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Anand Nursing Training Centre: Detailed Project Report
Anand Nursing Training Centre: Detailed Project Report
Anand Nursing Training Centre: Detailed Project Report
FOR
Anand Nursing Training Centre
Prepared by:
AGARWAL PREETAM & CO
CHARTERED ACCOUNTANTS
Vivekananda pally, Malda, 732101
Contents
Introduction.............................................................................................................2
About Prakhar.........................................................................................................6
Affiliation & Approval............................................................................................7
Vision......................................................................................................................7
Promoter’s Background..........................................................................................8
Growth of Nursing Educational Institutions in India............................................10
Role & Career.......................................................................................................12
State Scenario........................................................................................................15
Location Analysis of Patna...................................................................................17
SWOT Analysis....................................................................................................20
Infrastructure Facilities.........................................................................................21
Major Competitors in Patna..................................................................................22
Courses Offered....................................................................................................23
Future Prospects Plan of MGM (Unit of Prakhar)................................................25
Assumptions..........................................................................................................25
Page 1
Introduction
Page 2
The development of nursing in India reflects the country’s history and complex
socio-cultural composition. Traditionally, amongst Hindu and Muslim
communities, the need for female nurses to work outside of the home (including
at night), to touch strangers, to mix with men, and to deal with bodily fluids
(considered polluting within Hindu and Muslim cosmology) has meant that until
relatively recently, nursing was a stigmatized and low status profession. During
colonial times, British missionaries attempted to redefine and professionalize
nursing as a respectable vocational career. British mission hospitals established
nursing schools and recruited poor women or widows from predominantly
Christian communities, many from the southern Indian state of Kerala. Kerala
remains a major supplier of Indian nurses, although this is changing due to a
shift in the desirability of nursing as a career that has come about because of
increased opportunities for migration to the Middle East and further afield. As in
many other countries, nursing is now seen as a potentially lucrative career
choice, a stepping stone to work overseas and towards greater social mobility
for the entire family. This has led to an influx of men into the profession and to a
positive change in the social status of nurses. Nonetheless, in India and
throughout South Asia, the desire to avoid the stigma associated with basic
nursing tasks forms a strong cultural backdrop to the way in which clinical
nursing is valued and practiced today.
Page 3
'Education is not the learning of many facts but the training of the mind to
think.' - Albert Einstein
Despite the fact that nurses form the largest proportion of workforce in the
health care sector, nursing is losing its appeal as a career of choice. Nursing
sector in India continues to experience challenges in terms of Availability,
Distribution and Retention. Some of the key reasons for this are lack of a
rewarding career progression, welfare, income parity, social status, inadequate
work environment, work life balance and empowerment. In addition, alternative
careers with better pay-outs and less stressful work environments and
opportunities to migrate overseas tend to attract nurses better.
Indian Nursing Council believes in the concept of health as laid down by the
W.H.O. i.e.,
“Health is a state of complete physical, mental and social well-being and not
merely the absence of disease or infirmity.”
The International Council of Nurses states that the unique function of the nurse
is to assist the individual, sick or well, in the performance of those activities
contributing to health or its recovery that he would perform unaided if he had
the necessary strength, will or knowledge.
The Council recognizes that the nature of nursing is such that a substantial
portion of learning of the students is acquired in the clinical field of practice.
The Council believes that it has a responsibility in helping the students to
develop pride in their profession besides keeping them abreast with current
knowledge and professional trends for a successful career ahead.
Page 4
Ministry of Health and Family Welfare Notable Achievements and Initiatives-
2015
The Government of India has initiated action for opening of 132 Auxiliary Nurse
Midwife (ANM) and 137 General Nursing and Midwifery (GNM) schools in 278
identified districts in 29 states under Central Sponsored Scheme-
Strengthening/Upgradation of Nursing Services, where there is preferably no
such school. As on date, Govt. has approved for establishment of 128 ANM
School and 137 GNM Schools. Funds to the tune of Rs. 725.oo Crore have
already been released (Centre: State share as 85:15). The components that are
covered under the scheme include civil work, laboratory equipment, teaching
aids, library, computers, furniture, transport, rent for building for 18 months or
till construction is completed, salary of staff, contingencies, etc. Objective of the
Scheme:-
The Govt. of India has also initiated works under another Scheme -
Development of Nursing Services by way of Training of Nurses, upgradation of
School of Nursing into College of Nursing and by giving Florence Nightingale
National Awards Nurses who work for the people. Objective of the Scheme are-
Page 5
About Prakhar
Mrs. Seema Mishra started institute in 2009 and got affiliation from Magadh
University in 2010. The institute got affiliation for nursing from State
Government in 2015 and got recognition from Indian Nursing Council in 2016.
MGM Nursing Training School provides nursing education with diploma in
nursing and qualified auxiliary nurse midwives (A N M).
MGM continues to look for beyond the routine and so has developed many
activity based quality educational programs. Besides covering the entire syllabus
effectively, the highly interactive mode of teaching users case studies, group
discussion, situation handling, senior – junior interaction, seminar presentation
and internship. Student’s direct and active involvement in the training makes
them very comfortable in facing the challenges of the corporate life. Looking
into the requirements of corporate, the institute maintains a very strong and
close relationship with its future employers in the form of “industry interface”,
which is a very regular feature at MGM. This helps trainees to get exposure to
work culture, organizational practices and ad in-depth understanding of
corporate culture. In order to make learning more enriched, the trainees are
expected to make presentations and proper analytical reports based on their
observation and data collection.
Page 6
Affiliation & Approval
Vision
Page 7
Promoter’s Background
Dr. (Mrs.) Manju Geeta Mishra
Prof. Dr. (Mrs.) Manju Gita Mishra is the head of D.G.O., M.S. (Obst. & Gynae)
F.I.C.O.G., F.I.C.S., F.I.A.M.S., F.I.C.M.C.H. and Ex-Professor of Obstetrics and
Gynaecology, Patna Medical College and Hospital, Patna. She is the President of
ISOPARB 2014-2016 and Chairperson of Medical Education Committee, FOGSI -
2007-09.
Mrs. Manju Geeta Mishra is specialized in High Risk Pregnancy & Adolescent
Gynaecology, Emergency Obstetrics. She is also connected with various
Associational activities and holds various posts in the past:
1) Past Senior Vice President of ISOPARB,
2) Past President of B.O.G.S.,
3) Past President I.M.A. Bihar State,
4) Past President I.M.A. All India Women’s Doctors Wing.
5) Past Secretary General of ISOPARB.
6) Past President of Association Obstetrics Gynaecology Society Bihar
Jharkhand
She has got the Life time achievement Award - given by B.O.G.S. in 2015 and
Jagran Health Excellence Award – 2015. She has been the recipient of various
awards:
1) Kanak Goyal Award
2) C.L.Jhaveri Family Planning Awards
3) Dr. B.C.Roy National Award
4) Dr. R.K.Menda Community Service Award
She organized various Seminars, Workshops Conferences and rural camps. She
promoted O.C.P. and A.I.D.S. awareness in different parts of Bihar. She
contributed chapters in FOGSI Publication and edited book – “CRITICAL CARE IN
OBSTETRICS 1st & 2nd edition”, “Treatment and Prognosis in Obstetrics &
Gynaecology” and more than seventy publications in various National and
International Journals.
Page 8
Mrs. Seema Mishra
Mrs. Seema Mishra, w/o Mr. Prabudh Paritosh Mishra, is the resident of Kadam
Kuan, Jagat Narayan Road, Patna- 800003, Bihar. She completed graduation
from Mumbai University in 2000 and MBA (Finance) in 2006. She started MGM
Institute in 2009 and got affiliation from Magadh University in 2010. MGM
institute got affiliation for nursing from State Government in 2015 and got
recognition from Indian Nursing Council in 2016. She is also associated with
MGM Hospital Research Private Limited.
Vivek Jha
Mr. Vivek Jha is the corporate lawyer in PWC, Gurgaon.
Dr. (Mrs.) Renu Kumari
Dr. (Mrs.) Renu Kumari is a renowned doctor in Homeopathic Medicine and
Surgery, currently working in MGM hospital.
Anil Kumar Jha
Mr. Anil Kumar Jha is the head of accounts department in MGM Hospital.
Mr. Ravi Kant
Mr. Ravi Kant is responsible for organising and conducting various social
awareness programmes in MGM Hospital.
Page 9
Growth of Nursing Educational Institutions in India
Page 10
Page 11
Role & Career
India has long been known as a hub for nurses, and often looked upon to supply
nurses to the 1st World Nations. Notably, when we consider Indian history,
nurses were actually young men. Women acted as midwives for aiding in
childbirth. And, a long time ago, the acceptance of nursing as a profession in
India was blockaded due to various reasons. At that point in time, India was
caught in the fences of political upheaval and cultural uncertainty.
However, time passed. Now, for many good reasons, nursing as a profession has
grown and the demand for nurses in India is set to continue. While once there
was very little choice in choosing any specialization, there is now a plethora of
career opportunities.
The career opportunities in nursing are very high not only in India but also
abroad. With more and more nursing colleges opening up each day, it is a sign of
the requirement of skilled and qualified people required for the service.
Undoubtedly, the career is not for everyone as it asks for a lot of patience and
hard work.
There is still a great deal of need of skilled nurses in the field of Medicine. The
world is far away from reaching its brink when we talk of qualified and skilled
nurses. The nursing field from medicine has also made its way to the corporate
sector which further increases the need of skilled people in the stream. Talking
only of India, we are far- far away from reaching the adequate nurse-patient
ratio.
There are opportunities available in the private as well as government sectors. A
person from this profession has the option of working with government or
private hospitals, old homes, armed forces, orphanages, industries, Indian Red
Cross Society, State Nursing Councils, Indian Nursing Council and so many other
endless possibilities exist today.
On gaining enough experience one can freelance and work as a nurse for
someone in private.
Page 12
Providing
Nursing
Care
Involvement
Transition &
of family &
Continuity
friends
Co-
ordination &
Shared Nurses Role integration
Decision
making in Healthcare of Care
(Team
Medicine)
Keeping Physical
patients safe Comfort
Emotional
Support
Staff Nurse- Staff nurses provides direct care to patients. They are
answerable to the ward supervisor for the assistance they perform in the
ward management and supervision.
Nursing Supervisor or Ward Sister is another career option. They are
answerable to the nursing superintendent. They are responsible for nursing
care, safety and comfort management of a ward or unit. They also assign
work to the personnel working in the ward, regardless of whether they are
Page 13
in the nursing profession. If they work in a teaching hospital, then they also
provide lessons to students.
An Assistant Nursing Superintendent or Department Supervisor is
answerable to the nursing superintendent and deputy nursing
superintendent. They hold the responsibility of nursing care and
management of more than one unit or ward. It can be any department, such
as the surgical department or the outpatient department.
Deputy Nursing Superintendents are answerable to the nursing
superintendent. They hold the responsibility of assisting the latter in the
nursing administration of the hospital.
Nursing Superintendent is accountable to the medical superintendent. They
hold the responsibility of safety and at the same time efficient management
of all of the services the hospital provides.
Director of Nursing holds the responsibility of keeping an eye on both the
nursing services and the teaching services if the hospital offers nursing
education.
Outside the Hospital:
A Community Health Nurse focuses on serving in the favor of reproductive
child health program.
Military Nursing Service leads nurses to be commissioned officers who earn
ranks from lieutenant to major general.
State level Deputy Director of Nursing at the state health directorate.
National level Nursing Advisor to the Government of India.
Apart from all of the career opportunities a nurse may acquire within India, the
nursing profession abroad has been very enticing with high salaries and more
opportunities that are professional. There is no doubt that the nursing
profession is a fascinating career choice.
Page 14
State Scenario
In both Bihar and Gujarat, 17 of the 21 institutes sampled were located in urban
areas. Institutes had been operating for a median of 3 years in Bihar and 5 years
in Gujarat. Institutes in Gujarat were more likely to be teaching multiple training
programs: while 84 % of institutes in Bihar taught only one course, 49 % in
Gujarat did the same.
The median class size was around 30 in both states, but the average teacher-
pupil ratio was better in Gujarat (1:10) compared to Bihar (1:12.5).
Administrators reported that among current faculty, teachers in Bihar had a
median of 7 years of teaching experience and had never worked in the industry.
Similarly, teachers in Gujarat had a median of 6 years of teaching experience,
with no other work experience. Although 45 % of institutes in Bihar and 87 % in
Gujarat had hired new faculty members in the 3 years preceding the survey,
teacher unavailability at private institutes was a cause for concern: 19 % of
students in Bihar and 23 % of students at private institutes in Gujarat reported
teachers being unavailable when required in the week preceding the survey. The
median course fees charged for an ANM course in Bihar was 72 000 INR or 1.8
times the per capita state gross domestic product (GDP) in 2014–2015. There
was a vast difference in fees charged by public and private institutes. Training
fees paid by students were the sole source of revenue for 86 % of institutes in
Bihar and 21 % of private institutes in Gujarat.
About half the surveyed institutes (59 % in Bihar and 41 % in Gujarat) reported
undertaking activities to connect students with employers. The most common
method was using the personal connections of staff and faculty to help students
learn about job opportunities. Only a small group of institutes—around 10 %—
participated in formal placement programs such as job fairs.
Page 15
Students
Gaining employment in the public sector was the primary reason for studying
nursing. Ninety per cent of students in Bihar and 63 % in Gujarat wanted a
public sector job upon completing training; 10 % of students (5 % in Bihar and 11
Page 16
% in Gujarat) wanted to work in the private sector, and 20 % (5 % in Bihar and
25 % in Gujarat) wanted to study further. Students reported that the most
common way of getting a job was taking exams for public sector employment.
When presented with a list of technical and non-technical skills and asked to
pick those that are most important for getting a desired job, students ranked
working hard and passing these exams the highest. Confidence and luck were
also deemed important skills for the labor market. In addition, students
anticipated tapping into their personal networks to find employment
opportunities: most—55 % in Bihar and 64 % in Gujarat— believed that it was
very difficult to get a job without using personal contacts and references. Eleven
per cent of students in Bihar and 27 % in Gujarat listed personal contacts as the
most popular means of finding employment, and 20% of students in both states
reported institute placement cells as important sources of information about
jobs.
Twenty-eight per cent of students in both states regarded the lack of demand
for trained nurses as the biggest challenge faced while searching for
employment. In Bihar, poor communication skills, such as the inability to
converse in English, and low confidence were also cited as challenges by 20 % of
students. The primary suggestions given by students for improving their training
programs were improving placement services and teaching non-technical skills,
such as communication and personality development.
Patna is the capital and largest city of the state of Bihar in India. Patna is the
second largest city in eastern India after Kolkata. It had an estimated population
of 1.68 million in 2011, making it the 19th largest city in India. With over 2
million people, its urban agglomeration is the 18th largest in India. Patna also
serves as the seat of Patna High Court.
One of the oldest continuously inhabited places in the world. Patna was
founded in 490 BCE by the king of Magadha, Ancient Patna, known as Patliputra,
was the capital of the Magadha Empire under
the Haryanka, Nanda, Mauryan, Shunga,Gupta and Pala empires. Patliputra was
Page 17
a seat of learning and fine arts. Its population during the Maurya period (around
300 BCE) was about 400,000.
The modern city of Patna is situated on the southern bank of river Ganges. The
city also straddles the rivers Sone, Gandak and Punpun. The city is
approximately 35 kilometres (22 mi) in length and 16 to 18 kilometres (9.9 to
11.2 mi) wide. In June 2009, the World Bank ranked Patna second in India
(after Delhi) for ease of starting a business. As of 2011-12, Patna had the highest
per capita gross district domestic product in Bihar, at ₹63,063. Using figures for
assumed average annual growth, Patna is the 21st fastest growing city in the
world and 5th fastest growing city in India according to a study by the City
Mayors' Foundation. Patna registered an average annual growth of 3.72% during
2006-2010.
Patna city is governed by Municipal Corporation which comes under Patna
Metropolitan Region. The Patna city is located in Bihar state of India.
Population of Patna Plan area in 2031 is likely to be 60.25 lakh out of which the
estimated urban population will be 48.77 lakh. The total number of workers that
year is projected to be 16.09 lakh, considering the 33% of the urban population,
according to the Patna Master Plan for 2031.
The projected figure has been based on the trend using share and shift method.
It has been projected for the region as a whole as well as community
development blocks (CD blocks) and villages. It has also been validated by the
provisional figures released by Census of India.
The proposed Patna Plan area would have 1,144.92 sq km. It is spread across 13
CD blocks in Patna district. There are 564 administrative units from these 13 CD
blocks out of which six administrative units are urban centres, viz. Patna
Municipal Corporation, Danapur Nagar Parisad, Khagaul Nagar Parishad,
Phulwari Nagar Parishad, Maner Nagar Panchayat and Fatuha Nagar Panchayat.
Page 18
Most importantly, Patna has an inadequate educational infrastructure creating
a huge mismatch between demand and supply. This problem is further
compounded by increases in population. The growth has come up mostly in
infrastructure and tourism sector, and not in the sectors which advance human
development. There is a significant gap between the demand and supply of
nurses in the health sector. Also, nursing education continues to be outdated
and not catering fully to the current industry needs. There is a need to overhaul
the nursing education and curricula and at the same time there is a requirement
for bringing necessary changes that can turn nursing into an attractive
profession.
Demand Supply
To bridge the gap between demand and supply of nurses, there is requirement
of professional nursing training institute in Patna, Bihar.
Considering the above, MGM has decided to start two new courses like G.N.M.
and B.Sc (Nursing) incorporating:
Page 19
Quantitative and qualitative nursing training.
SWOT Analysis
Strengths:
1. High demands for nursing professionals both in India and
internationally.
2. Location is the key strength of MGM as it is located at Kadamkuan,
Patna.
3. Promoters are from the medical background and have very high
reputation in the field of medical.
4. Less number of nursing institutions in Patna.
5. Extensive Institutional Infrastructure already in place.
6. Rich experience, good practices and related learning.
Weaknesses:
1) Less awareness about nursing training courses.
2) Gaps in policy, design and delivery of training and capacity building
programmes.
3) Social status attached to nursing as a profession.
Opportunities:
1) Increasing investment in nursing education based on rising global and
domestic demand of skilled nursing professional.
2) Increased Job Opportunities in Patna.
Page 20
3) Competitive Advantage as MGM is a well known institute.
Threats:
1) Competition with other nursing institutes like Indira Gandhi Institute of
Medical Science (IGIMS), AIIMS.
2) Increasing complaints and litigation.
Infrastructure Facilities
Page 21
Library
There is well furnished hostel inside the campus separately for boys and girls. It
has all the amenities of comfort and safety. Indoor games and computers are
also facilitated inside the hostel.
Page 22
knowledge Area, Mithapur, (Nursing)
University Patna-800001.
Courses Offered
Present course status of MGM (Unit of Prakhar)
Page 23
Sr. Courses Allotted Duration of Fee Structure Total Fees (Rs.)
No Seats Courses
.
1. A.N.M 40 2 Yrs Rs. 90,000 per 1,80,000/-
annum
Proposed courses
1. GNM- GNM is a three years course with the minimum eligibility is Class
10th or equivalent.
2. B.Sc (Nursing)- The student needs to have completed their Class XII with
Physics, Chemistry and Biology. The duration for B.Sc (Nursing) is four
years.
Objectives of GNM
Page 24
1. to provide a balance of professional and general education.
2. to enable a student to become a professional nurse practitioner who has
self direction and is a responsible citizen.
Over the next 5-6 years MGM has number of development goals.
1. To add new courses like GNM (3years Nursing Course) & B.SC Nursing
(4Years Nursing Course).
2. To initiate new techniques in developing the students to face modern
method of Personality Test and Interview.
3. To organize various short-term courses, workshop, seminars from experts
under various departments.
Page 25
Assumptions
1) Term Loan repayment has been considered for 7 years.
3) Implementation Schedule-
Page 26