Major Nursing Reform: NANNM Pledges Action on 10 Key Issues

Nursing Reform

The future of nursing in Nigeria is at a turning point following high-level discussions between nursing leaders and key stakeholders in Adamawa State. National executives of the National Association of Nigerian Nurses and Midwives (NANNM) met with local nursing representatives to tackle pressing concerns, from wage reforms to professional recognition.

During the engagement, Nurse Activist Reuben Zirahgi Markus met with NANNM National President Nr. Haruna Mamman, National Treasurer Nr. Mercy Laraba Lenka, and National Auditor Nr. Ijabula Joseph. Their discussions focused on ten critical areas affecting the profession.

A structured, nationwide internship program is necessary to standardize training, reduce financial burdens, and create equal opportunities for nursing graduates. Many interns face delays and high placement costs due to a lack of a centralized system.

Many nursing colleges, including Adamawa State College of Nursing Sciences, have the infrastructure and manpower for degree programs but remain at the National Diploma/Higher National Diploma (ND/HND) level. The transition to university-affiliated institutions will enhance their credibility and meet national and international standards.

These outdated programs were designed for primary healthcare centers but have led to confusion in the profession. Many nurses with LCN/LCM certifications are working in secondary healthcare settings instead of primary healthcare centers (PHCs), often impersonating Registered Nurses (RNs). The Nursing and Midwifery Council of Nigeria (NMCN) had previously stated these programs should be phased out.

Many hospitals are yet to implement government-mandated entry placements, depriving nurses of proper wages and benefits. The situation is particularly concerning for newly graduated nurses, such as interns facing delays in securing positions. A case involving Jos University Teaching Hospital (JUTH) was raised for immediate action.

Adopting the ‘Nr.’ title nationwide will enhance the professional identity of Nigerian nurses and improve public perception. This small but significant change will provide a stronger sense of belonging and recognition within the medical field. The title is already gaining acceptance across Africa.

Nurses need a stronger presence online to influence policy changes and career opportunities. NANNM must upgrade its digital platforms, including its website and social media channels, to reflect current trends and research. The association is urged to hire a professional graphic designer to maintain a strong online image.

Burnout, understaffing, and poor salaries remain major concerns. Nurses are often overworked with little support, leading to exhaustion and reduced patient care quality. NANNM leadership emphasized the need for better wages, improved working conditions, and staffing reforms to enhance efficiency.

Access to affordable housing remains a challenge for many nurses. Stakeholders are exploring partnerships with mortgage institutions and private developers to create nurse-friendly housing projects. Providing safe and affordable accommodations will improve job satisfaction and retention rates.

New nurses often struggle with career direction due to a lack of mentorship programs. A structured mentorship initiative will help guide young professionals, equipping them with skills for career advancement and leadership roles.

The rise of unregulated private nursing institutions is a growing concern. Many lack proper accreditation and do not adhere to quality education standards. Stakeholders are calling for strict regulatory oversight to ensure nursing schools maintain high academic and professional training standards.

During his visit, Nr. Reuben Zirahgi Markus commended the institution’s infrastructure but urged leadership to transition into a degree-awarding institution. He appealed to Adamawa State Governor and other decision-makers to support this initiative, as it would raise the quality of nursing education and align with global healthcare standards.

Reuben Zirahgi Markus met with the newly elected NANNM Adamawa State Chairman, Nr. Donald Tobel Gakesa, to discuss leadership priorities. He pledged his support and encouraged transparency, accountability, and professionalism in the new administration. Constructive criticism was highlighted as a valuable tool for improvement.

Reports of nurses displaying unprofessional behaviour during the Gombe byelection raised concerns. Instances of rude language and inappropriate conduct were highlighted. NANNM leaders stressed the importance of maintaining professionalism in all settings.

Nr. Haruna Mamman and other national executives pledged to take immediate steps to address these issues. Their willingness to act reflects a new era of collaboration between nursing leaders, government agencies, and stakeholders.

This meeting marks a major step toward improving nursing education, enhancing professional standards, and securing better working conditions for Nigerian nurses. Stakeholders are now calling on policymakers and healthcare institutions to support these initiatives for lasting change.