R OL E O F RE G U L A T O R Y B O D I E S A N D P RO F E S SI ON A L O RG A N I S A TI O N S

ORGANIZATION
According to L. White, "Organization is the arrangement of personnel for facilitating the accomplishment of some agreed purpose though allocation of functions and responsibilities."

PROFESSIONAL ORGANISATION
Professional organization provides a mean through which your an own professional to development your can be channeled develop with your authority because of their representative character. It provides you opportunity express viewpoints, leadership qualities and abilities and keep you well informed of professional trends and news. All qualified nurses must participate in their professional state and national organisations to keep themselves informed of new developments and for upgrading the profession. Some of the organisation discussed below are recognized at national and international level and have a great role in uplifting the nursing profession.

INDIAN NURSING COUNCIL INC

The Indian Nursing Council is a statutory body constituted under the Indian Nursing Council Act, 1947. It was established in 1949. The council is responsible for regulation and Maintenance of a uniform standard of training for nurses, Midwives, Auxiliary Nurses Midwives and Health visitors.

Indian Nursing Council Act, 1947

Indian Nursing Council Act, 1947, provides for constitution and composition of the Council consisting of the following: 1. 2. One nurse enrolled in a state register elected by each State Council; Two members elected from among themselves by the heads of institutions recognised by the Council for the purpose of this clause in which training is given: a. b. 3. 4. 5. 6. 7. For obtaining a University degree in Nursing; or In respect of a post-certificate course in teaching of nursing and in nursing administration; One member elected from among themselves by the heads of institutions in which health visitors are trained; One member elected by the Medical Council of India. One member elected by the Central Council of the Indian Medical Association. One member elected by the Council of the Trained Nurses Association of India. One midwife or auxiliary nurse-midwife enrolled in a State Register, elected by each of the State Councils in the four groups of State mentioned below, each group of States being taken in rotation in the following order namely: a. b. c. d. 8.
9.

Kerala, Madhya Pradesh, Uttar Pradesh and Haryana. Andhra Pradesh, Bihar, Maharashtra and Rajasthan. Karnataka, Punjab and West Bengal. Assam, Gujarat, Tamil Nadu and Orissa ; The Director General of Health Services, ex-officio; The Chief Principal Matron, Medical Directorate, Army Headquarters.

10.

The Chief Nursing Superintendent, Office of the Director General of Health Services. The Director of Maternity and Child Welfare, Indian Red Cross Society. The Chief Administrative Medical Officer (by whatever name called) of each State other than a Union Territory. Four members nominated by the Central Government, of whom at least two shall be nurses, midwives or health visitors enrolled in a State register and one shall be an experienced educationalist. AMENDMENTS IN I.N.C. ACT 1947 The Act was amended in November 1957 to provide for the following things: 1. Foreign Qualification a) A citizen of India holding a qualification which entitles him or her to be registered with any registering body may, by the approval of the council, be enrolled in any state register. b) A person not being citizen of India, who is employed as a Nurse, Midwife, ANM, Teacher or Administrator in any hospital or institution in any state, by the approval of President of Council, be enrolled temporarily in state register. In such cases foreign qualifications are recognized temporarily for a period of 5 years. If one continues to practice in India, an extension of recognition should be sort from INC. 2. Indian Nurses Register a) The council shall cause to be maintained in the prescribed manner a Register of Nurses, midwives, ANM & Health visitors to be known as the Indian

11.

12.

13.

Nurses Register, which shall contain the names of all persons who are for the time being enrolled on any state register. b) Such register shall be deemed to be a public document within the meaning of the Indian Evidence Act, 1872.

ORGANISATION CHART

COMMITTEES
1.

Executive Committee of the Council to deliberate on the issues related to maintenance of standards of nursing programs The Nursing Education Committee - The committee is constituted to deliberate on the issues concerned mainly with nursing education and policy matters concerning the nursing education.

2.

3.

Equivalence Committee to deliberate on the issues of recognition of foreign qualifications which is essential for the purpose of registration of the Indian Nursing Council Act, 1947, as amended.

4.

Finance Committee - This is another important SubCommittee of the Council which decides upon the matters pertaining to finance of the Council in terms of budget, expenditure, implementation of Central Govt. orders with respect to service conditions etc.

FUNCTIONS
To establish and monitor a uniform standard of nursing education for nurses, midwives, auxiliary nurse Midwives and health visitors by doing inspections of the institutions. To recognize the qualifications for the purpose of registration and employment in India and abroad. To give approval for registration of Indian and Foreign nurses possessing foreign qualification. To proscribe the syllabus and regulation for nursing programme. Power to withdraw the recognition of qualification standards, that an institution recognized by a state council for the training of nurses, midwives, auxiliary nurse midwives or health visitors does not satisfy the requirements of council. To advise the state Nursing Councils, examination board, state government and central government in vrious important items regarding nursing education in country.

Guidelines for establishment of new nursing School/College in India Approved by INC

1. Any organization under the central Government, State

Government, Local body or a Private or Public Trust, Mission, Voluntarily registered under society Registration Act wishes to open a school of nursing should obtain the no objection /Essentiality certificate from the state Government.
2. The Indian Nursing Council on receipt of the proposal

from regard

the to

institution Physical

to

start

nursing

programme, facility

will and

undertake the first inspection to assess suitability with Infrastructure, clinical teaching faculty in order to give permission to start the programme.
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 state nursing council and examination board.

5. The INC will conduct inspection every year till the first

batch completes the programme. Permission will be given year by year till the first batch completes.

TYPE OF INSPECTION
1. First Inspection: The first inspection is conducted on receipt of the proposal received from the institute to start any Nursing programme prescribed by INC. 2. Re-Inspection: Re-inspections are conducted for those institutions, which are found unsuitable by INC. The institution and the

government are informed about the deficiencies and advised to improve upon them. Once the institution takes necessary steps to rectify the deficiencies, institution should submit the compliance report with documentary proof of the deficiencies pointed out and re-inspection fees. On receipt of the compliance report and fees from the institution, it will be considered for re-inspection. 3. Periodic Inspection: INC conducts periodical ( after 3 years) inspection of the institution once the institution is found suitable by INC to moniter the nursing education standards and adherence of norm prescribed by INC. Institutions are required to pay annual affiliation fee every year. However, if the institution does not comply to the norms prescribed by INC for teaching, clinical and physical facility, the institution will be declared unsuitable. PROGRAMMES UNDER I.N.C 1. 2. 3. 4. 5. 6. 7. ANM GNM Post Basic B.Sc. Nursing B.Sc. Nursing M.Sc. Nursing M.Phil Doctorate in Nursing

RESOLUTIONS
I. Maximum period for students to complete revised ANM

and GNM course is 3 and 6 years respectively.

II. INC resolved that maximum age for teaching faculty is 70

years

subject

to

the

condition

that

he/she

should

be

physically and mentally fit.

III. Admission

to married candidate for all the nursing

programme allowed subject to the conditions that they should produce medical fitness certificate.
IV. Relaxation of norms to establish MSc (N) programme: As

per INC norm, only those institutions can start MSc programme where at least one batch of students has qualified BSc (N) programme. INC Even resolved though apart the from these is institutions not having the BSC super (N) specialty hospitals can also open the MSc (N) programme. institution programme.
V. Relaxation of student patient ratio for clinical practice:

1:3 student patient ratio instead of 1:5 student patient ratio.

VI. Relaxation of teaching faculty qualification to start a BSC

(N) programme. At least 2 MSC (N) qualified teaching faculty to be available to start BSC (N) programme for next 4 years in order to combat acute shortage of nursing and teachers till the position of MSC (N) qualified teaching faculty improves.
VII.

To maintain quality of post graduate in nursing, INC

resolved not to have MSC (N) programme through distance education.

VIII.

Institution

should have its own building within 2

years of establishments.
IX. Maximum No. of 60 seats can be sanctioned to those

institutions which are having less than 500 bedded hospital. And 100 seats can be sanctioned to those having 500 bedded hospitals.

X. Registration of additional qualification.

INITIATIVES BY I.N.C.
1. Teaching material for Quality Assurance Model(QAM) prepared QAM in nursing is the set of elements that are related to each other and of comprise objectives of planning setting for and quality, actively setting development communicating

standards,

developing

indicators,

thresholds, collecting data to monitor compliance with set standards for nursing practice and applying solutions to improve care INC has developed a Quality assurance programme for nurses in India. The project was implemented in 2 hospitals in New Delhi and PGI, Chandigarh for 3 months duration. The impact of QAM model adopted in Chandigarh can be seen in the paper cutting which was published in Tribune on April 19th, 2004 2. Princes Srinagarindra award Mrs. Sulochana Krishnan, Ex- Principal of RAK College of nursing was awarded Princes Srinagarindra, Thailand, award which is an international award to individual(s) registered nurse(s) in honor of princess Srinagarindra, her royal highness and in recognition of her exemplary contribution towards progress and advancement in the filed of nursing and social services Mrs. Sulochana Krishnan name was proposed by INC from India.

3.

Development of Curriculum for HIV/AIDS and training for nurses Indian Nursing Council in collaboration with NACO and Clinton foundation is developing a curriculum for training of nurses in HIV/AIDS areas. It will be a 6 day training programme. The pilot study was conducted in Mumbai and Hyderabad.

4.

National Consortium for Ph.D. in Nursing constituted 6 study centres recognized under National consortium for Ph.D in nursing. MOU has been signed between INC, WHO and RGUHS National consortium for Ph.D. in Nursing has been constituted by Indian Nursing Council (INC) in collaboration with Rajiv Gandhi University of Health Sciences and W.H.O, under the Faculty of Nursing to promote doctoral education in various fields of Nursing. Applications for enrolment in PhD in nursing were invited from eligible candidates by advertising in the national leading dailies from all over the country by the RGUHS. 125 appeared for the entrance test conducted on 07th January 2007.

5.

MOU(Memorandum of Understanding) signed between INC and Sir Edward Dunlop Hospitals Ltd for advancing standards of nursing education and practices in India to meet challenges currently faced by Nursing. Memorandum of Understanding (MOU) is entered at New Delhi on 11th April 2006 between Indian Nursing Council and Sir Edward Dunlop Hospitals (I) Ltd. for developing the strategic framework for advance standards and investment

plan for advancing standards of nursing education and practices in India with the following objectives. 1. 2. 3. 4. Provide training Graduate, Post-graduate, and Ph.D courses. Organizing Research Activities. To help fill gaps in India and internationally benchmarked standards of nursing education and practice, including credentialing etc., so that Indian nurses can directly be accepted to meet international standards. 5. Train the faculty so as to provide high quality teaching staff to training institutes in the country. 6. Steps taken up to enter into MRA under the

Comprehensive

Economic

Cooperation

Agreement

(CECA) between India and Singapore which was signed in June 2005 and has come into force from 1st August 2005. In that, it has been agreed that India and Singapore would enter into mutual recognition agreements (MRAs) in Medical, dental and nursing services in the healthcare sector 7. All State Registrars were invited to attend the two days meeting. The objective was to ensure the uniformity and to maintain the quality of nursing education in the country. It was also aimed to understand the problem/issues of each state nursing councils and evolve consensus between INC and SNRC. 8. The Indian Nursing Council (INC) initiated the live register in the state of Tamil Nadu. The primary objective of the project is to conduct nurses census i.e., to collect the data regarding number of working nurses as defined by INC. INC decided to conduct the pilot study in the Sivaganga District

of Tamil Nadu. 266 were found trained registered nurses out of 841 nurses.

STATE NURSING COUNCILS

Registration in state Nursing council is very necessary for every nurse. It is necessary to be registered in order to function officially as a professional nurse. Registration councils are functioning in all the states of India and they are affiliated to I.N.C. A register of names of professional nurses is maintained by each state nurses Registration Council. These names are also put into the Indian Nurses Register maintained by the Indian Nursing Council. Nurses, midwives, auxillary nurse midwives and health visitors are registered. All degree holding nurses also have to get the registration in state council. The present functions of the State Nurses Registration Council are: 1. Recognize Officially and inspect schools of nursing in their states. 2. Conduct examinations. 3. Prescribe rules of conduct, take disciplinary actions, etc. 4. Maintain registers of Graduate nurses, nurses holding degrees in nursing, midwives revised auxiliary nurse midwives or multi-purpose workers and health visitors. The State Nursing Council is an independent body. Though the State Nursing Council functions independently; it has to obtain approval from state government for all the By-Laws passed by it and decisions taken.

The State Nursing Councils are administratively headed by the Registrar who usually is a nurse. There is deputy registrar who also is a nurse. There is a staff oncsisting Accountant and other staff as clerks and peons to help him in his day to day work and functions. The President and Vice-President is elected by members from amongst themselves. The elections procedures for all the categories are laid down by statutory provisions in By-Laws of the Councils. Some of the members on the council are still nominated by the Government whereas majority are elected by following the electoral procedures. Functions of the Registrar of the State Nursing Council 1. 2. To draw a programme for examinations of various types of educational programmes at all centres at the same time. To prepare a time schedule for written and practical examinations, to prepare Roll number sheets of students and send them to various examination centres. 3. After examiners have drawn the question papers, to get them printed under strict confidential atmosphere and keep up the secrecy regarding them. 4. 5. 6. To prepare examination results and communicate the results to concerned institutions. To prepare the diploma certificates and registration certificates of nurses who have been qualified for both. To arrange for inspections to ascertain that the institutions are carrying out the educational programmes as per syllabus, conditions and rules and regulations laid down by State Council.

TRAINED NURSES ASSOCATION OF INDIA (TNAI)

The T.N.A.I. is the national professional association of nurses. The association had its beginning in the association of nursing superintendents which was founded in 1905 at Lucknow. The organisation composed of 9 European Nurses holding administrative post in hospital. They saw the need to develop nursing as a profession and also do provide a forum where professional nurses meet and plan to achieve these ends. The first president was Miss Allen Martian. First Secretary: Miss Burn. Objectives:
a. b. c.

Uphold the dignity and honor of nursing profession. Promote a sense of espirit de-corps among all the nurses. Enabling member to take counsel together on matters relating to their profession. The association of nursing superintendents therefore sought

the help and co operation of nurses through out the country. A decision was made in 1908 to establish a trained nurses association at the annual conference at Bombay and accordingly association was inaugurated in 1909. These two organisations operated under the same leadership until 1910, when TNA elected its own officers. In 1922, the two organisations were brought together as the Trained Nurses Association of India. The aims of TNAI are similar to those of original organisation. These aims centre on the needs of the individual and the problems of the nursing profession as a whole.

These aims include the following:

1.

To

standardize,

upgrade,

develop

nursing

education and to elevate nursing education. Development of various colleges of nursing in the different states of India is a result of this function of the national organization of nursing that is, the TNAI. Thus the TNAI has contributed greatly to meet this aim.
2.

To improve the living and working conditions of

the nurses and also develop the educational conditions available for nursing. To improve the economic standards of the nurses in India. The state government in every state has been directed by TNAI to appoint a nurse as the nursing director.
3.

To provide registration for qualified nurses and has

to provide reciprocity of registration within different state in the country and within different countries. The TNAI established the following organization The association has established the following organizations: a.
b.

Health visitor league (1922) Midwives and auxiliary nurses: Midwives

Association (1925) c. Membership : The membership consists of:

Student Nurses Association (1929-30)

Full Members : Fully qualified Registered Nurses Associate Members : Health visitors, midwives Affiliate Members : Student nurses and members

and A.N.Ms. of the affiliated organizations e.g. Christian nurses league.

Membership

of

TNAI

is

obtained

by

application

and

submission of copy of ones state registration certificate. One can apply for a life membership. BENEFIT FROM T.N.A.I. MEMBERSHIP
1.

Various Holding

professional National level

issues

like

representation to central pay commission.

2.

conferences,

scientific and business sessions. 3. students.

4.

Low cost publications for members and Continuing education welfare programme programme for for

updating knowledge on various topics at regular interval.

5.

Socio-economic

destitute members. 6.
7.

Research studies conducted regularly for At home with patron of TNAI member at Scholarship for TNAI member and students Annual grant to state branches to hold One fourth railway concession for TNAI The guest room facilities at the

the benefit of the members. Rashstarlpati Bhawan every year on nurses day celebrations.
8.

nurses. 9. activities. 10. members. 11. headquarters and also in some states. PUBLICATION o
o

Hand Book of T.N.A.I. , published in1913 Nursing Journal of India published monthly.

WHO Day, International Nursing Day and International Womens Day and other related activities are celebrated with the initiative of T.N.A.I. in all states of country.

STUDENTS NURSES ASSOCIATIONS (SNA)

The student nurses associations were established in 1929 which is a nation wide organisation. In 1954, SNA celebrated the silver jubilee and number of unit was 117. Now SNA have more than 506 units. SNA having separate biennial conference. There is a full time secretary for SNA at national level. OBJECTIVES OF S.N.A.
1. To help student to uphold the dignity and ideals of the

profession for which they are qualifying. 2. To promote a corporate spirit among student for the common good.
3. To furnish nurses in training with advice in their case of

study leading to professional qualification.

4. To encourage leadership ability and help students to gain

a wide knowledge of the nursing profession in all its different branches and aspects.
5. To help the student to increase their social contacts and

general knowledge in order to assists them to take their place in the world when they have furnished their training.
6. To

increase

professional,

social

and

recreational

developments and arranging meetings, games and sports.

7. To provide a special section in the Nursing Journal of

India for the benefit of students.

8. To encourage student to compete for prizes in the student

nursing exhibition and to attend national and regional conferences.

The whole organization of SNA is similar to that of TNAI. Local units are established in the institution. The Diary of various events is kept by SNA Secretary. The diary for all the students are presented at the time of national conferences, the diaries from all the units are presented. Later on, the SNA unit moves to the national level as the TNAI.

MANAGEMENT OF S.N.A. The governing body of the association shall be the council of TNAI which will receive the recommendations of the General Committee of the SNA for consideration. The General Committee of SNA shall consist of: 1. 2. President of TNAI or one of the Vice-President if President wishes to delegate this responsibility. Vice Presidents of SNA State Branches, Hony. Treasurer of TNAI, National SNA Advisor who must be a full member of TNAI, State Branch SNA Advisors, Secretaries of SNA State Branches, Secretary General of TNAI. The General Committee shall meet once in a year a the time of TNAI council meeting. SNA General Body At National Level Comprises i) ii) iii) Members of SNA General Committee 3 representative from each unit i.e. SNA Vice President, SNA Secretary and SNA Advisor All SNA delegates attending the conference SNA General Body at State Level It consists of

i)

State SNA Executive Committee Members (State Branch President, Vice President, Advisor, Secretary, Treasurer and Programme Chairperson)

ii)

SNA Unit representative (Vice President, Secretary, SNA Advisor)

SNA Units Each SNA Unit should elect its own members of Executive Committee in its GBM (General Body Meeting) and these members are SNA Unit Advisor, Vice President, Secretary, Programme Chairperson. The SNA General Body Meetings should be held at regular intervals The agenda for these meetings will be according to the needs of unit members and objectives of SNA. SNA unit advisor is responsible to see that as soon as a nurse has graduated, she is given an SNA to TNAI form for membership in TNAI. This form must be signed by the Nursing Head of the Institution and sent to Secretary General of TNAI. Membership The student nurse can obtain membership of student nurses Association during their training period and SNA membership can be transferred to TNAI membership. The membership fee in SNA is quite less, which is easily met by the nursing student. They can take membership in TNAI after completion of basic education by obtaining a certificate from the institution in which they have studied within 6 month after completion of studies.

ACTIVITIES OF SNA
A wide variety of activities are incouraged for SNA keeping in view the objectives of association and to strengthen curricular and co-curricular components as follows. A. ORGANISATION OF MEETINGS & CONFERENES:

At the TNAI conference two representatives of SNA from each state are invited as observer and these students representative are vice-president and secretary of the state branches. They are invited to attend business meetings as observer. Three to four days conference is held for SNA members biennially. Member discuss and find solution for various problem faced by the students. These conferences are held biennially at state level. At the units usually the meeting is held monthly or bimonthly. B. MAINTENANCE OF DIARY This is a biennial record book drawn up for the use of unit secretaries. The diaries are assessed annually by the state, SNA advisers and two best diaries are sent by state to the national SNA advisor for biennial evaluation and awards. These diaries are assessed for professional, educational, extra- curricular, social, cultural and recreational aspects. C. EXHIBITION Exhibition is very useful and very popular activity of the association. All categories of students are eligible to participate either individually or in groups. They can prepare models, charts & posters on the subjects taught in their course of studies. Now, their activity is competed at the state level and one best entry under each category and section is entertained at national level. D. PUBLIC SPEAKING AND WRITING Public Speaking and writing are encouraged to increase self confidence and help them gain skill in communication through debates, panel discussions, seminar on the theme of conference. Students are also encouraged to write for nursing general of India on professional topic. E. PROJECT UNDERTAKING

At the time of celebration of international nurses day students are given project work on health related topics. Regular project work is also given by institution to students. F. PROPAGATION OF NURSING PROFESSION Other professional and general public should be invited to celebration of professional and non professional activities such as nurses week, WHO day. The other activities such as variety entertainment programme, game, sports etc. are organized by nurses to acquaint general public with nursing profession. G. FUND RAISING To meet the expenses at head quarter and SNA state level unit, it is necessary to raise the fund through voluntary donations. H. SOCIO CULTURAL AND RECREATION ACTIVITIES To Channelise your student energy, fine arts activities such as drama, dance, music and painting are arranged and competitions are also held at state and national level. Sports and games competitions are also held. OTHER ACTIVITIES These can be in the form of quiz on general knowledge and professional topics, article writing, poetry writing, smile competitions etc. Hobbies such as sewing, stitching, knitting etc. should also be arranged.

INTERNATIONAL PROFESSIONAL ORGANISATIONS

INTERNATIONAL COUNCIL OF NURSES (ICN) MISSION
To represent nursing worldwide, advancing the profession and influencing Health policy.

INTRODUCTION
The ICN is federation of national nurses association (NNAs), representing nurses in more than 128 countries. Founded in 1899, ICN is the worlds first and widest reach international organization for health professionals. Operated by nurse for nurses, ICN works to ensure quality nursing care for all, sound health policies globally, the advancement of nursing knowledge and the presence world wide of a respected nursing profession and a competent and satisfied nursing workforce.

ICN GOALS
1.

To influence nursing, health and social policies, To assist national nurses associations (NNAs) to

professional and socio economics standards world wide. 2. nurses.

3.

improve the standard of nursing and the competence of To promote the development of strong national To represent nurses and nursing internationally. To establish, receive and manage funds and trust

nurses associations.
4. 5.

which contribute to the advancement of nursing and of ICN. IN SHORTS 3 MAIN GOALS

To bring nursing together world wide. To advance nurses and nursing world wide. To influence health policy

CORE VALUES: Visionary leadership Inclusiveness Flexibility Partnership Achievement The ICN code for nurses is the foundation for ethical nursing practices through out the world. ICN standard, guidelines and policies for nursing practices, education, management, are globally accepted as per basis of nurses policy. ICN advances nursing, nurses and health through its policies, partnership, advocacy and leadership development, ICN is particularly active in: PROFESSIONAL NURSING PRACTICE Advanced nursing practice HIV/AIDS, TB and malaria Womens health Primary health care Family health Safe Water

NURSING REGULATIONS Code of ethics, standards and competencies. Continuing Education

SOCIO ECONOMIC WELFARE FOR NURSES

-

Occupational health and safety Human resources planning and policies Carrier development International trade in professional services

GOVERNANCE OF ICN
Meetings ICN meets every 4 years. The quadrennial meetings are called as "Congresses" and when they are in session, the organisation is called as the International Congress of Nurses. The ICN board of directors numbers15 and is comprised of the president, three vice president and 11 members elected on the basis of ICN voting area.

FUNCTION 1. To provide policy directions to fulfill the objectives of ICN

2.

To establish categories of membership and determine

their rights and obligations.

3.

To act upon recommendations of the board of directors to admission and readmission of member

relating 4.
5.

associations into ICN. To receive and consider information from the board To receive nominees for the board and to elect the To act upon proposed amendments to ICN constitution. To act upon recommendation of the board of directors To act through mail or any written communication on regarding ICN activities. board.
6. 7.

for the amount of NNAs dues.

8.

ICN business that requires immediate attention. PUBLICATION- International Nursing Review

AMERICAN NURSES ASSOCIATION (ANA)

ESTABLISH: 1911 PURPOSE : To improve quality of nursing care ACTIVITIES
-

Establish standards for nursing care Develop educational standard Promote nursing research Establish a professional code of ethics. Oversee a credentialing system. Influence Registration affecting health care. Protect the economic and general welfare of registered Assist with professional development of nurses by

nurses. providing continuing education programme. MEMBERSHIP Federation of state nurses association

Individual registered nurses can participate in ANA by

joining their respective state nurses association.

PUBLICATION American general of nursing American Nurses

CONCUSION
It is to conclude that the knowledge of all above discussed organization is must for every nursing personnel. So that by utilizing this knowledge we can update our knowledge and can advance the nursing practices, taking this profession to the higher standards.

RE F E RA N C E S

Mrs.

Swinder

Kaurs,

"Professional

adjustment,

ward

management and trends in nursing". Edition 1 s t , published by lotus publications. Pp. 37-52.

Ann. J. Zwemers, "Professional Adjustment and ethics for nurses in India," Edition 6 t h , published by B.I Publications.Pp 232-249.

Mr.

Kamal

S.

Joglekars,

"Hospital

ward

management,

professional adjustments and trends in nursing", Edition 12 T H , Published by vora medical publications, Pp 132-153.

Sue C. Delaune and Patricia K. Ladners, "Fundamentals of nursing standards and practice", Edition 7 t h , published by Delmar publishers, Pp-216-217.

www.google.com.

ROLE OF REGULATORY BODIES AND PROFESSIONAL ORGANISATION