Are Schools of Nursing Gradually Being Phased Out?

The conversation around nursing education in Nigeria and many other countries has shifted dramatically over the past decade. For years, the School of Nursing model was the traditional entry point for anyone aspiring to become a registered nurse. These institutions offered hospital-based training, where students combined classroom teaching with hands-on clinical practice.

But in recent times, changes in government policies, global health standards, and the evolving complexity of healthcare have raised a pressing question: Are Schools of Nursing gradually being phased out?

This article explores the realities, trends, and implications of this transition, especially for aspiring nurses in Nigeria.

Understanding Schools of Nursing

Schools of Nursing are usually hospital-based training institutions where students are directly trained to become Registered Nurses (RN) after three years of study. The program is largely practical, focusing on patient care, ward management, and essential clinical procedures.

For decades, this model was sufficient in producing competent nurses to serve in hospitals and community health centers. However, with the rise in healthcare demands, new technologies, and global migration trends, the profession has expanded far beyond bedside care.

Why the Shift Away From Schools of Nursing?

Several factors explain why Schools of Nursing are gradually losing prominence to Colleges of Nursing and University-based Nursing programs.

(a) Global Educational Standards

Across the world, the standard qualification for professional nursing is moving towards Bachelor of Nursing Science (BNSc) or higher. The World Health Organization (WHO) and the International Council of Nurses (ICN) emphasize the need for higher academic preparation to meet global healthcare challenges.

(b) National Policy Reforms

In Nigeria, the Nursing and Midwifery Council of Nigeria (NMCN) has made deliberate efforts to upgrade nursing education. The council now focuses more on Colleges of Nursing Sciences and University Nursing programs that award National Diploma (ND), Higher National Diploma (HND), or BNSc degrees.

(c) Professional Growth and Opportunities

Holders of RN certificates from traditional Schools of Nursing often face challenges when seeking employment abroad or trying to further their studies. Many countries now demand at least a degree in nursing before licensing.

(d) Expanding Scope of Nursing Practice

Modern nurses are not just caregivers; they are researchers, administrators, educators, and policymakers. This requires higher levels of academic training than what a three-year RN program can provide.

Are Schools of Nursing Really Being Phased Out?

Yes—but gradually and in phases.

The NMCN has announced that traditional Schools of Nursing will be upgraded into Colleges of Nursing Sciences. This means that instead of awarding just an RN certificate, these institutions will run ND/HND programs in Nursing in affiliation with polytechnics and universities.

Some existing Schools of Nursing have already been converted, while others are in transition. However, the RN program is still running in a few institutions, mainly for candidates already in the pipeline.

Key Differences Between Schools of Nursing and Colleges of Nursing

Admission Requirements for Both

Schools of Nursing (Traditional Model – Being Phased Out)

• 5 O’level credits in not more than two sittings.
• Credits must include English, Mathematics, Biology, Chemistry, and Physics.
• Entrance examination conducted by the School of Nursing.
• Duration: 3 years leading to RN qualification.

Colleges of Nursing / Universities (New Model)

• Same O’level subject requirements.
• Must sit for JAMB UTME and meet the cut-off mark.
• Undergo Post-UTME or online screening.
• Program runs as ND/HND or BNSc (4–5 years).

The Benefits of Phasing Out Schools of Nursing

1. Global Recognition: Nigerian nurses with degrees can compete favorably internationally.
2. Expanded Knowledge Base: Students get exposure to research, public health, and leadership skills.
3. Career Flexibility: Graduates can work in clinical, academic, or administrative fields.
4. Pathway to Postgraduate Studies: Easier transition into Master’s and PhD programs.
5. Professional Respect: Aligns Nigerian nurses with global standards of healthcare.

Challenges of the Transition

1. Access and Affordability: Colleges and universities are often more expensive than Schools of Nursing.
2. Infrastructure Gaps: Not all Schools of Nursing have the facilities to upgrade immediately.
3. Limited Admission Slots: More applicants than available spaces in Colleges of Nursing.
4. Awareness Issues: Many prospective students are still confused about the new system.
5. Employment Overlaps: Both RN and BNSc holders are still in the system, causing salary disparities.

The Future of Nursing Education in Nigeria

The long-term goal is clear: transition all Schools of Nursing into Colleges of Nursing Sciences or affiliate them with universities. This aligns Nigeria with international best practices and ensures the nursing profession keeps pace with modern healthcare demands.

In the next decade, it is likely that:

• The RN-only pathway will completely disappear.
• ND/HND and BNSc programs will dominate.
• Nurses will take on more specialized roles in cardiology, oncology, mental health, pediatrics, and health informatics.
• Nigerian-trained nurses will find it easier to practice abroad due to degree recognition.

What Students Should Do Now

If you are an aspiring nurse:

• Stay updated: Follow NMCN announcements to know which schools have been upgraded.
• Consider JAMB seriously: Since most nursing programs now require UTME scores, prepare adequately.
• Aim higher: Don’t settle for just RN; think about degree and specialization opportunities.
• Plan financially: Tuition may be higher in Colleges of Nursing, so plan ahead.
• Future-proof your career: Choose schools offering BNSc or ND/HND Nursing for better recognition.

So, are Schools of Nursing being phased out?
The answer is yes—gradually but surely.

While the traditional RN program has served Nigeria well for decades, the demands of modern healthcare require more academically prepared nurses who can think critically, engage in research, and take up leadership positions.

For students, this transition should not be seen as a setback but as an opportunity. By embracing the new model of nursing education, you are not only future-proofing your career but also positioning yourself for global opportunities in a profession that is increasingly becoming more dynamic and respected worldwide.