Curriculum For Master of Science (Medical Surgical Nursing) : MGM Institute of Health Sciences

Download as pdf or txt
Download as pdf or txt
You are on page 1of 266

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 -410 209
Tel 022-27432471, 022-27432994, Fax 022 -27431094
E-mail: registrar@mgmuhs.com; Website :www.mgmuhs.com

Curriculum for
Master of Science
(Medical Surgical Nursing)

Amended upto AC-41/2021, Dated 27/08/2021


Amended History

1. Approved as per BOM -09/2008, Item 6.8, dated 08/11/2008.


2. Amended up to BOM-34/2014, dated27/02/2014
3. Amended upto Resolution No. 3.1.3.1 of BOM 62/2020, dated 16/09/2020.
4. Amended upto Resolution No. 4.3.3.2 of BOM 63/2021, dated 17/02/2021.
5. Amended upto Resolution No. 3.14 of AC-41/2021, dated 27/08/2021.
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

INDEX

Sr. No. Content Page No.


1 Mission, Vision, Philosophy 4-5

2 Objectives 6

3 Course of Instructions 7

4 Scheme of Examination

5 Master Plan

6 Course Planning of M.Sc. Nursing

 Advance Nursing Practice 9 – 19

 Nursing Education 20-39

 Nursing Research And Statistics 40-55

 *Clinical Speciality – I 56-144

7 Course Planning of II M.Sc. Nursing

 Nursing Management 146-153

 Nursing Research(Dissertation)

 *Clinical Speciality-II 159-260

8 Evaluation format for Practical examination

2
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Nursing is an art; and if it is to be made an art, requires as


exclusive a devotion, as hard a preparation as any painter's or
sculptor's work; for what is the having to do with dead canvas or cold
marble, compared with having to do with the living body………..the
temple of God's spirit……… it is one of the fine arts. I have almost said
the finest of fine arts.

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

PHILOSOPHY OF THE PROGRAM


Mahatma Gandhi Mission Institute of Health Sciences was established in 2006 for Medical
Education and Health care of the community. MGM New Bombay College of Nursing is a
constituent unit of MGM Institute of Health Sciences is established to impart Graduate and
Postgraduate education in Nursing. The Institute functions along with the philosophy and
objectives of the University as well as that of the Indian Nursing Council.

We believe that ………………

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:

The aim of the postgraduate program in nursing is to prepare graduates to assume


responsibilities as nurse specialists, consultants, educators, administrators in a wide variety of
professional settings.

OBJECTIVES OF M.Sc. NURSING PROGRAMME:

On Completion of the two year M.Sc. Nursing programme, the graduate will be able to:-

1. Utilize/apply the concepts, theories and principles of nursing science


2. Demonstrate advance competence in practice of nursing
3. Practice as a nurse specialist.
4. Demonstrate leadership qualities and function effectively as nurse educator and
manager.
5. Demonstrate skill in conducting nursing research, interpreting and utilizing the findings
from health related research.
6. Demonstrate the ability to plan and effect change in nursing practice and in the health
care delivery system.
7. Establish collaborative relationship with members of other disciplines
8. Demonstrate interest in continued learning for personal and professional advancement.

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

SL. SUBJECT THEORY CLINICAL


NO. (IN HRS) (HRS)
1 Nursing education 150 150
2 Advance nursing practice 150 200
3 Nursing Research and statistics 150 100
4 *Clinical speciality –I 150 650
Total 600 1100

Second Year

SL. SUBJECT THEORY CLINICAL


NO. (IN HRS) (HRS)
1 Nursing Management 150 150
2 Nursing Research(Dissertation) 300
3 *Clinical Speciality-II 150 950
Total 300 1400

Educational visit 2 weeks

*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

MGM NEW BOMBAY COLLEGE OF NURSING


5th Floor, MGM Educational Campus, Plot No. 1& 2
Sector-1, Kamothe, Navi Mumbai – 410 209.

M.Sc. NURSING PROGRAMME

Medical Surgical Nursing – (Critical Care Nursing)

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.

PO4: Develop collaborative relationship with members of multidisciplinary team.

PO5: Appraise the need for continued learning for personal and professional
advancement.

PO6: Develop competency to function as a specialised critical care nurse in


providing holistic care to critically ill patients.

1
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC

MGM NEW BOMBAY COLLEGE OF NURSING


5th Floor, MGM Educational Campus, Plot No. 1& 2
Sector-1, Kamothe, Navi Mumbai – 410 209.

COURSE OUTCOME

First Year M.Sc Nursing

At the end of the course the student;

Advance Nursing Practice

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

CO7: Describes the aims, philosophies and trends in Nursing Education.


CO8: Demonstrates competency in preparing various instructional media and methods for
teaching learning process.
CO9: Develops competency in curriculum preparation and its implementation.
CO10: Explains the process of accreditation in nursing education.
CO11: Demonstrates skill in curriculum evaluation in all domains using various
assessment tools.

Nursing Research & Statistics

CO12: Explains the Research process.


CO13: Demonstrates skill in conducting independent research projects.
CO14: Reports research finding through paper presentation and publications.
CO15: Computes the data and interpret the results.

2
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC

MGM NEW BOMBAY COLLEGE OF NURSING


5th Floor, MGM Educational Campus, Plot No. 1& 2
Sector-1, Kamothe, Navi Mumbai – 410 209.

Clinical Specialty –I

CO16 Describes the historical development, concepts, principles and trends in


Medical Surgical Nursing.
CO17 Demonstrates skill in physical assessment of patients in the hospital and
community settings.
CO18 Demonstrates skill in providing comprehensive care to the patients admitted
with physiological alterations in Gastrointestinal, Neurological, Cardiac,
Pulmonary, Nephrology, Blood and Endocrine, disorders
CO19 Demonstrates skill in providing comprehensive care to the patients admitted
with physiological alterations in Skin, ENT, Reproductive Disorders,
Geriatric Problems, Communicable Diseases and Emergency Conditions.

3
MGM INSTITUTE OF HEALTH SCIENCES
(Deemed to be University) Grade ‘A’ Accredited by NAAC

MGM NEW BOMBAY COLLEGE OF NURSING


5th Floor, MGM Educational Campus, Plot No. 1& 2
Sector-1, Kamothe, Navi Mumbai – 410 209.

COURSE OUTCOME

Second Year M.Sc Nursing

At the end of the course the student;

Nursing Management

CO20 Discusses the principles of nursing administration.


CO21 Describes legal and ethical issues in nursing management.
CO22 Establishes interpersonal relationship with other health team members for
management of hospital nursing services.
CO23 Applies the principles of nursing administration in managing resources in the
hospital.

Clinical Speciality –II

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

I YEAR M.Sc. NURSING

8
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

ADAVNCED NURSING PRACTICE

Placement:- First Year Hours of instructions : -Theory:- 150 hrs


Practical:- 200 hrs
Total :- 350 hrs

Course Description

The Course is designed to develop understanding concepts of theoretical basis of advanced


nursing practice and critically analyze different theories of nursing and other disciplines.

Objectives: -

At the end of the course students.

1) Appreciate and analyze the development of nursing profession.

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.

5) Describe scope of nursing practice.

6) Provide holistic and competent nursing care following nursing process approach.

7) Identify latest trends in nursing and the basis of advanced nursing practice.

8) Perform extended and expanded role of nursing.

9) Described alterative modalities of nursing care.

10) Describe the concept of quality control in nursing.

11) Identify the scope of nursing research.

12) Use computer in patient care delivery system.

13) Appreciate importance of self development and professional advancement.

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

III 10 Explain basic Genetics Lecture cum Seminar


principles of  Review of cellular division, discussion Group
genetics mutation and law of Discussion
Illustrate inheritance, human genome Role Play
approaches top project, the genetic era. Group discussion Essay
common genetic  Basic concept of genes, Ethical legal & Short
disorders chromosomes and DNA. psychosocial issues in answer
Explain the recent  Approaches to common genetic testing questions
trends in genetics genetic disorders.
Explain the  Genetic Testing – Basis of Role Play
screening methods genetic diagnosis, pre- Genetic counseling &
for genetic symptomatic and role of nurse
disorders predisposition testing, prenatal
Discuss ethical, diagnosis & screening.
legal and  Ethical, legal and psychosocial
psychosocial issues in genetic testing.
issues in genetic  Genetic Counseling
testing
 Practical application of
Describe the role
genetics in nursing
of nurse in genetic
counseling and
genetic services
IV 10 Describe the Epidemiology Lecture cum Essay
concept, scope,  Scope, Epidemiological discussion Short
uses methods and approach and methods. answer
approaches of  Morbidity, Mortality, questions
Epidemiology.  Concepts of causation of Discussion
disease and their screening. Role of Community
 Application of Epidemiology health nurse in the
in health care delivery, Health management of an
surveillance and health epidemic
informatics.
 Role of nurse
V 20 Identify the Bio-Psycho Social Pathology Seminar Seminar
Pathophysiology  Pathophysiology and  Pathophysiology and Essay
and psychodynamics of disease psychodynamics of Short
psychodynamics causation. disease causation answer
of disease  Life Processes, homeostatic  Health illness questions
causation. mechanism, biological and continuum
psycho-social dynamics in  Maintenance of
causation of disease, life fluid, electrolyte and
Integrate the style. acid balance
principles of  Common Problem: Oxygen  Hemorrhage, shock
homeostasis to insufficiency, Fluid and and multi system
Health and illness electrolyte imbalance, failure
nutritional problems,  Maintenance of body
hemorrhage, unconsciousness, temperature
Describe the role sleep pattern and its  Rest and sleep
of nurse in disturbances, pain, sensory  Pain
maintaining deprivation.  Dyspnea
homeostasis  Treatment aspects:  Sensory deficit and
Illustrate the pharmacological and pre post sensory overload
holistic approach operative care aspects.  Unconsciousness

11
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

to health care  Cardio pulmonary  Nutrition in health


resuscitation. Care of dying and illness
and dead.  Preoperative care of
 Inflection prevention patients
(including HIV) and standard  CPR
safety measures, bio-medical  End of life care
waste management.  Rehabilitation
 Role of nurses – Evidence  Holistic approach to
based nursing practice. the health care
 Innovations in nursing. Group discussion
Evidence Based
Practice- Challenges &
issues Inflection control
& role of Nurse
Symposium
Innovations in nursing
practice
Visit-infection control
unit, biomedical waste
management unit
VI 20 Describe the Philosophy and theories of Lecture cum Essay
theories and their nursing discussion Short
application to  Values, conceptual models Presentation- answer
nursing and approaches.  Nightingale’s questions
 Nursing theories Theory
 Nightingale  Henderson’s
 Henderson Theory
 Roger  Roger’s Theory
 Peplau  Peplau’s Theory
 Faye Abdellah  Abdellah’s Theory
 Lewine  Lewine’s Theory
 Orem  Orem’s Theory
 Johnson  Johnson’s Theory
 King  King’s Theory
 Newman  Newman’s Theory
 Roy  Roy’s Theory
 Watson  Watson’s Theory
 Health belief model-
communication and
management
 Concept of self health
 Evidence based practice
model
VII Explain nursing Nursing Process Approach Symposium Essay
process and the  Health assessment illness Nursing process Short
various steps of status of patients- Preparation of nursing answer
nursing process Identification of health illness care plan questions
problems, health behavior,
signs and symptoms of
clients.
 Methods of Collection,
analysis and utilization of
data relevant to nursing

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

 Geriatric considerations in Disaster nursing


nursing Role of nurse in geria
 Evidence based nursing
practice-Best practices Visit:-
 Tran culture nursing Old age home
X 25 Demonstrate skill in Computer application for Lecture cum Preparation
applying computers patient care delivery system discussion of power
in nursing and nursing practice points, word
 Use of Computers in Demonstration documents
teaching, learning, research
and nursing practice.
 Windows, MS Office: Word,
Excel, Power Point
 Internet, literature search
 Statistical Packages
 Hospital Management
information system: Soft
wares

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

* One Nursing care plan should be based on nursing theory

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
ADVANCED NURSING PRACTICE
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

16
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
ADVANCED NURSING PRACTICE
SEMINAR/PRESENTATION - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor :-___________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
ADVANCED NURSING PRACTICE
EVALUATION OF NURSING CARE PLAN

Name of the Student: - ___________________________________ Batch :- ___________________

Name of the patient :- ____________________________________ Ward:- ___________________

Diagnosis:-________________________________________________________________________

Name of the Supervisor :-____________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identifies nursing diagnosis 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
8 Implements care for priority needs
Applies scientific principles 2
Practices economy of time, money & material 2
Manual dexterity 1
9 Evaluates the care (based on nurses notes, reports, 2
records patients and relatives response)
Total 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
ADVANCED NURSING PRACTICE
EVALUTION FORM – FAMILY CASE WORK

Name of the Student: - ____________________________________ Village :- _________________

Duration of Posting :-_________________________________ Evaluator’s Name:- ____________

Total Marks – 25 Marks obtained:- ________

Sr.No. Criteria Marks Marks


Assigned Obtained
1 Selection of family 1
2 Family Case Work 2
a) History collection of each family member
(Physical, Mental, Social health)
b) Assessment of each individual according to 2
priority need
c) Formulates nursing diagnosis 3
d) Plan care by using various models of prevention. 3
e) Home Visit 2
f) Health Education 4
Planned
Incidental
3 Rapport with family 2
4 Setting future goals 2
5 Interest, Promptness in planning care 1
6 Family outcome 3
TOTAL 25

Remarks:-

Signature of the Teacher Signature of the Teacher

19
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

NURSING EDUCATION

Placement :- First year Hours of instruction :- Theory :- 150 Hrs


Practical :- 150 Hrs
Total :- 300 Hrs
COURSE DESCRIPTION

This course is designed to assist students to develop a broad understanding of fundamental


principles, trends and issues related to education and nursing education. Further, it would provide
opportunity to students to understand, appreciate and acquire skills in teaching and evaluation,
curriculum development, implementation, maintenance of standard and accreditation of various
nursing educational development, implementation, maintenance of standard and accreditation of
various nursing educational programs.

Objectives :-

At the end of course, students will be able to:


1. Explain the aims of education, philosophies, trends in education and health: its impact
on nursing education.
2. Describe the teaching learning process.
3. Prepare and utilize various instructional media and methods in teaching learning
process.
4. Demonstrate competency in teaching, using various instructional strategies.
5. Critically analyze the existing nursing educational programs their problems, issues and
future trends.
6. Describe the process of curriculum development, and the need the methodology of
curriculum changes, innovation and integration.
7. Plan and conduct continuing nursing education programs.
8. Critically analyze the existing teacher preparation programs in nursing.
9. Demonstrate skill in guidance and counseling.
10. Describe the problems and issues related to administration of nursing curriculum
including selection and organization of clinical experience.
11. Explain the development of standards and accreditation process in nursing education
program.
12. Identify research priorities in human education.
13. Discuss various models o collaboration in nursing education and services.
14. Explain the concept, principles, steps, tools and techniques of evaluation
15. Construct, administer and evaluate various tools for assessment of knowledge, skill and
attitude.

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

 Patterns of nursing education and training B.Sc, M.Sc.


program in India. Non-university and
university programs: ANM, GNM
 Basic B.Sc Nursing, Post certificate B.Sc.
Nursing.
 M.Sc.(N), M.Phil and Ph.D. Post diploma
program, nurse practitioner program
CONTINUING EDUCATION IN NURSING Lecture cum Plan CNE
 Concepts- Definition, importance, need discussion programme &
scope, principles of adults learning, conduct
assessments of learning needs, priorities and
IX 12 30 resources.
 Program planning, implementation and
evaluation, of continuing education
programs. Research in continuing education.
Distance education in nursing.
CURRICULUM DEVELOPMENT Lecture cum Prepare the
 Definition, curriculum determinants, discussion mission
process & steps of curriculum statement
development, Curriculum models types and philosophy,
framework. educational
 Formulation of philosophy, objectives, objectives for a
Mission statement. Selection and nursing
organization of learning experiences, education
Current trends in clinical learning programme
X 10 15 experiences. Formulate
 Evaluation strategies, process of educational
curriculum change, role of students, objectives for
faculty, administrators. various lessons-
Equivalency of courses: transcripts, credit eg. FON
system med/surg. Ng
selected learning
Experiences for
a specific
subject
TEACHER PREPARATION Lecture cum Application of
 Teacher – roles & responsibilities, discussion principles and
function, Characteristics, competencies, maxims of
qualities. teaching
 Preparation of professional teacher formulate
XI 8 4  Organizing professional aspects of teacher question
 Organizing professional aspect of teacher Analysis of ng
preparation Programs education
 Evaluation: self and peer programme in
 Critical analysis of various programs of Maharashtra /
teacher education in India. India.
GUIDANCE AND COUNSELING Lecture cum Role Play
 Concept and principles of guidance and discussion
counseling.
XII 10 5  Guidance and counseling services:
diagnostic and remedial.
 Coordination and organization of services.
 Techniques of counseling: Interview, case
23
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

work and characteristics of counsellor.


 Professional preparation and training for
counseling
ADMINISTRATION OF NURSING Lecture cum Evaluate an
CURRICULUM discussion educational
 Role of curriculum coordinator-planning programme
implementation and evaluation.  Presentation
 Evaluation of educational program in
nursing course and program
XIII 15 10  Factor influencing faculty staff relationship
and techniques of working together.
 Concept of faculty supervisor (dual)
position.
 Curriculum research in nursing.
 Different models of collaboration between
education and service.
MANAGEMENT OF NURSING Lecture cum Visit to
EDUCATIONAL INSTITUTIONS discussion educational
 Planning, organizing, staffing, budgeting, Institutions
XIV 10 recruitment Plan to set-up a
 Discipline, public relation SON/CON
 Performance appraisal, welfare services,
library service, hostels
DEVELOPMENT AND MAINTENANCE
OF STANDARD AND ACCREDITATION
IN NURSING EDUCATIONAL
PROGRAMS
Lecture cum
XV 5 5  Role of Indian Nursing Council, State
discussion
Registration Nursing
 Councils, Boards and University.
 Role of Professional Association and
unions.

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

Educational visit – educational institutions – GNM, B.Sc., Diploma Course etc.


Field Visits (INC/SNC) to get familiar with recognition/ registration process.
Construct, administrator and evaluate tools (objective & essay type test, observation checklist,
rating scale etc)
 Observe and practice application of various non-standardized tests (intelligence, aptitude,
personality, sociomestry, physical and mental disabilities tests)
 Prepare aptitude test for entrance exams of B.Sc. nursing students.
 Prepare plan for evaluation of the students in the B.Sc. nursing programme.
 Visit to schools
METHODS OF TEACHING
 Lecture cum discussion
 Seminar / Presentation
 Project work
 Field Visits
 Workshop
METHODS OF EVALUATION
 Written Tests
 Classroom / Clinical teaching
 Presentation
 Written Assignments
 Project Work

LIST OF EDUCATIONAL VISITS-


Visit to the School
 Gifted children
 Slow Learner
 Mentally challenged
 Deaf & Dumb and visually handicapped
 IEC bureau
State Nursing Council/ School of Nursing of Nursing

BOOKS FOR REFERENCE

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

Sr.No. Technique Total Marks Weightage % Marks


1 Learning Resource material 25 11.25 5.625
2 Presentation 25 6.75 3.375
3 Practice teaching (Total 10) 50 22.5 11.25
4 Conduct workshop/short term 25 11.25 5.625
5 course 50 22.5 11.25
6 Planning of clinical experience 10 4.5 2.25
7 Preparation of master oration plan 25 11.25 5.625
8 Construction of non Standardized 10 5
test
Attendance
Total 225 100 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
NURSING EDUCATION
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

28
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
NURSING EDUCATION
SEMINAR/PRESENTATION EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
NURSING EDUCATION

Subject:-___________________ Name of the Student: - ___________________________


Unit:- __________________________________ Date:- ____________________________
Topic:-____________________________________________________________________
Name of the Guide:-______________________________________________________
Time:-__________________________ Venue:- _______________________________
Group:- _______________________ Method of Teaching: - ________________________

Audio visual aids:

Previous knowledge of the group:-

General objectives:-

Specific objectives:

Time Specific Content Teacher Audio Evaluation


objectives learning Visual (Wherever
activity aids appropriate)
 Introduction
 Content
 Summary
 Recapitulation
 Assignment
 Conclusion
 References

Black Board plan

30
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

PRACTICAL TEACHING PERFORMA FOR EVALUTION


Name of the Student: - _______________________________ Group______________
Topic:-___________________________________________ Place: -__________________
Name of the evaluator :-_____________________ Date & Time:- __________________

Sr.No. Criteria Maximum Marks Marks Obtained


1 LESSON PLAN
∙ General objectives stated clearly 10
∙ Specific objectives stated in behavioral terms
∙ Lesson plan followed in sequence
∙ Bibliography upto date and complete
2 LEARNING ENVIRONMENT
∙ Physical set up of classroom (seating) 5
∙ Classroom light adequate
∙ Well ventilated
∙ Motivates student
3 PRESENTATION
∙ Coverage of subject content 10
∙ Depth of knowledge
∙ Integration of subject matter
∙ Speech-clear, audible, well modulated.
∙ Explanation and clarification
4 USE OF AUDIO VISUAL AIDS
∙ Relevant, clear and visible 10
∙ Creativity
∙ Used effectively at the right time
5 QUESTIONING TECHNIQUE
∙ Questioning equally addressed to all
∙ Well worded questions, no ambiguity
5
∙ Thought provoking questions
∙ Sufficient time allowed for answering
∙ Questions relevant and challenging
6 GROUP PARTICIPATION 3
7 ASSIGNMENT
∙ Appropriate to the lesson
∙ Clear
2
∙ Motivating
∙ Explained to the students
∙ Feedback given to the students
8 STUDENT TEACHER PERSANALITY
∙ Appearance grooming
∙ Confidence
5
∙ Eye contact
∙ Modulation
∙ Mannerisms
TOTAL MARKS 50

Signature of the Evaluator/Guide

Signature of the Evaluator/Guide Signature of the student


31
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
NURSING EDUCATION
EVALUATION CRITERIA-LEARNING RESOURCE MATERIAL/CRITIQUING

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 25 Marks obtained:-___________

Sr.No. Criteria Marks AssignedMarks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 10
2 Organisation 5
3 Illustration 5
4 Resources Used 5
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
NURSING EDUCATION

GUIDE LINES FOR PRESENTATION OF EDUCATIONAL INSTITUTION/


SCHOOL/COLLEGE OF NURSING

 Name of the Institution


 Type of the Institution
 Head of the Institution
 Organizational Chart
 Course conducted
 No. of Students per batch
 Male / Female reservations
 Budget
 Teaching /non Teaching Staff
 Blue print of the college building
 A V Aids
 No of books / Journals – Library facilities
 Laboratories
 Demonstration lab, equipments, models, space, furniture and other facilities.
 Nutrition lab
 MCH lab / Community health lab
 Museum

33
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING – NURSING EDUCATION
ADVANCED NURSING PRACTICE
EVALUATION FOR PRESENTATION OF EDUCATIONAL INSTITUTION

Name of the Student: - _____________________________________________________


Batch:- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________

Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:- ___________

Sr.No. Criteria Marks Assigned Marks Obtained


1 CONTENT 15
2 PRESENTATION 5
Introduction
Converge of subject content
Sequencing
Depth of knowledge
Explanation and clarification
Time Limit
3 USE OF AUDIO VISUAL AIDS 5
∙ Relevant, clear and visible
∙ Creativity
∙ Used effectively at the right time
TOTAL 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING EDUCATION
EVALUATION CRITERIA
MASTER ROTATION PLAN / CLINICAL ROTATION PLAN

Name of the Student: - _____________________________________________________


Batch:- _____________________________________ Date:- ______________________

Total Marks – 10 Marks obtained:- ___________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Adequacy 5
Placement
Theory hours
Practical hours
Vacation
Extra curricular
2 Accuracy (following guidelines) 1
3 Feasibility 1
4 Self explanatory 2
5 Neatness 1
TOTAL 10

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING - NURSING EDUCATION
EVALUATION CRITERIA FOR WORK SHOP

Name of the Student: - _____________________________________________________


Batch:- _____________________________________ Date:- ______________________

Total Marks – 25 Marks obtained:- ___________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Planning
Aims & Objectives 2
Selection of resource 3
Delegation 2
Brochure 3
2 Implementation
Organising 3
Content matter 3
Presentation 3
Co-ordination 2
Use of resource 2
Group participation 1
3 Evaluation 1
TOTAL 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING - NURSING EDUCATION
EVALUATION CRITERIA FOR PLANNING CLINICAL EXPERIENCE

Name of the Student: - _____________________________________________________

Batch:- _____________________________________ Date:- ______________________

Total Marks – 50 Marks obtained:- ___________

Sr. No. Criteria Marks Marks Obtained


Assigned
1 Area of posting identified 5
2 Framing educational objectives for each area 10
3 Assignment plan of each area 10
4 Clinical rotation plan 10
5 Preparation of evaluation criteria for each assignment 15

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING - NURSING EDUCATION

GUIDELINES FOR CONSTRUCTION OF TEST

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

M.G.M. UNIVERSITY OF HEALTH SCIENCES


FIRST YEAR M.Sc. NURSING
NURSING EDUCATION
EVALUATION CRITERIA FOR TEST CONSTRUCTION

Name of the Student: - _____________________________________________________


Batch:- _____________________________________ Date:- ______________________

Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:- ________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Planning for the Test 1
2 Designing the test
a. Giving weight age to the content 2
b. Giving weight age to the objectives 1
c. Giving weight age to the form of questions 1
d. Giving weight age to the difficulty level 1
e. Scheme of options 1
f. Scheme of sections 1
3 Preparation of blue print 5
4 Writing of the items 4
5 Question wise analysis 4
6 Editing of question paper 2
7 Answer key 2
Total Marks 25

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

NURSING RESEARCH AND STATISTICS

Placement: - First year Hours of Instruction: - Theory:-150 Hrs


Practical: -100 Hrs
Total: - 240 Hrs

Part A - Nursing Research

Theory: - 100 Hrs


Practical:- 50 Hrs
Total:- 150 Hrs

COURSE DESCRIPTION

This course is designed to assist students to acquire an understanding of the research


methodology and statistical methods as a basis for identifying research problem, planning and
implementing a research plan. It will further enable the students to evaluate research studies
and utilize research finding to improve quality of nursing practice, education and
management.

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

collection, administration of tool/interventions, collection of


data
IX 10 10 Analysis and interpretation of data
 Plan for data analysis: quantitative and qualitative
 Preparing data for computer analysis and presentation.
 Statistical analysis
 Interpretation of data
 Conclusion and generalizations
 Summary and discussion
X 10 Reporting and utilizing research
 Communication of research results; oral and written
 Writing research report purpose, methods and style-
Vancouver, American Psychological Association (APA),
 Campbell etc
 Writing scientific articles for publication: purposes & style
XI 3 8 Critical analysis of research reports and articles
XII 4 7 Development and presenting a research proposal

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

Sr.No. Technique Marks Weightage % Total Marks


1 Tests
First term 30 15 2.25
Prefinal 50 25 3.75
2 Project work- 25 20 3.00
3 Assignment-critiquing of a 25 10 1.50
research article
4 Presentation-Research study 25 10 1.5
5 Annotated bibliography (20) 25 10 1.5
6 Attendance 10 1.5
Total 165 100 15

UNIVERSITY EXAMINATION

Internal Assessment - 15 Marks


University Exam - 50 Marks
Grand Total - 65 Marks

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

Sr.No. Technique Total Marks Weightage % Marks


1 Tests
First term 20 33.75 3.375
Prefinal 25 56.25 5.625
2 Attendance 10.00 1.000

Total 45 100 10

UNIVERSITY EXAMINATION

Internal Assessment - 10 Marks


University Exam - 25 Marks
Grand Total - 35 Marks

References:- for Nursing Research and Statistics


Text books:-
1) Basavanthappa B.T., “Nursing Research”, Jaypee brothers, 2003.
2) Garrett, H.E. Statistics in Psychology & education. Vakild, Feffer and Samons, Bombay.
3) Mahajan, B.K. Methods in Biostatistics, Jaypee. 6th Edn 1999.
4) Rose Hott & Budin. Notter’s Essentials of Nursing Research 5th edn Spinger Publisher,
Newyork.1999
5) Patricial Nunhall. Nursing Research 3rd Edn James & Bar. 2001. Canada.
6) Caroly M.H. Research Methods for Clinical Therapists Applied project design and analysis
second edn 1999. Churchill Livingstone.
7) P.K. Indrani, T.k. Research Methods for Nurses. Jayppe, 2005.
8) Clifford etal, Getting Research into Practice, Churchill Livingstone, New York, 2004.
9) Freshwater, D & Bishop, V, Nursing Research in Context, Palgrave Macmillan, New York
2004.
10) Macnee C L, Understanding Nursing Research: Reading & Using Research in Practice,
Lippincott Williams, Wilinks, London 2004.
11) Polit, D.F. & Beck, C.T. Nursing Research Principles & Method, 7th Edn Lippincott
Williams Wilinks, London 2004.
12) Burns & Grovo. Understanding Nursing Research 4th Edn. Elswrvier 2007.
13) Polit, Beck & P Hungler “Nursing Research Method, Appraisal & Utilization” 5th Edn
Lippincott 2001
14) Specials & Carpenter Quantitative Research in Nursing Advancing the Hamanistic
imperative 4th Edn Lippincott Williams 2007

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
NURSING RESEARCH & STATISTICS
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Nursing Research Marks 50

Q.1) Long Answers 15 Marks


a. 2 Marks
b. 5 Marks
c. 8 Marks

Q.2) Long Answers 15 Marks


a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 4 out of 5 (4 X 5 = 20 Marks)
a.
b.
c.
d.
e.

SECTION B
Statistics Marks 25

Q.1) Write Short Notes on any 5 (2 X 5 = 10 Marks)


a.
b.
c.
d.
e.
Q.2) Problems Solve any 3 out of 4 (3 X 5 = 15 Marks)
a.
b.
c.
d.

47
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. UNIVERSITY OF HEALTH SCIENCES


FIRST YEAR M.Sc. NURSING
NURSING RESEARCH
EVALUATION CRITERIA-ANNOTATED BIBLOGRAPHY

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 15
2 Organisation 5
3 Illustration 5
4 Resources Used 5
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING - NURSING EDUCATION
NURSING RESEARCH
PRESENTATION EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_____

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING -NURSING EDUCATION
NURSING RESEARCH AND STATISTICS
PRACTICAL EXPERIENCE GUIDELINE FOR NURSING RESEARCH:“PRAOJECT”

Guideline for research project


I Aim: Students will identify the role of nurse in conducting research, writing proposal based on
scientific steps and will analyze the data using statistical methods while conducting research project.

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.

III Guide line/Check list to prepare/Nursing research proposal & project

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.

2) Organizing for review of literature


AIM a) It ass in to needs to conduct Research project
b) To Study related and relevant literature which help to decide conceptual framework and
research design to be selected for your study.
c) To add specific books, bulletins, periodicals, reports, published dissertations,

50
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

encyclopedia, text books.


d) Organize literature as per operational definition.
e) To prepare summary table for review of literature.(Optional)

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.

4) Data Collection : To implement prepared tool & to implement constructed tool


a) Decide location
b) Time
c) Write additional information in separate excise book to support inferences and interpretation.

5) Data analysis and processing presentation


a) Use appropriate method of statistical analysis i.e. frequency and percentage.
b) Use clear frequency tables, appropriate tables, graphs, and figures.
c) Interpretation of data:
i) In relation to objectives
ii) Hypothesis (Optional)
iii) Variable of study or project (Optional)
iv) Writing concise report

6) Writing Research Report


a) Aims:
i) To organized materials to write project report
ii) To make comprehensive full factual information
iii) To use appropriate languages and style of writing
iv) To make authorities documentation by checking, references & bibliography.
v) To use computers.
b) Points to remember
a) Develop thinking to write research report.
b) Divide narration of nursing research report.
c) Use present tense and active voice
d) Minimize use of technical languages
e) Use simple, straight forward, clear, concise languages
f) Use visual aids in front of able, graph and figures
g) Treat data confidentially
h) Review, rewrite if necessary

51
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

EVALUATION CRITERIA FOR PROJECT REPORT / DISSERTATION

Sr.No. Criteria Rating


1 2 3 4 5
I Statement of the problem
1. Significance of the problem selected
2. Framing of tile and objectives
II Literature Review
3. Inclusion of related studies on the topic, and its relevance
4. Operational definition
III Research Design
5. Use of appropriate research design
6. Usefulness of the research design to draw the inferences
among study variables / conclusion
IV Sampling design
7. Identification and description of the target population
8. Specification of the inclusion and exclusion criteria
9. Adequate sample size justifying the study design to draw
conclusions.
V Data Collection Procedure
10. Preparation of appropriate tool
11. Pilot study including validity and reliability of tool
12. Use of appropriate procedure / method for data
collection
13. Clear and logical organization of the findings
VI Analysis of dates & interpretation
14. Clear presentation of the tables (title, table & column
heading)
15. Selection of appropriate statistical tests
VII Ethical Aspects
16. Use of appropriate consent process
17. Use appropriate steps to maintain ethical aspects and
principles (Physical harm etc.)
VIII Interpretation of the findings
18. Consistent and appropriate discussion of the findings
IX Conclusion
19. Summary and recommendations for to nursing
Practice/Education / Administration
X Presentation / Report Writing
20. Organization of the project work including languages
and style of presentation.
Maximum Marks
Marks Obtained

Remarks by the Supervisor / Guide

52
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING - NURSING EDUCATION
NURSING RESEARCH AND STATISTICS
GUIDELINES TO CRITIQUE RESEARCH STUDY

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING - NURSING EDUCATION
NURSING RESEARCH AND STATISTICS
EVALUTION CRITERIA CRITIQUING RESEARCH STUDY

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_____

Sr.No. Content Marks Assigned Marks Obtained


1 TITLE 1
2 ABSTRACT 1
3 INTRODUCTION
Statement of the problem 2
Hypotheses or research questions 2
Literature review 2
Conceptual/ theoretical framework 2
4 METHODOLOGY
Following ethical principles 1
Research design 2
Population and sampling 1
Data collection and measurement Procedure 1
Validity, reliability & pilot study 2
RESULTS
5 Data Analysis 2
Findings 2
Discussion
6 Interpretation of the findings 2
Implications / recommendations 2
Total 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING

Placement: 1st Year

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

At the end of the course the students will be able to:

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

UNIT HOURS CONTENT


I 5 Introduction:
 Historical development of Medical- Surgical Nursing in India.
 Current status of health and disease burden in India. Current concept of health.
 Trends & issues in Medical – Surgical Nursing.
 Ethical & cultural issues in Medical – Surgical Nursing Rights of patients.
 National health policy, special laws & ordinances relating to older people.
 National goals.
 Five year plans.
 National health programs related to adult health.
II 20 Health Assessment of patients
 History taking.
 Physical examination of various systems.
 Nutritional assessment.
 Related investigations and diagnostic assessment.
III 5 Care in hospital settings:
 Ambulatory care.
 Acute and Critical care.
 Long term care.
 Home Health Care.
 Characteristics, care models, practice settings, interdisciplinary team.
 Hospitalization- effects of hospitalization on the patient & family.
 Stressors & reactions related to disease process.
 Nursing care using Nursing process approach.
IV 10 Management of patients with disorders of Gastro intestinal tract
 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.
V 10 Management of patients with disorders of nervous 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.
VI 10 Management of patients with disorders of respiratory system
 Review of anatomy and physiology.
 Common Disorders-etiology, Patho physiology, Clinical manifestations,
57
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

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

 Rehabilitation and follow-up.


XI 10 Management of patients with disorders of musculo-skeletal 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.
XII 10 Management of patients with disorders of integumentory 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.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
XIII 5 Management of patients with disorder of Eye and ENT
 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.
XIV 8 Management of patients with disorders of reproductive 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.
XV 8 Geriatric nursing
 Nursing Assessment-History and Physical assessment.
59
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

Total Hours Prescribed= 650 Hours

Sr.No. Department/Unit No. of Hours


1 General Medical Ward 120
2 General Surgical Ward 120
3 ICU 120
4 Oncology 50
5 Ortho 60
6 Cardiology 60
7 Emergency Department 60
8 Neuro 60
TOTAL 650

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”

7th Ed. Sauders, Elsevier.

2. Smeltzer, Bare Brunner and Suddarths Medical Surgical Nursing.

3. The Lippincott Manual of Nursing practice, Lippincott.

4. MANN, RUSSELL, WILLAMS, Bailey & Love’s short practice of Surgery.

5. Potter & Perry Fundamental of Nursing, Elsevier.

6. Urdan Bavicm, Thelan, Essentials of Critical Care Nursing.

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

Sr.No. Technique Total Marks Weightage % Marks


1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar- 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

PRACTICAL INTERNAL ASSESSMENT

Sr.No. Technique Total Marks Weightage % Marks


1 Examination - Prefinal 100 40 40
2 Assignments-
Care Plan (4) 4x25=100 4x2.5=10 10
Case Presentation(2) 2x50=100 2x5=10 10
Clinical Teaching (2) 2x25=50 2x2.5=5 5
Clinical Evaluation (2) 2x100=200 2x10=20 20
Preparation & use of Comprehensive 2x25=50 2x2.5=5 5
patient assessment (2)
3 Attendance 10 10
Total 600 100 100

UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

62
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
MEDICAL SURGICAL NURISING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

63
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
SEMINAR EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
PROFORMA & GUIDELINES FOR CASE PRESENTATION

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

III Socio-economic status of the family:


Monthly income, expenditure on health, food, education etc.

IV History of Illness (Medical & Surgical)


i) History of present illness – onset, symptoms, duration, precipitating/ aggravating factors
ii) History of past illness surgery, allergies, medications etc.
iii) Family history – Family tree, history of illness in the family members, risk factors
congenital problem, psychological problem etc.

V Diagnosis (Provisional & Confirmed)


Description of disease: Includes the followings
1. Definition
2. Etiology & risk factors
3. Patho physiology
4. Clinical features.

VI Physical Examination of Patient (Date & Time)


Physical examination: with date and time.
Clinical features present in the book Present in the Patient

VII Investigations
Date Investigation done Results Normal Value Interfaces

VIII Management – (Medical / Surgical)


Aims of management
Medical or Surgical Management
Pharmacological Management
Sr.No. Name of the drug Dose Route Action Side effects Nurse
Responsibility

IX Nursing Management (Including diet Plan, Health Education, Discharge planning)


Nursing care plan based on Nursing Theory
Nurses notes
X Summery of the case & Conclusion-
XI References
65
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
EVALUTION CRITERIA FOR CASE PRESENTATION

Name of the Student: - ______________________________________________________


Area:- _______________________ Patient Name :- ______________________________
Diagnosis:-________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Allotted Marks Obtained


1 Content Subjective & objective data 8
2 Problems & needs identified & Nursing Care Plan 15
3 Effectiveness of presentation 5
4 Co-relation with patient & Book (research evidence) 10
5 Use of A V aids 5
6 References 2
7 Group Participation 3
8 Bibliography & References 2
Total Marks 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
CLINICAL EVALUATION: COMPREHENSIVE NURSING CARE
(Maximum Marks – 100 each area)
Name of the Student: - ____________________________________________________________
Duration of Experience: - _____________________________________Year :- _______________

Total Marks obtained _____


Sr.No. Criteria Rating
1 2 3 4 5
I UNDERSTANDING PATIENT AS PERSON
A. Approach
1. Rapport with patient/family members
B. Understanding of patients health problems.
1. Knowledge about disease condition.
2. Knowledge about investigations.
3. Knowledge about treatment including diet.
4. Knowledge about progress of the patent.
II NURSING CARE PLAN
1. History taking – Past & present health and illness.
2. Specific observation of the patient.
3. Identification of all problems in the patient/family.
4. Prioritizartion & implantation of the plans.
5. Evaluation of the care given & re-planning
III TECHNICAL SKILL
1. Economical & safe adaptation to the situation & available
facilities.
2. Implements the procedure with skill speed & completeness.
IV RECORDING & REPORTING
1. Prompt, precise, accurate & relevant.
2. Maintenance of clinical experience file.
V HEALTH TEACHING
1. Incidental / planned teaching with principles of teaching &
learning
VI SUPERVISORY RESPONSIBILITIES
1. Supervision of students
2. Supervision subordinate staff
3. Supervision of ward
VII Personality
1. Professional appearance (uniform, dignity, tactfulness
interpersonal relationship, punctuality etc.
2. Sincerity, honesty & Sense of responsibility
Total Marks

Remarks:-

Signature of Student Signature of Clinical supervisor

67
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
EVALUTION CRITERIA FOR CASE PRESENTATION

Name of the Student: - ___________________________________________________________


Patient Name :- _____________________________ Diagnosis:-__________________________
Name of the Supervisor:-__________________________________________________________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

68
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
TERM PAPER - EVALUTION CRITERIA

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MEDICAL SURGICAL NURSING
EVALUTION CRITERIA – COMPREHENSIVE PATIENT ASSESSMENT TOOL

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 10
2 Organisation 5
3 Illustration 5
4 Resources Used 5
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY-I

OBSTETRIC AND GYNECOLOGICAL NURSING

Placement: 1st year

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

At the end of the course the students will be able to:

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

UNIT HOURS COURSE CONTENT


I 10 Introduction
 Historical and contemporary perspectives
 Epidemiological aspects of maternal and child health
 Magnitude of maternal and child health problems
 Issues of maternal and child health : Age, Gender, Sexuality,
 psycho Socio cultural factors
 Preventive obstetrics
 National health and family welfare programmes related to maternal and
child health: health care delivery system-
 National Rural health mission, Role of NGO’s
 Theories, models and approaches applied to midwifery practice
 Role and scope of midwifery practice: Independent Nurse midwifery
practitioner
 Legal and Ethical issues: Code of ethics and standards of midwifery practice,
standing orders Evidence based midwifery practice
 Research priorities in obstetric and gynecological nursing.
II 15 Human reproduction
 Review of anatomy and
 physiology of human reproductive system: male and female
 Hormonal cycles
 Embryology
 Genetics, teratology and counseling
 Clinical implications
III 25 Pregnancy
 Maternal adaptation : Physiological, psychosocial
 Assessment – Maternal and foetal measures Maternal measures: History
taking, examination-General, physical and obstetrical measure, identification of
high risk, foetal measure, identification of high risk,
Foetal measures – clinical parameters, biochemical-human estriol, Maternal
Serrum Alfa Feto Protein, Acetyl Choline esterase (AchE), Triple Test
Aminocentesis, Cordocentesis, chorionic villus sampling (CVS),
Biophysical- (US IMAGING, Foetal movement count, Ultra
Sonography, Cardiotocography, cardiotomography, Non Stress Test(NST),
Contraction stress test(CST), amnioscopy, foetoscopy,
 Radiological examination
 Interpretation of diagnostic tests and nursing implications
 Nursing management of the pregnant women, minor disorders of pregnancy and
management, preparation for child birth and parenthood, importance of
institutional delivery, choice of birth setting, importance and mobilizing of
transportation, prenatal counseling, role of nurse and crisis intervention,
identification of high risk pregnancy and refer
 Alternative/complementary therapies
 Interpretation of diagnostic tests and nursing implications Nursing management
of the pregnant women, minor disorders of pregnancy and management,
preparation for child birth and parenthood, importance of institutional delivery,
choice of birth setting, importance and mobilizing of transportation, prenatal
counseling, role of nurse and crisis intervention, identification of high risk
pregnancy and refer Alternative/complementary therapies
IV 25 Normal Labour and nursing management:
Essential factors of labour, Stages and onset
First stage: Physiology of normal labour
72
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

Total Hours prescribed = 650 Hours 1 week = 30 Hours

Sr.No. Dept./Unit No. of Week Total Hours


1 Anetenatal Wards & OPDs 4 120
2 Labour Room 5 150
3 Postnatal Ward 2 60
4 Family Planning Clinics 2 50
5 PHC/Rural maternity settings 4 120
6 Gynae 2 60
7 Maternity OT 2 60
8 NICU 1 30
Total 22 Weeks 650

74
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Procedures observed

 Diagnostic investigations : amniotcentecis, chordocentecis, chorionic villi sampling


 Infertility management: artificial reproduction : artificial insemination, invitro fertilization, and
related procedures

Procedures assisted

 Medical termination of pregnancy,

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

 Identification of high risk women and referral


 Health education: to women and their families
 Motivation of couples for planned parenthood

Procedure to be performed

 Health education, counseling and mother craft classes


 Antenatal immunization
 Assessment of intra uterine fetal well-being
 Universal precautions-effectively infection control methods
 Vaginal examination and interpretation (early pregnancy, labour, post partum)
 Utilization of partograph, cervicograph
 Conduction of safe delivery
 Episiotomies suturing
 Manual removal of placenta, placental examination
 Postnatal removal of placenta, palcenatal examination
 Management of breast engorgement, While leg
 Postnatal counseling
 Breast care, breast exam and drainage breast abcess
 Postnatal exercise
 Newborn assessment – Ruling out congenital anomalies
 Neonatal resuscitation
 Apgar score
 Monitoring neonates Clinically refill time, Assessment of jaundice
 Gastric Lavage
 Gastgric gavages

75
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

 Care of child in multi channel monitor and ventilator


 Care of child in radiant, warmer and incubutator
 Kangaroo care
 Anthropomentrics measurement
 Neonatal reflexes
 Breast feeding
 Parental Nutrition & fluid balance / infusion pump
 Feeding technique
 Medication-Oral, I.D.I.M.I.V.
 Capillary blood sample collection
 Oxygen therapy
 Phototherapy
 Chest physiotherapy

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

LIST OF BOOKS RECOMMENDED FOR OBSTRETRICS GYNAECOLOGY & NEONATOLOGY

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

12. Hollan and Brews, “Manual of Obstetrics”, BI Churchill Livingstone


13. Ladewing Patricia Wieland et al, “Essentials of Maternal Newborn Nursing”, II edn, Addisol
Wesley Nursing, NY 1990.
14. Menon Krishna & Palaniappan, “Clinical Obstetrics”, IX EDN Orient Longman, 1990, Madras.
15. Rashmi Patil, “Instruments, Operations, Drugs in Obstetrics and Gynecology”, Vora Medical
Publications.
16. Philips Celeste R, “Family centered Maternity Newborn care”, III edn, Mosby New Year Book, St
Louis 1996
17. Tindall V.R., Jeffcoats’s Principles of Gynecology”, Butterworth Heineman.
18. Wonna Donna L, Perry Shannon et al “Maternal Child Nursing”, 1998 Iden, CV Mosby
Company,
st Louis, Lord

List of Journals Recommended


1. American Journal of Nursing
2. Health and population
3. Indian Journal of Nursing and Midwifery
4. Journal of Obstetrics and Gynecology
5. Journal of Pediatrics
6. Journal of Family
7. Nursing Journal of India
8. Nursing Times
9. Pediatric Today
10. Pediatric Clinics of India
11. Obstetrics and Gynecology Today.

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

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

PRACTICAL INTERNAL ASSESSMENT

Sr.No. Technique Total Marks Weightage % Marks


1 Examination - Prefinal 100 40 40
2 Care Plan (4)
Antenatal 25 2.5 2.5
Intranatal 25 2.5 2.5
Post Nantal 25 2.5 2.5
Gynaec 25 2.5 2.5
3 Clinical Presentation
Antenatal 50 5 5
Post Nantal 50 5 5
4 Case Book 50 5 5
5 Clinical Evaluation (2)
Antenatal 100 10 10
Post Nantal 100 10 10
6 Clinical Teaching (2) 2x25=50 2x2.5=50 5
7 Attendance 10 10
Total 600 100 100

UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

78
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

79
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
SEMINAR EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
ANTENTAL CASE PRESENTATION FORMAT
1. Identification Data
Patient:- Name, Age in years, Dr’s unit, reg.no. Education, occupation, income, religion, marital
status, duration of marriage Gravida, para, abortion living, blood group
Husband: Name, Age, education, occupation, income, blood group
2. Present complaints
3. History of illness
4. Menstrual history: - Age of menarche, duration of menstrual cycle, duration of cycle in days,
Regularity, amount of flow, LMP, EDD, Associated complaints
5. Contraceptive history:
6. Antenatal attendance:- Date, Weight, Pallor, edema, BP, Weight. Ht, Presentation/ Position,
FHS, Hb, Urine albumin/sugar, treatment
7. Obstetric History:- H/O Previous pregnancy / deliveries, period of Pregnancy, type of labour /
Delivery, birth weight, PNC, condition, remarks
8. Present pregnancy:- Date of booking, number of ANC visits, H/O minor ailments
9. Past medical, surgical history:
10. Family history:
11. Diet History:
12. Socioeconomic status
13. Personal habits
14. Psychosocial status
15. Physical Assessment: General examination : Head to foot
Obstetric Palpation,. Auscultation
16. Conclusion
17. Investigation
18. Treatment
19. Description of disease
20. Therapeutic diet plan
21. Nursing care plan
22. Nurse’s notes
23. Discharge Planning
24. Antenatal Advice
25. Evaluation of care
26. Reference
81
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
POSTNATAL CASE PRESENTATION FORMAT
1. Identification Data
Patient:- Name, Age in years, Dr’s unit, reg. no. Education, occupation, income, religion, marital
status, duration of marriage, Gravida, Para, abortion living, blood group
Husband: Name, Age, education, occupation, income, blood group
2. Present complaints
3. History of illness
4. Menstrual history: - Age of menarche, duration of menstrual cycle, duration of cycle in days,
Regularity, amount of flow, LMP, EDD, Associated complaints
5. Contraceptive history:
6. Antenatal attendance:- Date, Weight, Pallor, edema, BP, Weight. Ht, Presentation/ Position,
FHS, Hb, Urine albumin/sugar, treatment
7. Obstetric History:- H/O Previous pregnancy / deliveries, period of Pregnancy, type of labour /
Delivery, birth weight, PNC condition, Condition of new born, remarks
8. Present pregnancy:- Date of booking, number of ANC visits, H/O minor ailments
9. Past medical, surgical history:
10. Family history:
11. Diet History:
12. Socioeconomic status
13. Personal habits
14. Psychosocial status
15. Physical Assessment: Mother :- General examination : Head to foot
Baby :- New Born Assessment
16. Conclusion
17. Investigation
18. Ultrasonography
19. Treatment
20. Description of disease
21. Therapeutic diet plan
22. Nursing care plan
23. Nurse’s notes
24. Discharge Planning
25. Antenatal Advice
26. Evaluation of care
27. Reference

82
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
CASE PRESENTATION EVALUTION

Name of the Student: - _________________________________________________________


Batch:- _________________________ Patient Name :- _______________________________
Diagnosis:-____________________________________________________________________
Name of the Supervisor:-________________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Max. Marks Marks Obtained


1 Assessment / Introduction 5
2 Knowledge & understanding of the physiology 10
3 Nursing care plan 15
4 Presentation skill 4
5 Application of nursing theories 6
6 A.V. Aids 5
7 Summery & conclusion 3
8 Bibliography 2
Total 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
CLINICAL EVALUATION: COMPREHENSIVE NURSING CARE
(Maximum Marks – 100 each area)

Name of the Student: - ____________________________________________________________


Duration of Experience: - _____________________________________Year :- _______________

Total Marks obtained _____


Sr.No. Criteria Rating
1 2 3 4 5
I UNDERSTANDING PATIENT AS PERSON
A. Approach
1. Rapport with patient/family members
B. Understanding of patients health problems.
1. Knowledge about disease condition.
2. Knowledge about investigations.
3. Knowledge about treatment including diet.
4. Knowledge about progress of the patent.
II NURSING CARE PLAN
1. History taking – Past & present health and illness.
2. Specific observation of the patient.
3. Identification of all problems in the patient/family.
4. Prioritizartion & implantation of the plans.
5. Evaluation of the care given & re-planning
III TECHNICAL SKILL
1. Economical & safe adaptation to the situation & available
facilities.
2. Implements the procedure with skill speed & completeness.
IV RECORDING & REPORTING
1. Prompt, precise, accurate & relevant.
2. Maintenance of clinical experience file.
V HEALTH TEACHING
1. Incidental / planned teaching with principles of teaching &
Learning
VI SUPERVISORY RESPONSIBILITIES
1. Supervision of students
2. Supervision subordinate staff
3. Supervision of ward
VII Personality
1. Professional appearance (uniform, dignity, tactfulness
interpersonal relationship, punctuality etc.
2. Sincerity, honesty & Sense of responsibility
Total Marks

Remarks:-

Signature of Student Signature of Clinical supervisor

84
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
EVALUTION CRITERIA FOR NURSING CARE PLAN

Name of the Student: - ___________________________________________________________


Patient Name :- _________________________________________________________________
Diagnosis:-__________________________ Ward :- ____________________________________
Name of the Supervisor:-__________________________________________________________

Total Marks – 25 Marks obtained:-_______


Sr.No. Criteria Marks Assigned Marks Obtained
1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

85
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I OBSTETRIC AND GYNECOLOGICAL NURSING
TERM PAPER - EVALUTION CRITERIA

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

Placement : Ist Year

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

At the end of the course the students will be able to:

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

Immunization, expanded program on immunization/ universal


immunization program and cold chain,
 Nutrition and nutritional requirements of children, changing patterns of
feeding, baby- friendly hospital initiative and exclusive breast feeding,
 Health education, nutritional education for children
 Nutritional programs
 National and international organizations related to child health,
Role of pediatric nurse in the hospital and community.
VIII 30 Neonatal Nursing
 New born baby- profile and characteristics of the new born,
 Assessment of the new born,
 Nursing care of the new born at birth, care of the new born and family,
 High risk newborn- pre term and term neonate and growth retarded babies,
 Identification and classification of neonates with infections,
 HIV & AIDS, Ophthalmia neonatorum, congenital syphilis.
 High risk new born- Identification, classification and nursing management
 Organization of neonatal care, services (Levels), transport, neonatal intensive
care unit, organization and management of nursing services in NICU.
IX 30 IMNCI
(Integrated management of neonatal and childhood illnesses)

PRACTICAL

Total Hours prescribed = 650 Hours 1 week = 30 Hours

Sr.No. Dept./Unit No. of Week Total Hours


1 Pediatric Medicine Ward 4 120
2 Pediatric Surgery Ward 5 120
3 Labor Room/Maternity Ward 2 60
4 Pediatric OPD 2 50
5 NICU 4 120
6 Creche 2 30
7 Child Guidance Clinic 2 30
8 Community 1 120
Total 22 Weeks 650

Student Activities

• Clinical presentations

• Growth & developmental assessment

• Assessment & prescription of nursing interventions for sick children

• Health education related to disease conditions

• 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

PRACTICAL INTERNAL ASSESSMENT


Sr.No. Technique Total Marks Weightage % Marks
1 Examination - Prefinal 100 40 40
2 Care Plan
Medical Ward 25 2.5 2.5
Surgical Ward 25 2.5 2.5
New Born 25 2.5 2.5
3 Clinical Presentation
Medical Ward 50 5 5
Surgical Ward 50 5 5
4 Clinical Evaluation
Medical Ward 100 10 10
Surgical Ward 100 10 10
5 Growth and development assessment (5) 5x25=125 5x1.5=7.5 7.5
Clinical Teaching
6 Medical Ward 25 2.5 2.5
Surgical Ward 25 2.5 2.5
7 Attendance 10 10
Total 600 100 100

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

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

92
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – CHILD HEALTH NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

93
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
PERFORMA & GUIDELINES FOR EXAMINATION AND ASSESSMENT POF NEW BORN

I] Biodata of Baby & Mother 05 Marks


Name of the baby (if any): Age:
Birth weight: Present weight:
Mother’s Name: Period of gestation:
Date of Delivery:
Identification band applied:
Type of delivery: Normal / Instrumental / Operation
Place of delivery: Hospital / Home
Any problems during birth: Yes / No
If Yes explain:
Antenatal history:
Mother’s age: Height: Weight:
Nutritional status of mother:
Socio-economic background:

II] Examination of the baby:


Characteristics in the baby Comparison with the normal
1. Weight
2. Length
3. Head circumference
4. Chest circumference
5. Mid-arm circumference
6. Temperature
7. Heart Rate
8. Respiration
III] General behavior and observations 05 Marks
Color :
Skin/Lanugo:
Vernix Caseosa:
Jaundice:
Cyanosis:
Rashes:
Mongolian spot:
Birth marks:
Head:
- Anterior fontanel :
- Posterior Fontanel:
- Any cephalhematoma / caput succedaneum
- Forceps marks (if any)
Eyes : Face:
Cleft lip / palate

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
PERFORMA & GUIDELINES FOR ASSESSMENT OF GROWTH & DEVEOLOPMENT
(Age group: Birth to 5 yrs)

I] Biodata of Baby & Mother 01 Marks


Name of the Child:
Age:
Sex:
Date of Admission:
Diagnosis:
Type of delivery: Normal / Instrumental / Operation
Place of delivery: Hospital / Home
Any problems during birth: Yes / No
If Yes explain:
Order of birth:
II] Growth & development of Child & comparison with Normal: 02 Marks
Anthropometry In the Child normal
1. Weight
2. Length
3. Head circumference
4. Chest circumference
5. Mid-arm circumference
6. Dentition
III] Milestones of Development 02 Marks
1. Responsive smile
2. Responsive to Sound
3. Head control
4. Grasps objet
5. Rolls over
6. Sits alone
7. Crawls or creeps
8. Thumb-finger co-ordination (Perhension)
9. Stands with support
10. Stands alone
11. Walks with support
12. Walks alone
13. Climbs steps
14. Runs
IV] Social, Emotional & Languages Development: 02 Marks
Social & emotional development In Child Comparison with the normal
Responds to closeness when held
Smiles in recognition
Recognize mother
Seated before a mirror, regards image
97
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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
PERFORMA & GUIDELINES FOR CASE STUDY
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
1. History of present illness – onset, symptoms, during, precipitating/ aggregating factors
2. History of past illness – Illness, hospitalizations, surgeries allergies.
3. 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:
1. Definition
2. Related anatomy and physiology
3. Etiology & risk factor
4. Path physiology
5. 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.
Drug (Pharmacological Name)
Dose Frequency / Time
Action
Side effects & drug interaction
Nurse’s responsibility
XII] Nursing Management (Use Nursing Process) (Short Term & long Term Plans) Assessment
Nursing Diagnosis Objective Plan of care rationale Implementation Evaluation.
XIII] Complications
Prognosis of the Patient
XIV] Day to day progress report of the patient
XV] Discharge Planning
XVI] Reference
99
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING

PERFORMA & GUIDELINES FOR CASE PRESENTATION

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
CASE PRESENTATION EVALUTION

Name of the Student: - ____________________________________________________________


Batch:- _________________________ Patient Name :- __________________________________
Diagnosis:-____________________________________Ward :- ____________________________
Name of the Supervisor:-___________________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Max. Marks Marks Obtained


1 Assessment / Introduction 5
Knowledge & understanding of the physiology/patho
2 10
Physiology
3 Nursing care plan 15
4 Presentation skill 4
5 Application of nursing theories 6
6 A.V. Aids 5
7 Summery & conclusion 3
8 Bibliography 2
Total 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
CLINICAL EVALUATION: COMPREHENSIVE NURSING CARE
(Maximum Marks – 100 each area)

Name of the Student: - ____________________________________________________________


Duration of Experience: - _____________________________________Year :- _______________

Total Marks obtained _____


Sr.No. Criteria Rating
1 2 3 4 5
I UNDERSTANDING PATIENT AS PERSON
A. Approach
1. Rapport with patient/family members
B. Understanding of patients health problems.
1. Knowledge about disease condition.
2. Knowledge about investigations.
3. Knowledge about treatment including diet.
4. Knowledge about progress of the patent.
II NURSING CARE PLAN
1. History taking – Past & present health and illness.
2. Specific observation of the patient.
3. Identification of all problems in the patient/family.
4. Prioritizartion & implantation of the plans.
5. Evaluation of the care given & re-planning
III TECHNICAL SKILL
1. Economical & safe adaptation to the situation & available
facilities.
2. Implements the procedure with skill speed & completeness.
IV RECORDING & REPORTING
1. Prompt, precise, accurate & relevant.
2. Maintenance of clinical experience file.
V HEALTH TEACHING
1. Incidental / planned teaching with principles of teaching &
Learning
VI SUPERVISORY RESPONSIBILITIES
1. Supervision of students
2. Supervision subordinate staff
3. Supervision of ward
VII Personality
1. Professional appearance (uniform, dignity, tactfulness
interpersonal relationship, punctuality etc.
2. Sincerity, honesty & Sense of responsibility
Total Marks

Remarks:-

Signature of Student Signature of Clinical supervisor


102
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
EVALUTION CRITERIA FOR NURSING CARE PLAN

Name of the Student: - ___________________________________________________________


Patient Name :- _________________________________________________________________
Diagnosis:-__________________________ Ward :- ____________________________________
Name of the Supervisor:-__________________________________________________________

Total Marks – 25 Marks obtained:-_______


Sr.No. Criteria Marks Assigned Marks Obtained
1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

103
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURISNG
TERM PAPER - EVALUTION CRITERIA

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I CHILD HEALTH NURSING
EVALUTION CRITERIA FOR NURSING CARE PLAN

Name of the Student: - ___________________________________________________________


Patient Name :- _________________________________________________________________
Diagnosis:-__________________________ Ward :- ____________________________________
Name of the Supervisor:-__________________________________________________________

Total Marks – 25 Marks obtained:-_______


Sr.No. Criteria Marks Assigned Marks Obtained
1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

105
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
TERM PAPER - EVALUTION CRITERIA

Placement: 1st Year Hours of Instructions: Theory 150 hours


Practical 650 hours
Total 800 hours

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

At the end of the course, the student will be able to:

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

UNIT HOURS CONTENT


I 10 Introduction
 Historical development of Community Health and Community health Nursing-
World and India, various health and family welfare committees
 Current status, trends and challenges of Community Health
 Nursing
 Health status of the Community-community diagnosis
 Scope of Community health Nursing practice
 Ethical and legal issues
 Socio-cultural issues in Community health Nursing
 National Policies, plans and programmes
 National health policy
 National Population policy National Health and welfare Programmes
 National Health goals/ indicators/ Millennium developmental goals(MDG)/
Strategies
 Planning process: Five year plans
 National Rural Health Mission
 Panchayat raj institutions
II 10 Health
 Concepts, issues
 Determinants
 Measurements
 Alternate systems for health promotion and management of health problems
 Health economics
 Health technology
 Genetics and health
 Waste disposal
 Eco system
III 15 Population dynamics and control
 Demography
 Transition and theories of population
 National population policy
 National population programmes
 Population control and related programmes
 Methods of family limiting and spacing
 Research, Census, National Family Health Survey
 Family health assessment
 Diagnosis
 Planning
 Intervention
 Evaluation
 Nursing care for special groups: children, adolescents, adults, women, elderly,

107
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

physically and mentally challenged- Urban and rural population at large


 Community nutrition
 Concept, role and responsibilities of community health Nurse practitioners /
nurse midwifery practitioners-decision making skills, professionalism, legal
issues
V 45 Maternal and neonatal care
IMNCI(Integrated Management of Neonatal And Childhood Illnesses) module
Skilled Birth Attendant (SBA) module
VI 15 Disaster nursing (INC module on Reaching out: Nursing Care in emergencies)
VII 8 Information, education and communication
 IEC/BCC: Principles and strategies
 Communication Skills
 Management information and evaluation system: Records and reports
 Information technology
 Tele-medicine and tele-nursing
 Journalism
 Mass media
 Folk media
VIII 14 Health care delivery system: Urban, rural, tribal and difficult areas
 Health organization: National, State, District, CHC, PHC, Sub Centre, Village
- Functions, Staffing, pattern of assistance, layout, drugs, equipments and
supplies,
 Roles and Responsibilities of DPHNO
 Critical review of functioning of various levels, evaluation studies,
recommendations and nursing perspectives
 Alternative systems of medicine
 Training and supervision of health workers
 Health agencies: NGO’s, Roles and functions
 Inter-sectoral coordination
 Public private partnership
 Challenges of health care delivery system
IX 5 Emerging & Re merging communicable diseases
 Plague, swine flu, avian flu, anthrax, Dengue fever, Chikun Gunia,
Leptospirosis
 Role of community health nurse in the prevention & management of an
epidemic

108
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

BIBLOGRAPHY OF COMMUNITY HEALTH NURSING


BOOKS

 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.

PRACTICAL Total hours prescribed = 650 Hours

Sr.No. Dept./Unit No. of Week Total Hours

1 Sub-Centre, PHC, CHC 12 360 Hours

2 District family welfare bureau 1 20 Hours

3 Urban centers 6 180 Hours

4 Field visits 3 90 Hours

Total 22 Weeks 650 Hours

109
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Student Activities

• Identification of community leaders and resource persons(community mapping)


• Community health survey
• Community health nursing process- individual, family and special groups and community
• Counseling
• Health education – campaign, exhibition, folk media, preparation of IEC materials
• Organising and participating in special clinics/camps and national health and welfare
programmes-Organise atleast one health and family welfare mela /fair (all stalls of national health
and family welfare activities should be included)
• Estimation of Vital health statistics -Exercise
• Drill for disaster preparedness
• Organise atleast one in-service education to ANM’s/LHV/PHN/HW
• Nutrition – Exercise on nutritional assessment on dietary planning, demonstration and education
for various age groups
• Filling up of Records, reports and registers maintained at SC/PHC/CHC
• Assist women in self breast examination
• Conduct antenatal examination
• Conduct vaginal examination
• Conduct deliveries
• Post natal visits
• Perform Episiotomy and suturing
• Prepare Pap smear
• Conduct Insertion/Removal of IUD
• Blood Slide preparation
• Field visits
• Maintenance of log book for various 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

Internal Assessment - 25 Marks


University Exam - 75 Marks
Grand Total - 100 Marks

110
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

PRACTICAL INTERNAL ASSESSMENT


Sr.No. Technique Total Marks Weightage % Marks
1 Examination - Prefinal 100 40 40
2 Assignment
a. Family Care Plan
Urban 25 2.5 2.5
Rural 25 2.5 2.5
b. Case Study (1) 50 5 5
c. Home procedure evaluation (2) 2x25=50 2x2.5=5 2x2.5=5
d. Community Health Survey &
Community diagnosis & Health 50 5 5
Education based on priority felt health
need of community
e. Project (Organize and conduct any 50 5 5
one the following – Exhibition/ Street
Play / Puppet Show)
g. Clinical Teaching
Urban 25 2.5 2.5
Rural 25 2.5 2.5
3 Clinical Evaluation
Urban 100 10 10
Rural 100 10 10
4 Attendance 10 10
Total 600 100 100

UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

111
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

112
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
EVALUTION CRITERIA FOR FAMILY HEALTH CAE STUDY

Name of the Student: - ______________________________________ Area:- _______________

Name of the Supervisor:-__________________________________________________________

Marks Obtained:-_________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Introduction & Objectives 2
2 Subjective Data 3
3 Objective Data 5
4 Assessment of Family members (Physical mental & 3
Social
5 Health needs identified 3
6 Planning for family health nursing care (including 6
short term & long term plan)
7 Health education planning & implementation 7
8 Implementation of home nursing & implementation 5
9 Planning for diet 3
10 Drugs study & home care 3
11 Evaluation: 2
- Outcome of family health care
- Self learning as a Nurse
12 Future Plan 3
13 Conclusion & Suggestion 2
14 Use of Table / Graph etc. 3
Total 50

Remarks:-

Signature of Student Signature of Clinical supervisor

114
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
EVALUTION CRITERIA FOR PROCEDURE EVALUTION

Name of the Student: - ______________________________________ Area:- _______________

Name of the Supervisor:-__________________________________________________________

Marks Obtained:-_________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Selection of procedures based on family needs 2
2 Preparation of the bag for the procedure 5
3 Confidence in use of bag 5
4 Carrying out all the steps of procedure correctly 5
5 Involvement of family while doing procedure 5
6 Planning for family health nursing care (including 5
short term & long term plan)
7 Post care of bag and equipment 5
8 Health education while during and the procedure 5
9 Disposal of waste 5
10 Reporting for breakage and loss 3
11 Recording and reporting 5
Total 50

Remarks:-

Signature of Student Signature of Clinical supervisor

115
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING

EVALUTION CRITERIA FOR FAMILY HEALTH SURVEY /COMMUNITY DIAGNOSIS

Name of the Student: - _____________________________________________________________


Name of the Head of the Family :- ___________________________________________________
Name of the Supervisor:-___________________________________________________________

Marks Obtained:-_________

Sr. No. Criteria Marks Allotted Marks Obtained


1 Knowledge related to survey 6
2 Data collection & entry on survey 4
3 Table and tabulation of data 6
4 Analysis and Interpretation of data 10
5 Use of visual aids and graphs 8
6 Proposed future plans 6
7 Recording in the registrar 10
Total 50

Remarks:-

Signature of Student Signature of Clinical supervisor

116
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
EVALUATION CRITERIA FOR NURSING CARE PLAN

Name of the Student: - _________________________________________ Area:-___________________


Name of the Patient:-_____________________________ _____________ Diagnosis:- _______________
Name of the Supervisor: - ________________________________________________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Elicits relevant history 3

2 Make quick and valid physical assessment 4


3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

117
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
EVALUATION CRITERIA FOR HEALTH TEACHING

Name of the Student: - ______________________________________ Area:- _______________

Topics:- _________________________________________________________________________

Name of the Supervisor:-__________________________________________________________

Marks Obtained:-_________

Sr.No. Criteria Rating


1 2 3 4 5
I PLANNING AND ORGANISATION
a. Formulation of attainable objectives.
b. Adequacy of content.
c. Organization of subject matter
d. Current Knowledge related to subject matter
e. Suitable A V Aids
II PRESENTATION :
a. Interesting
b. Clear Audible
c. Adequate Explanation
d. Effective use of A.V. Aids
e. Group Involvement
f. Time Limit
III PERSONAL QUALITIES:
a. Self confidence
b. Personal appearance
c. Languages
d. Self awareness of strong & weak points
IV FEED BACK
a. Recapitulation
b. Effectiveness
c. Group response
V SUBMITS ASSIGNMENT ON TIME

TOTAL

Remarks:-

Signature of Student Signature of Clinical supervisor

118
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
CLINICAL EVALUATION PROFORMA
Name of the Student: - ________________ Area of Community Health Nursing: - ____________
Name of Evaluator: - ______ Period under Evaluation:-______ Total Marks obtained ______
Rating :-
1 – In many respect fails to meet requirement satisfactorily
2 – Meets many requirements but deficient in important aspect
3 – Average, clearly meets basic requirements satisfactorily
4 – Clearly exceed basis requirements, respecting superior
5 – Outstanding in all respects
Sr. Criteria Rating
No. 1 2 3 4 5 Score
I KNOWLEDGE AND UNDERSTANDING ABOUT FAMILY
1 Studies family health record and collects significant data
2 Interprets significant data based on knowledge of community Health/ Community
Health Nursing
II HOME VISIT
3 Preparing are written based on the health needs of the family and identified goals
Planning and organization of home visit
4 Establishers report with the family and able to communicate effectively and
5 tactfully with different individual/group
III HEALTH ASSESSMENT AND OBSERVATION
6 Identifies deviations from normal and set priorities in home care Activities
7 Plans and implements name care based on preset goals and health needs.
IV Nursing Activities carried out :
8 Application of scientific principles
9 Technical Skills with necessary modification and completeness of the procedure
10 Involvement and participating name care based on preset goals and health needs
11 Interpretation, reporting recoding of results
12 Takes, corrective follow standing orders selects and appropriate Referral agencies.
V HEALTH INFORMATION HEALTH TEAHCING
13 Uses every opportunity for incidental/ planned teaching for individual and group
14 Uses appropriate teaching leaning principles
VI Post Visit
15 Report significant information
16 Completes records, promptly, precisely and accurately
VII Evaluation of Family Health Care
17 Able to evaluate the set goals, short and long term health care plan
18 Able to revise the family health needs and modify the care plans
VIII Professional qualities
19 Professional appearance
20 Interest, initiative, resourcefulness, responsible leadership and attitude, response
to constructive criticism and suggestions
Total Marks:-
Percentage:- Grade:-
(In terms of strengths and weakness)
Instruction : Application of theory to practice is considered throughout the experience
Remarks/comments by the Supervisor:-
Signature of Student Signature of the supervisor

119
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
EVALUATION PROFORMA FOR PLANNING AND CONDUCTING OF
EXIBITION/STREET PLAY / PUPPET SHOW)

Name of the Student: - _______________________________________ Area:-___________________


Name of Head of Family:- _____________________________________________________
Name of the Supervisor: - _____________________________________ Marks obtained:- _________

Sr.No. Criteria Marks Allotted Marks Obtained


1 Need for topic 5

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:-

Signature of Student Signature of supervisor

120
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
TERM PAPER - EVALUTION CRITERIA
Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

MENTAL HEALTH (PSYCHIATRIC) NURSING

Placement : Ist Year

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

At the end of the course the students will be able to:

1. Appreciate the trends and issues in the field of psychiatry and psychiatric nursing.

2. Explain the dynamics of personality development and human behaviour.

3. Describe the concepts of psychobiology in mental disorders and its implications for
psychiatric nursing

4. Demonstrate therapeutic communications skills in all interactions

5. Demonstrate the role of psychiatric nurse practitioner in various therapeutic modalities

6. Establish and maintain therapeutic relationship with individual and groups

7. Uses assertive techniques in personal and professional actions

8. Promotes self-esteem of clients, others and self

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

 Communication with individuals and in groups


 Techniques of therapeutic communication-touch therapy
 Barrier of communication with specific reference to
psychopathology
 Therapeutic attitudes
 Dynamics of a therapeutic Nurse-client relationship;
 Therapeutic use of self Gaining self-awareness
 Therapeutic nurse-patient relationship its phases; Conditions essential to
development of a therapeutic relationship
 Therapeutic impasse and its management
VI 10 Assertive Training
 Assertive Communication
 Basic Human Rights
 Response Patterns
•(Nonassertive Behavior
• Assertive Behavior
•Aggressive Behavior
• Passive-Aggressive Behavior)
 Behavioral Components of Assertive Behavior
 Techniques that Promote Assertive Behavior
 Thought-Stopping Techniques Method
Role of The Nurse

VII 10 Promoting Self-Esteem


 Components of Self-Concept
 The Development of Self-Esteem
 The Manifestations of Low-Self-Esteem
 Boundaries Role of The Nurse
VIII 5 Women and Mental Health
 Normal reaction to conception, pregnancy and puerperium
 Problems related to conception, pregnancy and puerperium and its
management.
 Counselling – Premarital, marital and genetic
IX 10 The nursing process in psychiatric/mental health nursing
 Mental health assessment- History taking, mental status examination
 Physical and neurological examination
 Psychometric assessment
 Investigations, Diagnosis and Differential diagnosis
 Interpretation of investigations
 Nurse’s role
 Nursing case management
• Critical pathways of care
 Documentation
• Problem-oriented recording
• Focus charting
• The PIE method
X 35 Psycho social and physical therapies
 Individual therapy
 Behavioural Therapy- Relaxation therapy, cognitive therapy, positive- negative
reinforcement, bio-feedback, guided imagery, ab-reactive therapy
 Group Therapy
124
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

Total Hours prescribed = 650


Hours

Sr.No. Area of Posting No. of Week Total Hours

1 Acute Psychiatric Ward 4 120 Hours

2 Chronic Psychiatric ward 4 120 Hours

3 Psychiatric Emergency Unit 2 60 Hours

4 O.P.D 2 60 Hours

5 Family Psychiatric Unit 2 60 Hours

6 Community Mental Health Unit 4 120 Hours

Rehabilitation / Occupational Therapy Unit/Half way


7 home/ Day care centre 4 120 Hours

Total 22 Weeks 660 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

BIBLIOGRAPHY OF MENTAL HEALTH NURSING


BOOKS

1. Elizabeth M.VArca; “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”
Lippicott.
Williams and Wilkins; 3rd edition ; April 15, 2002
5. Karen Lee Footaine; “Mental Health Nursing”; Prentice hall Publishers; 5th Edition; Portland
6. Gelder Micheal “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)
1st 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,
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

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

Internal Assessment - 25 Marks


University Exam - 75 Marks
Grand Total - 100 Marks

PRACTICAL INTERNAL ASSESSMENT


Sr.No. Technique Total Marks Weightage % Marks
1 Examination - Prefinal 100 40 40
2 History taking 50 2.5 2.5
3 MSE 50 5 5
4 Process recording 25 2.5 2.5
5 Case Study 50 2x5=10 10
6 Case Presentation 50 2x10=20 20
7 Clinical Evaluation (2) 2x100=200 2x2.5=5 5
8 Clinical Teaching (2) 2x25=50 2x2.5=5 5
9 Attendance 10 10
Total 475 100 100

UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

128
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

129
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

130
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING

PSYCHIATRIC NURSING HISTORY COLLECTIVE FORMAT

I Demographic data:
- Name
- Age
- Sex
- Marital Status
- Religion
- Occupation
- Socio-economic status
- Address
- Informant
- Information (Relevant or not ) adequate or not

II Chief Complaints / Presenting complaints (List with duration )


- In patients own words and in informants own words.
E.g.:- Sleeplessness x 3 weeks
- Loss of appetite & hearing voices x 2 weeks
- Talking to self

III Present psychiatric history/nature of the current episode


- Onset – Acute (Within a few hours)
- Sub acute (Within a few days)
- Gradual (Within a few weeks)
- Duration – Days, weeks or months
- Course – Continuous/ episodic
- Intensity/ same / increasing or decreasing
- Precipitating factors – Yes / No (If yes explain)
- History of current episode (explain in details regarding the presenting complaints)
- Associated disturbances – included present medical problems (E.G. Disturbance in sleep,
appetite, IPR & Social functioning, occupation etc).

IV Past Psychiatric history:


- Number of episode with onset and course
- Complete or incomplete remission
- Duration of each episode
- Treatment details and its side effects if any
- Details if any precipitating factors if present

V a) Past Medical History


b) Past Surgical History
c) Obstetrical History (Female)

131
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

VII Personal History:-


- Pre-nantal history – Maternal infections
- Exposure to radiation etc.
- Check ups
- Any complications
- Natal history – Type of delivery
- Any complications
- Breath and cried at birth
- Neonatal infections
- Mile stones : Normal or delayed Behaviour during childhood
- Excessive temper tantrums
- Feeding habit
- Neurotic symptoms
- Pica
- Habit disorders
- Execratory disorders etc.
Illness during childhood
- Look specifically for CNS infections
- Epilepsy
- Neurotic disorders
- Malnutrition
Schooling
- Age of going school
- Performance in the school
- Relationship with peers
- Relationship with teachers (Specifically look for learning disability and attention deficit)
- Look for conduct disorders E.G. Truancy, Stealing

VIII Occupational history


- Age of Joining job
- Relationship with superiors, subordinates & colleagues
- Any Change in the job – if any give details
- Reasons for changing jobs
- Frequent absenteeism

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.

132
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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
EVALUTION CRITERIA – FOR PSYCHIATRIC HISTORY TAKING

Name of the Student: - __________________________________ Batch :- ______________________

Name of the patient:- __________________________________________________________________

Diagnosis:-____________________________________________ Ward:- ________________________

Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr. No. Criteria Marks Assigned Marks Obtained


1 Format 3
2 Presenting Complaints 5
3 Organization of history of present illness 10
4 Past history of illness 5
5 Family History 4
6 Personal history 5

7 Pre-morbid personally 5

8 Physical examination 8

9 Summary & Clinical Diagnosis 5


Total 50

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

134
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
MENTAL STATUS EXAMINATON (MSE) FORMAT

I General appearance and behavior (GAAB):


a) Facial expression (E.G. Anxiety, Pleasure, Confidence, Blunted, Pleasant)
b) Posture (Stooped, stiff, guarded, normal)
c) Mannerisms (Stereotype, negativism, tics, normal)
d) Eye to eye contact (maintained or not)
e) Rapport (Built easily or not built or built with difficulty)
f) Consciousness (conscious or dowry or unconscious)
g) Behaviour (includes social behaviour, E.g. Overfriendly, disinherited, preoccupied,
aggressive, normal)
h) Dressing and grooming – well dressed/ appropriate / inappropriate (to season and situation)
neat and tidy/dirty.
i) Physical features :- Look older/younger than his or her age/under weight/over weight/
physical deformity.
II Psychomotor Activity:-
Increase / decreased / Compulsive/echopradxia/ Stereotypy / irrelevant automatic obedience)

III Speech: One sample of speech (verbatim in 2 or 3 sentences)


a) Coherence – coherent / incoherent
b) Relevance (answer the questions appropriately) – relevant /irrelevant.
c) Volume (Soft, loud or normal)
d) Tone (high pitch, low pitch, or normal/monotonous)
e) Manner – Excessive formal /relaxed/inappropriately familiar.
f) Reaction time (time taken to answer the question)-increased, decreased or normal

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

V Mood (Subjective) and after (Objective) :


a. Appropriate/inappropriate Relevance to situation and thought congruent.
b. Pleasurable affects-Euphoria / Elation / Exaltation / Ecstasy
c. Unpleasurable affects – Grief / mourning / depression.
d. Other affects-Anxiety / fear / Panic/free floating anxiety/apathy/ aggressive / moods swing
/ emotional liability
135
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:
a. Time approximately without looking at the watch, what time is it?
b. Place – Where he / she is now?
c. 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.

f) Judgment : Personal (Future plans)


- Social (Perception of the society)
- Test (Present a situation and ask their response to the situation)
g) Insight:-

a) Complete denial of illness


b) Slight awareness of being sick
c) Awareness of being sick attribute it to external/physical factor.
d) Awareness of being sick, but due to something unknown in himself.
e) Intellectual insight
f) True emotional insight
VIII General Observations :-
a) Sleep
I. Insomnia – temporary / persistent
II. Hypersomnia – temporary / persistent
III. Non-organic – sleep – wake cycle disturbance
IV. EMA-Early Morning Awakening
b) Episodic disturbances – Epilepsy / hysterical / impulsive behaviour/ aggressive behaviour /
destructive behaviour

IX Summary & Clinical Diagnosis


136
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
EVALUTION CRITERIA – FOR MENTAL HEALTH STATUS EXAMINATION

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Format 2
2 General Appearance 4
3 Motor disturbances 4
4 Speech 4
5 Thought disturbances 4
6 Perceptual disturbances 5

7 Affect and mood 4

8 Memory 3

9 Orientation 2

10 Judgment 3

11 Insight 2

12 Attention and Concentration 3

13 Intelligence and General Information 3

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
PROCESS RESORDING FORMAT

I] BASE LINE DATA OF CLIENT


II] List of nursing problems identifies through history, MSE and systematic observation
III] List of objective of interactions based on the problem identified and learning need of
a) Client b) Student

(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)

2. DATE AND TIME DURATION:

3. SETTING: General ward / patient’s unit

4. OBJECTIVES TO BE ATTAINED IN THAT PARTICULAR INTERACTION:


1) ________________
2) ________________

Participant Conversation Inference Therapeutic Comm Tech Used

_________ ___________ ________ ____________________

5. NATURE OF TERMINATION OF INTERACTION:

Evaluation by the student:


1) Your General impression about the interaction (This could included whether TNPR maintained,
use of TCT, CO-operation of client etc.)
2) Whether objectives achieved, and to what extent If not why and how do you intend to achieve it.
3) Summery of your inferences

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
EVALUTION CRITERIA – PROCESS RECORDING

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

Total Marks – 25 Marks obtained:-___________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Format 5
2 Objectives 3
3 Setting 2
4 Therapeutic techniques used 10

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
FORAMT FOR NURSING CARE PLAN

 Bio date of the patient


 History of the patient
 Pre-monid personality
 Physical examination
 Mental status examination
 Assessment Data – Objectives data – subjective data
 Nursing Diagnosis
 Short Term Goals, Long Terms goals
 Plan of action with rationale
 Implementation including health teaching
 Evaluation
 Bibliography
Format For Case Presentation / Case Study
1. History
2. Physical examination
3. Mental status examination
4. Description of the case
a) Definition
b) Etiological Factors
c) Psycho Pathology / Psychodynamics
d) Clinical Manifestations
i) In general
ii) In the Patient
5. Differential diagnosis
6. Diagnosis & Prognosis
7. Management – AIM & OBJECTIVES (Including nursing care)
Medical –
Pharmacy therapy & Somatic therapy
Psychosocial Therapy
Nursing Management – In General
Nursing Process approaches
Rehabilitation / Long Term care
8. Progress notes
9. Bibliography

140
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
EVALUTION CRITERIA – PROCESS RECORDING

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

otal Marks – 50 Marks obtained:-___________

Sr.No. Criteria Marks Assigned Marks Obtained


I
1 History Taking 02
2 Mental Status Examination 05
3 Description of Disease Condition
a) Definition 03
b) Etiological Factors 03
c) Psycho Pathology / Psychodynamics 02
4 Clinical Manifestations
a) In general / In books 02
b) In the patient 02
5 Differential Diagnosis 01
6 Prognosis 01
7 Management-
Aim & objective 01
Pharmaco theory & Somato theory 03
Psychosocial approaches 02
8 Nursing Management
a) General Approaches 05
b) Nursing Process approach 05
c) Rehabilitation / Long term care 04
I Presentation (effectiveness) 05
II A.V. Aids 02
IV Bibliography 02

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURSING
EVALUTION CRITERIA – FOR CASE STUDY

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-___________


Sr.No. Criteria Marks Assigned Marks Obtained
I
1 History Taking 02
2 Mental Status Examination 05
3 Description of Disease Condition
a) Definition 03
b) Etiological Factors 03
4 c) Psycho Pathology / Psychodynamics 02
Clinical Manifestations
a) In general / In books 02
5 b) In the patient 02
6 Differential Diagnosis 01
7 Prognosis 01
Management-
Aim & objective 01
Pharmaco theory & Somato theory 03
8 Psychosocial approaches 02
Nursing Management
a) General Approaches 05
b) Nursing Process approach 05
c) Rehanlibitation / Long term care 04
I Presentation (effectiveness) 05
II A.V. Aids 02
IV Bibliography 02

TOTAL 50

142
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I COMMUNITY HEALTH NURSING
CLINICAL EVALUATION PROFORMA

Name of the Student: - _______________________ Area of Community Health Nursing: -


____________
Name of Evaluator: - ______________ Period under Evaluation:-_______ Total Marks obtained
______

Sr. Criteria Grades


No. 5 4 3 2 1
Excellent V.Good Good Average Poor
I KNOWLEDGE ABOUT THE PATIENT:
1) Elicit the comprehensive history of the patient.
2) Understands the disease aspect
3) Examine the mental status of the patient
4) Participates in the management of patient, in
Relation to drug and psychosocial intervention.
5) Carries out Nursing process with emphasis on:
Meeting physical needs of patient.
6) Attends to psycho social needs
7) Indentifies and meets the family needs.
II COMMUNICATION & INTERPERSONAL SKILLS
1) Utilizes therapeutic communication techniques
while interacting with patients & family
members.
2) Improve therapeutic communication skills by
process Recording.
3) Maintains professional relationship with health
team members.
III APPLICATION OF THERAPETICS MELIEU
CONCEPT
1) Accept the patient as he is Maintain consistency
in behaviour and attitude
2) Structure time of the patient
3) Provides a safe environment
IV RECORDING & REPORTING
1) Record & Report MSE daily (Assigned patients)
2) Applies the principles of recording and reporting
(accuracy, apprehensiveness, accountability)
V HEALTH TEACHING
Incidental and planned teaching
VI PERSONALITY
1) Professional appearance
2) Sincerely Sense responsibility
3) Punctuality

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


FIRST YEAR M.Sc. NURSING
CLINICAL SPECIALITY – I MENTAL HEALTH NURISNG
TERM PAPER - EVALUTION CRITERIA

Name of the Student: - _________________________________________________

Batch :- _________________________ Date:- ______________________________

Topics:- ______________________________________________________________

Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr. No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

II YEAR M.Sc. NURSING

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

At the end of the course, students will be able to:

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

 Supervision and management: concepts and principles


Discipline: service rules, self discipline, constructive
versus destructive discipline, problem employees,
disciplinary proceedings- enquiry etc
 Self evaluation or peer evaluation, patient satisfaction,
utilization review
 Applications to nursing service and education
IX 10 Fiscal planning
 Steps Plan and non-plan, zero budgeting, mid-term
appraisal, capital and revenue
 Budget estimate, revised estimate, performance budget
 Audit
 Cost effectiveness
 Cost accounting
 Critical pathways
 Health care reforms Health economics
 Health insurance
 Budgeting for various units and levels
 Applications to nursing service and education
X 10 Nursing informatics
 Trends
 General purpose
 Use of computers in hospital and community
 Patient record system Nursing records and reports
 Management information and evaluation system (MIES)
 E- nursing, Telemedicine, telenursing
 Electronic medical records
XI 10 Leadership
 Concepts, Types, Theories
 Styles Manager behaviour
 Leader behaviour Effective leader: Characteristics, skills
 Group dynamics Power and politics lobbying
 Critical thinking and decision making
 Stress management
 Applications to nursing service and education
XII 10 Legal and ethical issues Laws and ethics
 Ethical committee
 Code of ethics and professional conduct
 Legal system: Types of law, tort law, and liabilities
 Legal issues in nursing: negligence, malpractice, invasion
of privacy, defamation of character
 Patient care issues, management issues, employment
issues Medico legal issues
 Nursing regulatory mechanisms: licensure, renewal,
accreditation
 Patients rights, Consumer protection act(CPA)
 Rights of special groups: children, women, HIV, handicap,
ageing.
 Professional responsibility and accountability
 Infection control
 Standard safety measures

149
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

PRACTICALS

Sr. No. Dept./Unit Total Hours

Hospital administration –Account section, CSSD, Dietary Dept,


1 Waste treatment Unit, Central Store 20 Hours

Nursing service administration – Officer of nursing


2 superintendent, Department in Charge 50 Hours

Nursing school administration office of Principal of


3 School/College of Nursing 20 Hours

4 Visits 60 Hours

Total 150 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

BIBLOGRAPHY & Reference:-

1. Awasthi and Maheshwari, ‘Public Administration’ Lakshmi Narayan Aggrawal Educational


Publsihers, Agra.
2. Chatterjee S.S. An introduction to management, word press.
3. Daviesand Maculey, “Hospital planning and administration”, world health organization, Geneva.
4. Dale, Ernest Management, “Theory and Public Health Services, W.B. Soundeers Co. Philadelphia and
London.
5. Finer, H. Administration and the Nursing Services, Mac Millan.
6. Freeman Ruth B & Holmer Edward M. “Administration and Public Health Services”, W.B. Soundeers
Co. Philadelphia and London.
7. Gallagher, A.H. “Educational Administration in Nursing”, Macmillan.
8. Goddard H.A., “Principles of Administration applied to Nursing” Macmillan.

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.

List of Journals Recommended


1. Registered Nurses
2. Nursing Times
3. Nursing Journal of India
4. Nurses of India
5. Indian Journal of administration
6. Indian Journal of Holistic Nursing
7. Journal of Nursing Practice and Research
8. Journal of advance nursing practice
9. Herald of Health
10. Health screen
11. Health action

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

Internal Assessment - 25 Marks


University Exam - 75 Marks
Grand Total - 100 Marks

153
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

154
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
EVALUTION CRITERIA – PERFORMANCE APPRAISALTOOL

Name of the Student: - _________________________________________________


Batch :- _________________________ Date:- ______________________________
Topics:- ______________________________________________________________
Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr. No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING EDUCATION
EVALUATION CRITERIA – DUTY ROSTER

Name of the Student: - _____________________________________________________


Batch:- _____________________________________ Date:- ______________________

Total Marks – 25 Marks obtained:- ___________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Adequacy-Requirements, Fairness 10
2 Accuracy (following guidelines) 3
3 Feasibility 5
4 Self explanatory 5
5 Neatness 2
TOTAL 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
EVALUTION CRITERIA - PROTOCOLS

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

At the end of the course the students will be able to

1. Appreciate trends and issues related to Critical Care Nursing.


2. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of critically ill
patients
3. Describe the various drugs used in critical care and nurses responsibility
4. Perform physical, psychosocial & spiritual assessment
5. Demonstrate advance skills/competence in managing critically ill patients including Advance
Cardiac Life Support.
6. Demonstrate skill in handling various equipments/gadgets used for critical care
7. Provide comprehensive care to critically ill patients.
8. Appreciate team work & coordinate activities related to patient care.
9. Practice infection control measures.
10. Assess and manage pain.
11. Identify complications & take appropriate measures.
12. Discuss the legal and ethical issues in critical care nursing
13. Assist patients and their family to cope with emotional distress, spiritual, grief and anxiety
14. Assist in various diagnostic, therapeutic and surgical procedures
15. Incorporate evidence based nursing practice and identify the areas of research in the field of
critical care nursing
16. Identify the sources of stress and manage burnout syndrome among health care
providers.

159
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

17. Teach and supervise nurses and allied health workers.


18. Design a layout of ICU and develop standards for critical care nursing practice.

Course Content

UNIT HOURS Course Content


I 5 Introduction to Critical Care Nursing
 Historical review- Progressive patient care(PPC)
 Review of anatomy and physiology of vital organs, fluid
and electrolyte balance
 Concepts of critical care nursing
 Principles of critical care nursing
 Scope of critical care nursing
 Critical care unit set up including equipments supplies, use and
care of various type of monitors & ventilators
 Flow sheets
II 10 Concept of Holistic care applied to critical care nursing practice
 Impact of critical care environment on patients:-
 Risk factors, Assessment of patients, Critical care psychosis,
prevention & nursing care for patients affected with
psychophysiological & psychosocial problems of critical care
unit, Caring for the patient’s family, family teaching
 The dynamics of healing in critical care unit:-therapeutic touch,
Relaxation, Music therapy, Guided Imagery, acupressure
 Stress and burnout syndrome among health team members
III 14 Review
 Pharmacokinetics
 Analgesics/Anti inflammatory agents
 Antibiotics, antiseptics
 Drug reaction & toxicity
 Drugs used in critical care unit (inclusive of ionotropic, life
saving drugs)
 Drugs used in various body systems
 IV fluids and electrolytes
 Blood and blood components
 Principles of drug administration, role of nurses and care of
drugs
IV 5 Pain Management
 Pain & Sedation in Critically ill patients
 Theories of pain, Types of pain, Pain assessment, Systemic
responses to pain
 Pain management-pharmacological and non-pharmacological
measures
 Placebo effect
V 5 Infection control in intensive care unit
 Nosocomial infection in intensive care unit; methyl
resistant staphylococcus aureus (MRSA), Disinfection,
Sterilization, Standard safety measures, Prophylaxis for staff

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

161
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

 & Nursing management of burns


 Fluid and electrolyte therapy – calculation of fluids and its
administration
 Pain management
 Wound care
 Infection control
 Prevention and management of burn complications
 Grafts and flaps
 Reconstructive surgery
 Rehabilitation
XIV 5 Obstetrical Emergencies
 Causes, Pathophysiology, Clinical types, clinical features,
diagnostic Prognosis, Management: Medical, Surgical and
Nursing management of :Antepartum haemorrhage,
Preeclampsia, eclampsia, Obstructed labour and ruptured
uterus, Post partum haemorrhage, Peurperal sepsis, Obstetrical
shock
XV 10 Neonatal Paediatric emergencies
 Causes, pathophysiology, Clinical types, Clinical features,
diagnostic, Prognosis , Management: medical, surgical and
Nursing management of
∙ Neonatal emergencies
∙ Asphyxia Neonatarum, Pathological Jaundice in
Neonates, Neonatal seizures, Metabolic disorders, Intra
cranial Hemorrhage, Neonatal Sepsis, RDS/HMD
(Respiratory Distress
∙ Syndrome/Hyaline Membrane Disease), Congenital
disorders:-
∙ Cyanotic heart disease, tracheo oesophageal fistula,
∙ hypertropic pyloric stenosis, imperforate anus
∙ Pediatric emergencies
∙ Dehydration,
∙ Acute broncho pneumonia,
∙ Acute respiratory distress syndrome,
∙ Poisoning,
∙ Foreign bodies,
∙ Seizures,
∙ Traumas,
∙ Status asthmaticus
XVI 2 Legal and ethical issues in critical care-Nurse’s role
 Brain death
 Organ donation & Counseling
 Do Not Resuscitate(DNR)
 Euthanasia
 Living will
XVII 2 Quality assurance
 Standards, Protocols, Policies, Procedures
 Infection control; Standard safety measures
 Nursing audit
 Staffing
 Design of ICU/CCU

163
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Practical

Deptt./Unit Total Hours Activity / Assignment


Burns ICU 60 Hours Ng Care Plan – 1 & report
Ng Care Plan – 1 & report Case
Medical ICU 120 Hours
presentation -1
Ng Care Plan – 1 & report Case
Surgical ICU 120 Hours
presentation -1 Report
CCU 60 Hours Ng Care Plan – 1 & report
Emergency Department Ambulance 30 Hours Report
Dialysis Unit 60 Hours Report
Transplant Room 30 Hours Report
Paediatric/ NICU & Eclampasia
120 Hours Report
Room, Loabour Room
Medical Ward 30 Hours Ng Care Plan – 1 & report
Surgical Ward 30 Hours Ng Care Plan – 1 & report
Cardithoracic ICU 60 Hours Ng Care Plan – 1 & report
Cardio Thoracic Ward 30 Hours Ng Care Plan – 1 & report Report
Ng Care Plan (Medical-1, Surgical -1)
Neuro / Neurosurgical ICU 120 Hours
Report
Operating System 60 Hours Reprot
Total 960 Hours

ESSENTIAL CRITICAL CARE NURSING SKILLS I.


Procedures Observed

1. CT Scan
2. MRI
3. EEG
4. Hemodialysis
5. Endoscopic Retrograde cholangio Pancreaticogram(ERCP)
6. Heart/ Neuro/GI./ Renal Surgeries

II. Procedures Assisted

1. Advanced life support system


2. Basic cardiac life support
3. Arterial line/arterial pressure monitoring/blood taking
4. Arterial blood gas
5. ECG recording
6. Blood transfusion
7. IV cannulation therapy
8. Arterial Catheterization
9. Chest tube insertion
10. Endotracheal intubations
11. Ventilation
12. Insertion of central line/cvp line
13. Connecting lines for dialysis
164
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

III. Procedure Performed

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

6. Admission & discharge of critically ill patients


7. Nutritional needs – gastrostomy feeds, pharyngeal feeds, jejunostomy feeds, TPN, formula
preparation & patient education.
8. Assessment of patient for alteration in blood sugar levels monitoring blood sugar levels periodically
& administering insulin periodically.
9. Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion pump, calculation of
dosages, use of insulin syringes/ tuberculin, monitoring fluid therapy, blood administration.
10. Setting up dialysis machine and starting, monitoring and closing dialysis
11. Procedures for prevention of infections: Hand washing, disinfection & sterilization surveillance, and
fumigation universal precautions.
12. Collection of specimen.
13. Setting, use & maintenance of basic equipment, ventilator, O2 analyzer, monitoring
equipment, transducers, defibrillator, infusion & syringe pumps, centrifuge machine.

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

Internal Assessment - 25 Marks


University Exam - 75 Marks
Grand Total - 100 Marks

PRACTICAL INTERNAL ASSESSMENT


Sr.No. Technique Total Marks Weightage % Marks
1 Examination - Prefinal 100 40 40
2 Assignment
Care Plan
MICU
Neuromedicine ICU 25 2.5 2.5
Neurosurgical ICU 25 2.5 2.5
Cardiothoracic ward 25 2.5 2.5
3 Case Presentation (2) 25 2.5 2.5
4 Clinical Teaching (2) 50x2=100 5x2=10 5x2=10
5 Clinical Evaluation (2) 25x2=50 2.5x2=5 2.5x2=5
6 Comprehensive patient 100x2=200 10x2=20 10x2=20
Assessment (2) 25x2=50 2.5x2=5 2.5x2=5
7 Attendance 10 10
Total 600 100 100
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks
Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100
167
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II MENTAL SURGICAL NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


e. 5 Marks
f. 5 Marks
g. 5 Marks
h. 5 Marks
Q.2) Long Answers Questions 15 Marks
d. 2 Marks
e. 5 Marks
f. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


e. 5 Marks
f. 5 Marks
g. 5 Marks
h. 5 Marks
Q.2) Long Answers Questions 15 Marks
d. 2 Marks
e. 5 Marks
f. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

168
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II MENTAL SURGICAL NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II MENTAL SURGICAL NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
PRACTICAL TEACHING PERFORMA FOR EVALUTION
Name of the Student: - _________________________________ Group_________________
Topic:-_____________________________________________ Place: -__________________
Name of the evaluator :-_________________________ Date & Time:- __________________

Sr.No. Criteria Maximum Marks Marks Obtained


1 LESSON PLAN
∙ General objectives stated clearly 10
∙ Specific objectives stated in behavioral terms
∙ Lesson plan followed in sequence
∙ Bibliography upto date and complete
2 LEARNING ENVIRONMENT
∙ Physical set up of classroom (seating) 5
∙ Classroom light adequate
∙ Well ventilated
∙ Motivates student
3 PRESENTATION
∙ Coverage of subject content 10
∙ Depth of knowledge
∙ Integration of subject matter
∙ Speech-clear, audible, well modulated.
∙ Explanation and clarification
4 USE OF AUDIO VISUAL AIDS
∙ Relevant, clear and visible 10
∙ Creativity
∙ Used effectively at the right time
5 QUESTIONING TECHNIQUE
∙ Questioning equally addressed to all
∙ Well worded questions, no ambiguity
5
∙ Thought provoking questions
∙ Sufficient time allowed for answering
∙ Questions relevant and challenging
6 GROUP PARTICIPATION 3
7 ASSIGNMENT
∙ Appropriate to the lesson
∙ Clear
2
∙ Motivating
∙ Explained to the students
∙ Feedback given to the students
8 STUDENT TEACHER PERSANALITY
∙ Appearance grooming
∙ Confidence
5
∙ Eye contact
∙ Modulation
∙ Mannerisms
TOTAL MARKS 50

Signature of the Evaluator/Guide


Signature of the Evaluator/Guide Signature of the student

171
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
DRUG BOOK -EVALUTION CRITERIA

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

FORMAT FOR DRUG BOOK

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MEDICAL SURGICAL NURSING
EVALUTION CRITERIA FOR NURSING CARE PLAN

Name of the Student: - ___________________________________________________________


Patient Name :- _________________________________________________________________
Diagnosis:-__________________________ Ward :- ____________________________________
Name of the Supervisor:-__________________________________________________________

Total Marks – 25 Marks obtained:-_______


Sr.No. Criteria Marks Assigned Marks Obtained
1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

173
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MEDICAL SURGICAL NURSING

PROFORMA & GUIDELINES FOR CASE PRESENTATION

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

III Socio-economic status of the family:


Monthly income, expenditure on health, food, education etc.

IV History of Illness (Medical & Surgical)


i) History of present illness – onset, symptoms, duration, precipitating/ aggravating factors
ii) History of past illness surgery, allergies, medications etc.
iii) Family history – Family tree, history of illness in the family members, risk factors congenital
problem, psychological problem etc.

V Diagnosis (Provisional & Confirmed)


Description of disease: Includes the followings
1. Definition
2. Etiology & risk factors
3. Patho physiology
4. Clinical features.

VI Physical Examination of Patient (Date & Time)


Physical examination: with date and time.
Clinical features present in the book Present in the Patient
VII Investigations
Date Investigation done Results Normal Value Interfaces

VIII Management – (Medical / Surgical)


Aims of management
Medical or Surgical Management
Pharmacological Management
Sr.No. Name of the drug Dose Route Action Side effects Nurse
Responsibility

IX Nursing Management (Including diet Plan, Health Education, Discharge planning)


Nursing care plan based on Nursing Theory
Nurses notes
X Summery of the case & Conclusion-
XI References
174
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MEDICAL SURGICAL NURSING
EVALUTION CRITERIA FOR CASE PRESENTATION

Name of the Student: - ______________________________________________________


Area:- _______________________ Patient Name :- ______________________________
Diagnosis:-________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Allotted Marks Obtained


1 Content Subjective & objective data 8
2 Problems & needs identified & Nursing Care Plan 15
3 Effectiveness of presentation 5
4 Co-relation with patient & Book (research evidence) 10
5 Use of A V aids 5
6 Physical Arrangement 2
7 Group Participation 3
8 Bibliography & References 2
Total Marks 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MEDICAL SURGICAL NURSING
CLINICAL EVALUATION: COMPREHENSIVE NURSING CARE
(Maximum Marks – 100 each area)
Name of the Student: - ____________________________________________________________
Duration of Experience: - _____________________________________Year :- _______________

Total Marks obtained _____


Sr.No. Criteria Rating
1 2 3 4 5
I UNDERSTANDING PATIENT AS PERSON
A. Approach
1. Rapport with patient/family members
B. Understanding of patients health problems.
1. Knowledge about disease condition.
2. Knowledge about investigations.
3. Knowledge about treatment including diet.
4. Knowledge about progress of the patent.
II NURSING CARE PLAN
1. History taking – Past & present health and illness.
2. Specific observation of the patient.
3. Identification of all problems in the patient/family.
4. Prioritizartion & implantation of the plans.
5. Evaluation of the care given & re-planning
III TECHNICAL SKILL
1. Economical & safe adaptation to the situation & available
facilities.
2. Implements the procedure with skill speed & completeness.
IV RECORDING & REPORTING
1. Prompt, precise, accurate & relevant.
2. Maintenance of clinical experience file.
V HEALTH TEACHING
1. Incidental / planned teaching with principles of teaching &
learning
VI SUPERVISORY RESPONSIBILITIES
1. Supervision of students
2. Supervision subordinate staff
3. Supervision of ward
VII Personality
1. Professional appearance (uniform, dignity, tactfulness
interpersonal relationship, punctuality etc.
2. Sincerity, honesty & Sense of responsibility
Total Marks

Remarks:-

Signature of Student Signature of Clinical supervisor

176
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
EVALUTION CRITERIA – COMPEHENSIVE PATIENT ASSESSMENT TOOL

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 10
2 Organisation 5
3 Illustration 5
4 Resources Used 5
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II

OBSTETRIC AND GYNAECOLOGICAL NURSING

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

At the end of the course, the student will be able to:

1. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of women


with obstetric and gynaecological conditions
2. Perform physical, psychosocial, cultural & spiritual assessment
3. Demonstrate competence in caring for women with obstetrical and gynaecological conditions
4. Demonstrate competence in caring for high risk newborn.
5. Identify and Manage obstetrical and neonatal emergencies as per protocol.
6. Practice infection control measures
7. Utilize recent technology and various diagnostic, therapeutic modalities in the management
of obstetrical, gynecological and neonatal care.
8. Demonstrate skill in handling various equipments/gadgets used for obstetrical,
gynaecological and neonatal care
9. Teach and supervise nurses and allied health workers.
10. Design a layout of speciality units of obstetrics and gynecology
11. Develop standards for obstetrical and gynaecological nursing practice.
12. Counsel women and families
13. Incorporate evidence based nursing practice and identify the areas of research in the field of
obstetrical and gynaecological nursing
14. Function as independent midwifery nurse practitioner

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

UNIT HOURS Course Content


I 25 Management of problems of women during pregnancy Risk
approach of obstetrical nursing care , concept &goals. Screening
of high-risk pregnancy, newer modalities of diagnosis.
Nursing Management of Pregnancies at risk-due to obstetrical
complication
 Pernicious Vomiting.
 Bleeding in early pregnancy, abortion, ectopic pregnancy,
and gestational trophoblostic diseases.
 Hemorrhage during late pregnancy, ante partum hemorrhage,
Placenta praevia, abruptio placenta.
 Hypertensive disorders in pregnancy, pre-eclampsia,
eclampsia, Heomolysis Elevated liver enzyme Low Platelet
count (HELLP)
 Iso–immune diseases. Rh and ABO incompatibility
 Hematological problems in pregnancy.
 Hydramnios-oligohydramnios
 Prolonged pregnancy- post term, post maturity.
 Multiple pregnancies.
 Intra uterine infection & pain during pregnancy.
 Intra Uterine Growth Retardation(IUGR), Premature Rupture
of Membrane(PROM), intra uterine death
II 15 Pregnancies at risk-due to pre-existing health problems
 Metabolic conditions.
 Anemia and nutritional deficiencies
 Hepatitis
 Cardio-vascular disease.
 Thyroid diseases.
 Epilepsy.
 Essential hypertension
 Chronic renal failure.
 Tropical diseases.
 Psychiatric disorders
 Infections Toxoplasmosis Rubella Cytomegalo virus Herpes
(TORCH); Reproductive Tract Infection(RTI);STD;
HIV/AIDS, Vaginal infections; Leprosy, Tuberculosis
 Other risk factors: Age- Adolescents, elderly; unwed mothers,
sexual abuse, substance use
 Pregnancies complicating with tumors, uterine anomalies,
prolapse, ovarian cyst
III 15 Abnormal labour, pre-term labour & obstetrical emergencies
Etiology, pathopyhsiology and nursing management of
• Uncoordinated uterine actions, Atony of uterus, precipitate
labour, prolonged labour.
• Abnormal lie, presentation, position compound presentation
• Contracted pelvis-CPD; dystocia
• Obstetrical emergencies Obstetrical shock, vasa praevia,
inversion of uterus, amniotic fluid embolism, rupture uterus,
presentation and prolapse cord.
• Augmentation of labour. Medical and surgical induction.
179
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

• 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

• Pre-term, small for gestational age, post-mature infant,


and baby of diabetic and substance use mothers.
• Respiratory conditions, Asphyxia neonatorum, neonatal
apnoea meconium aspiration syndrome, pneumo thorax,
pneumo mediastinum
• Icterus neonatorum.
• Birth injuries.
• Hypoxic ischaemic encephelopathy
• Congenital anomalies.
• Neonatal seizures.
• Neonatal hypocalcaemia, hypoglycemia,
hypomagnesaemia.
• Neonatal heart diseases.
• Neonatal hemolytic diseases
• Neonatal infections, neonatal sepsis, opthalmia
neonatorum, cogenital syphilis, HIV/AIDS
• Advanced neonatal procedures.
• Calculation of fluid requirements.
• Hematological conditions – erythroblastosis fetalis,
hemorrhagic disorder in the newborn
• Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and management of
nursing services in NICU
VI 15 HIV/AIDS
• HIV positive mother and her baby
• Epidemiology Screening
• Parent to child transmission(PTCT)
• Prophylaxis for mother and baby
• Standard safety measures
• Counseling
180
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

• Breast feeding issues


• National policies and guidelines
• Issues: Legal,ethical, Psychosocial and rehabilitation
• Role of nurse
VII 25

Gynecological problems and nursing management


Gynecological assessment

Gynecological procedures

Etiology, pathophysiology, diagnosis and nursing management of

• 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

Total = 960 Hours


1 Week = 30 Hours
Sr.No. Deptt./ Unit No. of Week Total Hours

Antenatal OPD including Infertility


clinics/Reproductive medicine, Family welfare and
1 post partum clinic / PTCT 6 180 Hours

2 Antenatal and Postnatal ward 6 180 Hours

3 Labour room 4 120 Hours

4 Neonatal Intensive Care Unit 3 90 Hours

5 Obstetric/Gynae Operation Theatre 3 90 Hours

6 Gynae Ward 4 120 Hours

7 CHC, PHC, SC 6 180 Hours

Total 32 Weeks 960 Hours

Essential Obstetrical And Gynecological Skills Procedure Observed


• Assisted Reproductive Technology procedures
• Ultra sonography
• Specific laboratory tests.
• Amniocentesis.
• Cervical & vaginal cytology.
• Fetoscopy.
• Hysteroscopy.
• MRI.
• Surgical diathermy.
• Cryosurgery.

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

LIST OF BOOKS RECOMMENDED FOR OBSTESTICS AND GYANECOLOGY &


NEONATOLOGY

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.

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, “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

12. Hollan and Brews, “Manual of Obstetrics”, BI Chuchill Livingstone

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

List of Journals Recommended


1. American Journal of Nursing
2. Health and population
3. Indian Journal of Nursing and Midwifery
4. Journal of Obstetrics and Gynecology
5. Journal of Pediatrics
6. Journal of Family
7. Nursing Journal of India
8. Nursing Times
9. Pediatric Today
10. Pediatric Clinics of India
11. Obstetrics and Gynecology Today.

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

PRACTICAL INTERNAL ASSESSMENT

Sr.No. Technique Total Marks Weightage % Marks


1 Examination - Prefinal 100 40 40
2 Care Plan (4)
Antenatal 25 2.5 2.5
Intranatal 25 2.5 2.5
Post Nantal 25 2.5 2.5
Gynaec 25 2.5 2.5
3 Clinical Presentation
Antenatal 50 5 5
Post Nantal 50 5 5
4 Case Book 50 5 5
5 Clinical Evaluation (2)
Antenatal 100 10 10
Post Nantal 100 10 10
6 Clinical Teaching (2) 2x25=50 2x2.5=50 5
7 Attendance 10 10
Total 600 100 100

UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

186
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

187
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
SEMINAR/PRESENTATION EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
SYMPOSIUM/PRESENTATION EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
PRACTICAL TEACHING PERFORMA FOR EVALUTION
Name of the Student: - _______________________________ Group__________________
Topic:-___________________________________________ Place: -__________________
Name of the evaluator :-_____________________ Date & Time:- __________________

Sr.No. Criteria Maximum Marks Marks Obtained


1 LESSON PLAN
∙ General objectives stated clearly 10
∙ Specific objectives stated in behavioral terms
∙ Lesson plan followed in sequence
∙ Bibliography upto date and complete
2 LEARNING ENVIRONMENT
∙ Physical set up of classroom (seating) 5
∙ Classroom light adequate
∙ Well ventilated
∙ Motivates student
3 PRESENTATION
∙ Coverage of subject content 10
∙ Depth of knowledge
∙ Integration of subject matter
∙ Speech-clear, audible, well modulated.
∙ Explanation and clarification
4 USE OF AUDIO VISUAL AIDS
∙ Relevant, clear and visible 10
∙ Creativity
∙ Used effectively at the right time
5 QUESTIONING TECHNIQUE
∙ Questioning equally addressed to all
∙ Well worded questions, no ambiguity
5
∙ Thought provoking questions
∙ Sufficient time allowed for answering
∙ Questions relevant and challenging
6 GROUP PARTICIPATION 3
7 ASSIGNMENT
∙ Appropriate to the lesson
∙ Clear
2
∙ Motivating
∙ Explained to the students
∙ Feedback given to the students
8 STUDENT TEACHER PERSANALITY
∙ Appearance grooming
∙ Confidence
5
∙ Eye contact
∙ Modulation
∙ Mannerisms
TOTAL MARKS 50

Signature of the Evaluator/Guide


Signature of the Evaluator/Guide Signature of the student

190
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
DRUG BOOK -EVALUTION CRITERIA

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 15
2 Organisation 2.5
3 Illustration 2.5
4 Resources Used 5
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

FORMAT FOR DRUG BOOK

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
CASE BOOK - EVALUTION CRITERIA
Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


Content :- Accuracy 15
1
Adequacy 5
2 Neatness 2.5
3 Promptness 2.5
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
EVALUTION CRITERIA FOR CASE PRESENTATION

Name of the Student: - ___________________________________________________________


Patient Name :- _____________________________ Diagnosis:-__________________________
Name of the Supervisor:-__________________________________________________________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

193
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
ANTENTAL CASE PRESENTATION FORMAT
1. Identification Data
Patient:- Name, Age in years, Dr’s unit, reg.no. Education, occupation, income, religion, marital
status, duration of marriage Gravida, para, abortion living, blood group
Husband: Name, Age, education, occupation, income, blood group
2. Present complaints
3. History of illness
4. Menstrual history: - Age of menarche, duration of menstrual cycle, duration of cycle in days,
Regularity, amount of flow, LMP, EDD, Associated complaints
5. Contraceptive history:
6. Antenatal attendance:- Date, Weight, Pallor, edema, BP, Weight. Ht, Presentation/ Position,
FHS, Hb, Urine albumin/sugar, treatment
7. Obstetric History:- H/O Previous pregnancy / deliveries, period of Pregnancy, type of labour /
Delivery, birth weight, PNC, condition, remarks
8. Present pregnancy:- Date of booking, number of ANC visits, H/O minor ailments
9. Past medical, surgical history:
10. Family history:
11. Diet History:
12. Socioeconomic status
13. Personal habits
14. Psychosocial status
15. Physical Assessment: General examination : Head to foot
Obstetric Palpation,. Auscultation
16. Conclusion
17. Investigation
18. Treatment
19. Description of disease
20. Therapeutic diet plan
21. Nursing care plan
22. Nurse’s notes
23. Discharge Planning
24. Antenatal Advice
25. Evaluation of care
26. Reference

194
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
PROFORMA & GUIDELINES FOR CASE PRESENTATION

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

III Socio-economic status of the family:


Monthly income, expenditure on health, food, education etc.

IV History of Illness (Medical & Surgical)


i) History of present illness – onset, symptoms, duration, precipitating/ aggravating factors
ii) History of past illness surgery, allergies, medications etc.
iii) Family history – Family tree, history of illness in the family members, risk factors
congenital problem, psychological problem etc.

V Diagnosis (Provisional & Confirmed)


Description of disease: Includes the followings
1. Definition
2. Etiology & risk factors
3. Patho physiology
4. Clinical features.
VI Physical Examination of Patient (Date & Time)
Physical examination: with date and time.
Clinical features present in the book Present in the Patient

VII Investigations
Date Investigation done Results Normal Value Interfaces

VIII Management – (Medical / Surgical)


Aims of management
Medical or Surgical Management
Pharmacological Management
Sr.No. Name of the drug Dose Route Action Side effects Nurse
Responsibility

IX Nursing Management (Including diet Plan, Health Education, Discharge planning)


Nursing care plan based on Nursing Theory
Nurses notes
X Summery of the case & Conclusion-
XI References
195
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
CASE PRESENTATION EVALUTION

Name of the Student: - _________________________________________________________


Batch:- _________________________ Patient Name :- _______________________________
Diagnosis:-____________________________________________________________________
Name of the Supervisor:-________________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Max. Marks Marks Obtained


1 Assessment / Introduction 5
2 Knowledge & understanding of the physiology 10
3 Nursing care plan 15
4 Presentation skill 4
5 Application of nursing theories 6
6 A.V. Aids 5
7 Summery & conclusion 3
8 Bibliography 2
Total 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II OBSTETRIC AND GYNECOLOGICAL NURSING
CLINICAL EVALUATION: COMPREHENSIVE NURSING CARE
(Maximum Marks – 100 each area)

Name of the Student: - ____________________________________________________________


Duration of Experience: - _____________________________________Year :- _______________

Total Marks obtained _____


Sr.No. Criteria Rating
1 2 3 4 5
I UNDERSTANDING PATIENT AS PERSON
A. Approach
1. Rapport with patient/family members
B. Understanding of patients health problems.
1. Knowledge about disease condition.
2. Knowledge about investigations.
3. Knowledge about treatment including diet.
4. Knowledge about progress of the patent.
II NURSING CARE PLAN
1. History taking – Past & present health and illness.
2. Specific observation of the patient.
3. Identification of all problems in the patient/family.
4. Prioritizartion & implantation of the plans.
5. Evaluation of the care given & re-planning
III TECHNICAL SKILL
1. Economical & safe adaptation to the situation & available
facilities.
2. Implements the procedure with skill speed & completeness.
IV RECORDING & REPORTING
1. Prompt, precise, accurate & relevant.
2. Maintenance of clinical experience file.
V HEALTH TEACHING
1. Incidental / planned teaching with principles of teaching &
learning
VI SUPERVISORY RESPONSIBILITIES
1. Supervision of students
2. Supervision subordinate staff
3. Supervision of ward
VII Personality
1. Professional appearance (uniform, dignity, tactfulness
interpersonal relationship, punctuality etc.
2. Sincerity, honesty & Sense of responsibility
Total Marks

Remarks:-

Signature of Student Signature of Clinical supervisor

197
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALTY –II
PEDIATRIC (CHILD HEALTH) 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 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

At the end of the course the students will be able to:

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

UNIT HOURS Course Content


I 5 Introduction
Current principles, practices and trends in Pediatric Nursing
Role of pediatric nurse in various settings -Expanded and
extended
II 35 Pathophysiology, assessment(including interpretation of various
invasive and non-invasive diagnostic procedures),
treatment modalities and nursing intervention in selected
pediatric medical disorders
• Child with respiratory disorders:
- Upper respiratory tract: choanal atresia, tonsillitis, epistaxis,
aspiration.
- Lower respiratory tract: Broncheolitis, Bronchopneumonia,
Asthma, cystic fibrosis
• Child with gastro-intestinal disorders:
- Diarrheal diseases, gastro-esophageal reflux.
- Hepatic disorders: Hepatitis, Indian childhood cirrhosis,
liver transplantation.
- Malabsorption syndrome, Malnutrition
• Child with renal/ urinary tract disorders: Nephrotic syndrome,
Nephritis, Hydronephrosis, hemolytic-uremic syndrome,
kidney transplantation
• Child with cardio-vascular disorders:
- Acquired: Rheumatic fever, Rheumatic heart disease,
- Congenital: Cynotic and acynotic
• Child with endocrine/metabolic disorders: Diabetes
insipidus, Diabetes Mellitus – IDDM, NIDDM, hyper and
hypo thyroidism, phenylketonuria, galactosemia
• Child with Neurological disorders: Convulsions, Meningitis,
encephalitis, guillian- Barre syndrome
• Child with oncological disorders: Leukemias, Lymphomas,
Wilms’ tumor, nephroblastomas, neuroblastomas,
Rhabdomyosarcoma, retinoblastoma, hepatoblastoma, bone
tumors
• Child with blood disorders: Anemias, thalassemias,
hemophilia, polycythemia, thrombocytopenia, and
disseminated intravascular coagulation
• Child with skin disorders
• Common Eye and ENT disorders
• Common Communicable diseases
III 35 • Assessment(including interpretation of various invasive and
non-invasive diagnostic procedures), treatment modalities
including cosmetic surgery and nursing interventions in
selected pediatric surgical problems/ Disorders
• Gastrointestinal system: Cleft lip, cleft palate and conditions
• requiring plastic surgery, Tracheo esophageal fistula/atresia,
199
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Hirschsprungs’ disease/megacolon, gastrochisis, exomphalus,


anorectal malformation, omphalocele, diaphragmatic hernia
• Anomalies of the nervous system: Spina bifida, Meningocele,
Myelomeningocele, hydrocephalus
• Anomalies of the genito-urinary system: Hypospadias,
Epispadias, Undescended testes, Exstrophy bladder
• Anomalies of the skeletal system
• Eye and ENT disorders
• Nursing management of the child with traumatic injuries:
General principles of managing Pediatric trauma, Head injury,
abdominal injury, poisoning, foreign body obstruction, burns
& Bites
• Child with oncological disorders: Solid tumors of childhood,
Nephroblastoma, Neuro blastoma, Hodgkin's/Non Hodgkin's
Lymphoma, Hepatoblastoma, Rhabdomyosarcoma
• Management of stomas, catheters and tubes
• Management of wounds and drainages
IV 10 Intensive care for pediatric clients
• Resuscitation, stabilization & monitoring of pediatric patients
• Anatomical & physiological basis of critical illness in infancy
and childhood
• Care of child requiring long-term ventilation
• Nutritional needs of critically ill child
• Legal and ethical issues in pediatric intensive care
• Intensive care procedures, equipment and techniques
Documentation
V 20 High Risk Newborn
 Concept, goals, assessment, principles.
 Nursing management of
• Post-mature infant, and baby of diabetic and substance
use mothers.
• Respiratory conditions, Asphyxia neonatorum, neonatal
apnoea meconium aspiration syndrome, pneumo thorax,
pneumo mediastinum
• Icterus neonatorum.
• Birth injuries.
• Hypoxic ischaemic encephalopathy
• Congenital anomalies.
• Neonatal seizures.
• Neonatal hypocalcaemia, hypoglycemia,
hypomagnesaemia.
• Neonatal heart diseases.
• Neonatal hemolytic diseases neonatorum, cogenital
syphilis, HIV/AIDS
• Advanced neonatal procedures.
• Calculation of fluid requirements.
• Hematological conditions – erythroblastosis fetalis,
hemorrhagic disorder in the newborn
 Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and
management of nursing services in NICU

200
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

VI 10 Developmental disturbances and implications for nursing


• Adjustment reaction to school,
• Learning disabilities
• Habit disorders, speech disorders,
• Conduct disorders,
• Early infantile autism, Attention deficit hyperactive
disorders (ADHD), depression and childhood
schizophrenia.
VII 10 Challenged child and implications for nursing
• Physically challenged, causes, features, early detection &
management
• Cerebral palsied child,
• Mentally challenged child.
• Training & rehabilitation of challenged children
VIII 5 Crisis and nursing intervention
• The hospitalized child,
• Terminal illness & death during childhood
• Nursing intervention-counseling
IX 5 Drugs used in Pediatrics
Criteria for dose calculation
Administration of drugs, oxygen and blood
Drug interactions
Adverse effects and their management
X 10 Administration and management of pediatric care unit
• Design & layout
• Staffing,
• Equipment, supplies,
• Norms, policies and protocols
• Practice standards for pediatric care unit
• Documentation
XI 5 Education and training in Pediatric care
• Staff orientation, training and development,
• In-service education program,
• Clinical teaching programs.

201
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Practical

Total = 960 Hours


1 Week = 30 Hours

S. No. Deptt./ Unit No. of Week Total Hours

1 Pediatric medicine ICU 4 120 Hours

2 Pediatric surgical ICU 4 120 Hours

3 NICU 4 120 Hours

4 Pediatric OT 2 60 Hours

5 Pediatric medicine ward 6 180 Hours

6 Pediatric surgery ward 6 180 Hours

7 Emergency/Casualty 4 120 Hours

8 Field visits* 2 60 Hours

Total 32 960 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

III. Procedures Performed:


• Airway Management
- Application of Oro Pharyngeal Airway
- Oxygen therapy
- CPAP(Continuous Positive Airway Pressure)
- Care of Tracheostomy
- Endotracheal Intubation
• Neonatal Resuscitation
• Monitoring of Neonates – clinically & with monitors, CRT(Capillary Refill Time),
assessment of jaundice, ECG
• Gastric Lavage
• Setting of Ventilators
• Phototherapy
• Assessment of Neonates: Identification & assessment of risk factors, APGAR Score,
gestation age, Anthropometric assessment, Weighing the baby, Newborn examination,
detection of life threatening congenital abnormalities,
• Admission & discharge of neonates
• Feeding - management of breast feeding, artificial feeding, expression of breast milk,
OG(Orogastric) tube insertion, gavage feeding, TPN, Breast feeding counseling
• Thermoregulation- Axillary temperature, Kangaroo Mother Care (KMC), Use of Radiant
warmer, incubators, management of thermoregulation & control
• Administration of Drugs: I/M, IV injection, IV Cannulation & fixation infusion pump,
Calculation of dosages, Neonatal formulation of drugs, use of tuberculin/ insulin syringes,
Monitoring fluid therapy, Blood administration.
• Procedures for prevention of infections: Hand washing, disinfections & sterilization,
surveillance, fumigation
• Collection of specimens
• Setting, Use & maintenance of basic equipment: Ventilator, O2 analyzer, monitoring
equipment, Photo therapy unit, Flux meter, Infusion pump, Radiant warmer, incubator,
Centrifuge machine, Bilimeter, Refractometer, laminar flow

IV. Other Procedures:

203
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

BIBILOGRAPHY

1 Achar S T Vishwanathan ; “Text Book Paediatrics; A Clinical Approach” Orient Longman,


Mumbai
2. Alexander N M, Brown M.S; “Paediatric Physical Diagnosis for Nurses” McGrew Hill Book
Co. New York.
3. Ball; “Paediatric Nursing caring for Children” Prentice hall, 1999.
4. Behrman, Richard K & Vaughan; “Nelson, S Textbook of Paediatries”;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 Greeberg; “Paediatric Nursing Procedures” Lippincott, Williams & Wilkins
8. Browder J J; “Nursing care of children” FA Davis
9. Cameron, Jeliek et al; “Text Book of Emergency Paediatric Medicine”
10. Cloherty, John P & Stark, Ann R; “Manual Neonatal Care” Lippincott
11. David Hull & Johnson D; “Essential of Pediatrics” Churchill Loving stone
12. Elizabeth Hurlock; “Child Development”
13. Ghai O.P.; “Essential Text Book of Paediatrics” Jaypee Brothers
14. Ghosh shanti; “Nutrition and child care” Jaypee Brothers
15. Ghosh 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 Brother
19. Guha D.K. “Manual of Practical newborn care” Jaypee Brother
20. Hathfeild N;“Introductory Paediatric Nursing” Lippincott, 2003
21. Helens CL & Roberts ; “Paediatric Nursing” C V Mosby & CO
22. Khilnary; “Practical approach to Paediatric Intensive care” Jaypee Brother
23. Kulkarni M C; “Manual Neonatology” Jaypee Brother
24. Klosner & Nancy Hathfield; “Introductory Maternity and Paediatric Nursing” Lippincott,
Williams & Wilkins
25. Merenstein & Garduer; “Handbook of Neonatal intensive care” C V Mosby & CO
26. Mcmillan, Fergin et al; “Oski’s Paediatric Principle & practice” Lippincott, Williams & Wilkins
27. Marlow Dorothy; “Text Book of Paediatric Nursing” W B Saunders Co
28. Parthasarthy el al; “IAP Textbook of Preventive and Social medicine” 18 edn, Banarasi Das
29. Park’s “Text Book of Paediatric Nursing” W B Saunders Co
30. Robert KD Edwards JM; “Paeadiatrics Intensive Care” Blackwell Scientific Publications Oxfords,
31. Richard Polin; “Paediatric Secrets” C V Mosby & CO
32. Seleman; “Paeaditric Nursing” Springhouse, 2004
33. Singh Meherban’ “Care of New born” Sagar Publications New Delhi
34. Singh Meherban; “Drugs used in Children” Sagar Publications New Delhi.
35. Slota; “Core curriculum for Paeditric Critical care Nursing ” W B Saunders Co
36. Speer; “Pediatric Care planning” Springhouse 1999
37. Vidya sagar & Sarnaik; “Neonatal & Paediatric Intensive Care” Jaypee Brother
38. Wagle C S; “Short Text Book of Pediatric” Vohra Book Centre, Mumbai
39. Whaley & Wong; “Nursing care of Infants and Children” C V Mosby & CO
40. Whaley, Lucilla F Donna L; “Essential of Paediatric Nursing” C V Mosby & CO, St. Louis
41. Udani R H; “Neonatal Resucitation” KEM Hosp.

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

Sr.No. Technique Total Marks Weightage % Marks


1 Tests
First term 50 15 3.75
Prefinal 75 25 6.25
2 Seminar- 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

PRACTICAL INTERNAL ASSESSMENT

Sr.No. Technique Total Marks Weightage % Marks


1 Examination - Prefinal 100 40 40
2 Assignments-
Care Plan (4) 4x25=100 4x2.5=10 10
Case Presentation(2) 2x50=100 2x5=10 10
Clinical Teaching (2) 2x25=50 2x2.5=5 5
Clinical Evaluation (2) 2x100=200 2x10=20 20
Preparation & use of Comprehensive 2x25=50 2x2.5=5 5
patient assessment (2)
3 Attendance 10 10
Total 600 100 100

UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

205
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALTY –II CHIULD HEALTH NURISING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


e. 5 Marks
f. 5 Marks
g. 5 Marks
h. 5 Marks
Q.2) Long Answers Questions 15 Marks
d. 2 Marks
e. 5 Marks
f. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


e. 5 Marks
f. 5 Marks
g. 5 Marks
h. 5 Marks
Q.2) Long Answers Questions 15 Marks
d. 2 Marks
e. 5 Marks
f. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

206
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING
SEMINAR /PRESENTATION EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING
SYMPOSIUM / PAPER PRESENTATION EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
PRACTICAL TEACHING PERFORMA FOR EVALUTION
Name of the Student: - _______________________________ Group__________________
Topic:-___________________________________________ Place: -__________________
Name of the evaluator :-_____________________ Date & Time:- __________________

Sr.No. Criteria Maximum Marks Marks Obtained


1 LESSON PLAN
∙ General objectives stated clearly 10
∙ Specific objectives stated in behavioral terms
∙ Lesson plan followed in sequence
∙ Bibliography upto date and complete
2 LEARNING ENVIRONMENT
∙ Physical set up of classroom (seating) 5
∙ Classroom light adequate
∙ Well ventilated
∙ Motivates student
3 PRESENTATION
∙ Coverage of subject content 10
∙ Depth of knowledge
∙ Integration of subject matter
∙ Speech-clear, audible, well modulated.
∙ Explanation and clarification
4 USE OF AUDIO VISUAL AIDS
∙ Relevant, clear and visible 10
∙ Creativity
∙ Used effectively at the right time
5 QUESTIONING TECHNIQUE
∙ Questioning equally addressed to all
∙ Well worded questions, no ambiguity
5
∙ Thought provoking questions
∙ Sufficient time allowed for answering
∙ Questions relevant and challenging
6 GROUP PARTICIPATION 3
7 ASSIGNMENT
∙ Appropriate to the lesson
∙ Clear
2
∙ Motivating
∙ Explained to the students
∙ Feedback given to the students
8 STUDENT TEACHER PERSANALITY
∙ Appearance grooming
∙ Confidence
5
∙ Eye contact
∙ Modulation
∙ Mannerisms
TOTAL MARKS 50

Signature of the Evaluator/Guide


Signature of the Evaluator/Guide Signature of the student

209
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING
DRUG BOOK -EVALUTION CRITERIA

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 15
2 Organisation 2.5
3 Illustration 2.5
4 Resources Used & creativity 5
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

FORMAT FOR DRUG BOOK

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING
EVALUTION NURSING CARE PLAN

Name of the Student: - ___________________________________________________________


Patient Name :- _____________________________ Diagnosis:-__________________________
Name of the Supervisor:-__________________________________________________________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

211
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING

PERFORMA & GUIDELINES FOR CASE STUDY

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

Drug (Pharmacological Name)


Dose Frequency / Time
Action
Side effects & drug interaction
Nurse’s responsibility
XII] Nursing Management (Use Nursing Process) (Short Term & long Term Plans) Assessment
Nursing
Diagnosis Objective Plan of care rationale Implementation Evaluation.
XIII] Complications
Prognosis of the Patient
XIV] Day to day progress report of the patient
XV] Discharge Planning
XVI] Reference

213
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

MGM NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING
CASE PRESENTATION EVALUTION

Name of the Student: - _________________________________________________________


Batch:- _________________________ Patient Name :- _______________________________
Diagnosis:-____________________________________________________________________
Name of the Supervisor:-________________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Max. Marks Marks Obtained


1 Assessment / Introduction 5
2 Knowledge & understanding of the physiology 10
3 Nursing care plan 15
4 Presentation skill 4
5 Application of nursing theories 6
6 A.V. Aids 5
7 Summery & conclusion 3
8 Bibliography 2
Total 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II CHILD HEALTH NURSING
CLINICAL EVALUATION: COMPREHENSIVE NURSING CARE
(Maximum Marks – 100 each area)

Name of the Student: - ____________________________________________________________


Duration of Experience: - _____________________________________Year :- _______________

Total Marks obtained _____


Sr.No. Criteria Rating
1 2 3 4 5
I UNDERSTANDING PATIENT AS PERSON
A. Approach
1. Rapport with patient/family members
B. Understanding of patients health problems.
1. Knowledge about disease condition.
2. Knowledge about investigations.
3. Knowledge about treatment including diet.
4. Knowledge about progress of the patent.
II NURSING CARE PLAN
1. History taking – Past & present health and illness.
2. Specific observation of the patient.
3. Identification of all problems in the patient/family.
4. Prioritizartion & implantation of the plans.
5. Evaluation of the care given & re-planning
III TECHNICAL SKILL
1. Economical & safe adaptation to the situation & available
facilities.
2. Implements the procedure with skill speed & completeness.
IV RECORDING & REPORTING
1. Prompt, precise, accurate & relevant.
2. Maintenance of clinical experience file.
V HEALTH TEACHING
1. Incidental / planned teaching with principles of teaching &
learning
VI SUPERVISORY RESPONSIBILITIES
1. Supervision of students
2. Supervision subordinate staff
3. Supervision of ward
VII Personality
1. Professional appearance (uniform, dignity, tactfulness
interpersonal relationship, punctuality etc.
2. Sincerity, honesty & Sense of responsibility
Total Marks

Remarks:-

Signature of Student Signature of Clinical supervisor

215
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II

COMMUNITY HEALTH NURSING

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

At the end of the course the students will be able to:

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

UNIT HOURS Course Content


I 20 Epidemiology
• Introduction
• Concept, scope, definition, trends, History and
• development of modern Epidemiology
• Contribution of epidemiology & its Implications in
nursing
• Epidemiological methods, Measurement of health and
disease: Health policies
• Epidemiological approaches & Study of disease causatives
• Health promotion
• Levels of prevention
• Epidemiology of Communicable diseases
• Non-communicable diseases
• Emerging and re-emerging diseases Epidemics
• National Integrated disease Surveillance Programme
• Health information system
• Epidemiology study and reports
• Role of Community health nurse
II 40 National Health and Family Welfare Programmes
• Objectives, Organisation/manpower/resources, Activities
and Goals,
• Inter-sectoral approach, implementation, item/purpose,
role and responsibilities of community health nurse:
• National Vector Borne Disease Control
Programm(NVBDCP) National Filaria Control
Programme
• National Leprosy Eradication Programme Revised
national TB Control Programme
• National Programme for Control of Blindness National
Iodine Deficiency disorders Control Programme
• National Mental Health Programme
• National AIDS Control Programme
• National Cancer Control Programme
• RCH I and II
• Non- communicable disease programmes
• NRHM
• National FW Programme
• Reproductive and child Health Programme
• Health Schemes :-ESI, CGHS, Health Insurance
• VISIT (ESIC Hospital, CGHS, RCH Bureau, National
AIDS Control Centre etc.)
III 15 School Health
• Introduction: definition, concepts, objectives, history of
school health nursing
• Health assessment, Screening, identification, referral and
follow up,
• Safe school environment
• Services, programmes and plans- first aid, treatment of
minor ailments
• Inter-Sectoral coordination
• Adolescent health
217
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

• Disaster, disaster preparedness, and management


• Guidance and counseling
• School health records - maintenance and its importance
• Roles and responsibilities of community health nurse
• Visit to a School
IV 15 International health
• Global burden of disease
• Global health rules to halt disease spread
• Global health priorities and programes
• International quarantine
• Health tourism
• International cooperation and assistance
• International travel and trade
• Health and food legislation, laws, adulteration of food
• Disaster management
• Migration
• International health agencies –World Health organizations,
World health assembly, UNICEF, UNFPA, SIDA, US AID,
DANIDA, DFID. Aus AID etc
• International health issues and problems
• International nursing practice standards
• International health vis-a vis national health
• International health days and their significance
V 15 Education and administration
 Quality assurance
 Standards, Protocols, Policies, Procedures
 Infection control; Standard safety measures
 Nursing audit
 Design of Sub-Centre/Primary Health Centre/
 Community health center
 Staffing; Supervision and monitoring-Performance
appraisal
 Budgeting
 Material management
 Role and responsibilities of different categories of
personnel in community health
 Referral chain- community outreach services
 Transportation
 Public relations
 Planning in-service educational programme and teaching
 Training of various categories of health workers-
preparation of manuals
 Visit to subcentre, PHC, CHC, hospital Infection Control
Centre, Quality Control Centre if any, & In-service
Education Department
VI 10 Geriatric
 Concept, trends, problems and issues
 Aging process, and changes
 Theories of ageing Health problems and needs
 Psycho-physiological stressors and disorders
 Myths and facts of aging
 Health assessment

218
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

 Home for aged-various agencies


 Rehabilitation of elderly
 Care of elderly
 Elderly abuse
 Training and supervision of care givers
 Government welfare measures Programmes for elderly
Role of NGOs
 Roles and responsibilities of Geriatric nurse in the
community
 Visit to old Age Home
VII 10 Rehabilitation
 Introduction: Concepts, principles, trends, issues and
Rehabilitation team Models, Methods
 Community based rehabilitation Ethical issues and
Rehabilitation Council of India
 Disability and rehabilitation- Use of various prosthetic
devices
 Psychosocial rehabilitation
 Rehabilitation of chronic diseases
 Restorative rehabilitation
 Vocational rehabilitation
 Role of voluntary organizations
 Guidance and counseling
 Welfare measures
 Role and responsibilities of community health nurse
 Visit to Guidance and counseling Centre
VIII 10 Community mental health
 Magnitude, trends and issues
 National Mental Health Program- Community mental
health program
 The Changing Focus of care, the Public Health Model,
Case Management- Collaborative care Crisis intervention
 Welfare agencies
 The community as Client
• Populations at Risk
• Primary Prevention
• Secondary prevention
• Tertiary Prevention
 Community based rehabilitation
 Human rights of mentally ill Substance use
 Mentally challenged groups
 Role of community health nurse
IX 15 Occupational health
 Introduction: History of Occupational Health nursing
Trends, issues, Definition, Aims, Objectives.
 Workplace safety, salient features of work environment.
 Ergonomics and Ergonomic solutions
 Occupational environment- Physical, social, Decision
making, Critical thinking
 Occupational hazards for different categories of people-
physical, chemical, biological, mechanical, Accidents,
Foreignbodies.
219
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

 Occupational diseases and disorders


 Measures for Health promotion of workers; Prevention
and control of occupational diseases, disability limitations
and rehabilitation
 Women and occupational health
 Occupational education and counseling
 Violence at workplace
 Child labour
 Disaster preparedness and management
 Legal issues: Legislation, Labour unions, ILO and WHO
recommendations, Factories act, ESI act
 Role of Community health nurse, Occupational health
team

Practical

Total = 960 Hours

1 Week = 30 Hours

Sr.No. Dept./Unit No. of Week Total Hours

1 Urban and Rural community 17 510 Hours

2 School Health 3 90 Hours

3 International health 2 60 Hours

4 Administration(SC/PHC/CHC) 2 60 Hours

5 Occupational health 2 60 Hours

6 Community Mental Health 2 60 Hours

7 Home for aged and Hospice 2 60 Hours

8 Rehabilitation 2 60 Hours

Total 32 Weeks 960 Hours

Categorisation of practical activities

Observed

• MCH office and DPHNO


• CHC/ First Referral Unit(FRU)
• Child guidance clinic
• Institute/Unit for mentally challenged
• District TB centre

220
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

• AIDS control society


• Filariasis clinic
• RCH clinic
• STD clinic
• Leprosy clinic
• Community based rehabilitation unit
• Cancer centers
• Palliative care
• Home of old age
• Mental health units
• De-addication centres
• School health services
• Industry
• Selected industrial health centers
• ESI unit
• Municipality/ corporation office

Assisted

• Laparoscopic sterilization
• Vasectomy
• All clinics related to RCH
Monitoring of national health and family welfare programmes

Performed

• Conduct various clinics


• School health assessment.
• Health survey.
• Health assessment
• Drug administration as per the protocols
• Treatment of minor ailments
• Investigating outbreak of epidemic.
• Screening for leprosy, TB and non-communicable disease
• Presumptive and radical treatment for Malaria.
• Counselling
• Report writing
• Referrals
• Writing a project proposal
• Material management- requisition for indent, condemnation, inventory maintenance,
• Training and Supervision of various categories of personnel
• Liaison with NGO’s

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

Total 275 100 25

UNIVERSITY EXAMINATION

Internal Assessment - 25 Marks


University Exam - 75 Marks
Grand Total - 100 Marks

222
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

PRACTICAL INTERNAL ASSESSMENT


Sr.No. Technique Total Marks Weightage Marks
%
1 Examination - Prefinal 100 40 40
2 Assignment
a. Family Care Plan
Urban (2) 25 2.5 2.5
Rural (2) 25 2.5 2.5
b. Family case Study-Urban 50 5.0 5
c. Home procedure evaluation (2) 50 2.5x2=5 5
3 d. Project (School Health Programm) 50 5 5
4 f. Health education-folk media/street play (2) 25 2.5x2=5 5
5 g. Training of different category of personnel -2 25 2.5x2=5 5
6 Clinical Evaluation
Urban 100 10 10
7 Rural 100 10 10
Attendance 10 10
Total 100 100
UNIVERSITY EXAMINATION
Internal Assessment - 100 Marks
University Exam - 100 Marks
Grand Total - 200 Marks

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

223
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II COMMUNITY HELATH NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

224
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II COMMUNITY HEALTH NURSING
SEMINAR/PRESNETATION - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II MENTAL SURGICAL NURSING
SYMPOSIUM / PAPER PRESNTATION - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr. No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

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

PRACTICAL TEACHING PERFORMA FOR EVALUTION

Name of the Student: - _________________________________ Group________________


Topic:-___________________________________________ Place: -__________________
Name of the evaluator :-________________________ Date & Time:- ________________

Sr.No. Criteria Maximum Marks Marks Obtained


1 LESSON PLAN
∙ General objectives stated clearly 10
∙ Specific objectives stated in behavioral terms
∙ Lesson plan followed in sequence
∙ Bibliography upto date and complete
2 LEARNING ENVIRONMENT
∙ Physical set up of classroom (seating) 5
∙ Classroom light adequate
∙ Well ventilated
∙ Motivates student
3 PRESENTATION
∙ Coverage of subject content 10
∙ Depth of knowledge
∙ Integration of subject matter
∙ Speech-clear, audible, well modulated.
∙ Explanation and clarification
4 USE OF AUDIO VISUAL AIDS
∙ Relevant, clear and visible 10
∙ Creativity
∙ Used effectively at the right time
5 QUESTIONING TECHNIQUE
∙ Questioning equally addressed to all
∙ Well worded questions, no ambiguity
5
∙ Thought provoking questions
∙ Sufficient time allowed for answering
∙ Questions relevant and challenging
6
GROUP PARTICIPATION 3
7 ASSIGNMENT
∙ Appropriate to the lesson
∙ Clear
2
∙ Motivating
∙ Explained to the students
∙ Feedback given to the students
8 STUDENT TEACHER PERSANALITY
∙ Appearance grooming
∙ Confidence
5
∙ Eye contact
∙ Modulation
∙ Mannerisms
TOTAL MARKS 50

Signature of the Evaluator/Guide

Signature of the Evaluator/Guide Signature of the student


227
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
MODULE ON OCCUPATIONAL HEALTH

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr. No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 20
2 Organisation 5
3 Illustration 20
4 Resources Used 5
Total Marks 50

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

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II COMMUNITY HEALTH NURSING
EVALUTION CRITERIA FOR NURSING CARE PLAN

Name of the Student: - ___________________________________________________________


Patient Name :- _____________________________ Diagnosis:-__________________________
Name of the Supervisor:-__________________________________________________________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Elicits relevant history 3
2 Make quick and valid physical assessment 4
3 Identification problems / needs 2
4 Formulates nursing diagnosis 4
5 Prioritizes the nursing diagnosis 2
6 Plan care according to priority 2
7 List the outcome criteria 1
Implements care for priority needs
2
Applies scientific principles
8 2
Practices economy of time, money & material
1
Manual dexterity
Evaluates the care (based on nurse notes, report,
9 2
records patients and relatives response)
Total Marks 25

Remarks:-

Signature of Student Signature of Clinical supervisor

229
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II COMMUNITY HEALTH NURSING
EVALUTION CRITERIA FOR FAMILY HEALTH CARE STUDY

Name of the Student: - ______________________________________ Area:- _______________

Name of the Supervisor:-__________________________________________________________

Marks Obtained:-
_________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Introduction & Objectives 2
2 Subjective Data 3
3 Objective Data 5
4 Assessment of Family members (Physical mental & 3
Social
5 Health needs identified 3
6 Planning for family health nursing care (including 6
short term & long term plan)
7 Health education planning & implementation 7
8 Implementation of home nursing & implementation 5
9 Planning for diet 3
10 Drugs study & home care 3
11 Evaluation: 2
- Outcome of family health care
- Self learning as a Nurse
12 Future Plan 3
13 Conclusion & Suggestion 2
14 Use of Table / Graph etc. 3
Total 50

Remarks:-

Signature of Student Signature of Clinical supervisor

230
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II COMMUNITY HEALTH NURSING

EVALUTION CRITERIA FOR PROCEDURE EVALUTION

Name of the Student: - ______________________________________ Area:- _______________

Name of the Supervisor:-__________________________________________________________

Marks Obtained:-_________

Sr. No. Criteria Marks Assigned Marks Obtained


1 Selection of procedures based on family needs 2
2 Preparation of the bag for the procedure 5
3 Confidence in use of bag 5
4 Carrying out all the steps of procedure correctly 5
5 Involvement of family while doing procedure 5
6 Planning for family health nursing care (including 5
short term & long term plan)
7 Post care of bag and equipment 5
8 Health education while during and the procedure 5
9 Disposal of waste 5
10 Reporting for breakage and loss 3
11 Recording and reporting 5
Total 50

Remarks:-

Signature of Student Signature of Clinical supervisor

231
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II COMMUNITY HEALTH NURSING
EVALUATION CRITERIA FOR HEALTH TEACHING

Name of the Student: - ______________________________________ Area:- _______________

Topics:- _________________________________________________________________________

Name of the Supervisor:-__________________________________________________________

Marks Obtained:-_________

Sr.No. Criteria Rating Score


1 2 3 4 5
I PLANNING AND ORGANISATION
f. Formulation of attainable objectives.
g. Adequacy of content.
h. Organization of subject matter
i. Current Knowledge related to subject matter
j. Suitable A V Aids
II PRESENTATION :
f. Interesting
g. Clear Audible
h. Adequate Explanation
i. Effective use of A.V. Aids
j. Group Involvement
f. Time Limit
III PERSONAL QUALITIES:
a. Self confidence
e. Personal appearance
f. Languages
g. Self awareness of strong & weak points
IV FEED BACK
d. Recapitulation
e. Effectiveness
f. Group response
V SUBMITS ASSIGNMENT ON TIME

TOTAL

Remarks:-

Signature of Student Signature of Clinical supervisor

232
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II COMMUNITY HEALTH NURSING
CLINICAL EVALUATION PROFORMA
Name of the Student: - ________________ Area of Community Health Nursing: - ____________
Name of Evaluator: - ______ Period under Evaluation:-______ Total Marks obtained ______
Rating :-
1 – In many respect fails to meet requirement satisfactorily
2 – Meets many requirements but deficient in important aspect
3 – Average, clearly meets basic requirements satisfactorily
4 – Clearly exceed basis requirements, respecting superior
5 – Outstanding in all respects
Sr. Criteria Rating
No. 1 2 3 4 5 Score
I KNOWLEDGE AND UNDERSTANDING ABOUT FAMILY
1 Studies family health record and collects significant data
2 Interprets significant data based on knowledge of community Health/Community
Health Nursing
II HOME VISIT
3 Preparing are written based on the health needs of the family and identified goals
4 Planning and organization of home visit
5 Establishers report with the family and able to communicate effectively and
tactfully with different individual/group
III HEALTH ASSESSMENT AND OBSERVATION
6 Indentifies deviations from normal and set priorities in home care Activities
7 Plans and implements name care based on preset goals and health needs.
IV Nursing Activities carried out :
8 Application of scientific principles
9 Technical Skills with necessary modification and completeness of the procedure
10 Involvement and participating name care based on preset goals and health needs
11 Interpretation, reporting recoding of results
12 Takes, corrective follow standing orders selects and appropriate Referral agencies.
V HEALTH INFORMATION HEALTH TEAHCING
13 Uses every opportunity for incidental/planned teaching for individual and group
14 Uses appropriate teaching leaning principles
VI Post Visit
15 Report significant information
16 Completes records, promptly, precisely and accurately
VII Evaluation of Family Health Care
17 Able to evaluate the set goals, short and long term health care plan
18 Able to revise the family health needs and modify the care plans
VIII Professional qualities
19 Professional appearance
20 Interest, initiative, resourcefulness, responsible leadership and attitude, response to
constructive criticism and suggestions
Total Marks:-
Percentage:- Grade:-
(In terms of strengths and weakness)
Instruction : Application of theory to practice is considered throughout the experience
Remarks/comments by the Supervisor:-

Signature of Student Signature of the supervisor

233
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY –II COMMUNITY HEALTH NURSING
EVALUATION PROFORMA FOR SCHOOL HEALTH PROGRAMME

Name of the Student: - _______________________________________ Area:-

___________________

Name of Head of Family:- _____________________________________________________

Name of the Supervisor: - _____________________________________ Marks obtained:-

_________

Sr.No. Criteria Marks Alloted Marks Obtained


1 Need for topic 5
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:-

Signature of Student Signature of supervisor

234
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY - II

PSYCHIATRIC (MENTAL HEALTH) NURSING

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

At the end of the course the students will be able to:

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.

235
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 2 Principles and practice of Psychiatric nursing - Review

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
236
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
237
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

- Anxiety Disorder Due to a General Medical Condition


- Substance-Induced Anxiety Disorder
 Treatment Modalities
 Psychopharmacology & Nursing Management
XI 5 Somatoform And Sleep Disorders
 Somatoform Disorders
 Historical Aspects
 Epidemiological Statistics
 Pain Disorder
 Hypochondriasis
 Conversion Disorder
 Body Dysmorphic Disorder
 Sleep Disorder
 Treatment Modalities and Nursing Management
XII 4 Dissociative Disorders and Management
 Historical Aspects
 Epidemiological Statistics
 Application of the Nursing Management
 Treatment Modalities and Nursing Management
XIII 4 Sexual And Gender Identity Disorders
 Development of Human Sexuality
 Sexual Disorders
 Variation In Sexual Orientation
 Nursing Management
XIV 4 Eating Disorders
 Epidemiological Factors
 Predisposing Factors : Anorexia Nervosa And Bulimia Nervosa, obesity
 Psychopharmacology
 Treatment & Nursing Management
XV 4 Adjustment and Impulse Control Disorders
 Historical and Epidemiological Factors
 Adjustment Disorders
 Impulse Control Disorders
 Treatment & Nursing Management
XVI 4 Medical Conditions due to Psychological Factors
 Asthma
 Cancer
 Coronary Heart Disease
 Peptic Ulcer
 Essential Hypertension
 Migraine Headache
 Rheumatoid Arthritis
 Ulcerative Colitis

238
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

 Treatment & Nursing Management


XVII 8 Personality Disorders
 Historical perspectives
 Types of Personality Disorders
∙ Paranoid Personality Disorder
∙ Schizoid Personality Disorder
∙ Antisocial Personality Disorder
∙ Borderline Personality Disorder
∙ Histrionic Personality Disorder
∙ Narcissitic Personality Disorder
∙ Avoidance Personality Disorder
∙ Dependent Personality Disorder
∙ Obsessive-Compulsive Personality Disorder
∙ Passive-Aggressive Personality Disorders
 Identification, diagnostic, symptoms
 Psychopharmacology
 Treatment & Nursing Management
XVIII 8 The Aging Individual
 Epidemiological Statistics
 Biological Theories
 Biological Aspects of Aging
 Psychological Aspects of Aging
 Memory Functioning
 Socio-cultural aspects of aging
 Sexual aspects of aging
 Special Concerns of the Elderly Population
 Psychiatric problems among elderly population
 Treatment & Nursing Management
XIX 5 The person living with HIV Disease
 Psychological problems of individual HIV/AIDS
 Counseling
 Treatment & Nursing Management
XX 5 Problems Related to Abuse or Neglect
 Vulnerable groups, Women, Children, elderly, psychiatric patients, under
privileged, challenged
 Predisposing Factors
 Treatment & Nursing management- Counseling
XXI 7 Community Mental Health Nursing
 National Mental Health Program- Community mental health program
 The Changing Focus of care
 The Public Health Model
 The Role of the Nurse
 Case Management
 The community as Client
239
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.

240
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

Practical

Total = 960 Hours


1 Week = 30 Hours
Assignment/
Sr.No. Area of Posting No. of Week Total Hours Activity

Care Plan, Case


1 Acute Psychiatric Ward 4 120 Hours presentation

Care Plan, Case


2 Chronic Psychiatric Ward 4 120 Hours presentation

Group therapy
& Behaviour
3 De-addiction Unit 4 120 Hours Therapy I

4 Psychiatric Emergency Unit 4 120 Hours

5 O.P.D (Neuro and psychiatric) 3 90 Hours MSE

6 Child Psychiatric Unit and child guidance clinic 2 60 Hours Report

7 Post natal ward 1 30 Hours Report

Family Therapy
8 Family Psychiatric Unit 2 60 Hours -I

9 Field visits – NIMHANS 2 60 Hours Report

10 Rehabilitation 2 60 Hours Report

Mental Health
11 Community Mental Health Unit 4 120 Hours Awareness Camp

Total 32 Weeks 960 Hours

Essential Psychiatric nursing skills

Procedures Observed

1. Psychometric tests
2. Personality tests
3. Family therapy
4. Assisted
5. CT
6. MRI
7. Behavioral therapy.
Procedures Performed

241
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

1. Mental status examination


2. Participating in various therapies – Physical; ECT,
3. Administration of Oral, IM, IV psychotropic drugs
4. Interviewing skills
5. Counseling skills
6. Communication skills
7. Psychoeducation
8. Interpersonal relationship skills
9. Community Survey for identifying mental health problems
10. Rehabilitation therapy
11. Health education and life skills training.
12. Supportive psychotherapic skills
13. Group therapy
14. Milieu therapy
15. Social/Recreational therapy.
16. Occupational therapy.

BIBLIOGRAPHY OF MENTAL HEALTH NURSING


BOOKS

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,
242
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

Internal Assessment - 25 Marks


University Exam - 75 Marks
Grand Total - 100 Marks

PRACTICAL INTERNAL ASSESSMENT


Sr.No. Technique Total Marks Weightage % Marks
1 Examination - Prefinal 100 40 40
2 History taking 50 2.5 2.5
3 MSE 25 2.5 2.5
4 Process recording 25 2.5 2.5
5 Case Presentation (2) 2x50=100 2x5=10 10
6 Clinical Evaluation (2) 2x100=200 2x10=20 20
7 Clinical Teaching (2) 2x25=50 2x2.5=5 5
8 Nursing care Plan (4) 2x25=100 3x2.5=7.5 7.5
9 Attendance 10 10
Total 650 100 100

243
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

Division of marks for practical Exams (Internal and External examiners)

ITEMS INTERNAL EXTERNAL TOTAL MARKS


Nursing Process 15 15 30
Patient care evaluation 15 15 30
Viva (patient, drug, Investigation, 10 10 20
recent trends, development etc.)
OSPE 10 10 20
Marks 50 50 100

244
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
INSTRUCTIONS FOR SETTING QUESTION PAPER

Marks :- 75
Time :- 3 Hours

SECTION A
Marks 38

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 8 = 8 Marks
a.
b.
c.

SECTION B
Marks 37

Q.1) Write Short Answers on any 3 out of 4 3 X 5 = 15 Marks


a. 5 Marks
b. 5 Marks
c. 5 Marks
d. 5 Marks
Q.2) Long Answers Questions 15 Marks
a. 2 Marks
b. 5 Marks
c. 8 Marks
Q.3) Write explanatory notes on any 1 out of 3 1 X 7 = 7 Marks
a.
b.
c.

245
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
SEMINAR - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student
246
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
SYMPOSIUM/PAPER PRESENTATION - EVALUTION CRITERIA

Name of the Student: - _____________________________________________________


Batch :- _____________________________________ Date:- ______________________
Topic:-___________________________________________________________________
Name of the Supervisor:-____________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content
Organization 1
Coverage 2
Use of current literature & research evidence 1
Appropriateness 1
2 Presentation
Introduction 1
Coverage of subject content 2
Sequencing 1
Depth of knowledge 2
Integration of subject matter 1
Explanation & clarification 2
Time Management 1
3 A V aids
Relevant, clear & visible 1
Creativity 1
Used effectively at the right time 1
4 Speaker’s qualities
Grooming 1
Modulation 1
Gestures & Mannerism 1
5 Group Participation 2
6 References 2
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student
247
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

PRACTICAL TEACHING PERFORMA FOR EVALUTION


Name of the Student: - _________________________________ Group_________________
Topic:-_____________________________________________ Place: -__________________
Name of the evaluator :-_________________________ Date & Time:- __________________

Sr.No. Criteria Maximum Marks Marks Obtained


1 LESSON PLAN
∙ General objectives stated clearly 10
∙ Specific objectives stated in behavioral terms
∙ Lesson plan followed in sequence
∙ Bibliography upto date and complete
2 LEARNING ENVIRONMENT
∙ Physical set up of classroom (seating) 5
∙ Classroom light adequate
∙ Well ventilated
∙ Motivates student
3 PRESENTATION
∙ Coverage of subject content 10
∙ Depth of knowledge
∙ Integration of subject matter
∙ Speech-clear, audible, well modulated.
∙ Explanation and clarification
4 USE OF AUDIO VISUAL AIDS
∙ Relevant, clear and visible 10
∙ Creativity
∙ Used effectively at the right time
5 QUESTIONING TECHNIQUE
∙ Questioning equally addressed to all
∙ Well worded questions, no ambiguity
5
∙ Thought provoking questions
∙ Sufficient time allowed for answering
∙ Questions relevant and challenging
6 GROUP PARTICIPATION 3
7 ASSIGNMENT
∙ Appropriate to the lesson
∙ Clear
2
∙ Motivating
∙ Explained to the students
∙ Feedback given to the students
8 STUDENT TEACHER PERSANALITY
∙ Appearance grooming
∙ Confidence
5
∙ Eye contact
∙ Modulation
∙ Mannerisms
TOTAL MARKS 50

Signature of the Evaluator/Guide

Signature of the Evaluator/Guide Signature of the student


248
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
DRUG BOOK -EVALUTION CRITERIA

Name of the Student: - _________________________________________________________

Batch :- ________________________________ Date:- _______________________________

Topics:- _____________________________________________________________________

Name of the Supervisor:-________________________________________________________

Total Marks – 25 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Content (Adequacy, Appropriateness, Clarity) 15
2 Organisation 2.5
3 Illustration 2.5
4 Resources Used 5
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

FORMAT FOR DRUG BOOK

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

249
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING

PSYCHIATRIC NURSING HISTORY COLLECTIVE FORMAT

I Demographic data:
- Name
- Age
- Sex
- Marital Status
- Religion
- Occupation
- Socio-economic status
- Address
- Informant
- Information (Relevant or not ) adequate or not

II Chief Complaints / Presenting complaints (List with duration )


- In patients own words and in informants own words.
E.g.:- Sleeplessness x 3 weeks
- Loss of appetite & hearing voices x 2 weeks
- Talking to self

III Present psychiatric history/nature of the current episode


- Onset – Acute (Within a few hours)
- Sub acute (Within a few days)
- Gradual (Within a few weeks)
- Duration – Days, weeks or months
- Course – Continuous/ episodic
- Intensity/ same / increasing or decreasing
- Precipitating factors – Yes / No (If yes explain)
- History of current episode (explain in details regarding the presenting complaints)
- Associated disturbances – included present medical problems (E.G. Disturbance in sleep,
appetite, IPR & Social functioning, occupation etc).

IV Past Psychiatric history:


- Number of episode with onset and course
- Complete or incomplete remission
- Duration of each episode
- Treatment details and its side effects if any
- Details if any precipitating factors if present

V a) Past Medical History

250
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

b) Past Surgical History


c) Obstetrical History (Female)

VI Family History :-
- Family Genogram – 5 Generations include only grandparents. But if there is a family history
Include the particular generation

VII Personal History:-


- Pre-nantal history – Maternal infections
- Exposure to radiation etc.
- Check ups
- Any complications
- Natal history – Type of delivery
- Any complications
- Breath and cried at birth
- Neonatal infections
- Mile stones : Normal or delayed Behaviour during childhood
- Excessive temper tantrums
- Feeding habit
- Neurotic symptoms
- Pica
- Habit disorders
- Execratory disorders etc.
Illness during childhood
- Look specifically for CNS infections
- Epilepsy
- Neurotic disorders
- Malnutrition
Schooling
- Age of going school
- Performance in the school
- Relationship with peers
- Relationship with teachers (Specifically look for learning disability and attention deficit)
- Look for conduct disorders E.G. Truancy, Stealing

VIII Occupational history


- Age of Joining job
- Relationship with superiors, subordinates & colleagues
- Any Change in the job – if any give details
- Reasons for changing jobs
- Frequent absenteeism

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.

251
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

252
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
EVALUTION CRITERIA – FOR PSYCHIATRIC HISTORY TAKING

Name of the Student: - __________________________________ Batch :- ______________________

Name of the patient:- __________________________________________________________________

Diagnosis:-____________________________________________ Ward:- ________________________

Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr. No. Criteria Marks Assigned Marks Obtained


1 Format 3
2 Presenting Complaints 5
3 Organization of history of present illness 10
4 Past history of illness 5
5 Family History 4
6 Personal history 5

7 Pre-morbid personally 5

8 Physical examination 8

9 Summary & Clinical Diagnosis 5


Total 50

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

253
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
MENTAL STATUS EXAMINATON (MSE) FORMAT

I General appearance and behavior (GAAB):


a) Facial expression (E.G. Anxiety, Pleasure, Confidence, Blunted, Pleasant)
b) Posture (Stooped, stiff, guarded, normal)
c) Mannerisms (Stereotype, negativism, tics, normal)
d) Eye to eye contact (maintained or not)
e) Rapport (Built easily or not built or built with difficulty)
f) Consciousness (conscious or dowry or unconscious)
g) Behaviour (includes social behaviour, E.g. Overfriendly, disinherited, preoccupied,
aggressive, normal)
h) Dressing and grooming – well dressed/ appropriate / inappropriate (to season and situation)
neat and tidy/dirty.
i) Physical features :- Look older/younger than his or her age/under weight/over weight/
physical deformity.
II Psychomotor Activity:-
Increase / decreased / Compulsive/echopradxia/ Stereotypy / irrelevant automatic obedience)

III Speech: One sample of speech (verbatim in 2 or 3 sentences)


a) Coherence – coherent / incoherent
b) Relevance (answer the questions appropriately) – relevant /irrelevant.
c) Volume (Soft, loud or normal)
d) Tone (high pitch, low pitch, or normal/monotonous)
e) Manner – Excessive formal /relaxed/inappropriately familiar.
f) Reaction time (time taken to answer the question)-increased, decreased or normal
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
vi. 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.
vii. Obsession
viii. Phobia
ix. Preoccupation
x. Fantasy – Creative / Day dreaming
V Mood (Subjective) and after (Objective) :
e. Appropriate/inappropriate Relevance to situation and thought congruent.
f. Pleasurable affects-Euphoria / Elation / Exaltation / Ecstasy
g. Unpleasurable affects – Grief / mourning / depression.
h. Other affects-Anxiety / fear / Panic/free floating anxiety/apathy/ aggressive / moods swing /
emotional liability
254
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.

f) Judgment : Personal (Future plans)


- Social (Perception of the society)
- Test (Present a situation and ask their response to the situation)
g) Insight:-

g) Complete denial of illness


h) Slight awareness of being sick
i) Awareness of being sick attribute it to external/physical factor.
j) Awareness of being sick, but due to something unknown in himself.
k) Intellectual insight
l) True emotional insight
VIII General Observations :-
a) Sleep
V. Insomnia – temporary / persistent
VI. Hypersomnia – temporary / persistent
VII. Non-organic – sleep – wake cycle disturbance
VIII. EMA-Early Morning Awakening

b) Episodic disturbances – Epilepsy / hysterical / impulsive behaviour/ aggressive behaviour /


destructive behaviour
IX Summary & Clinical Diagnosis

255
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
EVALUTION CRITERIA – FOR MENTAL HEALTH STATUS EXAMINATION

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-_______

Sr.No. Criteria Marks Assigned Marks Obtained


1 Format 2
2 General Appearance 4
3 Motor disturbances 4
4 Speech 4
5 Thought disturbances 4
6 Perceptual disturbances 5

7 Affect and mood 4

8 Memory 3

9 Orientation 2

10 Judgment 3

11 Insight 2

12 Attention and Concentration 3

13 Intelligence and General Information 3

14 Abstract thinking 2

15 General Observation 2

16 Summary 3
Total 50

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student
256
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
PROCESS RECORDING FORMAT

I] BASE LINE DATA OF CLIENT


II] List of nursing problems identifies through history, MSE and systematic observation
III] List of objective of interactions based on the problem identified and learning need of
a) Client b) Student

(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)

2. DATE AND TIME DURATION:

3. SETTING: General ward / patient’s unit

4. OBJECTIVES TO BE ATTAINED IN THAT PARTICULAR INTERACTION:


1) ________________
2) ________________

Participant Conversation Inference Therapeutic Comm Tech Used

_________ ___________ ________ ____________________

5. NATURE OF TERMINATION OF INTERACTION:

Evaluation by the student:


1) Your General impression about the interaction (This could included whether TNPR maintained,
use of TCT, CO-operation of client etc.)
2) Whether objectives achieved, and to what extent If not why and how do you intend to achieve it.
3) Summery of your inferences

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

257
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
EVALUTION CRITERIA – PROCESS RECORDING

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

Total Marks – 25 Marks obtained:-___________

Sr.No. Criteria Marks Assigned Marks Obtained


1 Format 5
2 Objectives 3
3 Setting 2
4 Therapeutic techniques used 10

5 Evaluation 5
Total Marks 25

Remarks:-

Date & Signature of the Supervisor Date & Signature of the student

258
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
Format for Nursing Care Plan
 Bio date of the patient
 History of the patient
 Pre-monid personality
 Physical examination
 Mental status examination
 Assessment Data – Objectives data – subjective data
 Nursing Diagnosis
 Short Term Goals, Long Terms goals
 Plan of action with rationale
 Implementation including health teaching
 Evaluation
 Bibliography

Format For Case Presentation / Case Study


9. History
10. Physical examination
11. Mental status examination
12. Description of the case
a) Definition
b) Etiological Factors
c) Psycho Pathology / Psychodynamics
d) Clinical Manifestations
i) In general
ii) In the Patient
13. Differential diagnosis
14. Diagnosis & Prognosis
15. Management – AIM & OBJECTIVES (Including nursing care)
Medical –
Pharmacy therapy & Somatic therapy
Psychosocial Therapy
Nursing Management – In General
Nursing Process approaches
Rehabilitation / Long Term care
16. Progress notes
17. Bibliography
259
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC

M.G.M. NEW BOMBAY COLLEGE OF NURSING


SECOND YEAR M.Sc. NURSING
CLINICAL SPECIALITY – II MENTAL HEALTH NURSING
EVALUTION CRITERIA – PROCESS RECORDING

Name of the Student: - __________________________________ Batch :- ______________________


Name of the patient:- __________________________________________________________________
Diagnosis:-____________________________________________ Ward:- ________________________
Name of the Supervisor:-________________________________________________

Total Marks – 50 Marks obtained:-___________

Sr.No. Criteria Marks Assigned Marks Obtained


I
1 History Taking 02
2 Mental Status Examination 05
3 Description of Disease Condition
a) Definition 03
b) Etiological Factors 03
c) Psycho Pathology / Psychodynamics 02
4 Clinical Manifestations
a) In general / In books 02
b) In the patient 02
5 Differential Diagnosis 01
6 Prognosis 01
7 Management-
Aim & objective 01
Pharmaco theory & Somato theory 03
Psychosocial approaches 02
8 Nursing Management
a) General Approaches 05
b) Nursing Process approach 05
c) Rehabilitation / Long term care 04
I Presentation (effectiveness) 05
II A.V. Aids 02
IV Bibliography 02

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

You might also like