ABBREVIATIONS
ANM Auxiliary Nurse Midwife
CHC Community Health Center
CNE Continuing Nursing Education
INC Indian Nursing Council
KNMC Kerala Nurses and Midwives Council
MO Medical Officer
PHC Primary Health Center
TNAI Trained Nurses’ Association of India
GNM General Nursing and Midwifery
JPHN Junior Public Health Nurse
NCD Non Communicable Disease
JHI Junior Health Inspector
GO Government Order
DNO District Nursing Officer
ADNS Additional Director of Nursing Services
NS Nursing Superintendent
NO Nursing Officer
DMOH District Medical Officer of Health
ACKNOWLEDGEMENT
1. INTRODUCTION
1.1 Introduction
Nurses and midwives are the largest group of health workers who provide a wide
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This is rather contradictory given the fact that Kerala produces a major proportion of graduate and diploma nurses every year and most of the institutions that provide nursing programs fare quite decently with regard to quality of education and training facilities.
The study is aimed at understanding the different roles and responsibilities nursing personnel carry out in a district health service system in the context of Kerala. This will help to draw inferences upon what the nurses are expected to do legally and what they actually do. These observations shall form the base upon which suggestions regarding the rationalization of the professional practice can be made. With the education and training nurses receive it would be highly beneficial for the health system if their expertise is rightly tapped within the system.
1.2 Statement of the Problem
Nurses if optimally utilized in the health care system can have a great impact in the health outcomes of the population as well as on a larger note in bringing down the cost of health care in a system. However nursing remains a largely unexplored area when it comes to its actual utilization in India. The scenario remains largely the same, perhaps marginally better when it comes to the public health care sector in Kerala. There is a dire need to focus more on the comprehensive utilization of
Nurses worldwide are renown for their immense passion to care, and it is certainly not a profession embarked upon without serious consideration and commitment. Nursing in Australia is a highly regulated and regarded profession, offering enriching work environments with the latest technology at hand. In comparison, nursing in a developing country, such as Malawi, is extremely challenging. Malawi’s population of just over fifteen million people is amongst the poorest in the world and has the lowest number of nurses in the South African Developed Community (Maluwa, Andre, Ndebele & Chilemba, 2012). There are many factors compounding the severe nursing shortage in Milawi. The profession suffers from poor remuneration, and has been critically
As I was shadowing the nurse, I felt that clinical nurse’s responsibility and duties are quite different from hospital nurse responsibility and duties. Most of the services that are preform to patients in the hospital are not done in the clinic setting. There are some circumstance that nurses might have to perform some medical treatment to patient in the clinic, such as injection or wound, but it’s very
In this paper I will be informing on the scope of practice or the job description for a licensed practical nurse which includes medication administration and documentation just to name a few. I will also be discussing the future problems in in which licensed practical nurses with have to deal with in practice. And certifications that licensed practical nurses are able to obtain.
Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal
Each organization must have a structure of the authority defined and distributed to help in the organization of the tasks and functions with the aim of achieving the objectives of the organization. An organization structure offers details of the formal structure of the authority in the organization. It is essential to study the organization structure of the organization in order to understand the functioning of the organization. This paper examines the organization structure of the nursing department in Kingston Centre hospital. The paper will look at the nursing and the nursing service management department in the hospital (Burke, 2013). The hospital is selected because I have been able to interact with the facility many times. I have been able to work in this department hence I understand the organization structure and the services offered in the department.
The roles and responsibility of a nurse are that most nurses face moral problems similar to these faces by the physician as well as a moral problem uniquely related to their professional role thus nurse must sometimes choose between doing what they believe will promote patients well-being and the respecting the patient ’ self-determination. Lisa explained the role as a role, is a “norm-governed patterns of action that undertaken in accordance with the social expectations” (Lisa page 690). Thus, the ability to serve and work according to the
District nurses – look after general health condition of all residents including pressure areas of skins, mobility, urinary conditions, and others. They make referrals or give advice when any deterioration in health conditions of any residents.
The professional relationship between doctors and nurses, has often been influenced by power, social status and gender making effective collaboration difficult to achieve. Historically, nursing was regarded as an inferior, arduous occupation, practiced by morally questionable women. McKay and Narasimhan
The Nursing Profession has been experiencing shortages for many years. The pattern seems to be repetitive, high demand for nurses followed by phases of downsizing with a surplus of nurses. The earlier years of the nursing shortage was short compared to today’s current nursing shortage. The nursing shortage exist globally and in all nursing areas. There are several factors that are the cause of the nursing shortage of today as well in years past.
A good nurse is aware and knowledgeable of ethics in the field of medicine and strives to provide quality care to avoid negligence. Experienced nurses always remain well informed of changing trends and laws relating to health and safety and regulations of the Board and customs through continued education. Nurses should be prepared to defend themselves. If they know how to avoid mistakes and avoid litigation, they are almost home free. “It is believed that health
In every career, education and proper training is the ladder to achieve success. These bring about the transforming in high education in nursing profession. According to American Nurses
Attaining a high level of education will improve the healthcare system only if nurses are fully utilizing their knowledge and abilities. Many times nurses face challenges in exercising their abilities and knowledge due to institutional policies or government regulations,
The IOM report envision that “Nurses should practice to the full extent of their education and training” (IOM.2010). Patient deserved to be cared on their individual needs and not what is convenient for the health care provider. Unfortunately, the outdated policies involving nurses’ scope of practice have constrained the ability of nurses to serve public better. A restructuring of nursing practice will be necessary to achieve this goal.
According to Pepau the goal of nursing is to help the patient find their felt problem. The nurse and patient work together therefore they develop relationship between each other’s. These two individuals with common aim have interpersonal relation. Nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care ( Pepau 1952). Nurse plays several roles in this relationship. As a resource person, nurse gives adequate information that help patient understanding of issues. As a counselor: a nurse helps patient to incorporate the sense of current life change event, and provides advice for change. Nurse plays role of leader by making sure patient undertakes maximum engagement to achieve treatment goals.
This is essay is going to examine the principles of nursing and health. In order to do this it must look at the concept of health then describe the dimensions that make up health. Secondly, an adult individual will be chosen in order to discuss the determinants that affect their health. It will then go on to explain the underpinning professional, ethical and legal principles that would be taken into consideration if the individual were to require nursing care. Finally, it will identify how carrying out this assignment has informed the writers personal concept of nursing.