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Me and Ninama

Bimala, pictured above with her daughter Ninama, is one of the first graduates of IUBAT’s College of Nursing (you may read about that here). She has been featured extensively in our blog, but she writes us again to share her preconceived notions of nursing and the impact of her training on her life, even long after she completed the program.  She shares how her perspective of nursing has evolved over the course of her schooling and how it continues to shape her experiences.


She writes: “When I had to choose a Bachelor’s degree program for my career, I chose nursing for two reasons: 1) The ever increasing demand for nurses and 2) Good salary for qualified nurses in developed countries. That would take me away from my meddling family for sure!  Hence, I chose the College of Nursing at IUBAT, Bangladesh, which was far away from family. It did not go as I planned but I am glad it is that way. Why? I’ll tell you.


My ideas about nurses and nursing took a complete 180 degree turn while at IUBAT. I used to think nurses carried out doctors’ orders: gave medications and maybe dress a wound sometimes. These notions were built up from my observations while visiting family members at hospitals in Nepal. However, through my nursing education in IUBAT, I learned that a nurse is supposed to be responsible and accountable for providing compassionate care to his/her client through a holistic approach, which integrates not just physical but social, psychological, and spiritual aspects that are interconnected and affect an individual as a whole. I learned that a nurse is a linchpin between patients and the rest of his/her multidisciplinary team, that a nurse is the patients’ advocate. I learned that nurses were highly respected professionals, not because of the salary they were paid, but because of the important roles and responsibilities they carried out in patient care (although, hence the salary!).  The IUBAT instructors were true role models for nurse professionals. They were kind, caring, respectful, and always trying to help improve the patient care of the health care facilities. They were also encouraging us, the students, to be the catalyst for a better nursing care practice. As I learned more about nursing, I became aware of the greater role of nurses in patient care and the wider scope of their practice. I then truly started to respect the nursing profession and was proud to call myself a nurse.


Aware of the true potential of a nurse, I came to understand that there is a greater need of professional nurses in countries like mine. I immediately realized that there was a big difference between IUBAT teachings and actual nursing care practices in most of the healthcare facilities of Nepal and Bangladesh.  It also became clear that the nominal and substandard roles of nurses and their scope of practices in these countries were a direct result of poor nursing regulations and education. This realization was life changing to me. I became more interested in improving the nursing care and healthcare standard of countries like mine and Bangladesh instead of working in developed countries. It has become my goal to help Nepal, and if possible, other similar countries, attain a health care system that provides quality healthcare to its citizens regardless of their race, gender, and social or financial status.  


Apart from finding my goal, the skills, knowledge and attitude that I obtained from the IUBAT Nursing Program has saved me from possible obstetric abuse during an important phase of my life – my childbirth. Through the program I have become passionate about advocating for the patients’ right to quality healthcare. The program taught me to become assertive, a critical thinker, and a lifelong learner of good health care practice. Because of these traits, I was able to research current practices around childbirth cases like mine and was empowered to humbly question practices of the doctors/nurses caring for me. I had the confidence to stand up against their professional misconduct and deny their intervention. I was also able to seek the right professionals and place for my childbirth. Because I had become a strong nurse (thanks to IUBAT’s Nursing Program!) I was able to give birth to a wonderful baby girl and experience a wonderful childbirth.”


We are grateful that you shared this lovely narrative for our readers and glad that you were able to give some insight as to how the program was transformative in a variety of ways.  Please stay tuned for the next post, wherein Bimala uses her personal and professional experiences to craft a presentation for healthcare professionals and industry experts.

 
 
 

The journey for some students through the rigorous training program at IUBAT is decidedly challenging, and the English language instruction, as well as comprehensive curriculum, require dedication and hard work in order to master. Samir Chandra Das is a graduate from our College of Nursing and is now finding success in his career as a registered nurse, but he describes the bumps he encountered along the way, and the support he received in return. He writes:

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Samir

“My name is Samir, and I graduated from the College of Nursing at International University of Business Agriculture and Technology (IUBAT) in 2014.  As a child, I wanted to be a health care leader.  I love to serve those that are marginalized, poor and vulnerable.  As I love working with people, I selected nursing as a profession, since there are many opportunities to serve and benefit that population.  Furthermore, my brother inspired me greatly to pursue nursing.  He explained to me what nursing was all about and about the prospects and job fulfillment.


Once I made the final decision to become a nurse, I was looking for the most reputable nursing institution.  That is when I encountered IUBAT.  After my admission to IUBAT, I met with Dr. Karen Lund, the Faculty Chair for Health Sciences at IUBAT.  She spoke to me about the variety of job prospects that I could have after graduation, including other benefits regarding nursing jobs in Bangladesh and abroad.  At the beginning of my studies, I was quite depressed because of my poor English skills.  After some time, however, I met with our respected Alex Berland, Senior Advisor in Health Sciences at IUBAT.  I shared my problems regarding my studies with him, and he gave me some valuable suggestions that helped me with completion of my studies and with my English skills and competency.  I am really grateful to IUBAT and our faculty whom taught me, including our international volunteers and national staff.  Because of all of them, I am where I am now.


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Samir working with the Kamrangirchar Urban Slum Project with MSF

Just after my graduation from IUBAT, I got an opportunity to work at Gastro Liver Hospital and Research Institute in Dhaka as a staff nurse.  Currently, I am working in Medecins Sans Frontieres-Holland (MSF-H), Bangladesh as an Occupational Health nurse since November, 2015.

 

As an Occupational Health nurse, my role is to provide basic health care to the factory workers and to find out the occupational health diseases.  I am also responsible for providing vaccinations to the children, women and male factory workers, medication administration, IV cannulation, nebulization, dressing, history taking, room temperature monitoring, measuring of vital signs, maintenance of infection control protocols, patient counselling, maintenance of medicine inventory and consumption, maintenance of the cold chain of vaccine, and performance of laboratory tests such as urinalysis, pregnancy tests, syphilis etc.


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My opinion is that the College of Nursing at IUBAT is the best nursing college in Bangladesh.  The knowledge that I learned from IUBAT is really essential for my practical services.  I am thankful to IUBAT and our all faculty (national and international) for their valuable suggestions and time, which make me competent enough to provide standard quality of care to patients.  Again, thank you so much for everyone who was with me in my entire nursing journey.”


Thank you for sharing your accomplishments and challenges, Samir, and we are certain that your story will bolster and encourage students currently in the program who may be facing some difficulties of their own.  We congratulate you on your new position with Médecins Sans Frontières, and we hope that you continue to thrive and grow in your role as a nurse.

 
 
 

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Sweta Sharma

At the Bangladesh Health Project, we love hearing from our alumni and getting updates on their lives and careers.  Sweta Sharma, one of the first graduates of the nursing program at IUBAT, has had quite the journey since she completed her BSc studies in 2009.  Her success has been featured here and here, and now, Sweta explains her initial impressions of the program and how she is furthering her career progress in a new country:


“When I enrolled in BSc Nursing, I had only a vague idea of what nursing entailed and what the roles and responsibilities of a nurse were, as I was the first person out of my family and close relatives to choose nursing as a career.  In addition, a BSc in Nursing was a new and emerging field at the time in Nepal and there were limited university offerings with very few seats.  That is why I went to Dhaka, Bangladesh to pursue my career.  I was excited about my journey, but at the same time I experienced the pain of leaving my family and friends, as the furthest distance I had ever travelled from home was 150 km, and Dhaka was 1000 km away!  For a few days, it was hard for me to adjust in a new country with a new language, culture and food, but within a few days, things started to become normal.


My first year as a student nurse was standard for most nurses, in essence, I was excited about learning new things, but at the same time, I was scared about everything.  I was usually consumed with such worries as, would I understand the theories of nursing?  Would I cope on the wards?  Would I be able to give my first IV?  However, after being exposed to the clinical practicum and being able to perform the hands-on nursing tasks, I have had the pleasure of caring for clients.  In every step of the learning process, the volunteer teachers always helped us, and their help was incredible.  They taught us to provide standard nursing care, to have effective communication with clients and family, to keep a journal, to make presentations, to do scientific research, guided us in our clinical and community placements and gave us constructive feedback when necessary.  Afterwards, I went back to Nepal and started working as a clinical nursing instructor to diploma and first-year BSc nursing students.  After starting my career as an instructor, I started to realize that my education from IUBAT was equal to other nursing instructors.  While working as an instructor, I often heard encouraging feedback from the students e.g. “Sweta was one of my best nursing instructors”, and “I want to be a nurse like Sweta in the future”.


After working almost 3 years in Nepal, I got a chance to pursue my Master’s degree in Emergency and Critical Care Nursing with an Erasmus Mundus Scholarship.  During that period, I saw exactly what it was to be a nurse in a developed country.  I was amazed to see their dedication towards their job, their level of knowledge, the respect they received, and the autonomy that they have.  I then realized why the instruction was the way it was at IUBAT, and why the volunteer faculty were so detail-oriented.


After I obtained my Master’s, I came to Canada in June 2015 and I have started paperwork to become a registered nurse. In the meantime, I have been trying to learn new skills and utilize my existing skills with hope of gaining work experience in Canada. To assist with that, I have begun to volunteer at Pinecrest-Queensway Community Health Centre, in Ottawa, Canada, as a community development and health promotion assistant, supporting PQCHC catchment area neighbourhoods with health promotion activities.


Finally, I want to say that none of us are perfect in our profession, as this profession offers us an opportunity to learn something new each day, as we touch new life every day, and with a positive attitude, we can make any experience a great and rewarding one. Also, I would like to thank all the nursing faculty members at IUBAT as well as the Erasmus Mundus Scholarship for all of my training and experiences.”


We appreciate your updates, Sweta, and thank you for sharing some words of wisdom, which may influence more nursing hopefuls to fulfil and pursue their dreams.  Best of luck with your RN designation in Canada; you are one of the numerous success stories that have arisen out of IUBAT.  You have already accomplished so much, and we anticipate more of the same in the future.

 
 
 

STRENGTHENING POPULATION HEALTH IN BANGLADESH

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