SEMINAR

ON
PATTERN’S OF NURSING EDUCATION
&
TRAINING PROGRAMME IN INDIA

introduction
Nursing, a profession that recalls the name of Florence nightingale is indeed
one of the noblest profession in the world. It is the art of caring sick people with the science
of health care. It is the vital component of any form of medical care. The largest group of
workers in the health sectors are those in nursing occupation as nurses and nursing assistants.
In a hospital from a general ward to the operation theatre, nursing forms an integral part. This
is one of the few domains of work that is almost totally dominated by women.

History of nursing education

The nightingale school for nurses
Florence nightingale advocated nursing as both the art and a science. She strongly believed
that the focus of the training school should be nursing education rather than nursing service.
She felt the curriculum should be flexible and stress compassion and empathy for the patient.
She instated that the patient was to be treated as a human not as a disease entity. She also
realized that the clinical practice and theory must be correlated to ensure quality education.
The nightingale school is considered first “modern” school of nursing and the beginning of
the nursing as an organized profession. The programme was one year of length.
In the past the progress of nursing in India has Benn hindered by many difficulties such as
low state women, the system of pardah among Muslim women, caste system among hind us,
illiteracy and poverty etc. Modern nursing education started on the basic of Florence
nightingale work and training plan developed in hospital school of nursing in London, it is
hard to realize that recognized preparation for modern nursing education began with the
establishment of nightingale school of nursing in London.
Florence nightingale is created with rounding ordinary nursing and creating the first
educational system for nurses. After hospital came in to existence in Western Europe and
prior to the influence of Florence nightingale, hospital care was given by women such as
prisoners.

Military nursing
It is the earliest type and 1664 the east India Company helped to start a hospital for soldiers at
fort, St. George madras. In 1797 a lying hospital was built and 1854 government sanctioned
training school for midwives. In 1861 through the reform in military hospital led to reform in
civilian hospitals. This laid foundation for public health nursing.

Civilian hospitals
Nursing in the military hospital was poor quality carried on by male orderliness and the
mental staff, in 1871 the government general hospital, madras, undertook a plan to train
nurses. Nurses were brought from England to be in charge and the first six students were
those who had previously received their diploma in midwifery.

Mission Hospitals
Mission hospitals were the first to begin the training if Indian as nurses. In the beginning
there was no uniformity of course or educational requirements. About 1907-1910 the north
India united board of examiners for mission hospital was organized and set up rules for
admissions and standards of training and conducted a public examination.

Dufferin fund
Until the late 19th century there was no women doctors and therefore no care for women
except in mission hospitals, this fact was brought to the attention of Queen Victoria. At this
time lady Dufferin was coming out of India with her husband who are on government service.

Terminologies:
 Nursing:
Nursing is the unique function of the nurse is to assist the individual, sick or
well, in the performance of those activities contributing to health that he would
performed unaided, if he had the necessary strength, will or knowledge and to do this
in such a way as to help him gain independence as rapidly as possible.
 Education:
According to john Dewey, education is the development of all these capacities
in the individual which will enable him to control his environment and fulfil his
possibilities.
 Nursing education:
Nursing education is a professional education which is consciously and
systematically planned and implemented through instruction and discipline and aims
the harmonious development
 Professional development:
Professional development is the need of competition and knowledge explosion
should be explain properly and prepare the student to render professional nursing care
in the best or higher possible manner.
 Philosophy:
Philosophy is a search for a comprehensive view of nature an attempt at a
universal explanation of things
- Henderson
HISTORY OF EVOLUTION OF NURSING EDUCATION IN
INDIA :

1871 - School of nursing started in general hospital Madras.

1886 - School of nursing in a full-fledged form was 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.

LEVELS OF NURSING EDUCATION :

INC introduced six levels of nursing education in India are :

Training of Dais(Birth Attendant )
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.

DEVELOPMENT OF NURSING EDUCATION.

1. Training of Dais(Birth Attendant )

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)

ANM PROGRAMME :
The ANM training was for 2 years and mainly covered maternal
and child care and family welfare. In keeping with the policies
of the Government of India to have multipurpose health
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 strength of 30 and maximum 50 and NURSING EDUCATION
serving an area with community health programmes. The IN INDIA
school should also be affiliated to a district hospital or a
secondary care hospital in order to provide experiences of The nursing council act came
secondary level health care and an extensive gynae-obstetrical into existence in 1948 to
care. constitute a council of nurses
An organization having a hospital with 150 beds with minimum who would safeguard the
30-50 obstetrics and gynecology beds, and 100 delivery cases quality of nursing education in
monthly can also open ANM School. They should also have an the country. The mandate was
affiliation of PHC/CHC for the Community Health Nursing establish and maintain uniform
field experience. standards of nursing education.
Existing ANM schools attached to District hospitals should Today, the nursing education is
have PHC annex (accommodation facility for 20-30 students) regulate by Indian nursing
for community health field experience. council through prescription,
inspection, examination,
certification and maintaining its
stand for a uniform syllabus at each level of nursing education. They have also ensured easier
measures for equivalence, exchange and practice for nurses in any part of the country.

Perspectives of nursing education: global and national.

As we are nurses, it is our prime responsibility to upgrade our profession
education is an important tool which is needed for the up gradation our
profession. In this seminar we will come across education, nursing education,
history of development of nursing education, and global & national perspective
of nursing education.

Nursing educational programmes:

“Nursing educational programmes may be defined as in large part that
influencing of one group of human beings, the pupils to grow towards defined
objectives, utilizing a second group of human beings, the teacher as agents, and
operating in setting of third group of human being, the public variously
concerned both with objectives and with means used to achieve them”
DEVELOPMENT OF NURSING EDUCATIION.
Basic General Nursing And Midwifery Education
1. Training of Dais(Birth Attendant )
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. Auxillary 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&
vocationalization 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 independance.The syllabus prepar ed
and prescribed by INC in 1951.The entrance qualification was
metriculation.The duration was two and a half years which subsequently
reduced to 2 years.
4 . General Nursing And Midwifery Course
GNM course existed since early years of century.In 1951,syllabus was
prescribed by INC.In 1954 a special provision was made for male nurse.In1954
public health was integrated into basic nursing course.
First revision of course was done in 1963. In1964-65 Psychiatric nursing was
included in curriculum.The duration of course was reduced from 4 years to 3.5
years. Second revision was done in 1982. The duration of the course reduced to
3 years.The Midwifery training of one year duration was gradually reduced to 9
months and then six months, finally three year integrated programme of GNM
was prescribed in 1982.
5.Post-Basic/Post Certificate Short-Term Courses And Diploma Programmes
During 1948-50 four nurses were sent to the U.K.by Govt. of India for mental
health nursing diploma.During 1954 Manzil Medical Health centre,Lucknow
gave psychiatric nursing orientation course of 4 – 6weeks duration. In 1951 a
one year course in public health was started at college of nursing Delhi.Govt. of
India felt urgent need for psychiatric nurses during 1953-54,this resulted in first
organized course at All India Institute of Mental Health.
In 1962 diploma in peadatric nursing was established at J.J.Group of Hospitals,
Bombay.At present there are many other courses of three months duration
which are monitored and recognized by INC.The ultimate aim of all the post-
basic/ post certificate programme is to improvement of quality of patient care
and promotion of health.
University-Level Programmes.
1.Basic BSc Nursing
First university programme started just before independence in 1946 at
university of Delhi.and CMC Vellore. In 1949, on recommendation of
university education committee and education commission(1964-66) and
conference&workshop held by TNAI,The WHO and UGC,some more colleges
came up in different state affiliated to different state university.
INC prescribes the syllabus which has been revised three times,the last
revision was done in 1981.It was done on basis of the 10+3+2 system of general
education.At present the BSc Nursing programme which is recommended by
the INC is of four years and have foundations for future study and
specialization in nursing.
2. Post Basic BSc Nursing
The need for higher training for certificate nurses was stressed by the Mudaliar
Committee in1962. Two years post basic certificate BSc(N) programme was
started in December 1962.for nurses with diploma in general and midwifery
with minimum of 2 years experience. First started by university of Trivandrum.
At present there are many colleges in India offering Pc BSc(N) Course.
3. Post Basic Nursing by Distance Education Mode.
In1985 Indira Gandhi National open university was established. In1992 Post
Basic BSc Nursing programme was launched, which is three years duration
course is recognized by INC.
4. Post- Graduate Education-MSc Nursing
First two years course in masters of nursing was started at RAK College of
Nursing in 1959.and in 1969 in CMC Vellore. At present there are many
colleges imparting MSc Nursing degree course in different specialties.
5. M.Phil
INC felt need for M.Phil programme as early on 1977,for this purpose
committee was appointed.In 1986 one year full time and two years part time
programme was started in RAK College of nursing Delhi.
6. Ph.D in Nursing
Indian nurses were sent abroad for Ph. D programme earlier. From1992 Ph D in
nursing is also available in India.MAHI is one of the university having PhD
programme.
Current Educational Patterns In Nursing
1.Non University Programme
Basic – ANM-GNM
Advance-Post-Certificate diploma
2. University Programme
Basic- BSc(N)
Post-Basic BSc(Regular)
Post-Basic BSc(N).IGNOU
Advance:MSc (Nursing)
M. phil
Ph.D.
Trends in nursing education changes from basic general nursing service to
doctorate education in nursing.

Deemed University level programmes:

1. BASIC B.SC (NURSING):
First university programme started just before independence in 1946 at
university of Delhi and CMC, Vellore. In 1949, on recommendation of university
education committee and education commission (1964-1966) and conference,
workshop held by TNAI, The WHO and some more colleges came up in different
state affiliated to different university, the entry qualification is intermediate with
biological sciences, physics and chemistry.
2. M.SC (NURSING):
First two years course in master of nursing was started at RAK college of
nursing in 1959 and in 1969 in CMC, Vellore, at present there are many college
importing M.sc (N) degree course in different specialities, this two year course is
designed to prepare clinical and community health nursing specialists. Besides
clinical specialization the students are thought to conduct research in nursing.
A thesis is submitted by each student in partial fulfilment of the requirements
for the degree courses in education and administration are given to prepare the
students to take up responsibility in education and administration in nursing and allied
health areas. The entrance requirement is B.sc (N) and 1 year experience as a clinical
nurse or instructor. Entrance test is mandatory in reputed institutes. University exams
are conducted at the end of the academic year or semesters.

BACHELOR OF NURSING COURSE FOR QUALIFIED NURSES

Philosophy and aims of the academic programme

Philosophy
Health is state of well-being that enables a person to lead a psychologically, socially and
economically productive life. Health is right of all the people. Individual, families and the
communities have a responsibility towards maintaining their health.
Nursing contribution to the health services is a vital and significant way in the health care delivery
system.
Scope of nursing practice encompasses provision of promotive, preventive, curative and rehabilitative
aspect of health care to people across their life span in wide variety of health care settings. Practice of
nursing is based upon application of basic concepts and principles derived from the physical,
biological and behavioural sciences, medicine and nursing.
Nursing is based on values of caring, and aims to help individuals to attain independence in self-care.
Aim:
The aim of undergraduate Nursing programme is to:
 Prepare graduates to assume responsibilities as professionally competent nurses and midwives in
providing promotive, preventive, curative and rehabilitative services.
 Prepare nurses who can make independent decisions in nursing situations, protect the rights of
and facilitate individuals and groups in pursuit of health, function in hospital, and community and
conduct research studies in the area of nursing practice.
 They are also expected to assume role of teacher, supervisor and manager in a clinical/public
health settings.

 Objectives:
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
 Understanding the application of principles from the physical, biological,
social and behavioural science for assessing health status.
 Ability to investigate health care problems systemically
 Ability to work collaboratively
 Ability to assume responsibility for continuing learning and for increasing
competence in nursing practice.
 Appreciation of professional attitudes necessary for leadership role in nursing.
 Appreciation of social and ethical obligation.
 Attendance, progress and conduct:
Each student must have certificate of satisfactory attendance. Progress and conduct
from the principle of the college nursing to be eligible for appearing in the university
examination.
A minimum of 80 % attendance is required in theory and practical separately in each
subject attendance of 10% may be conducted by the vice-chancellor

Admission Requirements and Procedure:

1. The minimum age for admission shall be 17 years on/or before the cut-off date of admission.
2. The minimum educational requirement shall be passing of:
a. Higher secondary school certificate examination (12 years of course).
OR
b. Senior school certificate examination (10+2).
OR
c. Pre degree examination (10+2)
OR
d. An equivalent with 12 years schooling from a recognized board
Or University in SCIENCE STREAM (PHYSICS, CHEMISTRY AND BIOLOGY) and
English with minimum of 45% of marks (aggregate marks in PCBE) and with relaxation
of 5% for reserved categories.
3. Candidate shall be medically fit.
Entrance /Selection test:
 Entrance test shall be conducted by non-university colleges and admissions will be given on merit
basis.
 If seats are not filled from the candidates appearing for entrance test conducted by non-university,
candidates appearing in any entrance test conducted by government, association of private
medical and nursing institutions within the country shall be admitted or the vacant seats shall be
filled as per rules and regulations laid down by the apex body and the University.

COURSE DURATION: FOUR YEARS

 COURSE OF STUDY:

 FIRST YEAR:
Sr. No. Subject Theory Hours Laboratory Clinical Total
Hours Hours Hours
1 English* 60 00 00 60
2 Introduction to Computer Science* 15 30 00 45
3 General Human Anatomy and General 113 07 00 120
Human Physiology
4 Nutrition and Biochemistry 70 20 00 90
5 Microbiology 45 15 00 60
6 Psychology 60 00 00 60
7 Nursing Foundation 265 200 450 915
8 Regional Language (Marathi/ Hindi)** 30 00 00 30
Total Hours 658 272 450 1380
 *Indicates College Level Examination
 ** Regional Language shall be taught within first THREE months and marks need not be entered
into mark sheet at University level.

SECOND YEAR:

Sr. No. Subject Theory Hours Laboratory Hours Clinical Total

Hours Hours
1 Sociology 60 00 00 60
2 Medical and Surgical Nursing I (Adult 210 00 720 930
including Geriatric Nursing)
3 Community Health Nursing I 90 10 140 240
4 Pharmacology, Pathology and Genetics 105 10 00 115
5 Communication and Education 60 30 00 90
Technology
Total 525 50 860 1435
THIRD YEAR:CHELONURSING SCIENCE (
Sr. No. Subject Theory Laboratory Hours Clinical Total
Hours Hours Hours
1 Medical and Surgical Nursing II (Adult 120 10 270 400
including Geriatric Nursing)
2 Child Health Nursing 90 10 270 370
3 Mental Health Nursing 90 00 270 360
4 Midwifery and Obstetrical Nursing 80 20 180 280
Total 380 40 990 1410

FINAL YEAR: (FIRST HALF)CE(BASIC

Sr. No. Subject Theory Laboratory Hours Clinical Total
Hours Hours Hours
1 Midwifery and Obstetrical Nursing 30 00 180 210
2 Community Health Nursing II 90 00 140 230

3 Management of Nursing Services and 60 00 60 120

Education
4 Nursing Research and Statistics 75 15 00 90
Total 255 15 380 650

FINAL YEAR: (SECOND HALF) -INTEGRATED PRACTICE HOURS:

Sr. Practical Experience in
Subject Area of Clinical Posting
No. weeks Hours
Research Project As approved by the institution and guide 1 48
1
(Group Project)
Labour Room 2 96
Midwifery and Obstetrical
2 Antenatal ward 2 96
Nursing
Post Natal Ward 2 96
Rural Community Health Centre 2 96
3 Community Health Nursing
Urban Community Health Centre 2 96
4 Mental Health Nursing Psychiatric Ward 2 96
Intensive Care Unit 1 48
Step Down Unit 1 48
5 Medical Nursing
Medical Ward 1 48
Casualty 1 48
Surgical Ward 1 48
Orthopedic ward 1 48
Neurosurgery/Plastic Surgery/
Cardiothoracic Surgery Unit/kidney 1 48
6 Surgical Nursing
transplant ward
Burns Unit/Trauma Unit/Maxilo facial
1 48
Surgery
Surgical Intensive Care Unit 1 48
 Pediatric General Ward 1 48
7 Child Health Nursing Pediatric Intensive Care Unit 1 48
Neonatal Intensive Care Unit 1 48
Total 25 1200

EVALUATION SCHEME
1. The candidate will be evaluated by:
Formative Evaluation:
 For University Level Examination Subjects: By way of assignments and conducting TWO
Examinations (one at the end of each term) by the Examination Cell / College.
 For college level Examination Subjects: (i.e. English* and Introduction of computer
science*) By way of conducting TWO examinations. One as a midterm and second as a
Prelim (Before the Prelim examination of University Level Examination subjects) by the
Examination Cell / College.
Summative Evaluation:
 For University Level Examination Subjects: By DMIMS (Deemed) University at the end of
academic year. (After completion of Preliminary Examination.)
 For College Level Examination subjects: (i.e. English* and Introduction of computer
science*) Examination conducted at the time of Prelim Examination of other subjects
(University Level Examination Subjects) shall be considered as Final Examination. There is
no University Examination for these two subjects.
Evaluation of Group Project (Nursing Research and Statistics):
 There is no University examination for Group Project. The marks obtained by the student in
Group Project and Viva Voce shall not be depicted on the mark list issued by the
University.
 However, Completion, Acceptance of Group Project and obtaining 50% marks in the Group
Project is prerequisite for eligibility to appear for University Examination.
2. Minimum Passing Marks for all the Subjects EXCEPT ENGLISH shall be 50%. For English it is
40%.
3. The candidate has to pass in theory and practical examination separately in each of the paper. If
the candidate fails in either theory or practical examination, he/she has to re appear for both the
examinations.
4. Candidate shall NOT BE ADMITTED to the subsequent higher (University) examination
unless the candidate has passed the previous University examination.
5. The maximum period to complete the course successfully should not exceed EIGHT years.
6. Calculation of Internal Assessment:
 For University Examination Subjects: (Theory and Practical): 50% of Total Internal Assessment
Marks shall be from the marks obtained in the Assignments and Tutorials and 50 % of Total
Internal Assessment Marks shall be from the marks obtained in the Examinations conducted
before the University examination. Both shall be calculated separately and taken together as
an Internal Assessment Marks.
  For College Level Examination Subjects: 50% of Total Internal Assessment Marks shall be
from the marks obtained in the Assignments and Tutorials and 50% of Total Internal
Assessment Marks shall be from the marks obtained in Examinations conducted before the
Final Examination (i.e. Examination conducted at the time of Prelim Examination of other
subjects). Both shall be calculated separately and taken together as Internal Assessment
Marks.
 Any fraction of marks shall be rounded up to next higher complete number before sending
Internal Assessment marks to the University.
7. Minimum Criterion for Eligibility to appear for University Examination:
 Obtaining minimum 35% marks of the internal assessment marks in University Level
Examination Subjects.
 Passing in Theory Examination of College Level Subjects.
 Completion and Acceptance of Group Project (Nursing Research and Statistics) and Passing
in Viva Voce on Group Project.
 Minimum 80% attendance (irrespective of the kind of absence). However, the candidate has
to compensate 100% of his/her absence in practical/clinical before award of degree.
 Appearing for Preliminary examination.
8. Distribution of Marks for University Level Examination Subjects where Examination of Two
or More Subjects is taken together:
 75+25 Scheme:
 General Anatomy and Physiology: Anatomy of 37 marks and of Physiology of 38 marks.
 Nutrition and Biochemistry: Nutrition of 45 marks and Biochemistry of 30 marks.
 Pharmacology Pathology and Genetics: Pharmacology of 38 marks, Pathology of 25 marks
and Genetics of 12 marks.
 Nursing Research and Statistics: Nursing Research of 50 marks and Statistics of 25 marks.
 80+20 Scheme:
 General Anatomy and Physiology: Anatomy of 40 marks and of Physiology of 40 marks.
 Nutrition and Biochemistry: Nutrition of 48 marks and Biochemistry of 32 marks.
 Pharmacology Pathology and Genetics: Pharmacology of 40 marks, Pathology of 27 marks
and Genetics of 13 marks.
 Nursing Research and Statistics: Nursing Research of 53 marks and Statistics of 27 marks.
9. Practical Examination and Eligibility of Examiners:
 Maximum number of candidates for practical examination may be as per University norms;
however the number of candidates should not exceed 20 per day.
 All practical examinations must be held in the respective clinical areas. One internal and one
external examiner shall jointly conduct practical examination for each candidate.
 Examiners should possess Masters Qualification in the concerned subject, working in the
College of Nursing not below the rank of Assistant Professor and should have minimum three
years collegiate teaching experience. Only for Practical Examination of Nursing Foundations
course, faculty having M.Sc. Nursing with any specialty and fulfilling above mentioned criteria
shall be considered.
10. Viva Voce on Group Project*(Nursing Research and Statistics): Shall be conducted by the
faculty members (From College) appointed as Internal Examiner and External Examiner by the
competent authority.
 SUBJECTS FOR EXAMINATION

FIRST YEAR:
 Theory:
1. English*
2. Introduction to Computer Science*
3. General Human Anatomy and Physiology
4. Nutrition and Biochemistry
5. Microbiology
6. Psychology
7. Nursing Foundations
 Practical:
1. Nursing Foundations

SECOND YEAR:
 Theory:
1. Sociology
2. Medical and Surgical Nursing – I (Adult Including Geriatric Nursing)
3. Community Health Nursing - I
4. Pharmacology, Pathology and Genetics
5. Communication and Education Technology
 Practical:
1. Medical and Surgical Nursing – I (Adult including Geriatric Nursing)
THIRD YEAR:
 Theory:
1. Medical and Surgical Nursing – II (Adult Including Geriatric Nursing)
2. Child Health Nursing
3. Mental Health Nursing
 Practical:
1. Medical and Surgical Nursing – II (Adult including Geriatric Nursing)
2. Child Health Nursing
3. Mental Health Nursing
FINAL YEAR:
 Theory
1. Midwifery and Obstetric Nursing.
2. Community Health Nursing – II
3. Management of Nursing Services and Education.
4. Nursing Research and Statistics
 Practical
1. Midwifery and Obstetric Nursing.
2. Community Health Nursing – II

PATTERN OF PRACTICAL EXAMINATION

MIDTERM, PRELIM AND UNIVERSITY EXAMINATION
FOR BOTH, 75+25 AND 80+20 SCHEMES OF EXAMINATION

FIRST YEAR:

Subject: Nursing Foundation Maximum Marks: 100

Division of Marks:
Marks Allotted for Internal Marks Allotted for External Total
Examiner Examiner Marks
50 50 100

Subdivision of Marks Allotted for Both the Examiners:

Internal Examiner External Examiner Grand
Procedure Bedside Total Nursing Bed Side Total Total
Viva Voce Marks Process Viva Voce Marks
35 15 50 35 15 50 100

SECOND YEAR:

Subject: Medical Surgical Nursing I Maximum Marks: 100

Division of Marks:
Marks Allotted for Internal Marks Allotted for External Total
Examiner Examiner Marks
50 50 100

Subdivision of Marks Allotted for Both the Examiners:

Internal Examiner External Examiner Grand
Procedure Bedside Total Nursing Bed Side Total Total
Viva Marks Process Viva Voce Marks
Voce
35 15 50 35 15 50 100

THIRD YEAR:

Subjects:
1. Medical Surgical Nursing II
2. Child Health Nursing
3. Mental Health Nursing.
Maximum Marks: 50
Division of Marks:
Marks Allotted for Internal Marks Allotted for External Total
Examiner Examiner Marks
25 25 50

Subdivision of Marks Allotted for Both the Examiners:

Internal Examiner External Examiner Grand
Procedure Bedside Total Nursing Bed Side Total Total
Viva Voce Marks Process Viva Voce Marks
15 10 25 15 10 25 50

FINAL YEAR:
Subjects: 1. Midwifery and Obstetric Nursing
2. Community Health Nursing II
Maximum Marks: 50
Division of Marks:
Marks Allotted for Internal Marks Allotted for External Total
Examiner Examiner Marks
25 25 50

Subdivision of Marks Allotted for Both the Examiners:

Internal Examiner External Examiner Grand
Procedure Bedside Total Nursing Bed Side Total Total
Viva Voce Marks Process Viva Voce Marks
15 10 25 15 10 25 50

PHYSICAL FACILITIES
Building:
The College of Nursing should have a separate building. For a College with an annual
admission capacity of 40-60 students, the constructed area of the college should be
23720 square feet.

Adequate hostel/residential accommodation for students and staff should be available

in addition to the above mentioned built up area of the Nursing College respectively.
The details of the constructed area is given below for admission capacity of 40-60
students:

1. Class rooms:
There should be at least four classrooms with the capacity of accommodating the
number of students admitted in each class. The rooms should be well ventilated with
proper lighting system. There should be built in Black/Green/White Boards. Also
there should be a desk/ dais/a big table and a chair for the teacher and racks/cupboards
for keeping teaching aids or any other equipment needed for the conduct of classes
also should be there.

Departments: College should have following departments

1. Fundamentals of Nursing including Nutrition

2. Medical Surgical Nursing

3. Community Health Nursing

4. Obstetric and Gynaecological Nursing

5. Child Health Nursing

6. Psychiatry and Mental Health Nursing

2. Laboratories:
There should be at least seven laboratories as listed below:

Nursing Foundations and Medical Surgical

Community Health Nursing
OBG and Paediatrics
Nutrition
Computer with 10 computers
Pre-Clinical Science Lab. (Biochemistry, Microbiology, Biophysics, Anatomy &
Physiology)

3. Auditorium:
Auditorium should be spacious enough to accommodate at least double the
sanctioned/actual strength of students, so that it can be utilised for hosting functions of
the college, educational conferences/ workshops, examinations etc. It should have
proper stage with green room facilities. It should be well –ventilated and have proper
lighting system. There should be arrangements for the use of all kinds of basic and
advanced audio-visual aids.

4. Multipurpose Hall:
College of Nursing should have multipurpose hall, if there is no auditorium.

5. Library:
There should be a separate library for the college. The size of the Library should be of
minimum 2400 sqr. ft. It should be easily accessible to the teaching faculty and the
students. Library should have seating arrangements for at least 60 students for reading
and having good lighting and ventilation and space for stocking and displaying of
books and journals. The library should have at least 3000 books. In a new College of
Nursing the total number of books should be proportionately divided on yearly basis
in four years. At least 10 sets of books in each subject to facilitate for the students to
refer the books. The number of journals should 15 out of which one- third shall be
foreign journals and subscribed on continuous basis. There should be sufficient
number of cupboards, book shelves and racks with glass doors for proper and safe
storage of books, magazines, journals, newspapers and other literature.

In the library there should be provision for:

- Staff reading room for 10 persons.
- Rooms for librarian and other staff with intercom phone facility
- Video and cassette / CD room (desirable)
- Internet facility.

6. Offices Requirements

(a) Principal’s Office

There should be a separate office for the Principal with attached toilet and provision
for visitor’s room. Independent telephone facility is a must for the Principal’s office
with intercom facility connected/linked to the hospital and hostel and a computer with
internet facility. The size of the office should be 300 sqr. Ft.

(b) Office for Vice-Principal

There should be a separate office for the Vice-Principal with attached toilet and
provision for visitor’s room. Independent telephone facility is a must for Vice-
principal’s office with intercom facility connected/linked to the hospital and hostel
and a computer with internet facility. The size of the office should be 200 sqr. Ft.

(c) Office for Faculty Members

There should be adequate number of office rooms in proportion to the number of
teaching faculty. One office room should accommodate 2 teachers only. Separate
toilet facility should be provided for the teaching faculty with hand washing facility.
There should be a separate toilet for male teachers. The size of the room should be
200 sqr. Ft. Separate chambers for heads of the department should be there.

7. Common Rooms
A minimum of 3 common rooms should be provided. One for the teaching faculty,
one for the student and one for the office staff. Sufficient space with adequate seating
arrangements, 7

Cupboards, lockers, cabinets, built-in-shelves and racks should be provided in all the
common rooms. Toilet and hand washing facilities should be made available in each
room.
8. Record Room
There should be a separate record room with steel racks, built-in shelves and racks,
cupboards and filing cabinets for proper storage of records and other important papers/
documents belonging to the college.

9. Store room
A separate store room should be provided to accommodate the equipment’s and other
inventory articles which are required in the laboratories of the college. This room
should have the facilities for proper and safe storage of these articles and equipment’s
like cupboards.

10. Room for Audio-Visual Aids

This room should be provided for the proper and safe storage of size 600 sq. ft. for all
the Audio- Visual Aids.
11. Other Facilities
Students’ welfare hall of size 400 sqr. ft. Indoor games hall of size 4000 ft. Safe
drinking water and adequate sanitary/toilet facilities should be available for both men
and women separately in the college in each floor common toilets for teachers
(separate for male and female) i.e. 4 toilets with Wash basins. Common toilets for
students (separate for male and female) 12 with Wash Basins for 60 students.

12. Garage
Garage should accommodate a 60 seater vehicle.

13. Fire Extinguisher

Adequate provision for extinguishing fire should be available as per the local bye-
laws.
14. Playground
Playground should be spacious for outdoor sports like Volleyball, football, badminton
and for Athletics.
Hostel Facilities:
There should be a separate hostel for the male and female students. It should have the
following facilities.

1. Hostel Room
It should be ideal for 2 students with the minimum 100 sq. ft. carpet area. The
furniture provided should include a cot, a table, a chair, a book rack, a cupboard and a
cloth rack for each student.

2. Toilet and Bathroom

Toilet and bathroom facilities should be provided on each floor of the student’s hostel
at the rate of one toilet and one bathroom for 2-6 students. Geysers in bathroom and
wash basins should also be provided.
3. Recreation
There should be facilities for indoor and outdoor games. There should be provision for
T.V., radio and video cassette player.

4. Visitor’s Room
There should be a visitor room in the hostel with comfortable seating, lighting and
toilet facilities.
5. Kitchen & Dining Hall
There should be a hygienic kitchen and dining hall to seat at least 80% of the total
student’s strength at one time with adequate tables, chairs, water coolers, refrigerators
and heating facilities. Hand washing facilities must be provided.

6. Pantry
One pantry on each floor should be provided. It should have water cooler and heating
arrangements.

7. Washing & Ironing Room

Facility for drying and ironing clothes should be provided in each floor.

8. Sick Room

A sick room should have a comfortable bed, linen, furniture and attached toilet.
Minimum of 5 beds should be provided.
9. Room for Night Duty Nurses
Should be in a quiet area.

10. Guest Room

A guest room should be made available.

11. Warden’s Room

Warden should be provided with a separate office room besides her residential
accommodation.

12. Canteen
There should be provision for a canteen for the students, their guests, and all other
staff members.
13. Transport
College should have separate transport facility under the control of the Principal. 50
seater bus is preferable.

Residential Accommodation:
Residential family accommodation for faculty, should be provided, according to their
marital status. Telephone facility for the Principal at her residence must be provided.
Residential accommodation with all facilities is to be provided to the Hostel Warden.

Crèche
There should be a crèche in the college campus.

Staff for the Hostel:

1. Warden (Female) -3: Qualification- B.Sc. Home Science or Diploma in
Housekeeping/ Catering. Minimum three wardens must be there in every hostel for
morning, evening and night shifts. If number of students s more than 150, one more
warden/ Asst. Warden/ House keeper for every additional 50 students.

2. Cook-1: For every 20 students for each shift.

3. Kitchen & Dining Room helper- 1: For every 20 students for each shift.

4. Sweeper-3

5. Gardener-2

6. Security Guard/ Chowkidar-3

NURSING TEACHING FACULTY

Minimum Qualifications & experience required for teachers of college of Nursing.
S. POST, QUALIFICATION & EXPERIENCE
NO.
1. Principal cum Professor- 15 years’ experience with M.Sc.(N) out of which 12
years should be teaching experience with minimum of 5 years in collegiate
programme.
Ph.D.(N) is desirable
2. Vice- Principal cum Professor- 12 years experience with M.Sc. (N) out of
which 10 years should be teaching experience with minimum of 5 years in
collegiate programme.
Ph.D.(N) is desirable
3. Professor- 10 years experience with M.Sc. (N) out of which 7 years should be
teaching experience.
Ph.D.(N) is desirable
4. Associate Professor- M.Sc. (N) with 8 years experience including 5 years
teaching experience Ph.D.(N) desirable
5. Assistant Professor- M.Sc. (N) with 3 years teaching experience
Ph.D.(N) desirable
6. Tutor- M.Sc.(N) Or B.Sc.(N) with 1 year experience

S. Designation B.Sc.(N) B.Sc.(N)

No. 40-60 (Students 61-100 (Students
intake) intake)
1 Principal 1 1
2 Vice-Principal 1 1
3 Professor 0 1
4 Associate Professor 2 4
5 Assistant Professor 3 6
6 Tutor 10-18 19-28

OTHER STAFF (Minimum requirements)

(To be reviewed and revised and rationalized keeping in mind the mechanization and
contract service)
Ministerial

a) Administrative Officer 1
c) Office Superintendent 1
d) PA to Principal 1
e) Accountant/Cashier 1
 Upper Division Clerk 2
 Lower Division Clerk 2

 Store Keeper 1

a) Maintenance of stores 1
b) Classroom attendants 2
c) Sanitary staff As per the physical space
d) Security Staff As per the requirement
Peons/Office attendants 4

Library
a) Librarian 2
b) Library Attendants As per the requirement
Hostel

a) Wardens 2
b) Cooks, Bearers, As per the requirement

Sanitary Staff
c) Ayas /Peons As per the requirement

d) Security Staff As per the requirement

e) Gardeners & Dhobi Depends on structural facilities
(desirable)

DEGREE OF MASTER OF NURSING

Philosophy
It is observed that there is acute shortage of nursing faculty in
Post graduate nursing programme in India.
Post graduate programme in nursing is built upon and extend competence acquired at the graduate
level, emphasizes application of relevant theories into nursing practice, education, administration and
development of research skills.
The programme prepares nurses for leadership position in nursing and health field who can function
as nurse specialists, consultants, educators, administrators and researchers in a wide variety of
professional settings
This programme provides the basis for the post masteral programme in nursing
AIM:
The aim of postgraduate programme in Nursing is to prepare graduate to assume the responsibility as
nurse specialists, consultants, educators, administrators in a wide variety of professional settings.

OBJECTIVES:
On completion of Masters in Nursing Programme, the graduates are able to:
1. Utilize/apply the concepts, theories and the principles of nursing science.
2. Demonstrate advance competence in practice of nursing.
3. Practice as a nurse specialist.
4. Demonstrate leadership qualities and function effectively as nurse educators and managers.
5 Demonstrate skill in conducting nursing research, interpreting and utilizing the finding from
health related research.
6 Demonstrate the ability to plan and effect change in nursing practice and in the health care
delivery system.
7 Establish collaborative relationship with members of other disciplines.
8 Demonstrate interest in continued learning for personal and professional advancement.

ADMISSION REQUIREMENTS AND PROCEDURE:

1. The candidate should be a registered nurse and registered midwife with any state nursing
council in India.
2. The minimum educational requirement shall be the passing of Basic B.Sc. Nursing/B.Sc.
Nursing / B.Sc. Nursing Honors / Post Basic B.Sc. nursing /B.Sc. nursing through distance
learning (Recognized by INC) with minimum of 55% of aggregate marks with relaxation of
5% marks for reserved class candidates.

Eligibility criteria:
The candidate seeking for admission must have
3. Minimum ONE year of work experience after Basic B.Sc. Nursing/B.Sc./Nursing Honors.
4. Minimum ONE year of work experience prior or after Post Basic B.Sc. nursing.
5. Candidate shall be medically fit.

Criteria for selection of candidates:

The candidates shall be selected on merit judged on the basis of academic –
performances in BSc, nursing \post certificate BSc, nursing and selection test.
Subject of study:
Candidates will be examined in any one of the following braches
Brach-I- Medical Surgical Nursing
Brach-II- Community Health Nursing
Brach-III- Pediatric Nursing (child health Nursing)
Brach-IV-Obstetrics and Gynaecological Nursing
Brach-V- Psychiatric Nursing
Duration
The course of study shall extend over a period of two years.
Attendance
a. Each student must have a certificate of satisfactory attendance, progress and
conduct from the Head of the institution to be eligible for admission to university
examination.

b. A minimum of 80% attendance is required in theory and 100% practical in each

subject.

COURSE DURATION: TWO YEARS

COURSE OF STUDY: FIRST YEARFFIRST YEAROR FIREA
Clinical/
Sr. Theory Laboratory
Subject Practical Total Hours
No. Hours Hours
Hours
1 Nursing Education 150 00 150 300
2 Advance Nursing Practice 150 00 210 360
3 Nursing Research and Statistics* 150 100 00 250
4 Clinical Speciality I 150 00 660 810
Total Hours 600 100 1020 1720
c.
d. *Sub Distribution of Hours for the subject Nursing Research and Statistics

Clinical/
Paper Theory Laboratory
Subject Practical Total Hours
No. Hours Hours
Hours
I Nursing Research 90 100 00 190
II Statistics 60 00 00 60

e. * Laboratory Hours of Nursing Research to be utilized for preparation and presentation of

Research Proposal.
FINAL YEARFFIRST YEAIRST YEA
Sr. Subject Theory Laboratory Clinical/ Total Hours
 No. Hours Hours Practical
Hours
1 Nursing Management 150 00 150 300
Nursing Research and Statistics
2 00 00 300 300
(Dissertation)
3 Clinical Speciality II 150 00 960 1110
Total Hours 300 00 1410 1710
f. In addition to this - Educational Visit 2 weeks as decided / planned by the Institution.
g. Minimum Clinical Hours are prescribed here. Institute may plan more clinical hours to
facilitate hands on training.
Submission of Dissertation
The candidate shall submit a dissertation in the field of his/ her speciality. There shall
be a guide form the Nursing specialty and co-guide who shall be a teacher from health
sciences. The guide and co-guide will value the dissertation and the average of which
shall form the marks for internal assessment. The internal assessment marks together
with the dissertation will be submitted to the university one month prior to the final
university exam. For the university exam the dissertation will be valued by the
external examiner and internal appointed by the university.
From this year onwards the candidate should have to submit 2 studies (i.e. short study
and long study) means the candidate should have to submit short study in first year
and long study in second year

Examination
a. there shall be a university exam conducted at the end of each year.

II) there shall be supplementary exam conducted during the summer vacation of
each academic year for the benefit of failed students.
b. I) Each branch will have 7 papers, 2 practical’s and dissertation.

Summary:

Till now we discussed about

 the nursing education in INDIA

 the four year basic BSc, Nursing
 the philosophy, aims of B.Bsc. Nursing
 the eligibility for admission, duration, of B.Bsc. Nursing
  the objective of post certificate programme
 study of 1st, 2nd, 3rd, 4th year of B.Bsc.
 the facilities of B.Bsc. Nursing or MSc. Nsg
 the MSc. Nursing philosophy
 the objective of MSc. Nursing
 the eligibility, subject of study, duration attendances of MSc. Nursing
 the submission of Dissertation of MSc. Nursing

Conclusion:

In the educational system the syllabus pattern of BSc 1st, 2nd, 3rd, 4th year and MSc nursing
syllabus pattern plays an very important role in the educational curriculum so that the teachers have to
know about all the curriculum pattern of the educational systems.

Bibliography:
 B.T Basanthappa textbook of nursing education
 http://www.scribd.com/doc/20286451/Nursing-Education-in-India-ANM-GNM-B-Sc-
and-PBB-Sc#scribd
 http://currentnursing.com/nursing_education/nursing_education_in_india.html
 http://www.dmimsu.edu.in/index.php?SRMMCON=master_srmmcon&name=srmmc
on_library
 http://www.dmimsu.edu.in/index.php?SRMMCON=master_srmmcon&name=depart
men
 http://www.dmimsu.edu.in/index.php?SRMMCON=master_srmmcon&name=cources
_fees
 https://en.wikipedia.org/wiki/Nursing_in_India