We employ more than 3500 nurses who strive to provide quality care to our patients. These nurses form an integral part of our dedicated care team, backed by clinical and information technologies. Their roles have been re-engineered through the years to assume a higher range of clinical responsibilities.
At NUH, the professional practice model integrates nursing practice and the nurses exemplify care and services through NICE which stands for Nurturing leaders, Innovative and knowledge, Collaborative and Exemplary professional.
The shared governance in NUH provides a structure for nurses to share, learn, grow, collaborate and integrate best practices. Our mentoring career development programmes serve to expand their supervisory and management skills, develop specialised clinical skills including advanced nursing practice, and grow their capabilities in nursing education and evidence based nursing.
While the dedication, commitment and team spirit of our culturally diverse pool of nurses form the foundation of the Department of Nursing, our vision, mission and philosophy aim to bring our professionalism and the level of care to new heights.
Nurses in NUH, as one, are committed to delivering professional and personalised nursing care to our patients.
We are committed to specialised nursing care of the highest quality, built upon continuous improvement as well as evidence-based practice within an environment of nursing research and education.
As nursing positions expand beyond the traditional hospital nursing roles, nurses have increased options and flexibility. The wide selection of patient care units and medical specialties offer a career enhancing setting for the professional nurse who desires to develop in bedside nursing. Opportunities exist in these nursing specialties and subspecialties:
We adopt a multidisciplinary approach to care for patients newly diagnosed with breast cancer, and related breast conditions throughout the disease trajectory. As integral members of the team, the Breast Care Nurses provide ongoing information; practical and emotional support, coordination of, and quality clinical care to patients and their significant others. In collaboration with other healthcare professionals, our nurses conduct research and translate evidence into optimal care for our patient population.
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NUH In-Patient Chronic Disease Management Programme is a 4-year funded programme by Health Promotion Board. Chronic Disease Care Nurses provide education to patients with diabetes, hypertension and/or hyperlipidaemia. Patients are educated on the disease process, the importance of healthy living, medication adherence and regular medical follow-ups, thus empowering patients to manage and take charge of their health conditions.
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Dermatology Nurse Clinicians conduct nurse-led clinic for patients with chronic skin diseases, wart, and perform skin cancer screening and surveillance. Our nurses also perform a variety of skin biopsies, electrosurgery, cryosurgery, chemical peeling, and intralesional steroid injections governed by clinical protocols. In addition, our nurses educate and counsel patients and their caregivers on the long-term and home management plans for a wide range of common dermatological conditions.
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To help patients with diabetes achieve good glycemic control and lead a normal lifestyle, Certified Diabetes Care Nurses work closely with a team comprising the endocrinologist, dietitian, podiatrist and diabetes foot care nurse to provide a coordinated holistic care. Our Diabetes Care Nurses are also responsible for the development, implementation, and evaluation of the standard in nursing and revision of guidelines for nurses in the care of patients with diabetes.
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With the growing aging population, it is expected there will be increasing challenges in managing older adults with complex care needs. Our Geriatric Care Nurse Clinicians receive referrals, initiate comprehensive Geriatric Assessment, act as a resource person and collaborates with the Geriatricians and multidisciplinary team to optimise care needs and ensure continuity of care for the patients.
Our Geriatric Care Nurses are also responsible for developing, updating and educating nurses on practice guidelines to enhance the care standards of Geriatric nursing in the organisation.
Patients with neurological issues such as stroke, traumatic brain injury and brain tumors may have disabilities that require special care needs. Our nurses in Neuroscience Care conduct nurse led anticoagulation clinic and case-managed patients via multidisciplinary approach under the neurology and neurosurgery discipline. Monthly support groups are introduced and organised for the patient groups and their families. The nurses are involved in raising public awareness by organising regular neuroscience related public forums. They are also committed to lead neuroscience nursing care in the organisation.
Orthopaedic Nursing is focused on the prevention and treatment of musculoskeletal disorders for patients of all ages, from infants to adults. The role of our Orthopaedic Nurse Clinicians include managing and improving care of patients with complex needs ranging from joint replacement, trauma, musculoskeletal oncology, diabetic foot, sports injuries, hand and reconstructive microsurgeries, spine conditions and paediatric orthopaedics. Our Nurse Clinicians are involved in the planning, coordination and evaluation of care delivery to patients and their family. They also act as a resource person; counsel and educate patient and family towards promotion of healthy lifestyle and disease prevention. In addition, our Nurse Clinicians conduct research projects and review evidence based papers for development of guidelines and application into clinical practice.
Our Pain Care Nurses promote and provide optimal pain care to patients. They collaborate with the pain care physicians to provide Acute and Chronic Pain Service which includes:
The care of patients requiring rehabilitation involves a multidisciplinary team effort. Our Rehabilitation Care Nurses collaborate with the multidisciplinary team to help patients achieve and maintain the highest possible level of functioning, optimal health and well-being.
Our Respiratory Care Nurses provide education to the patients and their caregivers on respiratory disorders. They conduct regular follow ups with our patients to monitor their adherence to treatment and work with patients to develop individualised self-management plan for better control of our patient's respiratory condition.
Our Upper Gastrointestinal Care Nurses provide pre-operative education upon diagnosis, conduct comprehensive programmes for postoperative patients with gastric cancer and provides follow up support service to patients and their caregivers. Our nurses have an additional role in weight management programme, providing patients with comprehensive and compassionate care, to meet each individual with treatment plan and lifestyle modifications.
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Our Nurses in Wound / Stoma / Continence care provide direct patient care by assessing, planning, implementing and evaluating patients with either wound, stoma or incontinence issues. They collaborate with physicians, nurses and allied health professionals in the care of this group of patients. In addition, our nurses are actively involved in staff education and in improving and maintaining nursing care standards in relation to wound / stoma / continence care.
The department's emphasis is on clinical research, geared towards improving patient care.
Our Mrs Lee Kong Chian Centre for Nursing Education was established for the primary purpose of enhancing the knowledge and skills of our nurses.
The Mrs Lee Kong Chian Critical Care Nursing Simulation Laboratory was launched in NUH on 26 May 2009. The 100 sq-ft laboratory consists of a High Dependency (HD) room and Intensive Care Unit (ICU) room (which are replicas of the actual setup). This means nurses can now practise their acquired skills in a simulated environment before attending to patients.
By keeping abreast with developments in nursing practices and technologies, our nurses are well equipped to provide safe and quality nursing care to our patients.
We also pride ourselves in having a team of well-qualified and experienced Nurse Educators to cater to the learning needs of our nurses, including curriculum development and teaching methodologies - both didactic as well as practical. In addition, our Nurse Educators from varying clinical specialties provide support for our unit and translate theory to practice.
In order to prepare our Registered Nurses for the expanded role, we conduct a series of Role Enhancement Courses to equip them in providing specialised care to the patients.
We also provide comprehensive and structured courses. These courses are created to enhance the capability of the nurses to take on specialised roles.
As part of an ongoing commitment to enhance the knowledge and skills of nurses from other healthcare institutions locally and regionally, NUH offers both Clinical Observation and Clinical Attachments.
These attachments range from observational to hands-on practice designed to meet the learning objectives of the visiting healthcare professionals.For enquiries on our Nursing programmes and Clinical visits /attachments, please contact the following people:
Nursing Education Department Level 3 Main Building 5 Lower Kent Ridge Road Singapore 119074
1.1 As the healthcare industry is rapidly changing and evolving, healthcare personnel who have left their practice may find it challenging to keep abreast with these changes.
1.2 The RTN course is specially designed to equip nurses, who have not practised nursing for five years or more, with the essential knowledge, skills and attitudes necessary to practice competently and safely.
1.3 The course is designed to help participants to re-enter the workforce with competence.
2.1 The RTN course is for nurses who are Singaporeans or Singapore Permanent Residents.
2.2 Nurses who have left the healthcare industry for five years or more and / or those whose registration/enrolment with the Singapore Nursing Board (SNB) has lapsed for five years and more.
3.1 The RTN course is a 3-month (12 weeks) full-time course comprising 6 weeks with training provider (theory with ward attachment) and 6 weeks clinical practicum at employer setting. Clinical supervision and coaching will be provided by nurse educators, clinical instructors and / or preceptors to help you achieve the course objectives successfully.
3.2 During the RTN course, you are required to attend classes and/or clinical placements from Mondays to Fridays, 8 hours per day. There may be a need to schedule you on shift in order to experience and observe the activities at different periods of the day.
Employer and SkillsFuture Singapore (SSG) subsidies are available for Singapore Citizens and Singapore Permanent Residents.
Breakdown of fees for Return-to-Nursing course for Registered /Enrolled nurse are as follows:
Full course Fee: $9,000 SSG grant: $8,100 Nett course fee: $900 7% GST on net course fee: $63 Total nett course fee payable, including GST: $963
Potential candidates: You can email NUH Nursing Admin (Training) at email@example.com for more information and/or have a discussion with the staff. You may wish to write to your prospective employers to enroll you for the RTN course should this be appropriate.
Employers who wish to register their employees may contact the following agencies:
I left the Nursing industry for less than 5 years, am I still able to apply for RTN course?
Ans: As this is a requirement by the Singapore Nursing Board, it is mandatory for nurses who have left practice for more than 5 years to attend the RTN refresher course.
Qn 2: What are some of the pre-entry requirements?
Ans: (i) The applicant should be Singaporean citizen or Singapore Permanent Resident, (ii) Registered with SNB (either temporary or full registration).
Qn 3: How do I apply for the course?
Ans: Registrations are via employers to the respective point of contact.
Qn 4: Do I need to pay for the course fee myself?
Ans: If you meet the entry requirement and have an employer, the course is entirely sponsored by SSG and your prospective employer.
Qn 5: Will I be bonded?
Ans: Yes, you will be required to sign a letter of undertaking to serve a bond with your prospective employer upon completion of the RTN course.
Qn 6: What will happen if I do not complete the course?
Ans: Please discuss with your prospective employer on the Liquidated Damage (LD) amount.
*All information is valid as at July 2018
The Evidence-Based Nursing Unit (EBNU), an arm of the Nursing Department, was established in May 2005 with the objective of building the capacity of nursing staff to adopt best practice standards.
The roles of the EBNU in propagating Evidence-Based Practice are:
The Evidence Based Nursing Unit has been involved in various hospital-wide projects to conduct evidence/systematic review and research, and translate evidence-based findings into clinical practice. Some of these projects include:
The Nursing Department supports the NUH Quality Framework and works in collaboration with other Quality committees to provide an integrated approach to quality and safety.
Nursing aims to instill a culture of shared governance through the NUH Nursing Professional Practice Model, enhancing nurses' empowerment and autonomy based on four principles: Accountability, Partnership, Ownership and Equity.
Shared governance in NUH is an organisational structure in which nurses have a voice in determining nursing practice and standards of patient care. This structure, introduced in 2014, provides the platform for nurses to share, learn, collaborate and integrate best practices into their care.
The Nurse Leaders Council (NLC) governs the Nursing Quality Structure, supported by the Nursing Quality Council, Professional Practice Council, Nursing Research Council, Cluster Council and Unit Practice Council. The NLC provides leadership and coordinates the work of the individual Council to ensure that initiatives are aligned with organisational goals. The Councils, together with the Infection Prevention Committee, Pharmacy-Nursing Quality Council and other workgroups, review, monitor and evaluate the standards of quality care delivered to our patients and are based on best practices, evidence-based, appropriate and timely.
Under the Nursing Strategic Scorecard, we prioritise and monitor quality indicators and trend data on key indicators such as patient falls, medication errors and pressure injury. The results are monitored and discussed to evaluate the effectiveness of the quality improvement strategies implemented. Our nurses are equipped with quality improvement skills and knowledge to continuously improve care and patient safety. Data is shared and discussed with nursing leaderships and other nursing forums; and hospital Quality Forum and Clinical-Operations meetings.
We organise monthly Quality Improvement (QI) Rounds with our nurses to spread the quality message and share useful quality-related information with them. This forum provides an effective platform for them to keep abreast of the developments in quality and patient safety initiatives. Our nurses also share at the QI Rounds how they maintain and improve their units' nursing care standards to facilitate cross-learning.
Our nurses' works are constantly recognised through QI awards, and they are invited to present the exemplary initiatives at local and international conferences.
Nurse leaders conduct rounding regularly to encourage and motivate teams on their quality improvement works.
EPEEP is a set of actions performed by our nurses, either at each patient contact opportunity or during 2-hourly structured rounds. EPEEP stands for:
Explain - Informing the patient of nurse's intention of interaction
Pain/Position - Assessing the patient's pain and comfort and reposition if necessary
Elimination - Offering toileting assistance
Environment - Ensuring patient can reach daily needs items easily; maintain a safe environment
Plan to return - Check if the patient needs anything; inform of the next planned activity
By being proactive about meeting the patients' needs through EPEEP, our nurses create a controlled environment in which interruptions are minimised due to nurse calls. At the same time, this proactive approach helps our nurses build rapport with the patient/family, thereby elevating the staff and patient satisfaction level.
EPEEP has reduced the number of nurse calls per patient-day by 30%, from 2.52 to 1.69. The time saved enabled our nurses to spend more time on value-added care for our patients.
Since January 2011, we embarked on a journey to Transform Care At the Bedside (TCAB). The intention of TCAB is to improve the following:
A series of seven Rapid Improvement Events were conducted to streamline and improve care processes related to TCAB. Through TCAB, we have improved our Direct Patient Contact Time from 31% to 55%. Moving forward, we aim to work towards 60%.
For more information on nursing career tracks, career and development opportunities and sponsorship programmes, please click here.
• Singapore Nursing Board (SNB) • Singapore Nurses Association (SNA)
• Nanyang Polytechnic (NYP) • Ngee Ann Polytechnic (NP) • Institute of Technical Education (ITE) • National University of Singapore (NUS)
Job Opportunities firstname.lastname@example.org Attachment and Hospital Visits email@example.com Return-To-Nursing Course and Training Enquiries firstname.lastname@example.org