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Many nursing students in Bangladesh practice in a hospital attached to their nursing college. IUBAT College of Nursing has no hospital and its BSN students practice in several excellent institutions - general and specialized hospitals, out-patient clinics and an orphanage - through collaborative arrangements. This is similar to the situation in Canada where nursing colleges and hospitals are generally government-funded but independent. There are several reasons why Canadian hospitals value the presence of nursing students.

1.       There is enhanced prestige in being a “teaching hospital” partly because the presence of nursing faculty as outside experts helps improve standards of care for all staff, for example through bedside teaching that benefits other team members.

2.       Patients benefit from contact with students. Regular staff have many duties and nursing students can spend more time with patients and their families, providing support and education. Many patients are stressed by the hospital environment and benefit from students being available, for instance, to explain instructions about lifestyle changes recommended by the care team.

3.       Hospital staff benefit from working alongside students. Although the students have their own learning duties, they also can help to reduce somewhat the staff workload, by measuring vital signs, helping patients to ambulate and so on. And senior nurses often find that interacting with students helps them stay current with new nursing knowledge.

4.       Students are potential recruits for the hospital. Student practice is an opportunity for head nurses to identify strong candidates for future employment. In addition, student hires have already been oriented to hospital policies so will require less learning time.


IUBAT College of Nursing has also recently invested in major improvements to the nursing skills lab on campus to prepare students for clinical practice. The original equipment was mostly disused items donated by Canadian colleges, transported to Bangladesh by BHP volunteers. The new learning centre includes modern mannikins on which students can safely practice basic and advanced nursing skills such as inserting IVs and tracheostomy care. There are also vital sign monitors for each “patient”. Additional equipment has been purchased for CPR and first aid training. An instructor is available to supervise and support student practice in both regular classes and during students' free time to maximize learning opportunities. Other College of Nursing labs offer practice in microbiology, nutrition and anatomy and physiology.


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In 2014, IUBAT’s Centre for Policy Research published “Advancing Nurse Education in Bangladesh.” This policy paper, written by BHP Director Alex Berland has since been read over 10,000 times. Berland’s “road-map” identifies three opportunities for scaling-up and strengthening nursing capacity in Bangladesh:

1)      Build a leadership coalition and guiding strategy for nursing resource development

2)      Create a country-wide collaborative effort to advance nurse education

3)      Develop system supports to raise standards in nursing education and practice


Globally, health human resources is a major concern. Since this publication, the nursing profession in Bangladesh has experienced many changes. Some have been positive such as significant improvements in public attitudes, wider recognition of the contributions of nurses, greater demand for quality education and slightly improved working conditions. Unfortunately, there continues to be wide variation in education experiences and not enough use of nurses to tackle public health concerns such as NCDs and mental health needs. Planning is now underway to update the road-map with current perspectives from working nurses and policy experts in Bangladesh.



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BHP director Alex Berland recently published A self-assessment guide for readiness to govern in the International Journal of Health Governance. Effective governance is essential for improving quality of care, human resource management and business practices. The article introduces a “Readiness Self-Assessment Guide” that can be used as a diagnostic tool to help health service governors and managers, particularly in Low-Middle Income Countries. It is based on Berland’s experience working in health care systems globally, including a recent project with Sajida Foundation Hospital, Keraniganj, Bangladesh.

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