M.Sc. Nursing Syllabus and Regulation
M.Sc. Nursing Syllabus and Regulation
M.Sc. Nursing Syllabus and Regulation
M.Sc. NURSING
1 Philosophy 4-4
2 Aim 4-4
3 Objectives 4-5
4 Guidelines & Minimum Requirements for Setting up of 5-6
a College of Nursing
5 Staffing Pattern Relaxed Till 2012 6-7
6 Other Staff (Maximum Requirement) 8-9
7 Eligibility Criteria/Admission Requirements 9-9
8 Regulations for Examination 10-10
9 Guidelines for Dissertation 10-11
10 Duration 11-12
11 Scheme of Examination 12-13
1
- Medical Surgical Nursing – Oncology Nursing 80-87
- Medical Surgical Nursing - Neurosciences Nursing 88-95
- Medical Surgical Nursing - Nephro- Urology Nursing 96-102
- Medical Surgical Nursing -Orthopedic Nursing 103-110
- Medical Surgical Nursing - Gastro Enterology Nursing 111-117
- Obstetric & Gynaecological Nursing 118-124
- Paediatric (Child Health) Nursing 125-130
- Psychiatric (Mental Health) Nursing 131-137
- Community Health Nursing 138-144
18 Annexure – I (Staffing Pattern Relaxed till 2012) 145-145
2
Philosophy
This programme provides the basis for the post masteral programme in
nursing. Further the programme encourages accountability and
commitment to life long learning which fosters improvement of quality care.
Aim
Objectives
On Completion of the two year M.Sc Nursing programme, the graduate will
be able to:-
4
6. Demonstrate the ability to plan and effect change in nursing practice
and in the health care delivery system.
7. Establish collaborative relationship with members of other disciplines
8. Demonstrate interest in continued learning for personal and
professional advancement.
50-100 bedded Cardiac Hospital, which has CCU, ICCU and ICU units
with own thoracic unit or affiliated thoracic unit.
250-500 bedded Hospital, which has a 8-10 beds critical care beds &
ICUs
5
OBG speciality beds
Psychiatric beds
Paediatrics beds
Gastroentrology beds
STAFFING PATTERN:
M.Sc. (N)
6
Professor cum coordinator 1
Reader / Associate Professor 1
Lecturer 2
Professor-cum-Principal 1
Professor-cum-Vice Principal 1
Reader / Associate Professor 5
Lecturer 8
Tutor / Clinical Instructor 19
---------------
Total 34
One in each specialty and all the M.Sc(N) qualified teaching faculty will
participate in all collegiate programmes.
1 Professor-cum-Principal -
Masters Degree in Nursing
-
14 years experience after M.Sc. (N) in College of
Nursing .
- 3 years experience in administration (Years of
experience is relaxable if suitable candidate is not
available) (If a candidate is not available, minimum 5
years of experience in college of nursing, with an
aggregate of 14 years teaching experience)
Desirable : Independent published work of high standard / doctorate degree / M.Phil.
7
3 Reader / Associate - Master Degree in Nursing.
Professor - 10 years experience after M.Sc.(N) in a College of
Nursing. (If a candidate is not available, 5 years of
experience in College of Nursing with an aggregates
of 10 years teaching experience.
External /Guest faculty may be arranged for the selected units in different subjects as
required
NOTE:
1. No part time nursing faculty will be counted for calculating total
no. of faculty required for a college.
2. Irrespective of number of admissions, all faculty positions
(Professor to Lecturer) must be filled.
3. For M.Sc.(N) programme appropriate number of M.Sc. faculty in
each speciality be appointed subject to the condition that total
number of teaching faculty ceiling is maintained.
4. All nursing teachers must possess a basic university or equivalent
qualification as laid down in the schedules of the Indian Nursing
Council Act, 1947. They shall be registered under the State
Nursing Registration Act.
5. Nursing faculty in nursing college except tutor/clinical instructors
must possess the requisite recognized postgraduate qualification in
nursing subjects.
6. Holders of equivalent postgraduate qualifications, which may be
approved by the Indian Nursing Council from time to time, may be
considered to have the requisite recognized postgraduate
qualification in the subject concerned.
7. All teachers of nursing other than Principal and Vice-Principal
should spend at least 4 hours in the clinical area for clinical
teaching and/or supervision of care every day.
• Ministerial
a) Administrative Officer 1
c) Office Superintendent 1
d) PA to Principal 1
e) Accountant/Cashier 1
8
• Upper Division Clerk 2
• Store Keeper 1
a) Maintenance of stores 1
b) Classroom attendants 2
c) Sanitary staff As per the physical space
d) Security Staff As per the requirement
• Peons/Office attendants 4
• Library
a) Librarian 2
b) Library Attendants As per the requirement
• Hostel
a) Wardens 2
b) Cooks, Bearers, As per the requirement
Sanitary Staff
c) Ayas /Peons As per the requirement
d) Security Staff As per the requirement
e) Gardeners & Dhobi Depends on structural facilities
(desirable)
Entrance/Selection test
9
Regulations for examination:
Classification of results:
If the candidate fails in either practicals or theory paper he/she has to re-
appear for both the papers (theory and practical)
Maximum no. of attempts per subject is three (3) inclusive of first attempt.
The maximum period to complete the course successfully should not exceed
4 years
Practicals
Dissertation
10
2. Submission of dissertation – End of 9th month of IInd Year
Final
A. Research Guides
a) Qualification of Guide
c) Research Committee
Duration
Available 52 weeks
Vacation 4 weeks
Examination 2 weeks
Gazetted holidays 3 weeks
Total weeks available 43 weeks
40 hours per week 1720 hours
Total hours for 2 years 3440 hours
Course of Instruction
Theory Practical
(hrs) (hrs)
1st year
Nursing education 150 150
Advance nursing practice 150 200
Nursing Research and statistics 150 100
*Clinical speciality –I 150 650
11
Total 600 1100
II nd Year
Nursing Management 150 150
Nursing Research(Dissertation) 300
*Clinical Speciality – Medical Surgical Nursing (Cardio Vascular & Thoracic Nursing,
Critical care Nursing, Oncology Nursing, Neurosciences Nursing, Nephro-Urology Nursing,
Orthopedic Nurisng, Gastro Enterology Nursing,)Obstetric & Gynaecological Nursing, Child
Health (Paediatric) Nursing, Mental Health(Psychiatric) Nursing, Community Health
Nursing, Psychiatric (Mental Health) Nursing etc.
Note: Students have to maintain log book for each activity during the
course of study
Scheme of Examination
Theory Practical
1st year Hours Internal External Hours Internal External
Nursing education 3 25 75 50 50
Advance nursing practice 3 25 75
Nursing Research and
statistics 3 25** 75*
Clinical speciality -I 3 25 75 100 100
Total 100 300 150 150
II nd Year
Nursing Management 3 25 75
Dissertation & Viva 100 100
Clinical Speciality-II 3 25 75 100 100
Total 50 150 200 200
* Nursing research=50 and statistics=25
**Nursing research=15 and statistics=10
1. Minimum pass marks shall be 50 % in each of the Theory and practical papers separately.
2. A candidate must have minimum of 80% attendance (irrespective of the kind of absence)
in theory and practical in each subject for appearing for examination.
3. A candidate must have 100% attendance in each of the practical areas before award of
degree
4. A candidate has to pass in theory and practical exam separately in each of the paper.
5. If a candidate fails in either theory or practical paper he/she has to re-appear for both the
papers (Theory and practical).
6. Maximum no. of attempts permitted for each paper is 3 including first attempt.
12
7. The maximum period to complete the course successfully should not exceed 4 (four)
years
8. A candidate failing in more then two subjects will not be promoted to the IInd year.
9. No candidate shall be admitted to the subsequent IInd year examination unless the
candidate has passed the Ist year examination.
10. Maximum number of candidates for all practical examination should not exceed 10 per
day.
11. Provision of Supplementary examination should be made.
12. All practical examinations must be held in the respective clinical areas.
13. One internal and One external examiners(outside the University) should jointly conduct
practical examination for each student
14. An examiner should be M.Sc (N) in concerned subject and have minimum of 3 (three)
years post graduate teaching experience.
15. One internal and One external examiners(outside the University) should evaluate
dissertation and jointly conduct viva-voce for each student
16. For Dissertation Internal examiner should be the guide and external examiner should be
Nursing faculty / nursing expert in the same clinical speciality holding
Ph.D./M.Phil/M.Sc. Nursing with a minimum of 3 years experience in
guiding the research projects for Post Graduate students of Nursing.
Admission Strength
Annual admission strength for M.Sc (N) Programme should have prior
sanction/permission from the Indian Nursing Council on the basis of
clinical, physical facilities and teaching faculty.
Health Services
There should be provisions for the following health services for the students.
13
CURRICULUM
NURSING EDUCATION
Course Description
Objectives
14
14. Explain the concept, principles, steps, tools and techniques of
evaluation
15. Construct, administer and evaluate various tools for assessment of
knowledge, skill, and attitude.
Course Content
Theory Practical
I 10 Introduction :
Education :Definition, aims, concepts, philosophies
& their education implications,
Impact of Social, economical, political &
technological changes on education:
• Professional education
• Current trends and issues in education
• Educational reforms and National Educational
policy, various educational commissions-reports
• Trends in development of nursing education in
India
15
Units Hours Course Content
Theory Practical
16
Units Hours Course Content
Theory Practical
X 10 10 Curriculum Development
Definition, curriculum determinants, process and
steps of curriculum development, Curriculum
models, Types and framework.
Formulation of philosophy, objectives, selection and
organization of learning experiences; master plan,
course plan, unit plan.
Evaluation strategies, process of curriculum change,
role of students, faculty, administrators, statutory
bodies and other stakeholders.
Equivalency of courses: Transcripts, credit system.
XI 8 4 Teacher preparation
Teacher – roles & responsibilities, functions,
characteristics, competencies, qualities,
Preparation of professional teacher
Organizing professional aspects of teacher
preparation programs
Evaluation: self and peer
Critical analysis of various programs of teacher
education in India.
17
Units Hours Course Content
Theory Practical
Activities :
• Framing philosophy, aims and objectives.
• Lesson Planning.
• Micro teaching-2.
• Conduct practice teachings using different teaching strategies -10
(like lecture cum discussion, demonstration- lab method, field trips,
seminars, project, role play, panel discussion, clinical methods etc)
• Preparation and utilization of instructional Aids using different media.
• Develop course plans, unit plans, rotation plans.
• Conduct a continuing education workshop.
• Annotated bibliography.
• Critical evaluation of any nursing education program offered by a
selected institution.
• Planning and Organizing field visits.
18
• Educational visits.
• Field visits (INC/SNRC) to get familiar with recognition/registration
process.
• Construct, administer and evaluate tools (objective & essay type test,
observation checklist, rating scale etc )
• Observe and practice application of various non-standardized tests
(intelligence, Aptitude, Personality, Sociometry, physical & mental
disabilities tests.)
Methods of Teaching
• Lecture cum discussion
• Demonstration/ Return demonstration
• Seminar / Presentations
• Project work
• Field visits
• Workshop
Methods of evaluation
• Tests
• Presentation
• Project work
• Written assignments
Internal Assessment
Techniques Weightage
Test- (2 tests) 50
Assignment 25
Seminar/presentation 25
----------------------
100
----------------------
19
ADVANCE NURSING PRACTICE
Course Description
Objectives:
20
Course Content
III 10 Genetics
Review of cellular division, mutation and law of inheritance,
human genome project ,The Genomic era.
Basic concepts of Genes, Chromosomes & DNA.
Approaches to common genetic disorders.
Genetic testing – basis of genetic diagnosis, Pre symptomatic
and predisposition testing, Prenatal diagnosis & screening,
Ethical, legal & psychosocial issues in genetic testing.
Genetic counseling.
Practical application of genetics in nursing.
IV 10 Epidemiology
Scope, epidemiological approach and methods,
Morbidity, mortality,
Concepts of causation of diseases and their screening,
Application of epidemiology in health care delivery, Health
survelliance and health informatics
Role of nurse
21
Unit Hours Content
V 20 Bio-Psycho social pathology
Pathophysiology and Psychodynamics of disease causation
Life processes, homeostatic mechanism, biological and
psycho-social dynamics in causation of disease, life style
Common problems: Oxygen insufficiency, fluid and
electrolyte imbalance, nutritional problems, hemorrhage
]and shock, altered body temperature, unconsciousness,
sleep pattern and its disturbances, pain, sensory
deprivation.
Treatment aspects: pharmacological and pre- post operative
care aspects,
Cardio pulmonary resuscitation.
End of life Care
Infection prevention (including HIV) and standard safety
measures, bio-medical waste management.
Role of nurse- Evidence based nursing practice; Best
practices
Innovations in nursing
22
Unit Hours Content
X 10 Nursing practice
Framework, scope and trends.
Alternative modalities of care, alternative systems of health
and complimentary therapies.
Extended and expanded role of the nurse, in promotive,
preventive, curative and restorative health care delivery
system in community and institutions.
Health promotion and primary health care.
Independent practice issues,- Independent nurse-midwifery
practitioner.
Collaboration issues and models-within and outside
nursing.
Models of Prevention,
Family nursing, Home nursing,
Gender sensitive issues and women empowerment.
Disaster nursing.
Geriatric considerations in nursing.
Evidence based nursing practice- Best practices
Trans-cultural nursing.
Practical
Activities
23
Methods of Teaching
Methods of evaluation :
• Tests
• Presentation
• Seminar
• Written assignments
Internal Assessment
Techniques Weightage
Test- (2 tests) 50
Assignment 25
Seminar/presentation 25
----------------------
100
----------------------
24
CLINICAL SPECIALITY – I
Course Description
Objectives
25
11. Appreciate the role of alternative systems of Medicine in care of
patients.
12. Incorporate evidence based Nursing practice and identify the areas of
research in the field of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical –
Surgical health team.
14. Teach Medical – Surgical Nursing to undergraduate nursing students
& in-service nurses.
COURSE CONTENT:
Unit Hours Content
I 5 Introduction:
Historical development of Medical- Surgical Nursing in India.
Current status of health and disease burden in India.
Current concept of health.
Trends & issues in Medical – Surgical Nursing.
Ethical & cultural issues in Medical – Surgical Nursing.
Rights of patients.
National health policy, special laws & ordinances relating to older
people.
National goals.
Five year plans.
National health programs related to adult health.
26
Unit Hours Content
V 10 Management of patients with disorders of nervous system
Review of anatomy and physiology.
Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
XV 8 Geriatric nursing
Nursing Assessment-History and Physical assessment.
Ageing;
Demography; Myths and realities.
Concepts and theories of ageing.
Cognitive Aspects of Ageing.
Normal biological ageing.
Age related body systems changes.
Psychosocial Aspects of Aging.
Medications and elderly.
Stress & coping in older adults.
Common Health Problems & Nursing Management;
Psychosocial and Sexual.
Abuse of elderly.
Role of nurse for care of elderly: ambulation, nutritional,
communicational, psychosocial and spiritual.
Role of nurse for caregivers of elderly.
Role of family and formal and non formal caregivers.
Use of aids and prosthesis (hearing aids, dentures,
Legal & Ethical Issues.
Provisions and Programmes for elderly; privileges, Community
Programs and health services;
Home and institutional care.
Issues, problems and trends.
30
Practical
Student Activities:
• Clinical presentations
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
31
CLINICAL SPECIALITY-I
Course Description
Objectives
II 15 Human reproduction
Review of anatomy and physiology of human reproductive
system: male and female
Hormonal cycles
Embryology
Genetics, teratology and counseling
Clinical implications
III 25 Pregnancy
Maternal adaptation : Physiological, psychosocial
• Assessment – Maternal and foetal measures Maternal
measures:History taking , exmanination-General,physical
and obstetrical measure, identification of high risk,
• Foetal measure- clinical parameters, biochemical- human
estriol, Maternal Serum Alfa Feto Protein, Acetyl Choline
esterase (AchE), Triple Test Aminocentesis, Cordocentesis,
chorionic villus sampling (CVS)),
• Biophysical- (US IMAGING, Foetal movement count, Ultra
Sonography, Cardiotocography, cardiotomography, Non
Stress Test(NST), Contraction stress test(CST), amnioscopy,
foetoscopy,
• Radiological examination,
Interpretation of diagnostic tests and nursing implications
Nursing management of the pregnant women, minor disorders
of pregnancy and management, preparation for child birth and
parenthood, importance of institutional delivery , choice of birth
setting, importance and mobilizing of transportation, prenatal
counseling, role of nurse and crisis intervention, identification
of high risk pregnancy and refer
Alternative/complementary therapies
33
Units Hours Content
IV 25 Normal Labour and nursing management:
Essential factors of labour
Stages and onset
Second stage
• Physiology , intrapartum monitoring
• Nursing management.
• Resuscitation , immediate newborn care and initiate breast
feeding (Guidelines of National neonatalogy forum of India)
Third stage
• Physiology and nursing management
VI 20 Normal Newborn
Physiology and characteristics of normal newborn
Physical and Behavioural assessment of newborn
Needs of newborn
Essential newborn care: Exclusive breast feeding,
Immunization, Hygiene measures, Newborn nutrition
Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and management of
nursing services in NICU
Observation and care of newborn
Parenting process
34
Units Hours Content
VII 10 Pharmoco dynamics in obstetrics
Drugs used in pregnancy, labour, post partum and newborn
Calculation of drug dose and administration
Effects of drugs used
Anaesthesia and analgesia in obstetrics
Roles and responsibilities of midwifery nurse practitioner
Standing orders and protocols and use of selected life saving
drugs and interventions of obstetric emergencies approved by
the MOHFW
IX 5 Infertility
Primary and secondary causes
Diagnostic procedures
Counseling: ethical and legal aspects of assisted reproductive
technology(ART)
Recent advancement in infertility management.
Adoption procedures
XI 5 Abortion
Types, causes
Legislations, Clinical rights and professional responsibility
Abortion procedures
Complications
Nursing management
35
Practical
Procedures observed
Procedures assisted
Procedures performed
• Antenatal assessment-20
• Postnatal assessment-20
• Assessment during labour : use of partograph - 20
• Per vaginal examination-20
• Conduct of normal delivery-20
• Episiotomy and suturing-10
• Setting up of delivery areas
• Insertion of intra uterine devices( copper T)
Others
Course Description
Objectives
37
Course Content
IV 15 Pre-natal Pediatrics
Embryological and fetal development, Prenatal factors
influencing growth and development of fetus,
Genetic patterns of common pediatric disorders,
chromosomal aberrations, genetic assessment and
counseling legal and ethical aspects of genetic, screening
and counseling role of nurse in genetic counseling,
Importance of prenatal care and role of pediatric nurse.
IX 30 IMNCI
(Integrated management of neonatal and childhood illnesses)
39
Practical
Total = 660Hours
1 Week = 30Hours
Student Activities
• Clinical presentations
• Growth & developmental assessment
• Assessment & prescription of nursing interventions for sick children
• Health education related to disease conditions
• Nutritional assessment
• Project work
• Field visits
40
CLINICAL SPECIALITY – I
Course Description
Objectives
41
Course Content
II 10 Concepts of Psychobiology
The Nervous System:
• An Anatomical Review
• The Brain and limbic system
• Nerve Tissue
• Autonomic Nervous system
• Neurotransmitters
Neuroendocrinology
• Pituitary, Thyroid Gland
• Circadian Rhythms
Genetics
Neuro psychiatric disorders
Psychoimmunology
• Normal Immune response
• Implications for psychiatric Illness
Implications for Nursing
42
Units Hours Content
Stress as Transaction between the Individual and the
Environment.
Stress management.
VI 10 Assertive Training
Assertive Communication
Basic Human Rights
Response Patterns
• (Nonassertive Behavior
• Assertive Behavior
• Aggressive Behavior
• Passive-Aggressive Behavior)
Behavioral Components of Assertive Behavior
Techniques that Promote Assertive Behavior
Thought-Stopping Techniques Method
43
Units Hours Content
VIII 10 The nursing process in psychiatric/mental health nursing
Mental health assessment- History taking, mental status
examination
Physical and neurological examination
Psychometric assessment
Investigations, Diagnosis and Differential diagnosis
Interpretation of investigations
Nurse’s role
Nursing case management
• Critical pathways of care
Documentation
• Problem-oriented recording
• Focus charting
• The PIE method
XI 5 Electroconvulsive Therapy
Historical Perspectives
Indications
Contraindications
Mechanisms of Action
Side Effects
Risks Associated with Electroconvulsive Therapy
The Role of The Nurse in Electroconvulsive Therapy
X 10 Psychopharmacology
Historical Perspectives
Role of a Nurse in Psychopharmacological Therapy
• Antianxiety Agents
• Antidepressants Agents
• Mood stabilizers
• Antipsychotics
• Sedative-Hypnotics
• Central Nervous System Stimulants
Future developments
44
Units Hours Content
XII 15 Alternative systems of medicine in mental health
Types of Therapies
• Herbal Medicine
• Unani
• Siddha
• Homeopathic
• Acupressure and Acupuncture
• Diet and Nutrition
• Chiropractic Medicine
• Therapeutic Touch and Massage
• Yoga
• Pet Therapy
45
Practical
Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• music therapy
• Pet therapy
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
46
CLINICAL SPECIALITY- I
Course Description
Objectives
Course Content
Unit Hours Content
I 10 Introduction
Historical development of Community Health and Community
health Nursing- World and India, various health and family
welfare committees
Current status, trends and challenges of Community Health
Nursing
Health status of the Community-community diagnosis
Scope of Community health Nursing practice
Ethical and legal issues
Socio-cultural issues in Community health Nursing
National Policies, plans and programmes
• National health policy
• National Population policy
• National Health and welfare Programmes
• National Health goals/ indicators/ Millennium developmental
goals(MDG)/ Strategies
• Planning process: Five year plans
• National Rural Health Mission
• Panchayat raj institutions
II 10 Health
Concepts, issues
Determinants
Measurements
Alternate systems for health promotion and management of
health problems
Health economics
Health technology
Genetics and health
Waste disposal
Eco system
III 15 Population dynamics and control
Demography
Transition and theories of population
National population policy
National population programmes
Population control and related programmes
Methods of family limiting and spacing
Research, Census, National Family Health Survey
48
Unit Hours Content
IV 30 Community health Nursing
Philosophy, Aims, Objectives, Concepts, Scope, Principles,
Functions
Community health Nursing theories and models
Quality assurance: Community health Nursing standards,
competencies, Monitoring community health nursing, nursing
audits
Family nursing and Family centered nursing approach
Family health nursing process
o Family health assessment
o Diagnosis
o Planning
o Intervention
o Evaluation
VIII 15 Health care delivery system: Urban, rural, tribal and difficult
areas
Health organization: National, State, District, CHC, PHC, Sub
Centre, Village - Functions, Staffing, pattern of assistance,
layout, drugs, equipments and supplies,Roles and
Responsibilities of DPHNO
Critical review of functioning of various levels, evaluation
studies, recommendations and nursing perspectives
Alternative systems of medicine
Training and supervision of health workers
49
Unit Hours Content
Health agencies: NGO’s, Roles and functions
Inter-sectoral coordination
Public private partnership
Challenges of health care delivery system
50
Practical Total = 660 Hours
1 Week = 30 Hours
51
NURSING RESEARCH AND STATISTICS
Course Description:
General Objectives:
52
Content Outline
II 5 5 Review of Literature
Importance, purposes, sources, criteria for selection of
resources and steps in reviewing literature.
IV 10 5 Research problem:
Identification of research problem
Formulation of problem statement and research
objectives
Definition of terms
Assumptions and delimitations
Identification of variables
Hypothesis – definition, formulation and types.
VI 6 Sampling
Population and sample
Factors influencing sampling
Sampling techniques
Sample size
Probability and sampling error
Problems of sampling
53
Unit Hours Course Content
Theory Practical
VII 20 10 Tools and methods of Data collection:
Concepts of data collection
Data sources, methods/techniques quantitative and
qualitative.
Tools for data collection – types, characteristics and their
development
Validity and reliability of tools
Procedure for data collection
VIII 5 Implementing research plan
Pilot Study, review research plan (design)., planning for
data collection, administration of tool/interventions,
collection of data
Activities:
54
Method of Teaching
• Lecture-cum-discussion
• Seminar/Presentations
• Project
• Class room exercises
• Journal club
Methods of Evaluation
Internal Assessment
55
Part –B : Statistics
Hours of Instruction
Theory 50 Hours
Practical 50 Hours
Total : 100 Hours
Course Description
General Objectives
IV 3 2 Normal Distribution:
Probability, characteristics and application of normal
probability curve; sampling error.
56
Unit Hours Course Content
Theory Practical
V 6 8 Measures of relationship:
Correlation – need and meaning
Rank order correlation;
Scatter diagram method
Product moment correlation
Simple linear regression analysis and prediction.
Activities
Methods of Teaching:
• Lecture-cum-discussion
• Demonstration – on data organization, tabulation, calculation of
statistics, use of statistical package, Classroom exercises, organization
and tabulation of data,
57
• Computing Descriptive and inferential statistics; vital and health
statistics and use of computer for data entry and analysis using
statistical package.
Methods of Evaluation
Internal Assessment
58
NURSING MANAGEMENT
Placement : II Year
Hours of Instruction
Theory 150 Hours
Practical 150 Hours
Total : 300 Hours
Course Description
Objectives
59
Course Content
II 10 Management
Functions of administration
Planning and control
Co-ordination and delegation
Decision making – decentralization basic goals of decentralization.
Concept of management
Nursing management
Concept, types, principles and techniques
Vision and Mission Statements
Philosophy, aims and objective
Current trends and issues in Nursing Administration
Theories and models
III 15 Planning
Planning process: Concept, Principles, Institutional policies
Mission, philosophy, objectives,
Strategic planning
Operational plans
Management plans
Programme evaluation and review technique(PERT), Gantt chart,
Management by objectives(MBO)
Planning new venture
Planning for change
Innovations in nursing
Application to nursing service and education
IV 15 Organisation
Concept , principles, objectives, Types and theories, Minimum
requirements for organisation, Developing an organizational
Structure, levels, organizational Effectiveness and organizational
Climate,
Organising nursing services and patient care: Methods of patient
assignment- Advantages and disadvantages, primary nursing care,
Planning and Organising: hospital, unit and ancillary
services(specifically central sterile supply department, laundry,
kitchen, laboratory services, emergency etc)
60
Unit Hours Content
VI 15 Directing
Roles and functions
Motivation: Intrinsic, extrinsic, Creating motivating climate,
Motivational theories
Communication : process, types, strategies, Interpersonal
communication, channels, barriers, problems, Confidentiality,
Public relations
Delegation; common delegation errors
Managing conflict: process, management, negotiation, consensus
Collective bargaining: health care labour laws, unions, professional
associations, role of nurse manager
Occupational health and safety
X 10 Nursing informatics
Trends
General purpose
Use of computers in hospital and community
Patient record system
Nursing records and reports
Management information and evaluation system (MIES)
E- nursing, Telemedicine, telenursing
Electronic medical records
XI 10 Leadership
Concepts, Types, Theories
Styles
Manager behaviour
Leader behaviour
Effective leader: Characteristics, skills
Group dynamics
Power and politics
lobbying
Critical thinking and decision making
Stress management
62
Unit Hours Content
XII 10 Legal and ethical issues
PRACTICALS
1. Prepare prototype personal files for staff nurses, faculty and
cumulative records
2. Preparation of budget estimate, Revised estimate and performance
budget
3. Plan and conduct staff development programme
4. Preparation of Organisation Chart
5. Developing nursing standards/protocols for various units
6. Design a layout plan for speciality units /hospital, community and
educational institutions
7. Preparation of job description of various categories of nursing
personnel
8. Prepare a list of equipments and supplies for speciality units
9. Assess and prepare staffing requirement for hospitals, community and
educational institutions
10. Plan of action for recruitment process
11. Prepare a vision and mission statement for hospital, community and
educational institutions
12. Prepare a plan of action for performance appraisal
13. Identify the problems of the speciality units and develop plan of action
by using problem solving approach
14. Plan a duty roster for speciality units/hospital, community and
educational institutions
15. Prepare: anecdotes, incident reports, day and night reports, handing
and taking over reports, enquiry reports, nurses notes, Official letters,
curriculum vitae, presentations etc
63
16. Prepare a plan for disaster management
17. Group work
18. Field appraisal report
64
CLINICAL SPECIALITY – II
Course Description
Objectives
65
13. Discuss the legal and ethical issues in cardio vascular and thoracic
nursing
14. Assist patients and their family to cope with emotional distress, grief,
anxiety and spiritual needs.
15. Appreciate the role of alternative system of medicine in care of patient
16. Incorporate evidence based nursing practice and identify the areas of
research in the field of cardio vascular and thoracic nursing
17. Identify the sources of stress and manage burnout syndrome among
health care providers.
18. Teach and supervise nurses and allied health workers.
19. Design a layout of ICCU and ICTU and develop standards for cardio
vascular and thoracic nursing practice.
Content Outline
II 5 Epidemiology
Risk factors: hereditary, psycho social factors, hypertension,
smoking, obesity, diabetes mellitus etc
Health promotion, disease prevention, Life style modification
National health programs related to cardio vascular and thoracic
conditions
Alternate system of medicine
Complementary therapies
Associated illnesses
67
Unit Hours Content
VI 10 Altered pulmonary conditions
Etiology, clinical manifestations, diagnosis, prognosis, related
pathophysiology, treatment modalities and nursing management of:
• Bronchitis
• Bronchial asthma
• Bronchiectasis
• Pneumonias
• Lung abscess, lung tumour
• Pulmonary tuberculosis, fibrosis, pneumoconiosis etc
• Pleuritis, effusion
• Pneumo, haemo and pyothorax
• Interstitial Lung Disease
• Cystic fibrosis
• Acute and Chronic obstructive pulmonary disease (conditions
leading to)
• Cor pulmonale
• Acute respiratory failure
• Adult respiratory distress syndrome
• Pulmonary embolism
• Pulmonary Hypertension
XI 10 Pharmacology
Review
Pharmacokinetics
Analgesics/Anti inflammatory agents
Antibiotics, antiseptics
Drug reaction & toxicity
Drugs used in cardiac emergencies
Blood and blood components
• Antithrombolytic agents
• Inotropic agents
• Beta-blocking agents
• Calcium channel blockers.
• Vaso constrictors
• Vaso dilators
• ACE inhibitors.
• Anticoagulents
• Antiarrhythmic drugs.
• Anti hypertensives
• Diuretics
• Sedatives and tranquilizers.
• Digitalis.
69
Unit Hours Content
• Antilipemics
Principles of drug administration, role and responsibilities of
nurses and care of drugs
XII 20 Nursing Care of patient undergoing cardio thoracic surgery
Indications, selection of patient
Preoperative assessment and preparation; counselling.
Intraoperative care: Principles of open heart surgery, equipment,
anaesthesia, cardiopulmonary by pass.
Surgical procedures for Coronary Artery Bypass Grafting, recent
advances and types of grafts, Valve replacement or reconstruction,
cardiac transplant, Palliative surgery and different Stents, vascular
surgery, other recent advances.
Thoracic surgery: lobectomy, pneumonectomy, tumour excision etc
Immediate postoperative care : assessment, post operative problems
and interventions : Bleeding, Cardiac tamponade, Low cardiac
output, Infarction, Pericardial effusion, Pleural effusion,
Pneumothorax, Haemothorax, Coagulopathy, Thermal imbalance,
Inadequate., ventilation/perfusion, Neurological problems, renal
problems, Psychological problems.
Chest physiotherapy
Nursing interventions- life style modification, complementary
therapy/alternative systems of medicine.
Intermediate and late post operative care after CABG, valve surgery,
others.
Follow up care
70
Practicals
Procedures Observed
1. Echo cardiogram
2. Ultrasound
3. Monitoring JVP , CVP
4. CT SCAN
5. MRI
6. Pet SCAN
7. Angiography
8. Cardiac cathetrisation
9. Angioplasty
10. Various Surgeries
11. Any other
I. Procedures Assisted
72
CLINICAL SPECIALITY – II
Placement: II Year
Hours of instruction
Theory: 150 hours
Practical: 950 hours
Total : 1100 hours
Course Description
Objectives
73
16. Identify the sources of stress and manage burnout syndrome among
health care providers.
17. Teach and supervise nurses and allied health workers.
18. Design a layout of ICU and develop standards for critical care nursing
practice.
Course Content
III 14 Review
Pharmacokinetics
Analgesics/Anti inflammatory agents
Antibiotics, antiseptics
Drug reaction & toxicity
Drugs used in critical care unit (inclusive of ionotropic, life saving
drugs)
Drugs used in various body systems
IV fluids and electrolytes
Blood and blood components
Principles of drug administration, role of nurses and care of drugs
IV 5 Pain Management
Pain & Sedation in Critically ill patients
Theories of pain, Types of pain, Pain assessment, Systemic
responses to pain
pain management-pharmacological and non-pharmacological
measures
Placebo effect
74
Unit Hours Content
VI 10 Gastrointestinal System
Causes, Pathophysiology, Clinical types, Clinical features,
diagnosis, Prognosis, Management: Medical, Surgical and Nursing
management of:-Acute Gastrointestinal Bleeding, Abdominal
injury, Hepatic Disorders:-Fulminent hepatic failure, Hepatic
encephalopathy, Acute Pancreatitis, Acute intestinal obstruction,
perforative peritonitis
IX 5 Endocrine System
Causes, Pathophysiology, Clinical types, Clinical features,
diagnosis, Prognosis, Management: Medical, Surgical and Nursing
Management of :-Hypoglycemia, Diabetic Ketoacidosis, Thyroid
crisis, Myxoedema, Adrenal crisis, Syndrome of Inappropriate/
hypersecretion of Antidiuretic Hormone (SIADH)
XI 20 Cardiovascular emergencies
Principles of Nursing in caring for patient’s with Cardiovascular
disorders
Assessment: Cardiovascular system: Heart sounds, Diagnostic
studies:- Cardiac enzymes studies, Electrocardiographic
monitoring, Holter monitoring, Stress test. Echo cardiography,
Coronary angiography, Nuclear medicine studies
Causes, Pathophysiology, Clinical types, Clinical features,
Diagnostic Prognosis, Management : Medical, Surgical & Nurisng
management of:-Hypertensive crisis, Coronary artery disease,
Acute Myocardial infarction, Cardiomyopathy, Deep vein
thrombosis, Valvular diseases, Heart block, Cardiac arrhythmias &
conduction disturbances, Aneurysms, Endocarditis, Heart failure
Cardio pulmonary resuscitation BCLS/ ACLS
Management Modalities: Thrombolytic therapy, Pacemaker –
temporary & permanent, Percutaneous transluminal coronary
angioplasty, Cardioversion, Intra Aortic Balloon pump monitoring,
Defibrillations, Cardiac surgeries, Coronary Artery Bypass Grafts
(CABG/MICAS), Valvular surgeries, Heart Transplantation,
Autologous blood transfusion, Radiofrequency Catheter Ablation
76
Unit Hours Content
XIII 7 Burns
Clinical types, classification, pathophysiology, clinical features,
assessment, diagnosis, prognosis, Management: Medical, Surgical
& Nursing management of burns
Fluid and electrolyte therapy – calculation of fluids and its
administration
Pain management
Wound care
Infection control
Prevention and management of burn complications
Grafts and flaps
Reconstructive surgery
Rehabilitation
77
Practical
I. Procedures Observed
1. CT Scan
2. MRI
3. EEG
4. Hemodialysis
5. Endoscopic Retrograde cholangio Pancreaticogram(ERCP)
6. Heart/ Neuro/GI./ Renal Surgeries
1. Airway management
a. Application of oropharyngeal airway
b. Oxygen therapy
c. CPAP (Continuous Positive Airway pressure)
d. Care of tracheostomy
e. Endotracheal extubation
2. Cardiopulmonary resuscitation, Basic cardiac life support, ECG
3. Monitoring of critically ill patients – clinically with monitors, capillary
refill time (CRT) assessment of jaundice, ECG.
4. Gastric lavage
5. Assessment of critically ill patients
Identification & assessment of risk factors, Glasgow coma scale,
and dolls eye movement, arterial pressure monitoring, cardiac
output/pulmonary artery pressure monitoring, and detection of
life threatening abnormalities
6. Admission & discharge of critically ill patients
7. Nutritional needs – gastrostomy feeds, pharyngeal feeds, jejunostomy
feeds, TPN, formula preparation & patient education.
8. Assessment of patient for alteration in blood sugar levels monitoring
blood sugar levels periodically & administering insulin periodically.
9. Administration of drugs: IM, IV injection, IV cannulation & fixation
of infusion pump, calculation of dosages, use of insulin syringes/
tuberculin, monitoring fluid therapy, blood administration.
10. Setting up dialysis machine and starting, monitoring and closing
dialysis
11. Procedures for prevention of infections:
Hand washing, disinfection & sterilization surveillance, and
fumigation universal precautions.
12. Collection of specimen.
13. Setting, use & maintenance of basic equipment, ventilator, O2
analyzer, monitoring equipment, transducers, defibrillator, infusion
& syringe pumps, centrifuge machine.
IV Other Procedures:
79
CLINICAL SPECIALITY-II
Course Description
Objectives
Content outline
I 4 Introduction
Epidemiology-Incidence, Prevalence – Global, National, State and
Local
Disease burden, concept of cancer, risk factors
Historical perspectives
Trends and issues
Principles of cancer management
Roles and responsibilities of oncology nurse
IV 10 Diagnostic Evaluation
Health assessment: History taking, physical examination,
Staging and grading of tumors,
TNM Classification
Common diagnostic tests
• Blood investigation: Haemetological, Bio-chemical, Tumor
markers, Hormonal assay
• Cytology:Fine needle aspiration cytology(FNAC)
• Histopathology: Biopsy
• Radiological assessment: MRI, Ultrasound, Computed
tomography, Mammography, Positron emission
tomography(PET), Radio nuclide imaging, Functional
metabolism imaging
• Endoscopies
Surgery
• Principles of surgical oncology
• Current surgical strategy,
• Determining surgical risk
• Special surgical techniques
• Pre-intra-postoperative nursing care
• Acute and chronic surgical complications
• Future directions and advances
Chemotherapy
• Principles and classification of chemotherapeutics
• Pharmacology of antineoplastic drugs- Mechanism of action,
Absorption, protein binding, Bio-transformation, excretion,
common side effects, drug toxicity
• Calculating drug doses,
• Therapeutic response to chemotherapy-Tumor variables, drug
resistance,
• Safety precautions
Radiation Therapy
• Physics of radiotherapy
• Types of ionizing rays
• Radiation equipments:Linear accelerator, cobalt,
Implants,Isotopes,
• Types of therapies: Oral, Brachy therapy, tele therapy, selectron
therapy
• Effects of radiation on the body tissue,
• Radiation biology – cell damage hypoxic cells, alteration of
tumor kinetics.
• Approaches to radiation therapy –
• External radiotherapy
• Internal radiotherapy – unsealed,
• Sealed sources.
• Effectiveness of radiotherapy-Radiosensitivity, treatment effects
• Complications of radiotherapy
• Radiation safety: Standards of Bhaba Atomic Research
Centre(BARC)
82
Unit Hours. Content
Immunotherapy (Biotherapy)
• Concepts and principles
• Classification of agents
• Treatment and applications
Gene Therapy
• Current Concepts and practices
Assessment of pain
• Principles of cancer pain control
• Pharmacological: Opioid and non-opioid analgesic therapy
• Patient controlled analgesia(PCA)
• Other invasive techniques of pain control
• Recent developments in Cancer pain
Role of nurse
IX 2 Infection control:
• Process of infection, risk of hospitalization, nosocomial
infections- prevention and control of infection in acute, long
term care facility and community based care
• Standard safety measures
XI 10 Paediatric malignancies
Leukemia, Lymphoma, Neuro- blastoma
Wilm’s tumor, Soft tissue sarcoma, Retinoblastoma
Nursing Management of children with Paediatric Malignancies
Other symptoms
Dyspepsia & hiccup, dyspnoea
intestinal obstruction,
Fungating wounds
Anxiety & depression, insomnia
Lymph edema
84
Unit Hours. Content
85
Clinical Experience
Procedures Observed
1. CT Scan
2. MRI
3. PET Scan(Positron Emission Tomography)
4. Ultra sound
5. Mammography
6. Radio Nuclide Imaging
7. Bone Scan
8. Thyroid Function Test
9. Functional and Metabolic Imaging
10. Transportation of radioactive materials
11. Others
Procedures Assisted
Procedure Performed
Other procedures
1. Alternative therapies
87
CLINICAL SPECIALITY – II
Placement : II Years
Hours of Instruction
Theory – 150 Hours
Practical- 950 Hours
Total : 1100 Hours
Course Description
Objectives
88
13. Organise and conduct inservice education program for nursing
personnel.
14. Develop standards of care for quality assurance in neuroscience
nursing practice
15. Identify the sources of stress and manage burnout syndrome among
health care providers.
16. Teach and supervise nurses and allied health workers.
17. Plan and develop physical layout of neuro intensive care unit
Course Content
I 5 Introduction
II 5 Epidemiology
Major health problems-
Risk factors associated with neurological conditions- Hereditary,
Psychosocial factors, smoking, alcoholism, dietary habits, cultural
and ethnic considerations, occupational and infections.
Health promotion, disease prevention, life style modification and
its implications to nursing
89
Unit Hours Content
Role of nurse
90
Unit Hours Content
X 10 Neuro infections
Causes, pathophysiology, Clinical types, Clinical features,
diagnostic, Prognosis , Management: medical, surgical and
Nursing management of Neuro infections
• Meningitis-types
• Encephalitis.
• Poliomyelitis.
• Parasitic infections.
• Bacterial infections
• Neurosyphilis.
• HIV & AIDS.
• Brain abscess.
91
Unit Hours Content
XI 10 Paroxysmal disorders.
Causes, pathophysiology, Clinical types, Clinical features,
diagnosis, Prognosis , Management: medical, surgical and Nursing
management of
• Epilepsy and seizures.
• Status epilepticus.
• Syncope.
• Menier’s syndrome.
• Cephalgia.
XVII 5 Rehabilitation.
Concept and Principles of Rehabilitation.
Factors affecting quality of life and coping
Rehabilitation in acute care setting, and following stroke, head
injury and degenerative disorders of brain
Physiotherapy.
Counselling
Care giver’s role
93
Practical
Total = 960 Hours
1 Week = 30 Hours
I. Procedures Observed
1. CT scan
2. MRI
3. PET
4. EEG
5. EMG
6. Sleep pattern studies/Therapy
7. Radiographical studies
8. Neuro surgeries
9. Nerve conduction studies
10. Ultrasound studies
11. Any other
95
CLINICAL SPECIALITY – II
Placement : II Year
Hour of Instruction
Theory : 150 Hours
Practical : 950 Hours
Total : 1100 Hours
Course Description
Objectives
96
14. Appreciate the role of alternative system of medicine in the care of
patient
15. Incorporate evidence based nursing practice and identify the areas of
research in the field of nephro and urological nursing
16. Teach and supervise nurses and allied health workers.
17. Design a layout of kidney transplant unit and dialysis unit
18. Develop standards of nephro urological nursing practice
Course Content
Unit Hours Content
I 5 Introduction
Historical development: trends and issues in the field of nephro
and urological nursing.
nephro and urological problems
Concepts, principles and nursing perspectives
Ethical and legal issues
Evidence based nursing and its application in nephro and
urological nursing(to be incorporated in all the units)
II 5 Epidemiology
Major health problems- urinary dysfunction, urinary tract
infections, Glomuerular disorders, obstructive disorders ad other
urinary disorders
Risk factors associated with nephro and urological conditions
conditions- Hereditary, Psychosocial factors, smoking, alcoholism,
dietary habits, cultural and ethnic considerations
Health promotion, disease prevention, life style modification and
its implications to nursing
V 5 Renal immunopathy/Immunopathology
General Concept of immunopathology
Immune mechanism of glomerual vascular disease
Role of mediater systems in glomerula vascular disease
X 10 Dialysis
Dialysis- Historical, types, Principles, goals
• Hemodialysis- vascular access sites- temporary and permanent
• Peritoneal dialysis
Dialsyis Procedures- steps, equipments, maintenance,
Role of nurse- pre dialysis, intra and post dialysis
Complications-
Counseling
patient education
Records and reports
XI 10 Kidney transplantation
Nursing management of a patient with Kidney transplantation
Kidney transplantations- a historical review
Immunology of graft rejections
The recipient of a renal transplant
Renal preservations
Human Leucocytic Antigen(HLA) typing matching and cross
matching in renal transplantation
Surgical techniques of renal transplantations
Chronic renal transplant rejection
Complication after KTP: Vascular and lymphatic, Uroloical,
cardiovascular, liver and neurological, infectious complication
KTP in children and management of pediatric patient with KTP
KTP in developing countries
Results of KTP
Work up of donor and recipient for renal transplant
Psychological aspect of KTP and organ donations
Ethics in transplants
Cadaveric transplantation
100
Practicals
Procedures observed
I. Procedures Observed
1. CT Scan
2. MRI
3. Radiographic studies
4. Urodynamics
5. Hemodialysis
6. Renal Surgeries
1. Blood transfusion
2. I V cannulation therapy
3. Arterial Catheterization
4. Insertion of central line/cvp line
5. Connecting lines for dialysis
6. Peritoneal dialysis
7. Renal biopsy
8. Endoscopies- Bladder, urethra
1. Health assessment
2. Insertion of uretheral and suprapubic catheters
3. Urine analysis
101
4. Catheterisation
5. Peritoneal dialysis
6. Bladder irrigation
7. Care of ostomies
8. Care of urinary drainage
9. Bladder training
10. Care of vascular access
11. Setting up dialysis machine and starting, monitoring and
closing dialysis
12. Procedures for prevention of infections:
13. Hand washing, disinfection & sterilization surveillance, and
fumigation universal precautions.
14. Collection of specimen.
15. Administration of drugs: IM, IV injection, IV cannulation &
fixation of infusion pump, calculation of dosages, blood
administration. monitoring -fluid therapy, electrolyte imbalance,
16. Nutritional needs , diet therapy & patient education.
17. Counselling
102
CLINICAL SPECIALITY – II
Placement : II Year
Hours of Instruction
Theory : 150 Hours
Practical : 950 Hours
Total : 1100 Hours
Course Description
Objectives
Course Content
IV 15 Injuries
VI 5 Bone Tumours
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis, management, medical surgical and nursing
management of:
• Bone tumors – Benign, Malignant and metastatic
• Different types of therapies for tumors
VII 10 Deformities
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis – medical surgical and nursing management
of:Scoliosis, Kyphosis,Lordosis
Congenital disorders: Congenital dislocation of hip(CDH),
Dislocation of patella, knee,
Varus and valgus deformities,
Deformities of digits,
Congenital torticollis.
Meningocele, meningomyelocele, spina bifida,
Chromosomal disorders.
Computer related deformities
X 8 Neuro-Muscular Disorders:
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis, medical surgical and nursing management
of:
• Poliomyelitis, Cerebral Palsy
• Myasthenia gravis
• Spina bifida.
• Peripheral nerve lesion,
• Paraplegia, Hemiplegia, Quadriplegia.
• Muscular dystrophy
106
Unit Hours Content
XV 30 Nurses Role in Orthopedic Conditions
Gait analysis
Urodynamic studies
Prevention of physical deformities
Alteration of body temperature regulatory system and immune
systems
Immobilization – cast, splints, braces and tractions
Prevention and care of problems related to immobility
Altered sleep patterns
Impaired communication
Self care and activities of daily living
Bladder and bowel rehabilitation
Sensory function rehabilitation
Psychological reaction related to disabilities and disorders.
Coping of individual and family with disabilities and disorders
Maintaining sexuality
Spirituality – A rehabilitative prospective
Physiotherapy
Concepts, Principles, purpose,
• Mobilization – Exercises: types, re-education in walking:
Crutch walking, wheel chair, Transfer techniques,
• Types of gaits: Non-weight bearing, partial weight bearing,
four point crutch, tripoid, walking with sticks, calipers
• Forms of therapies: Hydrotherapy, electrotherapy, wax bath,
heat therapy, ice, helio therapy, radiant heat,
• Chest physiotherapy
XVI 8 Rehabilitation
Principles of rehabilitation, definition, philosophy, process,
Various types of therapies
Special therapies and alternative therapies
Rehabilitation counseling
Preventive and restorative measures.
Community based rehabilitation (CBR)
Challenges in rehabilitation.
Role of the nurse in rehabilitation,
Legal and ethical issues in rehabilitation nursing
Occupational therapy
Practicals
108
Clinical Experience
Procedures Observed
1. X Ray
2. Ultrasound
3. MRI
4. C T Scan/bone scan
5. Arthroscopy
6. Electrothermally – assisted capsule shift or ETAC (Thermal
capsulorrhaphy)
7. Fluroscopy
8. Electromyography
9. Myelography
10. Discography
11. Others
Procedures Assisted
1. Blood Transfusion
2. IV cannulation and therapy
3. Ventilation
4. Various types of tractions
5. Orthopedic surgeries – Arthrocentesis, Arthroscopy, Bone lengthening,
Arthrodesis, grafting, Fractures fixation, reconstructive,
reimplantation, replantation, spinal decompression, transplantation of
bone, muscle or articular cartilage, autografting, allografting.
6. Injection – Intra articular, intra osseous.
7. Advance Life Support
109
Peocedures Performed
Other Procedures
110
CLINICAL SPECIALITY - II
Placement : II Year
Hours of Instruction
Theory : 150 hrs.
Practical : 950 hrs.
Total : 1100 hrs.
Course Description
Objectives
111
14. Identify the sources of stress and manage burnout syndrome among
health care providers
15. Appreciate the role of alternative system of medicine in care of patient
16. Incorporate evidence based nursing practice and identify the areas of
research in the field of gastrointestinal nursing
17. Teach and supervise nurses and allied health workers.
18. Design a layout of Gastro entrology intensive care unit (GEICU) , liver
care/transplant unit
Course Content
II 5 Epidemiology
Risk factors associated with GE conditions- Hereditary,
Psychosocial factors, smoking, alcoholism, dietary habits, cultural
and ethnic considerations
Health promotion, disease prevention, life style modification and
its implications to nursing
National health programmes related to gastro enterology
Alternate system of medicine/complementary therapies
112
Unit Hours Content
• Colonoscopy
• Proctosigmoidoscopy
• Endoscopic Retrogrde Cholongio pancreotography (ERCP)
• Endoscopic ultrasound
• Peritonoscopy(Laproscopy)
• Gastric emptying studies
• Blood chemistries: Serum amylase, serum lipase
• Liver biopsy
• Miscellaneous tests:Gastric analysis, fecal analysis
• Liver function tests: Bile formation and excretion, dye excretion
test, Protein metabolism, haemostatic functions- prothrombin
vitamin K production, serum enzyme tests,Lipid metabolism-
serum cholesterol
114
Unit Hours Content
• Esophageal stenosis
• Esophageal duplications
• Dysphagia – Lusoria – aberrent right subclavian artery
compressing esophagus
• Esophageal rings – schalzkiring
• Esophageal webs
IX 15 Pharmo Kinetics
Drugs used in GIT
Principles of administration
Roles responsibilities of nurses
Drugs in Peptic ulcer disease
Proton Pump inhibitors
H2 Receptor Antagonists
Cytoprotective Agents:
Drugs used in Diarrhea
Drugs used in constipation
Drugs used in Inflammatory Bowel Disease
Aminosalicylates
Corticosteroids
Immunomodulators
chemotherapy
Antibiotics
Antiemetics:
Anticholinergics
Antihistaminics
Antihelminthics
Vitamin Supplements
115
Unit Hours Content
X 10 Nutrition and nutritional problems related to GI system
Nutritional assessment and nursing interventions
Therapeutic diets
Adverse reactions between drugs and various foods
Malnutrition- etiology , clinical manifestations and management
Tube feeding, parenteral nutrition, total parenteral nutrition
Obesity- etiology, clinical manifestations and management
Eating disorders- anorexia nervosa, bulimia nervosa
Recent advances in nutrition
116
Practicals Total = 960 Hours
1 Week = 30 Hours
Procedures Assisted
117
CLINICAL SPECIALITY – II
Placement - II Year
Hours of Instruction
Theory: 150 hrs
Practical 950 hrs
Total 1100 hrs
Course Description
This course is designed to assist the student in developing expertise and in-
depth understanding in the field of Obstetric and gynecological Nursing .It
will help the student to develop advanced nursing skills for nursing
interventions in various obstetrical and gynecological conditions. It will
further enable the students to function as midwifery nurse practitioner/
specialist, educator, manager and researcher in the field of obstetric and
gynecological nursing.
Objectives
118
Contents Outline
119
• Contracted pelvis-CPD; dystocia.
• Obstetrical emergencies Obstetrical shock, vasa praevia,
inversion of uterus, amniotic fluid embolism, rupture
uterus, presentation and prolapse cord.
• Augmentation of labour. Medical and surgical induction.
• Version
• Manual removal of placenta.
• Obstetrical operation: Forceps delivery, Ventouse,
Caesarian section, Destructive operations
• Genital tract injuries-Third degree perineal tear, VVF, RVF
Complications of third stage of labour:
• Post partum Hemorrhage.
• Retained placenta.
120
VI 15 HIV/AIDS
HIV positive mother and her baby
Epidemiology
Screening
Parent to child transmission(PTCT)
Prophylaxis for mother and baby
Standard safety measures
Counseling
Breast feeding issues
National policies and guidelines
Issues: Legal,ethical, Psychosocial and rehabilitation
Role of nurse
121
Practicals
Procedure Observed
• Assisted Reproductive Technology procedures
• Ultra sonography
• Specific laboratory tests.
• Amniocentesis.
• Cervical & vaginal cytology.
• Fetoscopy.
• Hysteroscopy.
• MRI.
• Surgical diathermy.
• Cryosurgery.
Procedures Assisted
• Operative delivery
• Abnormal deliveries-Forceps application, Ventouse, Breech
• Exchange blood transfusion
• Culdoscopy.
• Cystoscopy
• Tuboscopy
• Laparoscopy.
• Endometrial Biopsy
• Tubal patent test
• Chemotherapy
• Radiation therapy
• Medical Termination of Pregnancy.
• Dilatation and Curettage
122
Procedures Performed
• History taking.
• Physical Examination-General
• Antenatal assessment. – 20
• Pelvic examination
• Assessment of risk status.
• Assessment of Intra uterine foetal well-being.kick chart and foetal
movement chart, Doppler assessment, Non Stress Test, Contraction
stress test(Oxytocin challenge test)
• Universal precautions- Disposal of biomedical waste.
• Per Vaginal examination and interpretation (early pregnancy, labour, post
partum).
• Utilization of Partograph
• Medical & Surgical induction(Artificial rupture of membranes).
• Vacuum extraction
• Conduct of delivery.
• Prescription and administration of fluids and electrolytes through
intravenous route.
• Application of outlet forceps, delivery of breach – Burns Marshall, Loveset
manoeuvere
• Repair of tears and Episiotomy suturing.
• Vacuum extraction
• controlled cord traction, Manual removal of placenta, placental
examination,
• Manual vacuum aspiration
• Postnatal assessment.- 20
• Management of breast engorgement
• Thrombophlebitis (white leg)
• Postnatal counseling.
• Reposition of inversion of uterus.
• Laboratory tests: Blood- Hb, Sugar, Urine-albumin,sugar
• Breast care, breast exam, and drainage breast abscess.
• Postnatal exercise.
• Assessment –New born assessment; physical and neurological, Apgar
score, high-risk newborn, Monitoring neonates; Clinically and With
monitors, Capillary refill time, Assessment of jaundice, danger signs
• Anthropometric measurement
• Neonatal resuscitation
• Gastric Lavage
• Care of newborn in multi channel monitor and ventilator.
• Care of newborn in radiant warmer and incubator.
• Kangaroo mother care.
• Assisting mother with exclusive Breast-feeding
• Feeding technique: Katori, spoon, naso/orogastric, Total Parenteral
nutrition
• Assessement, calculation and administration of fluids and medications:
- Oral
- I.D.
- I.M.
- I.V.- Securing IV line, infusion pump
123
• Administration of drug per rectum
• Capillary blood sample collection.
• Oxygen therapy.
• Phototherapy.
• Chest physiotherapy.
• counseling – Parental, bereavment, family planning, infertility etc
• Setting of operation theatre.
• Trolley and table set up for Obstetrical & gynaecoligical operations.
• Pap smear.
• Vaginal smear.
• Insertion of pessaries,
• Insertion of IUD and removal.
• Teaching skills
• communication skills
• Prepare referral slips
• Pre transport stabilization
• Networking with other stake holders
124
CLINICAL SPECIALTY –II
Placement : II Year
Hours of Instruction
Theory 150 hours
Practical 950 hours
Total : 1100 hours
Course Description
Objectives
1. Apply the nursing process in the care of ill infants to pre adolescents
in hospital and community
2. Demonstrate advanced skills/competence in nursing management of
children with medical and surgical problems
3. Recognize and manage emergencies in children
4. Provide nursing care to critically ill children
5. Utilize the recent technology and various treatment modalities in the
management of high risk children
6. Prepare a design for layout and describe standards for management of
pediatric units/hospitals
7. Identify areas of research in the field of pediatric nursing
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Course Content
126
gastrochisis, exomphalus, anorectal malformation,
omphalocele, diaphragmatic hernia
• Anomalies of the nervous system: Spina bifida,
Meningocele, Myelomeningocele, hydrocephalus
• Anomalies of the genito-urinary system: Hypospadias,
Epispadias, Undescended testes, Exstrophy bladder
• Anomalies of the skeletal system
• Eye and ENT disorders
• Nursing management of the child with traumatic injuries:
General principles of managing Pediatric trauma
- Head injury, abdominal injury, poisoning, foreign body
obstruction, burns
- & Bites
• Child with oncological disorders: Solid tumors of
childhood, Nephroblastoma, Neuro blastoma,
Hodgkin's/Non Hodgkin's Lymphoma, Hepatoblastoma,
Rhabdomyosarcoma
• Management of stomas, catheters and tubes
• Management of wounds and drainages
128
Practical
• Field visits:
*Child care center, Anganwadi, play school, Special schools for challenged
children, Juvenile court, UNICEF, Orphanage, Creche, SOS village
Essential
I. Procedures Observed:
• Echo cardiogram
• Ultrasound head
• ROP screening (Retinopathy of prematurity)
• Any other
129
III. Procedures Performed:
• Airway Management
- Application of Oro Pharyngeal Airway
- Oxygen therapy
- CPAP(Continuous Positive Airway Pressure)
- Care of Tracheostomy
- Endotracheal Intubation
• Neonatal Resuscitation
• Monitoring of Neonates – clinically & with monitors, CRT(Capillary
Refill Time), assessment of jaundice, ECG
• Gastric Lavage
• Setting of Ventilators
• Phototherapy
• Assessment of Neonates: Identification & assessment of risk
factors, APGAR Score, gestation age, Anthropometric assessment,
Weighing the baby, Newborn examination, detection of life
threatening congenital abnormalities,
• Admission & discharge of neonates
• Feeding - management of breast feeding, artificial feeding,
expression of breast milk, OG(Orogastric) tube insertion, gavage
feeding, TPN, Breast feeding counseling
• Thermoregulation- Axillary temperature, Kangaroo Mother Care
(KMC), Use of Radiant warmer, incubators, management of
thermoregulation & control
• Administration of Drugs: I/M, IV injection, IV Cannulation &
fixation infusion pump, Calculation of dosages, Neonatal
formulation of drugs, use of tuberculin/ insulin syringes,
Monitoring fluid therapy, Blood administration.
• Procedures for prevention of infections: Hand washing,
disinfections & sterilization, surveillance, fumigation
• Collection of specimens
• Setting, Use & maintenance of basic equipment: Ventilator, O2
analyzer, monitoring equipment, Photo therapy unit, Flux meter,
Infusion pump, Radiant warmer, incubator, Centrifuge machine,
Bilimeter, Refractometer, laminar flow
130
CLINICAL SPECIALITY - II
Placement: II Year
Hours of Instruction
Theory 150 hrs
Practical 950 hrs
Total : 1100 Hours
Course Description
Objectives
131
Course Content
II 10 Crisis Intervention
Crisis, Definition
Phases In The Development of A Crisis
Types of Crisis; Dispositional , Anticipated Life Transitions
Traumatic Stress, Maturational/ Development , Reflecting
Psychopathology
Psychiatric Emergencies and their management
Grief and grief reaction
Crisis Intervention; Phases
Post traumatic stress disorder (PTSD)
Role of the Nurse
IX 8 Mood Disorders
Historical Perspective
Epidemiology
The Grief Response
Maladaptive Responses To Loss
Types Of Mood Disorders
Depressive disorders
Bipolar disorders
Treatment and Nursing Management
X 8 Anxiety Disorders
Historical Aspects
Epidemiological Statistics
How Much is too Much?
Types
• Panic Disorder
• Generalized Anxiety Disorder
• Phobias
• Obsessive-Compulsive Disorder
• Posttraumatic Stress Disorder
• Anxiety Disorder Due to a General Medical Condition
• Substance-Induced Anxiety Disorder
Treatment Modalities
Psychopharmacology & Nursing Management
134
Unit Hours Content
• Histrionic Personality Disorder
• Narcissitic Personality Disorder
• Avoidance Personality Disorder
• Dependent Personality Disorder
• Obsessive-Compulsive Personality Disorder
• Passive-Aggressive Personality Disorders
Identification, diagnostic, symptoms
Psychopharmacology
Treatment & Nursing Management
135
Unit Hours Content
• Nurse Practice Acts
• Types of Law
• Classification within Statutory and Common Law
• Legal Issues in Psychiatric/Mental Health Nursing
• Nursing Liability
XXIV 5 Counseling
Liaison psychiatric nursing
Terminal illnesses-Counseling
Post partum psychosis-treatment, care and counseling
Death dying- Counseling
Treatment, care and counseling –
• Unwed mothers
• HIV and AIDS
136
Practicals
Total = 960 Hours
1 Week = 30 Hours
S.No. Area of Posting No. of Week Total Hours
1 Acute Psychiatric Ward 4 120 Hours
2 Chronic Psychiatric Ward 4 120 Hours
3 De-addiction Unit 4 120 Hours
4 Psychiatric Emergency Unit 4 120 Hours
5 O.P.D (Neuro and psychiatric) 3 90 Hours
6 Child Psychiatric Unit and child 2 60 Hours
guidance clinic
7 Post natal ward 1 30 Hours
8 Family Psychiatric Unit 2 60 Hours
9 Field visits 2 60 Hours
10 Rehabilitation 2 60 Hours
11 Community Mental Health Unit 4 120 Hours
Total 32 Weeks 960 Hours
Procedures Observed
1. Psychometric tests
2. Personality tests
3. Family therapy
4. Assisted
5. CT
6. MRI
7. Behavioral therapy.
Procedures Performed
1. Mental status examination
2. Participating in various therapies – Physical; ECT,
3. Administration of Oral, IM, IV psychotropic drugs
4. Interviewing skills
5. Counseling skills
6. Communication skills
7. Psychoeducation
8. Interpersonal relationship skills
9. Community Survey for identifying mental health problems
10. Rehabilitation therapy
11. Health education and life skills training.
12. Supportive psychotherapic skills
13. Group therapy
14. Milieu therapy
15. Social/Recreational therapy.
16. Occupational therapy.
137
CLINICAL SPECIALITY – II
Placement : II Year
Hours of Instruction
Theory- 150 hours
Practicals- 950 hours
Total- 1100 hrs
Course Description
Objectives
138
Content Outlines
139
Unit Hours Content
III 15 School Health
Introduction: definition, concepts, objectives,.
Health assessment, Screening, identification, referral
and follow up,
Safe environment
Services, programmes and plans- first aid, treatment of
minor ailments
Inter-sectoral coordination
Adolescent health
Disaster, disaster preparedness, and management
Guidance and counseling
School health records - maintenance and its importance
Roles and responsibilities of community health nurse
IV 15 International health
Global burden of disease
Global health rules to halt disease spread
Global health priorities and programes
International quarantine
Health tourism
International cooperation and assistance
International travel and trade
Health and food legislation, laws, adulteration of food
Disaster management
Migration
International health agencies –World Health
organizations, World health assembly, UNICEF, UNFPA,
SIDA, US AID, DANIDA, DFID. AusAID etc
International health issues and problems
International nursing practice standards
International health vis-a vis national health
International health days and their significance
140
Unit Hours Content
Training of various categories of health workers-
preparation of manuals
VI 10 Geriatric
Concept, trends, problems and issues
Aging process, and changes
Theories of ageing
Health problems and needs
Psycho-physiological stressors and disorders
Myths and facts of aging
Health assessment
Home for aged-various agencies
Rehabilitation of elderly
Care of elderly
Elderly abuse
Training and supervision of care givers
Government welfare measures Programmes for elderly-
Role of NGOs
Roles and responsibilities of Geriatric nurse in the
community
VII 10 Rehabilitation
Introduction: Concepts, principles, trends, issues,
Rehabilitation team
Models, Methods
Community based rehabilitation
Ethical issues
Rehabilitation Council of India
Disability and rehabilitation- Use of various prosthetic
devices
Psychosocial rehabilitation
Rehabilitation of chronic diseases
Restorative rehabilitation
Vocational rehabilitation
Role of voluntary organizations
Guidance and counseling
Welfare measures
Role and responsibilities of community health nurse
141
Unit Hours Content
• Secondary prevention
• Tertiary Prevention
Community based rehabilitation
Human rights of mentally ill
Substance use
Mentally challenged groups
Role of community health nurse
IX 15 Occupational health
Introduction: Trends, issues, Definition, Aims,
Objectives, Workplace safety
Ergonomics and Ergonomic solutions
Occupational environment- Physical, social, Decision
making, Critical thinking
Occupational hazards for different categories of people-
physical, chemical, biological, mechanical, , Accidents,
Occupational diseases and disorders
Measures for Health promotion of workers; Prevention
and control of occupational diseases, disability
limitations and rehabilitation
Women and occupational health
Occupational education and counseling
Violence at workplace
Child labour
Disaster preparedness and management
Legal issues: Legislation, Labour unions, ILO and WHO
recommendations, Factories act, ESI act
Role of Community health nurse, Occupational health
team
142
Practical
Observed
• MCH office and DPHNO
• CHC/ First Referral Unit(FRU)
• Child guidance clinic
• Institute/Unit for mentally challenged
• District TB centre
• AIDS control society
• Filariasis clinic
• RCH clinic
• STD clinic
• Leprosy clinic
• Community based rehabilitation unit
• Cancer centers
• Palliative care
• Home of old age
• Mental health units
• De-addication centres
• School health services
• Industry
• Selected industrial health centers
• ESI unit
• Municipality/ corporation office
Assisted
• Laparoscopic sterilization
• Vasectomy
• All clinics related to RCH
• Monitoring of national health and family welfare programmes
143
Performed
• Conduct various clinics
• School health assessment.
• Health survey.
• Health assessment
• Drug administration as per the protocols
• Treatment of minor ailments
• Investigating outbreak of epidemic.
• Screening for leprosy, TB and non-communicable disease
• Presumptive and radical treatment for Malaria.
• Counselling
• Report writing
• Referrals
• Writing a project proposal
• Material management- requisition for indent, condemnation, inventory
maintenance,
• Training and Supervision of various categories of personnel
• Liaison with NGO’s
144
Annexure – I
2 Professor-cum-Vice Principal
- Masters Degree in Nursing
- 10 years of experience and minimum of 5 years of teaching experience
Desirable : Independent published work of high standard / doctorate degree /
M.Phil.
145