Fellow Nurses Africa | Lagos, Nigeria | 03 September, 2025
For decades, nursing in Nigeria has been painted as the heart of healthcare, the profession built on sacrifice, compassion, and resilience. Society expects nurses to smile through pain, work through exhaustion, and accept whatever scraps the system throws at them. But here’s the uncomfortable truth: Nigerian nurses are leaving the bedside in droves and not just through the Japa wave.
Many are abandoning clinical practice altogether, choosing to become business owners, tech professionals, or even influencers. Some are leaving Nigeria, but others are simply refusing to remain in a system that seems built to break them.
This article explores the raw, unfiltered reasons behind this trend are reasons no one wants to discuss out loud.
“We Are Treated Like Maids, Not Professionals”
Spend a day in many Nigerian hospitals, and you’ll see how nurses are often devalued and disrespected. Instead of being recognized as the highly skilled clinicians they are, nurses are reduced to “errand staff.”
- Fetch this file.
- Run this lab request.
- Go buy something for the patient’s family.
The very same nurses who should be monitoring vital signs, administering critical medications, and saving lives are often buried under tasks that have nothing to do with nursing. Doctors bark orders. Patients treat them like personal assistants. Even hospital cleaners sometimes assume superiority.
If nurses are constantly undermined, how can they thrive at the bedside?
The Paycheck That Insults the Profession
Let’s be honest: the salary of most Nigerian nurses is nothing short of insulting.
- A graduate nurse in a government hospital may take home ₦70,000–₦120,000 monthly.
- Some private hospitals pay as low as ₦30,000–₦50,000.
Compare that to the physical, mental, and emotional labor required in a 12-hour shift, walking 6–8 kilometers per day, handling emergencies, and managing aggressive patients.
Meanwhile, entry-level bank tellers, oil company interns, or even some customer service staff earn double or triple that amount.
No wonder many nurses conclude: “Why should I slave away at the bedside when other fields value me more?”
Toxic Work Culture Nobody Talks About
Here’s a bitter pill: the toxicity in Nigerian nursing isn’t just external it often comes from within.
- Bullying: Senior nurses sometimes prey on junior ones, continuing the cycle of “we suffered, so you must suffer too.”
- Favoritism: Promotions and opportunities are often determined by who you know, not what you know.
- Burnout: Chronic understaffing forces nurses to do the work of 3–4 people, with little support.
This toxic culture pushes many young, bright nurses to rethink their futures. For some, it’s easier to step away than to endure years of emotional abuse and professional stagnation.
The Exodus Into Non-Clinical Jobs
Here’s the most controversial reality: it’s not just about Japa. Even those who remain in Nigeria are saying goodbye to the bedside.
- Some are going into PR, event planning, or entrepreneurship.
- Others are diving into tech; health informatics, coding, or product design.
- A growing number are becoming social media influencers, health coaches, or consultants.
Why? Because these fields offer better pay, flexible hours, and most importantly respect.
Nurses aren’t lazy. They aren’t uncommitted. They are simply tired of pouring themselves into a system that doesn’t pour back into them.
Training Without Transformation
Another elephant in the room: nursing education in Nigeria has not evolved fast enough.
While global nursing is advancing into genomics, AI integration, and specialized advanced practice roles, Nigerian nurses are still battling with outdated curricula, inadequate clinical facilities, and poor recognition of postgraduate qualifications.
Even when nurses push themselves to specialize, the system rarely rewards them. A nurse with a master’s degree may earn the same as one with a diploma. What’s the incentive to stay?
What Does This Mean for Nigeria’s Healthcare?
If this trend continues, the consequences will be catastrophic:
- Hospitals will face severe staffing shortages.
- Patient care will deteriorate as fewer skilled nurses remain.
- The healthcare system will collapse further under the weight of preventable errors and poor outcomes.
Already, some hospitals are running with skeletal staff. Patients are waiting longer. Nurses are breaking down. And still, nothing changes.
Can the Tide Be Reversed?
Yes, but it will take more than lip service.
- Respect and recognition: Nurses must be treated as professionals, not subordinates.
- Better pay and benefits: Salaries should reflect the workload and risk.
- Career pathways: Clear opportunities for growth into advanced practice, leadership, and research.
- Cultural reset: End the bullying, favoritism, and toxic work environments that make nurses dread their jobs.
Until then, the exodus will continue and the bedside will keep bleeding talent.
Final Word
Nursing in Nigeria is bleeding, not because nurses aren’t passionate, but because the system is designed to drain them. The irony is that while politicians and leaders love to praise nurses during speeches, their policies and paychecks tell another story.
Unless we confront these uncomfortable truths, the “angels in white” will keep hanging up their uniforms not just for Canada or the UK, but for fields that treat them like the professionals they are.
And when that happens, the real losers will be the patients.
Fellow Nurses Africa is the independent voice of African nurses. We educate, inform and support the nursing profession.
