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REGULATION
Regulation refers to the processes used to designate
that an individual, programme, institution or product
have met established standards set by an agent
(governmental or non-governmental) recognised as
qualified to carry out this task.- Styles & Affara, 1997,
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GOALS OFREGULATION
Define the profession and its members
Determine the scope of practice
Set standards of education
Set standards of ethical and competent practice
Establish systems of accountability
Establish credentialing processes
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REGULATORY BODY
Public authority or Government agency
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DEFINITION
Regulatory body is the formal organization
designated by a statute or an authorized
governmental agency to implement the regulatory
forms and process whereby order, consistency and
control are brought to the profession and its practice.
- ICN,1997
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IMPORTANCE OFREGULATORY BODIES
To provide quality health care service to the public.
To support and assist professional members.
Set and enforce standards of nursing practice.
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Monitor and enforce standards for nursing education.
Set the requirements for registration of nursing
professionals.
To exercise legal control over institution within their
respective area.
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NURSING REGULATORY
MECHANISMS
Main functions
To protect patient or society
To define the scope of nursing practice
To identify the minimum level of nursing care that must
be provided to clients
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The regulatory bodies that define the laws
and regulations in nursing practice by the
nursing councils at the international, national
and state levels
International council of nurses
Indian nursing council
State nursing council
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ACCREDITATION
Accreditation is the process whereby an organization
or agency recognizes a college of university of
programme of study as having met certain
predetermined qualifications ofstandards
- Selden, 1962
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A process of review and approval by which
an institution, programme or specific
service is granted a time-limited
recognition of having met certain
established standards beyond those that areminimally acceptable.
-ICN
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Organization or agency recognizes a college or
university or a program of study as having met certain
predetermined qualifications and standard
voluntary review process of educational programs by a
professional organization
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PURPOSES OF ACCREDITATION
For the maintenance of adequate administration
requirement.
Maintaining a uniform standard for nursing education
and nursing service.
Stimulation of institutional self-improvement by
evaluation and inspection.
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It safeguards the institution from social education and
political pressures.
It helps in the registration of nurses.
It prescribes the syllabus.
It grants recognition to school and colleges.
It guides the school/college of nursing, according to
recommendation and criteria.
It also services to prepare the competent to serve the
public.
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FUNCTIONS OF ACCREDITATION
It aims to protect the autonomy of various health
service programmes.
It preserves the quality of nursing education.
It protects the public from ill prepared nurses.
It protects the institutions unsound and unsafe political
pressure.
It helps the practitioner for the broad scope of nursing
practice.
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TYPES OF ACCREDITATION
AGENCIES
i. National accrediting agency
ii. National professional accrediting agency
iii. State accrediting bodies
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NATIONAL AGENCIES
Concerned with appraising the total activities of theinstitutions of higher learning, and with safe guarding
the quality of liberal education, the foundation of
professional programs in colleges and universities.
Each agency establishes criteria for the evaluation of
institutions in its region it reviews those institutions
periodically, and it publishes from time to time a list of
those agencies which it has accredited.
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Central advisory board of education
All India council for Elementary education
All India council for secondary education
University grants commission
All India council for technical education
National assessment and Accreditation council
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NATIONALPROFESSIONALACCREDITING
AGENCY
Aim to foster research, to improve service to the
public and the number of individuals admitted to the
profession.
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Medical Council of India
Indian Nursing Council
Dental council of India
Pharmacy council of India
Central council of Indian system of Medicine
Indian nursing council, (INC) is the official accrediting
agency for all programs of nursing, which includeDiploma (GNM), Bsc Nursing (both basic and post
basic), Msc N /M.phil (Masters) and PhD (Doctoral
programs in Nursing)
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INDIAN NURSING COUNCIL
AIMS
To establish uniform standard of training
throughout the state
Prohibit training centre, which are inadequate
Prohibit practice of nursing by non qualified
nurses.
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FUNCTIONS AND ROLE OF INC
Prescribing Syllabus
Inspection
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NATURE OF INSPECTION BY INC
First Inspections
Re Inspection
Periodic Inspections
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STATE ACCREDITING BODIES
A state nursing councils, which is called reciprocity,
was possible only if uniform standards of nursing
education were maintained.
Providing the registration to the nurses
Maintains a register of names of professional nurses
All degree holding nurses also have to get the
registration in state council.
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LICENSURE/REGISTRATION
Licensure is defined as the processby which an
agency of state government grant permission to an
individual to engage in a given profession upon
finding that the applicant has attained the
essential degree of competency necessary to
perform a unique scope ofpractice(NCSBN,2004).
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PURPOSE:-
Licensure offers protection to the public
It ensure minimum competency among
professional.
It ensures minimum standard among the
professionals.
It help to prevent malpractice.
It helps to regulate the professional conduct.
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Licensing permits a person to offer special skills and
knowledge to the public in a particular jurisdiction
when such practice would otherwise be unlawful. A
particular jurisdiction or area is covered by the
license.
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CURRENT LICENSURE
ACTIVITIES
Nurses are required to apply for licensure in
each state in which they practice
Nurses will be responsible for following the laws
and regulations of those states
COMPONENTS OF NURSING
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COMPONENTS OF NURSING
PRACTICE ACTS
Two essential components
1. To protecting the health and safety of the public
2. Protection of the title of RN
Nursing practice act describes the requirements
for licensure
Registered nurse, is reserved for those meeting
the requirements to practice nursing in the state.
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PROCESS OF REGISTRATION
It is the process by which individuals are assessed
and given status on a registry attesting to
individuals ability and current competency. Its
purpose is to keep a continuous record of the past
and current achievements of an individual.
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TNMC REGISTRATION
Process of Providing Authority to use an
Exclusive Title to those persons to enter in the
"State Register" Maintained under the Law of the
State.
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TAMILNADUCANDIDATES(PRIMARY)
Register the Qualification in the concern State.
Primary Registration means the candidates who
obtain Recognized Qualification within Tamil
Nadu and Registering the same Qualification in
Tamil Nadu Nurses and Midwives Council as per
the Act.
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1) Candidates may apply in person or by Postal
with the required documents to this Council for
Registration
2) Bulk Registration may be done through the
Head of the Institution for all the Candidates
TAMILNADU CANDIDATES (PRIMARY)
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TAMILNADUCANDIDATES(PRIMARY)
ADDITIONALQUALIFICATION
Registration of Additional Qualification done by
this Council for the Candidates who has
Obtained Nursing Qualification after Registering
their Basic Qualification in Tamilnadu Nursing
Council.
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OTHERSTATECANDIDATES(SECONDARY)
Register the Qualification in the concern State
where you have trained. Subsequently Registering
the same Qualification once again in Other State
within India where you would like to practice
nursing/do higher education is Secondary
Registration.
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After surrendering your parental Registration
Certificate at your Council and should obtain a
NOC from the Parental Council to Registration
in Tamilnadu to practise the profession within
Tamilndau.
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GENERAL INSTRUCTIONS
(1) For Bulk Registration, along with the above
procedure, Candidate's Colour Photo (Passport
Size) to be submitted & write the Candidate Name
behind the photo. One photo to be fixed in the
Application form and Do Not Staple. And also CD
to be submitted with Scaned Photo and it has been
Saved in file name as Candidate Name (Photo file
size 20 to 40 kb in .JPG format only).
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REQUIREMENT FOR REGISTRATION M.SC.,
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REQUIREMENT FORREGISTRATIONM.SC.,
NURSING
REGISTRATION PARTICULARS OF M.SC(N) - ORIGINAL CERTIFICATE
1 Filled Application form (Application can be downloaded from Council Website
www.tamilnadunursingcouncil.com)
2 Xerox copy of 12th Mark Sheet (1 No.) or its Equivalent
3 Xerox copy of Transfer of Certificate (1 No.)
4 M.Sc(N) Provisional / Original Certificate
5 Xerox copy M.Sc(N) Provisional / Original Certificate (1 No.)
6 Original Certificate of Course Completion Certificate
7 Xerox Copy of Course Completion Certificate (1 No.)
8 Final year Mark Sheet - Original (1 no.) Xerox Copy
9 Xerox Copy of Registered Nurse & Midwife of this Council (Each 1 No.)
10 Rs.1000/- Demand Draft Drawn in favour of The Registrar, Tamilnadu Nurses and
Midwives Council, Chennai Payable at Chennai Branch and also.
11 CD to be Submitted with Scanned Photo to be saved the file name as Candidate
Name (Photo file size 20 to 40 kb in jpg format only).
RENEWAL OF LICENSURE
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RENEWAL OF LICENSURE
The process for periodic reissuing of the legal
authority to practice.
Renewal system in a proper way it will help to
improve the professional competencies in nursing.
In TNMC instructed that all the nurses renew
their registration every 5 years for that they need
a specific(150) credit hours.
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JOURNALREVIEW
The attitude of health care professionals towards
accreditation: A systematic review of the
literature
Done by:- Abdullah Alkhenizan and Charles Shaw1
Retrieved from Journal of Family Community
Med. 2012 May-Aug; 19(2): 7480.
Aim:- To systematically review the literature of the
attitude of health care professionals towards
professional accreditation.
Study design:- This was a systematic
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y g y
qualitative review of the literature of the
attitude of health care professionals towards
accreditation. A comprehensive updated
search of four electronic bibliographic
databases including Medline from 1996-
January 2011, Cinhal, from 1982-January
2011, Embase from 1980-January 2011, and
Health Star from 1980-January 2011 was
done. Here included the physicians, nurses
and allied health personnel.
ATTITUDE OF PHYSICIANS
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ATTITUDE OF PHYSICIANS
In a qualitative Australian study (n = 72)
doctors were generally unaware of accreditation and
skeptical of it. Their concern was on how quality of
care was to be measured. Doctors felt accountable
within a professional framework, to themselves, the
patient and family, their peers and to their
profession; but not to accreditation bodies.In a cross-
sectional questionnaire of consultant radiologists,
87% of radiologists favored accreditation for virtual
colonoscopy.
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ATTITUDE OF NURSES
In the large randomized controlled trial,the (QAP) nursesoverall perceptions of care
(n = 1048), at the accredited hospitals
increased significantly (59% to 61%),
compared to the control hospitals (declinedfrom 61% to 57.In a large rigorous survey
conducted in Lebanon (n = 1048), nurses
perceived a significant improvement of
results in quality in hospitals as an outcomeof accreditation.
CONCLUSION
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CONCLUSION
Several studies have shown that health care
professionals were skeptical about accreditation
because of concerns about its impact on thequality of health care services. Concerns raised
about the cost of accreditation programs by
health care professionals especially in developing
countries were consistent. Healthcare
professionals (especially physicians) have to be
educated on the potential benefits of
accreditation. It is also necessary to conduct a
rigorous, independent evaluation of the cost-
benefit analysis of accreditation of healthservices.
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THEORYAPPLICATION
BIBLIORAPHY
1 BT B th N i d i i t ti 2nd d 403 04 N D lhi J b th
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1. BT Basavanthappa. Nursing administration. 2ndedn.pp 403-04 New Delhi: Jaypee brothers;
2009.
2. Zerwekh,Claborn(1997).Nursing Today , Transition and trends. Pennsylvaniya. WB Saunders.
3. Kornig Blais, Hayes, Kozier, Erb (2006). Professional Nursing Practice Concepts and
Perspective. Newjersey. Pearson education.
4. Kumara(2011). A Textbook of management of nursing service and education. Jalandharcity.
Vikas company.
5. Indian Nursing council act-1947. www.indiannursingcouncil.com
6.
Accreditation in India. www.eduworld.in
7. Baskara E (2013) Textbook of nursing education EMMESS medical publishers pp 483-494
8. Neeraja KP (2008) Textbook of nursing education Jaypee brothers medical publishers New
Delhi pp 40- 41
9. www.tamilnadunursingcouncil.com/registration_particulars.html
10.www.ncbi.nlm.nih.gov/pubmed/17091000
11.www.aacn.nche.edu/ccne-accrediation/standards-amended-2013,pdf
12.Schober M, Affara F, International Council of Nurses: Advanced Nursing Practice,Wiley
Publishers,pp:216
13.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3410183/
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