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Around 1987, nursing in South Africa was step by step introduced in tertiary schooling system and scope of apply and curriculum were amended. Nursing graduates were launched to a 4-yr diploma obtaining normal, psychiatry, midwifery and group health nursing. That made older nurses to really feel bitter and by no means absolutely accepted university graduates as satisfactorily trained. Even medical officers were threatened and witness role change from nurses as hand maids into fully recognized members of the multidisciplinary well being workforce with unbiased roles and performance. These modifications failed to bridge the gap of scope of practice and remuneration packages. Even to this date, the college and hospital educated nurses earn the identical wage and follow identical stream of training regulated by the identical nursing Act 50 of 1978 as amended with specification stipulated in Regulation 425 (R.425).

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