Govt.

College of Nursing Ahmedabad Subject : Management Nursing

Unit : V- human resource for health Topic : Committee High Power

4/23/12

INTRODUCTION

The retarded development of nursing and nursing profession seems to be mainly due to the fact that no serious thought has been given to this discipline by the government over the
4/23/12

COMMITTEE NURSING

ON

NURSING AND PROFESSION

4/23/12

Additional Facilities For Nurses Working In The Rural Areas

Family accommodation at sub centre

is a must for safety and security of ANM's /LHV.

Women attendant, selected from the

village must accompany the ANM for visits to other villages.

The district public health nurse is

provided with a vehicle for field supervision.

Fixed travel allowance with provision 4/23/12

NURSING EDUCATION

1. There should be 2 levels of nursing personnel professional nurse (degree level) and auxiliary nurse (vocational nurse). Admission to professional nursing should be with 12 yrs of schooling with science. The duration of course should be 4 yrs at the university level. admission to vocational /auxiliary nursing should be with 10 yrs of schooling .The duration of course should be 2 yrs in 4/23/12

continue
2. All school of nursing attached to medical college hospitals is upgraded to degree level in a phased manner. 3. All ANM schools and school of nursing attached to district hospitals be affiliated with senior secondary boards. 4. Post certificate B.Sc. Nursing degree to be continued to give opportunities to the existing diploma nurses to continue higher education. 5. Master in nursing program to increased and strengthened. 4/23/12 be

Continue
6. Doctoral programs in nursing have to be started in selected universities. 7. Central assistance be provided for all levels of nursing education institutions in terms of budget( capital and recurring) 8. Up gradation of degree level institutions be made in a phased manner as suggested in report. 9. Each school should have separate budget till such time is phased to degree/vocational programs. The principal 4/23/12

Continue
10. Nursing personnel should have a complete say in matters of selection of students. Selection is based completely on merit. Aptitude test is introduced candidates. for selection of

11. All schools to have adequate budget for libraries and teaching equipments.
4/23/12

Continue
13. Adequate accommodations are provided to students. A maximum of 3 students to share a room. Rooms to be furnished with light, study table , chair etc. Adequate dining room, toilets and bathrooms facilities to be provided in each hostel as per norms recommended.

14. Students should learn under supervision in the 4/23/12 wards.

continue
15.

Community nursing experience should be as per INC requirements. Necessary transport and accommodation at PHC be made available for safety, security and meaningful learning of students. 16. INC requirements for staffing the schools and meeting the minimum 4/23/12 requirements are followed by

Continue
18. Institutes like National

Institute of Health and Family welfare, RAK College of Nursing and several others may develop courses on nursing administration for senior nursing leading to doctorate level. 19. Provision for
4/23/12

higher

Development

4/23/12

HOSPITALS/INSTITUTIONS (URBAN AREAS)

Definite

nursing policies regarding nursing practice be available in each institution .These policies include:

a) Qualification/recruitment rules 4/23/12

Continue
d) Nursing care standards different categories of patients.
Staffing as per norms Nurse patient ratio 1: 3 Students not to be counted as

for

staff
Adequate

supplies equipments, drugs -nursing duties

4/23/12

and

Nurses to be relieved from non

Continue
nurses should not be made to pay

for breakage and losses

Provision

of part time jobs for married nurses to be considered (min 16-20hrs/week) age of 35 or above may also be considered

Re-entry by married nurses at the

Nurses in senior positions like ward

sisters, Asst. nursing superintendents, Deputy 4/23/12 N.S NS;

continue
Nurses working in specialty areas

must have courses in specialties

The committee recommends that

Gazetted ranks be allowed for nurses working as ward sister and above - minimum class II gazetted
Similarly

the post of Health Supervisor (female) is allowed gazetted rank and district public 4/23/12

 Appointment ANM/LHV

Community nursing services

of ANM/LHV to

recommended.

be

promoted to supervisory posts must undergo courses in administration and management. available for each ANM/LHV function effectively in the field. provision drugs etc are made. of to

Specific standing orders are made

Adequate

supplies,

Recording system be simplified.

4/23/12

NORMS RECOMMENDED FOR NURSING SERVICE AND EDUCATION HOSPITAL SETTING

4/23/12

COMMUNITY NURSING SERVICES

1 ANM for 2500 population (2

per sub centre)

1 ANMfor 1500 population for

hilly areas
1

health supervisorfor7500 population (for supervision of 3 ANM's) (30,000 population to supervise 4 Health Supervisors) 4/23/12

1 public health nursefor 1 PHC

NURSING LEGISLATION
INC and state nursing council acts

be amended to provide for control by INC on states nursing councils.

Provision

of

more

nurse

members.
Provision for regulation of nursing

education standards by inspections and follow up.

Provision

timely

minimum practice

of maintaining of standards of nursing

4/23/12

Continue
Provision for regulation for

private nursing bureaus and practice by unqualified nurses. before CON. opening a SON

Provision of approval of INC

or of

Provision Provision

of renewal registration every 5 yrs. of

4/23/12 independent

ORGANISATION OF NURSING SERVICES

Each ADG

level nurse to deal with continuing education /research component for specialized areas. and not by seniority alone.

Selection to these posts is made on merit Nurses appointed for these posts must

have undergone through courses in administration, management and fiscal management.

Railway board, state insurance (labor

minister), post, telegraph union, 4/23/12 territories (Delhi), municipal corporations

4/23/12