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DEVELOPMENT AND MAINTANANCE OF STANDARDS AND ACCREDITATION IN NURSING EDUCATION INSTITUTIONS “Standards are professionally developed expressions of the range of acceptable variations from a norm or criterion" - Avedis Donabedian. INTRODUCTION Standards ensures practicing things in the right way and doing things in how they actually be done. Standard and quality go hand in hand. The standard is also bound to ethical values. A standards has its own scientific backgrounds for any type of institutions. Only nursing institutions which maintains standards can bring forth nurses who can perform standard nursing care. Standard is a broad statement of quality- a definite, adequately required, aimed at a possible level of excellence. It agrees upon an achieved level of performance which is considered proper and adequate for a specific purpose against which actual performance is mapped. DEFINITION OF STANDARDS
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Page 1: Accreditation Seminar Education

DEVELOPMENT AND MAINTANANCE OF STANDARDS AND

ACCREDITATION IN NURSING EDUCATION INSTITUTIONS

“Standards are professionally developed expressions of the range of acceptable

variations from a norm or criterion" -Avedis Donabedian.

INTRODUCTION

Standards ensures practicing things in the right way and doing things in how they

actually be done. Standard and quality go hand in hand. The standard is also bound to ethical

values. A standards has its own scientific backgrounds for any type of institutions. Only

nursing institutions which maintains standards can bring forth nurses who can perform

standard nursing care. Standard is a broad statement of quality- a definite, adequately

required, aimed at a possible level of excellence. It agrees upon an achieved level of

performance which is considered proper and adequate for a specific purpose against which

actual performance is mapped.

DEFINITION OF STANDARDS

Standards may be defined as "Benchmark of achievement which is based on a desired

level of excellence.

Standards are pre-determined elements against which aspects of the quality of medical

service or education may be compared.

STANDARDS IN NURSING EDUCATION

Standard is an established rules or basis of comparison in measuring or judging

capacity, quality context and value of objects in same category. Selected standards are

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reliable and relevant for the category being compared. It is a definite level of excellence, or

adequately required, aimed at or possible. It agreed upon achieved level of performance,

considered proper and adequate for a specific purpose against which actual performance is

compared.

It is an acknowledged measure of comparison for quantitative or qualitative value.

Importance of standards

A standard is a means of determining what something should be.

Standards of setting up of a nursing education institution is the concreate statements

or intensions and requirements upon which the available resources are compared.

Quality improvement in nursing education is the primary aim of maintaining or

sticking on to this standards.

Keeping of standards of nursing education institutions and maintaining it will bring

forth individuals who can effectively practice and survive in the current systems of

health management and who can understand and solve the changing needs of the

society.

Audits and inspections helps to maintain these standards in nursing educational

institutions.

Purposes of standards

Give directions and guidelines for performance.

Improves quality of nursing education.

Provides a baseline for evaluating quality of nursing education.

Improves proper documentations.

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Helps to make out the degree to which the standards are met and to make necessary

corrections and improvements in time.

Act as a basis for decision making.

Helps to justify the demands of a institution.

Helps the authorities to prepare themselves and to guide the faculty.

Characteristics of standards

Must be realistic, acceptable and attainable.

Must be understandable and stated in unambiguous terms.

Must be based on current needs of society and health care environment.

Must be directed towards the ideal.

Must be able to apply to various settings.

Must be developed by the members of the nursing profession.

Must be reviewed and revised periodically.

Sources of standards for nursing education institutions.

o Professional organizations. Eg .TNAI

o Licensing bodies. Eg .INC

o Institutions

o State and central government

Types of standards

Structure standards:

It involves setup of the institutions. The philosophy goals and objectives, structure of

the organization, facilities and the equipments and the qualification of the faculty are also the

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components. The use of structure standards implies that if the structure is adequate, reliable

and desirable, standards will be met and quality products will be produced.

Process standards:

It refers to the performance or behavior. The process standards involves the activities

concerned with the functioning of a nursing institution. The processs standards assist in

measuring the degree of skills, with which the education process is carried out

Outcome standards:

It refers to the end result or outcome of a nursing education institutions, whether it is

able to bring out qualified professional nurse who are competent in their profession.

STANDARDS FOR SETTING UP OF NURSING EDUCATIONAL

PROGRAMMES(INC)

Minimum standard requirement for starting ANM course

A school for training of the ANM should be located in a community Health Centre

(PHC annexe) or a Rural Hospital (RH) having minimum bed strength of 30 and

maximum 50 and serving an area with community health programmes. The school

should also be affiliated to a district hospital or a secondary care hospital in order to

provide experiences of secondary level health care and an extensive gynae-obstertical

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. The

should also have an affiliation of PHC/CHC for the community Health Nursing field

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experience.

Existing ANM schools attached to District Hospitals should have PHC annexe

(accommodation facility for 20-30 students) for community health field experience.

Physical Facilities

Office room 1

Class-room 2

Nursing laboratory 1

Nutrition laboratory 1

Library cum study 1

Audio visual aid 1

Clinical Facilities

School has to be affiliated to district hospital or a secondary care hospital with

minimum 150 beds.

Bed occupancy on the average to be between 60% -70%.

Teaching facility - Teaching faculty for 20-40 annual admission:

Category Minimum qualification and experience

Principal M.Sc. Nursing with 3 years of teaching experience or B.Sc(N)

with 5 years of teaching experience.

Nursing Tutor B.Sc.Nursing/Diploma in Nursing Education &

Administration/Diploma in Public Health Nursing with 2 years

clinical experience.

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Guidelines to start ANM course

Any organization under the central government, state government, local body or a

private or public trust, mission, voluntary registered under society registration act or a

company registered under company’s act wishes to open and ANM training school,

should obtain the no objection/essentiality certificate from the state government.

If any nursing programme is recognised by Indian Nursing Council, then the

institution will be exempted from noc/essentiality certificate for A.N.M. from the state

government.

The Indian Nursing Council on receipt of the proposal from the institution to start

ANM training program, will undertake the first inspection to assess suitability with

regard to physical infrastructure, clinical facility and teaching faculty in order to give

permission to start the programme.

After the receipt of the permission to start ANM training program from Indian nursing

council, the institution shall obtain the approval from the state nursing council and

examination board.

Institution will admit the students only after taking approval of state nursing council

and examination board.

The Indian Nursing Council will conduct inspection every year till the first batch

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

completes.

Minimum standard requirement for starting GNM course

Physical facilities for teaching block

Teaching BlockArea in sq.ft

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Lecture hall 4320

Nursing foundation lab 1500

CHN lab 900

Nutrition lab 900

OBG and peadiatric lab 900

Pre-clinical science lab 900

Computer lab 1500

Multipurpose hall 3000

Common room for boys and girls 2000

Staff room 1000

Principal room 300

Vice principal room 200

Library 2400

A.V aids room 600

One room for each head of the departments 800

Faculty room 2400

Provision for toilet 1000

Total 23720 sq.ft

Hostel Block

Hostel blockArea in sq.ft

Room for students 2400

Sanitary One latrine and one bath room for 5

students. 500 sq.ft

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Visitor room 500

Reading room 250

Store 500

Recreation room 500

Dining hall 3000

Kitchen and store 1500

Total 30750

Proportionately the size of the built-up area will increase according to the number of

students admitted.

School and College of nursing can share laboratories, if they are in same campus

under same name and under same trust, that is the institution is one but offering

different nursing programmes. However they should have equipments and articles

proportionate to the strength of admission. And the class rooms should be available as

per the requirement stipulated by Indian Nursing Council of each programme

Clinical Facilities

School of nursing should have a 120-150 bedded Parent/Affiliated Hospital for 40 annual

intake in each programme:

Distribution of beds in different areas

Medical 30

Surgical 30

Obst. & Gynaecology 30

Pediatrics 20

Ortho 10

Bed Occupancy of the Hospital should be minimum 75%.

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The size of the Hospital/Nursing Home for affiliation should not be less than 50 beds.

Other Specialities/Facilities for clinical experience required are as follows:

o Major OT

o Minor OT

o Dental

o Eye/ENT

o Burns and Plastic

o Neonatology with Nursery

o Communicable disease

o Community Health Nursing

o Cardiology

o Oncology

o Neurology/Neuro-surgery

o Nephrology etc.

o ICU/ICCU

Affiliation of psychiatric hospital should be of minimum 30-50 beds.

The Nursing Staffing norms in the affiliated Hospital should be as per the INC norms.

The affiliated Hospital should give student status to the candidates of the nursing

programme.

Affiliated hospitals should be in the radius of 15-30 kms.

1:3 student patient ratio to be maintained.

If the institution is having both GNM and B.Sc(N) programme, it would require 240 bedded

parent/affiliated hospital for 40 annual intake in each programme to maintain 1:3 student

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patient ratio.

Teaching facility - Qualification of Teaching Staff:

Principal M.Sc nursing with 3 years of teaching

experience or B.Sc nursing with 5 years of

teaching experience

Vice-principal M.Sc nursing or B.Sc nursing with 3 years of

teaching experience

Tutor M.Sc nursing or B.Sc nursing or diploma in

nursing education and administration with 2

years of professional experience.

For School of nursing with 60 students (i.e., an annual intake of 20 students):

Teaching facultyNo.required

Principal 1

Vice principal 1

Tutor 4

Additional tutor for interns 1

Total 7

Guidelines to start G.N.M. course

Any organization under the Central Government, State Government, Local body or a

Private or Public Trust, Mission, Voluntary registered under Society Registration Act

or a Company registered under company’s act wishes to open a School of Nursing

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should obtain the No Objection/Essentiality certificate from the State Government.

If any Nursing Programme is recognised by Indian Nursing Council, then the

institution will be exempted from NOC/Essentiality certificate for G.N.M. from the

state Government.

The Indian Nursing Council on receipt of the proposal from the Institution to start

nursing programme, will undertake the first inspection to assess suitability with regard

to physical infrastructure, clinical facility and teaching faculty in order to give

permission to start the programme.

After the receipt of the permision to start the nursing programme from Indian Nurisng

Council, the institution shall obtain the approval from the State Nursing Council and

Examination Board.

Institution will admit the students only after taking approval of State Nursing Council

and Examination Board.

The Indian Nursing Council will conduct inspection every year till the first batch

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

completes.

Minimum standard requirement for starting B.Sc nursing course

Physical facilities for teaching block

Teaching BlockArea in sq.ft

Lecture hall 4320

Nursing foundation lab 1500

CHN lab 900

Nutrition lab 900

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OBG and peadiatric lab 900

Pre-clinical science lab 900

Computer lab 1500

Multipurpose hall 3000

Common room for boys and girls 2000

Staff room 1000

Principal room 300

Vice principal room 200

Library 2400

A.V aids room 600

One room for each head of the departments 800

Faculty room 2400

Provision for toilet 1000

Total 23720 sq.ft

Hostel Block

Hostel blockArea in sq.ft

Room for students 2400

Sanitary One latrine and one bath room for 5

students. 500 sq.ft

Visitor room 500

Reading room 250

Store 500

Recreation room 500

Dining hall 3000

Kitchen and store 1500

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Total 30750

Clinical Facilities

College of nursing should have a 120-150 bedded Parent/Affiliated Hospital for 40 annual

intake in each programme:

Distribution of beds in different areas

o Medical - 30

o Surgical - 30

o Obst. & Gynecology - 30

o Pediatrics-20

o Ortho - 10

Bed Occupancy of the Hospital should be minimum 75%.

The size of the Hospital/Nursing Home for affiliation should not be less than

50 beds.

Other Specialties/Facilities for clinical experience required are as follows:

o Major OT

o Minor OT

o Dental

o Eye/ENT

o Burns and Plastic

o Neonatology with Nursery

o Communicable disease

o Community Health Nursing

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o Cardiology

o Oncology

o Neurology/Neuro-surgery

o Nephrology etc.

o ICU/ICCU

Affiliation of psychiatric hospital should be of minimum 30-50 beds.

The Nursing Staffing norms in the affiliated Hospital should be as per the INC

norms.

The affiliated Hospital should give student status to the candidates of the

nursing programme.

Affiliated hospitals should be in the radius of 15-30 kms.

1:3 student patient ratio to be maintained.

If the institution is having both GNM and B.Sc(N) programme, it would require 240 bedded

parent/affiliated hospital for 40 annual intake in each programme to maintain 1:3 student

patient ratio.

Qualifications and experience of teachers of college of nursing

Professor cum principal M.Sc nursing with total 10 years of

experience , minimum of 5 years of teaching

experience

Professor cum vice principal M.Sc nursing with total 10 years of

experience , minimum of 5 years of teaching

experience

Reader/ associate professor M.Sc nursing with total 7 years of experience

, minimum of 3 years of teaching experience

Lecturer M.Sc nursing with 3 years of experience

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Tutor / clinical instructer M.Sc nursing or B.Sc nursing with 1 year

experience or basic B.Sc nursing with post

diploma in clinical speciality

Guidelines to start B.Sc. Course

Any organization under the Central Government, State Government, Local body or a

Private or Public Trust, Mission, Voluntary registered under Society Registration Act

or a Company registered under company’s act wishes to open a School/College of

Nursing, should obtain the No Objection/Essentiality certificate from the State

government.

If any Nursing Programme is recognised by Indian Nursing Council, then the

institution will be exempted from NOC/Essentiality certificate for B.Sc. (N) from the

state Government.

The Indian Nursing council on receipt of the proposal from the Institution to start

nursing College, will undertake the first inspection to assess suitability with regard to

physical infrastructure, clinical facility and teaching faculty in order to give

permission to start the programme.

After the receipt of the permission to start the nursing programme from Indian

Nursing Council, the institution shall obtain the approval from the State Nursing

Council and University.

Institution will admit the students only after taking approval of State Nursing Council

and University.

The Indian Nursing Council will conduct inspection every year till the first batch

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

completes.

Minimum standard requirement for starting Pc. B.Sc course

Physical facilities for teaching block

Teaching BlockArea in sq.ft

Lecture hall 4320

Nursing foundation lab 1500

CHN lab 900

Nutrition lab 900

OBG and peadiatric lab 900

Pre-clinical science lab 900

Computer lab 1500

Multipurpose hall 3000

Common room for boys and girls 2000

Staff room 1000

Principal room 300

Vice principal room 200

Library 2400

A.V aids room 600

One room for each head of the departments 800

Faculty room 2400

Provision for toilet 1000

Total 23720 sq.ft

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Hostel facility

Hostel blockArea in sq.ft

Room for students 2400

Sanitary One latrine and one bath room for 5

students. 500 sq.ft

Visitor room 500

Reading room 250

Store 500

Recreation room 500

Dining hall 3000

Kitchen and store 1500

Total 30750

Clinical Facilities

College of nursing should have a 120-150 bedded Parent/Affiliated Hospital for 40 annual

intake in each programme:

Distribution of beds in different areas

o Medical - 30

o Surgical - 30

o Obst. & Gynecology - 30

o Pediatrics - 20

Ortho - 10

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Bed Occupancy of the Hospital should be minimum 75%.

The size of the Hospital/Nursing Home for affiliation should not be less than

50 beds.

Other Specialties/Facilities for clinical experience required are as follows:

o Major OT

o Minor OT

o Dental

o Eye/ENT

o Burns and Plastic

o Neonatology with Nursery

o Communicable disease

o Community Health Nursing

o Cardiology

o Oncology

o Neurology/Neuro-surgery

o Nephrology etc.

o ICU/ICCU

Affiliation of psychiatric hospital should be of minimum 30-50 beds.

The Nursing Staffing norms in the affiliated Hospital should be as per the INC

norms.

The affiliated Hospital should give student status to the candidates of the

nursing programme.

Affiliated hospitals should be in the radius of 15-30 kms.

1:3 student patient ratio to be maintained.

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If the institution is having both GNM and B.Sc(N) programme, it would require 240 bedded

parent/affiliated hospital for 40 annual intake in each programme to maintain 1:3 student

patient ratio.

Teaching facilities

Qualifications & experience of teachers of college of nursing

Professor cum principal M.Sc nursing with total 10 years of

experience , minimum of 5 years of teaching

experience

Professor cum vice principal M.Sc nursing with total 10 years of

experience , minimum of 5 years of teaching

experience

Reader/ associate professor M.Sc nursing with total 7 years of

experience , minimum of 3 years of teaching

experience

Lecturer M.Sc nursing with 3 years of experience

Tutor / clinical instructer M.Sc nursing or B.Sc nursing with 1 year

experience or basic B.Sc nursing with post

diploma in clinical speciality

Guidelines to start P.C.B.Sc. course

Any organization under the Central Government, State Government, Local body or a

Private or Public Trust, Mission, Voluntary registered under Society Registration Act

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or a Company registered under company’s act wishes to open a M.Sc. Nursing

programme, should obtain the No Objection/Essentiality certificate from the State

Government.

If any Nursing Programme is recognised by Indian Nursing Council, then the

institution will be exempted from NOC/Essentiality certificate for P.C.B.Sc. (N) from

the state Government.

The Indian Nursing council on receipt of the proposal from the Institution to start

nursing program, will undertake the first inspection to assess suitability with regard to

physical infrastructure, clinical facility and teaching faculty in order to give

permission to start the programme.

After the receipt of the permission to start the nursing programme from Indian

Nursing Council, the institution shall obtain the approval from the State Nursing

Council and University.

Institution will admit the students only after taking approval of State Nursing Council

and University.

The Indian Nursing Council will conduct inspection every year till the first batch

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

completes.

Super Speciality Hospital can start M.Sc.(N) programme, however they have to get

NOC/Essentiality certificate from respective State Government to start the M.Sc. (N)

programme.

Minimum standard requirement for starting M.Sc nursing course

M.Sc. (N)

If parent hospital is super-specialty hospital like cardio-thoracic hospital/cancer with

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annual intake 10 M.Sc(N) in cardio thoracic/cancer

o Professor cum coordinator 1

o Reader / Associate Professor 1

o Lecturer 2

The above faculty shall perform dual role.

M.Sc. (N)

Annual intake of 60 students in B.Sc.(N) and 25 students for M.Sc.(N) programme.

o Professor-cum-Principal - 1

o Professor-cum-Vice Principal - 1

o Reader / Associate Professor - 5

o Lecturer - 8

o Tutor / Clinical Instructor - 19

---------------

Total - 34

One in each specialty and all the M.Sc(N) qualified teaching faculty will participate in

all collegiate programmes.

Teacher Student Ratio = 1 : 10 for M.Sc.(N) programme.

Qualifications & experience of teachers of college of nursing

Sr. No. Post Qualification & Experience

1 Professor-cum-

Principal

- Masters Degree in Nursing

- 14 years experience after M.Sc. (N) in College of

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Nursing .

- 3 years experience in administration (Years of

experience is relaxable if suitable candidate is not

available) (If a candidate is not available, minimum

5 years of experience in college of nursing, with an

aggregate of 14 years teaching experience)

Desirable : Independent published work of high standard / doctorate degree / M.Phil.

2 Professor-cum-Vice

Principal

- Masters Degree in Nursing

- 14 years experience after M.Sc. (N) in College of

Nursing .

- 3 years experience in administration (Years of

experience is relaxable if suitable candidate is not

available) (If a candidate is not available, minimum

5 years of experience in college of nursing, with an

aggregate of 14 years teaching experience)

Desirable : Independent published work of high standard / doctorate degree / M.Phil.

3 Reader / Associate

Professor

- Master Degree in Nursing.

- 10 years experience after M.Sc.(N) in a College of

Nursing. (If a candidate is not available, 5 years of

experience in College of Nursing with an

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aggregates of 10 years teaching experience.

Desirable : Independent published work of high standard /doctorate degree / M.Phil.

4 Lecturer - Master Degree in Nursing.

- 3 years teaching experience after M.Sc. (N)

External /Guest faculty may be arranged for the selected units in different subjects as

required

No part time nursing faculty will be counted for calculating total no. of faculty

required for a college.

Irrespective of number of admissions, all faculty positions (Professor to Lecturer)

must be filled.

For M.Sc.(N) programme appropriate number of M.Sc. faculty in each speciality be

appointed subject to the condition that total number of teaching faculty ceiling is

maintained.

All nursing teachers must possess a basic university or equivalent qualification as laid

down in the schedules of the Indian Nursing Council Act, 1947. They shall be

registered under the State Nursing Registration Act.

Nursing faculty in nursing college except tutor/clinical instructors must possess the

requisite recognized postgraduate qualification in nursing subjects.

Holders of equivalent postgraduate qualifications, which may be approved by the

Indian Nursing Council from time to time, may be considered to have the requisite

recognized postgraduate qualification in the subject concerned.

All teachers of nursing other than Principal and Vice-Principal should spend at least 4

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hours in the clinical area for clinical teaching and/or supervision of care every day.

Guidelines to start M.Sc. course

Any organization under the Central Government, State Government, Local body or a

Private or Public Trust, Mission, Voluntary registered under Society Registration Act

or a Company registered under company’s act wishes to open a M.Sc. Nursing

programme, should obtain the No Objection/Essentiality certificate from the State

Government.

If the institution is recognized for B.Sc. (N) programme and if one batch has passed

out after found suitable by INC, then the institution will be exempted from

NOC/Essentiality certificate for M.Sc.(N) programe from the State Government.

The Indian Nursing council on receipt of the proposal from the Institution to start

nursing program, will undertake the first inspection to assess suitability with regard to

physical infrastructure, clinical facility and teaching faculty in order to give

permission to start the programme.

After the receipt of the permission to start the nursing programme from Indian

Nursing Council, the institution shall obtain the approval from the State Nursing

Council and University.

Institution will admit the students only after taking approval of State Nursing Council

and University.

The Indian Nursing Council will conduct inspection every year till the first batch

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

completes.

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If the institution is recognized for B.Sc. (N) programme and if one batch has passed

out after found suitable by INC, then the institution will be exempted from

NOC/Essentiality certificate for M.Sc.(N) programe from the State Government.

Super Speciality Hospital can start M.Sc.(N) programme, however they have to get

NOC/Essentiality certificate from respective State Government to start the M.Sc. (N)

programme.

PhD in nursing in India

National consortium for Ph.D in Nursing (Ph.D Consortium) has been constituted by

Indian Nursing Council (INC) in collaboration with Rajiv Gandhi University of

Health Sciences and W.H.O., under the Faculty of Nursing to promote doctoral

education in various fields of nursing.

National Consortium for Ph.D. has been constituted by Indian Nursing Council to

promote research activities, in various fields of Nursing. Ph. D Consortium of Indian

Nursing Council in collaboration with Rajiv Gandhi University of Health Sciences,

intends to initiate Ph.D. degree programme in Nursing under the aegis of RGUHS.

6 study centres namely College of Nursing, NIMHANS, Bangalore, R.A.K. College

of Nursing, New Delhi, C.M.C. College of Nursing, Vellore, C.M.C. College of

Nursing, Ludhiana, Govt. College of Nursing, Thiruvanthapuram, Govt. College of

Nursing, Hyderabad, has been recognized by National Consortium for Ph.D. in

Nursing. These centres will be connected by Video conferencing facilities. MOU has

been signed between INC, WHO and RGUHS

Manipal University is offering PhD programes for the faculty.

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Some other universities like IGNOU, Sri Ramachandra University and Vinayaka

Mission University in Tamil Nadu is offering PhD programmes in Nursing.

GLOBAL STANDARDS

ICN STANDARDS FOR BASIC NURSING AND MIDWIFERY EDUCATION

Standards related to program graduates

1 Out come standards

Graduates demonstrate established competencies in nursing and midwifery

practice.

Graduates demonstrate sound understanding of the determinants of

health.

Graduates of an initial programme in nursing or midwifery meet regulatory

body standards leading to professional licensure/registration as a

nurse or a midwife.

Graduates are awarded a professional degree.

Graduates are eligible for entry into advanced education programmes.

Nursing or midwifery schools employ methods to track the professional

success and progression of education of each graduate.

2. Programme graduate attribute

Nursing or midwifery school graduates will be knowledgeable practitioners who

adhere to the code of ethics and standards of the profession.

Nursing or midwifery schools prepare graduates who demonstrate:

use of evidence in practice,

cultural competence

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the ability to practise in the health-care systems of their respective

countries and meet population needs,

critical and analytical thinking,

the ability to manage resources and practise safely and effectively,

the ability to be effective client advocates and professional partners

with other disciplines in health-care delivery,

community service orientation,

leadership ability and continual professional development

Standards related to programme development/ revision

1. Governance

Nursing or midwifery schools define and make public their mission,vision and

objectives.

Nursing or midwifery schools educate their students through the programme to meet

the health-care needs of their societies.

Nursing or midwifery schools clearly define the educational and clinical outcomes of

the programme.

Nursing or midwifery schools employ nursing or midwifery faculty with relevant

expertise in the subject matter and the ability to develop and revise their programmes.

Nursing or midwifery schools have in place and use a system of formative and

summative assessment of the programme’s educational and clinical objectives and

outcomes.

Nursing or midwifery schools define role descriptions for theoretical and clinical

educators including, but not limited to, faculty, clinical supervisors, mentors,

preceptors and teachers.

2. Accreditation

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Nursing or midwifery schools are an integral part of a higher education institution that

meets internal standards, recognized accreditation and/ or governing body

requirements.

Nursing or midwifery schools have criteria in place that meet accreditation standards

for clinical practice components of their programmes, academic content and the

demonstration of professional outcomes.

Nursing or midwifery schools and their programmes are recognized or accredited by

credible, relevant professional and academic bodies and re-accredited as required.

3. Infrastructure

Nursing or midwifery schools have accessible, current and relevant physical facilities

including, but not limited to, classrooms, clinical practice sites, information and

communications technology, clinical simulation laboratories and libraries.

Nursing or midwifery schools have a system and policy in place that ensures the

safety and welfare of students and faculty.

Nursing or midwifery schools have professional support personnel and human

resources to meet programme and student demand.

Nursing or midwifery schools have a budget allocation and budget control that meets

programme, faculty and student needs.

Nursing or midwifery schools have a system in place for student-support services.

3. Partnership

Nursing or midwifery schools demonstrate successful partnerships with the academic

institution where their programme is located, with other disciplines, with clinical

practice sites, with clinical and professional organizations and with international

partners.

Carriculam design

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1. Carriculam design

Nursing or midwifery schools design curricula and deliver programmes that take into

account workforce planning flows and national and international health-care policies.

Nursing or midwifery schools plan and design curricula to meet national and

international education criteria, and professional and regulatory requirements for

practice.

Nursing or midwifery schools provide classroom and clinical learning that delivers

the knowledge and skills required to meet the needs of their respective populations.

Nursing or midwifery schools establish and demonstrate balance between the theory

and practice components of the curriculum.

Nursing or midwifery schools demonstrate use of recognized approaches to teaching

and learning in their programmes, including, but not limited to, adult education, self-

directed learning, e-learning and clinical simulation.

Nursing or midwifery schools provide classroom and clinical learning based on

established competencies and grounded in the most current,reliable evidence.

Nursing or midwifery schools enable the development of clinical reasoning, problem

solving and critical thinking in their programmes.

Nursing or midwifery schools conduct regular evaluations of curricula and clinical

learning, and include student, client, stakeholder and partne feedback.

Nursing or midwifery programmes offer opportunities for multidisciplinary content

and learning experiences.

2. Core curriculum

Nursing or midwifery curricula provide core content that will enable their graduates to

meet the established competencies.

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Nursing programmes provide core content in nursing theory, practice, interventions

and scope of practice.

Midwifery programmes provide core content in midwifery theory, practice,

interventions and scope of practice for strengthening health systems through the

primary health-care approach.

Nursing or midwifery programmes provide supervised clinical learning experience

that support nursing or midwifery theory in diverse settings

3. Curriculum partnership

Nursing or midwifery schools develop partnerships with other healthcare disciplines.

Nursing or midwifery schools use interprofessional teamwork approaches in their

classrooms and clinical learning experiences.

Nursing or midwifery schools have access to, and arrangements for, the clinical

learning sites required for programme delivery.

4. Assessment of students

Nursing or midwifery schools assess student learning, knowledge and skill

development throughout their programmes, using reliable evaluation methodologies.

Nursing or midwifery schools use a variety of methods to assess the subject matter

being studied including, but not limited to, student performance-based assessment and

client/stakeholder feedback.

Nursing or midwifery schools have student retention systems in place.

Faculty

1. Academic faculty

The head of a nursing or midwifery programme is a nurse or midwife who holds a

graduate degree, is educated and experienced in leadership and administration, and

demonstrates knowledge as an educator.

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The core academic faculty are nurses and midwives who demonstrate knowledge as

educators and have a minimum of a bachelor’s degree – preferably a graduate degree

– with advanced preparation and clinical competence in their specialty area.

Other health professionals who are guest lecturers in nursing or midwifery

programmes hold a graduate degree and possess clinical and educational expertise in

their specialty.

2. Clinical faculty

Clinical faculty comprises nurses, midwives and other health professionals who hold a

minimum of a university degree and possess clinical and educational expertise in their

specialty area.

Nurses and midwives with clinical expertise in the content area being taught are

designated to supervise and teach students in that clinical practice area.

Nursing or midwifery schools form partnerships to secure a variety of qualified

people to be clinical supervisors and teachers.

3. Professional development faculty

Nursing or midwifery schools have a policy and system in place that validates the

updated clinical and educational expertise and competency of faculty.

Nursing or midwifery schools have a system in place that provides faculty with

opportunities for development in teaching, scholarship, practice and external

professional activity.

Nursing or midwifery schools have a system and policy in place and provide time

and resources for competency development for staff.

Nursing or midwifery schools have a policy and system in place for reward and

recognition of staff in accordance with the requirements for promotion and tenure of

the institution .

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Programme admission

1. Admission policy and selection

Nursing or midwifery schools have a transparent admission policy that specifies the

process of student selection and the minimum acceptance criteria.

Nursing or midwifery schools have a transparent non-discriminatory admission and

selection process.

Nursing or midwifery schools have a system and policy in place that takes into

account different entry points of students, recognition of their prior learning,

experience and progression options toward higher education goals.

Nursing or midwifery schools have entry requirements that meet national criteria for

higher education institutions including, but not limited to, completion of secondary

education.

2. Student type and intake

Nursing or midwifery schools admit students with backgrounds in basic science and

mathematics who demonstrate skills in the language of instruction and in dealing with

the clients.

Nursing or midwifery schools admit students who have the ability to meet the

requirements of the programme.

Nursing or midwifery schools admit students who meet the institution’s health and

any other requirements, as well as any national requirements for selection.

Nursing or midwifery schools seek students who demonstrate the will to serve in

health and the ability to be independent learners.

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ACCREDITATION

Accreditation is vital for the welfare of an institution of higher education. Those

institutions that fail to attain accreditation or are removed from the list of accrediting agency

may be handicapped in a number of ways

Definition

Selden defines accreditation as a ‘process whereby any agency recognizes a college or

school programme of study as having met certain predetermined qualifications or standards.

Concepts of accreditation

1. The concept of accreditation of educational programmes in nursing is very important.

Prospective nursing students should inquire about the accreditation status of any

nursing programme they are considering

2. Employers of nurses are usually only interested in hiring or employing nurses who are

graduates of accredited programmes. And acceptance into graduate programme in

nursing is usually depend on graduation from an accredited baccalaureate programme.

3. It is an ongoing evaluation process where a nursing college is recognized after it has

been evaluated and found to meet all pre determined qualifications and standards.

4. Accreditation refers to a voluntary review process of educational programmes by a

professional organization. The organization is called an accrediting agency , and is

invited to compare the educational quality of the programme with established

standards and criteria.

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5. Accrediting is carried on mainly by voluntary organizations. Although these

organizations are advisory in nature and do not have legal powers to control

institutions of higher education, they do exert influence.

6. Accreditations had extensive influence on the development of higher education. They

have also been the focus of controversy.

Purpose of accreditation

Maintenance of adequate admission requirements

Maintenance of minimum academic standards

Stimulation of institutional self improvement.

Protection of institutions of higher education against educationally and socially

harmful pressures.

Types of accreditation agencies

1. Regional accreditation agencies: These are concerned with appraising the total

activities of institutions of higher learning and with guarding the quality of liberal

education.

2. National professional accreditation agencies: Professional accrediting is

supported by state licensing laws. Individuals who hold a common body of

knowledge and who have a desire to attain high vocational status tend to form

professional organizations.

3. State accrediting agencies: Accreditation may be a function of state agencies,

department and state universities. These agencies may be voluntary, extra-

legal( or legal).

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Accreditation agencies

National accrediting agencies are concerned with appraising the total activities of

institutions of higher learning, and with safe guarding the quality of liberal education , which

is the foundation of professional programmes in colleges and universities. Each agency

establishes criteria for the evaluation of institutions in its region and it reviews those

institutions periodically, and publishes fro time to time a list of those agencies which it has

accredited.

India has the following national educational councils:

1. Central advisory board of education.

2. All India council for elementary education.

3. All India council for secondary education.

4. University grant commission.

5. All India council for technical education.

6. National Assessment and Accreditation council.

National Professional Accrediting Agencies

Professional accreditation is supported by state licensing laws.

Individual who poses a common body of knowledge and have a desire to attain high

vocational status tent to form professional organizations. These professional groups aims to

foster research to improve service to the public and increase the number of individuals

admitted to the profession. Controlling admission is vital to a professional group particularly

in the early stages when the profession is struggling for status. Professional laws tent to

restrict admission through the state licensing laws and through the accreditation of the

colleges and universities which offer relevant programmes.

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In India particularly in the field of health, the following national professional accrediting

agencies exist:

1. Medical Council of India.

2. Indian Nursing Council.

3. Dental Council of India

4. Pharmacy Council of India

5. Central Council of Indian System of Medicine.

Accreditation of Nursing Institutions

Indian Nursing Council is the accrediting agency for all the nursing programmes, which

includes Diploma(GNM), B.Sc nursing, Post basic nursing, M.Sc nursing, M.Phil and Ph.D.

Accreditation by inspection

1. First inspection: First inspection is conducted on receipt of the proposal received from

the institute to start any nursing programme prescribed by INC. the proposal should

have the following requisite document

Application form

The requisite annexure for school of nursing.

Permission letter by start government/ essentiality certificate of the respective state

government, duely attested by nottery.

Duty attested registration certificate of society or trust deed.

A bank draft for Rs. 25000 towards first inspection fee for school of nursing in favour

of secretory INC , New Delhi

Proposal for starting of nursing which includes in detail of teaching staff, clinical and

physical fecility including budget.

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The requisite annexure for college of nursing

Permission letter by state government / essentiality certificate of the respective state

government.

Consent letter from university.

Duely attested registration certificate of society or trust deed.

A bank draft for Rs. 50000 towards first inspection fee for school of nursing in favour

of secretory INC , New Delhi

Proposal for starting of nursing which includes in detail of teaching faculty, clinical

and physical facility including budget.

2. Periodic inspection: INC conduct periodic(after 3 years) inspection of the institution

once the institution is found suitable. INC monitors the standards of nursing education

and its adherence to the norms prescribed by it. Institutions are required to pay annual

affiliation fees every year. However if the institution does not comply with the norms

prescribed by INC for teaching, clinical and physical facilities, the institution will be

declared un suitable.

3. Reinspection: reinspections are conducted for those institutions which are found un

suitable by INC. the institutions and Government are informed about the deficiencies

and advised to improve upon them. Once the institutions takes necessary steps to

rectify the deficiencies and reinspection fees. On receipt of the compliance report and

the fees from the institution it will be considered for reinspection.

4. Enhancement inspection: INC conducts inspection of the institution once the

institution is found suitable by INC and on receipt of the fees and proposal for

enhancement of seats.

Guide lines for establishment of new school/ colleges in India approved by INC

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Any organization under the central government, state government, local body or a

private or public trust , mission, voluntary registered under society registration act wishes to

open a nursing institution should obtain the no objection/ essentiality certificate from the state

government.

The INC on receipt of the proposal from the institution to start nursing programme

will undertake the first inspection to assess suitability with regard to physical infrastructure ,

clinical facility and teaching faculty inorder to give permission to start the programme.

After the receipt of permission to start the nursing programme from INC the

institution shall obtain approval from the state nursing council and examination board or

university.

Institution will admit the student only after taking approval of state nursing council

and examination board or university. The INC will conduct inspection every year till the first

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

completes.

CONCLUSION

The need for standards has arisen for several reasons – the increasing complexities in

health-care provision, the increasing number of health professionals at different levels, and

the need to assure more equitable access to health care. The great variation in the levels of

education for professional nurses and midwives around the world can no longer be neglected.

BIBLIOGRAPHY

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1. Clement I. Mangement of Nursing Service and Education.1st ed. Elsevier

publications; India: 2011. P 448-50

2. Raj D E B, Anbu T, Venkatesan B, Loganathan G. Management of nursing services

and education. Ist ed. EMMES publication; Bangalore: 2010. P 377-9, 362-3, P 420

3. Basavanthappa B T. Nursing Administration. 1st ed. Jaypee publications; India: 2002.

P 439-44

4. Minimum standard requirements. Available from:

http://www.indiannursingcouncil.org/fee-structure-nursing-programs.asp

5. Global standards for initial education for nursing and midwifery. Available from.

www.who.int/hrh/...midwifery/hrh_global_standards_education.pdf