INRODUCTION

Regulation refers to the processes used to designate that an individual, programme, institution or product have met established
standards set by an agent (governmental or non-governmental) recognised as qualified to carry out this task.- StylesREGULATION
&Affara, 1997,
DEFINITION
“Regulatory body is the formal organization designated by a statute or an authorized governmental agency to implement the regulatory
forms and process whereby order, consistency and control are brought to the profession and its practice.” - ICN,1997
IMPORTANCE OF REGULATORY BODIES
 Set and enforce standards of nursing practice
 To support and assist professional members
 To provide quality health care service to the public
 To exercise legal control over institution within their respective area
 Set the requirements for registration of nursing professionals
 Monitor and enforce standards for nursing education
NURSING REGULATORY MECHANISMS
MAIN FUNCTIONS
 To identify the minimum level of nursing care that must be provided to clients
 To define the scope of nursing practice
 To protect patient or society
 State nursing council
 Indian nursing council
THE INTERNATIONAL COUNCIL OF NURSES (ICN)
The International Council of Nurses (ICN) was founded in 1899 with Great Britain, the United States, and Germany as charter
members.
 The ICN is governed by a Council of National Representatives (CNR)
 ICN is a federation of more than 130 national nurses associations (NNAs), representing the more than 16 million nurses
worldwide
 ICN is the world’s first and widest reaching international organization for health professionals
STRUCTURE OF ICN
The headquarters is in Geneva, Switzerland.
Its governing body is the Council of National Representatives (CNR) made up of the president of each member country (on the
principle of one country one vote’), board of Governors consisting of the: President, vice presidents , 12 other members elected by the
council CNR meet every two years to determine policy matters affecting the nursing profession.
GOALS
 To bring nursing together worldwide
 . To advance nurses and nursing worldwide.
 To influence health policy.
FUNCTIONS 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.
CODE OF ETHICS
The ICN code of nurses is the foundation for ethical nursing practice throughout the world.
It was adopted by ICN in 1953 and revised and completed in 2012.
It has four principal elements that outline the standards of ethical conduct of nurses.
 Nurses and people
 Nurses and practice
 Nurses and the profession
 Nurses and co-workers
FUNDING OF ICN
ICN derives around 80% of its funding from membership dues, which is used to cover core responsibilities along with
administrative and governance functions.
It also relies on grants or donations from other foundations, corporates and governments to cover programming,
 special projects
 conferences and congresses,
  awards and fellowships.

FOUNDATIONS
The International Council of Nurses Foundation (ICNF). • Florence Nightingale International Foundation (FNIF)
INDIAN NURSING COUNCIL
INDIAN NURSING COUNCIL (INC)
The Indian Nursing Council is an Autonomous Body under the Government of India, Ministry of Health & Family Welfare was
constituted by the Central Government under section 3(1) of the Indian Nursing Council Act, 1947 of parliament in order to establish a
uniform standard of training for nurses, Midwives and health visitors
FUNCTIONS AND ROLE OF INC
 Prohibit practice of nursing by non –qualified nurses.
 Prohibit training centre, which are inadequate 
 To establish uniform standard of training throughout the state
EDUCATIONAL ROLE & RESPOSIBILITY INC
 initiates, prescribes, guide & It laid down the qualification for the admission, registration
 supervise the different levels of nursing education. & It recognizes
 employment. & Prescribe the syllabus for all levels of nursing education.
NATURE OF INSPECTION BY INC
 Inspection Prescribing Syllabus
 Periodic Inspections
 Re Inspection
 First Inspections
STATE NURSING COUNCIL
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
SNC (STATE NURSING COUNCIL) & It works as an autonomous body under the Government of respective states, Department of
Health and Family Welfare.health visitors”.
Another state official or organization
Nursing Directorate
STRUCTURE
Each state determines the specific administrative responsibility and oversight of the council of nursing.
 Provision of nurses, midwives,
 Compulsory registration for all nurses, midwives practicing within the state.
 Provision of an autonomous body, comprising majority of nurses, endowed with decision making powers.
 The silent features & Powers to regulate nursing education prescribe curriculum
 public health nurses to elect their own representatives to the respective state. & Provision for recognition of educational
institutions of nursing
 Provision to have a nurse registrar to carry out the functions of the SNC
 . enunciate examination policies. & withdrawal of such recognition, if necessary.
NURSING BOARDS HISTORY
More than 100 years ago, state governments established boards of nursing to protect the public's health and welfare by overseeing
and ensuring the safe practice of nursing in India. Boards of Nursing are state governmental agencies that are responsible for the
regulation of nursing practice.
ROLE AND RESPONSIBILITY
 To co-ordinate
 To arrange for conducting examination
 To verify the eligibility requirements of the students before each examination.
 bring a uniform standard of nursing education. & To appoint the examiners before each examination. Nursing Examination
Board
 To prepare the calendar of events at the beginning of each academic year.
 issuing certificates to successful candidates.
NURSING REGISTRATION BOARD ROLE & RESPONSIBLE
 To maintain the register in prescribed manner for Nurses, Midwives
 Accrediting or approving nurse education programs in schools and universities.
 Enforcing the Nurse Practice Act and nurse licensure
 Developing policies, practice standards
 Health visitors is called Indian nurses register.
 Administrative regulations.
UNIVERSITY
ROLE AND RESPONSIBILITY
A university is an institution of higher education and research which grants academic degrees in a variety of subjects and provides
both undergraduate education and postgraduate education
 Regulation of its own colleges
 Conducting inspection
 affiliated institutions.
 Conducting examination
 granting permission for admission. & Conducting the Graduation, Post-graduation
RECENT TRENDS OF INC
 INC circulated a E-learning proposal letter on dated 29th may 2013 mentioning the calendar of events for 2014- 15.
 Conducted annual meeting of registrar’s of state nursing council
 Conducted National consensus workshop at Hyderabad.
RECENT STRATEGIES OF UNIVERSITY
• International isation strategies
•Quality and competitiveness strategies
• Web-based learning strategies
TRAINED NURSES’ ASSOCIATION
The Association was inaugurated in 1909. At the Annual Conference held in Bombay in 1908, a decision was taken to establish
Trained Nurses’ Association.  The Association had its beginning in the “Association of Nursing Superintendents” which was
founded in 1905, at Lucknow  It is a national association of nurses.
OBJECTIVE OF TNAI
 To enable member to counsel together on matters related to there profession.
 To promote a sense of spirit de corps among all nurses.
 honor of nursing profession.
 Improvement of living working condition
FUNCTION OF TNAI
 Need for nursing leadership establishment
 Lack of nursing involvement in policy making
 Inadequate staff in government institution
 Mushrooming of nursing institution.
CHALLENGES OF TNAI
 Adoption of village of health centres
 Role in community development programme
 Centre to care for senior citizens
 Furthering continuous nursing education programme
 Furthering service education programme
FUTURE PLAN OF TNAI;-
 History Fundamental of Nursing - A Procedure
 A Community Health Nursing Manual
 TNAI Publication:- & SNA Rules Regulations
 SNA Badge
 SNA Diary
 Nursing in India
 Simplified Microbiology
 Nursing Administration and
STUDENT NURSE ASSOCIATION
MAINTENANCE OF SNA DIARY The SNA Diary was instituted in 1939. This is a biennial record book
drawn up for the use of the unit secretaries.
OBJECTIVES
 To uphold the dignity and ideals of the profession
 Promote a corporative spirit.
 Furnish nurses.
 Encourage leadership ability.
 Increase the students social contacts & knowledge.
 Provide a special section.
SNA GENERAL BODY
 The SNA General body at the national level shall comprise of:-
1. Members of SNA General Committee.
2. Three representatives from each unit via, SNA vice president SNA secretary SNA advisor.
3. All SNA delegates attending the conference.

THE GENERAL BODY MEETINGS

The general body meeting of the Association shall be held at the time of the SNA conference. The president, TNAI shall preside over
the SNA meetings. SNA office bearers of the host branch shall conduct the SNA meeting, along with the president. Agenda items
from the branches should be sent to national SNA advisor at least two months before the general committee meeting.
UNIT ACTIVITIES
 The unit shall decide upon the duties of their officers and committees and draw up a program of activities in line with the
objectives of the SNA.
 The dairy of unit activities shall be kept by the unit secretary and used as the basis for the quarterly reports and the annual
reports which shall be a summary of important events.
 Quarterly reports of activities shall be sent to the state SNA advisor and copy to TNAI head quarters.
LICENSURE/REGISTRATION
”(NCSBN,2004).
Licensure is defined as the “process by which an agency of state government grant permission to an individual to engage in a given
profession upon finding that the applicant has attained the essential degree of competency necessary to perform a unique scope of
practice
PURPOSE
 It helps to regulate the professional conduct
 It help to prevent malpractice.
 It ensures minimum standard among the professionals
 It ensure minimum competency among professional
 Licensure offers protection to the public
 Licensing permits a person to offer special skills and knowledge to the public in a particular jurisdiction when such practice
would otherwise be unlawful. A particular jurisdiction or area is covered by the license
 Registration councils are functioning in all states of India and they are affiliated to INC. In India all nurses are required to be
licensed to work in any part of the country, for that they have to be registered in any of the state nursing council. All over
India each state running their own nursing council.
ICNNURSING LICENSURE
The process, sanctioned by the law, of granting exclusive power or privilege to persons meeting established standards, which allows
them to engage in a given occupation or profession, and to use a specific title.
CURRENT LICENSURE ACTIVITIES
 Nurses will be responsible for following the laws and regulations of those states Nurses are required to apply for licensure
in each state in which they practice
 Registered nurse, is reserved for those meeting the requirements to practice nursing in the state. Nursing practice act
describes the requirements for licensure
Two essential components
 To protecting the health and safety of the public
 Protection of the title of RN COMPONENTS OF NURSING PRACTICE ACTS
PROCESS OF REGISTRATION
It is the process by which individuals are assessed and given status on a registry attesting to individual’s ability and current
competency. Its purpose is to keep a continuous record of the past and current achievements of an individual.
ProceONMC REGISTRATION ss of Providing Authority to use an Exclusive Title to those persons to enter in the "State Register"
Maintained under the Law of the State.
ODISHA CANDIDATES (PRIMARY)
Register the Qualification in the concern State. Primary Registration means the candidates who obtain Recognized Qualification
within odisha and Registering the same Qualification in odishaNurses and Midwives Council as per the Act.
ODISHA CANDIDATE’S (PRIMARY) ADDITIONAL QUALIFICATION
Registration of Additional Qualification done by this Council for the Candidates who has Obtained Nursing Qualification after
Registering their Basic Qualification in odishaNursing Council.
OTHER STATE CANDIDATES (SECONDARY)
Register the Qualification in the concern State where you have trained. Subsequently Registering the same Qualification once again in
Other State within India where you would like to practice nursing/do higher education is Secondary Registration.
After surrendering your parental Registration Certificate at your Council and should obtain a NOC from the Parental Council to
Registration in odishato practisethe profession with odisha
(1) For Bulk Registration, along with the above procedure,
 (2) Candidate's Colour Photo (Passport Size) to be submitted
GENERAL INSTRUCTIONS
Write the Candidate Name behind the photo. One photo to be fixed in the Application form and Do Not Staple. And also CD to be
submitted with Scaned Photo and it has been Saved in file name as Candidate Name (Photo file size 20 to 40 kb in .JPG format only).
Other State Trained Candidates should surrender their Concerned State Nursing Council´s Registered Nurse& Two Xerox copies of
parent Council's RN and RM Certificates should be enclosed.Midwife Certificates to the parent Council where ever they have
Registered.
For Dispatching the Bulk Registration Certificate, Self addressed Envelope along with Necessary Stamp to be sent
Other State Candidates after surrendering their parent Council's RN, RM certificates they should obtain NOC from the parent Council
to Register in ONMC.
RENEWAL OF LICENSURE
In ONMC instructed that all the nurses renew their registration every 5 years for that they need a specific(150) credit hours.
Renewal system in a proper way it will help to improve the professional competencies in nursing. The process for periodic
reissuing of the legal authority to practice.
AIM
To systematically review the literature of the attitude of health care professionals towards professional accreditation.
ATTITUDE OF PHYSICIANS
In a qualitative Australian study (n = 72) doctors were generally unaware of accreditation and skeptical of it. Their concern was on
how quality of care was to be measured. Doctors felt accountable within a professional framework, to themselves, the patient and
family, their peers and to their profession; but not to accreditation bodies.
ATTITUDE OF NURSES
In the large randomized controlled trial, the (QAP) nurses’ overall perceptions of care (n = 1048), at the accredited hospitals increased
significantly (59% to 61%), compared to the control hospitals (declined from 61% to 57.In a large rigorous survey conducted in
Lebanon (n = 1048), nurses perceived a significant improvement of results in quality in hospitals as an outcome of accreditation
ACCREDITATION
“Accreditation is the process whereby an organization or agency recognizes a college of university of programme of study as having
met certain predetermined qualifications of standards” - Selden, 1962
PURPOSES OF ACCREDITATION
 Stimulation of institutional self-improvement by evaluation and inspection
 It also services to prepare the competent to serve the public
FUNCTIONS OF ACCREDITATION
 It helps the practitioner for the broad scope of nursing practice
 It protects the institutions unsound and unsafe political pressure
 It protects the public from ill prepared nurses
TYPES OF ACCREDITATION AGENCIES
i.State accrediting bodies
ii. National professional accrediting agency 
iii.National accrediting agency 
NATIONAL AGENCIES
Each agency establishes criteria for the evaluation of institutions in its region it reviews those institutions periodically, and it publishes
from time to time a list of those agencies which it has accredited.
 National assessment and Accreditation council
 All India council for technical education
 University grants commission
 All India council for secondary education
NATIONAL PROFESSIONAL ACCREDITING AGENCY
Aim to foster research, to improve service to the public and the number of individuals admitted to the profession.
Indian nursing council, (INC) is the official accrediting agency for all programs of nursing, which include
 Diploma (GNM),
 Bsc Nursing (both basic and post basic),
 Msc N (Masters) and PhD (Doctoral programs in Nursing
 Central council of Indian system of Medicine
 Pharmacy council of India
 Medical Council of India
CONCLUSION Several studies have shown that health care professionals were skeptical about accreditation because of concerns
about its impact on the quality of health care services. Concerns raised about the cost of accreditation programs by health care
professionals especially in developing countries were consistent. Healthcare professionals (especially physicians) have to be educated
on the potential benefits of accreditation. It is also necessary to conduct a rigorous, independent evaluation of the cost- benefit analysis
of accreditation of health services.