Pattern of Nursing Education in India
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PATTERN OF NURSING EDUCATIONIN INDIA
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INTRODUCTION Florence Nightingale is credited with founding
modern nursing and creating the first educationalsystem for nurses.
Florence Nightingale stressed that nursing wasnot a domestic, charitable service but a respectedoccupation requiring advanced education. Sheopened a School of Nursing at St. ThomasHospital, London, in 1860 and established basicprinciples for the school.
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NURSING EDUCATION IN INDIA Nursing Council Act came to existence in 1948 to
constitute a council of nurses who would safe guardthe quality of nursing education in the country.
The mandate was to establish and maintain uniformstandards of nursing education.
Today, Indian nursing council is a statutory bodythat regulates nursing education in the countrythrough prescription, inspection, examination,
certification and maintaining its stands for a uniformsyllabus at each level of nursing education.
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LEVELS OF NURSING EDUCATION ININDIA 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)
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Auxiliary Nursing and Midwifery (ANM) or MultiPurpose Health Worker- Female (MPHW-F)
The ANM training was for 2 years and mainly coveredmaternal 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 minimumqualification for teaching is B.Sc. (N)
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To provide clinical experience in fundamentals ofnursing, medical surgical nursing and maternal andchild health nursing, institutions should have with
general hospital with a minimum of 160 beds coveringall the general conditions.
OBJECTIVES
1. Perform basic health care activities in community andinstitutional setting,
2. Plan and carry out nutrition and health educationactivities in the home, clinic and community.
3. Provide immunization services, family health careand family planning services.
4. Participate in prevention and control of
communicable disease, promote environmentalsanitation.
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INC NORMS FOR ANM A school for training of the ANMs should be located in
a community health centre (PHC annex) or a ruralHospital having minimum bed strength of 30 and
maximum 50 and serving an area with communityhealth programmes.
The school should also be affiliated to a districthospital or a secondary care hospital in order toprovide experiences of secondary level health careand an extensive gynae-obstetrical care.
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An organization having a hospital with 150 bedswith minimum 30-50 obstetrics and gynecologybeds, and 100 delivery cases monthly can alsoopen ANM School. They should also have anaffiliation of PHC/CHC for the Community
Health Nursing field experience.
Existing ANM schools attached to Districthospitals should have PHC annex
(accommodation facility for 20-30 students) forcommunity health field experience.
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PHYSICAL FACILITIES OFFICE ROOM
CLASS ROOM
NURSING LABORATORY
NUTRITION LABORATORY
AUDIO VISUAL AIDS ROOM
LIBRARY CUM STUDY ROOM
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CLINICAL FACILITIES School has to be affiliated to district
hospital or a secondary care hospitalwith minimum 150 beds
Bed occupancy on the average to bebetween 60% - 70%
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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 abasic in nursing should prepare nurses for firstlevel positions in nursing both in the hospital andcommunity. It gives importance for restoring andmaintaining health, and in preventing disease andalso helps to develop a deep pride in the nursingprofession among students to enable further
professional growth.
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The general nursing and midwifery course is conducted in477 centers in the country. The syllabus has undergonemany revisions according to the change in the health plansand policies of the Government and changing trends and
advancements in general education, nursing healthsciences and medical technology. The latest revision ofsyllabus 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 studentsare eligible. The focus of general nursing education is the
care of sick in the hospital. Schools of nursing aregenerally attached to teaching hospitals. Three Boardexaminations are conducted, one at the end of each year.On passing the candidates are registered as registerednurse and mid wife by the respective state nursingcouncils.
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ELIGIBILITY Age for the entrance shall be 17 years to 35 years,
provided they meet the minimum educational requirementi.e. 12 years of schooling.
Minimum education all students should pass 12 classes orits equivalent, preferably with science subjects.
Admission of students shall be once a year.
Students should be medically fit.
The selection committee should comprise tutors, nurseadministrators, and educationalist/psychologist. Theprincipal of the school shall be the chairperson
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TRAINNING PROGRAMME The course in general nursing shall be of three and half
years duration as follows- two years practice in generalnursing , one year community health nursing andmidwifery and six months internship which includes
nursing administration and nursing research classes.
The ANM who wishes to undertake general nursing coursewill not be given any concessions.
The maximum hours per week per students shall be 36
hours, which includes instructions and clinical fieldexperiences.
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INC NORMS FOR GNM TEACHING BLOCK HOSTEL BLOCK CLINICAL FACILITIES TEACHING FACILITIES
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TEACHING BLOCKS. 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
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HOSTEL BLOCKS. No Teaching Block Area (Sq. ft)
1. Single RoomDouble Room
2400
2. Sanitary One latrine and bathroom
for 5 students = 500
3. Visitor Room 500
4. Reading Room 250
5. Store Room 5006. Recreation Room 500
7. Dinning Hall 3000
8. Kitchen & Store 1500
Total 30750 Sq ft
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CLINICAL FACILITIES School of Nursing should have a 120-150
bedded parent/affiliated hospitals for 40annual intakes in each programme:
Distribution of beds in different areasMedical - 30
Surgical - 30
Obst. & Gynaecology - 30
Pediatrics - 20
Ortho - 10
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Bed occupancy of the hospital should beminimum 75%.
The size of the hospital/nursing home foraffiliation 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 15-30 kms
1:3 student patient ratio to be maintained.
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TEACHING FACILITIESCategory Qualification and Experience
PRINCIPAL M.Sc. Nursing with 3 years of teaching experience or B. Sc.Nursing (Basic)/Post Basic with 5 years of teachingexperience
VICE PRINCIPAL M.Sc. Nursing or B.Sc. Nursing Basic/post basic with 3years of teaching experience
TUTOR M.Sc. Nursing or B.Sc. Nursing(Basic/Post Basic) orDiploma in nursing education and administration with 2years of professional experience