Thursday, February 21, 2013

Hope is waning and FAQs

I really should have learned my lesson by now, it's been taught to me enough: don't get my hopes up. I admit, I did finally allow myself to get hopeful after meeting with two nursing figures two weeks ago. One all but promised me we would get this straightened out within weeks; her conviction and fearlessness and simple interest and passion in our case--something we haven't gotten from anyone outside our own four walls at home--won us over. I had hope again.

We spoke with her last evening, after she had a meeting with a higher-up in the authorization office, and she admitted she now has a better understanding of what we are up against, namely Norwegian bureaucracy and Norwegian laws, and that sheer determination mixed with a little piss and vinegar isn't enough to break down those walls. There are official roads that we must take, and none of them are quick. Or easy (but c'mon. . . who was expecting quick and easy after 28 months?). Our two options at this point are essentially using a sivilombudsman (kind of a civil court of judges) to review the case and/or hiring an attorney.

Fun huh?

Did I mention that I am now 3 days away from my due date of our second child, and the thought of filing a law suit to fight for the right to work in this country has me (oh, what adjective captures my feelings) . . . a combination of disgusted, infuriated and exhausted. I'm sure the Finns have a word for it.

I thought I'd take a few minutes and address some of the questions and suggestions (all well-intentioned, of course) that I've received over the last few months about what-exactly-is-the-problem??? (And then maybe I'll stop writing about this for a while, because it's really becoming a way-too common theme of this blog, and I think I'm boring my readers!).


What exactly do the Norwegian authorities feel is not good enough in your nursing education?
It essentially boils down to how Europe and the US count credit hours. To put it generally, in Norway--and Europe--the number of hours spent both in and outside of class is included in the grand total of credit hours. In the US, our credit hours reflect the number of "contact hours" that students spend in-class, with the assumption that for every credit hour in class a student is spending 2-3 hours outside of class in preparation, research, projects, group work, etc.

This is a well-documented fact. There are several references that give guidance on how to convert American to European credits. My advisors and chair department heads at my bachelors and masters degree institutions explained this in depth. A Norwegian college dean compared her nursing program to mine and declared that my degree had more hours than the Norwegian program. My two degrees have been approved by NOKUT (the Norwegian Agency for Quality Assurance in Education), which recognizes foreign higher education degrees.

All of this was ignored and not acknowledged by the authorization board and the health professionals appeal board.

Can't you just take a test or something? 
Norway actually does not have a national nursing exam that all newly educated nurses must pass in order to be licensed. Unlike the "nursing boards" in the United States, of which every newly graduated nursing student must take in order to become a Registered Nurse.

So, no. There is no test for me to take.

Is this happening to other American nurses?
Yes and No.

This is where the handling of these cases becomes completely arbitrary and inconsistent.

Most foreign applicants (from outside of the European Union) for nursing authorization in Norway are required to complete 8+ weeks of clinical time in various areas of nursing training. This most often is in the areas of psychiatry or on a medical/surgical unit.

It seemed that around the time of my decision from the appeals board (in May 2012) that the authorization board was getting more strict with its decisions regarding American nursing educations, but then I met two American-educated nurses while I took the national nursing course in November. Both of them had been approved by the authorization board--one without a single extra requirement, and with only verbal complaints via telephone, and nothing through the formal channels.

It is this inconsistency and arbitrary treatment that is infuriating.

You know, Norwegian nurses have the same problem getting a license in the United States. . . 
This may be true. But to be honest, this is not the issue at hand. We're talking about inconsistent, arbitrary and poorly researched treatment of American nurses in Norway, and not vice versa.

Can't you just reapply, just send in all your papers again to a different case manager?
This was suggested time and time again to me by my fellow students in the national nursing course.

No. I can't just reapply, and pretend that I haven't been the biggest pain in their ass over the last two years. According to Norwegian law, I have gone through the all of the appropriate legal channels--two written appeals with the authorization board, one appeal with the health professionals appeals board--and now my case is considered completely closed.

Can't someone at a college/university evaluate your transcripts and education and say which classes you would have to take to get a Norwegian nursing degree?
Funny you should suggest that. . . because we have done that, and a dean at a local college that offers a nursing program has evaluated my transcripts and work experience and has deemed that my education looks whole and complete and that her nursing program can't offer me a single thing.

Additionally, a college can't just hand me a degree and say "you seem to have done enough work". I need to take at least one years of courses (out of three) before I can be granted a degree.


  1. This is so frustrating, I don't know what more to say.

  2. It is so awful and maddening. It's such a nightmare you're trapped in.

  3. It's not boring, Emily. Infuriating, unbelievable, senseless, completely f-ed up. That word "Kafkaesque" gets thrown around a lot but this is definitely a situation that calls for its use. It does seem as if someone somewhere decided against you and nothing can be done to change that decision. I repeat: completely f-ed up.

    I hope you put this out of your mind as you, Eric, Greta and Tika welcome your new baby into your family. I know it's not like this mess will go away but it will be good to take a break from it and then come back to make decisions.

    I've decided to apply to høgskole here in our area to try for a teaching credential. Of course, I have to pass the Bergens test first and there's no saying that'll happen. :-)

    I'm looking forward to baby pictures!! xo

    1. Thanks for your words of support and comfort Michele! I do appreciate it greatly. I was thinking about your comment on FB the other day about it being like trying to get the boy you have a crush on to notice you. I can see that, but then I also feel like adding to it, "But I had a perfectly good boyfriend back in the US and even though I dumped him I could always go back and find another good American boyfriend!"


      I admire your plan of attack: Bergens test, høyskole, teaching credential. Sounds like a good set of goals with clear requirements and mini-goals. Go get it!

  4. Hi Emily,

    This is maddening news and completely senseless! It's not boring to read about, like everyone, just wish there was more we could do. I'm hoping you can try to put this aside for the time being and enjoy the birth of your new baby and all the fun that event entails.

    Whatever happens, you have accomplished so much. With some time off from thinking about it, I hope you can come to a decision that you'll have peace with.

    Take good care and all the best! Suzy C.