ROLE OF REGULATORY

BODIES AND PROFESSIONAL

ORGANISATIONS

By:- firoz qureshi

Dept. psychiatric nursing
ORGANISATION :
ACC. TO L.WHITE, “Organisation is the arrangement of personnel
for facilitating the accomplishment of some agreed purpose
through allocation of functions and responsibilities.”

PROFESSIONAL ORGANISATIONS :
Professional organisations provide a means through
which your own professional development can be channelled
with authority because of their representative character.
It provides you an opportunity to express your
viewpoint, develop your leadership qualities and abilities and
keep you well informed of professional trends and news.
 INDIAN NURSING COUNCIL

INC was established in 1949. the council is

responsible for regulations and maintenance of
uniform standards of training for nurses, midwives,
auxiliary nurse midwives and health visitors.
 INDIAN NURSING COUNCIL
ACT, 1947
THE INC ACT, 1947 PROVIDES FOR
CONSTITUTION AND COMPOSITION OF THE
COUNCIL CONSISTING OF THE FOLLOWING:
 One nurse enrolled in state register elected by
each state council.
 One member elected from among themselves by
head of the institutions in which health visitors are
trained.
 One member elected by medical council of India.
 One member elected by the central council of
Indian medical association.
 One member elected by TNAI.
 One midwife or ANM enrolled in a state register,
elected by each of the state councils in four groups of
the states :
 Kerala,MP, UP and Haryana.
 AP, Bihar, Maharashtra and Rajasthan.
 Karnataka, Punjab and West Bengal.
 Assam,Gujarat, Tamil Nadu and Orissa.
 The director journal of health services.
 The chief Principal matron, medical directorate, army
headquarters.
 The chief nursing superintendent, office of the
director journal of health services.
 The director of maternity and child welfare,
Indian red cross society.
 The chief medical officer of each state.
 Four members nominated by the central
government, of whom two shall be the nurses,
midwives or health visitors and one shall be an
experienced educationalist.
 Three members elected by parliament.
 AMENDMENTS IN INC
ACT,1947
Act was amended in November 1957 to provide
for the following things:
 FOREIGN QUALIFICATIONS:

 Indian citizens: Any Indian citizen being

registered with any registering body, by the
approval of INC,be enrolled in any state
register.
 Citizens of other countries: Any citizen of any

other country, by the approval of President

council, be employed temporarily as nurse,
 Contd……
midwife,ANM,teacher or administrator in any
hospital or institution in any state for period of
5 years. And if want to continue, extension of
recognition is needed from INC.
 Indian Nurses Register:
It contains names of all the nurses, midwives,
ANM and health visitors who are enrolled in
any state register. It will be a public document
under Indian Evidence Act,1872.
ORGANISATION CHART
 COMMITTEES
1. EXECUTIVE COMMITTEE

2. NURSING EDUCATION COMMITTEE

3. EQUIVALENCE COMMITTEE

4. FINANCE COMMITTEE
 FUNCTIONS :
 To establish and monitor a uniform standard
of nursing education.
 To recognize the qualifications for the purpose
of registration and employment everywhere.
 To give approval for registration of Indian
and foreign nurses possessing foreign
qualification.

 To prescribe the syllabus and regulations for

nursing programme.
 Power to withdraw the recognition in case the
institution fails to maintain its standard.

 To advise the state nursing councils, examining

board, state and central government in various
important items in nursing education.
 GUIDELINES FOR THE ESTABLISHMENT OF
NEW NURSING SCHOOLS / COLLEGES

 Any organization under the central, state government, local body

or a private trust should obtain the no objection certificate from the
state government.
 The INC on the receipt of the proposal from the institution to start
nursing programme, will undertake the first inspection to assess the
suitability.
 After the approval from INC, the institution shall obtain the
approval from state nursing council and examination board.
 The INC conducts the inspection every year till the first
batch completes the programme.
 TYPES OF INSPECTION
 FIRST INSPECTION : The first inspection is
conducted on the receipt of proposal.

 RE – INSPECTIONS : Re-inspections are

conducted for those institutions, which are
found unsuitable by INC.

 PERIODIC INSPECTION : INC conducts the

periodical inspections once the institution is
found suitable by INC.
 PROGRAMMES UNDER INC
 ANM: 1 and a half year
 GNM: Three and a half years
 P.B. Bsc(N): 2 years
 Bsc.(N): 4 years
 Msc.(N): 2 years
 M.Phil: 1 year
 Doctorate in Nursing:3 to 5 years
 RESOLUTIONS
 Maximum period for the students to complete
revised ANM/GNM programme is 3 and 6
years respectively.
 Maximum age for teaching faculty is 70 years.
 Admission to married candidates for all the
nursing programme is allowed.
 Relaxation of norms to establish M.Sc.(N)
Programme.
 Relaxation of student patient ratio for clinical
practice
 Relaxation of teaching faculty qualification to
start a B.Sc. (N) programme.
 To maintain the quality of post-graduate, INC
resolved not to have a M.Sc. (N) Programme
through distance education.
 Institutions should have their own building
within two years of establishment.
 Maximum no. of 60 seats can be sanctioned to
the institutions having less than 500 bedded
hospital and 100 to those having 500 bedded
hospital.
 INITIATIVES
 Teaching material for quality assurance
model(QAM):To monitor compliance with set
standards for nursing practice and applying
solutions to improve care.
 Princes Srinagarindra Award: Awarded to
Mrs. Sulochana krishan, Ex-Principal of RAK
College of nursing.
 Development of curriculum for HIV/AIDS
and training for nurses: In collaboration with
NACO and Clinton foundation.6 day training
programme.
 National Consortium for Ph.D. in Nursing:
MOU has been signed between INC,WHO and
RGUHS to promote doctoral education in
various fields of Nursing.
 Memorandum of Understanding(MOU)
between INC and Sir Edward Dunlop's
Hospitals for advancing nursing education and
practice in India with following objectives:
 Provide training.
 Graduate,Post-graduate,and Ph.D courses.
 To fill gaps in India and internationally set
standards of Nursing education and practice so
that Indian nurses can directly be accepted to
meet international standards.
 Train the faculty so as to provide high quality
teaching staff to training institutes in the
country.
 MRA under Comprehensive Economic
Cooperation Agreement(CECA): It was
signed in June 2005 and came into force from
1st august 2005.India and Singapore did MRAs
in Medical, dental and nursing services.
 State Registrars Meeting:All state
Registrars were invited for two days
meeting. The objectives were:
 To ensure. uniformity
 To maintain the quality of Nursing education.
 To understand the problems of each state
nursing councils.
 INC initiated Live Registers in the state of
Tamil Nadu:Objective was to collect data
regarding number of working nurses as defined
by the INC.266 were found trained nurses out
of 841 nurses in Sivaganga Hospital.
STATE NURSING COUNCILS

 Registration in state Nursing council is very

necessary for every nurse. It is necessary to be
registered in order to function officially as a
professional nurse. Registration councils are
functioning in all the states of India and they
are affiliated to I.N.C.
 A register of names of professional nurses is
maintained by each state nurses Registration
Council. These names are also put into the
Indian Nurses Register maintained by the
Indian Nursing Council. Nurses, midwives,
auxiliary nurse midwives and health visitors
are registered. All degree holding nurses also
have to get the registration in state council.
 The present functions of the State Nurses
Registration Council:
 Recognize Officially and inspect schools of

nursing in their states.

 Conduct examinations.

 Prescribe rules of conduct, take disciplinary

actions, etc.
 Maintain registers of Graduate nurses, nurses
holding degrees in nursing, midwives revised
auxiliary nurse midwives or multi-purpose
workers and health visitors.
 Composition of SNRC

 The State Nursing Councils are

administratively headed by the Registrar who
usually is a nurse.
 There is deputy registrar who also is a nurse.
 There is a staff consisting of Accountant and
other staff as clerks and peons to help him in
his day to day work and functions.
 The President and Vice-President is elected by
members from amongst themselves.
 The elections procedures for all the categories
are laid down by statutory provisions in By-
Laws of the Councils.
 Some of the members on the council are still
nominated by the Government whereas
majority are elected by following the electoral
procedures
 Functions of Registrar of SNC
Functions of the Registrar of the State
Nursing Council:
 To draw a programme for examinations of
various types of educational programmes at all
centres at the same time.
 To prepare a time schedule for written and
practical examinations, to prepare Roll number
sheets of students and send them to various
examination centres.
 After examiners have drawn the question
papers, to get them printed under strict
confidential atmosphere and keep up the
secrecy regarding them.
 To prepare examination results and
communicate the results to concerned
institutions.
 To prepare the diploma certificates and
registration certificates of nurses who have
been qualified for both.
 CONTD…….

 To arrange for inspections to ascertain that the

institutions are carrying out the educational
programmes as per syllabus, conditions and
rules and regulations laid down by State
Council.
 TRAINED NURSES
ASSOCIATION OF INDIA
The TNAI is the national professional association.
1905 : association of nursing superintendent at lucknow
OBJECTIVES :
o Uphold the dignity and honour of nursing profession

o Promote a sense of espirit-de-corps among all the

nurses.
o Enabling members to take counsel together on matters

relating to their profession.

1909 : Inaugurated Trained Nurses Association.
1910 : TNA elected its own officer.
1922 : Two organizations were brought together as the
“TRAINED NURSES ASSOCIATION OF INDIA”
AIMS :
 To standardize, upgrade, develop nursing education and to
elevate nursing education.
 To improve the living and working conditions of the nurses
and develop the educational conditions available for
nursing.
 To provide registration for qualified nurses and to provide
reciprocity of registration within different states in the
country and within different countries.
 Organizations of TNAI
 Health visitors League(1922)
 Midwives and Auxiliary Nurses: Midwives
Association(1925)
 Student Nurses Association”(1929-1930)
The TNAI is an associate member
of many organizations like Indian Red
Cross,Tb Association of India etc. who are
doing welfare activities in their own fields.
 ORGANISATION OF
TNAI
It consists of :
1.President
2. Vice President (3)
3.Honorary Treasurer
4. Secretary General
5. Assistant Secretaries
6. Branch/joint Secretaries
 MEMBERSHIP

 FULL MEMBERS: Fully qualified

Registered nurses.

 ASSOCIATE MEMBERS: Health Visitors,

midwives and ANMs.

 AFFILIATE MEMBERS: Student nurses

and members of affiliated organizations.
BENEFITS OF TNAI MEMBERSHIP
 Holding national level conferences
 Low cost publications for members and students
 Continuing education programmes for updating
knowledge
 Socio-economic welfare programmes
 Research studies are conducted regularly for benefit of
members
 Scholarship for TNAI members and student nurses.
 Annual grant to state branches to hold
activities.

 One fourth railway concession for TNAI

members.

 The guest room facilities at the headquarters

and also in some states.

 Nurses day celebration at Rashtrapati Bhavan

every year.
 PUBLICATIONS
 Handbook of TNAI…..published in 1913.

 Nursing Journal of India……published

monthly. It is the official organ of the TNAI.
A copy of this journal shall be sent
free to all the full members and Associate
members.
 STUDENT NURSES
ASSOCIATION
It is an incorporate organization of TNAI.

 It was established in 1929.

 In 1954 : SNA celebrated its silver

jubilee and no. of units were 117

 At present, it has more than 506 units

 OBJECTIVES OF SNA
 To help students to uphold the dignity of the profession.
 To promote a corporate spirit among students for the common
good.
 To encourage leadership ability and help students to gain a
wide knowledge of nursing profession.
 To help students to increase their social contacts & general
knowledge.
 To encourage professional, social & recreational development.
 To provide a special section in “ THE NURSING JOURNAL
OF INDIA.” for student’s benefit.
 To encourage students to compete for prizes in the students
nurses exhibition & to attend national & state conferences.
 MANAGEMENT OF SNA
GENERAL COMMITTEE OF SNA:

 President of TNAI or vice president

 Vice president of SNA state branches, honorary

treasurer of TNAI, National SNA advisor, secretaries
of SNA state branches, secretary general of TNAI.
 SNA GENERAL BODY
AT NATIONAL LEVEL:

Members are:
 Members of SNA general committee.

 3 representatives from each unit i.e., SNA VP,

SNA Secretary & SNA advisor.
 All SNA delegates attending the conference.

AT STATE LEVEL:
Members are:
 State SNA Executive members

 SNA Unit representatives ( VP, Secretary, SNA

Advisor )
 SNA UNITS
 Members elected by its own in GBM.
Members are:
– SNA Unit advisor ( should be a TNAI member
)
– Vice president
– Secretary
– Treasurer
– Programme chair person
 GBM held at regular intervals
 Agenda for GBM will be acc. To needs of the
unit members & aims & objectives of SNA.
 ACTIVITIES OF SNA
a) Organization of meetings and conferences.
b) Maintenance of diary.
c) Exhibition.
d) Public speaking and writing.
e) Project undertaking.
f) Propagation of nursing profession.
g) Fund raising.
h) Socio-cultural and recreational activities.
i) Other activities.
 INTERNATIONAL ORGANISATIONS

 INTERNATIONAL COUNCIL OF NURSES

(ICN)

 AMERICAN NURSES ASSOCIATION (ANA)

 WORLD HEALTH ORGANISAION (WHO)

INTERNATIONAL COUNCIL OF
NURSES (1899)

MISSION:
To represent nursing
worldwide, advancing
the profession and
influencing health
policy.
 Introduction
 The ICN is federation of National Nurses
Association(NNA) representing nurses in more
than 128 countries.

 Worlds first and widest reach international

organization for health professionals.

 Operated by nurses, for Nurses.

 GOALS
 To influence nursing, health and social policy,
professional and socio-economic standards
worldwide.
 To assist national nurses association (NNA) to
improve the standards of nursing & the competence of
nurses.
 To promote the development of strong NNAs.
 To represent nurses & nursing internationally.
 To establish, receive and manage funds and trusts
which contribute to the advancement of nursing & of
ICN.
 CORE VALUES
 VISIONARY LEADERSHIP

 INCLUSIVENESS

 FLEXIBILITY

 PARTNERSHIP

 ACHIEVEMENT
 ACTIVITIES
PROFESSIONAL NURSING PRACTICE
 Advance nursing practice

 Primary health care

 Family health, women’s health

 Safe water

NURSING REGULATIONS
 Code of ethics, standards & competencies.

 Continuing education.

SOCIO-ECONOMIC WELFARE FOR NURSES

 Occupational health & safety.

 Career development.
 MEETINGS OF ICN

 ICN meets every 4 years.

 These Quadrennial meetings are called

“Congresses”.

 When they are in session,Organisation is

called as the International Congress of
Nurses.
 FUNCTIONS OF GOVERNANCE OF ICN
1. To provide policy direction to fulfil the objectives of ICN
2. To establish categories of membership and determine their
rights and obligations as well as dues.
3. To act upon recommendations of the Board of Directors
relating to admission and readmission of member associations
into ICN.
4. To receive and consider information from the Board regarding
ICN activities since the last CNR.
5. To receive nominees for the Board and to elect the Board.
6. To act upon proposed amendments to the ICN Constitution.
7. To act upon recommendations of the Board of Directors for
the amount of NNA dues.
8. To act through mail or any written communication on ICN
business that requires immediate attention.
 Publication

INTERNATIONAL NURSING REVIEW

AMERICAN NURSES ASSOCIATION (1911)
PURPOSE:
To improve the quality of nursing care.
ACTIVITIES:
 Establish standards for nursing care.

 Develop educational standards.

 Promote nursing research.

 Establish a professional code of ethics.

 Oversee a credentialing system.

 Influences legislation affecting health care.

 Protect the economic and general welfare of RN.
 Assist with professional development of nurse.
MEMBERSHIP
 Federation of state nurses associations
 Individual RN can participate in ANA joining their
respective state nurses association.
PUBLICATIONS
 American journal of nursing.
 American nurses.
 BIRTH OF WHO
 Origin in April 1945…..at San Francisco.

 Formal existence as Specialized Agency…..7

April,1948.

 Celebrated as “ World Health Day”

 WHO
 A specialized, non-political health agency of
United Nations, with headquarters at Geneva.
 WHO is unique among the UN specialized
agencies:
• Own membership.
• Own governing bodies.
• Own budget.
 OBJECTIVE
 The Attainment by all peoples of highest level
of health………Set out in the preamble of the
constitution.
 Health for All by 2000 AD.

 Membership: Open to all countries.

Associate Members: Territories which are not
responsible for their conduct in International
relations.
 STRUCTURE OF WHO
Three Official Organs are:

 The World Health Assembly

 The Executive Board
 The Secretariat
 World Health Assembly
It meets annually, generally at headquarters. The
Assembly is composed of delegates from member
states. Functions are:
 To determine international health policy and
programmes.
 To review the work of past year.
 To approve the budget needed for the following
years.
 To elect member states to designate a person for 3
years on Executive Board.
 The Executive Board
 The Board originally had 18 members, each
designated by member states.
 Now, it has been increased to 31…no less than 3
members are to be elected from WHO regions.
 The members are to be technically qualified in the
field of health.
 The Board meets twice a year but one thirs of
membership is renewed every year.
 It is to give effect to the decisions and policies of
Assembly. And the Board has powers to take actions
itself in an emergency such as epidemics.
 The Secretariat
 It is headed by Director General who is chief
technical and administrative officer of the
organization.
 Prime function is to provide member states with
technical and managerial support for their national
health development programmes.
 At headquarters, there are 5 Assistant Director
Generals, each of whom is responsible for the work
of such divisions, as assigned by the Director
General.
 WHO REGIONS
 Regional Organizations are an integral part of
WHO…..to meet special health needs of different
areas.
 Headed by Regional Director, who is assisted by
technical and administrative officers and members of
Secretariat.
 Regional Committee: Composed of representatives
of member states in the region. Meet once a year to
review and plan the health work.
 WHO REGIONS
Regions Headquarters
South East Asia New Delhi
Africa Harare(Zimbabwe)
America Washington DC(USA)
Europe Copenhagen(Denmark)
Eastern Mediterranean Alexandria
Western Pacific Manila
 WORK OF WHO

 Prevention and Control of specific diseases:

 Epidemiological Surveillance-to ensure
maximum security against international spread
of diseases.
 Fight against Non communicable problems-like
cancer, genetic disorders etc.
 Expanded Programme on Immunization
 Development of Comprehensive Health
Services. It includes:
 Organizing health systems based on primary health
care.
 Development of health manpower and utilization.
 Building of long term national capability.
 Health Services Research.
 Appropriate Technology for
Health(ATH):New programme by WHO to
encourage self sufficiency in solving health problems.
 Environmental health
 Health statistics : WHO has been concerned with
dissemination of wide variety of statistics related to
health problems.
Data is published in:
• Weekly epidemiological record
• World health statistics quarterly
• World health statistics annual
 Biomedical research: it has :
1.Regional advisory committees on health: defines regional
health priorities.
2.Global advisory committee: deals with policy issues of
global import.
 Family health

 Health literature & information:

o WHO acts as clearing house for information on health

problems.
o MEDLARS ( medical literature analysis & retrieval
system)-fully computerized system of US national
library of medicine on international basis.
o WHO has public information centres at headquarters &
each of six regional offices.
THANKS