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Around 1987, nursing in South Africa was step by step introduced in tertiary training system and scope of follow and curriculum were amended. Nursing graduates were launched to a four-12 months diploma obtaining basic, psychiatry, midwifery and community health nursing. That made older nurses to really feel bitter and never totally accepted college graduates as satisfactorily skilled. Even medical officers were threatened and witness role change from nurses as hand maids into absolutely recognized members of the multidisciplinary well being group with independent roles and performance. These adjustments failed to bridge the gap of scope of practice and remuneration packages. Even to this date, the university and hospital educated nurses earn the same salary and comply with identical stream of training regulated by the same nursing Act 50 of 1978 as amended with specification stipulated in Regulation 425 (R.425).

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