Council to burnish nursing's image


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ABU DHABI //The shortage of Emirati nurses stems from a widespread perception of the job as low-wage, low-status, and with limited career opportunities.

But these obstacles are gradually being surmounted, according to Dr Fatima al Rifai, the director of the federal department of nursing at the Ministry of Health.

Dr al Rifai is also secretary of the UAE Nursing and Midwifery Council, a body set up a year ago to address the shortage. The council plans to establish a foundation for professional governance and standards that are consistent with international best practices, she said.

By setting up separate scientific communities - education, practice and licensing and regulation - the council hopes to present nursing as an attractive profession, while increasing wages and providing nurses with better career prospects.

However, that is not yet the case, said Nurse Fadia, 23, who did not wish to give her full name. The Emirati graduated from a nursing programme at a local university just over a year ago. After struggling to find a job, despite being told repeatedly of a nursing shortage, Ms Fadia was finally hired at a government hospital in Abu Dhabi.

She said she does not enjoy her job. "It is not what I expected when I joined nursing," she said. "Many of my friends joined with me becºause we were being told it is a very attractive profession and very easy to find a job and to go far, but this is not what we experienced."

Ms Fadia said no job interviews were lined up for nursing graduates, despite promises they would be. "And now that I'm working, then what? There is no opportunity to specialise or to continue my education unless I go abroad," she said.

Ms Fadia's frustrations are echoed across the country. Masoumeh Kazemi, a registered nurse at Mideast Polyclinic in Dubai, said she knows of only one centre in the region - in Saudi Arabia - that allows nurses to specialise. "If I want to specialise in diabetes, paediatrics, intensive care, or to get my master's or PhD, how will I do it here? It is better for the health care of the entire country to allow nurses the chance to advance in their field," she said.

Dr al Rifai said the council's scientific communities - which include more than 120 representatives from all emirates, all health authorities, private and public health facilities, universities and nursing colleges - will address these concerns.

The education committee, for example, will address the need for career advancement by developing a unified specialisation model to guide education, practice and licensing in this area. "We are convening a large forum on specialisation on April 11 at the American Hospital in Dubai to outline a specialisation framework and define the criteria for speciality practice and recognition," Dr al Rifai said.

A lack of opportunities will mean a lower quality of nurses for the region, said Obaid al Jenaidi, president of the Emirates Nursing Association. "The Middle East's healthcare sector is growing rapidly, but this growth could be affected by the lack of trained nurses from national populations," he said.

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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