SPOTLIGHT: Reflections on the future of nursing in South Africa

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The Rural Health Advocacy Project recently hosted an online webinar focusing on social accountability in nursing education. Professor Laetitia Rispel, SA research chair on the Health Workforce at Wits, delivered the opening address on challenges facing the nursing profession. This is an edited extract.

In almost all countries of the world, the Covid-19 pandemic has caused untold hardship, suffering and devastation, laying bare pre-existing injustices and inequities, whether by geography, race or other forms of vulnerability, with poor people and poor nations bearing the brunt of the effects.

Superimposed on poverty and inequalities is the endemic gender-based violence that goes to the core of our humanity. In the past two weeks, 14 women and children have died in yet another cycle of gender-based violence, the brutal nature of which makes us feel sick to the core. We express our outrage and protest, and little seems to change in between Uyenene and Tshegofatso’s brutal murders, except that the brutality is more in our face.

If you are a nurse, or any other type of healthcare worker, I am sure you could think of the names of people who come to mind in each of these categories. Please take the time to remember these nurses and to acknowledge them, even if silently. If you are a nurse yourself, I also encourage you to celebrate your own achievements in nursing and as a nurse, or as an advocate for nurses and nursing.

It is difficult to see the alignment between the scope of practice regulations, and nursing education reforms, and the proposed National Health Insurance system . Of course, nursing education cannot be seen in isolation of working conditions, positive practice environments, the necessary resources and supportive people management and leadership.

Socially accountable nursing education must instil in every young nurse and/or midwife the values and practice of responsive and respectful healthcare. We should emphasise the transformative potential of education and training – both in building the next generation of nurses and in making a difference.

 

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