B.Sc_Nursing_Syllabus

B.Sc NURSING PROGRAM I. OVERVIEW OF THE PROGRAM The B.Sc. nursing degree program is a four-year fulltime program comprising eight semesters, which prepares a student to become a registered nurse qualified to practice in a variety of settings in either public/ government or private healthcare settings. It adopts credit system and semester system as per UGC guidelines. The program encompasses foundational, core and elective courses. The choice-based system is applicable to electives only and is offered in the form of modules. Modular learning is also integrated in the foundational as well as core courses that is mandatory. The program prepares nurses for generalist nursing practice. Knowledge acquisition related to wellness, health promotion, illness, disease management and care of the dying is core to nursing practice. Mastery of competencies is the main focus. Students are provided with opportunities to learn a whole range of nursing skills in addition to acquiring knowledge related to nursing practice. This is achieved through learning in skill lab/simulated labs and clinical environment. Simulation will be integrated throughout the curriculum wherever feasible to enable them to develop competencies before entry into real field of nursing practice. The revised curriculum embraces competency-based approach throughout the program integrating mastery learning and self-directed learning. Through the educational process the students assimilate and synthesize knowledge, cultivate critical thinking skills and develop care strategies. Competencies that reflect practice standards of Indian Nursing Council (INC) address the areas of cultural diversity, communication technology, teamwork and collaboration, safety, quality, therapeutic interventions and evidence- based practice. They are prepared to provide safe and competent care to patients across life span and influence patient outcomes. II. PHILOSOPHY Indian Nursing Council believes that: Health and wellness are two fundamental concepts that are integrated throughout the program. Health is a state of well-being that encompasses physical, psychological, social, economic and spiritual dimensions. Wellness is the individual’s perception of wellness and is influenced by the presence of disease and individual’s ability to adapt. Health is a right of all people. Individuals have a right to be active participants in achieving health as they perceive it. Society consists of dynamic and interactive systems involving individuals, families, groups and communities. Cultural diversity, race, caste, creed, socio economic levels, religion, lifestyles, changes in environment and political factors influence it. Nurses recognize and respect human differences and diversity of population within society and provide ethical care with respect and dignity and protect their rights. Nursing as a profession and a discipline utilizes knowledge derived from arts, sciences (physical, biological and behavioral), humanities and human experience. Nursing science incorporates clinical competence, critical thinking, communication, teaching learning, professionalism, and caring and cultural competency. Nurses collaborate with other health disciplines to solve individual and community health problems. Nursing facilitates evidence-based practice, compassionate caring among its practitioners in response to emerging issues in healthcare and new discoveries and 2 technologies in profession. Nursing practice requires personal commitment to professional development and life-long learning. Scope of nursing practice encompasses provision of promotive, preventive, curative and rehabilitative aspects of care to people across the life span in a wide variety of healthcare settings. Nursing practice is based on acquisition of knowledge, understanding, attitude, competencies and skills through INC’s curricular and practice standards and proposed Indian Nursing and Midwifery Council Act (Includes Nurse Practice Act). The competencies in which the students are trained will guide them in performing their scope of practice. Nursing offers qualified nurses a wealth of opportunities in the field of practice, education, management and research in India and overseas. The undergraduate nursing program is broad based education within an academic curricular framework specifically directed to the development of critical thinking skills, competencies appropriate to human and professional values. The teaching learning process is focused on mastery learning, modular, self-directed and self-accountable in choice making in terms of elective courses. The program prepares its graduates to become exemplary citizens by adhering to code of ethics and professional conduct at all times in fulfilling personal, social and professional obligations so as to respond to national aspirations. Health and community orientation are provided with special emphasis on national health problems, national health programs and national health policy directives to achieve universal health care for all citizens of India. The main roles of graduates would be provider of care with beginning proficiency in delivering safe care, coordinator/manager of care by being active participant of inter-professional team and member of a profession demonstrating self-responsibility and accountability for practice as well as to support the profession. The faculty has the responsibility to be role models and create learning environment that facilitates cultivation of critical thinking, curiosity, creativity and inquiry driven self- directed learning and attitude of life-long learning in students. Learners and educators interact in a process whereby students gain competencies required to function within their scope of practice. III. AIMS The aims of the undergraduate program are to  Produce knowledgeable competent nurses with clear critical thinking skills who are caring, motivated, assertive and well-disciplined responding to the changing needs of profession, healthcare delivery system and society.  Prepare graduates to assume responsibilities as professional, competent nurses and midwives in providing promotive, preventive, curative and rehabilitative healthcare services in hospital or public health settings.  Prepare nurses who can make independent decisions in nursing situations within the scope of practice, protect the rights of individuals and groups and conduct research in the areas of nursing practice and apply evidence-based practice.  Prepare nurses to assume role of practitioner, teacher, supervisor and manager in clinical or public health settings. 3 IV. CORE COMPETENCIES FOR NURSING PRACTICE BY BSC GRADUATE (Figure 1) The B.Sc. Graduate nurse will be able to: 1. Patient centered care Provide holistic care recognizing individual patient’s preferences, values and needs, that is compassionate, coordinated, age and culturally appropriate safe and effective care. 2. Professionalism Demonstrate accountability for the delivery of standard-based nursing care as per INC standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles. 3. Leadership Influence the behavior of individuals and groups within their environment and facilitate establishment of shared goals. 4. System-based practice Demonstrate awareness and responsiveness to the context of healthcare system and ability to manage resources essential to provide optimal quality of care. 5. Health informatics and Technology Use technology and synthesize information and collaborate to make critical decisions that optimize patient outcomes. 6. Communication Interact effectively with patients, families and colleagues fostering mutual respect and shared decision making to enhance patient satisfaction and health outcomes. 7. Teamwork and Collaboration Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning and development. 8. Safety Minimize risk of harm to patients and providers through both system effectiveness and individual performance. 9. Quality improvement Use data to monitor the outcomes of care processes and utilize improvement methods to design and test changes to continuously improve the quality and safety of healthcare system. 10. Evidence based practice Identify, evaluate and use the best current evidence coupled with clinical expertise and consideration of patient’s preferences, experience and values to make practical decisions. 4 Guidelines for Establishment of B.Sc (Nursing) College of Nursing:- 1. The following Establishments / Organizations are eligible to establish / Open a B.Sc. (Nursing) College of Nursing. a) Registered Private or Public Trust; b) Organizations Registered under Societies Registration Act including Missionary Organizations; c) Companies incorporated under section 8 of Company’s Act; 2. The eligible Organizations / Establishments should have their own 100 bedded Parent Hospital. 3. In respect of Tribal and Hilly Area the requirement of own Parent Hospital is exempted. a) Tribal area – Scheduled notified area; [Areas as the President of India may by order declare to be Scheduled Areas;] b) Hilly area – North East States, UTs of Jammu & Kashmir and Ladakh, Himachal Pradesh &Uttrakhand. 4. The eligible Organizations / Establishments should obtain Essentiality Certificate / No objection Certificate from the concerned State Government where the B.Sc. (Nursing) College of Nursing is sought to be established. The particulars of the name of the College / Nursing Institution along with the name ofthe Trust /Society [as mentioned in Trust Deed or Memorandum of Association] as also full address shall be mentioned in No Objection Certificate/Essentiality Certificate. 5. After receipt of the Essentiality Certificate/ No objection Certificate, the eligible institution shall get recognition from the concerned State Nursing Council for the B.Sc.(Nursing) programme for the particular academic year, which is a mandatory requirement. 6. The Indian Nursing Council shall after receipt of the above documents / proposal online would then conduct Statutory Inspection of the recognized training nursing institution under Section 13 of Indian Nursing Council Act 1947 in order to assess the suitability with regard to availability of Teaching faculty, Clinical and Infrastructural facilities in conformity with Regulations framed under the provisions of Indian Nursing Council Act, 1947. Parent Hospital (Unitary/ Single Hospital) Parent Hospital for a nursing institution having the same trust which has established nursing institutions and has also established the hospital. OR For a nursing institution (managed by trust) a “Parent Hospital” would be a hospital either owned and controlled by the trust or managed and controlled by a member of the trust. In case the owner of the hospital is a member of the Trust that the hospital would continue to function as a “Parent Hospital” till the life of the nursing institution. The undertaking would also be to the effect that the Member of the Trust would not allow the hospital to be treated” Parent/Affiliated Hospital” to any other nursing institution and will be for minimum 30 years [i.e., signed by all members of trust] to the undertaking to be submitted from the Members of the Trust. 5 Note: I. Change of Trust/Society:- The trust/ Society cannot be purchased as per Indian Trust Act, but there can be change of members/trustees. Therefore the purchase of institution or change of membership will not be considered as continuation of the programme. The institution which is purchased/ taken over will be considered as closed. And a fresh Govt. Order is required mentioning the trust/ society name along with programmes. The change of membership in society/ change of trust and trustees to be submitted immediately after incorporating through registrar cooperative societies/Indian trust act. II. Trust/society can open number of institutions, but it will be considered as one institution under the ambit of one Trust. Further a trust can open only one nursing institution in one city/town. III. Change of Address:- State Nursing Councilshall issue a certificate certifying the fact that the nursing institution is being shifted to the new building/premises at the address indicated. The certificate issued should indicate clearly total covered area of the nursing institution, number of rooms along with area specification, provision of adequate washroom facilities, lighting and ventilation etc of the new building. Change of location (district/town/city/village) shall be considered under new proposal. IV. No two institutions will have same name in same city/town. V. No Institutions / University will modify the syllabi; however they can add units/subjects if need be. VI. If, no admission are made for two consecutive academic years then it shall be considered that the institution is closed. If the institution wants to restart the programme they have to submit the fees along with a valid justification, SNRC/University approval for the same to be submitted to Indian Nursing Council within 5 years i.e, from the year they did not have admissions or else it will be be come under new Nursing institution definition. VII. Change of Name of the Institution:- If the Trust/society proposes to change the name of the institute, a valid reason has to be submitted. In such cases SNRC/University shall accept the proposal for change of name of the Institute, before submission of the proposal to INC. 6 MINIMUM REQUIREMENTS FOR B.SC(N) PROGRAMME PHYSICAL FACILITIES Teaching Block:  The college of Nursing should be within 30 Km Distance from its parent hospital having space for expansion in an institutional area. For a College with an annual admission capacity of 60 students, the constructed area of the college should be 22800 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 are given below for admission capacity of 60 students: S.No. Teaching Block Area (Figures in Sq feet) 1. Lecture Hall 4 @ 900 = 3600 2. Skill/ Simulation Laboratory (i) Nursing foundation lab 1500 (ii) CHN 900 (iii) Nutrition 900 (iv) OBG and Pediatrics lab 900 (v) Pre-clinical science lab 900 3 Computer Lab* 1500 4 A.V. Aids Room 600 5. Multipurpose Hall 3000 6. Common Room (Male and Female) 1000 7. Staff Room 800 8. Principal Room 300 9. Vice Principal Room 200 10. Library 2300 11. One room for each Head of Departments 5 @ 200 = 1000 10. Faculty Room 2400 11. Provisions for Toilets 1000 Total Constructed Area 22800 Sqr. Ft. Note:-1:5 computer student ratio as per student intake. Note: 1. Nursing Educational institution should be in Institutional area only and not in residential area. 2. If the institute has non-nursing programme in the same building, Nursing programme should have separate teaching block. 3. Shift-wise management with other educational institutions will not be accepted. 7 4. Separate teaching block shall be available if it is in hospital premises. 5. Proportionately the size of the built-up area will increase/decrease according to the number of seats approved. Hostel Block (60 Students): S. No. Hostel Block Area (Figures in Sq feet) 1. Single Room 12000 (50 sq. ft. for each students) Double Room 2. Sanitary One latrine & One Bath room (for 5 students) – 600× 4 = 2400 3. Visitor Room 500 4. Reading Room 250 5. Store 500 6. Recreation Room 500 7. Dining Hall 3000 8. Kitchen & Store 1500 9. Warden’s room 450 Total 21100 Sqr. Ft. Grand Total Constructed AreaTeaching Block 22800 Sqr. Ft Hostel Block 21100 Sqr. Ft Grand Total 43900 Sqr. Ft. {Note: Day Scholars are allowed, however 30% provision of hostel is mandatory} CLINICAL FACILITIES for 60 students (for new institution) I.a College of Nursing should have a 100 bedded Parent/Own Hospital. Note:- The institution offering General Nursing Midwifery programme and found suitable by INC before 2013-14 are eligible for up-gradation (phasing out GNM programme) will be exempted from the requirement of parent hospital. I.b 100 beds is not sufficient to offer clinical experience/ specialities to students as laid down in the B.Sc (Nursing) syllabus. II. Additional affiliation of hospital In addition to Parent Hospital of 100 beds, institution shall take affiliation of the hospital, if all the required learning experience are not available in the parent hospital. The students should be sent to affiliated hospital/agencies/Institutions where it is available. a. Criteria for Affiliation:- The types of experience for which a nursing college can affiliate are:  Community Health Nursing 8  Communicable Disease  Mental Health (Psychiatric) Nursing  Specialty like Cardiology, Neurology, Oncology Nephrology etc.  Obst, Gynaecology, Paediatrics, Ortho etc. b. The size of the hospital for affiliation:-  Should not be less than 50 beds apart from having own hospital  Bed occupancy of the hospital should be minimum 75% III. Clinical requirements for Nursing program are as given below: S. No Areas of Clinical Experience Number of Beds 1 Medical 45 2 Surgical 45 3 Obst. & Gynaecology 45 4 Pediatrics 30 5 Orthopaedics 15 6 Psychiatric 50 IV. Other Specialties/Facilities for clinical experience required are as follows:  Major OT  Minor OT  Dental Eye/ENT  Burns and Plastic  Neonatology care unit  Communicable disease  Community Health Nursing  Cardiology  Oncology Neurology/Neuro-surgery  Nephrology etc.  ICU/ICCU  Geriatric Educational Visits will also be conducted as per the B.Sc(N) syllabus (for example: Milk Treatment plant, Water and Sewage plant, Rehabilitation Centres, Orphanage, Geriatric Care, Home for Destitute, Professional Organisation etc.) V. The Nursing Staffing norms in the Parent and affiliated Hospital should be as per the INC norms. VI. The Parent/affiliated Hospital should give student status to the candidates of the nursing programme. VII. Maximum Distance between affiliated hospitals & institutions should not be more than 30 kms. VIII. For Hilly & Tribal the maximum distance can be 50 kms. IX. 1:3 student patient ratio to be maintained. 9 STAFFING PATTERN Table –I Qualifications & experience of teachers of college of Nursing S.No. POST, QUALIFICATION & EXPERIENCE 1. Principal cum Professor- Essential Qualification:-M.Sc. (N) Experience:- M.Sc (N), Ph.D. (N) having total 15 years experience with M.Sc. (N) out of which 10 years after M.Sc. (N) in collegiate progarmme. Ph.D.(N) is desirable 2. Vice- Principal cum Professor- Essential Qualification:-M.Sc (N) Experience:-M.Sc (N) Total 12 years experience with M.Sc. (N) out of which 10 years teaching experience after M.Sc (N) Ph.D.(N) is desirable 3. Professor- Essential Qualification:- M.Sc (N) Experience:- M.Sc (N)Total 12 years experience with M.Sc.(N) out of which 10 years teaching experience after M.Sc (N). Ph.D.(N) is desirable 4. Associate Professor- Essential Qualification:- M.Sc (N) Experience:-Total 8 years experience with M.Sc. (N) including 5 years teaching experience Ph.D.(N) desirable 5. Assistant Professor- Essential Qualification:- M.Sc (N) Experience:- M.Sc. (N) with total 3 years teaching experience Ph.D.(N) desirable 6. Tutor- M.Sc.(N) preferable Experience:- B.Sc.(N)/P.B.B.Sc.(N) with 1 year experience. Table –II S.No. Designation B.Sc.(N) 40-60 B.Sc.(N) 61-100 1 Principal 1 1 2 Vice- Principal 1 1 3 Professor 1 1-2 4 Associate Professor 2 2-4 5 Assistant Professor 3 3-8 6 Tutor/Clinical Instructor/Demonstrator 5-10 10-12 Total (For example for 40 students intake minimum number of teacher required is 13 including Principal, 1- Principal, 1- Vice Principal, 1-Professor, 2- Associate Professor & 3- Assistant Professor, tutors will be 5) 10  Number of Nursing departments = 6 (Six) i. Nursing Foundation ( Professor or Associate shall head of the department) ii. Medical-surgical Nursing iii. Psychiatric Nursing iv. Paediatric Nursing v. Midwifery, Obst. & Gynaecology vi. Community Health Nursing Minimum one professor from each specialty area shall be appointed as head of the department except nursing foundation.  1:15 teacher student ratio excluding Principal and Vice Principal  All teacher shall take classes, perform clinical teaching and supervision academic activities including Principal & Vice Principal  If the number of students are more than 60 there shall be two sections with minimum 30 students each. Maximum number of students in each section shall be 60 only. Admission Terms and Conditions  The minimum age for admission shall be 17 years on 31st December of the year in which admission is sought. The maximum age limit for admission shall be 35 years.  Minimum Educational Qualification i. Candidate with Science/Arts/Humanities/Commerce who have passed the 12th Standard examination (10+2) and must have obtained a minimum of 45% marks in the core/elective/academic subjects taken together and passed English individually. The above candidates should have passed from recognise board under AISSCE/CBSE/ICSE/SSCE/HSCE or other equivalent Board. ii. Candidate with Science/Arts/Humanities/Commerce who have passed the 12th Standard examination (10+2) and must have obtained a minimum of 45% marks in the core/elective/academic subjects taken together and passed English individually. The candidates should have passed from State Open School recognized by State Government and National Institute of Open School (NIOS) recognized by Central Government. iii. Vocational ANM’s/ RANMs are also eligible. iv. Admission shall be through Entrance examination. Entrance test** shall comprise of: a) Aptitude for Nursing 10 marks b) General Science 50 marks c) General knowledge 20 marks d) English 10 marks e) General ability 10 marks -Minimum qualifying marks for entrance test shall be 50% marks. **Entrance test shall be conduct by University/State Government 11  Candidate shall be medically fit.  Candidate shall be admitted once in a year Reservation policy:  For disabled candidates: 3% Disability reservation to be considered with a disability of loco-motor to the tune of 40% to 50% of the lower extremity and other eligibility criteria with regard to age and qualification will be same as prescribed for each nursing programme.  Colour Blind candidates are eligible provided that colour corrective contact lens and spectacles are worn by such candidates. Note: A committee to be formed consisting of medical officer authorized by medical board of State government and a nursing expert in the panel which may decide whether the candidates have the disability of loco-motor to the tune of 40% to 50% and also for the color blind candidates. In respect of candidates belonging to SC/ST/OBC and candidates with benchmarked disabilities under the Rights of Persons with Disabilities Act, 2016 (PH) the marks obtained in core subject stated above shall be 40% instead of 45 % marks for General category Candidates. Note:  Foreign Nationals:  The entry qualification equivalency i.e., 12th standard will be obtained by Association of Indian Universities, New Delhi. Institution, State Nursing Council & University will be responsible to ensure that the qualification and eligibility will be equivalent to what has been prescribed by Indian Nursing Council  Reservation of seats in Nursing Colleges for SC/ST/OBC/PH/EWSs Admission under the reserved quota shall be subject to reservation policy and eligibility criteria for SC/ST/OBC/PH/EWSs prescribed by the Central Govt./ State Govt./ Union Territory as applicable to the College concerned.  Reservations shall be applicable within the sanctioned number of the seats.  The start of the semester shall be 1 st August every year.  No admission after the cut-off date i.e. 30th September will be undertaken. Further Hall tickets/admit card shall not be issued to the candidates who are admitted after 30th September.  The responsibility of obtaining and verifying the requisite documents for admission lies with the Institution and University. 12 I & II Sem III & IV Sem I Semester 1. General Science 2. Communicative English 3. Applied Anatomy & Physiology 4. Applied Sociology & Psychology 5. Nursing Foundations I II Semester 6. Appliied Biochemistry 7. Applied Nutrition & Dietetics 8. Nursing Foundations II 9. Introduction to Community Health Nursing (Including Health care Policy & Regulation and Environmental science) III Semester 10. Applied Microbiology, and Infection control including Safety 11. Pharmacology I 12. Pathology I 13. Adult Health (Medical Surgical ) Nursing I with integrated pathophysiology 14. Professionalism, Ethics including bioeth IV Semester 15. Pharmacology II 16. Pathology II & Genetics Professional values & ics 17. Adult Health (Medical Surgical) Nursing II including Geriatrics with integrated pathophysiology 18. Educational Technology/Nursing Education V & VI Sem V Semester 19. Child Health Nursing I 20. Mental Health Nursing I 21. Nursing Management & Leadership 22. Nursing Research and Statistics 23. Health/Nursing Informatics & technology 24. Introduction to Forensic Nursing and Indian Laws VI Semester 25. Child Health Nursing II 26. Mental Health Nursing II 27. Community Health Nursing I including Epidemiology 28. Midwifery /Obstetrics & Gynaecology I VII & VIII Sem VII Semester 29. Community HealthNursing II 30. Midwifery and /Obstetrics & Gynaecology II VIII Semester 31. Internship (Intensive practicum/ Residency posting) BSC NURSING PROGRAM-Four years (8 semesters) CHOICE BASED CREDIT SYSTEM (CBCS) & SEMESTER SYSTEM COMPETENCY BASED CURRICULUM TEN CORE COMPETENCIES (Figure1) Figure2. Curricular Framework II. Core courses 1.Nursing Foundations 2. Community Health Nursing 3. Adult Health Nursing 4. Child Health Nursing 5. Mental Health Nursing 6. Midwifery/OBG Nursing I. Foundational courses(Applied basic & behavioral sciences) III. Elective courses COURSES 13 1. PROGRAM STRUCTURE BSc Nursing Program Structure I Semester  General Science (Refresher Course)  Communicative English  Applied Anatomy & applied Physiology  Applied Sociology & applied Psychology  Nursing Foundations I II Semester  Applied Biochemistry  Applied Nutrition and dietetics  *Nursing Foundations II including First Aid module  Introduction to Community Health Nursing including III Semester  Applied Microbiology and Infection Control including Safety  Pharmacology I  Pathology I  *Adult Health (Medical Surgical) Nursing I with integrated pathophysiology  Professionalism, Professional values & IV Semester  Pharmacology II  Pathology II & Genetics  *Adult Health Nursing II including Geriatric Nursing with integrated pathophysiology  Educational Technology/ Nursing education Health care Policy & ethics including Regulation and Environmental bioethics Science Mandatory Module *First Aid Mandatory Module *BCLS Mandatory Module *Health Assessment V Semester  *Child Health Nursing I  Mental Health Nursing I  Nursing Management & Leadership  Nursing Research and Statistics  Health/Nursing Informatics & technology  Introduction to Forensic Nursing & Indian Laws VI Semester  Child Health Nursing II  Mental Health Nursing II  *Community Health Nursing I (Including epidemiology)  Midwifery/ Obstetrics and Gynecology (OBG) Nursing I Mandatory Module * Standard treatment protocols used in national health programmes (Part I from NPPHC syllabusdraft) VII Semester  *Community Health Nursing II  **Midwifery/Obstetrics and Gynecology (OBG) Nursing II VIII Semester Internship (Intensive practicum/ Residency posting) Mandatory Modules *PLS/PALS, IMNCI, Essential Newborn Care & Facility Based Newborn Care (FBNBC) Mandatory Module * Standard treatment protocols used in national health programmes (Part II from NPPHC syllabus - draft) Mandatory Module ACLS ** SBA module (VI / VII Sem) 14 MANDATORY MODULES: The prepared modules (Health Assessment) and available modules as National guidelines (First Aid-NDMA, IMNCI, ENBC, FBNBC, SBA module, and National program treatment protocols will be provided in separate learning resource package) For BCLS, ACLS, PLS/PALS- Standard national/international modules can be used ELECTIVE MODULES Number of electives to be completed: 4 (Every module=1 credit=20Hours) III & IV Semesters: To complete any two electives by end of 4 th semester across 1 st to 4 th semesters  Human values  Diabetes Care  Palliative care  Disaster Management V & VI Semesters: To complete any one of the following before end of 6 th semester  CBT  Personality development  Addiction psychiatry  Adolescent health  Sports health  Accreditation and practice standards  Developmental psychology  Menopausal health  Health Economics VII & VIII Semesters: To complete any one of the following before end of 8 th semester  Scientific writing skills  Lactation management  Sexuality & Health  Stress management  Job readiness and employability in health care setting  Soft Skill