Wednesday, March 28, 2007

Philippines: Government Tailoring Nursing Sector to U.S. Demands, Health Activist Says

BY PHILIP PARAAN
Contributed to Bulatlat

Is the government tailor-fitting the country’s nursing sector to the demands of the U.S. market?

The secretary-general of the Health Alliance for Democracy (HEAD), Dr. Gene Nisperos, has posed this question following statements by government officials that the Arroyo administration is amenable to having the June 2006 nursing board examination passers be subjected to a possible third retake, as requested by the Commission on Graduates of Foreign Nursing Schools (CGFNS), a non-profit organization that screens foreign nurse applicants for visa certificates in the United States

In an announcement posted Feb. 14 on the CGFNS website, CGFNS chief executive officer Barbara Nichols said that the passers of the June 2006 nursing board examinations who intend to apply for VisaScreen Certificates should undergo a retake equivalent of Tests 3 and 5 – the portions of the nursing board examination affected by last year’s leakage scandal, and obtain a passing score.

U.S. immigration laws require the CGFNS to come up with decisions in cases like this. In this case, because passers of the June 2006 Philippine nursing licensure exam were found to have licenses that were “not comparable to a U.S. nursing license,” the Board was required to determine that a VisaScreen Certificate may not be issued to such individuals, Nichols said. However, they “gladly accept” the passing test scores of any nurse “who had the courage” to re-take the licensure exam – in whole or in part – in December 2006, Nichols added.

“CGFNS raises no question of their lawful right to practice nursing in the Philippines. U.S. immigration law, however, requires CGFNS to make a determination as part of the VisaScreen process about several elements of the visa applicants' education, training, license and experience – including their comparability to U.S. nurses,” Nichols said. “Finally, it should be noted that some stories in the Philippine media have confused the VisaScreen Certificate – issued pursuant to U.S. immigration law – with the CGFNS Certification Program (CP), which is provided to facilitate the licensure of foreign-educated nurses in the majority of U.S. States. The VisaScreen Certificate is required of all foreign-national nurses who seek occupational visas under U.S. immigration law – regardless of which State in the United States that they intend to practice.”

The announcement explicitly noted that applicants would not be eligible for the said visa certificates unless they comply with the retest order.

The official testing agency clarified that this requirement for re-examination does not try to revoke any professional license but is a matter of immigration requirement to obtain a working visa. The CGFNS explained this requirement is part of Section 343 of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996.

Labor export policy

President Gloria Macapagal-Arroyo has instructed Labor Secretary Arturo Brion to appeal this decision before the CGFNS. The government right now is worried that other nurse-receiving countries might follow suit and request a similar retake on the questioned areas of the test, government spokespersons said.

In a subsequent update posted Feb. 24 on the CGFNS website, however, Nichols said the CGFNS decision was final, precluding any possibility of appeal.

No less than Justice Secretary Raul Gonzalez has said that the Arroyo administration is willing to have the passers of the June 2006 nursing board examination retake the tests. This, he said, shows that the Philippines recognizes the request of the U.S. market. “(The retake) has nothing to do with the Philippine policy on these nurses anyway,” Gonzalez said.

Nisperos has hit the Arroyo government for giving in easily to the request for a retake of the June 2006 nursing board examinations for prospective VisaScreen applicants.

“Our government is now begging the U.S. to allow our nurses gain entry and work in the states, instead of addressing the mass exodus of nurses which is detrimental to our health system, and the reasons why they leave in the first place,” he said. “This is labor export to the hilt, mindlessly and shamelessly selling our nurses abroad and the way our government has been scrambling to please U.S. market demands, as if our whole nursing sector is now being tailor-fit to the need of America and no longer for our own people’s health.”

As of 2006, a nurse working in the United Kingdom, for example, sends home at least $1,000 a month based on data provided by Patricia Riingen, vice president of Western Union Philippines. In the U.S., nurses are estimated to earn around an average of US$ 4,000-6,000 a month.

Conversely, a nurse in the Philippines gets some P5,500-P16,000 ($113.94-$331.46 at an exchange rate of $1=P48.27) a month.

The Philippine Nurses Association led by it president Dr. Leah Paquiz is now trying to organize the whole nursing community to find ways to resolve this crises, which she describes as the worst to have ever hit the nursing profession.

“The U.S. has been poaching our nurses for decades and in droves, and a nursing education has long been seen as a ticket out,” Nisperos said, “This is (a crisis) of commercialized nursing education. In the end, it is compromising our own health care, which many believe is already precariously on the brink of collapse.
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© 2007 Bulatlat ■ Alipato Publications. Permission is granted to reprint or redistribute this article, provided its author/s and Bulatlat are properly credited and notified.

Nursing Shortage Growing Worldwide

Florence Nightingale wrote, "unless we are making progress in our nursing every year, every month, every week, take my word for it we are going back." What would she have to say today about the ever growing shortage of nurses?
  • Today there are over 100,000 vacant positions throughout the U.S.
  • By the year 2020, that number expected to grow to 434,000.
  • Worldwide, the shortage will expand to over 800,000.

Hospitals in the U.S. are offering bonuses of up to $14,000 for experienced nurses, and studies have shown that there has been a steady increase in RN employment over the past two years. However, the crisis is far from over. Fears are growing in Europe, and in poor nations, where nurses have jumped at the chance to partake in these bonuses.

Philippine Sources Being Drained

In countries such as the Philippines, where a nurse in the city makes about $150 per month, the financial gains in the U.S. have long lead these nurses to migrate. Patient loads and working conditions are much worse in their homeland. Therefore, conditions which seem to drive American nurses from the field, pale in comparison for these recruits.

The Philippine Overseas Employment Administration states that nearly 34,000 nurses went abroad between 1995 and 2000. What once seemed a bottomless source of qualified nurses has now created a shortage crisis in the Philippines.

Canadian Nurses Moving to U.S.

Canadian nurses have migrated south in search of financial incentives as well.
  • In 1994 and 1995 over 12,000 Canadian nurses moved to the U.S.
  • while less than 100 U.S. nurses moved to Canada.
With poor success in recruiting U.S. nurses, Canada turned to recruiting nurses from the UK. Part of the problem cited by the Canadian Nursing Association is that nurse positions in Canada are often not full time positions, an issue they will have to resolve if they hope to slow down their own shortage crisis.

Other Countries Deplete Philippine Nurses

Ireland once had a plentiful supply of nurses, but now looks to the Philippines to solve its shortages, further depleting nurses from the Philippines. The UK has turned to South Africa to recruit nurses thereby depleting their resources as well.

Lack of Qualified Nurse Educators Compounds Problem

As the nursing workforce continues to age, and qualified nurses leave the profession faster than they can be replaced, the crisis grows. The lack of qualified nurse educators compounds the problem with the inability to quickly train new nurses.
The one predictable factor is that qualified nurses will not find themselves unemployable in the foreseeable future.

Sources:
Canadian Nurses Association
Philippine Overseas Employment Administration
Aiken, L.H. "Trends in International Nurse Migration" Health Affairs 2004,23(3):69-77 Link to Abstract(Sorry, you must register to view the article.)
Internation Council of Nurses Position Statement
Nurses Exodus Making Health System Sick

http://nursing.about.com/od/nursingsoftware/a/shortage.htm

The Philippine Nursing Industry

Nursing schools in the Philippines currently are capable of graduating about 41,000 new nurses a year. These nurses are graduates of a 4-year Bachelor of Science in Nursing (BSN) course that, like the American nursing curriculum, is generalist in nature. After graduation, Filipino nurses tend to divide into two main groups: those who do general bedside nursing, and those who focus and train in specialized areas like open-heart surgery, kidney transplants, trauma, pediatric care, and psychiatric care.

With new nurses entering the workforce every year, the local supply of nurses exceeds the local demand so many Filipino nurses travel abroad to work. 13,536 Filipino nurses were deployed last year to jobs overseas - principally to Saudi Arabia, the United Kingdom, and the Republic of Ireland. This statistic does not yet include nurses who travel to foreign countries, such as the USA or Canada, under an immigrant’s visa.

http://www.bondworldwide.com/explore/index.htm