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PATTERN OF NURSING EDUCATION IN INDIA

INTRODUCTION
Florence Nightingale is credited with founding modern nursing and creating the first educational system for nurses.

Florence Nightingale stressed that nursing was not a domestic, charitable service but a respected occupation requiring advanced education. She opened a School of Nursing at St. Thomas Hospital, London, in 1860 and established basic principles for the school.

NURSING EDUCATION IN INDIA


Nursing Council Act came to existence in 1948 to constitute a council of nurses who would safe guard the quality of nursing education in the country. The mandate was to establish and maintain uniform standards of nursing education. Today, Indian nursing council is a statutory body that regulates nursing education in the country through prescription, inspection, examination, certification and maintaining its stands for a uniform syllabus at each level of nursing education.

There are seven levels of nursing education in India today, Auxiliary Nursing and Midwifery (ANM) or Multi Purpose Health Worker- Female (MPHW-F) General Nursing and Midwifery (GNM) Basic Bachelor of Nursing (B.Sc. Nursing) Post Basic Bachelor of Nursing (P.B.B.Sc. Nursing) Masters in Nursing (M.Sc. Nursing) Masters of Philosophy in Nursing (M.Phil) Doctorate in Philosophy in Nursing (Ph.D)

LEVELS OF NURSING EDUCATION IN INDIA

Auxiliary Nursing and Midwifery (ANM) or Multi Purpose Health Worker- Female (MPHW-F) The ANM training was for 2 years and mainly covered maternal and child care and family welfare. the Indian Nursing Council revised the ANMs syllabus in 1977 and reduced the duration to 18 months. The focus of training is on community health nursing. The employment opportunities are that can work as multipurpose health workers. The minimum qualification for teaching is B.Sc. (N)

To provide clinical experience in fundamentals of nursing, medical surgical nursing and maternal and child health nursing, institutions should have with general hospital with a minimum of 160 beds covering all the general conditions. OBJECTIVES 1. Perform basic health care activities in community and institutional setting, 2. Plan and carry out nutrition and health education activities in the home, clinic and community. 3. Provide immunization services, family health care and family planning services. 4. Participate in prevention and control of communicable disease, promote environmental sanitation.

INC NORMS FOR ANM


A school for training of the ANMs should be located in a community health centre (PHC annex) or a rural Hospital having minimum bed strength of 30 and maximum 50 and serving an area with community health programmes. The school should also be affiliated to a district hospital or a secondary care hospital in order to provide experiences of secondary level health care and an extensive gynae-obstetrical care.

An organization having a hospital with 150 beds with minimum 30-50 obstetrics and gynecology beds, and 100 delivery cases monthly can also open ANM School. They should also have an affiliation of PHC/CHC for the Community Health Nursing field experience. Existing ANM schools attached to District hospitals should have PHC annex (accommodation facility for 20-30 students) for community health field experience.

PHYSICAL FACILITIES
OFFICE ROOM CLASS ROOM NURSING LABORATORY NUTRITION LABORATORY AUDIO VISUAL AIDS ROOM LIBRARY CUM STUDY ROOM

CLINICAL FACILITIES
School has to be affiliated to district hospital or a secondary care hospital with minimum 150 beds Bed occupancy on the average to be between 60% - 70%

TEACHING FACILITY
Teaching faculty for 20-40 annual admission) Category Minimum qualification and experience Principal - M.Sc. Nursing with 3 years of exp or B.Sc. (N) with 5 years of teaching experience. Nursing Tutor - B.Sc. Nursing/Diploma in Nursing Education & Administration/Diploma in Public Health Nursing with 2 years clinical experience.

GENERAL NURSING AND MIDWIFERY (GNM)


In 1918, Diploma Nursing Programme has been started in Lady School of Nursing. The International Council of Nurses believes that a basic in nursing should prepare nurses for first level positions in nursing both in the hospital and community. It gives importance for restoring and maintaining health, and in preventing disease and also helps to develop a deep pride in the nursing profession among students to enable further professional growth.

The general nursing and midwifery course is conducted in 477 centers in the country. The syllabus has undergone many revisions according to the change in the health plans and policies of the Government and changing trends and advancements in general education, nursing health sciences and medical technology. The latest revision of syllabus by INC in 2004 has increased the duration of the course from three year to three and half year. The basic entrance has become intermediate or class 12 instead of earlier class 10. Both science and arts students are eligible. The focus of general nursing education is the care of sick in the hospital. Schools of nursing are generally attached to teaching hospitals. Three Board examinations are conducted, one at the end of each year. On passing the candidates are registered as registered nurse and mid wife by the respective state nursing councils.

ELIGIBILITY
Age for the entrance shall be 17 years to 35 years, provided they meet the minimum educational requirement i.e. 12 years of schooling. Minimum education all students should pass 12 classes or its equivalent, preferably with science subjects. Admission of students shall be once a year. Students should be medically fit. The selection committee should comprise tutors, nurse administrators, and educationalist/psychologist. The principal of the school shall be the chairperson

TRAINNING PROGRAMME
The course in general nursing shall be of three and half years duration as follows- two years practice in general nursing , one year community health nursing and midwifery and six months internship which includes nursing administration and nursing research classes. The ANM who wishes to undertake general nursing course will not be given any concessions. The maximum hours per week per students shall be 36 hours, which includes instructions and clinical field experiences.

INC NORMS FOR GNM


TEACHING BLOCK HOSTEL BLOCK CLINICAL FACILITIES TEACHING FACILITIES

TEACHING BLOCK
S. No 1. Teaching Block Lecture Hall 1. Nursing Foundation Lab 2. CHN 3. Nutrition 4. OBG and Pediatric Lab 5. Pre Clinical Science Lab 6. Computer Lab Multi Purpose Hall Common Room Staff Room Area (Sq. ft) 4 @ 1080 = 4320 1500 900 900 900 900 1500 3000 2000 1000

2. 3. 4.

5.
6. 7. 8.

Principal Room
Vice Principal Room Library A.V. Aids Room

300
200 2400 600

TEACHING BLOCK
S. No Teaching Block Area (Sq. ft) 9. One Room for each HOD 800

10.

Faculty Rooms

2400

11.

Provision for toilets

1000

Total 23270 Sq.ft

HOSTEL BLOCK
S. No 1. Single Room Double Room Sanitary Teaching Block 2400 Area (Sq. ft) 2. One latrine and bathroom for 5 students = 500 500 250 500

3. 4. 5.

Visitor Room Reading Room Store Room

6.
7. 8.

Recreation Room
Dinning Hall Kitchen & Store

500
3000 1500 Total 30750 Sq ft

CLINICAL FACILITIES
School of Nursing should have a 120-150 bedded parent/affiliated hospitals for 40 annual intakes in each programme: Distribution of beds in different areas Medical - 30 Surgical - 30 Obst. & Gynaecology - 30 Pediatrics - 20 Ortho - 10

Bed occupancy of the hospital should be minimum 75%. The size of the hospital/nursing home for affiliation should not be less than 50 beds. Affiliation of psychiatric hospital should be of minimum 30-50 beds. The nursing staffing norms in the affiliated hospital should be as per the INC norms. Affiliated hospitals should be in the radius of 1530 kms 1:3 student patient ratio to be maintained.

TEACHING FACILITIES
Category Qualification and Experience M.Sc. Nursing with 3 years of teaching experience or B. Sc. Nursing (Basic)/Post Basic with 5 years of teaching experience

PRINCIPAL

VICE PRINCIPAL

M.Sc. Nursing or B.Sc. Nursing Basic/post basic with 3 years of teaching experience

TUTOR

M.Sc. Nursing or B.Sc. Nursing(Basic/Post Basic) or Diploma in nursing education and administration with 2 years of professional experience