Curriculum For Master of Science (Medical Surgical Nursing) : MGM Institute of Health Sciences
Curriculum For Master of Science (Medical Surgical Nursing) : MGM Institute of Health Sciences
Curriculum For Master of Science (Medical Surgical Nursing) : MGM Institute of Health Sciences
Curriculum for
Master of Science
(Medical Surgical Nursing)
INDEX
2 Objectives 6
3 Course of Instructions 7
4 Scheme of Examination
5 Master Plan
Nursing Research(Dissertation)
2
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Florence Nightingale
3
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
THE VISION
To emerge as a "Centre for excellence" offering nursing education and research of a very high
standard to develop professionally competent nurses, recognised for excellence, leadership and
compassionate care, in transforming the health locally and globally, by maintaining highest
ethical standards.
MISSION
Provide quality patient care through excellence in nursing education, practice and
research
Academic excellence in nursing through dedication in patient care, commitment to
research, innovation in learning and trust in human values.
Enable the students to develop into outstanding professionals with high ethical standards
capable of transforming the health in the global society.
Achieve these through team efforts making the institution socially diligent trend setter in
nursing education.
4
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
o Excellency in health care can be achieved through innovative research and through
excellence in education of the health care professionals.
o Post graduate programme is essential to prepare nurses to improve the quality of nursing
education and practice in India.
o Post graduate programme in nursing builds upon and extends competence acquired at
the graduate levels, emphasizes application of relevant theories into Nursing practice,
education, administration and development of research skills.
o The programme prepares nurses for leadership position in nursing and health fields who
can function as nurse specialists, consultants, educators, administrators and researchers
in a wide variety of professional settings in meeting the National priorities and the
changing needs of the society.
o This programme provides the basis for the post masteral programme in Nursing.
Further the programme encourages accountability and commitment to lifelong learning which
fosters improvement of quality care.
5
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
AIM:
On Completion of the two year M.Sc. Nursing programme, the graduate will be able to:-
DURATION
Duration of the course is 2 years for M.Sc. (N)
Available 52 weeks
Vacation 4 weeks
Examination 2 weeks
Gazetted holidays 3 weeks
Total weeks available 43 weeks
40 hours per week 1720 hours
Total hours for 2 years 3440 hours
6
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
COURSE OF INSTRUCTION
First Year
Second Year
*Clinical Speciality – Medical Surgical Nursing (Critical Care Nursing), Obstetric &
Gynecological Nursing, Child Health (Paediatric) Nursing, Mental Health (Psychiatric)
Nursing, Community Health Nursing, Psychiatric (Mental Health) Nursing etc.
Note: Students have to maintain log book for each activity during the course of study
7
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC
PROGRAMME OUTCOME
After completing the M.Sc. Nursing (Medical Surgical Nursing) Programme, the
graduate will be able to;
PO1: Apply the concepts, theories and principles of nursing science in practice.
PO2: Practice leadership qualities and function effectively as nurse educator and
manager.
PO3: Conduct nursing research, interpret, communicate and utilize the research
findings.
PO5: Appraise the need for continued learning for personal and professional
advancement.
1
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC
COURSE OUTCOME
CO1: Explains the development and scope of nursing profession including extended
and expanded role of nursing.
CO2: Describes ethical, legal, political and economic aspects of health care delivery
system.
CO3: Explains competent nursing care following nursing process approach in health
care delivery system
CO4: Applies principles, theories, models and approaches relevant to nursing and their
application.
CO5: Determines latest trends in nursing in advanced nursing practices and its
importance in professional advancement.
CO6: Uses computer in patient care delivery system.
Nursing Education
2
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC
Clinical Specialty –I
3
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC
COURSE OUTCOME
Nursing Management
CO24 Explains concepts, principles, quality standards and trends related to critical
care nursing.
CO25 Administers various drugs to critically ill patients including pain management.
CO26 Demonstrates skills in providing holistic care to critically ill patients.
CO27 Demonstrates comprehensive care to patients with Obstetrical, Neonatal and
Paediatric emergencies.
4
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
COURSE OUTLINE
FOR
8
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Description
Objectives: -
2) Describe ethical, legal, political and economic aspects of health care delivery and nursing practice.
3) Explain bio psycho-social dynamics of health, lifestyle and health care delivery system.
4) Discuss concepts, principles, theories, models and approaches relevant to nursing and their application.
6) Provide holistic and competent nursing care following nursing process approach.
7) Identify latest trends in nursing and the basis of advanced nursing practice.
9
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
LEARNING ASSESSMENT
UNIT HOURS
OBJECTIVES
CONTENT TEACHING METHOD
I 10 Describe nursing Nursing as a Profession Lecture cum Seminar
as a profession History of development of discussion Seminar Group
Discuss the ethical nursing as a profession, 1. Nursing as a Discussion
and legal characteristics, criteria of Profession Brainstor-
responsibilities of profession-national global 2. History & trends in ming
professional nurse. Code of ethics (INC), code of nursing Essay
Explain the role professional conduct, Group discussion- Short
and research, autonomy and accountability, Ethics in nursing ethical answer
leadership and assertiveness, visibility of and legal questions
management in nurses, legal consideration. responsibilities of a
nursing. Role of regulatory bodies. professional nurse
Explain the role of Professional organizational Debate-
future nurse and union self defense, Scope of nursing
individual and collective education
bargaining. Brainstorming-
Educational preparation, Nurse as a leader
continuing education, career
opportunities processional
advancement and role and
scope of nursing education.
Role of research leadership
and management
Quality assurance in nursing
Futuristic Nursing
II 5 Describe the Health Care delivery Lecture cum Seminar
health care Health care environment, discussion Seminar Group
delivery system at economics, constraint, Group discussion- Discussion
various levels planning process. Health Care delivery Debate
Health care delivery system- system Observation
National, State, district and Seminar Report
local level 1. Health planning & Essay
Describe health Major stake holders in health management Short
plans, policies and care systems-government, 2. N.R.H.M. role of answer
planning process non government, Industry and NGO in health care questions
other professionals. of community
Pattern of nursing care Symposium
delivery in India Health planning in
Health care delivery India-Recent trends &
concerns- issues
National health and family Panel Discussion
welfare programme, Role of nurse in Health
intersectoral co-ordination, care delivery system
role of non-government Visit to telemedicine
agencies unit
10
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
11
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
12
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
process.
Formulation of nursing care
plan, health goals,
implementation, modification
and evaluation of care
VIII 30 Describe the Psychological aspect and Lecture cum Seminar
growth and human relations discussion – Project
development Human behavior, life Discussion- Role Play
processes and growth and Review of growth & Essay
development, personality development Short
Illustrate development, defense answer
psychological mechanisms Project – questions
aspect & human Communication, interpersonal Growth and
relations relationship, individual and development
group, group dynamics and
organizational behavior Role Play-
Basic human needs, growth Therapeutic
and development, (conception communication
through p[re school, counseling
schoolage through
adolescence, young and Seminar-
middle adult and older adult) Stress and anxiety
Sexuality and sexual health Group dynamics
Stress and adaption, crisis and
its intervention
Coping with loss death and
grieving Principles and
techniques of counseling
IX 10 Describe alternative Nurse Practice:- Lecture cum discussion Essay
modalities of Framework, scope and trends Symposium Seminar
nursing care Alternative modalities of care, Alternative and Debate
alternative systems of health complementary Group
and complementary therapies. therapies in health care Discussion
Illustrate primary Extended and expanded role Short
health care of the nurse, in promotive, Group discussion answer
preventive, curative and Extended and expanded questions
restorative health care role of nurse in Visit
Explore expanded delivery system in community preventive, promotive
and extended role and Institutions health care delivery
of nurse Health promotion and
primary health care Debate-
Independent practice issue- Nurse as an independent
independent practice issues- practitioner
independent nurse –
midwifery Practitioner Discussion-
Collaboration issues and Collaboration issues
models within and outside and models within and
nursing outside nursing
Model of prevention
Seminar
Family nursing, home nursing
Holistic approach to
Gender sensitive issues and health care trans
women empowerment cultural nursing
Disaster nursing
13
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
PRACTICALS
Sr.No. Area Duration in weeks
1 Specialty Area – inpatient unit 2
2 Community Health Center / PHC 1
3 Emergency / ICU 2
Activities
∙ Prepare case studies with nursing process approach and theoretical basis
∙ Preparation of comparative picture of theories
∙ Family case work using model of prevention.
∙ Annotated Bibliography.
Methods of Teaching
∙ Lecture cum discussion
∙ Seminar
∙ Panel Discussion
∙ Debate
∙ Case Presentation
∙ Exposure to Scientific Conferences
∙ Field Visits
Methods of Evaluation
∙ Tests
∙ Presentation
∙ Seminar
∙ Written Assignment
Visits-
Telemedicine Unit
Biomedical waste management unit
Inflection control unit
Old age home
14
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
BIBLIOGRAPHY
1. Potter A.P., Perry A. G. 2005 Fundamental of Nursing C.V. Mosby Company, Louis 6th
edition.
2. Kozier B et al, Fundamental of Nursing Concepts, process and practice, Pearson education,
inc 2nd Indian print 2004.
3. Brunner and Suddarth Text book of medical surgical nursing 10th edition 2002.
4. Zwemer A. Professional Adjustments and Ethics for nurse in India BI publications, Bangalore
6th Edition 1995.
5. Rosdhal, Fundamentals of Nursing, Lippincott Company 2003.
6. Bolander, Fundamentals of Nursing, Saunders 1994.
7. Carrol Tayor, Fundamentals of Nursing, Carol Lillis et al Lippincot, 5th Edition 2005.
8. Basavanthappa B.T. 2007 Nursing Theories Jaypee Brothers
9. Pearson Alan, Vaughan B. Fitzgerald M(2005) Nursing Models for practice 3 edition Elsevier
Limited.
10. Alligood M.R. Tomey A.M.(2006) Nursing theory Utilization and Application S T : Louis
Mosby.
11. J.E. Park textbook Preventive and social Medicine 17th edition.
12. Gulanick, M. & Myersm J.L.(2007) Nursing care plans 6th edition St. Louis : Missouri.
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Assignments-
Nursing Care Plan (2)* 25 12.5 3.125
Family case work 25 12.5 3.125
3 Seminar 25 12.5 3.125
4 Presentation of nursing theory 25 12.5 3.125
5 Attendance 10.0 2.5
Total 225 100 25
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
15
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
16
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
17
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Diagnosis:-________________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
18
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
19
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
NURSING EDUCATION
Objectives :-
20
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
TEACHING
METHOD OF
UNIT THOERY PRACTICALS TOPICS TEACHING
LEARNING
ACTIVITY
INTRODUCTION :- Lecture cum Various
Education: Definition, aims, concepts, discussion philosophies of
philosophies & their education implication. educational to
Impact of social, economical, political & nursing
technological changes on education: education.
Professional education Present the
Current trends and issue in education history of
Educational reforms and national nursing
educational policy education in
Trends in development of nursing India, issues &
I 10 trends in nursing
education in India.
education.
Concept of Nursing education. History of
Nursing education in India.
Philosophy and objectives of Nursing
education.
Purpose of nursing education in India.
Scientific approach in Nursing.
Current issues and entering trends in
Nursing education.
Liberal education and Nursing Education
TEACHING –LEARNING PROCESS Lecture cum Prepare
Concepts of learning and learning discussion educational
Definition, theories of teaching and objectives on
learning, relationship between teaching and various
learning. domains
Educational aims and objectives; types,
domain, levels, elements and writing of
educational objectives.
Competency based education (CBE) and
outcome based education (OBE).
Instructional design: Planning and designing
II 20 30 the lesion, writing lesion plan: meaning its
needs and importance, formats.
Instruction strategies : Lecture,
discussion, demonstration, simulation,
laboratory, Seminar, Panel, symposium,
problem based learning,(PBL), workshop,
project, role play, (Socio drama), Clinical
teaching methods, programmed instruction,
self directed learning (SDL), micro
teaching, computer assisted instruction
(CAI), computer assisted learning (CAL),
Development of effective study habits.
INSTRUCTIONAL MEDIA AND Lecture cum Visit to IEC
METHOD discussion bureaue
III 10 10 Kay concepts in the selection and use of
media in education
Developing leaning resource material using
21
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
different media.
Instructional Aids – types, uses, sections,
preparation, and utilization.
Teacher’s role in procuring and managing
instructional Aids – project and non
projected Aids, multimedia, video-tele
conferencing etc
MEASUREMENT AND EVALUATION Lecture cum Relate
Concept and nature of measurement and discussion evaluation
Evaluation, Meaning, Principles, purpose objectives
problems in evaluation and measurement.
Principles of Assessment- internal
assessment external examination,
IV 10 advantages and disadvantages.
Criterion and norm referenced evaluation.
Evaluation Process
Defining objectives for evaluation purposes.
Relating evaluation procedures to objectives,
formative, and summative evaluation,
Characteristics of evaluation.
STANDARDIZED AND NON Lecture cum Construct tests
STANDARDIZED TEST discussion Reliability
Meaning, characteristics, objectivity Validity
validity, reliability, usability, norms,
construction of tests.
Essay, short answer questions and
multiple-choice questions.
Rating scales, checklists, OSCE/OSPE
V 10 10 (Objective structured clinical/practical
examination)
Differential scales, and summated scales,
sociometry, anecdotal record, attitude
scale, critical incident technique.
Question bank-preparation, validation,
moderation by panel, utilization
Developing a system for maintaining
Confidentiality
ADMINISTRATION, SCORING AND Lecture cum Construct Tests
REPORTING OF TESTS discussion
Administration a test, scoring, grading
VI 5 5
versus marks.
Objective tests, scoring essay test, methods
of scoring, item analysis
STANDARDIZED TOOLS Lecture cum Observe
Test of intelligence aptitude, interest, discussion various tests –
personality, achievement, socioeconomic personality,
VII 10 6 status scale, tests for special mental and aptitude &
physical ability and disabilities. intelligence.
Formulate an
aptitude test.
NURSING EDUCATIONAL PROGRAMS Lecture cum Visit to nursing
VIII 5 20 Perspectives of nursing education: Global discussion institutions.
and national. ANM, GNM,
22
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
PLANNED ACTIVITIES:-
Panel discussion / group presentation – Educational Psychology – Theories and laws learning
and teaching, personality, Intelligence, Individual, Motivation, Group Dynamics
Framing philosophy, aims and objectives of an educational Institution
Lesson Planning
Micro Teaching – 2
Conduct Practice teaching using different teaching strategies – 10 (Classroom-5
Demonstration
Construct a written objective type test for the lessons taken.
Construct tests, administer and determine reliability and validity.
Preparation and utilization of instructional aids using different media.
Design a curriculum for a basic B.Sc Nursing Programme; Develop course plan, units plan,
rotation plans, prepare cumulative records for students.
Prepare rotation plan for clinical practice.
Planning and organizing field visits.
Plan, conduct and evaluate a continuing nursing education workshop.
Annotated bibliography 10
Critical evaluation of any nursing education program offered by selected institution.
24
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
1) Aggrawal J.C. “Principles, methods & techniques of teaching”, Vikas Publishing House Pvt
Ltd, II Edn.
2) Basavanthappa B.T., “Nursing education”, Jaypee brothers, Edn I 2005.
3) Bevis, Em Olivia, Curriculum Building in Nursing: A Process, Ed-2, C V Mosby Co, St.
Louis. 1978.
4) George Kurian Aleyamma, “Principles of Curriculum Development and Evaluation”,
Vivekanandha Press 2002.
5) Bhatia, Kamala & BHATIA, B.D., Principles and methods of teaching, Doabra house, New
Delhi, 1970.
6) Billing, Diane M & HALSTEAD, Judith A: Teaching in nursing: A guide for faculty, W.B.
Saunders, Company, Phiadelphia 1998.
7) Bloom, Benjamin S Ed, Taxonomy of educational objectives : cognitive domain I David
Mckay CO. Inc. New York.1956.
8) DOABA guide
9) Fuszard, Barbara: Innovating teaching strategies in Nursing, Aspen Publisher Inc. Mary Land.
1989.
25
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
10) Gay L.R. Educational evaluation and measurement Competencies for analysis and
application. Ed-2, Charles E.MERILL publishers Co.Columbus.1985.
11) Guilert. JJ, Educational Handbook for Health Personnel, World Health Organization, Geneva,
1982.
12) Guniee. Kathleen K; Teaching and Learning in Nursing, Macmillan, New York, 1978.
13) Joyce.B, etc, Models of teaching. Ed-4, Prentice Hall INC, Englewood Cliffs, New Jersey,
1986.
14) Keay, F E, A History of education in India and Pakistan, ED-4, Oxford University Press,
London, 1964.
15) King, Immogene M, Curriculum and Instruction in Nursing, concepts and Process Appleton –
Century crafts, Norwalk., Connecticut, 1986.
16) KrathwohoL, David, R, etc, Taxonomy of educational objectives, Affected Domain I, David
Mckay CO. Inc. New York.1956.
17) Mccloskey, Joanne C & GRACE, Helen K, Current issues in Nursing Publishing Company
INC, New York 1995.
18) Modley, Doris M, Etc, Advancing Nursing Education world wide, Springer Publishing Co.
New York, 1985.
19) Neeraja K.P. “Text Book of Nursing”, Jaypee Brothers.
20) O, Connor, Andhera B; Nursing staff Development and continuing Education, Little Brown
Company, Bonston 1986.
21) Sanotombi Elsa, “Manipal Manual of nursing Education”, CBS Publisher & Distributors,
New Delhi, 1st Edn 2006.
22) Supe, Rege, Bhuiyan, “The Art of Teaching Medical Students”, Medical Education
Technology Cell, 2nd edn, 2002.
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar- 25 25 6.25
3 Critiquing* 25 25 6.25
4 Attendance 10 10 2.5
Total 185 100 25
* Nursing Course/ Committee reports/ National health programmes/ National Health Scheme
26
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
PRACTICALS
UNIVERSITY EXAMINATION
1. Practical Teaching -1 - 25
2. Preparation / use learning resource material – 1 10
3. Construction of tests / rotation plan - 15
Total - 50
Internal assessment - 50
Grand Total - 100
27
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
28
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
29
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
General objectives:-
Specific objectives:
30
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
32
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
33
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
34
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
35
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
36
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
TOTAL 50
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
37
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Steps
1) Planning for the test
Subject
Marks
Time
Type of examination
Topics
Difficulty Level
2) Designing the test
a. Giving weight age to the content
b. Giving weight age to the objectives
c. Giving weight age to the form of questions
d. Giving weight age to the difficulty level
e. Scheme of sections
f. Scheme of sections
3) Preparation of blue print
4) Writing of the items
5) Question wise analysis
6) Editing of questions paper
7) Answer Key
38
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
39
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
COURSE DESCRIPTION
General Objectives:
At the end of course, the students will be able to :
1. Define basic research terms and concept.
2. Review literature utilizing various sources
3. Describe research methodology
4. Develop a research study
5. Communicate research findings
6. Utilize research findings
7. Critically evaluate nursing research studies.
8. Write scientific paper for publication
40
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
CONTENT OUTLINE
HOURS
UNIT Course Content
THOERY PRACTICALS
I 10 INTRODUCTION :-
Methods of acquiring knowledge – problem solving and
scientific method.
Inductive and deductive reasoning
Research – definition, Characteristics, purposes, kinds of
research
Historical Evolution of research in nursing
Basic research terms
Scope of nursing research : areas, problems in nursing, health
and social research,
Role of research in nursing
Evidence based practice
Ethics in research process.
II 5 5 Review of Literature:-
Importance, purpose, sources, criteria for selection of
resources and step in reviewing literature.
III 12 Research Approach and design
Importance, characteristics of a good design
Threats to internal and external and external validity
Type: Quantitative and qualitative
Historical, survey and experimental-Characteristics, types
advantages and disadvantages
Qualitative : Phenomenology, grounded theory, Ethnography
IV 10 5 Research Problem:-
Identification of research problem
Formulation of problem statement and research
Objectives
Definition of terms
Assumption and delimitations
Identifications of variables
Hypothesis-definition, formulation and types
V 5 5 Development theoretical/conceptual framework
Theories: Nature, Characteristics, Purpose and uses
Using, testing and developing, formulation and types
VI 6 Sampling
Population and sample, factors influencing sampling
Sampling techniques, sample size, probability and sampling
error, problems of sampling
VII 20 30 Tools and methods of Data collection
Concept of data collection
Data sources, Methods/ techniques quantitative and
qualitative.
Tools for data collection – type, characteristics and their
development
Validity and reliability of tools
Procedure for data collection
VIII 5 Implementing research plan
Pilot study, review research plan (design), planning for data
41
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
ACTIVITIES:-
Annotated Bibliography of research and articles.
Review of literature of selected topics and reporting
Formulation of problem statement, objective and hypothesis
Developing theoretical/conceptual framework.
Conducting validity and reliability tool
Preparation of sample research tool
Conducting validly and reliability of research tool
Analysis and interpretation of given data
Developing and presenting research proposal
Journal club presentation
Critical evaluation for selected research studies.
Written a scientific paper
METHODS OF TEACHING
Lecture cum discussion
Presentations
Project
Classroom exercises
Journal Club
METHODS OF EVALUATION
Tests (term)
Assignments
Research Critiques
Presentations – Presentation of related researches
Project Work
42
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
INTERNAL ASSESSMENT
THEORY
UNIVERSITY EXAMINATION
43
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Part B – Statistics
Hours of Instruction
Theory :- 50 Hrs
Practical:- 50 Hrs
Total:- 100 Hrs
COURSE DESCRIPTION
At the end of the course, the students will be able to develop an understanding of the
statistical methods and apply them in conducting research studies in nursing.
General Objectives:
At the end of course, the students will be able to :
1. Explain the basic concepts related to statics.
2. Describe the scope of statistics in health and nursing
3. Organize, tabulate and present data meaningfully.
4. Use descriptive and inferential statics to predict results.
5. Draw conclusions of the study and predict statistical significance of the results.
6. Describe vital health of the study and predict statistical significance of the results.
7. Use of statistical packages for data analysis.
CONTENT OUTLINE
HOURS
UNIT Course Content
THOERY PRACTICALS
I 7 4 Introduction:
Concepts, types, significance and scope of statistics,
meaning of data, sample, parameter type and levels of data
and their measurement
Organization and presentation of data – Tabulation of data;
Frequency distribution
Graphical and tabular presentations
II 4 4 Measures of central tendency:
Mean, Median, Mode
III 4 5 Measures of variability;
Range, Percentiles, average deviation, quartile deviation,
standard deviation Percentile & percentile rank, Cumulative
graph, curved ogive
IV 5 4 Normal Distribution:
Probability, characteristics and application of normal
Probability curve; sampling error.
Cumulative distribution, Cumulative graph,
44
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
V 6 8 Measures of relationship:
Correlation – need and meaning
Rank order correlation;
Scatter diagram method
Product moment correlation
VI 3 2 Designs and meaning:
Experimental designs
Comparison in pairs, randomized block design, Latin squares.
VII 8 8 Significance of Statistic and Significance of difference
between two Statistics (Testing hypothesis)
Non parametric test – Chi-square test, Sign, median test,
Mann Whitney test.
Parametric test – ‘t’ test, ANOVA, MANOVA, ANCOVA
VIII 5 5 Use of statistical methods in psychology and education:
Scaling – Z Score, Z Scaling
Standard Score and T Score
Reliability of test Scores: test-retest method, parallel forms,
split half method.
IX 4 2 Application of statistics in health:
Ratios, Rates, Trends
Vital health statistics – Birth and death rates.
Measures related to fertility, morbidity and mortality
X 4 8 Use of Computers for data analysis
Use of statistical package.
ACTIVITIES:-
Annotated Bibliography of research and articles.
Review of literature of selected topics and reporting
Formulation of problem statement, objective and hypothesis
Developing theoretical/conceptual framework.
Conducting validity and reliability tool
Preparation of sample research tool
Conducting validly and reliability of research tool
METHODS OF TEACHING
Lecture cum discussion
Demonstration – on data organization, tabulation, calculation of statistic, use of statistical
package, classroom exercise, organization and tabulation of data
Computing Descriptive and inferential statistics; vital and heal statistics and use of computer
for data entry and analysis using statistical package.
METHODS OF EVALUATION
Tests (term), Classroom Statistical exercises.
45
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
INTERNAL ASSESSMENT
THEORY
Total 45 100 10
UNIVERSITY EXAMINATION
Journals:-
1) Journal of nursing practice and research
2) Indian Journal of Medical ethics.
46
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Nursing Research Marks 50
SECTION B
Statistics Marks 25
47
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
48
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
49
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
II Objectives
To indentify research problem areas
To get an opportunity to select topic or problem and to formulate research proposal.
To follow the steps in plan specific design in nursing research proposal and conducting project.
To differentiate and plan specific design in nursing research i.e. experimental and non-
experimental including methodology.
To get an opportunity to frame/construct simple tool or questionnaire to collect data.
To follow the basic principles of data analysis including simple tables and statistical methods for
proceedings and interpretation of data.
To be familiar to write research report to communicate the findings including bibliography, and
future recommendations.
To present nursing research report as group activity.
To present nursing research proposal as individual activity.
Learns to use computers.
Recognize role of Research in quality nursing care.
1) Selection of research problem: Select your interested area of research based on flat need, issues
and social concern in nursing field.
a) State the problem – brief concise, clear.
b) State the purpose of selected study & topic
c) State objective of study/proposal/project.
d) State the hypothesis if necessary (Optional)
e) Prepare conceptual framework based on operational definition (Optional).
f) Write scope and delimitation of Research Proposal.
50
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
3) Research Methodology: To determine logical structure & methodology for research project
a) Decide and state approach of study i.e. experimental or non-experimental.
b) To define / find out variables to observe effects on decided items & procedure (Optional).
c) To prepare simple tool or questionnaire or observational check lost to collect data.
d) To determine sample and sampling method.
i) mode of selection ii) Criteria iii) Size of sample iv) Plan When, Where and
how data will be collected
e) To teat validity of constructed tool with experts/teachers opinion.
f) To check reliability by implementing tool before pilot study (10% of sample Size)
g) To conduct pilot study by using constructed tool for 10% selected sample size.
51
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
52
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
1. TITLE
A good title suggesting key variants and the study population.
2. ABSTRACT
Clear and consider summarizing the main features of the report (problem, methods, results and
conclusion)
3. INTRODUCTION
Statement of the problem
The problem stated is unambiguous and easy to identify
The problem ha significance for nursing
There is a good match between the research problem and the paradigm and methods used, An
appropriate quantitative approach
Hypotheses or research questions
Research questions and / or hypotheses are explicitly stated, if not their absence should be
justified
Questions and hypotheses are appropriately worded, with clear specification of key variables
and the study population
The questions and hypotheses are consistent with the literature review and the conceptual
framework.
Literature review
The literature review is up to date and based mainly on primary sources.
The reviews provides the state of the art synthesis of evidence on the research problem
The Literature review provided a solid basis for the new study
Conceptual / theoretical framework
Key concepts are adequately defined conceptually
There is a conceptual theoretical frame work, rationale and / or map, and it is appropriate
4. METHOD
Protection of participant’s rights
Appropriate procedures are used to safeguard the rights of the study participants and the study
subject to external review.
The study is designed to minimize the risks and minimize benefits to the participants
Research design
The most rigorous possible design to be used, given the purpose of the research
Appropriate comparison are made to enhance
internal and external validity of the study e.g.(is blinding used, is attrition minimized)
Population and sample
The Population is identified and described and the sample is described n sufficient details
The best possible sampling design is used to enhance the sample’s representativeness and the
sample biases are minimized
The sample size is adequate and a power analysis is used to estimate the sample size needs
Data Collection and measurement
The operational and conceptual definitions are congruent
53
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Key variables are operationalized using the best possible method e.g.(interviews, observations)
with adequate justification
The specific instruments are adequately described and they are good choices given the study
purpose and study population
The report provides evidence that the data collection methods yield data that high on reliability
and validity
Procedures
The intervention if present is adequately described and is properly implemented. The
participates allocated to the group actually receive the intervention
The data is collected in a manner that is minimizes bias. The staff who collects the data is well
trained
5. RESULTS
Data Analysis
Analysis is undertaken to address each research question or test each hypothesis
Appropriate statistical methods is used, given the level of the measurements of the variable,
number of group being compared and so on.
Type I and Type II errors are avoided or minimized
Findings
The findings are adequately summarized with good use of tables and figures.
Findings are reported in a manner that facilities a meta analysis, and with sufficient information
needed for evidence based practice
6. Discussion
Interpretation of the findings
All major findings are interpreted and discussed within the prior research and or the study’s
conceptual framework
The interpretations are consistent with the results and with study’s limitations
The report address the issue of genralizability of the findings
7. Global Issues
Presentation
The report is well written, well organized and sufficiently detailed for critical analysis
The report is written in a manner that makes the findings accessible to practicing nurses
Researcher credibility
The researchers clinical, substantive, or methodological qualifications and experience enhance
confidence in their findings and their interpretation
Summery assessment
The study findings appear to be valid, despite any identified limitations. There is confidence in
the truth value of the results
The study contributes meaningful evidence that can be used in nursing practice or that is useful
to the nursing discipline.
54
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
55
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Hours of instruction
Theory: 150 Hours
Practical: 650 Hours
Total : 800 Hours
Course Description
This course is common for the students undergoing clinical speciality-II in neuro science
nursing/cardiovascular & thoracic nursing/critical care nursing/oncology nursing/orthopedic and
rehabilitation nursing/nephro & urology nursing, gastroenterology nursing/ geriatric nursing.
It is designed to assist students in developing expertise and in depth knowledge in the field of
medical Surgical Nursing. It will help students to appreciate the patient as a holistic individual and
develop skill to function as a specialized Medical-Surgical Nurse. It will further enable the student to
function as educator, manager and researcher in the field of Medical – Surgical Nursing.
Objectives
1. Appreciate the trends & issues in the field of Medical – Surgical Nursing as a speciality.
2. Apply concepts & theories related to health promotion.
3. Appreciate the client as a holistic individual.
4. Perform physical, psychosocial assessment of Medical – Surgical patients.
5. Apply Nursing process in providing care to patients.
6. Integrate the concept of family centered nursing care with associated disorder such as
genetic, congenital and long-term illness.
7. Recognize and manage emergencies with Medical- Surgical patients.
8. Describe various recent technologies & treatment modalities in the management of
critically ill patients.
9. Appreciate the legal & ethical issues relevant to Medical – Surgical Nursing.
10. Prepare a design for layout and management of Medical – Surgical Units.
11. Appreciate the role of alternative systems of Medicine in care of patients.
12. Incorporate evidence based Nursing practice and identify the areas of research in the field
of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical – Surgical health
team.
14. Teach Medical – Surgical nursing to undergraduate nursing students & in-service nurses.
56
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
COURSE CONTENT
complications, prognosis
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
VII 10 Management of patients with disorders of cardio vascular system
Review of anatomy and physiology.
Common Disorders-etiology, Patho physiology, Clinical manifestations,
complications, prognosis.
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
VIII 5 Management of patients with disorders of blood
Review of anatomy and physiology.
Common Disorders-etiology, Patho physiology, Clinical manifestations,
complications, prognosis.
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies
Evidence based nursing practice
Rehabilitation and follow-up
IX 10 Management of patients with disorders of genito urinary system
Review of anatomy and physiology.
Common Disorders- etiology, Patho physiology, Clinical manifestations,
complications, prognosis.
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management
Related research studies
Evidence based nursing practice.
Rehabilitation and follow-up.
X 10 Management of patients with disorders of endocrine system
Review of anatomy and physiology.
Common Disorders-etiology, Patho physiology, Clinical manifestations,
complications, prognosis.
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
58
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Ageing;
Demography; Myths and realities.
Concepts and theories of ageing.
Cognitive Aspects of Ageing.
Normal biological ageing.
Age related body systems changes.
Psychosocial Aspects of Aging.
Medications and elderly.
Stress & coping in older adults.
Common Health Problems & Nursing Management;
Psychosocial and Sexual.
Abuse of elderly.
Role of nurse for care of elderly: ambulation, nutritional, communicational,
psychosocial and spiritual.
Role of nurse for caregivers of elderly.
Role of family and formal and non formal caregivers.
Use of aids and prosthesis (hearing aids, dentures,
Legal & Ethical Issues.
Provisions and Programmes for elderly; privileges, Community Programs and
health services;
Home and institutional care.
Issues, problems and trends.
XVI 8 Management of patients with communicable and sexually transmitted diseases:
Review of immune system.
Common Disorders of immune system – HIV/AIDS. Review of infectious
disease process.
Communicable Diseases- etiology, Patho physiology, Clinical manifestations,
complications, prognosis.
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
Covid - 19
XVII 8 Emergency, trauma and multi-system organ failure
DIC (disseminated intravascular coagulation) Trauma, burns, poisoning
Etiology, Patho physiology, Clinical manifestations, complications, prognosis.
Health assessment-History taking, physical examination, investigation and
diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
60
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
PRACTICALS
Student Activities:
• Clinical presentations
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
REFERENCES
1. Black M.J., Hawks H.J., “Medical Surgical Nursing, Clinical Management for positive outcome”
7. Urdan, A.N. Greenlac K.K. “Guidelines for Critical Care Nursing Mosby
8. Wood L.S. Freelicher S.E. Fetal cardiac Nursing. Lippincott Williams & Wilkings
9. Gulanic, Klopp, Galnes Fetal Nursing care plans nursing diagnosis and intervention.
10. Lewia, Collier & Heitkemper Medical Surgical Nursing assessment and management of
clinical Problem
61
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
62
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
63
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
64
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I Patent Biodata
Name, Age, Sex Religion, Marital status, Occupation, Source of health care, Date of
admission, Provisional Diagnosis, Date of surgery if any.
II Presenting complaints
Describe the complaints with which the patient has been brought to the hospital
VII Investigations
Date Investigation done Results Normal Value Interfaces
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
66
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
67
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
68
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
69
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
70
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Hours of Instruction
Theory : 150 Hours.
Practical : 650 Hours.
Total : 800 Hours.
Course Description
This course is designed to assist students in developing expertise and in-depth understanding in the
field of Obstetric and Gynecological Nursing. It will help students to appreciate the client as a holistic
individual and develop skill to function as an independent midwifery practitioner. It will further
enable the student to function as educator, manager, and researcher in the field of Obstetric and
Gynecological nursing
Objectives
1. Appreciate the trends in the field of midwifery, obstetrics and gynecology as a speciality.
2. Describe the population dynamics and indicators of maternal and child health
3. Describe the concepts of biophysical, psychological and spiritual aspects of normal
pregnancy, labor and puerperium.
4. Provide comprehensive nursing care to women during reproductive period and newborns.
5. Integrate the concepts of family centered nursing care and nursing process approach in
obstetric and gynecological nursing.
6. Identify and analyze the deviations from normal birth process and refer appropriately.
7. Describe the pharmacological agents, their effects during pregnancy, child birth, puerperium,
lactation and the role of nurse
8. Counsel adolescents, women and families on issues pertaining to pregnancy, child birth and
lactation
9. Describe the role of various types of complementary and alternative therapies in obstetric and
gynecological nursing.
10. Incorporate evidence based nursing practice and identify the areas of research in the field of
obstetric and gynecological nursing.
11. Describe the recent advancement in contraceptive technology and birth control measures
12. Appreciate the legal and ethical issues pertaining to obstetric and gynecological nursing
71
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Use of partograph: Principles, use and critical analysis, evidence based studies
Analgesia and anesthesia in labour
Nursing management
Second stage
Physiology, intrapartum monitoring
Nursing management.
Resuscitation , immediate newborn care and initiate breast feeding (Guidelines
of National neonatalogy forum of India)
Third stage
Physiology and nursing management
Fourth stage – Observation, critical analysis and Nursing management.
Various child birth practice: water birth, position change etc
Evidence based practice in relation to labour intervention
Role of nurse midwifery practitioner
Alternative/complementary therapies
V 20 Normal puerperium and nursing management
Physiology of puerperium
Physiology of lactation, lactation management, exclusive breast feeding, Baby
friendly hospital intitative(BFHI)
Assessment of postnatal women.
Minor discomforts and complications of puerperium.
Management of mothers during puerperium: Postnatal exercises Rooming in,
bonding, warm chain Evidence based studies
Role of nurse midwifery practitioner
Alternative/complementary therapies
VI 20 Normal Newborn
Physiology and characteristics of normal newborn
Physical and Behavioural assessment of newborn
Needs of newborn
Essential newborn care: Exclusive breast feeding,
Immunization, Hygiene measures, Newborn nutrition
Organization of neonatal care, services(Levels), transport, neonatal intensive care
unit, organization and management of nursing services in NICU
Observation and care of newborn
Parenting process
VII 10 Pharmoco dynamics in obstetrics
Drugs used in pregnancy, labour, post partum and newborn
Calculation of drug dose and administration
Effects of drugs used
Anaesthesia and analgesia in obstetrics
Roles and responsibilities of midwifery nurse practitioner
Standing orders and protocols and use of selected life saving drugs and
interventions of obstetric emergencies approved by the MOHFW
73
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
VIII 10
Family welfare services
Population dynamics
Demography trends: vital statistics, calculation of indicators especially maternal
and neonatal mortality rates and problems and other health problems
Recent advancement in contraceptive technology
Role of nurses in family welfare programmes in all settings
Role of independent nurse midwifery practitioner
Family life education
Evidence based studies
Information, Education and Communication(IEC)
Management information and evaluation system(MIES)
Teaching and supervision of health team members
IX 5 Infertility
Primary and secondary causes
Diagnostic procedures
Counseling: ethical and legal aspects of assisted reproductive technology(ART)
Recent advancement in infertility management.
Adoption procedures
Role of nurses in infertility management.
X 5 Menopause
Physiological, psychological and social aspects
Hormone Replacement Therapy
Surgical menopause
Counseling and guidance
Role of midwifery nurse practitioner
XI 5 Abortion
Types, causes
Legislations, Clinical rights and professional responsibility
Abortion procedures
Complications
Nursing management
Role of midwifery nurse practitioner
PRACTICAL
74
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Procedures observed
Procedures assisted
Procedures performed
Antenatal assessment-20
Postnatal assessment-20
Assessment during labour : use of partograph - 20
Per vaginal examination-20
Conduct of normal delivery-20
Episiotomy and suturing-10
Setting up of delivery areas
Insertion of intra uterine devices( copper T)
Others
Procedure to be performed
75
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Methods of Teaching
Lecture cum discussion
Demonstration
Seminar / Presentation
Project Work
Field Visits
Methods of evaluation
Written Tests
Class room / Clinical Teaching
Presentation
Written assignment
1. Buckley Kathleen and Kule Nancy W, “High Risk Maternity Nursing Mannual” Edn, Williams &
Wilkin, 1993, Philadelphia.
2. Bennet V Ruth & Brown K. Linda, “Myle” text Book for Midwives, ELBS, Churchill Livingstone
3. Calander, R & Miller, ‘Obstetrics illustrated’ IV edn, Churchill & Livingstone Newyork, 1993
4. Dawn C.S. “Textbook of Obstetrics and Neonatology”, Dawn Books, Calcutta.
5. Dawn C.S. “Textbook of Gynecology and contraception”, Dawn Books, Calcutta.
6. D.C. Dutta, “Textbook of Obstetrics”, Vth edn, New Delhi Agency (p) Calcutta 2001.
7. D.C. Dutta, “Textbook of Gynecology”, Vth edn, New Delhi Agency (p) Calcutta 2001.
8. Daftary Shrish N EL AL, “Holland and brews Manual of Obstetrics”, XVI edn, B.I. Chutchill
Livingstone Pvt. Ltd., New Delhi.
9. Dickson Elizabeth jean et al, “Maternal infant Nursing care, II edn, 1998, Mosby, ST.Louis.
10. Goodner Brenda, “Concept of obstetrics Nursing”, I edn, Skidmore, Roth Publishing, INC, 1994,
Texas.
11. Gorie Trula Myers et al “Foundations of Maternal New Born Nursing”, II edn, Wb Saunders
Copy, Philadelphia, 1998.
76
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
77
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
78
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
79
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
80
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
82
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
83
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
84
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
85
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
86
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
CLINICAL SPECIALTY –I
CHILD HEALTH (PAEDIATRIC) NURSING
Hours of Instruction
Theory :- 150 Hours
Practical :-650 Hours
Total :- 800 Hours
Course Description
This course is designed to assist students in developing expertise and in-depth understanding in the field
of Pediatric Nursing. It will help students to appreciate the child as a holistic individual and develop skill
to function as neonatal and pediatric nurse specialist. It will further enable the student to function as
educator, manager, and researcher in the field of Paediatric nursing.
Objectives
1. Appreciate the history and developments in the field of pediatrics and pediatric nursing as a
specialty
2. Apply the concepts of growth and development in providing care to the pediatric clients and
their families.
3. Appreciate the child as a holistic individual
4. Perform physical, developmental, and nutritional assessment of pediatric clients
5. Apply nursing process in providing nursing care to neonates & children
6. Integrate the concept of family centered pediatric nursing care with related areas such as genetic
disorders, congenital malformations and long term illness.
7. Recognize and manage emergencies in neonates
8. Describe various recent technologies and treatment modalities in the management of high risk
neonates
9. Appreciate the legal and ethical issues pertaining to pediatric and neonatal nursing
10. Prepare a design for layout and management of neonatal units
11. Incorporate evidence based nursing practice and identify the areas of research in the field of
pediatric/neonatal nursing
12. Recognize the role of pediatric nurse practitioner and as a member of the pediatric and neonatal
health team
13. Teach pediatric nursing to undergraduate students & in-service nurses
87
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Content
UNIT HOURS CONTENT
I 10 Introduction
Historical development of Pediatrics and Pediatric Nursing in India;
Current status of child health in India;
Trends in Pediatrics and Pediatric Nursing,
Ethical and cultural issues in pediatric care
Rights of children
National health policy for children, special laws and ordinances relating to
children.
National goals,
Five year plans,
National health programs related to child health.
II 10 Assessment of pediatric clients
History taking
Developmental assessment
Physical assessment
Nutritional assessment
Family assessment
III 10 Hospitalized child
Meaning of hospitalization of the child, preparation for hospitalization, effects
of hospitalization on the child and family
Stressors and reactions related to developmental stages, play activities for ill
hospitalized child.
Nursing care of hospitalized child and family - principles and practices
IV 15 Pre-natal Pediatrics
Embryological and fetal development, Prenatal factors influencing growth and
development of fetus,
Genetic patterns of common pediatric disorders, chromosomal aberrations,
genetic assessment and counseling legal and ethical aspects of genetic,
screening and counseling role of nurse in genetic counseling,
Importance of prenatal care and role of pediatric nurse.
V 15 Growth and Development of children
Principles of growth and development,
Concepts and theories of growth and development,
Developmental tasks and special needs from infancy to adolescence,
developmental milestones,
Assessment of growth and development of pediatric clients,
Factors affecting growth and development.
VI 15 Behavioral Pediatrics and Pediatric Nursing
Parent child relationship,
Basic behavioral pediatric principles and specific behavioral pediatric
concepts/disorders- maternal deprivation, failure to thrive, child abuse, the
battered child,
Common behavioral problems and their management,
Child guidance clinic.
VII 15 Preventive Pediatrics and Pediatric Nursing
Concept, aims and scope of preventive pediatrics,
Maternal health and its influence on child health antenatal aspects of
preventive pediatrics,
88
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
PRACTICAL
Student Activities
• Clinical presentations
• Nutritional assessment
• Project work
• Field visits
89
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
BIBLOGRAPHY
1. Achar ST and Viswanathan: “Text Book of Paediatrics; A Clinical Approach “Orient Longman,
Mumbai
2. Alexander N M, Brown MS; “Paediatric physical Diagnosis for Nurses” McGrew Hill Book Co,
New York.
3. Ball; “Pediatric Nursing caring for children” Prenticechall, 1999
4. Behrman, Richard K & Vaughan; “Nelson, s Textbook of Paediatrics” ; W B Saunders Company
5. Blake G, Florence & Wright; “Essentials of Paediatric Nursing”
6. Barbara E W; “Guidelines in the care of the low birth weight” Orient longman
7. Bowden Greenberg; “Paediatric Nursing Procedure” Lippingcott, Williams & Wilkins
8. Browder J J; “Nursing care of Children” FA Davis
9. Cameron, Jelinek et al; “Text Book of Emergency Paediatric Medicine”
10. Cloherty, John P & Stark, Ann R; “Manual Neonatal care” Lippincott
11. David Hull & Johnson D; “Essentials of Paediatrics” Jaypee Brothers
12. Elizabeth Hurlock; “Child Development”
13. Ghai O P; “Essential Text Book of Paediatrics” Jaypee Brothers
14. Ghose Shanti; “Nutrition and child care” Jaypee Brothers
15. Ghose Shanti; “Know your Child” Jaypee Brothers
16. Gupte Suraj; “Neonatal Emergencies” Jaypee Brothers
17. Gupte Suraj; “A Short Text Book of Paediatrics” Jaypee Brothers
18. Guha D K; “Neonatology” Jaypee Brothers
19. Guha D K; “Mannual of Paediatrics newborn care” Jaypee Brothers
20. Hathfield N; “Introductory Paediatric Nursing” Lippingcott 2003
21. Helens C L & Roberts; “Paediatric Nursing” C V Mosby & Co.
22. Khilnary; “Practical Approach to Paediatric Intensive Care” Jaypee Brothers
23. Kulkarni M C; “Manual of Neonatology” Jaypee Brothers
24. Klsoner & Nancy Hathfeild; “ Introductory Maternity and Paediatric Nursing” Lippingcott,
Williams & Wilkins
25. Merenstein & Gardner, “Handbook of Neonatal Intensive care” C V Mosby & Co
26. Mcmillan, Fergin et al; “Oski’s Paediatric-Principle & practice” Lippingcott, Williams & Wilkins
27. Marlow Dorothy; “Textbook of Paediatric Nursing” W B Saunders Company
28. Parthasarthy et al; “ IAP Textbook of Paediatric” Jaypee Brothers
29. Park’s “Text book of Preventive and social medicaine” 18 edn, Banarasi Das
30. Roberts K D Edwards JM; “Paediatrics Intensive care” Black well Scientific Publications, Oxford,
31. Richard Polin; “Paediatric Secrets” C V Mosby & Co
32. Selekman; “Paediatric Nursing” Spring house, 2004
33. Singh Meherban; “Care of Newborn” Sagar Publications New Delhi
34. Singh Meherban; “Drugs Used in Childern” Sagar Publications New Delhi
35. Slota; “Core curriculum for Paediatric Critical Care Nursing” W B Saunders Company
36. Speer; “Paediatric care Planning” Spring house, 1999
37. Vidyasagar & Sarnaik; “Neonatal & Paediatrics Intensive Care” Jaypee Brothers
38. Wagale C S; “Short Textbook of Paediatric” Vohra Book Centre, Mumbai
39. Whaley & Wong; “Nursing Care Infants and Children” C V Mosby & Co
40. Whaley, Lucilla F Donna L; “Essentials of Paediatric Nursing” C V Mosby & Co, St Louis
41. Udai RH; “Neonatal Resuscitation” KEM Hosp
90
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 2x25=50 2x15=30 7.5
3 Term Paper 50 20 5.0
4 Attendance 10 2.5
Total 200 100 25
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
91
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
92
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
93
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
94
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
95
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Ear Cartilage
Trunk:
- Breast nodule
Ubilitical cord:
Hands:
Feet/sole crease:
Leg:
Genitalia :
Muscle tone:
Reflexes
- Clinging:
- Laughing / sneezing:
- Sucking :
- Rooting:
- Gagging:
- Grasp:
- Moro:
- Topic neck reflex:
Cry: Good / Week
APGAR scoring at birth:
First feed given:
Type of fees given:
Total requirements of fluid & calories:
Amount of feed accepted:
Special observations made during feed:
Care of skin:
Care of eyes, nose, ear, month:
Care of umbilicus and genitalia:
Meconium passed / not passed :
Urine passed / not passed :
IV] Identification of Health Needs in Baby & Mother 5 Marks
V] Health education to mother about Breast Feeding: 5 Marks
Care of skin, eye, and umbilicus ec.
V] Bibliography
96
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Discriminates strangers
Wants more than one to play
Say Mamma, Papa
Responds to name, no or give it to me
Increasingly demanding
Offers check to be kissed
Can speak single word
Use pronouns like I, Me, You
Asks for food, drinks, toilet,
Plays with doll
Gives full name
Can help put things away
Understands difference between boy & girl
Washes hands
Feeds himself/herself
Repeats with number
Understands under, behind, inside, outside
Dresses and undresses
V] Play habits 02 Marks
Child’s favorite toy and play:
Does he play alone or with other children?
VI] Toilet training 02 Marks
Is the child trained for bowel movement & if yes, at what age:
Has the child attained bladder control & if yes, at what age:
Does the child use the toilet?
VII] Nutrition 02 Marks
o Breast feeding (As relevant to age)
o Weaning has weaning started for the child: Yes/ No If yes, at what age & specify the weaning
diet.
Any problems observed during weaning:
Meal pattern at home 02 Marks
Sample of a day’s meal: Daily requirements of Chief nutrients:
Breakfast: Lunch: Dinner: Snacks:
VIII] Immunization status & schedule of completion of immunization. 02 Marks
IX] Schooling 02 Marks
Does the child attend school?
If Yes, Which grade and report of school performance:
XI] Parent child relationship 01 Marks
How much time do the parents spend with the child?
Observation of parent-child interaction:
XII] Explain parental reaction to illness and hospitalization. 01 Marks
XIII] Child’s reaction to the illness & hospital team
XIV] Identification of needs on priority
XV] Conclusion 01 Marks
XVI] Bibliography 01 Marks
98
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I] Patient’s Biodata
Name, Age, Sex, Religion, Marital Status, Occupation, Source of Health Care, Date of Admission,
Provisional Diagnosis, Date of Surgery if any.
II] Presenting complaints
Describe the complaints with which the child has been admitted to the ward.
III] Child’s Personal data:
• Obstetrical history of mother
• Prenatal & natal history
• Growth & Development (Compare with normal)
• Immunization status
• Dietary pattern including weaning
• Nutritional status
• Play habits
• Toilet training habits
• Sleep pattern
• Schooling
IV] Socio-economic status of family:
Monthly income, expenditure on health, food education
V] History of Illness
I. History of present illness – onset, symptoms, during, precipitating/ aggregating factors
II. History of past illness – Illness, hospitalizations, surgeries allergies.
III. Family History – Family tree, family history of illness, risk factors, congenital problem, psychological
problem.
VI] Diagnosis:- (Provisional & confirm)
VII] Description of disease: Included the followings:
1. Definition
2. Related anatomy and physiology
3. Etiology & risk factor
4. Path physiology
5. Clinical features
VIII] Physical Examination of patient (Date & Time)
Clinical features present in the book present in the patient
IX] Investigations:-
Date Investigation done Result Normal value Inference
X] Management – (Medical/ Surgical)
• Aims of Management
• Objectives of Nursing Care Plan
XI] Medical Management
Sr.No.
Drug (Pharmacological Name)
Dose Frequency / Time
Action
Side effects & drug interaction
Surgical Management
Nurse’s responsibility
XII] Nursing Management (Short Term & long Term Plans)
Assessment Nursing Diagnosis Objective Plan of care rationale Implementation Evaluation.
XIII] Prognosis of the Patient
XIV] Summary of the Case
XV] Reference
100
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
101
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Remarks:-
103
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
104
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
105
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Description
The course is designed to assist students in developing expertise and in-depth understanding in the field
of Community Health Nursing. It would help students to appreciate holistic life style of individuals,
families & groups and develop skills to function as Community Health Nurse specialist/practitioner. It
would further enable student to function as an educator, manager and researcher in the field of
Community Health nursing.
Objectives
1. Appreciate the history and development in the field of Community Health and Community
Health Nursing.
2. Appreciate role of individuals and families in promoting health of the Community.
3. Perform physical, developmental and nutritional assessment of individuals, families and groups.
4. Apply the concepts of promotive, preventive, curative and rehabilitative aspects of health while
providing care to the people.
5. Apply nursing process approach while providing care to individuals, families, groups and
community.
6. Integrate the concepts of family centered nursing approach while providing care to the
community.
7. Recognize and participate in the management of emergencies, epidemics and disasters.
8. Apply recent technologies and care modalities while delivering community health nursing care.
9. Appreciate legal and ethical issues pertaining to community health nursing care.
10. Conduct community health nursing care projects.
11. Participate in planning, implementation and evaluation of various national health and family
welfare programmes at local, state and the national level.
12. Incorporate evidence based nursing practice and identify the areas of research in the community
settings.
13. Participate effectively as a member of Community Health team.
106
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
14. Coordinate and collaborate with various agencies operating in the community by using inter-
sectoral approach.
15. Teach community health nursing to undergraduates, in-service nurses and the
community health workers.
16. Demonstrate leadership and managerial abilities in community health nursing practice
Course Content
107
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
108
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Karon Saucier Lundy; Sharyn James; “Caring for the Public Health” Jones & Barlett Publishers-
2001.
Philis E Schubert; Janice E (EDT) “Community Health Nursing: Caring in action”, Thomson
Delmer Learning ; -2003
Partrician Carrolll; “Community Health Nursing: A Practical Guide”; Thomson Delonar learning
;- 2004
Lloyd F Novick ; Gleen P Mays; Public Health Administration; “Principles for population based
management”; Jones and Bartlett Publishers ; - 2005
Dianne Watkins; Judy Edwards; Pam Gastrell; “Community Health Nursing-Frame Work for
Practice” Elsevier Health Sciences; 2003
Jenny Little wood; “Current issues in Community Nursing- Primary Health Care in Practice”,
Elsevier Health Sciences; 1999
Kamalam S; “Essentials in Community Health Nursing Practice”; Jaypee
Brothers, Medical Publishers (P)Ltd, New Delhi.
Marcia Stanhope & Lancaster Jeanette; “Community Health Nursing-
Process and Practice for promoting health”, The C V Mosby Co, ST.Louis Toronto 1984.
109
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Student Activities
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 2x25=50 2x15=30 7.5
3 Term Paper 50 20 5.0
4 Attendance 10 2.5
Total 200 100 25
UNIVERSITY EXAMINATION
110
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
111
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
112
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
113
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks Obtained:-_________
Remarks:-
114
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks Obtained:-_________
Remarks:-
115
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks Obtained:-_________
Remarks:-
116
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
117
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _________________________________________________________________________
Marks Obtained:-_________
TOTAL
Remarks:-
118
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
119
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
2 Organization 5
Planning
Setting objectives
Selection of Students
Schedule preparation
3 20
Advertising communication
Method selected
Resources sued
Implementation
4 Conduction 10
Management (Pre School)
5 Evaluation (Pre-Post) 5
6 Writing report 5
Total Marks 25
Remarks:-
120
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
121
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
CLINICAL SPECIALITY – I
Hours of Instruction
Theory 150 hours
Practical 650 hours
Total : 800 hours
Course Description
This course is designed to assist students in developing expertise and in-depth understanding in the field
of Psychiatric Nursing. It will help students to appreciate the client as a holistic individual and develop
skill to function psychiatric nurse specialist. It will further enable the student to function as educator,
manager, and researcher in the field of Psychiatric nursing
Objectives
1. Appreciate the trends and issues in the field of psychiatry and psychiatric nursing.
3. Describe the concepts of psychobiology in mental disorders and its implications for
psychiatric nursing
9. Apply the nursing process approach in caring for patients with mental disorders
10. Describe the psychopharmacological agents, their effects and nurses role
11. Recognize the role of psychiatric nurse practitioner and as a member of the psychiatric
and mental health team
12. Describe various types of alternative system of medicines used in psychiatric settings
13. Incorporate evidence based nursing practice and identify the areas of research in the field
of psychiatric nursing
122
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Content
UNIT HOURS CONTENT
I 15 Introduction
Mental Health and Mental Illness
Historical perspectives
Trends, issues and magnitude
Contemporary practices
Mental health laws/Acts
National mental health program -National mental health authority, state mental
health authority
Human rights of mentally ill
Mental Health/ Mental Illness Continuum
Classification of mental illnesses-ICD, DSM
Standards of Psychiatric nursing
Challenges and Scope of psychiatric nursing
Multi-disciplinary team and role of nurse
Role of psychiatric nurse- extended and expanded
II 10 Concepts of Psychobiology
The Nervous System:
An Anatomical Review
The Brain and limbic system:
Nerve Tissue
Autonomic Nervos us system
Neurotransmitter
Neuroendocrinology
Pituitary, Thyroid Gland
Circadian Rhythms
Genetics
Neuro psychiatric disorders
Psychoimmunology
Normal Immune response
Implications for psychiatric Illness
Implications for Nursing
III 10 Theories of Personality Development and relevance to nursing practice
Psychoanalytic Theory- Freud’s
Interpersonal Theory-Sullivan’s
Theory of Psychosocial Development-Erikson’s
Theory of object relations
Cognitive Development Theory
Theory of Moral Development
A Nursing Model-Hildegard E.Peplau
IV 5 Stress and its management
An introduction to the concepts of stress
Psychological Adaptation to stress
Stress as a Biological Response.
Stress as an Environmental Event.
Stress as Transaction between the Individual and the Environment.
Stress management.
V 10 Therapeutic communication and interpersonal relationship
Review communication process, factors affecting communication
123
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Family Therapy
Milieu Therapy
The Therapeutic Community
Occupational therapy
Recreational therapy
Play therapy
Music therapy
Light therapy
Color therapy
Aroma therapy
XI 5 Electroconvulsive Therapy
Historical Perspectives
Indications
Contraindications
Mechanisms of Action
Side Effects
Risks Associated with Electroconvulsive Therapy
The Role of The Nurse in Electroconvulsive Therapy
XII 10 Psychopharmacology
Historical Perspectives
Role of a Nurse in Psychopharmacological Therapy
• Antianxiety Agents
• Antidepressants Agents
• Mood stabilizers
• Antipsychotics
• Sedative-Hypnotics
• Central Nervous System Stimulants
Future developments
XIII 15 Alternative systems of medicine in mental health
Types of Therapies
• Herbal Medicine
• Unani
• Siddha
• Homeopathic
• Acupressure and Acupuncture
• Diet and Nutrition
• Chiropractic Medicine
• Therapeutic Touch and Massage
• Yoga
• Pet Therapy
125
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Practical
4 O.P.D 2 60 Hours
Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• music therapy
• Pet therapy
• Counseling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
126
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Journals :
1. Indian Journal of psychiatry.
2. Journal o psychosocial nursing
3. British journal of psychiatry nursing
127
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 2x25=50 2x15=30 7.5
3 Term Paper 50 20 5.0
4 Attendance 10 2.5
Total 200 100 25
UNIVERSITY EXAMINATION
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
Division of marks for practical Exams (Internal and External examiners)
128
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
129
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I Demographic data:
- Name
- Age
- Sex
- Marital Status
- Religion
- Occupation
- Socio-economic status
- Address
- Informant
- Information (Relevant or not ) adequate or not
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
VI Family History :-
- Family Genogram – 5 Generations include only grandparents. But if there is a family history
Include the particular generation
IX Sexual history
- Age of attaining puberty (female – menstrual cycles are regular)
- Source and extent of knowledge about sex, any exposures
- Marital Status: with genogram.
X Pre morbid personality: (Personality of a patient consists of those habitual attitudes and patterns of
behaivior which characterize an individual. Personality sometimes changes after the onset of an
illness.
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Get a description of the personality before the onset of the illness. Aim to build up a picture of the
individual, not type, enquiry with respect to the following areas.)
1. Attitude to others in social and sexual relationship:- Ability to trust other, mark and sustain
Relationship, anxious or secure, leader to follower, Participation, responsibility, capacity to make
decision, dominant or submissive, friendly or emotionally cold, etc. Difficulty in role taking –
gender, sexual, familial.
2. Aptitudes to self:- Egocentric, Selfish, indulgent, dramatizing, critical, depreciatory, over
concerned, self conscious, satisfaction or dissatisfaction with work. Attitudes towards Health and
bodily functions. Attitude to past achievements and failure, and to the future.
3.Moral and religious attitude and standards:- Evidence of rigidly or compliance, permissiveness
or over conscientiousness, conformity, or rebellion. Enquiry specifically about religious beliefs.
Excessive religiosity.
4.Mood:- Enquiry about stability of mood, mood swings, whether anxious, irritable, worrying or
tense. Whether lively or gloomy. Ability to express and control feelings of anger, anxiety, or
depression.
5.Leisure activites and hobbies:- Interest in reading, play, music, movies etc. Enquiry about creative
ability. Whether leisure time is spend alone or with friends. Is the circle of friends large or small?
6.Fanstacy Life:- Enquire about content of day dreams and dreams. Amount of time spent in day
dreaming.
7.Reaction pattern to stress:- Ability to tolerate frustrations, losses, disappointments, and
circumstance arousing anger, anxiety or depression. Evidence for the excessive use of particular
defense mechanisms such as denial, rationalization, projection etc.
8.Habits :- Eating, Sleeping and excretory functions.
XI. Summary & Clinical Diagnosis
133
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
7 Pre-morbid personally 5
8 Physical examination 8
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
IV Thought:
a) Form of thought /formal thought disorder – not understandable / normal/ circumstantiality /
tangentiality / neologism / word salad/ preservation / ambivalence).
b) Stream of thought / flow of thought – pressure of speech / flight of ideas/ thought retardation/
mutism /aphonia / thought block / Clang Association.)
c) Content of thought
i. Delusions – specify type and give example – Persecutory/ delusion of reference / delusions of
influence or passivity/hypochondracal
delusions /delusions of grandeur / nihilistic- Dereralization / depersonalization / delusions of
infidelity.
ii. Obsession
iii. Phobia
iv. Preoccupation
v. Fantasy – Creative / Day dreaming
VI Disorders Perception:
a. Illusion
b. Hallucinations – (Specify type and give example) – auditory / visual/ olfactory / gustatory
/tactile
c. Others – hypnologic / hypnopombic /Lilliputian / kinesthetic / macropsia / micropsia
e) Intelligence & General Information : Test by carry over sums/ similarities and differences /
and general information / digit score test.
8 Memory 3
9 Orientation 2
10 Judgment 3
11 Insight 2
14 Abstract thinking 2
15 General Observation 2
16 Summary 3
Total 50
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
137
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
(Note : The above data are obtained and recorded on initial contact. Later as each day’s interactions are
planned, the following format has to be followed)
Evaluation by teacher
a) Overall recording
b) Phases of nurse patient relationship
c) Use of Therapeutic Communication Techniques
d) Ability to achieve objectives
NOTE :- Limit objectives to one or two and make all efforts to attain the objectives.
At the end of the process recording mention if you were able to achieve the objectives and to
what extents. If not, how you intend to achieve it and what hindered you from achieving it.
Maintained a therapeutic nurse-patient relationship (TNPR) in all you interactions and use many
therapeutic communications of the participants
138
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
5 Evaluation 5
Total Marks 25
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
139
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
140
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
TOTAL 50
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
141
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
TOTAL 50
142
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
143
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- ______________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
144
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
COURSE OUTLINE
FOR
145
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
NURSING MANAGEMENT
Placement : II Year
Hours of Instruction
Theory 150 Hours
Practical 150 Hours
Total : 300 Hours
Course Description
This course is designed to assist students to develop a broad understanding of Principles, concepts, trends
and issues related to nursing management. Further, it would provide opportunity to students to understand,
appreciate and acquire skills in planning, supervision and management of nursing services at different
levels to provide quality nursing services.
Objectives
1. Describe the philosophy and objectives of the health care institutions at various levels.
2. Identify trends and issues in nursing
3. Discuss the public administration, health care administration vis a vis nursing administration
4. Describe the principles of administration applied to nursing
5. Explain the organization of health and nursing services at the various levels/institutions.
6. Collaborate and co-ordinate with various agencies by using multi-sectoral approach
7. Discuss the planning, supervision and management of nursing workforce for various health care
settings.
8. Discuss various collaborative models between nursing education and nursing service to improve
the quality of nursing care
9. Identify and analyse legal and ethical issues in nursing administration
10. Describe the process of quality assurance in nursing services.
11. Demonstrate leadership in nursing at various levels
146
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Content
UNIT HOURS Course Content
I 10 Introduction
Philosophy, purpose, elements, principles and scope
of administration
Indian Constitution, Indian Administrative system vis a vis
health care delivery system: National, State and Local
Organisation and functions of nursing services and
education at National, State , District and institutions:
Hospital and Community
Planning process: Five year plans, Various Committee
Reports on health, State and National Health policies,
national population policy, national policy on AYUSH and
plans,
II 10 Management
Functions of administration Planning and control
Co-ordination and delegation
Decision making – decentralization basic goals of
decentralization.
Concept of management
Nursing management
Concept, types, principles and techniques
Vision and Mission Statements
Philosophy, aims and objective
Current trends and issues in Nursing Administration
Theories and models
Application to nursing service and education
III 15 Planning
Planning process: Concept, Principles, Institutional
policies
Mission, philosophy, objectives, Strategic planning
Operational plans
Management plans
Programme evaluation and review technique(PERT),
Gantt chart, Management by objectives(MBO)
Planning new venture
Planning for change
Innovations in nursing
Application to nursing service and education
IV 15 Organisation
Concept, principles, objectives, Types and theories,
Minimum requirements for organisation, Developing an
organizational Structure, levels, organizational
Effectiveness and organizational Climate,
Organising nursing services and patient care: Methods of
patient assignment - Advantages and disadvantages,
primary nursing care,
Planning and Organising: hospital, unit and ancillary
services(specifically central sterile supply department,
laundry, kitchen, laboratory services, emergency etc)
Disaster management: plan, resources, drill, etc
Application to nursing service and education
147
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
V 15
Human Resource for health
Staffing
Philosophy
Norms: Staff inspection unit(SIU), Bajaj Committee
High power committee, Indian nursing council
(INC)
Estimation of nursing staff requirement- activity analysis
Various research studies
Recruitment: credentialing, selection, placement,
promotion
Retention
Personnel policies
Termination
Staff development programme
Duties and responsibilities of various category of nursing
personnel
Applications to nursing service and education
VI 15 Directing
Roles and functions
Motivation: Intrinsic, extrinsic, Creating motivating
climate,
Motivational theories
Communication : process, types, strategies, Interpersonal
communication, channels, barriers, problems,
Confidentiality,
Public relations
Delegation; common delegation errors
Managing conflict: process, management, negotiation,
consensus
Collective bargaining: health care labour laws, unions,
professional associations, role of nurse manager
Occupational health and safety
Applications to nursing service and education
VII 10 Material management
Concepts, principles and procedures
Planning and procurement procedures : Specifications
ABC analysis,
VED (very important and essential daily use) analysis
Planning equipments and supplies for nursing care: unit
and hospital
Inventory control
Condemnation
Applications to nursing service and education
VIII 15 Controlling
Quality assurance – Continuous Quality Improvement
Standards
Models
Nursing audit
Performance appraisal: Tools, confidential reports,
formats,
Management, interviews
148
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
149
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
PRACTICALS
4 Visits 60 Hours
ACTIVITES :-
1. Prepare prototype personal files for staff nurses, faculty and cumulative records
2. Preparation of budget estimate, Revised estimate and performance budget
3. Plan and conduct staff development programme
4. Preparation of Organisation Chart
5. Developing nursing standards/protocols for various units
6. Design a layout plan for speciality units /hospital, community and educational institutions
7. Preparation of job description of various categories of nursing personnel
8. Prepare a list of equipments and supplies for speciality units
9. Assess and prepare staffing requirement for hospitals, community and educational institutions
10. Plan of action for recruitment process
11. Prepare a vision and mission statement for hospital, community and educational institutions
12. Prepare a plan of action for performance appraisal
13. Identify the problems of the speciality units and develop plan of action by using problem
solving approach
14. Plan a duty roster for speciality units/hospital, community and educational institutions
15. Prepare: anecdotes, incident reports, day and night reports, handing and taking over reports,
enquiry reports, nurses notes, Official letters, curriculum vitae, presentations etc
16. Prepare a plan for disaster management
17. Group work
18. Field appraisal report
19. Supervision of subordinates / Students
20. Clinical teaching for staff and students
21. Assist for condemnation procedures
22. Preparation of advertisement
150
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
ASSIGNMENT
Seminar
Module Preparation (staff development programme)
Job Description for various category of staff
Cumulative reword
Evaluation Performa
Personal Appraisal for various category of staff
Recruitment process
Observational Study Report Preparation
Head quarters of administrative offers Reputed hospitals, Nursing council
Any Industry
WHO Office
Health & Family Welfare Bureau
METHODS OF TEACHING
Lecture cum discussion
Demonstration
Seminar
Debate
Exposure to Scientific Conference
Field Visits
METHODS OF EVALUATION
Tests
Presentation
Seminar
Assignment
151
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
9. Owen, Joseph, Karlton, “Modern Concepts of Hospital Administration”, 14 W.B. Soundeers Co.
Philadelphia and London.
10. Stoner and Freeman, management, 4th edition, 1989, Prantice Hall, India.
11. V.L.S. Rao and Narayan, Principles and Practice of Management, Konark publishers 1994.
12. B.T.Basvanthapa, text book of administration, Jaypee Publishers Ist edn, J.P. Brothers Medical
Publishers : New Delhi, 2000
13. Barret, Jean. Ward Management and Teaching, 2nd edn, English Book Society; New Delhi, 1967.
14. Goel, S & Kumar, R. Hospital Administration and management Ist edn, Deep & Deep Publication;
New Delhi, 2000.
15. INAI Nursing Administration and Management, Ist edn Academic Press: New Delhi, 2000.
16. Shakharkar, B.M. Principles of Hospital Administration and planning, Jaypee Brothers: Bangalore, 1998.
17. Pai, Pragna. Effective Hospital Management, Ist edn, The National Book Depot: Mumbai, 2002.
18. Srinivasan, A.V. Managing a Modern Hospital, Ist edn, Sage Publications : New Delhi, 2002.
19. Park and Parks Textbook of Preventive and Social Medicine, 17th edn, M/S Banarsidas Bhanot
Publsihers: Jabalpur, 2003.
20. Russels, C.S. Management & Leadership for Nurse Manager, 3rd edn, Jones Barlett Publishers;
London, 2002
21. Francis, E.M. & Desouza, Mario. Hospital Administration, IIIrd Edn, Jaypee Brothers Medical
Publishers: New Delhi, 2000.
22. Goddard,H.A. Principles of Administration applied to Nursing Practice, WHO: Geneva, 1966.
23. Hersey, P, Blanchard, H.K.& Johnson, E.D. Management of organizational Behaviour, Person
Education India Branch: New Delhi 2002.
152
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 2x25=50 2x15=30 5
3 Performance Appraisal tool for 25 10 2.5
various categories
4 Duty roster for staff 25 10 2.5
5 Protocol/standing orders for 25 10 2.5
different units
6 Attendance 10 2.5
Total 250 100 25
UNIVERSITY EXAMINATION
153
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
154
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
155
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
156
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
157
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
158
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING - CRITICAL CARE NURSING
Placement: II Year
Hours of instruction
Theory: 150 hours
Practical: 950 hours
Total : 1100 hours
Course Description
This course is designed to assist students in developing expertise and in-depth knowledge in the field of
Critical care Nursing. It will help students to develop advanced skills for nursing intervention in caring for
critically ill patients. It will enable the student to function as critical care nurse practitioner/ specialist. It
will further enable the student to function as educator, manager and researcher in the field of Critical Care
Nursing.
Objectives
159
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Content
160
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
VI 10 Gastrointestinal System
Causes, Pathophysiology, diagnosis, Prognosis, Management:
Medical, Surgical and Nursing management of:-Acute
Gastrointestinal Bleeding, Abdominal injury, Hepatic
Disorders:-Fulminent hepatic failure, Hepatic
encephalopathy, Acute Pancreatitis, Acute intestinal
obstruction, perforative peritonitis
VII 10 Renal System
Causes, pathophysiology, Clinical types, Clinical features,
diagnosis, Prognosis,
Management: Medical, Surgical and Nursing
management of:-Acute Renal Failure, Chronic Renal Failure,
Acute tubular necrosis, Bladder trauma Management
Modalities: Hemodialysis, Continuous
Ambulatory Peritoneal Dialysis,
Continuous arterio venus hemodialysis,
Renal Transplant,
VIII 10
Nervous System
Causes, pathophysiology, Clinical types,Clinical features,
diagnosis, Prognosis, Management: Medical, Surgical and
Nursing management of:-Common Neurological Disorders:-
Cerebrovascular disease, Cerebrovascu Guillein Barre-
Syndrome, Myasthenia Gravis, Coma, Persistent lar
vegetative state, Encephalopathy, Head injury, Spinal Cord
injury
Management Modalities: Assessment of Intracranial
pressure,
Management of intracranial hypertension, Craniotomy
Problems associated with neurological disorders:
regulation, Unconsciousness, Herniation syndrome
IX 10 Endocrine System
Causes, Pathophysiology, Clinical types, Clinical features,
diagnosis, Prognosis, Management: Medical, Surgical and
Nursing Management of :-Hypoglycemia, Diabetic
Ketoacidosis, Thyroid crisis, Myxoedema, Adrenal crisis,
Syndrome of Inappropriate/ hypersecretion of Antidiuretic
Hormone (SIADH)
X 15 Management of other Emergency Conditions
Mechanism of injury, Thoracic injuries, Abdominal injuries,
pelvic fractures, complications of trauma, Head injuries
Shock: Shock syndrome, Hypovolemic, Cardiogenic,
Anaphylactic, Neurogenic and Septic shock
Systemic inflammatory Response: The inflammatory response,
Multiple organ dysfunction syndrome
Disseminated Intravascular Coagulation
Drug Overdose and Poisoning,
Acquired Immunodeficiency Syndrome (AIDS) Ophthalmic:
Eye injuries, Glaucoma, retinal detachment
Ear Nose Throat: Foreign bodies, stridor, bleeding, quincy,
acute allergic conditions Psychiatric emergencies;, suicide,
crisis intervention
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
XI Cardiovascular emergencies
Principles of Nursing in caring for patient’s with
Cardiovascular disorders
Assessment: Cardiovascular system: Heart sounds, Diagnostic
studies:- Cardiac enzymes studies, Electrocardiographic
monitoring, Holter monitoring, Stress test. Echo cardiography,
Coronary angiography, Nuclear medicine studies
Causes, Pathophysiology, Clinical types, Clinical features,
Diagnostic Prognosis,
Management : Medical, Surgical & Nursing management of:-
Hypertensive crisis, Coronary artery disease, Acute
Myocardial infarction, Cardiomyopathy, Deep vein
thrombosis, Valvular diseases, Heart block, Cardiac
arrhythmias & conduction disturbances, Aneurysms,
Endocarditis, Heart failure
Cardio pulmonary resuscitation BCLS/ ACLS
Management Modalities: Thrombolytic therapy, Pacemaker
– temporary & permanent, Percutaneous transluminal
coronary angioplasty, Cardioversion, Intra Aortic Balloon
pump monitoring, Defibrillations, Cardiac surgeries, Coronary
Artery Bypass Grafts(CABG/MICAS), Valvular surgeries,
Heart Transplantat ion, Autologous blood transfusion,
Radiofrequency Catheter Ablation
Caring precautions for Covid – 19 patients in mechanical
Ventilators
XII 15 Respiratory System
Acid-base balance & imbalance
Assesment : History & Physical Examination
Diagnostic Tests:Pulse Oximetry, End –Tidal Carbon
Dioxide Monitoring, Arterial blood gas studies, chest
radiography, pulmonary Angiography, Bronchoscopy,
Pulmonary function Test, Ventilation perfusion scan, Lung
ventilation scan
Causes Pathophysiology, Clinical types, Clinical features,
Prognosis, Management: Medical, Surgical and Nursing
management of Common pulmonary disorders:-Pneumonia,
Status asthmaticus, interstitial drug disease, Pleural effusion,
Chronic obstructive pulmonary disease, Pulmonary
tuberculosis, Pulmonary edema, Atelectasis, Pulmonary
embolism, Acute
respiratory failure, Acute respiratory distress syndrome
(ARDS), Chest Trauma Haemothorax, Pneumothorax
Management Modalities:-Airway Management Ventilatory
Management:-Invasive, non- invasive, long term mechanical
ventilations
Bronchial Hygiene:-Nebulization, deep breathing exercise,
chest physiotherapy, postural drainage, Inter Costal Drainage,
Thoracic surgeries.
Management of severe Covid-19 infection.
XIII 7 Burns
Clinical types, classification, pathophysiology, clinical
features, assessment, diagnosis, prognosis, Management:
Medical, Surgical
162
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
163
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Practical
1. CT Scan
2. MRI
3. EEG
4. Hemodialysis
5. Endoscopic Retrograde cholangio Pancreaticogram(ERCP)
6. Heart/ Neuro/GI./ Renal Surgeries
1. Airway management
a. Application of oropharyngeal airway
b. Oxygen therapy
c. CPAP (Continuous Positive Airway pressure)
d. Care of tracheostomy
e. Endotracheal extubation
2. Cardiopulmonary resuscitation, Basic cardiac life support, ECG
3. Monitoring of critically ill patients – clinically with monitors, capillary refill time (CRT) assessment
of jaundice, ECG.
4. Gastric lavage
5. Assessment of critically ill patients
Identification & assessment of risk factors, Glasgow coma scale, and dolls eye movement,
arterial pressure monitoring, cardiac output/pulmonary artery pressure monitoring, and detection
of life threatening abnormalities
IV Other Procedures:
Teaching Methods
Lecture
Group discussion
Seminar
Case Presentation
Case Conferences
Field Trips (Specialty Hospital)
Clinical Experience
Case Assignment
Physical Assessment
NCP and implementation
Participation in case conference
Participation in diagnostic tests, inflection control procedures, etc
165
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
References -
1. Brunner and Suddarth’s Text Book of Medical Surgical Nursing, 9th edition, 2005, Lippincott Raven
Publishers.
2. John Luckmann, Medical Surgical Nursing, 3rd edition, 1987, Sauders Company, Philadelphia,
London.
3. Jayce M.Black, Jane Hokanson Hawks, Medical Surgical Nursing – Clinical Management Forpositive
outcomes, 7th edition, 2005, Elsevier, India.
4. Brunner S.B. and Suddarth’s D.S. The Lippincott Manual of Nursing practice J.B. Lippincott
Philadelphia.
5. Medical Surgical Nursing: an integrated approach, white, L, Delmar Thomson learning (2002) 2nd ed,
United States.
6. Lewis, Heitkemper & Dirksen Medical Surgical Nursing Assessment and Management of Clinical
Problem (6th ed) (2000) Mosby.
7. Colmer R.M., Moroney’s Surgery for Nurses (16th ed) (1995) ELBS.
8. Shah N.S. A P I textbook of medicine, The association of Physicians of India Mumbai (2003).
9. Satoskar R.S. Bhandarkar S.D. & Rege N.N. Pharmacology and Pharmacotherapeutics, 19th ed, 2003
Popular Prakashan, Mumbai.
10. Philips W.J., Long C.B. & Wood N.F., Shaffer’s Medical Surgical Nursing B.T. Publication Pvt. Ltd.,
(2001) New Delhi
11. Datta T.K. fundamentals of Operation Theater Services, Paypee (2003), New Delhi
12. Maheshwari J.Essentials of Orthopedics (3rd Ed) Mehta Publication, New Delhi.
13. Pasrich J.S., Gupta R., Illustrated Text book of Dermatology , 2nd ed, 2001 Haypee brothers New
Delhi.
14. Haslett C., Chilvers E.R., Hunder J.A.A. & Boon, N.A. Davidson’s Principles and Practice of
Medicine, 18th ed, (1999) Churchill living stone. Edinburgh.
15. Walsh M., Watson’s Clinical Nursing and related Sciences, 6th ed, (2002) Bailliere Tindall Edinburgh.
16. Medical Surgical Nursing : A Nursing process approach Col.I & II, Ignataciaius , Donna and
Workman, Linda, W.B. Saunders Company, Philadelphia, 1995
17. Nettina Sandra, Lippincott Willams & Wilkins, The Lippincott Manual of Nursing Practice, 7th Ed,
2001, Philadelphia.
166
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 25 15 3.75
3 Practice teaching (5) 50 10 2.5
Symposium / Paper Presentation 50 15 3.75
4 Drug Book 25 10 2.5
5 Attendance 10 2.5
Total 275 100 25
UNIVERSITY EXAMINATION
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
168
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
169
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
170
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
171
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
Sr. Trade name & Indications Dose Side Contraindications Nursing Current Indication
No. Pharmacological & effects / implications research in patient
name Route adverse evidence if
drug applicable
response
172
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
173
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I Patent Biodata
Name, Age, Sex Religion, Marital status, Occupation, Source of health care, Date of
admission, Provisional Diagnosis, Date of surgery if any.
II Presenting complaints
Describe the complaints with which the patient has been brought to the hospital
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
175
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
176
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
177
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Placement - II Year
Hours of Instruction
Theory: 150 hrs
Practical 950 hrs
Total 1100 hrs
Course Description
This course is designed to assist the student in developing expertise and in-depth understanding in the
field of Obstetric and gynecological Nursing .It will help the student to develop advanced nursing
skills for nursing interventions in various obstetrical and gynecological conditions. It will further
enable the students to function as midwifery nurse practitioner/ specialist, educator, manager and
researcher in the field of obstetric and gynecological nursing.
Objectives
15. Explain the national health prorammes in relation to obstetrical and gynaecological nursing
178
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Contents Outline
• Version
• Manual removal of placenta.
• Obstetrical operation: Forceps delivery, Ventouse, Caesarian
section, Destructive operations
• Genital tract injuries-Third degree perineal tear, VVF, RVF
Complications of third stage of labour:
• Post partum Hemorrhage.
• Retained placenta.
IV 10 Post partum complications
• Nursing management of Puerperal infections, puerperal sepsis,
urinary complications, puerperal venous thrombosis and
pulmonary embolism
• Sub involution of uterus, Breast conditions, Thrombophlebitis
• Psychological complications, post partum blues, depression,
psychosis
V 25 High Risk Newborn
Concept, goals, assessment, principles.
Nursing management of
Gynecological procedures
• Menstrual irregularities
• Diseases of genital tract
• Genital tract infections
• Uterine displacement
• Genital prolapse
• Genital injuries
• Uterine malformation
• Uterine fibroid, ovarian tumors, Breast carcinoma, Pelvic
inflammatory diseases, reproductive tract malignancies,
hysterectomy – vaginal and abdominal.
• Sexual abuse, rape, trauma , assault
VII 5 Administration and management of obstetrical and
gynaecological unit
•• Design & layout
•• Staffing,
•• Equipment, supplies,
• Infection control; Standard safety measures
• Quality Assurance:-Obstetric auditing –records /reports,
• Norms, policies and protocols
• Practice standards for obstetrical and gynaecological unit
IX 5 Education and training in obstetrical and gynaecological care
• Staff orientation, training and development,
• In-service education program,
• Clinical teaching programs.
181
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Practical’s
Procedures Assisted
• Operative delivery
• Abnormal deliveries-Forceps application, Ventouse, Breech
• Exchange blood transfusion
• Culdoscopy.
• Cystoscopy
• Tuboscopy
• Laparoscopy.
• Endometrial Biopsy
• Tubal patent test
• Chemotherapy
• Radiation therapy
• Medical Termination of Pregnancy
• Dilatation and Curettage
182
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Procedures Performed
• History taking.
• Physical Examination-General
• Antenatal assessment. – 20
• Pelvic examination
• Assessment of risk status.
• Assessment of Intra uterine foetal well-being.kick chart and foetal movement chart, Doppler
assessment, Non Stress Test, Contraction stress test(Oxytocin challenge test)
• Universal precautions- Disposal of biomedical waste.
• Per Vaginal examination and interpretation (early pregnancy, labour, post partum).
• Utilization of Partograph
• Medical & Surgical induction(Artificial rupture of membranes).
• Vacuum extraction
• Conduct of delivery.
• Prescription and administration of fluids and electrolytes through intravenous route.
• Application of outlet forceps, delivery of breach – Burns Marshall, Loveset manoeuvere
• Repair of tears and Episiotomy suturing.
• Vacuum extraction
• controlled cord traction, Manual removal of placenta, placental examination,
• Manual vacuum aspiration
• Postnatal assessment.- 20
• Management of breast engorgement
• Thrombophlebitis (white leg)
• Postnatal counseling.
• Reposition of inversion of uterus.
• Laboratory tests: Blood- Hb, Sugar, Urine-albumin,sugar
• Breast care, breast exam, and drainage breast abscess.
• Postnatal exercise.
• Assessment –New born assessment; physical and neurological, Apgar score, high-risk
newborn, Monitoring neonates; Clinically and With monitors, Capillary refill time,
Assessment of jaundice, danger signs
• Anthropometric measurement
• Neonatal resuscitation
• Gastric Lavage
• Care of newborn in multi channel monitor and ventilator.
• Care of newborn in radiant warmer and incubator.
• Kangaroo mother care.
• Assisting mother with exclusive Breast-feeding
• Feeding technique: Katori, spoon, naso/orogastric, Total Parenteral nutrition
• Assessement, calculation and administration of fluids and medications:
- Oral
- I.D.
- I.M.
- I.V.- Securing IV line, infusion pump
• Administration of drug per rectum
• Capillary blood sample collection.
• Oxygen therapy.
183
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
• Phototherapy.
• Chest physiotherapy.
• counseling – Parental, bereavment, family planning, infertility etc
• Setting of operation theatre.
•
• Trolley and table set up for Obstetrical & gynaecoligical operations.
• Pap smear.
• Vaginal smear.
• Insertion of pessaries,
• Insertion of IUD and removal.
• Teaching skills
• communication skills
• Prepare referral slips
• Pre transport stabilization
• Networking with other stake holders
1. Buckley Kanthleen and Kulb Naancy W, “High Risk Maternity Nursing Manual” Edn,
Williams & Wilkin, 1993, Philadelphia.
2. Bennet V Ruth & Brown K Linda, “Myle” text Book for Midwives, ELBS, Churchill
Livingstone
3. Calendar, R & A miller, ‘Obstetrics illustrated’ IV edn, Churchill & Livingstone New York,
1993.
6. D.C. Dutta, “Text Book of Obstetrics”, VIsth edn New Central Agency (p) Calcutta, 2001.
7. D.C. Dutta, “Text Book of Gynecology”, Vth edn New Central Agency (p) Calcutta, 2001.
8. Daftary Shrish N EL Al, “Holland and Brews Manual of Obstetrics”, XVI edn, B I Churchill
Livingstone PVT. Ltd. New Delhi.
9. Dickson Elizabeth Jean el al, “Maternal infant Nursing care, II edn 1998, Mosby, ST.Louis.
10. Goodner Brench, “Concepts of Obstetrics Nursing”, I edn, Skidmore, Roth Publishing INC,
1994, Texas.
11. Gorje Trula Myers et al, “Foundations of maternal New Born Nursing”, II edn, W B Saunders
coy, Philadelphia, 1998.
184
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
13. Ladewings Patricia Wieland et al, “Essentials of Maternal Newborn Nursing”, IIedn, Addisol
Wesley Nursing NY 1990.
14. Menon Krishna & Palaniappan, “Clinical Obstetrics”, IX Edn Orient Longman, 1990, Madras
15. Rashmi Patil, “Instruments, Operatutions, Drugs in Obstetrics and Gynecology”, Vora Medical
Publications.
16. Ohilips Celeste R, “Family centered Maternity New Born Care”, III edn, Mosby New year
Book, St. Louis, Lond
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2)- 2x25=50 2x15=30 7.5
3 Term Paper 50 20 5.0
4 Attendance 10 2.5
Total 200 100 25
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
185
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
186
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
187
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
188
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
189
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
190
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
Sr. Trade name & Indications Dose Side Contraindications Nursing Current Indication
No. Pharmacological & effects / implications research in patient
name Route adverse evidence if
drug applicable
response
191
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
192
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
193
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
194
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I Patent Biodata
Name, Age, Sex Religion, Marital status, Occupation, Source of health care, Date of
admission, Provisional Diagnosis, Date of surgery if any.
II Presenting complaints
Describe the complaints with which the patient has been brought to the hospital
VII Investigations
Date Investigation done Results Normal Value Interfaces
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
196
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
197
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Placement : II Year
Hours of Instruction
Theory:- 150 hours
Practical :-950 hours
Total :- 1100 hours
Course Description
This course is designed to assist students in developing expertise and in-depth understanding in the
field of Pediatric Nursing. It will help students to develop advanced skills for nursing intervention in
various pediatric medical and surgical conditions. It will enable the student to function as pediatric
nurse practitioner/specialist. It will further enable the student to function as educator, manager, and
researcher in the field of Paediatric nursing
Objectives
1. Apply the nursing process in the care of ill infants to pre adolescents in hospital and
community
2. Demonstrate advanced skills/competence in nursing management of children with medical
and surgical problems
3. Recognize and manage emergencies in children
4. Provide nursing care to critically ill children
5. Utilize the recent technology and various treatment modalities in the management of high risk
children
6. Prepare a design for layout and describe standards for management of pediatric units/hospitals
7. Identify areas of research in the field of pediatric nursing
198
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Content
200
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
201
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Practical
4 Pediatric OT 2 60 Hours
*Child care center, Anganwadi, play school, Special schools for challenged children, Juvenile
court, UNICEF, Orphanage, Creche, SOS village
Essential
I. Procedures Observed:
• Echo cardiogram
• Ultrasound head
• ROP screening (Retinopathy of prematurity)
• Any other
II. Procedures Assisted
• Advanced neonatal life support
• Lumbar Puncture
• Arterial Blood Gas
• ECG Recording
• Umbilical catheterization – arterial and venous
• Arterial B P monitoring
• Blood transfusion- exchange transfusion full and partial
• IV cannulation & therapy
• Arterial catheterization
• Chest tube insertion
• Endotracheal intubation
• Ventilation
• Insertion of long line
• Assist in surgery
202
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
203
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
BIBILOGRAPHY
204
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
UNIVERSITY EXAMINATION
Internal Assessment - 25 Marks
University Exam - 75 Marks
Grand Total - 100 Marks
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
205
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
206
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
207
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
208
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
209
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
Sr. Trade name & Indications Dose Side Contraindications Nursing Current Indication
No. Pharmacological & effects / implications research in patient
name Route adverse evidence if
drug applicable
response
210
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
211
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I] Patient’s Biodata
Name, Age, Sex, Religion, Marital Status, Occupation, Source of Health Care, Date of
Admission,
Provisional Diagnosis, Date of Surgery if any.
II] Presenting complaints
Describe the complaints with which the child has been admitted to the ward.
III] Child’s Personal data:
• Obstetrical history of mother
• Prenatal & natal history
• Growth & Development (Compare with normal)
• Immunization status
• Dietary pattern including weaning
• Nutritional status
• Play habits
• Toilet training habits
• Sleep pattern
• Schooling
IV] Socio-economic status of family:
Monthly income, expenditure on health, food education
V] History of Illness
4. History of present illness – onset, symptoms, during, precipitating/ aggregating factors
5. History of past illness – Illness, hospitalizations, surgeries allergies.
6. Family History – Family tree, family history of illness, risk factors, congenital problem,
psychological
problem.
VI] Diagnosis:- Provisional & confirm.
VII] Description of disease: Included the following:
6. Definition
7. Related anatomy and physiology
8. Etiology & risk factor
9. Path physiology
10. Clinical features
VIII] Physical Examination of patient
Clinical features present in the book present in the patient
IX] Investigations:-
Date Investigation done Result Normal value Inference
X] Management – Medical / Surgical
• Aims of Management
• Objectives of Nursing Care Plan
XI] Medical Management
Sr.No.
212
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
213
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
214
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
215
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Placement : II Year
Hours of Instruction
Theory- 150 hours
Practical- 950 hours
Total- 1100 hrs
Course Description
This course is designed to assist students in developing expertise and in-depth understanding in the
field of community health nursing. It will help students to develop advanced skills for nursing
intervention in various aspects of community health care settings. It will enable the student to function
as community health Nurse practitioner/specialist. It will further enable the student to function as
educator, manager and researcher in the field of community health nursing.
Objectives
1. Appreciate trends and issues related to community health Nursing-reproductive and child
health, school health, Occupational health, international health, rehabilitation, geriatric and
mental health.
2. Apply epidemiological concepts and principles in community health nursing practice
3. Perform community health assessment and plan health programmes
4. Describe the various components of Reproductive and child health programme.
5. Demonstrate leadership abilities in organizing community health nursing services by using
inter-sectoral approach.
6. Describe the role and responsibilities of community health nurse in various national health and
family welfare programmes
7. Participate in the implementation of various national health and family welfare programme
8. Demonstrate competencies in providing family centered nursing care independently
9. Participate/Conduct research for new insights and innovative solutions to health problems
10. Teach and supervise nurses and allied health workers.
11. Design a layout of sub center/Primary health center/Community health centre and develop
standards for community health nursing practice.
216
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Content Outlines
218
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Practical
1 Week = 30 Hours
4 Administration(SC/PHC/CHC) 2 60 Hours
8 Rehabilitation 2 60 Hours
Observed
220
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Assisted
• Laparoscopic sterilization
• Vasectomy
• All clinics related to RCH
Monitoring of national health and family welfare programmes
Performed
221
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
BIBLIOGRAPHY
Karon Saucier Lundy; “Caring for the Public Health” Jones & Brelett Publishers – 2001
Philis E Schubett; Janice E (EDT) “Community Health Nursing; caring in action”, Thomson
Delmor leaning 2003.
Patrician Carroll; “Community Health Nursing: A Practical Guide”; Thomson Delmor leaning
2004.
Lloyd F Novick; Gleen P Mays; Public Health Administration; Principles for population based
management”; James and Barlett Publishers; -2005
Dianne Watkins; Judy Edwards; Pam Gastrell; “Community Health Nursing” Frame Works for
Practice”; Elsevier Health Sciences – 2003
Jenny Little Wood; Current Issues in Community in Nursing” Primary Health Care in Practice”;
Elsevier Health Sciences – 1999.
Kamalam S; “Essential in Community Health Nursing Practice”; Jaypee Brothers, Medical
Publishers (P) Lts., New Delhi.
Marcia Stanhope & Lancaster Jeanette; “Community Health Nursing – Process and Practice for
Promoting health”; The C V Mosby Co, St. Louis Toronto.
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 25 15 3.75
3 Practice teaching (5) 50 10 2.5
Symposium / Paper Presentation 50 15 3.75
4 Drug Book 25 10 2.5
5 Attendance 10 2.5
UNIVERSITY EXAMINATION
222
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
223
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
224
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
225
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
226
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
228
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
229
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks Obtained:-
_________
Remarks:-
230
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks Obtained:-_________
Remarks:-
231
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _________________________________________________________________________
Marks Obtained:-_________
TOTAL
Remarks:-
232
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
233
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
___________________
_________
Implementation
4 Conduction 10
Management (Pre School)
5 Evaluation (Pre-Post) 5
6 Writing report 5
Total Marks 25
Remarks:-
234
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Placement: II Year
Hours of Instruction
Theory 150 hrs
Practical 950 hrs
Total : 1100 Hours
Course Description
This course is designed to assist students in developing expertise and in-depth understanding in the
field of Psychiatric Nursing. It will help students to develop advanced skills for nursing intervention
in various psychiatric conditions. It will enable the student to function as psychiatric nurse
practitioner/specialist. It will further enable the student to function as educator, manager, and
researcher in the field of Psychiatric nursing
Objectives
1. Apply the nursing process in the care of patients with mental disorders in hospital and
community
2. Demonstrate advanced skills/competence in nursing management of patients with mental
disorders
3. Identify and care for special groups like children, adolescents, women, elderly, abused and
neglected, people living with HIV/AIDS.
4. Identify and manage psychiatric emergencies.
5. Provide nursing care to critically ill patients with mental disorders
6. Utilize the recent technology and various treatment modalities in the management of patients
with mental disorders
7. Demonstrate skills in carrying out crisis intervention.
8. Appreciate the legal and ethical issues pertaining to psychiatric nursing.
9. Identify areas of research in the field of psychiatric nursing.
10. Prepare a design for layout and describe standards for management of Psychiatric
units/emergency units/hospitals
11. Teach psychiatric nursing to undergraduate students & in-service nurses.
12. Explain the national health programmes in relation to mental health nursing.
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Course Content
II 10 Crisis Intervention
Crisis, Definition
Phases In The Development of A Crisis
Types of Crisis; Dispositional, Anticipated Life Transitions
Traumatic Stress, Maturational/ Development, Reflecting
Psychopathology
Psychiatric Emergencies and their management
Grief and grief reaction
Crisis Intervention; Phases
Post traumatic stress disorder (PTSD)
Role of the Nurse
III 4 Anger/ Aggression Management
Anger and Aggression, Types, Predisposing Factors
Management
Role of The Nurse
IV 5 The Suicidal Client
Epidemiological Factors
Risk Factors
• Predisposing Factors: Theories of Suicide-Psychological, Sociological ,
Biological
Nursing Management
V 5 Disorders of Infancy, Childhood, and Adolescence
Mentally Challenged
Autistic Disorders
Attention-Deficit/Hyperactivity Disorder
Conduct Disorders, behavioural disorders
Oppositional Defiant Disorder
Tourette’s Disorders
Separation Anxiety Disorder
Psychopharmacological Intervention and Nursing
Management
VI 5 Delirium, Dementia, and Amnestic Disorders
Dementia
Delirium
Amnesia
Psychopharmacological Intervention and Nursing
Management
VII 10
Substance-Related Disorders
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Substance-Use Disorders
Substance-Induced Disorders
Classes Of Psychoactive Substances
Predisposing Factors
The Dynamics Of Substance-Related Disorders
The Impaired Nurse
Codependency
Treatment Modalities For Substance-Related Disorders and
Nursing Management
VIII 10 Schizophrenia and Other Psychotic Disorders (Check ICD10)
Nature of the Disorder
Predisposing Factors
Schizophrenia -Types
Disorganized Schizophrenia
Catatonic Sc hizophrenia
Paranoid S chizophrenia
Undifferentiated Schizophrenia
Residual Schizophrenia
Other Psychotic disorders
Schizoaffective Disorder
Brief Psychotic Disorder
Schizophrenicform Disorder
Psychotic Disorder Due to a General Medical Condition
Substance-Induced Psychotic Disorder
Treatment and Nursing Management
IX 8 Mood Disorders
Historical Perspective
Epidemiology
The Grief Response
Maladaptive Responses To Loss
Types Of Mood Disorders
Depressive disorders
Bipolar disorders
Treatment and Nursing Management
X 8 Anxiety Disorders
Historical Aspects
Epidemiological Statistics
How Much is too Much?
Types
- Panic Disorder
- Generalized Anxiety Disorder
- Phobias
- Obsessive-Compulsive Disorder
- Posttraumatic Stress Disorder
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
• Primary Prevention
• Populations at Risk
• Secondary prevention
• Tertiary Prevention
Community based rehabilitation
XXII 5 Ethical and Legal Issues in Psychiatric/Mental Health Nursing
Ethical Considerations
Legal Consideration
Nurse Practice Acts
Types of Law
∙ Classification within Statutory and Common Law
∙ Legal Issues in Psychiatric/Mental Health Nursing
∙ Nursing Liability
XXIII 5 Psychosocial rehabilitation
Principles of rehabilitation
Disability assessment
Day care centers
Half way homes
Reintegration into the community
Training and support to care givers
Sheltered workshops
Correctional homes
XXIV 5 Counseling
Liaison psychiatric nursing
Terminal illnesses-Counseling
Post partum psychosis-treatment, care and counseling
Death dying- Counseling
Treatment, care and counseling –
• Unwed mothers
• HIV and AIDS
XXV 5 Administration and management of psychiatric units including emergency units
Design & layout
Staffing,
Equipment, supplies,
Norms, policies and protocols
Quality assurance
Practice standards for psychiatric nursing
Documentation
XXVI 5 Education and training in psychiatric care
Staff orientation, training and development,
In-service education program,
Clinical teaching programs.
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Practical
Group therapy
& Behaviour
3 De-addiction Unit 4 120 Hours Therapy I
Family Therapy
8 Family Psychiatric Unit 2 60 Hours -I
Mental Health
11 Community Mental Health Unit 4 120 Hours Awareness Camp
Procedures Observed
1. Psychometric tests
2. Personality tests
3. Family therapy
4. Assisted
5. CT
6. MRI
7. Behavioral therapy.
Procedures Performed
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
1. Elizabeth M.V. Arca; “Foundation of Psychiatric Mental Health Nursing; A Clinical Approach”;
W.B. Saunders’ ed Jan 15, 2002
2. Ann; Wolbert; Bcerges; “Advance practice Psychiatric Nursing; Publishers Prentice hall; 1st editor; Jan
15, 1998
3. Michael B. First; “DSM IV Mental Disorders”; John Wiley and Sons Publishers; Book News 2004;
Portland
4. S Vancy Rudolph; “Springhouse review of Psychiatric and Mental Health Nursing Certificate”
Lippincott.
Williams and Wilkins; 3rd edition ; April 15, 2002
5. Karen Lee Footaine; “Mental Health Nursing”; Prentice hall Publishers; 5th Edition; Portland
6. Gelder Michael “Oxford text book of Psychiatry”, 2nd edition Oxford, 1989
7. De Souza Alan et al, “National Series – “Child Psychiatry” 1st Edition, Mumbai, The National Book
Depot.
8. Patricia, Kennedy, Ballard, “Psychiatric Nursing Integration of Theory and Practice”, USA, Mc Graw
Hill.
9. Principles and Practice of Psychiatric Nursing, 8th edition, Gail, Wiscars Stuart, Mosby 2005.
10. Psychiatric Nursing Care Plans, Katherine M. Fort, Mosby Year Book, Toronto.
11. Nursing Diagnosis reference manual 5th edition, Sheila M. Sparks, Cynthia M. Jalor, Spring House
Corporation. Pennsylvania.
12. A Guide to mental Health & Psychiatric Nursing, R. Sreevani, Jaypee Brothers Medical Publishers (P) 1 st
edition New Delhi.
13. Psychiatric Nursing, R Baby, NR Brothers Indore 1st edition, 2001.
14. Mary C Townsend, “Psychiatric & Mental Health Nursing” – Concept of Care, 4th edition, FA Davis
Company, Philadelphia, 2003
15. Debortrha Aantai Oting, “Psychiatric Nursing” Biological & Behavioural Concepts Thompson,
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Singapore, 2003.
16. Mary Ann Boyd, “Psychiatric Nursing” - Cotemporary Practice. Lippincott. Williams & Willikins
Tokoyo.
17. Neeraj Ahuja, “Post graduate text book of Psychiatry”. Volume 1 & 2
Journals :
1. Indian Journal of psychiatry.
2. Journal o psychosocial nursing
3. British journal of psychiatry nursing
SCHEME OF EVALUATION
THEORY
INTERNAL ASSESSMENT
Total Marks 25
Sr.No. Technique Total Marks Weightage % Marks
1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar (2) 25 15 3.75
3 Practice teaching (5) 50 10 2.5
4 Symposium / Paper presentation 50 15 3.75
5 Drug Book 25 10 2.5
6 Attendance 10 2.5
Total 275 100 25
UNIVERSITY EXAMINATION
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Marks :- 75
Time :- 3 Hours
SECTION A
Marks 38
SECTION B
Marks 37
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
Topics:- _____________________________________________________________________
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
Sr. Trade name & Indications Dose Side Contraindications Nursing Current Indication
No. Pharmacological & effects / implications research in patient
name Route adverse evidence if
drug applicable
response
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
I Demographic data:
- Name
- Age
- Sex
- Marital Status
- Religion
- Occupation
- Socio-economic status
- Address
- Informant
- Information (Relevant or not ) adequate or not
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
VI Family History :-
- Family Genogram – 5 Generations include only grandparents. But if there is a family history
Include the particular generation
IX Sexual history
- Age of attaining puberty (female – menstrual cycles are regular)
- Source and extent of knowledge about sex, any exposures
- Marital Status: with genogram.
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
X Pre morbid personality: (Personality of a patient consists of those habitual attitudes and patterns of
behaivior which characterize an individual. Personality sometimes changes after the onset of an illness.
Get a description of the personality before the onset of the illness. Aim to build up a picture of the
individual, not type, enquiry with respect to the following areas.)
1. Attitude to others in social and sexual relationship:- Ability to trust other, mark and sustain
Relationship, anxious or secure, leader to follower, Participation, responsibility, capacity to make
decision, dominant or submissive, friendly or emotionally cold, etc. Difficulty in role taking –gender,
sexual, familial.
2. Aptitudes to self:- Egocentric, Selfish, indulgent, dramatizing, critical, depreciatory, over concerned,
self conscious, satisfaction or dissatisfaction with work. Attitudes towards Health and bodily functions.
Attitude to past achievements and failure, and to the future.
3.Moral and religious attitude and standards:- Evidence of rigidly or compliance, permissiveness or
over conscientiousness, conformity, or rebellion. Enquiry specifically about religious beliefs. Excessive
religiosity.
4.Mood:- Enquiry about stability of mood, mood swings, whether anxious, irritable, worrying or tense.
Whether lively or gloomy. Ability to express and control feelings of anger, anxiety, or depression.
5.Leisure activites and hobbies:- Interest in reading, play, music, movies etc. Enquiry about creative
ability. Whether leisure time is spend alone or with friends. Is the circle of friends large or small?
6.Fanstacy Life:- Enquire about content of day dreams and dreams. Amount of time spent in day
dreaming.
7.Reaction pattern to stress:- Ability to tolerate frustrations, losses, disappointments, and circumstance
arousing anger, anxiety or depression. Evidence for the excessive use of particular defense mechanisms
such as denial, rationalization, projection etc.
8.Habits :- Eating, Sleeping and excretory functions.
XI. Summary & Clinical Diagnosis
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
7 Pre-morbid personally 5
8 Physical examination 8
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
VI Disorders Perception:
a. Illusion
b. Hallucinations – (Specify type and give example) – auditory/visual/olfactory/gustatory/tactile
c. Others – hypnologic / hypnopombic /Lilliputian / kinesthetic / macropsia / micropsia
VII Cognitive functions :
a) Attention and concentration:
- Method of testing (asking to list the months of the year forward and backward)
- Serial subtractions (100-7)
b) Memory:
a) Immediate (Teach an address a& after 5 mts. Asking for recall)
b) Recent Memory – 24 hrs recall
c) Remote : Asking for dates of birth or event which are occurred long back
i) Amnesia / paramnesia / retrograde amnesia / anterograde amnesia
ii) Confabulation
iii) Déjà vu / Jamaes Vu
iv) Hypermnesia
c) Orientation:
d. Time approximately without looking at the watch, what time is it?
e. Place – Where he / she is now?
f. Person – who has accompanied him or her
d) Abstraction : Give a proverb and ask the inner meaning (E.g. feathers of a bird flock together /
rolling stones gather no mass)
e) Intelligence & General Information : Test by carry over sums/ similarities and differences / and
general information / digit score test.
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
8 Memory 3
9 Orientation 2
10 Judgment 3
11 Insight 2
14 Abstract thinking 2
15 General Observation 2
16 Summary 3
Total 50
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
(Note : The above data are obtained and recorded on initial contact. Later as each day’s interactions are
planned, the following format has to be followed)
Evaluation by teacher
a) Overall recording
b) Phases of nurse patient relationship
c) Use of Therapeutic Communication Techniques
d) Ability to achieve objectives
NOTE :- Limit objectives to one or two and make all efforts to attain the objectives.
At the end of the process recording mention if you were able to achieve the objectives and to
what extents. If not, how you intend to achieve it and what hindered you from achieving it.
Maintained a therapeutic nurse-patient relationship (TNPR) in all you interactions and use many
therapeutic communications of the participants
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
5 Evaluation 5
Total Marks 25
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
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MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
TOTAL 50
Remarks:-
Date & Signature of the Supervisor Date & Signature of the student
260
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University u/s 3 of UGC Act, 1956)
Grade 'A' Accredited by NAAC
Sector-01, Kamothe, Navi Mumbai - 410209
Tel 022-27432471, 022-27432994, Fax 022-27431094
E-mail- registrar@mgmuhs.com Website : www.mgmuhs.com