The Return of eLf ideas

ideas of an eLven being in Canada

Saturday, March 02, 2013

Not Just Nannies nor Ass-wipers

(On the Finer Details of Nursing as a Profession)
by aLfie vera mella

A friend of mine turned my attention to this video that is currently becoming viral, which features a Philippine politician, Cynthia Villar, who is a former chairperson of Committee on Education, who was suggesting that the four-year-degree profession of Nursing be demoted to a two-year program.

Here is my commentary article about it.

The Limitations of TV-show Interviews
Before anything else, I just want to commentate on the manner of the interview itself. The segment was obviously very time-constrained, so Villar understandably didn't have time to expound on the ideas/concept about that so-called room nursing that she was talking about. I could imagine, if the interview was allotted a longer time, then Villar could have explained better her positions. Serious and technical issues like that demand a longer time for participants to be able to hammer the finer points; a 30-minute or even a one-hour TV program with lots of commercials is not enough for such a discourse or question-and-answer segment, making the points unresolved and more vague rather than making them clearer.

I could imagine if I get to be interviewed about atheism or about my beliefs on a TV program in which the interview portion is just a part of the whole show, I'd surely be unable to expound on what I want to express; and many viewers would certainly misinterpret me or lambast me for that.

Opposing Villar’s Myopic View
First, Villar was generalizing. She said that "gusto lang nilang maging 'room nurse...'" That is the problem when speakers or writers generalize, they encapsulate a whole population of diverse individuals into one single entity, assuming that all these individuals share the same ideas and intentions. For sure, there are some aspirants of the nursing profession who just wanted to be simple bedside nurses, just like there are doctors who are contented into becoming only general practitioners of medicine. But, never generalize and never underestimate the entire population as a whole; of course, there remain so many nursing students who intend to pursue nursing as a degree and not just a certificate course, to be able to work in specialized nursing areas.

"Yung parang mag-aalaga...." – this is very ignorant. This is insufficient information about nurse aides or licensed practical nurses or even caregivers. "Care-giving" has a bigger scope than what this term means; it includes the feeding, morning care, evening care, washing, assisting with medication, exercising, etc.

I think I knew what Villar was getting into. The problem was, she still lacked the necessary information to be able to expound on the concept she was trying to talk about. So, aside from the lack of information, she also lacked the skills to use proper lingo in tackling the issue; she lacked communication skills as well, so she ended up getting misunderstood.

Good thing on my part, I was able to read between her crooked lines because I'm familiar with the nursing curricula available—I being a nurse myself (but working now only as a nurse aide). I surmise that what she was referring to when she used "room nurse" is the two-year Licensed Practical Nursing Program (LPN) as opposed to the four-year bachelor of science degree in nursing (BSN, or BN here in Canada). Maybe she just lacked the interview time (so she was pressured to squeeze into the limited time everything that she wanted to say about the two distinct nursing programs.

Expounding on Villar’s Seeming Ideas
I somehow side with her if the idea that she was really trying to expound on was the idea that I think I was able to grasp from the short interview.

Licensed Practical Nursing
LPN is a two-year nursing program. Many nurses here in Manitoba are only LPNs. They could still get jobs, but the limitation is, they could get jobs usually only in personal care homes (nursing homes), in which their primary tasks are limited to acting as assistant to BNs. They usually just give out medication prescribed already by physicians, they could do wound dressing, they could do simple physical assessment, and they could write nursing reports. The problem is, most hospitals here don't hire LPNs; they require BNs; after all, there are already nurse aides (or health care aides) to do the so-called dirty work—washing, dressing up, feeding, ordinary range-of-motion exercises, and reporting simple input-output measurement.

Bachelor of Nursing
Bachelor of Science in Nursing is a four-year degree. Aside from the tasks of an LPN, the significant tasks of BNs include the administration of IV meds (intravenous medications) [LPNs are not allowed to do that], drawing of blood (for blood analysis), and working in specialized areas like emergency wards, psychiatric institutes, operating and delivery rooms, and dialysis centers.

BNs get higher salaries and have greater job opportunities compared with LPNs.

So, in the above, the distinction between the two-year LPN and the four-year BN becomes clear.

If I am unmistaken, this could be the idea that Villar was trying to talk about but was just unable to articulate the whole concept either because she lacked the time to expound on it, given the nature of an interview segment on a TV show; or because her information about the subject matter was insufficient so she was spitting half-baked ideas.

Final Note
Here in Canada, because job opportunities are higher and the resources more abundant—add to that, health care is shouldered by the government—LPNs could still be a good option for those who don't have the time and money to finish a four-year course. Anyway, they could upgrade into BN whenever they feel that they are ready.

Unfortunately, in the Philippines, where the circumstances are very different and the opportunities scarce, LPN seems unnecessary. Besides, finishing the four-year BN (or BSN) would make the person more marketable and competitive in North American and European countries in which nurses are viewed as highly skilled and high-salaried healthcare professionals who could work independently with minimal collaboration with physicians; unlike in the Philippines and other economically challenged countries where nurses are often derogated as "mga alalay ng doktor at mga tagahugas ng puwet ng mga pasyente."

I am yet to update my knowledge on the current status of the LPN and BN programs here in Canada, so the descriptions I gave about the programs might be a bit outdated. But I think I was able to make the issue a bit clearer.


  • At Saturday, March 02, 2013 11:02:00 PM, Blogger yokidoc said…

    Very well said Alfie. I refused to comment on the issue when the video went viral (tongue-in-cheek) because the saga of Internationally Educated Nurses in Canada (mostly BsN or RN's in their home countries) is complicated. Nevertheless, no one should stereotype people for the choices they make. The nursing schools in the Philippines sprawling like mushrooms, with MD's going to nursing school included, is a reflection of the state of the country and the mind-set of it's citizens

  • At Monday, March 04, 2013 10:39:00 PM, Anonymous rainbow said…

    Here we are again .. The issue became viral again upon hearing that interview which is completely taken out of context. You see how social media could be a sharp object ready to cut anyone's tongue in a quick remark by someone inability to make comments not to create a not-to -pleasant intelligent answer from the Q & Answer portion.

    Yes, it was a big deal for many sensitive nurses , but I will just put my palm on my face regarding this matter and say "okraaaaYYY"

    Pero jos ko naman...

    While It is true that we can work in the healthcare to simply apply for a work visa as caregiver regardless if someone is a certified nurse with tags or such category levels.

    You nailed it right...

  • At Tuesday, March 05, 2013 12:42:00 PM, Blogger eLf ideas said…


    Thanks for understanding the primary point that I wrote in this article.

    While I would say that Villar might have either an insufficient information about the so-called room nursing or the lack of proper terms and lingo to use in the interview; and add to that, the pressured nature of the interview--I still think that she had some valid points. It's just that she was unable to expound on those points because of several possible factors: lack of time to expound, poor choice of technical terms, and tendency to generalize.

    If she were only given the time to expound, if she had used the proper terms, and if she did not generalized, then most likely she was able to express her points in a clear manner.

    You are right on two things:

    Social media could be exploited or misued by people who are sensitive but lack the ability to read between the lines of the ability to view more than one perspective at a time--so they jump in the bandwagon imemdiately and ridicule whoever the current victim of social media is. In this case, Villar. While I think that she had said some misinformed ideas, I believe that she has also some valid points--like some students are contented with just being caregivers or nurse aides or bedside nurses.

    The main reason she was misunderstood was--she generalized by saying that "gusto lang naman nila maging 'room nurse.'" It would have been clear if what she said was "marami naman kasing estudyante na gusto lang maging bedside nurses." SO, the problem was failure to qualify and poor choice of words.

    In light of the whole issue, and how many nurses and other people reacted passionately to what Villar said, it just shows also--scary--how many people cuold just react like that without themselves trying to read between the lines. I mean, being too sensitive is also not good. Oversensitivity prevents an individual from looking at issues in a non-biased perspective--because of this, they tend to be become personal and myopic themselves.


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