Author Archives: Joe Niemczura, RN, MS

About Joe Niemczura, RN, MS

These blogs, and my books, and videos are written on the principle that any person embarking on something similar to what I do will gain more preparation than I first had, by reading them. I have fifteen years of USA nursing faculty background. Add to it fifteen more devoted to adult critical care. In Nepal, I started teaching critical care skills in 2011. I figure out what they need to know in a Nepali practice setting. Then I teach it in a culturally appropriate way so that the boots-on-the-ground people will use it. One theme of my work has been collective culture and how it manifests itself in anger. Because this was a problem I incorporated elements of "situational awareness" training from the beginning, in 2011.

Thrashing Incident in Sunsari Nov 16th 2017


Another incident of disrespect and physical violence against a doctor and seven health workers, this time in Sunsari (eastern Terai). It was reported in Shwasthya Khabar in Nepali language. My ability to read Nepali is limited, so I used Google … Continue reading

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Medical Education Ordinance certified, but continuing vigilance is needed. calling Doctor Narsingha….


According to legend (with help from Wikipedia https://en.wikipedia.org/wiki/Hiranyakashipu ), Hiranyakashyapu asked for the following boon from Brahma: O my lord, O best of the givers of benediction, if you will kindly grant me the benediction I desire, please let me … Continue reading

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Will Nepal become a “degree factory” for doctors?


The Big Problem with medical education in Nepal Unless the trend of opening medical colleges in Nepal is stopped, the country risks gaining a reputation as a “diploma factory.” The MBBS degrees awarded to young students in Nepal will not … Continue reading

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Harrassment of female M.O.s in Nepal, a case study.


Update: got 280 hits in the first eight hours. Please share on FaceBook. Feel free to send anonymous stories about this topic. At the end of my last blog, I requested readers to send stories about the incidents in which … Continue reading

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#JailWithoutBail is not the only answer


There have been highly publicized episodes of threats and attacks against doctors in Nepal. In September the Cabinet proposed a rule change to put the burden of payment to surviving family firmly on the back of whichever doctor was involved when a … Continue reading

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Partial review of media reports of “thrashing” of doctors in Nepal and India. Please send more links


Internet based list of links to thrashing episodes in Nepal Compiled by Joe Niemczura, RN, MS This is provided as background to the issue. I do not pretend that it is comprehensive.  I started collecting these a few years ago … Continue reading

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More #thrashing incidents in #Nepal Oct 8th, a registry and data collection system is sorely needed!


There was more news over the weekend, the bad kind of news nobody wants to read. The Nepal Medical Association published a letter to the government: Here is the translation, roughly. My friend in Nepal used Google translate so there … Continue reading

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