Govt.

College Of Nursing
Jodhpur

Presentation Topic On -
Professional Organization and Unions

Subject – Advanced Nursing Practice

Submitted To Submitted By

Mrs. Annamma Sumon Jitendra Bokha

Associate Professor M.Sc Nsg Previous

GCON Jodhpur Batch - 2023

 Professional Organization and Unions
INTRODUCTION
 Professsional nursing organizations provide opportunities for nurses to branch out of their existing
workplace to meet new people and learn new things.
 Professional organization and associations in nursing are critical for generating the energy, Flow of ideas,
and proactive work needed to maintain a healthy profession that advocates for the needs of its clients and
nurses, and the trust of society.

DEFINITIONS
Profession – “an occupation based on specialized intellectual study and training, the purpose of which is to
supply skilled service with ethical component to other for a definite fee or salary.”
– R Louis McManur in 1952.

Professional Organization – Reflect the natural tendency of people to join together for a common purpose,
the development of commerce and industry and the political and social realities of achieving public recognition
of prestige.
Organization - Organization is the arrangement of personnel for facilitating the accomplishment of some
agreed purposes through the allocation of functions and responsibilities.

CLASSIFICATIONS
Regulatory Bodies –
1. International Council Of Nurses (ICN)
2. Indian Nursing Council (INC)
3. State Registration Council (eg. RNC & PNC etc.)
Professional Associations –
1. Trained Nurses Association Of India (TNAI)
2. Student Nurses Association
3. Health Visitors’ League
4. Midwives And Auxillary Nurse Mid-Wives Association
5. Nursing Research Society Of India
6. State Nursing Associations
Other Associations –
1. Commonwealth Nurses Federation
2. The Christian Nurses’ League
3. American Nurses Association (ANA)
4. National League For Nursing (NLN)

International Council Of Nurses (ICN)

 ICN is federation of non-political and self-governing national nurses’ associations which seeks to attain
high standards of nursing service and nursing education, to develop nursing as profession and to safeguard
the social and economic welfare of nurses in their own countries.
 Founded in 1899, the international council of nurses is the oldest international professional organization in
the health care field.
 Headquarter of ICN placed at Geneva, Switzerland.
 Mission – To represent the nursing worldwide, advancing the profession & influencing health policy.
 3 Main Goal Of ICN -
To bring nursing together worldwide.
To advance nurses and nursing worldwide.
To influence health policy.

 Objective of ICN –
1. To promote the development of strong national nurses association.
2. To assist national nurses, association to improve nursing standard.
3. To nurses, association to improve status of nurses within their countries.
4. To serve as authoritative voice for nurses and nursing internationally.

Council Of National Representatives

ICN Board of Directors

Chief Executive Officer (CEO)

ICN Personnel
Fig. ICN Organization Chart

 United States & Britain, Germany as its charted members. ICN is governed by a council of nursing
representatives (CNR). CNR is the governing body for the ICN and sets policy, admits members, select
board directors. National representative are selected by each members association. CNR meets every two
years. Between meetings of the CNR, the ICN is governed by a 15 member board of directors. One CEO,
member of board 15 director, President, vice president which are elected on the basis of representation from
the ICN’s seven geographic areas.
 Membership – Membership is limited to one nursing organization per nation. In most cases, this is the
national association (such as American nurses association, trained nurses association etc.)
 ICN is actively working for –
1. Professional nursing practice –
 Advanced nursing practice
 HIV/TB & Malaria
 Woman’s health
 Primary health care
 Family health
 Safe water
2. Nursing regulation –
 Code of ethics, standards
 Continuing education
3. Socioeconomic welfare for nurses –
 Occupational health and safety
 Human resources planning and policies
 Carrier development
 International trade in professional service
 Activities of ICN –
 Nursing education, economic and general welfare of nurses, nursing practice and service, nursing
legislation, nursing research and cooperation with other health profession.
 Function of ICN –
  To provide policy direction to fulfil the objectives of ICN.
 ICN works: to ensure quality nursing care for all.
 To improve the advancement of nursing knowledge.
 ICN also formulates the code of ethics of nurses.
 Promote the development of strong national nurses association.
 Assist national nurses association to improve standard of nursing and competence of nurses.
 Assist national association improve the status of nurses within a country.
 Serve as the authoritative voice of nurses and nursing internationally.

Indian Nursing Council

 Introduction – Enactment Date: [31st December, 1947.] Indian Nursing Council is a national regulatory
body for nurses and nurse education in India. It is an autonomous body under the Government of
India, Ministry of Health & Family Welfare, constituted by the Central Government under section 3 (1) of
the Indian Nursing Council Act, 1947 of Indian parliament. According to the original act the function of the
council is to provide “uniformity in nursing education”.
 Programs Under INC –
 ANM
 GNM
 Post Basic Bsc Nursing
 Bsc Nursing
 Msc Nursing
 M. Phil
 Doctorate in Nursing education.
 PG Diploma
 Guidelines for establishment of new nursing school or college in India approved by INC –
1. Any organisation under the central government, state government, local body or a private or public trust
mission voluntarily registered under Society registration act visit to open a school of nursing should
obtain the no objection or essentially certificate from the state government
2. The Indian Council on receipt of the proposal from the institute to start nursing programme will
undertake the first inspection to access suitability with regard to physical infrastructure clinical facility
and teaching faculty in order to give permission to start the program.
3. After the receipt of the permission to start the nursing programme from INC, the institution shall obtain
that approval from the state nursing council and examination board
4. Institution will admit the students only after taking approval of the state nursing council and examination
board.
5. The INC will conduct inspection every year till the first batch complete the program. Permission will be
given year by year till the first batch completes.
 Inspections done by the Indian Nursing Council for various nursing programmes –
1. First inspection – The first inspection is conducted on receipt of the proposal receipt from the institute
to start any nursing program prescribed by INC.
2. Re – inspection – Inspections are conducted for those institutions which are found unsuitable by INC.
The institutions and the government are informed about the deficiencies and advice to improve upon
them. Once the institution take necessary state to rectify the deficiencies institution should submit the
compliance report with documentary proof of deficiency point out and re inspection fees. On receipt of
the compliance report and fees from the institutions, it will be considered for reinspection.
3. Periodic inspection – INC conducts periodical (after three years) inspection of the institution once the
institution is found suitable by INC to monitor the nursing education standards and adhere of norms
prescribed by INC. Institutions are required to pay annual affiliation fees every year. However, if the
institution does not comply with the norms prescribed by INC for teaching clinical and physical facility
the institution will be declared unsuitable
1. Function of INC –
 Setting standards for nursing education.
 Accrediting nursing schools to ensure quality education.
 Developing and updating nursing curriculum.
 Conducting examinations and issuing licenses for nurses.
 Promoting continuing education for nurses.
 Encouraging research in nursing.
 Establishing ethical guidelines for nurses.
 Monitoring compliance with regulations and addressing complaints.
 Inspect Schools & Colleges of Nursing.
So, the INC makes sure that nurses are well-trained, follow the rules, and behave properly to take care of
people the best they can.

State Nursing Council

2. Introduction – The State Nurses and Midwives Council was established in 1948 under the provisions of
Nurses and Midwives Act with the purpose of “Better training of nurses, midwives & health visitors”. It
works as an autonomous body under the Government of respective states, Department of Health and Family
Welfare. It is also known as state registration council.
E.g. RNC (Rajasthan Nursing Council, Jaipur).
3. Function of state registration council –
1. To accredit and inspect the school/college of nursing in their states.
2. Conduct Examinations.
3. Prescribe rules of conduct, disciplinary action etc.
4. Maintenance of register of nurses, auxiliary nurse, midwives and health visitors.
5. Registration of nurses and midwives in their state.
6. Prepare time schedule for written and practical examinations, roll numbers, Sheets of students and send
to various examination centres.
7. Draw a schedule for examinations for various types of educational programme at all centres at the same
time.
8. Oscar exemplar have prepared the question papers, to get them printed under strict Confidence in
atmosphere and keep-up the secrecy.
9. Get the examination conducting at various centers and get the evaluation done.
10. Prepare the examination result and communicate to various institutions.
11. Prepare the diploma certificates and registration certificate of nurses who have qualified for both.
12. Maintenance of several of records names and address of nurses which are registered in state nursing
council.
 Members of state nursing council –
1. President, i.e. Director of health of health services.
2. 8 member appointed by state government According to scheduled.
3. 2 registered nurses to be elected by nurses registered under the act.
4. One registered health visitor elected by registered health visitors.
5. One registered midwife elected by registered nurse.

Trained Nurses Association Of India (TNAI)

 Introduction – It is a national association of nurses. The Association had its beginning in the “Association
of Nursing Superintendents” which was founded in 1905, at Lucknow. At the Annual Conference held in
 Bombay in 1908, a decision was taken to establish Trained Nurses’ Association. The Association was
inaugurated in 1909. In 1922 the Association of Nursing Superintendents and Trained Nurses’ Association
were amalgamated and called The Trained Nurses’ Association of India (TNAI). The Association has
established within its jurisdiction the following organisations: Health Visitors’ League (1922), Midwives
and Auxiliary Nurse-Midwives Association (1925), Student Nurses Association (1929-30). In 1974 the
TNAI became a member of the Commonwealth Nurses Federation (CNF). The first handbook of TNAI was
publish in 1913. The Nursing Journal of India is the officially publication of TNAI & publish monthly.
Headquarters of the Trained Nurses’ Association of India, New Delhi.
 Objective of TNAI – To uphold in every way the dignity & honor of nursing profession. To promote a
sense of spirit de corps among all nurses. To enable member to counsel together on matters related to there
profession. Upgrading, developing & standardization of nursing education. Improvement of living working
condition & educational condition for nurses. Improve economic status of nurses in the country.
Recommends the state government to appoint a nurse as a nursing director.
 Function of TNAI – To publish Nursing Journal of India. To raise funds, Professional visits, Welfare fund,
Scholarship for education etc.
 Challenges of TNAI – Mushrooming of nursing institution. Dilution of quality, Inadequate staff in
government institution. Lack of nursing involvement in policy making. Need for nursing leadership
establishment.
 Future plan of TNAI – Furthering service education programme. Furthering continuous nursing education
programme. Centre to care for senior citizens. Role in community development programme. Adoption of
village of health centres.
 TNAI Publication – A Community Health Nursing Manual, Fundamental of Nursing – A Procedure,
History & Trends in Nursing, Nursing Administration and Simplified Microbiology, Nursing in India, SNA
Diary, SNA Badge, SNA Rules Regulations & Bye Laws, TNAI Hand Book, TNAI Badge, The Nursing
Journal of India, BADGES TNAI/HVL Badges SNA Badges.
Incorporate Organization of TNAI
1. Student Nurses Association (SNA)
2. Health Visitor League
3. Midwives and Auxiliary Nurses Midwives Association

Student Nurses Association (SNA)

 Introduction –The student nurses association (SNA) is a nationwide organization. It was established in
1929 at the time of annual conference in General Hospital, Madras but due to increase in number of
delegates, it was felt in 1960 to hold a separate conference for the student’s nurses. Since 1961, student
nurses are having biennial conference.
Miss L.N.Jeans, Nursing Superintendent, Government General Hospital, Madras, was the first Honorary
Organizing Secretary of SNAI. The first SNA annual Conference was held in Delhi during November 1932.
The first one-day SNA Conference was held in 1951, and the first Biennial SNA Conference was held at
Nagpur in 1961. Miss I. Dorabji was appointed as first SNAI Secretary.
 Mission – Promoting professional and social unity among the nursing students of our nursing college,
providing a closer bond and more unified spirit among all nursing students through group activities and
stimulating interest and understanding in the program of the professional nursing organizations.
 The objectives of SNA – Is To help students to uphold the dignity and ideals of the profession for which
they are qualifying. To promote a co-operative spirit among students for common good. To furnish Nurses
in training with advice in their courses of study leading up to professional qualification. To encourage
leadership ability and help students to gain a wide knowledge of the Nursing profession in its different
branches and aspects. To increase the student's social contacts and general knowledge in order to help them
take their place in the world when they have finished their training. To encourage both professional and
recreational meetings games and sports. To provide a special section in The Nursing Journal of India for the
benefit of students. To encourage students to compete for prizes in the various competitions and also to
attend national and regional.

 Management –
1. President of TNAI or one of the vice presidents if the
President wishes to delegate the responsibility.
2. Vice presidents of SNA state branches.
3. SNA advisor who must be a full member of TNAI.
4. State branches is SNA advisor.
5. Secretary of the SNA state branches.
6. Secretary-general, TNAI.
7. Honorary treasurers of TNAI.

Health Visitor League

 Introduction – The name of this associate organisations of TNAI shall be the health visitor league.
 Objective – Two uphold in every way the dignity and of honor of health visitors. To promote, among all
health visitors, esprit de corp. To enable members to take council together on matters affecting their
profession. To raise the standards of education and practice of the health visitor.
 The president of TNAI shall be the president of Health visitor League
 Membership – health visitor holding a certificate from any health visitors Training school recognised by
Indian Nursing Council Or in case of foreign qualification, recognised by the government of the country
concerned, Shall be eligible for membership.
 Midwives And Auxiliary Nurse-Midwives Association
The name of associate organisation of TNAI shall be the midwives and auxiliary nurse midwives.
Objectives – To uphold in every way, the dignity of honor of midwives and Auxiliary midwives. To promote
among all midwives and auxiliary nurse midwives, esprit de corp. To enable members to take council together
on matters affecting their profession. To raise the standards, of education and practise health visitor.
Management – The governing body of Association shall be the council of TNAI.

Nursing Research Society of India

The nursing research society of India was established in May, 1986 to promote research within and around
nursing environment. It is registered under the Societies Act 21 of 1960 with registrar of societies, Delhi
administration (Dated 2nd December 1987).
Aim and objectives – supports in the development of nursing research activities in the universities and nursing
healthcare institutions. Provide a platform to nursing scientists to exchange view on nursing research. Promotes
and sponsor scientific meets, seminar and conference to advance nursing research. Creates public interest in the
contribution of nursing informative and preventive and Restorative activities. Establish a nursing research
Journal of India and brings out other documents pertaining to innovation in nursing.
Milestones – First national conference At AIIMS Delhi supported by Ministry of Health and family welfare
WHO and UNICEF Held on September 16th-17th.
Governing Authorities of NRSI – President – Dr Inderjit Walia. Secretary – Ms. Uma Handa JT. Secretary –
Ms Prem Mehra Treasurer – Ms. Kanta Sanger Editor – Ms Saramma Samuel

Commonwealth Nurses Federation (CNF)

The Commonwealth Nurses federation is one of the 17th Commonwealth wide professional foundation receiving
grant from Commonwealth Foundation. The Secretariat of the federation was established in 1973 at Royal
Commonwealth Society, london. On that date, the number of members associate was 25, and this number has
increased now.
Aims and objectives – To further developments of nursing for the benefit of the community in countries within
Commonwealth. To promote the advance of nurses as a profession. To effect closer links between national
nurses association within the Commonwealth As a mean of providing mutual help and support. To make
available expert advice and assistance. To disseminate professional information for the benefit of nurses. Two
encourage the establishment of scholarship. To organise Commonwealth Nurses Conference from time to time.
To encourage establishment of national nurses association in those commonwealth countries where one exists.
To cooperate with other Commonwealth professional association.

American Nurses Association (ANA)

It was established in 1911.
Purpose – to improve quality of nursing care.
Activities – establish standard of nursing care. Develop educational standard. Promote nursing research.
Establish a professional code of ethics. Oversee a credentialing system. Protect the economic and general
welfare of registered nurses. Assist with professional development of nurses by providing continuing education
program.
Membership – Federation of state nurses association. Individual registered nurses can participate in ANA by
joining their respective state nurses association.
ANA standards of professional performance –
1. To provide high quality care to patients for early recovery.
2. Performance appraisal; performance appraisal of employees are necessary to understand ties,
Competencies and relative merit and worth for the organisation. Performance appraisal rates the
employees in terms of their performance.
3. Quality education; It is to develop basic learning skills, Reading, writing, arithmetic and life skills,
Necessary for the nurses to survive and improve the quality of life. The competency represent level of
learning in a particular subject comprising Basic knowledge, understanding, abilities, interest, attitude,
value.
4. Ethics; It involves systematizing, defending and recommending, concepts of right and wrong behaviour.
5. Collaboration; It is working together to achieve a goal. It is a process where two or more people or
organisation work together to realise shared goal.
Research Studies by ANA – ANA has conducted several database studies as well as several literature reviews
(patient classification system, Relationship between nurse staffing and patient outcomes, etc. The conduct of
empirical studies in based upon the needs of association as related to emerging nursing issues.
ANA publications; e.g.; American nurse, American nurse today, online journal.

Logo – American Nurses Association

National League for Nursing –

Dedicated to excellence in nursing, the National League for Nursing as the nation's first nursing association
serves as the leading voice for nurse faculty and leaders in nursing education. The NLN offers professional
development, networking opportunities, assessment services, nursing research grants, and public policy
advocacy for nearly 45,000 individual and over 1,000 institutional members. NLN members represent nursing
education programs across the spectrum of higher education, health care organizations, and agencies.

Founded in 1893 as the American Society of Superintendents of Training Schools for Nurses, the National
League for Nursing was the first nursing organization in the United States. Headquartered in Washington, DC,
the NLN is led by a board of governors elected at large by the membership for three-year terms.

Headquarter – The National League for nursing headquartered in New York City.
 Logo - National League for Nursing

SUMMARY
Toward conclude we are discussed, Regulatory bodies of nursing at national and international level and
professional nursing organizations and unions. Introduction, function, objective of ICN, INC, SNRC etc. brief
explanation of professional nursing organizations and unions e.g. TNAI, SNA, CNF, ANA, NLN etc, and how
the protect and provide supports to the nursing profession.

CONCLUSION
In conclusion, professional nursing organizations and unions play vital roles in supporting nurses, advocating
for their rights, and promoting excellence in healthcare. Together, they contribute to the advancement and well-
being of nurses and the quality of patient care in India. Regulatory bodies supervise the nursing institution and
make rule – regulation, needful guidelines, conduct examination etc.

BIBLIOGRAPHY –

1. Kaur, Navndeep. "Advanced Nursing Practice: Concepts, Role, and Evaluation." New Delhi: Jaypee
Brothers Medical Publishers, 2022.
2. Basavanthappa, B. T. "Nursing Management Principles and Practice." New Delhi: Jaypee Brothers Medical
Publishers, 2018.
3. Sharma, S. K. "Contemporary Issues in Nursing Practice." New Delhi: Jaypee Brothers Medical Publishers,
2021.
4. Kozier, B., & Erb, G. "Fundamentals of Nursing Practice." New Delhi: Pearson Education India, 2020.