct thus shouldn't entertain lateness. Just a second lateness can jeopardize the life of a patient. The best practice is for the staff to be in the ward 10minutes ahead of official resumption (handing & taking over) as this will reduce any unforeseen error due to the stress of movement from home to work place. The nurse manager should also be vigilant of the visiting time of the doctor. Some doctors are fond of coming whenever interested even during emergency. The attitude of boss has clouded their judgements, the nurse manager shouldn't accept such act as it violates ethical principle of the profession and health facility policy. When work is diligently administered at appropriate time, the end result is enchanting. COMMUNICATION SKILLSCommunication is the art of processing information and transfer to end user (receiver). Communication is one of the most powerful tool in management style and an essential skill of a good manager. The nurse manager should at all time disseminate accurate information to every concerned staff member. It bridges the gap in the statutory hierarchy. Poor communication styles promote frequent disagreements. FLEXIBILITY SKILLSA ward manager shouldn't too kin or rigid in every official affairs as this can lead to anarchy. Every member's affairs and concerns should play in every activities to be carried out. The moment the subordinate are subjected to rigid policy without flexibility, the outcome becomes kin without espri de corp. OMOLOLA ADAMS OLATAYO

Self esteem is an ingredient of living a successful life and career, characterized with good interpersonal relationship, self- actualization, and achievement. It's very important for a nurse to see herself as very dignified as possible in the health team. Every nurse is very important and play a vital role in keeping the hospital running. Nursing is holistic which makes it unique from other profession. All the nurse educator should cultivate the habit of creating a good rapport with their nursing students. This relationship is reflected in the hospital while working. Nothing should undermine self esteem of a nurse. The nurse leader or manager in the hospital should also boost the self esteem of the younger nurses. Bullying is a bad attitude common among nurses. This had decrease or lower self esteem of nurses. Even patients bullying the nurse on duty as well professional colleague. In the course of continuous training, adequate emphasis should be made on self esteem actualization. Nurses are at the center of care. The lifeline of any health care facility in the world is nurse. The interdependent role in healthcare isn't working perfectly. Every member of the team should accord respect to one another. Role model factor is another burning issues in nursing profession. From time of admission into school of nursing, they should be given self confidence, Self reliance and autonomy to carry out nursing responsibilities. Some nurses aren't performing maximally in course of care due to low self esteem. They are afraid of making mistake such that they will not be bully. Mistake can be minimized to its bear minimum when professional conduct and practise is maintained. Once you are afraid of mistake then you make mistakes. Confidence is the frame work of self esteem. This will enhance productivity and promote professionalism during care. Confidence builds self esteem and boost it. With confidence a patient that rejects a nurse yesterday will try and attend to the patient the following day, this is part of nursing responsibilities not giving preferential treatment to a patient over the other. Every patients has equal right and thus are entitled to equal care and treatment. Superior officers and the union should always stand with the nurse. Accommodate all sorts of mistakes and redress such mistakes. This acts boost self esteem and self belongings is achieved. One-on-one discussions for adjustment or correction and group discussions for study purpose. This process enhance interpersonal relationship and cordial relationships between superior and inferior officers. A young lady just graduated from a school of nursing, applied for specialty in anaesthetic nursing, she did well for entrance exam, she was shorlisted and came for the interview. This young lady is very brilliant and intelligent. The school of anesthesia management advised the lady to step aside for a nurse (General ) that had been practising for more than fifteen years. She felt bad and disappointed. The same year she obtained a form into a medical school and dumped nursing profession. The lady would have been an asset if remained in nursing profession. She is about to complete her program in the medical school. She got demoralised and feel cheated by a superior officer. This act is shameful and promote low self esteem. The above illustration should be a guide for all superior nurses to be a good role model and accepts them, train them and mold them. Don't dampen their spirit, don't kill their interest, these are agents can change the face of nurses for better. self esteem should be encouraged among junior and students nurses. Promote the self belonging and always allow verbalization. Direct communications should be ensued with good listening and allow them to be part of decision making. OMOLOLA ADAMS OLATAYO