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UNIVERSITY OF CALICUT
(Abstract)
Faculty of Medicine – Post Basic BSc. Nursing course – regulations scheme and syllabus
– implemented with effect from 2010 admission – Orders issued.
-----------------------------------------------------------------------------------------------------------GENERAL AND ACADEMIC BRANCH I ‘E’ SECTION
No.GAI/E2/9652/07
Dated, Calicut University P.O, 10.02.2010.
-----------------------------------------------------------------------------------------------------------Read:- 1) Minutes of the meeting of the Board of Studies in Nursing (UG) held on
26.03.2009 (Item No.4)
2) Minutes of the meeting of the Faculty of Medicine held on 15.10.2009
(Item No.2)
3) Minutes of the meeting of the Academic Council held on 21.11.2009
(Item No. II-D)
ORDER
As per paper read (1) above, the meeting of the Board of Studies in Nursing (UG)
held on 26.03.2009 had framed the draft, regulations, Scheme and Syllabus for Post Basic
BSc Nursing Course in lieu with the syllabus approved by Indian Nursing Council, to be
implemented with effect from 2009 admission.
As per the paper read (2) above the meeting of the Faculty of medicine held on
15.10.2009 had approved the above draft prepared by the Board of Studies in Nursing
(UG) with the following modifications.
Eligibility for admission: Clause III – stands modified as “Minimum 1 year
experience as Staff Nurse in a hospital (with 150 beds)/ Govt. Hospitals/Community
Health Setting after registering with any State Nursing Council. Candidates should
possess Kerala Nurses and Midwives Council registration at the time of application. The
upper age limit for joining the course is 45 years”.
The Faculty also decided to implement the regulations Scheme and Syllabus for Post
Basic B.Sc Nursing Course from 2010 admission onwards.
As per paper read (3) above the decision of the Faculty of Medicine was approved by
the Academic Council meeting held on 21.11.2009.
Sanction has therefore been accorded to implement the draft regulations, scheme and
syllabus for Post Basic BSc Nursing course framed by the Board of Studies in Nursing
(UG) held on 26.03.2009 in lieu with the Indian Nursing Council approved syllabus and
approved by the Faculty of Medicine and Academic Council meetings held on
15.10.2009 and 21.11.2009 respectively; (copy of the syllabus appended) with effect
from 2010 admission onwards.
Orders are issued accordingly.
Sd/DEPUTY REGISTRAR (G & A–I)
For REGISTRAR
To
The Principals of all Nursing Colleges
Having Post Basic B.Sc Nursin Course.
Copy to:
1) CE/EX Section
Forwarded/by Order
2) Dean, Faculty of Medicine, Chairperson,
1
Sd/SECTION OFFICER.
Board of Studies Nursing (UG)
3) SF/DF/FC.
2
UNIVERSITY OF CALICUT
Regulations and Syllabus of the Post Basic B.Sc Nursing
(2 Year Degree Programme)
(Revised Syllabus- 2010)
UNIVERSITY OF CALICUT
Regulations and Syllabus of the Post Basic B.Sc Nursing
3
(2 Year Degree Programme)
(Revised Syllabus- 2010)
The Post Basic B.Sc degree course in Nursing is a two year course of study
in a College of Nursing affiliated to University of Calicut. The main purpose of
this programme is to upgrade the skills and competencies of the diploma (GNM)
nurses and there by enable them to assume the role of clinical nurse, teacher,
supervisor and manager in hospital/community/educational settings.
Objectives
On completion of B.Sc Nursing (Post – Basic) degree programme the
graduates will be able to:
Assess health status, identify nursing needs, plan, implement and evaluate
nursing care for patients/clients that contribute to health of individuals,
families and communities.
Demonstrate competency in techniques of nursing based on concepts and
principles from selected areas of nursing, physical, biological and
behavioural sciences.
Participate as members of health team in the promotive, preventive,
curative and restorative health care delivery system of the country.
Demonstrate skills in communication and interpersonal relationship.
Demonstrate leadership qualities and decision – making abilities in various
situations.
Demonstrate
skills
in
teaching
to
individuals
and
groups
in
clinical/community health settings.
Demonstrate managerial skills in various health care settings.
Practice ethical values in their personal and professional life.
Participate in research activities and utilized research findings in improving
nursing practice.
Function as an effective teacher in a School/College of Nursing
Recognize the need for continued learning for their personal and
professional development.
Eligibility for admission
4
Candidates for admission to Post Basic B.Sc Nursing degree course in
nursing shall be required to have
I.
Passed Higher Secondary or 10+2 examinations with Physics,
Chemistry and Biology as optional subjects with aggregate of 45% of
marks, or other equivalent examination approved by the University of
Calicut.
II.
Passed the General Nursing & Midwifery examination conducted by the
state Nursing Councils /examining boards recognized by INC with 55%
aggregate marks.
III.
Minimum 1 year experience as Staff Nurse in a hospital (with 150
beds)/ Government Hospitals/ Community Health setting after
registering with any State Nursing Council. Candidates should possess
Kerala Nurses and Midwives Council registration at the time of
application. The upper age limit for joining the course is 45 years.
Selection
Selection of candidates shall be on the basis of the marks obtained for
qualifying examination (GNM) on the basis of the rank obtained in the entrance
examination conducted by a competent authority.
For SC/ST and SEBC candidates, reservation rules shall be observed while
admitting students in Merit Quota as per the prospectus issued by Govt. of Kerala
for admission to professional courses.
COURSE OF STUDY
Placement – First Year
No. of Hours
Subject
Theory
Practical
1. Nursing Foundation
50
-
2. Nutrition
30
10
3. Biochemistry
30
-
4. Microbiology
40
10
5. Psychology
30
6. Sociology
30
5
7. Material Nursing including Gynecological Nursing
90
320
8. Child Health Nursing
60
240
9. Medical Surgical Nursing including Pharmacology
90
470
10. English
30
11. Computer Science
20
30
500
1100
1. Community Health Nursing
60
240
2. Mental Health Nursing
60
240
3. Advanced Medical Surgical Nursing
60
215
4. Nursing Education
60
160
5. Nursing administration
60
240
6. Nursing Research & Statistics
45
160
Second Year
345
6
1255
Scheme of Examination & Distribution of marks
First Year Post Basic B.Sc Nursing Examination
Paper
Subjects
I
Nursing
Foundation
Nutrition and
Biochemistry
Microbiology
Psychology &
Sociology
Maternity and
Gynecologic
Nursing
Child Health
Nursing
Medical
Surgical
including
Pharmacology
English
Computer
Science
II
III
IV
V
VI
VII
Duration
Internal marks
University marks Maximum Minimum
marks
for pass
Theory Practical Theory Practical
2 ½ hrs
25
-
75
-
100
50
2 ½ hrs
25
-
75
-
100
50
2 ½ hrs
25
-
75
-
100
50
2 ½ hrs
25
-
75
-
100
50
3hrs
50
50
100
50
250
125
3hrs
50
50
100
50
250
125
3hrs
50
50
100
50
250
125
2hrs
25
-
-
-
25
10
2hrs
25
25
-
-
50
20
Total marks
II Year Post Basic B.Sc Nursing Examination
I
II
III
IV
V
VI
Community
Health
Nursing
Mental Health
Nursing
Advanced
Medical
Surgical
Nursing
Nursing
Education
Nursing
Administration
Nursing
Research &
Statistics
1225
3 hrs
50
50
100
50
250
125
3 hrs
50
50
100
50
250
125
3 hrs
50
50
100
50
250
125
3 hrs
50
50
100
-
200
100
3 hrs
50
50
100
-
200
100
2 ½ hrs
25
25
75
-
125
62.5
Total Marks
Note:
7
1275
• All Nursing Papers of 3 hours duration with Practical and
viva examinations will only have separate sections i.e
Section A and Section B.
• For I year Post Basic B.Sc(N) examination:1. Paper I-Nursing Foundations and Paper IV Microbiology will not
have separate sections
2. Nutrition and Biochemistry Question paper will consist of Section
A-Nutrition 45 marks and Section B Biochemistry 30 marks
3. Psychology and Sociology Question paper will consist of Section
A-Psychology 45 marks and Section B Sociology 30 marks
• For II year Post Basic B.Sc(N) examination:1. Paper -IV. Nursing Education and Paper- V Nursing
Administration will not have separate sections
2. For paper VI- Nursing Research and Statistics, Nursing Research
will consist of Section A -50 marks and Statistics Section B -25
marks.
Duration
The duration of the course is 2 years with University Examination
conducted annually.
Examination Regulations:
1. University examinations (Regular and Supplementary) are conducted twice in
a year.
2. Candidate shall present themselves for all parts of the examinations at their
first appearance.
3. Candidates who have undergone the prescribed course study of the academic
year only can appear for the Examination. No candidate shall be admitted to
any part of the examination unless he/she has secured a minimum of 80%
attendance both in theory as well as practical, in each subject.
4. Candidates who secure 50% or above marks in all the subjects except English
and Computer Science shall be declared to have passed the examination in
those subjects.
Candidates shall secure 50% or above marks in English,
Computer Science to pass in those subjects.
5. Candidates who pass all the parts of the examination in the first chance of
appearing only will be ranked in the order of proficiency based on the total
aggregate marks obtained. They shall be arranged in two classes – First Class
and Second class. All those who have secured 65% or above of the aggregate
8
marks shall be declared to have passed the examination in first class and all
those who have secured less than 65% shall be included in the 2nd class.
Candidates who have secured 75% or above marks in any subject shall be
declared to have distinction in that subject.
Candidates who pass the
examination at subsequent appearance shall be ranked only in second class.
6. Candidates who fail in any paper or in the whole Examination may appear for
that paper or part or whole exam and pass the subsequent examination.
7. However a candidate who has failed in the 1st B.Sc Nursing examination shall
continue the course through the 2nd year. No candidate shall be admitted to the
Final B.Sc Nursing examination, unless he/she has passed the first year
examination.
NURSING FOUNDATION
Placement: First Year
Time Allotted: Theory – 50Hrs.
COURSE DESDRIPTION
This course will help students to develop an understanding of nursing as a
profession, the philosophy, objectives, theories and process of nursing in various
9
clinical settings. The purpose of the course is to orient to the current concepts
involved in the practice of nursing and developments in the nursing profession.
OBJECTIVES
At the end of the course, the student will
1. Identify professional aspects of nursing.
2. Explain theories of nursing.
3. Identify ethical aspects of nursing profession.
4. Utilize steps of nursing process.
5. Identify the role of the nurses in various levels of health services.
6. Appreciate the significance of quality assurance in nursing.
7. Explain current trends in health and nursing.
COURSE CONTENTS
UNIT I
•
Development of nursing as a profession
o its philosophy
o objectives and responsibilities of a graduate nurse
•
Trends influencing nursing practice
•
Expanded role of the nurse
•
Professional organizations, career planning
•
Code of ethics & professional conduct for nurses.
UNIT II
•
Ethical, legal and other issues in nursing
•
Concepts o f health and illness, effects on the person
•
Stress and adaptation.
•
Nursing care concepts
UNIT III Nursing Theories
•
Theory Of nursing practice - Orem, Roys Adaptation Model, Betty Newman,
•
Health promotion model, Interpersonal theory
•
Meta paradigm of nursing - characterized by four central concepts i.e. nurse,
person (client/patient), health and environment.
UNIT IV
•
Nursing process.
10
•
Assessment: Tools for assessment, methods, recording.
•
Planning: Techniques for planning care, types of care plans.
•
Implementation: Different approaches to care, organizations and implementation
of care, recording.
•
Evaluation
UNIT V Nursing management of patient with specific problems.
- Fluid and electrolyte imbalance.
- Dyspnea and cough, respiratory obstruction
- Fever
- Shock
- Unconsciousness
- Pain
- Care of the elderly
UNIT VI
•
Quality assurance: nursing care standards, nursing audit, total quality
management
Reference:
1. Potter Patricia A. Fundamentals of Nursing C.V. Mosby Company. St. Louis
2. Patricia A. Potter, Anne Griffin Pemy “Basic Nursing - Theory and Practice”
3. Mosby, St. Louis 3rd edn.
4. Fundamentals of Nursing - A procedure manual TNAI-2005 Published by
TNAI
NUTRITION
Placement: First year
Time Allotted: Theory-30Hrs.
Practical-10 hours
COURSE DESCRIPTION
This course is designed to provide the students with a wide knowledge of
nutrition and dietetics in Indian setting, so that the practice of teaching optimum
and realistic dietary planning can become an integral part of nursing practice.
OBJECTIVES
11
At the end of the course, the student will
1. Explain the principles and practices of nutrition and dietetics.
2. Plan therapeutic diets in different settings.
3. Identify nutritional needs of different age groups and plan diet accordingly.
COURSE CONTENTS
UNIT I
•
Introduction to nutrition and dietetics.
•
Balanced diet, factors on which it depends.
•
Factors to be considered in planning.
•
Guidelines available for planning.
•
Food Hygiene, preparation and preservation.
•
Review of nutrients - micro & macro.
UNIT II
•
Introduction to diet therapy.
•
Routine hospital diets.
•
Therapeutic diet under each unit i.e. Cardiovascular diseases, Gastrointestinal
diseases, Renal disorders, Endocrine and metabolic disorders, Allergy, Infections
and fevers, Pre and post operative stage, Deficiency diseases and malnutrition,
overweight and underweight.
UNIT III
•
Nutritional needs for special groups: infant, child, adolescent, pregnant woman,
lactating mother and old people.
•
Substitutes for non-vegetarian foods.
•
Selection of cheap and nutritious foods. Nutrition education - needs and methods.
•
Methods of assessing nutritional status of individual/ group/ community.
•
Current nutritional problems and national programmes.
PRACTICAL
I. Methods of cooking and cookery rules.
1. Simple preparation of beverages, soups, cereals and pulses, eggs, vegetables,
meat.
2. Menu plans.
12
3. Planning of therapeutic diets, planning of low cost diet
- Biochemistry
Reference:
1. Swaminathan. M. Hand book of Food and Nutrition, Bangalore Printing and
Publishing Company Limited, Bangalore.
2. Raheena Beegum M. (1991) A Text book of Foods, Nutrition and Dietetics
Revised & Enlarged Edition
;
3. Robinson, Normal and Therapeutic nutrition, Oxford and J.B.H Publishing
Company, Bombay.
4. Indian Council of Medical research - recommended dietary intake for nutrients,
Avon Printing works, Hyderabad.
13
BIOCHEMISTRY
Placement: First year
Time Allowed: Theory -30 hrs
COURSE DESCRIPTION
This course introduces the basic principles of Biochemistry
OBJECTIVES
At the end of the course, the student will
1. Identify the basic principles of Biochemistry
2. Synthesize the knowledge of these principles in various nursing situations.
COURSE CONTENTS
UNIT I
•
Introduction: Importance of Biochemistry in nursing.
•
Study of cell and its various components.
UNTT II
•
Water and Electrolytes; Water- Sources, property & functions in human body.
•
Water and fluid balance.
•
Electrolytes of human body, functions, sources.
.
UNIT III
•
Enzymes
•
Mechanism of action
•
Factors affecting enzymes activity
•
Diagnostic applications
•
Precautions for handling specimens for enzyme estimation
•
Digestion and absorption of carbohydrates, proteins and fats.
•
Various factors influencing the digestion and absorption, malabsorption
syndrome.
UNIT IV
•
Carbohydrates; Catabolism of carbohydrates for energy purposes
•
Mitochondrial oxidation and oxidation phosphorylation.
•
Fats of glucose in the body. Storage of glucose in the body, glucogenesis and
neoglucogenesis, blood glucose and its regulation.
14
•
Glucose tolerance test, hyperglycemia, hypoglycemia, glycemia
UNIT V
•
Protein: Amino acids, hormones.
‘
:
•
Essential amino acids. Biosynthesis of protein in the cells
•
Role of nucleic acid in protein synthesis,
•
Nitrogenous constituents of Urine, Blood, their origin - urea cycle, uric acid
,i
formation, gout.
•
Plasma proteins and their functions.
UNIT VI
•
Fat: Biosynthesis of fats and storage of fats in the body.
•
Role o f liver in fat metabolism
•
Biological importance of important lipids and their functions
•
Cholesterol and lipoprotein
•
-
sources, occurrence and distribution
-
blood level and metabolism
-
ketone bodies and utilization
~
Inter-relationships in metabolism and cellular control of metabolic processes.
Reference:
1. Ambika Shanmughan (2001) Fundamentals of Biochemistry for Medical
students’ 7th Edition, Karthik Offset Press, Chennai.
2. Harbans Lal (2006) Biochemistry for B. Sc Nursing Students’ 1st Edition, India
Binding House, Noida
3. Bindu Madala & SM Raju (2004) ‘Biochemistry for Nurses’ 1st edition, Jaypee
Brothers, New Delhi. (1990)
4. Munay etal (1990), Harpees’ Biochemistry 22nd Edition.
International Inc. U
•
15
Prentice Hall
MICROBIOLOGY
Placement: First Year
Time Allotted: Theory- 40hrs
Practical-10 hrs.
COURSE DESCRIPTION
This course is designed to reorient the students to the fundamentals of
Microbiology and its various sub- divisions. It provides opportunities to gain skill
in handling and use of microscope for identifying various micro-organisms. It also
provides opportunities for safe handling of materials containing harmful bacteria
and methods of destroying micro organisms.
OBJECTIVES
At the end of the course the student will
1. Identifies common disease producing micro-organisms.
2. Explain the basic principles of microbiology and their significance in health and
disease
3. Demonstrate skill in handling specimens.
4. Explain various methods of dis-infection and sterilization.
5. Identify the role of the nurse in hospital infection control system.
COURSE CONTENTS
UNIT I
Structure and Classification of Microbes,
•
Morphological types
•
Size and form of bacteria.
•
Motility
•
Classification of Micro-organisms.
Practical:
- Use and care of micro scope.
- Common examination: Smear, Blood, Yeasts.
UNIT II
•
Identification of Micro-organisms.
•
Discussion of laboratory methods.
•
Diagnosis of bacterial diseases.
Practical:
- Staining techniques-gram staining, acid fast staining.
- Hanging drop preparation.
16
UNIT III
•
Growth and Nutrition of Microbes
•
Temperature
•
Moisture
•
Blood
Practical:
- Preparation of Media and culture techniques.
- Collection, handling and transportation of various specimens.
UNIT IV
•
Destruction of Micro-organisms.
•
Sterilization and disinfection
•
Chemotherapy and antibiotics
•
Effects of heat and cold
•
Hospital Infection control procedure & role of nurses.
Practical: Sterilization methods-physical. Chemical and Mechanical
UNIT V
•
Disease producing micro- organisms.
•
Gram positive bacilli
•
Tuberculosis and Leprosy
•
Anaerobes
•
Cocci
•
Spirochete
•
Rickettsiae
Practical:
Identification and study of the following bacteria: Streptococci,
pneumococci and Staphylococci, Corynebacteria,
Spirochetes and
gonococci. Enteric bacteria. Posting in infection control department.
UNIT VI
•
Pathogenic Fungi
•
Dennatophytes
•
Systemic Mycotic infection
•
Laboratory diagnosis of mycotic infection
UNIT VII
•
Immunity
•
Immunity and hypersensitivity -Skin test
17
•
Antigen and antibody reaction
•
Immunization in disease.
Practical: Demonstration of serological methods.
UNIT VII
•
Parasites an d Vectors.
•
Characteristics and classification of parasites
•
Protozoal infection including amoebiasis
•
Helminthes infection
•
Diagnosis of parasitic infection
•
Vectors and diseases transmitted by them.
Practical: Identification of Parasites and Vectors.
UNIT IX
•
Viruses.
•
Classification and general character of vi ruses
•
Diseases caused by viruses in man and animal and their control
UNIT X
•
Micro-organisms transmitted through food
•
Food poisoning, Food borne infections.
PRACTICAL
Each student will practice in the laboratory as indicated in each unit of the course;
outline. While giving nursing care in the wards they will practice collection and
processing of specimens, prevention and control of hospital infections,
sterilization, immunization chemotherapy and maintenance of personal and
environmental hygiene. Observation visit to incinerator, posting in CSSD and
infection control department.
Reference
1. Ananthanarayanan R, Text book of Microbiology – 5th Edition, Orient
Longman Ltd, Delhi.
2. Collee etal, Practical Medial Microbiology, 13h edn Churchill Livingstone,
New York.
3. Microbiology in Clinical Practice by Shanson 1997.
PSYCHOLOGY
18
Placement: First Year
Time Allotted: Theory-30 hrs
COURSE DESCRIPTION
This course is designed to reorient and widen the student’s knowledge of
fundamentals of psychology. The student is offered an opportunity to apply the
theoretical concepts in the clinical setting and thereby understand the
psychodynamics of patient behaviour. This course clinical setting and thereby
understand the psychodynamics of patient would also help the student to develop
an insight into her own behaviour.
OBJECTIVES
At the end of the course, the student will
I. Apply psychological principles while performing nursing functions.
II. Distinguish the psychological processes during health and sickness.
III. Analyze own behaviour patterns.
IV. Tabulate the psychological needs of the patients for planning nursing can
V. Participate in psychometric assessment of the client.
COURSE CONTENT
UNIT I
•
Introduction: Definition of psychology, scope and methods of psychology
•
Relationship with other subjects
UNIT II
•
Sensation, Attention and Perception ; Definitions
•
Sensory processes ; Normal and abnormal
•
Attention and distraction :contributory factors.
•
Characteristics of perception, Perception ; normal and abnormal
UNIT III
•
Motivation ; Definition and nature of motivation
•
Biological and social motives
•
Frustration and conflicts
•
Self-actualization
UNIT IV
•
Emotions: Definition of emotions, Expression and perception
19
•
Emotions in sickness
UNIT V+VII
•
Personality : Definition, Constituents of personal it
•
Personality in sickness and nursing
UNIT VI
•
Psychological aspects of nursing
•
Behaviour and sickness. Psychological needs o
- Child and adolescents
- Adult
- Aged
- Attendants
- Chronically ill individual
UNIT VII
•
Individual differences
•
Significance of individual differences.
•
Heredity and environment.
•
Role of individual differences both in health and sickness
•
Implications of individual differences in nursing.
UNIT VIII
•
Intelligence and Abilities : Definition
•
Intelligence and abilities during sickness.
•
Measurement of intelligence and abilities.
UNIT IX
•
Learning : Definition, Conditions of learning
•
Laws of learning
•
Learning during health and sickness.
UNIT X
•
Memory and forgetting: Definition and nature of memory
•
Memory during health and sickness.
•
Forgetting during health and sickness.
UNIT XI
•
Attitudes : Definition, Development and modification
•
Role of attitudes in health and sickness.
UNIT XII
20
•
Concept of mental hygiene & mental health
•
Characteristics of a mentally healthy person,
•
Defense mechanisms
Practical
1. Simple experiments on (i) perception (ii) measuring thresholds (iii) reaction time.
2. Administration of psychological tests
3. Observation and recording data: (i) field observation (ii) interview (iii) case study
(iv) s rating.
Reference:
1. Balachandran M. (2001) Psychology for Nursing Students
1st edn. Maanas
Publishers, Thiruvananthapuram
2. Razeena Viswambaran, Text book of Psychology for Health Professionals.
21
SOCIOLOGY
Placement: First Year
Time Allotted: Theory - 30hrs
COURSE DESCRIPTION
I
This course is to reorient students to sociology related to community and social
institution in India and its relationship with health, illness and nursing.
OBJECTIVES
At the end of the course, the student will
1. Describe sociological concepts that are applicable to nursing.
2. Determine role of sociology in nursing as related to social institutions in India
3. Develop positive attitudes towards individual, family and community
COURSE CONTENT
UNIT I
•
Introduction
•
Importance of study of sociology in nursing, relationship of anthropology,
sociology
UNIT II
•
Individual and Society
•
Socialization
•
Interdependence of the individual and society
•
Personal disorganization
UNIT III
•
Culture
•
Nature of culture
•
Evolution of culture
•
Diversity and uniformity of culture
UNIT IV
•
Social organization
•
Social groups, crowds and public groups, nations, race
•
Social institutions: The family, marriage, education, religion) arts, economic
organization, political organization.
22
•
The urban & rural community in India: Ecology, characteristics of the town and
city.
•
Social stratification; Class and caste.
UNIT V
•
Social process
•
Process
of social Interaction: Competition,
conflict-war,
cooperation,
accommodation and assimilation.
UNIT VI
•
Social change
•
Nature and process of Social Change: Factors influencing cultural change.
Cultural lag.
UNIT VII
•
Social problems
•
Social disorganization, control & planning: poverty, population, housing,
illiteracy food supplies, growth of urbanization, prostitution, minority groups,
rights of women & children, child labour, child abuse, delinquency and crime,
substance abuse.
Reference:
1. Lemmon, Mary Isidore Sociology and Social Problems in Nursing (Latest C.V,
Mosby Company St. Louis.
2. Vatsyayan, Principles of Sociology.
3. Venkataratnam R. Medial Sociology in an Indian setting, (1st edn. MC Millan
Company in india Ltd.
23
MATERNITY NURSING INCLUDING
GYNAECOLOGICAL NURSING
Placement: First Year
Time Allotted: Theory - Maternity Nursing 4- 70 Hrs
Gynaecology
- 20 Hrs
Practical - Maternity Nursing -200 Hrs
Gynaecology
- 120 Hrs
COURSE DESCRIPTION
This course is designed to widen the student’s knowledge of obstetrics during
pregnancy, labour and puerperium. It also helps to acquire knowledge and
develop skill in rendering optimum nursing care to a child bearing mother in a
hospital or community and help in the management of common gynecological
problem.
OBJECTIVES
At end or the course, the student will
1. Describe the physiology of pregnancy, labour and puerperium
2. Mange normal pregnancy, labour and puerperium.
3. Explain the physiology of lactation and advice on management of breast feeding
4. Be skilled in providing pre and post operative nursing care in obstetric con
5. Identify and manage high risk pregnancy including appropriate referrals.
6. Propagate the concept and motivate acceptance of family planning methods.
7. Teach, guide and supervise auxiliary midwifery personnel.
8. Manage common gynecological problems.
COURSE CONTENTS
UNIT I
•
Introduction and historical review
•
Planed parenthood
•
Maternal morbidity and mortality rates
•
Legislations related t maternity benefits, MTP acts, incentives for family planning
etc.
UNIT II
24
•
Review of the anatomy and physiology of female reproductive system
•
Female pelvis (normal and contracted)
•
Review of foetal development.
UNIT III
•
Physiology and management of pregnancy, labour and puerperium
•
Signs and symptoms and diagnosis of pregnancy
•
Antenatal care
•
Pregnant women with HIV/AIDS
,
UNIT IV
•
The New born baby
•
Care of the baby at birth including resuscitation
•
Essential Newborn Care
- Feeding
- Jaundice and infection
- Small & care of the date babies
- Intensive care of the new born
- Trauma and hemorrhage.
•
Management of abnormal pregnancy) labour and puerperium
•
Abortion, ectopic pregnancy and vesicular mole.
•
Pregnancy induced hypertension, gestational diabetes, anaemia, heart disease.
•
Urinary infections. Ante partum hemorrhage
•
Abnormal labour ( malposition & malpresentation)
- Uterine inertia
- Disorders of puerperium
- Management of engorged breast, cracked nipples, breast abscess and mastitis
- Puerperal sepsis
- Post partum hemorrhage
- Obstetrical emergencies
- Obstetrical operations i.e. forceps, vacuum, episiotomy
UNIT VI
•
Drugs in obstetrics.
•
Effects of drugs during pregnancy, labour and puerperium on mother & baby.
UNIT VII
25
•
National Welfare Programmes for women
•
National Family Welfare Programme
•
Infertile family
•
Problems associated with unwanted pregnancy
•
Unwed mothers
UNIT VIII
•
Management of common gynaecological problems
•
Menstrual dysfunctions
•
Infections of female genital tract, injures & trauma to pelvic floor mechanical
disturbances, VVF
•
Ovarian & fallopian tube disorders, cysts, tumours, prolapsed uterus
•
Infertility and the management
•
Pre and post operative management of patients undergoing, hysterectomy, Repair of
VVF.
PRACTICAL
1. The students will
a. Be posted in antenatal Clinic, MCH clinic, antenatal ward, labour room, postnatal ward,
maternity OT, MTP room, Gynaec wards, infertility clinics.
b. Visit welfare agencies for women and write observation report.
c. Follow nursing process in providing care to 3-6 patients.
d. Write at least two nursing care studies and do a presentation.
e. Give at least one planned teaching to a group of mothers.
2. Practice following nursing procedures,
a. Antenatal & post natal examination, per vaginal exam.
1. Conduct normal delivery, stitching of episiotomy
2. Motivation of family for adopting family planning methods.
3. Motivate family for planned parenthood
4. Assist in various diagnostic and therapeutic procedures including IUD insertion and
removal.
Reference
1. Bennet V. Ruth and Brown. K. Linda, Myles Text Book for Midwife (14th ed), Churchill
Livingstone, London, 2005
2. Dawn C.S., Text book of obstetrics and Neonatology, Dawn books Calcutta
3. Dutta.D.C., Text book of Obstetrics (4th ed) New central book agency culcutta
4. Mudaliar A.L., and Menon, Clinical Obstetrics, orient Longman ltd, Madras.
26
5. Bobak and Jenson, Maternity and Gynaecologic care, Mosby year book IWC – 1993.
6. Pillitteri, Maternal and child health nursing (Latest edition) Lippincott, NewYork.
CHILD HEALTH NURSING
Placement: First year
Time Allotted: Theory- 60hrs
Practical - 240hrs.
COURSE DESCRIPTION
This course is aimed at developing an understanding of the modem approach to
childcare, the common health problems of children and neonates in health and
sickness.
OBJECTIVES
At the end of the course, the student will
1. Explain the modern concept of child care and the principles of child health
nursing
2. Describe the normal growth and development of children at different ages
3. Mange sick as well as healthy neonates and children.
4. Identify various aspects of preventive pediatric nursing and apply them in
providing nursing care to children in hospital and community
COURSE CONTENTS
UNIT I
•
Introduction
•
Modern concept of child care
•
Internationally accepted rights of the child
•
National policy and legislations in relation to child health and welfare
•
National programmes related to child health and welfare.
•
Changing trends in hospital care, preventive, promotive and curative aspects of
child health.
•
Child morbidity and mortality rates.
•
Differences between and adult and child.
•
Hospital environment for a sick child.
•
The role of a pediatric nurse in caring for a hospitalized child.
•
Principles of pre and post operative care of infants and children
27
•
Pediatric nursing procedures.
UNIT II
•
The healthy child
•
Growth and development from birth to adolescence
•
The needs of normal children through the stages of development and parental
guidance.
•
Nutrition al needs of children & infants breast-feeding, supplementary/ artificial
feeding and weaning
•
Accidents, causes and prevention
•
Value of play and selection of play material
•
Preventive immunization.
UNIT III
•
Nursing care of a neonate
•
Nursing care of a normal newborn
•
Neonatal resuscitation
•
Nursing management of a low birth weight baby
UNIT IV
•
Nursing management of common neonatal disorders.
•
Organization of neonatal unit. Prevention of infections in the nursery.
•
Nursing management in common childhood diseases
•
Nutritional deficiency disorders.
•
Respiratory disorders and infections
•
Gastro intestinal infections, infestations and congenital disorders.
•
Cardio vascular problem-congenital defects and rheumatic fever.
•
Genito-urinary disorder -Nephrotic syndrome,
Wilms’
tumor, infection and
congenital disorders.
•
Neurological infections and disorders convulsions, epilepsy, meningitis,
hydrocephalus, spinabifida.
•
Hematological disorders-Anemia,Thalassemia, ITP, Leukaemia, Haemophilia.
•
Endocrine disorders-Juvenile Diabetes Mellitus.
•
Orthopedic disorders-club feet, hip dislocation and fracture.
•
Disorders of skin eye and ears.
28
•
Common communicable diseases in children, their identification, nursing
management in hospital and home and prevention.
•
Pediatric emergencies- poisoning, foreign bodies, hemorrhage, bums and
drowning.
UNIT V
Management of behaviour disorders in children.
•
Management of challenged children
- Mentally challenged
- Physically challenged
- Socially challenged
PRACTICAL
The student will:1. Be posted in pediatric medical and surgical ward, OPD in hospital, health
centre and neonatal unit.
2. Visit a centre for handicapped children and child welfare centre and write
observation report.
3. Write an observation study of normal children of various age groups in
home/nursery school/creche
4. Follow nursing process in providing care to 3-6 children.
.
5. Write at least two nursing care studies and do a presentation.
6. Give two planned health teachings, one in hospital and one in OPD/ health
centre.
7. Practice the following nursing procedures
•
Taking pediatric history
•
Physical assessment of children
•
Baby bath
•
Feeding
•
Restraining
•
Calculation of dosage drugs and administration of medications and
injections
•
Collection of specimens
•
Enema, bowel wash, colostomy irrigation
•
Steam and Oxygen inhalation
29
•
Preparation to assist with diagnostic tests and operations
•
Examination/Assessment of a newborn
•
Neonatal resuscitation
•
Care of a baby in incubator and on ventilator
•
Photo therapy
•
Assist in exchange transfusion and other therapeutic procedures.
References
1.
Marlow D.R. & Redding V.A (Latest Edn), Textbook of Paediatric Nursing
W.B. Saunders Company, Philadelphia.
2.
Neil J.A., Principles of paediatric surgery, Mosby , St. Louis
3.
Wong DL’ & Hokenberrry MJ, (lat. Edn) Wong’s nursing care of infants and
children, Mosby, St. Louis.
4.
Ghai O.P., Essential Paediatrics, Interpret, New Delhi
5.
Beharman & Vanghan, Nelson: Textbook of paediatrics, Philadelphia WB
saunders company.
6.
Meharban Singh, care of newborn, sagar publications, New Delhi.
30
MEDICAL SURGICAL NURSING INCLUDING PHARMACOLOGY
Placement: First year
Time allotted: Theory – 60hrs
Practical – 470hrs
COURSE DESCRIPTION
The purpose of this course is to widen the student’s knowledge and develop
proficiency caring for patients with medical surgical problems. This course
includes review of relevant anatomy and physiology, pathophysiology in medicalsurgical disorders and the nursing management of these conditions.
OBJECTIVES
At the end of the course, the student will
1. Explain the pathophysiology of various Medical and surgical conditions
2. Explain the actions, side effects and nursing implications in administering drugs
for various disorders.
3. Discuss the recent advancement in the treatment and care of patients with medical
surgical conditions.
4. Develop skill in giving comprehensive nursing care to patients following the steps
nursing process.
5. Appreciate the role of the nurse in the medical surgical health team.
COURSE CONTENTS
UNIT I
•
Introduction to medical surgical nursing,
•
Review of concepts of comprehensive nursing care n medical surgical conditions
•
Nurse, patient and his/her family.
•
Functions of nurse in the outpatient department, Medical ward, surgical ward
UNIT II
•
Nursing management of patient with neurological and neuro surgical conditions.
•
Review of anatomy and physiology of the nervous system.
•
Patho physiology, diagnostic procedures and management of:
-
Cerebro-vascular accident.
-
Cranial, spinal and peri pheral neuropathies.
-
Head-ache and intractable pain.
-
Epilepsy
31
-
Infectious and inflammatory diseases and trauma of the Nervous System.
-
Recent advances in diagnostic and treatment modalities.
-
Drugs used in these disorders.
-
Tumors of brain & spinal cord, congenital malformations, degenerative
diseases.
UNIT III
•
Nursing management of pat lent with cardiovascular problems.
•
Review of relevant anatomy and physiology of cardiovascular system.
•
Pathophysiology, diagnostic procedures and management of
-
Ischemic Heart diseases.
-
Cardiac arrhythmias.
-
Congestive heart failure.
-
Rheumatic and other valvular heart disease.
-
Endocarditis, cardiomyopathies, congenital heart diseases, hypertension,
heart block
-
Cardiac emergencies: cardiac arrest, acute pulmonary oedema, cardiac
tamponade, cardiogenic shock, aneurysms and peripherovascular disorders
recent advancement in cardiology.
UNIT IV
•
Nursing management of patient with respiratory problems
•
Review -of anatomy and physiology- of respiratory system, pathophysiology
diagnostic procedures and management of upper respiratory tract infections
-
Bronchitis
-
Asthma
-
Emphysema
-
Bronchiectasis
-
Pneumonia
-
Pulmonary tuberculosis
-
Lung abscess
-
Pleural effusion
-
Tumors and Cysts
-
Chest injuries
-
Respiratory arrest and insufficiency
-
Pulmonary embolism
32
-
Drugs used in the management of these patients
UNIT V
•
Nursing management of patient with genito-urinary problems.
•
Review of an atomy and physiology of the genitor-urinary system
-
Nephritis
-
Renal calculus - Medical and surgical management
-
Acute renal failure
-
Chronic renal failure
-
End stage renal disease
•
Special procedures, dialysis, renal transplant
•
Drugs used in management of these patients
•
Congenital disorders, urinary infections, Urinary diversions.
•
Benign prostate hypertrophy – prostatectomy – re and sot operative management
UNIT VI
•
Nursing management of patients with problems of the digestive systems.
•
Review of anatomy and physiology of gastrointestinal system and accessory
organs.
•
Pathophysiology. diagnostic procedures medical and surgical management of
-
G.I. Bleeding
-
Peptic ulcer
-
Infections
-
Acute abdomen
-
Colitis, diarrhea, dysentery & mal-absorption syndrome
-
Cholecystitis, pre and post operative management of choloecystectony
-
Hepatitis, hepatic coma and cirrhosis of liver
-
Portal hypertension
-
Pancreatitis
-
Tumors, hernias, fistulas, fissures, hem on-holds - Hemorrhoidectomy pre and post operative care
Drugs used in the management of these patients.
UNIT VII
•
Nursing management of patients with endocrine problems
•
Review of anatomy an d physiology an d pathophysiology of patients with
- Thyroid disorders
33
- Diabetes mellitus
- Diabetes insipidus
- Adrenal tumor
- Pituitary disorders.
- Diagnostic procedures
Nursing management of patient with above problems.
Drugs used in endocrine problems.
UNIT VII
•
Nursing management of patients with musculoskeletal problems.
•
Review of anatomy, and physiology and pathophysiology
-
Arthritis, osteomyelitis, bursitis
-
Fractures, dislocation and trauma
-
Prolapsed disc
-
Osteomalacia and osteoporosis
-
Tumor
-
Amputation
Diagnostic procedures
Nursing management of patients with above problems.
•
Prosthesis and rehabilitation.
•
Transplant & replacement surgeries.
•
Care of pat lent with planter cast, Traction
UNIT IX
•
Nursing management of patient with burns.
•
Nursing management of patient with reconstructive surgeries.
UNIT X
•
Nursing management of patients with common communicable diseases & STD’S
•
Nursing management of patients with immunological disorders including
HIV/AIDS
UNIT XI
•
Nursing management of patients with blood disorders
•
Review of Anatomy & Physiology of Blood and Blood products.
•
Patho-physiology, diagnostic procedures an d management of blood disorders- Anemia
- Leukemia
34
- Bleeding disorders
- Hemophilia
- Purpura etc.
•
Blood transfusion, safety checks, procedure and requirements, management of
adverse transfusion reaction, records for blood transfusion.
•
Management and counseling of blood donors, phlebotomy procedure, and post
donation management
•
Blood bank functioning and hospital transfusion committee
•
Bi o-safety and waste management in relation to blood transfusion.
UNIT XII
•
Nursing in emergencies.
•
Cardiac emergencies, CPCR
•
Trauma
•
Poisoning
•
Crisis management: Thyroid crisis, Hypertensive crisis, adrenal crisis.
PRACTICAL
•
Students should be rotated in the selected medical & surgical areas, like Cardio
Thoracic, Neurology, Urology, Orthopedics, Bums and Reconstructive surgical
units.
•
The students should be given patient assignment. They have to practice patient
centered comprehensive nursing.
•
Each student is required to give planned health teachings, conduct clinical
teaching, case presentation and drug study.
References
1. Brunner ad Suddarth, Text Book of Medical Surgical Nursing (Lat. End) J.P.
Lippincott Co, Philadelphia.
2.
Luckmann and Soreson, Medical Surgical Nursing, Mac Millan Co. New York.
3. Krishna Das, Text book of Medicine, New Delhi, Jaypee brothers.
4. Allan William B., Richard et al, Nursing in diseases of eye, ear, nose and throat
N.B. Sanders Co. Philadelphia.
5. Edythe, Louis, Alexander, Operation room Technique, St. Louis CV Mosby.
35
6. Bhownik and Chatterjee, Hand book of Medical Instruments (lat. Edn)St. Louis,
CV Mosby.
7. Powell, Orthopedic Nursing and Rehabilitation (lat. Edn) ELBS, Churchil
Livingstone.
PHARMACOLOGY
Placement: First Year
Time Allotted: 30 hrs.
COURSE CONTENTS
UNIT I
•
Introduction, Definitions
•
Routes and principles of drug administration
•
Weight and measures, preparation of solution and powder
•
Classification, Pharmacodynamics
UNIT II
•
Drugs acting on Nervous system
•
Action, dose, side effect and nursing implications
•
Indications and contra indications
•
Cholinergic and anti - cholinergic drugs
•
Non Steroid Anti Inflammatory Drugs (NSAID)
•
Anesthetics, Muscle relaxants
•
Sedatives and Hypnotics
•
Anticonvulsants, Antipsychotic
•
Antidepressants, Adrenergics and non adrenergics
•
Drugs used in Parkinsonism.
UNIT III
•
Cardiovascular drugs
•
Hematinics, cardiac glycosides, Anti angina Is,
•
Antihypertensive, anti arrhythmic
•
Plasma expanders, coagulants and anti coagulants, Anti platelets
•
Thrombolytics, Hypolipidemics
•
Composition, Action, dosage, route, indications, side effects, adverse effect,
toxicity, nurses role.
36
UNIT IV
•
Respiratory System
•
Antitussives, expectorants, Bronchodilators
•
Anti histamines, Mucolytics, Decongestants
•
Broncho constrictors
UNIT V
•
Gastro intestinal system
•
Anti emetics, Emetics,
•
Purgatives, antacids
•
Anti diarrheas, Drugs used in peptic ulcer
UNIT VI
•
Urinary system
•
Diuretics, anti diuretics
•
Urinary antiseptics
•
Acidifiers, alkanizers
UNIT VII
•
Endocrinology
•
Drugs used for diabetes Mellitus
•
Adreno corticosteroids
•
Thyroid supplements and suppressants
•
Uterine stimulants, relaxants
•
Oral contraceptives
•
Estrogen progesterone preparations
•
Prostaglandins
•
Calcitonins
UNIT VIII
•
Antibiotics and chemotherapeutics
•
Pencilline, cephalosporin’s
•
Broad Spectrum antibiotics
•
Sulphonamides
•
Anti amebic, anti malarial,
•
Antihelmenthics, Anti tubercular
•
Antiviral and antifungal
‘
37
•
lmmuno suppressants
•
Anti septic and Disinfectants.
Reference:
1. Mckenery & Salerno (2001) Mosby’s Pharmacology in Nursing. -Revised
& Updated 21st Edition. Mosby (Elsevier) St. Louis.
2. Satoskar, Kale, Bhandarkar (1993) Phannacology and Pharmacotherapeutics
13th Edition (Vol. 1&JI) Popular Prakashan Pvt. Ltd. Bombay
ENGLISH
Placement: First Year
‘
Time Allotted: Theory - 30hrs
COURSE DESCRIPTION
This course is designed to help the student understand and usage of English language
required for their professional work.
After me course, me student win develop
•
Ability to speak and write grammatically correct English
•
Effective skill in reading and understanding the English language
•
Skill in reporting
COURSE CONTENTS
UNIT I
•
Remedial study of Grammar
•
Review of gram mar, vocabulary and effective use of dictionary
•
Prepare task oriented seminars.
•
Symposia and panel discussion.
UNIT II
•
The ability to understand selected passage and express meaning in one’s own war
•
Reading and comprehension of the prescribed books.
UNIT III
•
The study of various forms of composition
•
Note taking
38
•
Dairy
•
Nurses notes, anecdotal records
•
Writing of summary
•
Nurses reports on health problems
The student will submit one sample of each item from her on practical experience.
UNIT IV
•
Verbal communication
•
Oral reports.
•
Summarization of discussion
•
Debate
•
Listening comprehension - Film, Cassette and Radio.
PRACTICAL
•
Assignment on writing and conversation through participation in discussion,
debates, seminars and symposia. The students will gain further skills in task
oriented communication.
Reference:
1. K.J. Tom’s Communicative English for B. Sc. Nursing Students, K.J. Publications
COMPUTER SCIENCE
Placement: First Year
-
Time: Theory - 20 Hrs.
Practical - 30 Hrs
COURSE DESCRIPTION
This course is designed for students to develop basic understanding of uses of computer
and its applications in nursing
OBJECTIVES
After the course, the student will
1. Identify & define various concepts used in computer and identify
application of computer in nursing
2. Describe and use the Disk Operating System and demonstrate skill in the use of
MS Office
3. Demonstrate skill in using multi – media
39
4. Demonstrate use of internet and Email
5. Describe and use the statistical packages
6.. Describe the use of Hospital Management System
COURSE CONTENTS
UNIT I
•
Introduction
- Concepts of Computers Hardware and Software
- Trends and technology
- Application of computers in nursing
UNIT II
•
Introduction to disk operating System .
- DOS Windows (all version)
- MS Word
.
:
- MS Excel with pictorial presentation
- MS-Access
- MS-Power Point
UNIT III
•
Multimedia, types & uses computer aided teaching & testing
UNIT IV
•
Use of Internet and e-mail
UNIT V
•
Statistical packages: types and their features
UNIT VI
•
Hospital Management System; Types and uses
Reference:
1.
Vikas Gupta ‘Condex Computer Course Kit Dreamtech Press, New Delhi.
2.
H. Dominic Cvvey & Neil Harding McAlister (1980) Computers in the
practices of medicine’ (Vol I & 11)
3.
Dheenadayalu. R. (1989) Computer Science (Vol I & II) Tata McCraw Hill
Publishing Company Limited, New Delhi.
4.
Alicoll Leslie Hospital (2001) ‘Computers in Nursing, Nurse’s Guide to the
Internet’ 3rd Edition, Lippincott, Philadelphia
40
5.
Goel M.K. (1989) Introduction to computer Science sterling Publishers Pvt Ltd,
New Delhi.
COMMUNITY HEALTH NURSING
Placement: Second Year
Time Allotted: Theory- 60hrs
Practical -240 hrs
COURSE DESCRIPTION
The course enables the students to understand the national health care delivery system
and to participate in the delivery of community health nursing.
OBJECTIVES
At the end of the course, the student will
1.
Explain the concept of various factors contributing to health of individual,
family and community.
2.
Identify the role of community health nurse.
3.
Describe national health care delivery system.
4.
Describe epidemiological methods and principle of prevention and control of
illness in the community.
5.
Identity the role of personnel working in the community health set lip.
6.
Plan the work of community health nurse and supervise and train health
workers.
COURSE CONTENTS
UNIT I
•
Introduction
•
Introduction to Community Health- Concepts, Principles and elements of Primary
Health Care.
•
Introduction to community health nursing -Community nursing process.
•
Objectives, scope and principles of community health nursing
UNIT II
•
Family Health Services
•
Concept, objectives, scope and principles.
41
•
Individual, family and community as a unit of service.
•
Principles and techniques of home visiting.
•
Establishing working relationship with the family.
•
Working with families in relation to prevention of disease, promotion of health.
•
Care of the sick in the home, physically handicapped and mentally challenged.
•
Surveillance and monitoring
UNIT III
•
Organization and administration of health service in India.
•
National health policy.
•
Health Care Delivery system in India
•
Health team concept
-
Centre, State, district, urban health services, rural health services
-
System of medicines
-
Centrally sponsored health schemes
-
Role of voluntary health organizations and international health agencies
-
Role of health personnel in the community
UNIT IV
•
Health Education
-
Aims, concepts and scope of health education,
-
National plan for health education
-
Communication techniques
-
Methods and media for health education programme
-
Planning for health education and role of nurse
UNIT V
•
Role of the community health nurse.
•
National health programmes
-
Maternal and child health programmes
-
Family welfare and school health services
-
Occupational health services.
•
As a member of the health team.
•
Training and supervision of health care workers
UNIT V
•
Epidemiology
•
Definition ~ Concepts, aims, objectives, methods, principles
42
•
Epidemiology - Theories and Models.
•
Application of epidemiology, principles and concepts in community health
UNIT VIII
•
Bio Statistics and Vital Statistics
•
Introduction, definition and scope, legislation
•
Report, recording and compiling of vital statistics at the ideal, state, national
international level.
•
Definitions and methods of computing vital statistics
•
Methods of presenting data
•
Management Information System.
.
PRACTICAL
•
Each student will prepare a community profile.
•
The students will be allotted families for gaining experience in identifying family
health needs, health counseling and guidance and family budgeting for optimum
health.
•
The students will participate in the activities of primary health centre,
•
Sub- centre, MCH Centre.
•
Visits will be made to selected health and welfare agencies, water purification
plant and sewage disposal plant. Infectious disease hospital.
•
Conduct health educational programmes for individual/groups/community.
Reference:
1.
B.T, Basavanthappa ‘Community Health Nursing’ 1st edn. Jaypee brothers.
Medical Publisher, New Delhi.
2.
K. Park, Park’s Text book pf Preventive and social Medicine,
18th edn.
Banarsidha Barot Publishers, Jabalpur, India.
3.
Stanhope Marcia. Foundations of Nursing in the Community. Mosby.
4.
Lawrence. W. Green ‘Community Health’ Mosby-Publishing
5.
Kasthuri Sundar Rao, an introduction to community health nursing (lat. Edn)
BN.I. Publishing, Chennai.
43
MENTAL HEALTH NURSING
Placement: Second Year
Time Allotted: Theory- 60hrs
Practical -240 hrs
COURSE DESCRIPTION
This course enables the students to recognize and appreciate the causes, symptoms and
process of abnormal human behaviour. It also introduces the student to the present day
treatment modalities in the light of psychological, social and cultural factors affecting
human behaviour. This course helps the student to learn principles of mental health and
psychiatric nursing and to develop beginning skills in the management of the mentally ill
in hospital and community
OBJECTIVES
At the end of the course, the student will
1. Identify and describe the philosophy and principles of mental health nursing.
2. Describe the historical development of mental health and psychiatric nursing.
3. Classify mental disorders.
4. Develop skill in history taking and performing mental status examination.
5. Describe etiological factors, psycho-pathology, clinical features, diagnostic
criteria and treatment methods used for mental disorders.
6. Manage the patients with various mental disorders.
7. Communicate therapeutically with patients and their families.
8. Identify role of the nurse in preventive psychiatry.
9. Identify the legal aspects in practice of mental health and psychiatric nursing
COURSE CONTENTS
UNIT I
•
Introduction and Historical Development
•
History of psychiatry
•
Historical development of mental health nursing.
•
Philosophy, principles of mental health and psychiatric nursing.
44
•
Concept of normal and abnormal behaviour.
•
Role and qualities of mental health and psychiatric nurse
•
Mental health team and functions of team members.
•
Legal aspects in psychiatry and mental health services.
UNIT II
•
Classification and Assessment of mental disorders,
•
Terminologies used in psychiatry
•
Classification of mental disorders
•
Etiological factors and psychopathology of mental disorders
•
History taking and assessment methods for mental disorders.
UNIT III
•
Therapeutic Communication
•
Communication process
•
Interview
skills,
therapeutic
communication
techniques.
Nurse
Patient
Relationship, Therapeutic impasse and its management process recording.
UNIT IV
•
Management of mental Disorders
•
Etiological factors, psychopathology, types, clinical features, diagnostic criteria,
treatment and nursing management of patient with following disorders:
-
Neurotic Disorders: Anxiety Neurosis, Depressive Neurosis, Obsessive,
Compulsive Neurosis, Phobic Neurosis and Hypochondria cal Neurosis,
Stress related and Somatoform disorders.
-
Psychotic Disorders: Schizophrenic form, affective and organic psychosis.
-
Organic Brain syndromes
-
Psychosomatic disorders
-
Personality disorders
-
Disorders of childhood and adolescence.
UNIT V
•
Management of patients with sub stance use disorders
45
•
Substance use and misuse.
•
Dependence, intoxication and withdrawal
-
Classification of psychoactive sub stances
-
Etiological & contributory factors
-
Psychopathology
-
Clinical features
-
Diagnostic criteria
•
Treatment and nursing management of patient with substance use disorders.
•
Preventive and rehabilitative aspects in substance abuse.
UNIT VI
•
Management of mental sub-normality
•
Classification of mental sub-normality
•
Etiological factors, psychopathology, psychometric assessment, diagnostic criteria
and management of sub-normality.
UNIT VII
•
Psychiatric Emergencies
•
Types of emergencies, psychopathology, clinical features, assessment and
Diagnosis, treatment and nursing management of patient with psychiatric
emergencies.
•
Crisis Intervention therapy.
UNIT VII
•
Therapeutic Modalities
•
Principles, indication, contraindications and role of nurse in various treatment
methods;
-
Therapeutic community and Mi lieu therapy
-
Occupational therapy
-
Psychotherapy
-
Behaviour therapy
-
Group therapy
-
Family therapy
46
-
Pharmacotherapy
-
Electro convulsive therapy
-
Other miscellaneous therapies,
UNIT IX
•
Preventive Psychiatry
•
Model of prevention
•
Role of nurse in preventive psychiatry
•
Psychiatric social work
•
Community mental health nursing
•
Community mental health agencies
•
National mental Health Programmes.
PRACTICAL
The student will be provided opportunity to:
•
Observe record and report the behaviour of their selected patients.
•
Record the process of interaction
•
Assess the nursing needs of their selected patients, plan and implement the
nursing intervention.
•
Counsel the attendant and family members of patient.
•
Participate in the activities of psychiatric team.
•
Write observation report after a field visit to the following places:
-
Child guidance clinic,
-
School / special Schools (For mentally subnormal ),
-
Mental Hospital,
-
Community mental health centers,
-
De-addiction centre.
Reference:
1. Sadock K. (1998) Synopsis of psychiatry 8th edition, William and Wilkins
Baltimore, USA.
2. Stuart & Sweden, Psychiatric Nursing (19980 C.V. Mosby company
47
3. Lego, Snganne, The American Hand book of Psychiatric Nursing J.B. LippinCott
Company, Philadelphia
.
4. Gelder M. Oxford, Textbook of Psychiatry 3rd Edition, Me’v York, Oxford
University Press.
5. Elizabeth , Manual of psychiatric Nursing care plan, 2nd edition
ADVANCED MEDICAL SURGICAL NURSING
Placement: Second year
Time Allotted: Theory – 60 hrs
Practical-215 hrs
COURSE DESCRIPTION
This course is designed to acquire knowledge and develop competency in caring critically
ill patients and managing emergencies in various settings.
OBJECTIVES
On completion of the course the students
1.
Describe the organization of critical care nursing
2.
Describe the role of the nurse in managing critically ill patients.
3.
Describe the role of nurse in disaster management
4.
Develop competency in giving care to patients with oncologic conditions.
5.
Identify the role of genetics in the causation and management of defects and
diseases.
COURSE CONTENTS
UNIT I
•
Nursing management of patients in Critical Care Units.
•
Historical development, classification principles of critical care nursing
•
Organization, physical set up, policies, staffing norms.
•
Protocols, equipment and supplies
•
Special equipments - Ventilators, monitors defibrillators, Resuscitation equipment
•
Infection control protocols
Nursing assessment
- History, physical assessment, Monitoring of critically ill patient
- Treatments, procedures and nursing care Ethics and legal aspects
48
- Records and reports
- Communication with patient and family
- Emergency drugs
UNIT II
Nursing management of patient in Emergency and Disaster situations
Emergency Nursing
•
Concept, priorities, principles and scope of emergency nursing
•
Organization of emergency services: physical setup, staffing, equipment and
supplies, protocols, concepts of triage and role of triage nurse
•
Coordination and involvement of different departments and facilities
•
Nursing Assessment - History and Physical assessment
•
Etiology,
Pathophysiology,
clinical
manifestations,
diagnosis,
treatment
modalities and medical & surgical nursing management of patient with medical
and surgical Emergencies
•
Principles of emergency management
•
Common Emergencies;
•
Respirator Emergencies;
•
Cardiac Emergencies
•
Shock and Hemorrhage
•
Pain
•
Poly - Trauma, road accidents, crush injuries, wound
•
Poisoning; Food, Gas, Drugs& chemical poisoning
•
Seizures
•
Thermal Emergencies; Heat stroke & Cold injuries
•
Medico-Legal aspects
Disaster Nursing:
•
Concepts and principles of Disaster Nursing
•
Causes and types of Disaster:
•
Natural and Man-made
o Earthquakes, Floods, Epidemics, Cyclones
o Fire, Explosion, Accidents
o Violence, Terrorism; biochemical, War
49
•
Policies related to emergency/disaster
•
Management; International, national state, institutional
•
Disaster preparedness:
•
Team, Guidelines, protocols, Equipments, Resources
•
Coordination and involvement of; Community, various government departments,
non - govt. organizations and International agencies
•
Role of nurse: working
•
Legal Aspects of Disaster Nursing
•
Impact on Health and after effects; Post Traumatic Stress Disorder
•
Rehabilitation - physical, psychosocial, financial
UNIT III
Nursing management of patients with Oncological conditions
•
Structure & characteristics of normal & cancer cells
•
Nursing Assessment-History and Physical assessment
•
Prevention, Screening, Early detection, Warning signs of cancer
•
Epidemiology, Etiology, Class ideation, Pathophysiology, staging, clinical
:
manifestations, diagnosis, treatment modalities and medical & surgical nursing
management of oncological conditions
•
Oncological emergencies
•
Modalities of treatment
.
o Immunotherapy
o Chemotherapy
o Radiotherapy
o Surgical Interventions
o Stem cell and Bone marrow transplants
o Gene therapy
o Other forms of treatment
•
Psychosocial aspects of cancer.
•
Rehabilitation
•
Palliative care; Symptom and pain Management, Nutritional support
•
Home care
•
Hospice care
•
Stomal therapy
50
•
Special therapies
-Psycho social aspects
•
Nursing procedures
UNIT IV
Genetics
•
Practical application of genetics in Nursing
•
Impact of genetic condition on families
•
Review of cellular division mitosis and meiosis
•
Characteristics and structure of genes
•
Chromo some s-sex determination
•
Chromosomal aberrations Patterns of inheritance
o Medallion theory of inheritance
o Multiple allots and blood groups
o Sex linked inheritance
o Mechanisms of inheritance
o Errors in transmission (Mutation)
•
Inform errors of metabolism
Services related to Genetics
•
Genetic testing
•
Human Genome Project
•
Gene therapy
•
The Eugenics movement
•
Genetic Counselling , Legal and Ethical issues, Role of nurses
References
1. Brunner and Siddhartha ‘ Text Book of Medical Surgical Nursing”, 10th edition,
2004, J.P. Lippincott Co. Philadelphia.
2. Luckmann & Sorenson “Medical Surgical Nursing Mac Millian co. New York.
3. Lewis, Heitkember “nursing in diseases of Eye ear, nose and throat. N.B.
Saunders Co. Philadelphia (Latest).
4. Krishna Das , Text book of Medicine New Delhi, Jaypee brothers.
5. Otto Shirlay E, Oncology Nursing – assessment and clinical care, St. Louis,
Mosby.
6. Hicky Joanne V., the clinical practice of neurological and neurosurgical nursing,
Philadelphia, Lippincott.
51
7. Woods et al, Cardiac nursing, Philadelphia, Lippincott.
8. Dr. Kasi Visweswaran, Essentials of Nephrology & Urology.
9. Patricia Tabloski, Gerontological Nursing, Pearson Prentice Hall.
10. Joanne C. Lengan, Preparing nurses for Disaster Management, Pearson Prentice
Hall.
11. Dicenso et al, Evidence – based Nursing (2005) Elsevier ,St Louis, Mosby.
NURSING EDUCATION
Placement : Second year
Time Allotted: Theory – 60hrs
Practical 160hrs
COURSE DESCRIPTION
This course introduces the students to principles and concepts of education, curriculum
development and methods and media of teaching. It also describes the steps in curriculum
development and implementation of educational programmes in nursing
OBJECTIVES
At the end of the course, the student will
1.
Describe the philosophy and principles of education.
2.
Explain the teaching - learning process
3.
Develop the ability to teach, using various methods and media.
4.
Describe the process of assessment.
5.
Describe the administrative aspects of school of nursing
6.
Participate in planning and organizing an in-service education programme.
7.
Develop basic skill of counseling and guidance
COURSE CONTENTS
UNIT I
•
Introduction to education
o Meaning of education, aims, function and principles.
•
Philosophy of education
o Factors influencing development of philosophy of nursing education.
UNIT II
•
Teaching learning process
•
Nature and characteristics of learning,
•
Principles and maxims of teaching
52
•
Formulating objectives
•
Lesson planning.
UNIT III
•
Curriculum
-
Meaning, definition types,
-
Factors influencing curriculum development
-
Steps in curriculum development
-
Curriculum Planning
-
Selection and organization of learning experience curriculum revision
UNIT IV
•
•
Methods of teaching
-
Teaching methods
-
Lecture
-
Discussion
-
Demonstration
-
Group discussion
-
Project
-
Role play
-
Panel discussion
-
Symposium
-
Seminar
-
Field trip
-
Workshop
-
Exhibition
-
Programmed instruction
-
Computer assisted learning.
Clinical teaching methods:
-
Case methods
-
Case presentation
-
Nursing rounds and reports
-
Bedside clinic
-
Conference ( individual and group)
-
Recording of interactional process.
UNIT V
53
•
Educational media
•
The communication process; factors affecting communication.
•
Purposes and types of audio-visual aids.
•
Graphics aid : Chalk-board, charts, graphs, posters, flash cards, flannel
graph, bulletin, cartoon
•
Three dimensional aids: objects, specimens, models, puppets.
•
Printed aids: pamphlets and leaflets
•
Projected aids; slides, films and televisions, VCR,. VCP, overhead projector,
camera.
•
Projected aids; slides, films and televisions, VCR, VCP, microscope.
•
Audio-aids: tape-recorder, public addressing system, computer
UNIT VI
•
Methods of assessment
•
Purpose and scope of evaluation and assessment
•
Criteria for selection of assessment techniques and methods
•
Assessment of knowledge: essay type question, SAQ (Short Answer Questions)
•
MCQ ( multiple choice questions),
•
Assessment of skills’ Observation. Check list. Practical Examination. Viva,
Objective structured clinical examination
•
Assessment of attitude: Attitude scale
UNIT VII
•
Guidance and Counseling - Definition
•
Basic principles of guidance and counselling
•
Organization of guidance and counseling services
•
Counseling process
•
Managing disciplinary problems
•
Management of crisis
UNIT VIII
•
In-service education
•
Introduction to nature and scope of in service education programme
•
Principles of adult learning
•
Planning for in-service programme
54
•
Techniques, and methods of staff education programme
•
Evaluation of in service programme
PRACTICAL
Each student should:
•
Conduct five planned teaching using different methods arid media.
•
Prepare different types of teaching aids
•
Plan, organize and conduct in-service education programme.
•
Conduct at least one counselling session.
•
Prepare rotation plans.
Reference:
1. Dr. A. Kurian George, Principles of curriculum development & evaluation 2002
2. Guilbert J.J Educational Hand Book for Health Personnel, WHO publication,
1997.
3. Sampath K. Introduction to Educational Technology.
4. Sankaranarayanan and Sindhu, Learning and Teaching Nursing (lat. End)
Brainfill, Calicut.
5. Kochhar, Guidance and Counselling in Colleges and universities, Sterling
publication.
6. Aggarwal J.C., Principles, Methods and techniques of teaching, New Delhi, Vikas
publishing house.
7. Curriculum Guide for Schools of Nursing. - INC
55
NURSING ADMINISTRATION
Placement : Second year
Time Allotted: theory- 60hrs
Practical - 240 hrs
COURSE DESCRIPTION
This course is designed to give an opportunity to the student to gain an understanding of
the principles of administration and its application lo nursing service and education.
OBJECTIVES
At the end of the course, the student will
1. Identify the principles of administration
2. Describe the principles and techniques of supervision
3. Explain the principles and methods of personnel management
4. Explain the principles of budgeting
5. Organize and mange a nursing unit effectively
6. Identify dynamics of organizational behaviour, styles and functions of effective
leadership.
COURSE CONTENTS
UNIT I
•
Principles and Practice of Administration
•
Significance, elements and principles of administration,
•
Organization of Hospital - Definition, Aims, functions and classifications, health
team,
•
Policies of hospital, different departments with special emphasis to department of
nursing & office management. -
•
-
Responsibilities of the nursing personnel specially of ward sister, medico legal
aspects, concept of cost effectiveness.
UNIT II
•
Nursing unit management
•
Physical layout of a nursing unit and necessary facilities
•
Factors affecting the quality of nursing care.
•
Maintenance of a therapeutic environment
•
Administration of the unit- management of patient care.
•
Maintenance of physical environment,
56
•
Assignment of duties and time plan,
•
Patient assignment, safety measures, prevention of accidents and infections,
•
Maintenance of patients records and reports, legal responsibilities.
•
Maintenance of quality nursing care, nursing audit.
UNIT III
•
Personnel management
•
Staff recruitment and selection, appointment, promotions, personnel policies and
job descriptions.
•
Job analysis.
•
Staffing the unit, staffing norms, rotation plan, leave planning,, performance
appraisal, staff we I fare and management of disciplinary problems.
UNIT IV
•
Supervision
•
Principles of supervision, nature and objectives
•
Tools and techniques of supervision
•
Evaluation
•
Nursing audit
•
Staff development-orientation program
•
Skill training
•
Leadership development.
•
Problem solving process.
UNIT V
•
Material Management
•
Principles of material management,
•
Quality control.
•
Inventory, care of equipment, safekeeping
•
Role of nursing personnel in material management
UNIT VI
•
Financial Management
•
Budgeting principles of budgeting, audit
UNIT VII
•
Organizational Behaviour
57
•
Group dynamic and human relation, organizational communication ( hospital
information system)
•
Public relations, leadership styles and functions.
•
Methods of reporting.
•
Maintaining records and reports.
UNIT VIII
•
Management of School of Nursing
•
Planning of School of Nursing, organization.
•
Recruitment of teaching staff, budget, facilities for the school, student selection
and admission procedure, administrative planning for students, welfare services
for students, maintenance of school records, preparation of annual reports.
INC guidelines for school of nursing.
•
Quality assurance and Accreditation policies
•
Role of Nursing council and professional organization to maintain quality.
PRACTICAL
•
Observe the functioning of nursing administration at various level i.e. institution,
department, unit.
•
Each student will practice ward management under supervision
•
Student will prepare rotation plan of the staff, write reports, give verbal reports of
the ward and assist in maintaining the inventory of the nursing unit.
•
Visit to private and Government hospital and School of Nursing and write
observation reports,
References
1. Basanthappa B.T., Nursing administration, (lat. Edn) Jaypee brothers , Medical
publisher, New Delhi.
2. Barret, Jean, Ward Management and teaching-Himalayan Books, New Delhi.
3. Chatterjee S.S An introduction to management-its principles and techniques,
World Press, Calcutta.
4. Finkelman, Anita W, Leadership and Management in Nursing, Pearson
Education, New Delhi.
58
NURSING RESEARCH AND STATISTICS
Placement: Second Year
Time Allotted: Theory - 45 hrs
Practical -160 hrs
COURSE DESCRIPTION
The course is designed to assist the students to develop an understanding of basic
concepts of research and statistics, use the findings of nursing research in nursing
practice, apply the knowledge in conducting project(s) and solve problems related to
nursing using scientific method
OBJECTIVES
At the end of the course, the student will
1. Define the terms and concepts of nursing research
2. Identify need and scope of nursing research
3. Identify and define a research problem
4. Locate and list sources of literature for a specific study
5. Describe different research approaches, methods of data collection and sampling
techniques with a special reference to survey method.
6. Develop tool for data collection
7. Enumerate steps of data analysis and present data summary in tabular form
8. Use descriptive and co-relational statistics in data analysis
9. Conduct a group research project
COURSE CONTENTS
A. INTRODUCTION TO RESEARCH METHODOLOGY
UNIT I
•
Steps of scientific methods
•
Definition of research
•
Need for nursing research
•
Characteristics of good research, Research Process.
UNIT II
•
Statement of research problem.
•
Statement of purpose and objectives.
•
Definition of research terms.
•
Review of literature
59
- 35 hrs
UNIT III
•
Research approaches: - historical, survey and experimental
UNIT IV
•
Sampling Techniques and methods of data collection.
•
Sampling
•
Instruments- questionnaire. Interview
•
Observation schedule, records, measurements
•
Reliability and validity of instruments.
UNIT V
•
Analysis of Data :Tabulation
o Classification and summarization
o Presentation
o Interpretation of data.
UNIT VI
•
Communication of research findings.
•
Writing Report:
o Organizing materials for writing
o Format of the report
o Use of computers.
2.
INTRODUCTION TO STATISTICS
- 10 hrs
UNIT VII
•
Descriptive Statistics.
•
Frequency Distribution -Types of measure- frequencies, class interval, graphic
methods of describing frequency.
•
Measures of Central Tendency - Mode, Median and Mean.
•
Measures of variability: Range, Standard deviation
•
Introduction to normal probability.
UNIT VIII
1. Correlation
2. Computation by rank difference methods.
60
3. Uses of correlation coefficient.
UNIT IX
•
Biostatistics: Crude rates and standardized rates, ratio and estimation of the
trends.
PRACTICAL
Students will conduct research project in small groups in selected areas of nursing and
submit a report (Group studies may include studying of existing health practices,
improved practices of nursing (procedures), health records, patient records and survey of
nursing literature).
Reference
1. Polit and Hungler, Nursing Research J.B. Lippincott (Latest edn.)
2. Treece and Treece, Elements of Research in Nursing C.V. Mosby Company.
3. Nieswiadomy, Rose Marie, Foundations of Nursing Research (5th edn), Pearson
Education, New Delhi.
4. Burns Nancy & Grove Susan K., Understanding Nursing Research (lat. Edn),
Elsevier, New Delhi (Indian edition).
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61