LESSON PLAN ON:

PATTERNS OF NURSING EDUCATION AND

TRAINING PROGRAMMES IN INDIA

SUBMITTED TO : SUBMITTED BY :
Mrs. Bindu Shaiju Ms. Sneha Sehrawat
Assistant Professor M.Sc Nursing 1st year
IDENTIFICATION :

NAME : Ms. Sneha Sehrawat

CLASS : M.Sc Nursing 1st year

SUBJECT : Nursing Education

UNIT : Unit II

TOPIC : Patterns of nursing education and training

program mes in India

GROUP : M.Sc 1st year students

SIZE OF GROUP : 25 students

VENUE : M.Sc 1st year Classroom

DURATION OF TEACHING : 45 min.

METHOD OF TEACHING : Lecture cum discussion

A.V AIDS : Charts, Flashcard, Blackboard, Transperencies

DATE AND TIME : 15.11.2016

PREVIOUS KNOWLEDGE : The group of students have basic knowledge about patterns of nursing

education and training programmes in India from B.Sc program.

GENERAL OBJECTIVES :
After the class :

Student point of view :

 Acquire knowledge of topic- PATTERN OF NURSING EDUCATION AND TRAINING PROGRAMMES IN INDIA.

Student teacher point of view :

 To acquire skills in effective teaching.

 To gain confidence in facing the group.

 To refine the skills of classroom teaching.

 To learn effective use of A,V aids in class.

TIME SPECIFIC CONTENT TEACHING EVALUATION
1 min.
OBJECTIVE LEARNING
ACTIVITY
1 min.
INTRODUCTION :

Nursing is the
largest, the most
diverse, and one of
the most respected
among the health
care professions.
Nursing education in
India started with the
existence of nursing
council act which
came in 1958 to
constitute a council
of nurses to
safeguard the quality
of education in the
country.
The mandate was to
establish and
maintain uniform
standards of nursing
education.
 ANNOUNCEMENT
OF TOPIC :

Today, I am going to
take a class on the
topic 'Patterns of
Nursing Programmes
in India'

1 min. After the class DEFINITION : Student teacher Define

students will defines Nursing using Nursing?
be able : Nursing is a profession in which the element of discussion method.
service to humanity is very strong and is
to define characterized by distinctive traditions, skills,
Nursing. knowledge, values and qualities of a discipline.
Articulating this value to the community is one of the
challenges nursing faces as it evolves responding to
very different practice environments.

1 min. To explain INC INDIAN NURSING COUNCIL : Student teacher Explain INC.
as a statutory explains INC as a
body. Indian Nursing Council (INC) is a statutory body statutory body using
that regulates nursing education in India through discussion method.
prescription, inspection, examination, certification
and maintaing its standards for a uniform syllabus at
each level of nursing education.
2 min. To explain the HISTORY OF NURSING : Student teacher Explain the
history of nursing explains history of history of
in India. Nursing services and educational facilities in India Nursing in India. Nursing in
have expanded considerably since Independence. India.
Nurses are accessible even where doctors are not
available, and provide health care at the
doorstep. Nursing roles and responsibilities have
multiplied over the years, b ut there are huge concerns
with regard to the development of the pre-service and
in-service training and human resources (HR) issues
for their career growth.
5 min. to explain the HISTORY OF EVOLUTION OF NURSING Student teacher Explain
history of EDUCATION IN INDIA : explains the history briefly the
evolution of of evolution of evolution of
nursing education 1871 - School of nursing started in general hospital Nursing education in nursing
in India. Madras. India using education in
1886 - School of nursing in a full-fledged form was discussion method. India.
started in J.J. Hospital, Bombay.
1908 – Trained Nurses Association of India (TNAI)
established.
1909 - Bombay presidency nursing association was
formed.
1910 - United board of examination for nurses was
organized.
1926 - First nurses’ registration act passed in Madras.
1935 - Madras and Bombay nursing councils were
established.
1942 - ANM programme started.
1943 - School of Nursing at RAK College, New Delhi.
1943 - Diploma programme in nursing administration
started in New Delhi.
1946 - Four year B.Sc nursing programme started in
RAK College and CMC, Vellore.
1947 - INC act was passed.
1949 - INC was established.
1959 - M.Sc Nursing started in RAK College of
Nursing.
1963 - Post basic B.Sc programme started in various
institutions
1985 - M.Sc nursing started in CMC Ludhiana.
1985 - IGNOU established.
1986 - Curriculum change for GNM programme from
three and a half years to three years.
1986 - M.Phil programme started in RAK, Delhi.
1987 - M.Sc Nursing started in Kerala
1987 - Separate directorate of nursing was created in
Karnataka State.
1988 - M.Sc Nursing at NIMHANS
1992 - PhD in RAK College, New Delhi
1992 - Post basic programme started under IGNOU
1994 - M.Sc nursing at Mahe, Manipal
1994 - Basic B.Sc programme under school of
Medical education in Mahatma Gandhi University,
Kottayam.
1996 - M.Phil and PhD at MAHE, Manipal.
2001 - PhD at NIMHANS
2004 – Syllabus of all nursing courses revised and
implemented from 2006 onwards
2008 – Post basic diploma in 10 nursing specialties
including independent nurse practitioner in midwifery
was developed.
2004 – 2012 – Growth of Nursing Educational
Institutions with 5 to 16% in government sector.
2 min. To enlist the LEVELS OF NURSING EDUCATION : Teacher enlist the What are the
programmes of programmes in different
nursing INC introduced six levels of nursing education in nursing education programmes
education. India are : using flash cards. in nursing
 Training of Dais (Birth Attendant ) education?
 Auxiliary Nurse Midwife
 Lady Health Visitor Course
 General nursing and midwifery (GNM)
 B.Sc. Nursing
 Post Certificate B.Sc Nursing
 M.Sc. Nursing
 M.Phil
 PhD
The last 3 courses are University level courses and the
respective universities conduct examinations.
5 min To understand DEVELOPMENT OF NURSING EDUCATION. Student teacher
development of discusses
nursing development of
education. 1. Training of Dais(Birth Attendant ) nursing education.

The Dai training continued past independence. The

goal was to train one Dai in each village and
ultimate goal was to train all the practicing Dais in
country

Duration of training was 30 days. No age limit was

prescribed, training include theory and practice,
more emphasis on field practice. This training was
done at subcentre and equipments provided by
UNICE F.

2. Auxiliary Nurse Midwife

In 1950 Indian Nursing Council came out with

some important decisions relating to future
patterns of nursing training in India.One of the
important decision was that there should be only
two standard of training nursing and midwifery,
subsequently the curriculum for these courses
were prescribed.The first course was started at St.
Marys Hospital Punjab,1951.The entrance
qualification was up to 7/8 years of schooling.The
period of training was 2 years witch include a 9
month of midwifery and 3 months of community
experience.
In 1977, as a result of the decision to prepare
multipurpose health worker& vocalization of
higher secondary education, curriculum was
revised a designed to have 1.5 year of
vocationalized ANM programme and six months of
general education.The entrance qualification was
raised from 7th passed to matriculation passed.

Under multipurpose scheme promotional avenue

was opened to senior ANMS for undergoing six
months promotional training for which course was
prescribed by INC.

3. Lady Health Visitor Course

Training of LHV course continued post

Independence.The syllabus prepare ed
and prescribed by INC in 1951.The entrance
qualification was matriculation.The duration was
two and a half years which subsequently reduced
to 2 years.
 The various nursing programmes are:
 Auxiliary Nursing and Midwifery (ANM) or
Multi Purpose Health Worker-Female (MPHW-
F)
 General Nursing and Midwifery (GNM)
 Basic Bachelor of Nursing (B.Sc. Nursing)
 Post Basic Bachelor of Nursing (P.B.B.Sc.
Nursing)
 Masters in Nursing (M.Sc. Nursing)
 Masters of Philosophy in Nursing (M.Phil)
 Doctorate in Philosophy in Nursing (Ph.D)

3 min To explain the ANM PROGRAMME : Student Teacher

ANM Programme explains about
of nursing The ANM training was for 2 years and mainly covered maternalA.N.M Programme
education. using charts, flash
and child care and family welfare. In keeping with the policies
cards and discussion
of the Government of India to have multipurpose health method.
workers, the Indian Nursing Council revised the ANM’s
syllabus in 1977 and reduced the duration to 18 months. The
focus of training is on community health nursing.
Objectives:

General:
At the end of the training programme, the
student health worker should demonstrate ability to plan and
carry out job responsibilities assigned to her under the
multipurpose worker scheme.
Specific:
 Perform basic health care activities in
community and institutional setting
 Plan and carry out nutrition and health education
activities in the home, clinic and community
 Provide immunization services, family health
care and family planning services.
 Participate in prevention and control of
communicable disease, promote environmental
sanitation.
 Promote community development activities.
Duration:
Training duration is 18 months (1 ½ years)

INC Norms for ANM:

Minimum Standard Requirements:

 A school for training of the ANMs should be

 located in a community health centre (PHC
annex) or a rural Hospital having minimum bed

5 min. To explain the strength of 30: and maximum 50 and serving an

GNM PROGRAMME Student Teacher Explain the
GNM Programme  The syllabus
area withof community
GNM has health
undergone many The
programmes. explains about philosphy of
of nursing changes according
school should toalso
thebe
changes in the
affiliated to ahealth
district G.N.M Programme G.N.M
education. plans and policies of government and changing using charts, flash programme.
hospital or a secondary care hospital in order to
trends in nursing education, health sciences and cards and discussion
provide
medical experiences of secondary level health
technology. method.
care and an extensive gynae-obstetrical care.

 An organization having a hospital with 150 beds

with minimum 30-50 obstetrics and gynecology
beds, and 100 delivery cases monthly can also
open ANM School. They should also have an
affiliation of PHC/CHC for the Community
Health Nursing field experience.

 Existing ANM schools attached to District

hospitals should have PHC annex
(accommodation facility for 20-30 students) for
community health field experience.
  The latest revision of syllabus by INC was in
2015, decreasing the duration of the GNM
programme from 3.5 years to 3 years.
 The basic entrance eligibility is intermediate or
class 12th.
 Both science and arts students are eligible.
 The focus of general nursing education is the
care of sick and nursing schools are generally
attached to a teaching hospital.
 Three board examinations are conducted, each
at the end of 1 year and on passing the students
are registered as registered nurse or midwife by
the respective state nursing councils.

OBJECTIVES :
The programme is designed: What are the
To provide a balance of professional and purposes of
general education G.N.M
To enable a student to become a professional Programme?
nurse practitioner who has self direction and is a
responsible citizen..
PURPOSES :
 Purpose of general nursing programme is to
prepare general nurse who will work as health
team member beginning with competence for
first level position n both hospital and
community.

 The programme is generated to the health needs

of the society, the community and individual What is the
and will assist nurses in their personal and eligibility
criteria for
professional development so that they make
admission in
take their maximum contribution to the society
 as individual citizens and nurses. G.N.M
Programme?
ELIGIBILITY CRITERIA FOR ADMISSION :
 Age for the entrance shall be 17 to 35 years,
provided they meet the minimum educational
criteria, i.e, 12 years of schooling.
 Admission of students shall be once a year.
 Students should be medically fit. Explain about
Selection committee should comprise nursing tutors, the training
nurse administrators and principal of the school shall programme
be the chairperson. of G.N.M
course.
TRAINING PROGRAMME :
The course shall be of three years duration and should
comprise of :
2 years practice in general nursing and one year of
midwifery and community health nursing and
research, administration.
The maximum hours per week per student shall be 36
hours which includes instructions and clinical field
experiences.

5 min. To understand BACHELOR OF NURSING COURSE (B.Sc Student teacher

about bachelor of Nursing) explains about B.Sc
nursing course.  Graduate nursing education in India started in Nursing programme
1946 in CMC,Vellore and RAK College of using charts, flash
nursing in New Delhi. cards and discussion
At present 1373 colleges have been recognized by method.
INC to run the course under several universities in
India.
ELIGIBILITY CRITERIA FOR ADMISSION :
A candidate seeking admission should :
  Pass the 2 year of pre university exam or
equivalent as recognized by concerned
university with science subjects, i.e Physics,
Biology and Chemistry.
 Students of vocational courses.
 Obtain at least 45% of total marks in science
subjects in the qualifying exams, if belongs to a
scheduled caste or tribute should have obtained
not less than 40% of total marks in science
subjects.
 Complete 17 years of age at the time of What is the
admission or will complete this age on or eligibility
before 31st December of the year of admission. criteria for
Be medically fit. B.Sc Nursing
OBJECTIVES : Course?
The programme is designed :
 to provide a balance of professional and general
education.
 to enable a student to become a professional
nurse practitioner who has self direction and is a
responsible citizen.
 to enable the student to understand the
application of principles from physical, social
and biological sciences for assessing the health
status.
 to enable the student to investigate the health
What are the
problems systematically.
objectives of
The course of study leading to bachelor of nursing
B.Sc Nursing
degree comprises 4 academic years.
programme?
5 min. To understand BACHELOR OF NURSING COURSE (POST- Student teacher
bachelor of CERTIFICATE) FOR QUALIFIED NURSES : explains about Post
nursing course INC has recognized two modes of programmes at this certificate B.Sc
(post certificate). level : nursing programme
 Regular B.Sc (Post Basic) course for those who using charts, flash
have 10+2+GNM and is a 2 years course. cards and discussion
 Distance B.Sc (Post Basic) course for those who method.
have 10+2+GNM+2 years experience and has a
duration of 3 years.

AIMS OF PROGRAMME : What are the

 Education is a lifelong learning process. It seeks aims of Post
to render appropriate behavioural changes in Certificate
students in order to facilitate their development. B.Sc Nursing
 The goal of post certificate degree programme Programme?
leading to bachelor of science in nursing is the
preparation of the trained nurse as a generalist
who accepts responsibility to enhance the
effectiveness of nursing care.
ELIGIBILITY CRITERIA FOR ADMISSION : What is the
The candidate seeking admission must : eligibility
 hold a certificate in general nursing. criteria for
 may or may not have experience. P.B.Sc
Nursing?
 be a registered nurse.
 have passed pre university exam.
 be medically fit
 have a good personal and professional record.
What are the
OBJECTIVES OF PROGRAMME : objectives of
 To administer high quality nursing care to all P.B.Sc
the people of all ages at homes, hospitals and Nursing?
other community agencies in rural or urban
areas.
 To enable the student to understand the
application of principles from physical, social
 and biological sciences for assessing the health
status.
 To enable the student to investigate the health
problems systematically.
 Teach and counsel individuals, families and
other groups about health and illness.
 Understand human behavior and establish
effective interpersonal relationships.
 Teach in clinical nursing situations.

5 min. To explain about DEGREE OF MASTER OF NURSING : Student Teacher

Master of First two years course in masters of nursing was explains about
Nursing degree started at RAK College of Nursing in 1959. Degree of Master of
programme. At present there are 401 colleges imparting M Sc nursing programme
Nursing degree course in different specialties. using charts and flash
cards.
PHILOSPHY AND AIMS OF PROGRAMME : What are the
 The master of nursing is offered by institution aims of M.Sc
of higher education and is built on a recognized Nursing
bachelor's curriculum in nursing. programme?
 The programme prepares nurses for leadership
position in nursing and other fields who can
function as specialist nurse practitioner, consultants,
educators, administrators and investigators in a wide
variety of professional setting in meeting the national
priorities and changing needs of society.

ELIGIBILITY CRITERIA FOR ADMISSION : What is the

The candidate seeking admission must : eligibility
 have passed B Sc Nursing/Post certificate B Sc criteria for
 or nursing degree of any university. M.Sc
 have a minimum of one year experience after Nursing?
obtaining B Sc in a hospital setting, educational
institution and community setting.
 be selected on a merit basis of academic
performances in B.Sc nursing, Post certificate B
Sc or selection tests.
OBJECTIVES :
Graduate of master of nursing programme demonstrate Explain the
 increased cognitive, effective and psycho motor objectives of
competencies and the ability to utilize the M.Sc
potentials for effective nursing performance. Nursing.
 expertise in the utilization of concepts and
theories for assessment, planning and
intervention in meeting the self care needs of an
individual.
 ability to practice independently as a nurse
practitioner.
 ability to function as nurse educators and
administrators.
 ability to interpret health related research.
 ability to plan and initiate change in the health
care system.
 leadership qualities for the advancement of
practice of professional nursing.
SPECIALITIES OF PROGRAMME :
Candidate will be examined in any of the following Explain
branches :
about the
 Medical Surgical Nursing - Cardio vascular and specialties of
thoracic nursing M.Sc
 Medical Surgical Nursing -Critical Care Nursing?
Nursing
  Medical Surgical Nursing - Oncology Nursing
 Medical Surgical Nursing -Neurosciences
Nursing
 Medical Surgical Nursing -Nephro-Urology
Nursing
 Medical Surgical Nursing -Orthopedic Nursing
 Medical Surgical Nursing -Gastro-Enterology
Nursing
 Obstetrics and Gynaecology Nursing
 Paediatric (Child Health)Nursing
 Psychiatric (Mental Health) Nursing
 Community Health Nursing

Four common papers included in the syllabus are :

 Advanced concepts of health and nursing

 Nursing education
 Nursing research
 Nursing administration

5 min. To explain MASTER OF PHILOSPHY PROGRAMME : Student Teacher What is the

Master of In 1980 RAK college of nursing started a M Phil explains Master of philosophy
Philosophy in programme as a regular and part time course. Philosophy in behind
Nursing. Nursing using M.Phil
PHILOSPHY : transparencies and Programme?
Nursing shares with the whole university a main focus flash cards.
of preparing its students for service and assisting them
to achieve a meaningful philosophy of life.
The student is encouraged to develop judgment and
wisdom in handling knowledge, skills and achieve
mastery in problem solving and creative skills.
OBJECTIVES : What are the
The objectives of M Phil degree course are : objectives of
 to strengthen the research foundations of nurses M.Phil
for encouraging nursing attitudes and problem Programme?
solving capacities.
 to provide basic training required for research in
undertaking doctoral work.
DURATION :
Duration of full term M Phil course is one year and What is the
part time course is two years. duration this
programme?
COURSE OF STUDY :
At the time of admission each candidate will be Explain the
required to indicate her regard to the optional courses, course of
a candidate may offer one course from M Phil from study.
the department of Anthropology, education, sociology
and physiology or any suitable department. It is
divided into two parts :
PART 1 : it consists of three courses,ie research
methods in nursing, major aspects of nursing, allied
disciplines.
PART 2 : after passing part 1 a student shall be
required to write a dissertation. The topic and nature of
dissertation of each candidate will be determined by
the advisory committee consisting of three members.
 5 min. To explain DOCTORATE OF PHILOSPHY IN NURSING : Student teacher
1 min. Doctorate of Earlier nurses went to abroad for PhD programme. CONCLUSION
explains about:
Philosophy in PhD programmes in India started in 1992. Doctorate of
Nursing. Patterns of nursing
Philosophy in
PHILOSPHY : education
Nursing.and training What is the
A candidate for admission to the course for degree of programmes in India has philosophy
doctor of philosophy in the faculties of medical changed and evolved behind P.PhD
science must have obtained an M Phil degree of an with time. Programme?
university or have a good academic record of first andAfter Independence
second class master's degree of an Indian or a foreignIndia has started to
university in the concerned subject. provide a formal
Every application for the admission to this programmeeducation in the field of
must be analyzed by the board of research studies. nursing in order to
BOARD OF RESEARCH STUDIES (MEDICAL improve the quality of
SCIENCES ) MEMBERS ARE : nursing care and to
 Dean and the head of departments concerned. achieve the basic
 Principals/head of institutions recognized for standard of care in our Explain about
post graduate medical studies. society. the board of
 Two members nominated by the medical research
academic council. There are six levels of studies.
 Three persons nominated by the medical facultyeducation in nursing
which have been
(for their special knowledge in medical science).
ELIGIBILITY CRITERIA : explained in the class.
 The candidate must be post graduated in nursing
with an aggregate of 55% marks. Nursing education is
 Candidate should have a research background. certainly making the
nurses more capable and What is the
 Candidate may or may not have published
intellect for meeting the eligibility
articles in journals.
changing needs of criteria for
society. PhD
 The duration of a regular PhD course is 3 years
programme?
and a part time course is 4 years.
1 min. SUMMARY :

In today's class I have

explained the topic
'Patterns of nursing
education and training
programmes in India'.
All the important points
and aspects of the topic
have been tried to be
covered and was
explained accordingly.
10 min. To explain RESEARCH ABSTRACTS : Student teacher Explain the
research articles explains research research
related to nursing ABSTRACT 1 : articles related to articles related
education. Baumann, A., Blythe, J., "Globalization of Higher nursing education to nursing
Education in Nursing" OJIN: The Online Journal of using discussion education.
Issues in Nursing; May 31 2008, Vol. 13 No. 2 method.
Manuscript 4.
The demand for higher education has increased
worldwide and the response has been an impressive
expansion of educational offerings both within and
across countries. The purpose of this manuscript is to
emphasize the necessity of common educational
standards for nurses in a globalized world. Common
standards are crucial in regulated professions, such as
nursing, in which lives depend on the possession of
specific competencies. The article defines and
describes globalization and the internationalization of
education, including nursing education, discusses the
exporting of nursing education, identifies the
challenges and current solutions related to nurse
migration, and presents current standards and future
trends in harmonizing nursing education
internationally.

ABSTRACT 2 :
Gaudecker von.R Jane; Qualitative analysis of student
perceptions of bachelor of science to doctor of
Philosophy in Nursing Programs; October 2015;
volume 54; Issue 10; 542-549.
To address the shortage of Doctor of Philosophy
(PhD)-prepared nursing faculty, universities in the
United States offer direct-entry Bachelor of Science in
Nursing (BSN)-to-PhD nursing programs. Little
research has been conducted to explore students’
perceptions of these programs and to formally evaluate
the successes and opportunities for growth of this
academic track. This article elaborates on
opportunities, challenges, and suggestions related to
this educational route, as recognized by 21 participants
from seven universities. The study findings may
facilitate discussion among nurse educators to revise
programs to be congruent with the needs of current
students while paving the way for future scholars.

ABSTRACT 3 :
Youngshin Song; Soon Young Yun; Role of Self
directed learning in communication competence and
self efficacy; Journal of Nursing Education; October
2015; volume 54; issue 10; 559-564.

Although effective self-directed learning (SDL) has

been shown to improve clinical performance, little is
known about its role between communication
competence and communication self-efficacy in
nursing students. This study aimed to identify whether
SDL mediates the relationship between
communication competence and communication self-
efficacy. A cross-sectional survey was conducted with
a sample of 213 nursing students taking a basic
fundamentals of nursing course. A structural equation
model confirmed direct and indirect effects of
communication competence on communication self-
efficacy when SDL was controlled as a mediator.
For enhancing self-efficacy regarding communication
skill, the specified SDL program based on the level of
communication competence will yield more effective
results.

ABSTRACT 4 :

Lipson.G.Juliene; et al; Current approaches to

 integrating elements of cultural competence in Nursing
Education; Online journal of Nursing; vol.14, no.3

Cultural competence in nursing education is receiving

renewed emphasis. Curricular input to incorporate
such knowledge, attitudes, and skills encompasses a
wide variety of teaching and learning methods. Five
are described here: specialty focus, required courses,
models, immersion experiences, and distance learning
or simulation. Despite progress in incorporating
cultural content into nursing curricula, several issues
characterize all levels of nursing programs, including
lack of consensus on what should be taught, lack of
standards, limited and inconsistent formal evaluation
of effectiveness, a decline of curricular specialty
courses on culture, a focus on the micro level of the
nurse-patient encounter, and the need for, support of,
and preparation of faculty.

ABSTRACT 5 :

 Hedi, Bedarz, et al. Cultural diversity in

Nursing Education : perils, pitfalls and pearls; Journal
of nursing education; 2014; 13(4), 208-212

Increasing diversity in the classroom challenges

nursing educators to identify issues that complicate
teaching (perils), analyze barriers for themselves and
their students (pitfalls), and select new strategies for
working with nontraditional students (pearls). This
article identifies concerns arising from attitudes and
values within nursing and common approaches to
diversity education, and then discusses key issues in
nursing education that relate to human nature, culture,
faculty workload, and student demographics. Finally,
some strategies are proposed for increasing the
effectiveness of professional preparation with diverse
students through a focus on culturally congruent
education and development of faculty cultural
competence.

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(1995). ‘Community Health
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