Documente Academic
Documente Profesional
Documente Cultură
SCIENCES, BADAL
SEMINAR
ON
PROFESSIONAL EDUCATION
&
TRENDS IN DEVELOPMENT OF NURSING
EDUCATION IN INDIA
SUBMITTED TO:
RESP. SIR MR. SUNIL KUMAR GARG
LECTURER
SINPMS, BADAL
SUBMITTED BY:
RAMANDEEP KAUR
M Sc.NURSING 1ST YEAR
ROLL NO.-21
It can also be defined as an occupation which helps a person to build his/her skills and
develop his/her expertise in a field which interests him/her.
Education
The meaning of education is “delivery of knowledge, skills and values from teachers to
students”. This meaning of education is incomplete because education is not merely the
delivery of knowledge and skills to the students; rather it is the process of becoming an
educated person.
Professional education
Professional education includes any programs that improve the knowledge, skills, attitudes,
or behaviors of health care providers.
There are six levels of nursing education in India today. They are :
The ANM, HV, and GNM are conducted in schools of nursing. The last 3 are university level
courses and the respective universities conduct examinations. Beside there are several
certificate and diploma courses in specialties.
Nursing
Nursing is an art and science. As an art, professional nurse learns to dignity and personhood.
As a science, nursing is based upon body of knowledge that is always changing with new
discoveries and innovations.
Nursing education
Nursing education is a professional education which is consciously and systematically
planned and implemented through instruction and discipline and aims the harmonious
development of the physical, intellectual, social, emotional, spiritual and aesthetic powers or
abilities of the students in order to render professional nursing care to people of all ages, in all
phases of health and illness, in variety of settings, in the best or highest possible manner.
The Dai training continued past independence. The goal was to train one Dai in each village
and ultimate goal was to train the entire practicing Dais in country. Duration of training was
30 days. No age limit was prescribed, training include theory and practice, more emphasis on
field practice. This training was done at sub centre and equipments provided by UNICEF.
In 1950 Indian Nursing Council came out with some important decisions relating to
future pattern of nursing training in India. One of the important decisions was that there
should be only two standards of training nursing and midwifery, subsequently the
curriculum for these courses was prescribed.
The first course was started at St. Marys Hospital Punjab; 1951. The entrance
qualification was up to 7/8 years of schooling. The period of training was 2 years which
include a 9 month of midwifery and 3 months of community experience.
3. Lady Health Visitor Course
Training of LVH course continued post independence. The syllabus prepared and
prescribed by INC in 1951. The entrance qualification was matriculation. The duration
was two and a half years which subsequently reduced to 2 years.
The general nursing and midwifery course is conducted in 2178 centers in the country. The
syllabus of General Nursing and Midwifery 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 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.
Training programme
The course in general nursing shall be of three and half years duration as follows, ---
Objectives
• Demonstrate awareness of and skills required in the nursing process in the provision
of health care and nursing of patients
• Apply relevant knowledge from the humanities biological and behavioral sciences in
carrying out health care and nursing activities and functions.
• Show sensitivity and skill in human relationship and communication in his or her
daily works
• Demonstrate skill in the problem solving methods in nursing.
• Gain knowledge of health resources in the community and the country
• Demonstrate skill in leadership
• Demonstrate awareness of necessity of belonging to professional organizations.
• Promotion of health, precaution against illness, restoration of health and rehabilitation
Graduate nursing education started in India in the year 1948 in CMC , Vellore and in the
RAK college of nursing at Delhi university. At present several universities in India offer the
course.
Course of study
Objectives of study
It was started in 1962. The need for higher training for nurses was stressed by Mudaliar
committee.
Programme of study
Objectives
The goal of the post certificate programme leading to the bachelor of nursing is the
preparation of the trained nurses as a generalist who accepts responsibility for enhancing the
effectiveness of nursing care.
Administer high quality nursing care to all people of all ages in homes , hospitals and
other community agencies in urban and rural areas
Apply knowledge from the physical, social and behavioural sciences in assessing the
health status of individuals
Make critical judgment in assessing the health status of the individuals and make
critical judgment in planning ,directing and evaluating primary, acute and long term
care given by themselves and others working with them
Investigate health care problems systematically
Work collaboratively with members of other health disciplines
Teach and counsel individuals , families and other groups about health and illness
Understand human behaviour and establish effective interpersonal relationships
Teach in clinical nursing situations
Acquire professional knowledge and attitude in adapting for leadership role.
7. Degree of Masters of Nursing
First two years course in masters of nursing was started at RAK College of Nursing
in 1959.and in 1969 in CMC Vellore.
At present there are 401 colleges imparting MSc Nursing degree course in different
specialties.
Eligibility
Have passed BSc. Nursing/post certificate BSc, or nursing degree of any university.
Have a minimum of one year of experience after obtaining BSc, in hospitals or
nursing educational institutions or community health setting.
The candidate shall be selected on merit judged on the basis of academic
performances in BSc nursing, or post certificate B.Sc. nursing and selection tests.
Objectives
increased cognitive ,affective and psychomotor competencies and the ability to utilise
the potentials for effective nursing performance
Expertise in the utilization of concepts and theories for the assessment, planning and
intervention in meeting the self-care needs of an individual for the attainment of
fullest potentials in the field of specialty.
ability to practice independently as a nurse specialist
ability to function effectively as nurse educators and administrators
ability to interpret the health related research
ability to plan and initiate change in the health care system
leadership qualities for the advancement of practice of professional nursing
interest in lifelong learning for personal and professional learning advancement
Specialties
Nursing shares with the whole university a main focus of preparing its students for service
and assisting them to achieve a meaningful philosophy of life. The student is encouraged to
develop judgment and wisdom in handling knowledge and skills and achieve mastery of
problem solving and creative skills.
In 1980 RAK College of nursing started an MPhil programme as a regular and part time
course. Since then several universities started taking students for the MPhil course in nursing.
Objectives
Duration:-Duration of the full term M. Phil course will be one year and part time course will
be two year.
Course of study
At the time of admission each candidate will be required to indicate her priorities in regard to
the optional courses. A candidate may offer one course from M Phil programme from the
department of Anthropology, education, sociology and physiology or any suitable
department. The M. Phil studies will be into two distinct parts, part1 and part 2.
Eligibility criteria
The candidate should be post graduate in nursing with more than 55% of aggregates
of marks
Should have research background
May or may not published articles in journals
The course duration is far regular PhD course is 3 years and for part time is 4 years
The Post- Doctoral Programs provide advanced research training for nurses who hold
doctoral degree.
The major goal of the Post- Doctoral Program is to develop a cadre of clinical nurse
researchers who will be able to :-
2. University Programme
Basic- B.Sc (N)
Post-Basic B.Sc (regular)
Post- Basic B.Sc (N) IGNOU
Advance’s (nursing)
M. Phil
PhD
Indian medicines are found in the sacred books of “Vedas”. The ‘Ayur-veda’ is thought to
have been given by Brahma. 1400 BC Sushruta, known as ‘Father of Surgery’ in India
wrote a book on surgery years later. ‘Charaka’ wrote a book on internal medicine. By this
writings we can learn that those days surgery had advanced to a high level, also have 4
wings of treatment ‘Chatushpada Chikitsa’.
Physician- Bhishak
Nurse- Upacharika (Attentdant- Anuraktha)
Therapeutic drugs- Dravya
Patient-Adhyaya
‘Unani’ system of medicine developed during the Arab civilization. It was practiced in
Indo-Pakistan subcontinent. The basic framework are consists of blood, phlegm, yellow
bile and black bile. Temperament, strengthening of body and nature are the real
physician.
Not believed in eradication of disease greatly depend on defence mechanism of the body
and self-care and positive health habits.
After the Mougl period the nursing in India hindered due to various reasons like low state of
women, system of “Pardha” among Muslims, caste system among Hindus, illiteracy, poverty,
political unrest, language differences and nursing looked upon as servants work.
During the 16th century, nursing development in India taken three dimensions
Civilian nursing:- During 1664 (British raj), civilian nursing was started in govt. general
hospital at Madras. In 1854, certificates of diploma in midwifery for passed students and
sick nursing for failed students was granted by midwives training school. In1871, the
civilian nurses were trained for hospitals and first batch of nurses came out as diploma in
midwifery nursing.
Military nursing:- During 1st World war, military nursing was developed when British
officers informed need of nurses to take care of British officials and soldiers. On 21st
February 1888, 10 fully certified nurses from Florence Nightingale arrived to Bombay to
lead nursing in India. In 1927, Indian Military Nursing services formed with12 matrons,
18 sisters and 25 staff nurses. After 2nd World war, Nursing services in India and overseas
were expanded. 3 year training programme was carried out in preliminary training
schools in selected military hospitals. Those who successfully completed training were
granted certificates as ‘Registered Nurse’ and considered members of Indian military
nursing services and Auxiliary nursing services.
Missionary nursing:- It get started with training of Indian nurses. Various other
countries supported this move. This brought fully qualified Indian nurses. In those days,
girls were not allowed to do work, Muslim girls were held under pardha system and
Hindus girls were hold back due to deep rooted caste system. So, Christian girls were
encouraged to undergo training and were trained first.
The opening of nursing schools associated with collage gave nursing profession a higher
social and economic status, than it had previously known. The formation of many
commission and committee, establishment of INC and tremendous work of TNAI brought
about change in nursing education post independence.
Trained Nurses Association of India
Objectives
To uphold in every way the dignity and honor of the nursing profession and to
promote a sense of esprit de corps among all nurses.
To promote high standards of health care and nursing practice.
To advance professional , educational, economic and general welfare of nurses
1. Conferences: - the TNAI holds its national biannually .it was planned in 1972 to hold
these conferences quadrannaully .
2. Continuing Education Programme:- The association organizes continuing
education programmes for nursing personnel oriented to different aspects of education
and administration
3. Publications: - the association brings out monthly magazines, the nursing journal of
India. Some books on aspects of nursing practice and education at low prices.
4. Socioeconomic welfare programme: One of the objectives of the TNAI is to provide
socio-economic welfare to nurses in country.
5. Nursing regulation project:- Another objective of the education is to raise the
standards of nursing education and practice through necessary legislations
The basic Aims, Objectives and functions of Indian Nursing Council are as follows:
To recognize the qualifications under section 10(2)(4) of the Indian Nursing Council
Act, 1947 for the purpose of registration and employment in India and abroad.
To give approval for registration of Indian and Foreign Nurses possessing foreign
qualification under section 11(2)(a) of the Indian Nursing Council Act, 1947
To prescribe the syllabus & regulations for Nursing programs.
To advise the State Nursing Councils, Examining Boards, State Governments and
Central Government in various important items regarding Nursing Education in the
Country
Functions:
With large number of graduates passing out every year, it is a challenge to maintain quality in
nursing education. Good infrastructure, clinical facilities and adequately prepared faculty are
important. Linking of nursing education and practice encourages well prepared graduates for
better patient care.
Evolution of Nursing Education in India
1854: Nightingale established nursing school at St. Thomas Hospital, London.
1865: Miss Florence Nightingale provided suggestions on a system of nursing for
hospitals in India.
1867: St Stephens hospital in Delhi started training of nursing to the Indian girls.
1871: The first school of nursing was started in government general hospital, Madras
with 6 months Diploma Midwives program.
1886: School of nursing was started in J.J. hospital, Bombay.
1888: Ten fully qualified certified nurses from Florence Nightingale arrived to
Bombay to lead nursing in India.
1894: Regular system of training for orderliness (men for hospital work) was started.
1901: Men were banned to serve as nurse in Military Nursing of USA.
1908: Trained Nurses Association of India (TNAI) was established.
1910: Nursing Journal of India started publishing from the TNAI. United board of
examination was organized to conduct examination for nurses in India.
1911-12: South India and North India Examining Board were created to conduct
examinations of nursing.
1918: Training schools were started for health visitors and dais at Delhi (India) and
Karachi (Pakistan).
1926: First registration council for nurses was formed at Madras presidency.
Midwives Registration Act was also formed to ensure better training of midwives.
1935: Bombay nursing councils were established.
1943: School of Nursing was established at Rajkumari Amrit Kaur College, New
Delhi. Diploma programme in nursing administration was also started in New Delhi.
1946: Four year basic Bachelor Degree programs were established at the RAK
College of Nursing (1946) and CMC Vellore (1947) as per the recommendation of the
Bhore committee. Nursing education was integrated into the system of university
education as per the recommendation of University Education Commission headed by
Dr Radha Krishanan.
1947-49: The Indian Nursing Council act was passed by ordinance on December 31st
1947. The Indian nursing council (INC) was constituted in the year 1949.
1951: The syllabus was prepared for lady health visitor course by INC and duration of
the course was reduced to 2 years from 2.5 years. The first ANM course in India was
started at St. Mary’s hospital in the Punjab. One year duration course in public health
was started at RAK College of nursing Delhi. Indian Nursing Council also prescribed
syllabus for general nursing and midwifery course in the year 1951 and a special
provision was made for the admission of male in GNM course in 1954.
1953-54: First organized course in psychiatric nursing started at All India Institute of
Mental Health.
1954: Shetty committee recommended improvement in conditions of training of
nurses. Minimum requirement for admission was suggested to be in accordance with
regulation of the INC.
1959-60: Master in nursing degree course was started at the RAK College of Nursing,
Delhi. Later on in the year 1968-69 College of Nursing Christian Medical College,
Vellore also started the same programme.
1961: Mudaliar committee recommended minimum entrance qualification for GNM
and B Sc Nursing programme. Matriculation was prescribed as minimum
qualification for admission in to GNM programme, similarly; higher secondary was
prescribed as minimum qualification for admission in to degree course of nursing.
1962: Diploma in pediatric nursing was established at J. J. Group of Hospitals,
Bombay.
1963: School of Nursing in Trivandrum started the first two years post certificate
bachelor degree program. First revision of GNM course was done in the same year. In
the year 1964-65 psychiatric nursing was included in curriculum.
1973: Kartar Singh committee recommended multipurpose health worker scheme and
change in designation of ANM and LHV.
1985: M. Sc Nursing course started in College of Nursing CMC, Ludhiana (Punjab).
1986: M. Phil nursing programme was started in RAK College of nursing Delhi.
1988: M. Sc Nursing programme was started at National Institute of Mental Health
and Neurosciences, Bangalore.
1990: Sarojini Varadappan committee recommended that Masters in nursing
programme to be increased and strengthened and Doctorate in nursing
programme should be started in selected university. Continuing education and staff
development for nurses was also emphasized.
1991: Working group on nursing education and manpower recommended that by the
year 2020 the GNM programme should be phased out from India and curriculum
of B. Sc nursing to be modified.
1992: Post Basic B. Sc Nursing programme was launched by Indira Gandhi National
Open University (IGNOU) New Delhi. Ph.D programme was started in RAK College,
New Delhi.
1994: M. Sc Nursing programme was started at MAHE, Manipal.
1996: M. Phil and PhD Nursing programmes were started at MAHE Manipal.
2004- College of Nursing, All India Institute of Medical Sciences, New Delhi started
super specialty master courses in nursing (Cardiological & CTVS, Nephrological,
Neurological, Critical care and Oncological nursing).
2005- Ph D in Nursing was established under the leadership of the Indian Nursing
Council, seven leading nursing institutions of India, World Health Organisation, and
the Rajiv Gandhi University of Health Sciences, Bangalore.
Conclusion
Nursing is one of the health professions which functions in conjunction with other
health care agencies assisting individuals, families and communities to achieve and maintain
desirable standards and maintain desirable standard of health.
Bibliography
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Leddy Susen and Pepper J. Mac: “Conceptual Bases Of Professional Nursing” ;edition 4th,
Published By- Lippincott; Pp-4-11.
Potter and Perry “Fundamentals of Nursing”; edition 5th, Vol. 1st; Published By- Mosby
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