Académique Documents
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Mrs.Vaishali
Asst. Professor,
SRMM, CON
Aim: At the end of seminar the group will be able to understand the topic Carrer opportunity
and professional advancement in nursing and
Specific objectives:
At the end of seminar the group will be able to,
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Introduction:
Nursing practice has changed greatly7 in recent years with regards to the kind of career
opportunities available to professional nurses. Not only is there a greater variety of nursing
services, but there are also many different ways in which a nurse can practice within a given area
of nursing.
There was time when professional nurses had very little choice of services because most
nursing was centered in the hospital and bed side nursing. But now working situation for nurses
is very different today.
The demand for qualified and skilled nurses never diminishes but continues to grow with
the expansion of health care facilities. Apart from jobs in hospitals, clinics, nursing homes,
orphanages, old age homes, there is also scope for private practice. With the expansion of
educational and training institutions in nursing, the demand for teachers is also increasing.
Nurses spend much of their time on their feet, either walking or standing. Nursing is also an
emotionally demanding job, involving long and strenuous working hours.
Ambulatory care
Burn care
Cardiac care
Developmental disabilities
Diabetes
Dialysis
Emergency Department
Employee Health
Forensics
Geriatric Nurse (Care of older adults)
Gynecology
Home care
Infusion Therapy
Intensive care
Medical
Neonatal intensive care (Care of
critically ill newborn)
specialization in nursing activities. So it is accurate to say that the hospital nursing services
can be both more comprehensive and more highly specialized than even before.
The possible position of the nurse in the hospital are given below,
Staff nurse:
Provide direct patient care to one patient or a group of patients. Assist in ward
management and supervision. Is directly responsible to the ward supervisor.
Part-time Staff nurses:
Same responsibility as a staff nurse but works less hours
Ward Sister / In-charge nurse / Supervisor:
Is responsible to the nursing superintendent for the nursing care and management of the
ward or unit. Takes full charge of the ward and assign works to nursing and non nursing
personnel working on the ward. Is responsible for safety and comfort of patient in the
ward and providing a teaching atmosphere if it is a teaching hospital.
Home sister / Warden:
Is responsible to nursing superintendent for the general care and welfare of those residing
in the nurses home. This includes counseling, recreation, diet and discipline as well as
supervision of the staff.
Department supervisor / Assistant Nursing superintendent:
Is responsible to Nursing superintendent and Deputy nursing superintendent for the
nursing care and management of the more than one ward or unit on a floor or within a
department e.g. department of operation theatre, out-patient or obstetrics.
Deputy Nursing Superintendent:
Is responsible to Nursing superintendent and assist in nursing administration of the
hospital officiate in the absence of Nursing superintendent.
Nursing Superintendent:
Is responsible to Medical superintendent for the safe and efficient management of
hospital nursing services.
Director of Nursing:
Is responsible to Medical superintendent for both nursing service and nursing education
within a teaching hospital.
If the hospital is large, there may be assistant or deputy positions to each of the above. If
the hospital is a teaching institution, responsibility of ward sister and supervisor may include
those teaching . This will not always be indicated by the title. In the same way, a Tutor may often
share administrative responsibility in nursing services although this is not indicated in the title.
Specific responsibility will vary with the institution.
Qualification for the nursing position in the hospital are variable because need for personnel is
often greater than the number of qualified personnel available.
It is important to choose a hospital for employment according to interests you have and the kind
of person wish to do. The clinical experience in a general hospital, for e.g. will be broader than
that in one offering more specialized services.
Hospital can be classified in a number of ways. If classified on the basis of control like,
1. Military hospital.
2. Railway hospital.
3. Government hospital.
4. Private hospital.
Each will have its respective policies and variety of services.
Although On duty time may still be very restricting and demanding in a number of
hospitals, an effort is being made to reduce the number of working hours and make the demand
of p[professional responsibility more reasonable. This again means that more nurses must be
employed.
Perinatal (also known as neonatal or obstetric) nurses monitor and care for women before,
while, and after they deliver their babies.
Pediatric (children"s) nurses
care for children and adolescents: monitoring their growth and development, treating and trying
to prevent their illnesses, helping
them with asthma and other chronic problems, and working with them to overcome any
disabilities they might have.
Psychiatric and mental health nurses
assess and respond to people"s mental health needs, whether it be in a counselor"s office, a
hospital psych ward, or in an evacuation center during a natural disaster.
Hospice nurses
make the process of dying easier for terminal patients and their families. They provide emotional
support and whatever physical care is required to minimize patients pain and symptoms while
maximizing their dignity.
Further Education, training and experience sometimes requiring Master Degree or higher
Diploma can be helpful for Promoting at higher post.
Auxillary Nurse Midwives / Health Workers: They are commonly employed in the primary
health center to give maternal and child care. Professional nurses serve in these units as staff
nurses and supervisors. Their responsibilities and education when nursing students are also
present.
Community health nurse is also part of the services offered by the general hospital in
addition to then primary health centers. This has resulted from the criteria for recognition of
nursing g educational programmes which include experience in community Health Nursing. The
Government strongly supports. This and encourages its development through giving financial aid
to the individual institution. Many hospitals have well developed community health programmes
reaching out into the local community. All profession nurses now have basic training in both
community health nursing and family planning.
Community health Nursing is either of the above areas was not easily accepted,
understood nor respected by the public. Nursing personnel in this work had a most difficult time
in their early works. With continue efforts and support from the government, however, this has
changes greatly. Some of the original aims have been realized and many opportunities have
opened up for the professional nurse3.
Community Health Nurse attempt to keep entire communities as healthy as possible by
preventing and containing the spread of the diseases and the incidence of environment related to
health problems, as well as, by educating people how to maintain their wellness . They are
employed by communityorganization ranging in size from camps and schools to city health
department.
3.Teaching in Nursing:
Professional nurses who are interested in teaching have broad scope. Teachers in are
needed in all areas of clinical practice and theory. The major area of clinical practice are of Mid
wifery, community Health, Pediatric and Medical-Surgical Nursing. Other less common but
developing areas are those of i9ntensive care, coronary care, ophthalmic and psychiatric nursing.
The function and responsibility of teacher in nursing will vary with the institution. All
teachers will have responsibility for planning, teaching, and supervising. Learning experiences
for the student; acting as advisor to the student and keeping upto date with what must be taught.
In many institution, the nurse in nursing education will share administrative responsibilities with
those in nursing service in the hospital; usually departmental supervisor. This has developed as
an effort to bring theory and practice closer together. In other institution, only teaching activities
will be expected of those in nursing education. The nurse who work as a dean, or director of
nursing education, usually caries only teaching and administrative responsibilities in education.
Nursing education is inn a process of change at the present time. Professional nurse are
qualified to teach by taking advanced courses which specialize in area of interest. For some
years, the most common qualification was tutor course, but now Bachelors degree and
experience is preferred. The current transition being made in basic programme of nursing
education may eventually cause further change in these qualification.
Qualification for teaching will depend upon the type of educational programme in which
one will be working. A graduate of tutor course may be qualified to teach student s in an ANM/
HW programme. Bachelors degree and more is require to qualify to teach certificate/Diploma
programme and Bachelors degree in nursing. Nurse with a Masters degree qualify to teach
students in Masters degre4e nursing programme. Certain teaching on Masters degree level is
requires education to level of the Doctorate degree.
Position in nursing education may overlap with the same level of administrative position in a
hospital. This means a supervisor who practice in a hospital may also employed as an instructor
by the Nursing School in that same specialty.
The professional nurse who teaches will find the work stimulating and satisfying and also
demanding.
4. Industrial Nursing:
Nursing services in industry have developed rapidly as more and more large industrial
companies have developed in the country. The factory Act of 1948 made it legally necessary to
maintain definite standard of health, safety and general welfare for factory /Industrial workers.
Enforcement of these law has brought about the need for both Medical officer and Nurses.
Services to industrial workers varies from simple first Aid procedure in a very basic clinic
environment to specialist service in well equipped hospital.
The nurses working in occupation / Industrial areas are concerned with health and safety
of employees in the workplace. IN normal situation they try to help workers stay well and
productive and prevent the types of ergonomic problems that lead to stress injuries. When
accident occur, they make sure that employee get the Medical attention they need and that
workers compensation, if necessary, is dealt with correctly.
Function of industrial; nurse and hours of duty in industrial hospital will be similar to
those in most general hospital. So the professional nurse in industry is usually highly paid and
has convenient working hours.
5. Military Nursing:
Military nursing was the earliest type of organized nursing in India. Although it was
begun by services of British army nurses it has developed into a well organized service givien by
the Indian International Nurses only. The temporary Military nursing service, formally organized
in 1914. Begun with few nurses but gave the foundation for rapid development of Military
nursing services which is known today. Nursing in military was unpopular at first because of the
unknown and isolated areas in which this service had to be given.
A permanent Nursing service was formed after World war I. After that the military
nursing service became a part of Indian Army by which means nurses became commissioned
officers who were rank from Lieutenant to Brigadier.
The military nursing service also began to develop their own nursing educational
Programmes like GNM and Degree programme. Arrangement are now made to utilize both
married and un married nurses with the added possibility of civilian nurses serving under
deputation and lien on civilian appointments when contracts are completed.
Military services offer attractive economic and security benefits. Salaries are very high
compared to those in other nursing services. Opportunities are also given for advance study
which the allows for increased special allowances. Opportunity to study abroad is common. The
function of nurse in military service vary from direct care in bed side nursing to teaching,
supervision and administration depending upon qualification and rank.
To work in military nursing you should have real sense of courage and willingness and
also capacity of extra-ordinary devotion. You should give serious consideration to service in
Military Nursing Service when choosing a career. Experience is vast and professional
opportunities for personal development, continuing education and promotion are readily
available.
Travel nursing lets you be in control of your nursing career. You choose the location, specialty
and length of commitment for each nursing assignment. With a shortage of qualified nurses in
hospitals and clinics across the country, you can find short-term work (typically eight weeks or
as long as 26 weeks) in virtually any location and offering generous compensation. Many
facilities also provide perks such as free housing, as well as sign-on and completion bonuses to
nurses under contract.
There are a number of ways in which nurse can work abroad. If nurse is qualified for a
higher level of administration then she sent for short period of observation and experience by the
organization for which you work.
Nurses can work abroad as immigrant which means to go abroad on a visa which allows ,
an indefinite length of stay. In this arrangement it is necessary to apply for registration in foreign
country either on the a stat5e or national level. The receiving country will evaluate your
educational preparation to decide eligibil;ity may demand an affiliation with practical experience
in a certain clinical areas such as psychiatric nursing, or you may be asked to take one or more
written examinations.
Nursing services abroad can also be done bon a contract basis. Countries like Arabia,
Wext Germany and S. Africa recruits foreign nursew to serve for two or three years at a time.
Many nurses go abroad for this type of services.
appropriate level of care was received and determining that quality care was delivered in a timely
fashion.
Telephone Triage and Health care advice lines:
Managed care companies, physician offices, clinics and hospital frequently use professional
nurse to staff call centers devoted to determining the urgency of care, providing health
information, referring client to appropriate health care prioviders, scheduling apooinmtments
with health care providers and offering health advices. Nurses use assessment and therapeutic
communication skills to determine the exyent of health problems of callers
Marketing and Sales:
Companies that sell product such as pharmaceuticals, I.V.equipments and monitors often hire
professional nurses as sale representative. Nurse provide credibility for product promotion,
especially when they have used the peroduct in clinical practice.
Private Consulting:
Health care organization use consulting firms to prepare for accreditation visits, apply for
quality wards meet employees educational needs, engage in work design and look for ways to
reduce operating costs.
The successs of nursing consultationdepend upon on personal proficiency in the area where
consultation is provided; strong therotical, business and clinical skills, the ability to solve
problems quickly and ability to compete with other consultant.
Graduate Certificate in Nurse Led Telephone Triage and Consultation : This course will
allow students to extend their clinical, legal, ethical, moral and cultural knowledge while using a
range of communication skills in conjunction with computer software. These skills will impact
on the effective delivery of services in the primary, secondary and emergency arenas and
facilitate participants involvement in telephone triage and consultation. Participants may qualify
for advanced standing where appropriate.
Graduate Certificate in Practice Nursing commencing 2009 : The Graduate Certificate in
Practice Nursing develops knowledge and skills of registered nurses within the general practice
setting. The program prepares registered nurses to develop, coordinate and administer systems
and processes which assist individuals, groups and the general practice team to anticipate and
manage health care interventions and potential risks to facilitate quality client outcomes.
Graduate Diploma
Post Graduate Diploma of Nursing (Mental Health) : Developing the knowledge, skill and
clinical competencies for the registered nurse to gain eligibility to register as a Registered Mental
Health Nurse.
Postgraduate Diploma of Occupational Medicine, Health and Safety: This course is designed
to equip medical practitioners and nurses with practical knowledge in and skills to respond to
contemporary occupational issues. The course focuses on the application of knowledge into the
clinical setting.
Graduate Diploma in Preventive Medicine: The Preventive Medicine courses have been
developed for health practitioners seeking to respond within a broad patient-centred and
evidence-based framework to the community's interest in prevention and desire for healthcare
participation. With unprecedented levels of good health in an ageing population many people
seek information on all preventive measures including non-pharmacological, complementary and
alternative therapies. This course balances the study of evidence-based practice with community
expectations, so that practicing clinicians are better able to provide quality information and
guidance on all health strategies.
Graduate Diploma in Dementia Studies : This course is ideally suited to health care
professionals involved in providing care or support for people with dementia and their carers.
The course is relevant to acute care, long term residential aged care, and community care settings
and to professionals such as Registered Nurses, Occupational Therapists, and Speech
Pathologists.
Graduate Diploma of Palliative Care : This course seeks to equip health practitioners with the
skills and knowledge that improves the quality of life of patients facing life-threatening illnesses
and their significant others. This is achieved through the consideration of the whole person
including physical, psychosocial and spiritual aspects of care and attention to the prevention and
relief of suffering.
Master
Master of Clinical Nursing : Developing advanced critical thinking, project writing skills, and
encouraging innovative evidence based practice that will ultimately lead to improved nursing
practice for the working practitioner.
Master of Nursing by Coursework : For registered nurses looking to advance in leadership,
research, teaching or administrative roles involving coursework and a project.
Master of Preventive Medicine : This course provides the nurse with a knowledge and skill
base which can be used in a variety of roles.
Master of Nursing by Research : For registered nurses looking to develop leadership roles
within the profession and open up new areas for professional development. The course also
prepares graduates for further study at the doctorate level.
Master of Nursing (Nurse Practitioner) : This cross-institutional Master of Nursing degree (by
Coursework) prepares the student for registration as a Nurse Practitioner to the Nurses and
Midwives Board of Western Australia. Developed in conjunction with the Flinders University in
South Australia the program combines a strong focus on clinical skills development with
advanced theory-to-practice topics specifically designed to meet the needs of the professional,
regulatory and political context in which graduates will practice. It is suitable for candidates
working in advanced practice nursing roles in a wide range of healthcare settings.
Master of Palliative Care : This course seeks to equip health practitioners with the skills and
knowledge that improves the quality of life of patients facing life-threatening illnesses and their
significant others. This is achieved through the consideration of the whole person including
physical, psychosocial and spiritual aspects of care and attention to the prevention and relief of
suffering.
Master of Occupational Medicine, Health and Safety : This course has been developed for
nurses and medical practitioners seeking to extend their knowledge in the field of occupational
medicine, health and safety. The course is structured around the concept of prevention of
occupational injury and disease, while emphasis is placed on the multidisciplinary nature of the
field.
Master of Nurse Education - commencing 2009 : The Nurse Education course will prepare
nurses to undertake advanced level roles in nurse education, training, continuing education, and
or staff development in the health care sector. The Master of Nurse Education focuses on
developing and enhancing sound teaching and learning knowledge, skills and practices which
with allow the graduate to impact on the next generation of nurses. Graduates of this course will
be equipped for leadership roles in clinical environments where education and training are
conducted. Settings for these positions include clinics, hospital settings, out-patient facilities,
businesses, schools, and community centers.
Master of Clinical Governance - commencing 2009 : This course prepares students for the
practice of clinical governance. It is based on professional values and concern for the safe
delivery of health services. This Master's qualification integrates theory and practice and
examines the operational issues related to maintaining standards of care, managing clinical risk,
providing real accountability in clinical leadership, and managing people in the "real" context of
health care. It invites those working in the health care sector to broaden their scope of
understanding and knowledge in order to seek employment in this field of health care or to
enhance knowledge and skills if already working in this field.
Master of Women's Health Care : The Master of Women's Health Care offers a broad range of
postgraduate study options to those involved in the provision of health services for women.
Inclusive of public health, social and clinical aspects women's health care, and developed
between women's health, psychology, nursing, midwifery and medical disciplines across two
Schools, this course will cater for students from a range of undergraduate backgrounds. It will
provide graduates with the knowledge and skills to improve the delivery of care to women within
the individual clinical, policy and/or organisational context.
PhD
Doctor of Philosophy : Developing and extending research expertise and clinical knowledge for
practicing nurses which culminates in the submission of a thesis.
Post Masters Certificate in: Family Nurse Practitioner ,School Nurse Certificate
MSN: Adult Nurse Practitioner, Educator or Administrator tracks ,Informatics,Family Nurse
Practitioner , Clinical Management with a Transcultural Focus,Family Nurse
Practitioner,Nursing Education,Nurse Practitioner ,Clinical Nurse Specialist,Adv. Practice in
Primary Health Care ,Pediatric Nurse Practitioner,School Nurse Practitioner ,Adult Nurse
Practitioner ,Gerontological Nurse Practitioner ,Women's Health Nurse Practitioner
,Administration Adult Nurse Practitioner ,Psychiatric-Mental Health Nurse Practitioner ,Adult
Nurse Practitioner with clinical emphasis in Occupational Health ,Family Health Nurse
Practitioner ,Nursing Informatics ,Nurse Anesthesia , Advanced Practice,Education
,Administration
MSN and Post-Masters Certificates in: Adult Nurse Practitioner ,Family Nurse Practitioner
,Nurse Administrator
Nurse Practitioner & Clinical Nurse Specialist options in: Primary Care of Adults & Aged
,Acute Care of Adults & Aged ,Adv. Practice in Pediatric Nursing ,Adv. Practice with
Childbearing Families ,Community Health Nursing ,Family Nurse Practitioner
MA in Nursing Education
MSJ - Master's of Science in Jurisprudence
Correctional Nursing
Nursing Informatics
Genome and Genetic Nursing
Nurse Epidemiologist
NASA today employs many occupational health and aerospace nurses who care for astronauts
and their families, and other space program employees. Its RNs also contribute to research
activities.
In 1991, the Space Nursing Society was founded by nursing theorist Martha Rogers, RN, PhD,
who is famous for her science of unitary human beings, or SUHB, which views people as energy
fields interacting with their environment. The organization is open to nurses and students and is
working on developing a space nursing specialization. With this specialized training, a member
of the profession may be chosen not only to participate in research, but also to serve as an
astronaut on a mission to the moon or beyond
Conclusion:
It is concluded form the seminar that if nurse should possess the knowledge and ability then
many doors of opportunities are open for him/ her. While choosing appropriate field nursing
students can florish their own personility. Knowledge of nursing field help nurses today also and
in future also. By advancing the knowledge by professsional development courses she can wide
up the opportunities.
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