Appraisal of Barriers and Facilitators Associated with Advanced Professional Education among Nurses in Adamawa State, Nigeria
The health care delivery system is rapidly changing in response to the nature of development in science and information technology. This requires nurses to possess advanced education. This study was carried out to explore types of advanced educational programmes pursued by nurses and to identify the barriers and facilitators associated with advanced professional education. Cross-sectional design was utilized using a multistage sampling technique to select 200 nurses from 6 hospitals in the state, 2 in each of the 3 senatorial districts of Adamawa state. The study reveals 1.10% are holders of university nursing degrees. Majority possess advanced diploma certificates in Midwifery (26.92%), Perioperative nursing (19.78%), Accident and Emergency Nursing (11.54%), and Anesthesia Nursing (9.89%). Earning more salaries/allowances (36.81%), recommendation by employers (25.82%) and promotion purposes (14.84%) are the major facilitators of advanced nursing education. Financial difficulties (23.63%), family pressure/commitment (21.98%), Poor remuneration after training (12.64%), Lack of entry requirement (11.54%), Distance from training institution (9.34%) and Lack of proper placement after training (7.69%) are the barriers to advanced professional education. Finding revealed that only few nurses have undergone university nursing education, majority are advanced nursing diploma programme, hence the study recommends that a scheme of service that reflects the acquisition of various advanced qualification should be put in place for nurses at various levels and Adamawa state universities should be encouraged to introduce advanced nursing programmes.
Advanced Education, Nursing, University Education, Nurses, Adamawa State
International Council of Nurses ICN The ICN code of ethics for nurses. 2006.
Agbedia, C., Re-envisioning nursing education and practice in Nigeria for the 21st century. Open Journal of Nursing, 2012. 2: p. 226-230.
Dolamol, B.L. and S.K. Olubiyi, Nursing education in Africa: South Africa, Nigeria, and Ethiopia experiences. International Journal of Nursing and Midwifery, 2013. 5(2): p. 14-21.
Scheckel, M., Nursing Education: Past, present, future. 2010: Jones and Barltett Publishers.
Nursing and Midwifery Council of Nigeria NMCN Functions. 2014.
National Universities Commission NUC, Curriculum for General and Post Basic Nursing Education. 2009, Abuja: NUC.
National Universities Commission [NUC] Universities: List of Nigerian universities and years founded. 2012.
Nursing and Midwifery Council of Nigeria [NMCN] List of approved schools of nursing, midwifery, post basic nursing programmes and departments of nursing in Nigeria and their accreditation status as at 31st July, 2010. 2012.
American Organization of Nurse Executives, AONE’s Guiding Principles for future patient care delivery; Nursing care across provider settings. Presented at the 118th meeting of the National Advisory Council on Nurse Education and Practice. 2008: Rockville, MD.
Dipo, O.F., I.A. Segun, and S.K. Olubiyi, Establishing a gold standard for nurse educators in Nigeria. Sky Journal of Medicine and Medical Sciences, 2013. 1(4): p. 15-19.
Garba, S.N., A.D. Ajayi, and A.J. Adul, Factors influencing post basic and university education among Nurses in Kaduna State. the journal of west African college of Nursing 2007. 18: p. 94-100.
The American Association of Colleges of Nursing (AACN) Fact Sheet: The Impact of Education on Nursing Practice registered nurses. . 2014
Morgenthaler, M., Too old for school? Barriers nurses can overcome when returning to school. AORN, 2009. 89(2): p. 335-345.
Nursing and Midwifery Council of Nigeria [NMCN] Nursing as a career: Nursing education programs in Nigeria. 2007.
Ndatsu, P.N. Nursing and midwifery council of Nigeria’s role in maintaining standards in nursing education and practice. A paper presented at the conference of the committee of principals of schools of nursing, psychiatry and midwifery (COPSNPAM). Ilorin, Nigeria. 2004.
Lillibridge, J. and S.D. Fox, RN to BSN education: What do RNs think? Nurse Educator, 2005. 30(1): p. 12-16.
Megginson, L., RN-BSN education: 21st century barriers and incentives. Journal of Nursing Management, 2008. 16(1): p. 47-55.
Bellfield, S. and G. Gessner, Factors Influencing the Advancement of Professional Education of Nurses at a Magnet Hospital, in School of Nursing & Health Studies 2010, Georgetown University, Washington, D.C.