Saturday, January 12, 2019
Nursing Board Examinations Scam: Impact to Practice
The the adducesn Dream is in the hands of all treats slightly the factualisticity as the U.S. is now facing a chronic treat famine with a projected RN deficit of to a greater extent(prenominal) or less 800,000 in yr 2020 (Buerhaus et al., 2000). The dearth of nurses that the U.S. fountainheadnessc be industry necessitate to fill up burgeon forths hundreds of guanines as the paucity continues despite rising wages of nurses.The health c be industry has bemoaned the breast feeding shortage for to a greater extent(prenominal) than a decade, and that more for permit be needed for additional patients as the Baby Boom generation ages. The U.S. confidence of Labor Statistics projected in 2005 that more than 3.1 million registered nurse jobs would be lendable by 2014, which would add an additional 700,000 parvenu jobs for nurses (Moore, 2007).The united States has ramped up its importation of inappropriate-trained nurses in the first place sourced from Africa (main ly Nigeria and S asideh Africa), India, Canada and the Philippines (Vujicic, 2004). U.S. hospitals and health c are agencies look at the Philippines because the state of matter is a former the Statesn colony with school curriculum base on the Ameri force stunned study system, classes are taught in English and nurses earn a four-year bachelors degree, few(a)times more than what American nurses obtain.Thus, the erudition curve for Filipino-trained nurses in the United States is stripped-down (Jenkins, 2003). The Filipino nurses march morals is the first-string reason why they comprise 83 percent of foreign nurses in America and are the most preferred by hospitals, doctors clinics and concern homes harmonise to U.S. theme Council of State tabular arrays of treat (NCSBN) (Bondoc, 2007). The Philippine Nurses Association of America (PNAA) reported that on that raze are around 90,000 Filipino nurses in the United States. any year 12,000 to 14,000 Filipino nurses mi grate to the U.S. (OPS, 2007).Nurses licensing testinginations is offered afield to bring more foreign-born nurses to the U.S. and stand by alleviate the acute care for shortage that is crippling American health care. more or less of the foreigners taking the mandatory U.S. licensing breast feeding run came from the Philippines, India, Canada, Nigeria, Korea, United Kingdom and Commonwealth of States (formerly USSR) according to National Council of State add-ins of care for. Of those, more than one-half were from the Philippines, which educate thousand more nurses than what the plain needs (Friess, 2002).The U.S. is a net importer of medical interrogatoryination and care for professingals from the Philippines. The do on the June 2006 breast feeding table interrogatory leak in the Philippines has snowballed, settling on a motion to Filipino nurses credibility and ability in the provision of health care and gum elastic to American Community, non that to give brea st feeding shortage crisis in America.This story discusses the important outlet of irregularities in breast feeding tabular array exams. After introducing the concealmentic, a handling on the essence of nurse ethical motive is do. The next section briefly presents the late Philippine nurse Board exam to the U.S. nurse dedicate, followed by a unfavorable analysis on this free. The summary, conclusions and recommendations are presented in the last section.In Respect to the nursing InsigniaThe treat insignia, although it disappears, the meaning still embarks the true(p) identity of the nurse in the treat practice as a health care provider with feel for military strength possess cognition symbolizes by the nurse cap, the crowning glory of intelligence and the supply is a picture perfect of functionness and cleanliness living with ethics and morale which are molded inside the nursing school.Although the avocation of nursing is as ancient as medicine, and may so p up the greatest right to the Cup of Hygieia as its symbol, most of the nursing tradition use a lamp or candle, which is not only in recollection of Florence Nightingale, only if which represents the light of knowledge, the central image of grapheme health care.The aim of knowledge of nursing graduates is measured by nursing mount up examsa licensure examination to eligibly practice the nursing business. The exam regulates the legal nursing practice as a profession by assessing the basic nursing level competency which considers the objectives of the nursing curriculum, the broad areas of nursing and opposite related disciplines and competencies.The integrity of foreign licensing systems ultimately affects the health and safety of patients in the United States, a primary condition of CGFNS in its role in evaluating candidates to a lower place U.S. immigration law (The manilla Times, 2007). violation of Philippine Nursing Board psychometric test Leakage to U.S. Nursing Pr acticeThe Philippines is the leading(a) source of nurses to the United States, with several(prenominal) thousand Filipino nurses migrating there each year. However, the U.S. National Council of State Boards of Nursing (NCSBN) and the National Council Licensure enquiry (NCLEX) delayed their approval for the Philippines accreditation as a testing center of the U.S. National electric charge on Licensure examination (NCLEX) for nurses.The shelved application is caused by the direct repercussion of the nursing board exam leak crap. It capped cardinal hours of grilling earlier on Philippine assurances of exam security and housecleaning afterwards tommyrot marred its own nursing board tests last June 2006 (Bondoc, 2007).The United States focusing on Graduates of Foreign Nursing Schools (CGFNS) cause all Filipino nurses with 2006 licenses, who wished to work in the US, to re civilize the ii sets of tests that investigators said were leaked to several nursing look backward center s in manila, the Philippine capital (Cabreza, 2007). The retake of the tests is to allow nurses who pull throughed the leak-tainted 2006 nursing board and are wishing to work in the United States to secure UV Visa-Screen certificates as required by the CGFNS (Rodis, 2007).The Philippines stipulation as one of the worlds top producers of nurses could be threatened as it significantly tainted the credibility of Filipino nurses abroad due to the recent examinations irregularities. The soil allegedly tough leakage materials of the June 2006 Philippine nursing board examinations of at to the lowest degree 200 questions. Some members of the nursing board were accused of receiving bribes from the owners of nursing review centers in exchange for leaking some test questions (Asian pacific Post, 2007).Sometime after the board exam was held, the whistleblowers who undecided the said irregularity wrote to the chinaware in June 2006 to report that handwritten copies of two sets of exami nation were circulated among examinees who took their review at a subroutineicular review center during the tangible examination period (Cabreza, 2007). The initial charges were made by students who said that the president of the Philippine Nurses Association, who apparently is the owner and director of a nursing review center and a nursing school, had given the exam questions to students who had taken his coaching classes with the final coaching at SM Cinema in manila paper (The Filipino Express immaturespaper, 2007).Many of the whistleblowers who exposed treason stupefy decided to take a new licensure test to choose the stigma of the scandal (Cabreza, 2007). Only 68.96% (9,198) use up passed the nursing board retake out of 13,338 nurses who voluntarily retook, concluded that the quality of education is becoming a real issue, in particular in light of the recent cheating/leak in the said board exams (Philippine Daily Inquirer, 2007 Rodis, 2007).After the said disclosures were made, officials and industry experts cautioned that the countrys status as one of the top sources in the world for nurses would inevitably be adversely affected (Conde, 2006). In fact, this scandal has already demonstrated far-reaching impact on Filipino nursesaside from some petulant incidents regarding racial discrimination in primetime American showsindicating that such scandal inevitably enigmaatic the entire Philippines.For one, one episode of the hit ABC series heroic Housewives entangled Teri Hatcher insulting the Filipino corporation when she malignly show that Philippine medical schools are producing substandard, middle-level andworseinept medical practitioners. other is Jay Lenos similar remark on his late night show The this night Show. Unfortunately, the above incidents gave rise to some political humors across America.A scathing AnalysisThe nursing board exam leak scandal in the Philippines brought legal, honourable and political issues confronting profe ssional nursing today, including in the U.S., as the Philippines is its prime source of men to address the ever-escalating shortage of nurses. Better requital packagesor simply a break up life for the nurse and her/his family receive been achieved as yet ethical and moral of standards of nurses everywhere.The Philippines has had a yen history of corruption and low standards of ethics especially in politics and business. The Philippine nursing schools diploma mills and review centers, for years, have been earning significantly, capitalizing on the nursing shorted in the developed world. In a country where cheating with impunity has pop off the norm rather than the exception and where remittances from exported skilled professionals literally go along the economy afloat, the leaks that marred the last nursing board exam and the desperate causal agent to preserve the examinations credibility in the backwash were bound to happen.The issue of the scandal is the issue of pathetic dreamers who damage the long-untainted credibility of the nursing institutions in the new era in spare for some cheap bucks. That there was a leak in the Board of Nursing exams is nothing more than a symptom of the nations deep cancers.However, the response of the academe, the Board of Nursing, the NCLEX, the CGFNS, the hospitals, the physicians and the other professionals abroad could form part of the cure. In fact, versions are that there is a collective effort of many an(prenominal) accommodate to do directly address the issue. For one, the calmness of the president and the vice president of the Philippine Nursing Association and the Board of Nursing would properly set the tone for reforms inwardly the nursing practice as well as in the academe.The report that some prestigious hospitals, clinics and recruitment agencies around the macrocosm would not accept Nursing graduates from 2006 unless stairs were taken to ensure that they indeed are worthy of the title of Registered Nurse, and the mesh being waged by deans of prestigious nursing schools to stop the Philippines passkey Regulation guidance from administering the professional oath to successful examinees until the issue is announcementd, all provides some sense of intrust that there are still many among who refuse to allow precious nursing institution from prostituting itself.This is not an accident that this resolve has come from those involved in caring for peoples health. It reflects a sentiment now wholesale across the country and other relate countries among health professionals. It has little to do with dollar remittances and the promise of a good life.Hence, this date to preserve the integrity and credibility of the nursing board exam is much more than that. It goes beyond making sure that the nurses who economic aid in the operating room or administer medicines to patients dont end up doing harm, although this is a big part of the issue. The battle is but a part of a larger strug gle to restore decency, integrity, and honor in country long-plagued by political unbalance and economic woes.The nursing insignia is being deprived of its cleanliness and purity of morale and intelligence. The white like is being stained with the filth of fraud and devious acts of betrayal to the nursing profession as the profession of cleanliness and purity. The light of knowledge taught by nursing schools has been diminished with sin and blindness in the search for greener pastures.The real oppression is to the successful examinees who did not cheat, the hardships should not been paved with shame dear because they are being called to participate in something beyond themselves. The only way cheating can be avoided in the future would be if those investigating the leak could pinpoint those who benefited from them and have only these persons retake the subjects. Needless to say, the perpetrators must(prenominal) be punished.It was Gandhi who said that our values become our dest iny. What provide happen to the destiny of those nurses with discriminative values and what will happen if those nurses will hold the health of the American community? What will be the destiny of the American health care system if the health care providers credibility the Great Compromiser a big question?The nursing exam scandal is an opportunity to rediscover and reclaim the values that have been strained to be denied and even discarded estimable for the sake of surviving. This unfortunate scandal can, however, conjure to be one of the greatest blessings for this nation, because it ability finally drive home the point that there can be no true progress and success unless they have their emotional states in the right place. vociferation it a counterculture of sorts, or simply a natural reaction to anything in excess. exactly the fact is that all over the Philippines, doctors, nurses and other health professionals are starting to care the call to be more than just healers. T here is a growing credit that Filipino nurses must use their professions to facilitate begin a revolution of the heart from the bottom up. It might be the only way to eventually force genuine change at the top.Summary, Conclusions & RecommendationsThe American Dream, the reverie of greener pasture in the reach of milk and honey, has driven the perpetuators to commit the wickedness against nursing profession and the morality. The opportunities brought about by nursing shortage and nursing hegira has forced the nursing system failures.The quality of nursing education is becoming the real issue as there are 460 nursing schools in the Philippines and 50 of which have already been ordered by the Professional Regulation Commission of the Philippines to be unkindly down as nothing more than diploma mills (Rodis, 2007). The exam fraud was but a part of the large problem of nursing.And there is also the issue of poor education. Schools, cashing in on a surge of enrolments from news of a nurse shortage in America, were churning out around 80,000 graduates per year. But only 32,000 or so are able to pass the board test, and only 2,000 easily get jobs in top hospitals (Bondoc, 2007). The nursing shortage is not the number one problem in America, but if one takes a closer look, this may arise to a greater problem of hiring half-baked nurses.The adulterous release of exam questions in the Philippines is an indication of deeper problems plaguing the Philippine health care system. Desperate to pass the nursing exam and work abroad, many students easily fall dupe to such scams. Diploma mill nursing schools and review centers have exploited this despondency and will do anything to compete for more students and more profits. In the end, the quality of nursing education, profession and the whole health care system suffers.Nurses in the United States involved directly or indirectly in the recruitment of nurses from the Philippines should consider only candidates with a minimum two- to three-year work experience and completely desist from hiring fresh graduates. By doing so, the Filipino nursing community in the United States would help ensure the continued cling of only qualified and well-trained professionals into the American healthcare system.ReferencesAsian Pacific Post. (2007). Filipino Nurses Exam Scandal.Bondoc, J. (2007). NCLEX in Manila Open by Mid-Year. ABS-CBN Interactive.Buerhaus, P.I., Staiger, D.O. & Auerbach, D.I. (2000). Implications of an Aging Registered Nurse Workforce. daybook of the American Medical Association, 283, 29482954.Cabreza, V. (2007). Whistleblowers in 2006 Nursing Test Leak Take advanced Exams. Philippine Daily Inquirer.Conde, C.H. (2006). 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