Mgt seminar my copy

INTRODUCTION

Nursing is a vital aspect of health care and needs to be properly

organized. It is widely recognized that of all the resources needed for

running an organization. Management is a specialized activity required for

the running of all those social institutions which are composed of human

being. Personnel management is the part of management which is concerned

with increasing the effectiveness of human performance in any organization.

Nursing personnel management constitutes the care of clients and other

functions and goes to the heart of all health services. Human resource is the

most significant and valuable. Health manpower management implies that

health personnel are utilized in a manner which is corresponds to their skills

and competence and under conditions that promote effective work.

DEFINITIONS

Personnel management is a code of the ways of organizing and treating

individuals at work so that they will get the greatest possible realization of

their intrinsic abilities thus attaining maximum efficiency for themselves and

their group and there by giving to the enterprise of which they are part of its

determining competitive advantages and its optimum results.

Thoma.G.Spates (2004)

Personnel management is that activity in an enterprise whiches serves to

mould human resources into an effective organization provides opportunity

for maximum individual contribution, under desirable working conditions,

promotes individual development and encourages mutual confidence and

understanding between employees and employers as well as among

employees themselves.

Walter.D.Scoot (2000)

Personnel management is a responsibility of all those who manage people as

well as being a description of the work of those who are employed as

specialists. It is that part of management which is concerned with people at

work and with their relationship with in an enterprise. It applies not only to

industry and commerce but to all fields of employment.

International institution of personnel management(1963)

Personnel management is the part of management function which is

primarily concerned with the human relations with in an organization. Its

objective is the maintenance of those relationship on the effective working

of the undertaking.

Indian institute of personnel management(1962)

AIM OF NURSING PERSONNEL MANAGEMENT:

Nursing service administration is a complex of elements in

interaction. It results in output of clients whose health is unavoidably

deteriorating, maintained or improves through input of personnel and

material resources used in an orderly process of nursing services.

1. to employ those nurses best fitted with education, skills and

experience to perform the prescribed work.

2. to attract and attain competent professional nurses and other personnel

in order that nursing service may be effectively and economically

achieved and constantly improved.

3. to provide services which contribute to health, development of

efficient and contentment of the personnel.

OBJECTIVES OF NURSING PERSONNEL MANAGEMENT

The healthmanpower which has been planned and planned and

produced accordingly must also be properly utilized for maximal

effectiveness of the health services.

To guarantee fairness in the maintenance in the maintenance of the

discipline.

To up grade and promote the existing staff where ever possible.

To take all practical steps to avoid excessive hours of work.

To ensure the greatest practicable degree of permanent and

continuous employment.

To maintain standards of remuneration comparable to those

prevailing in similar position elsewhere.

To provide and maintain a high level of physical working

conditions with particular reference to prevention of accidents,

maintenance of health and rehabilitation of sick and injured

employee.

To maintain effective methods of regular consultation between the

administration and the nurses.

To provide maximum opportunities to nurses for individual

development to enable them to duties and make them fit for

promotions.

To encourage social and recreational facilities for employees.

To develop appropriate scheme for welfare of employees.

To maintain personal records.

ELEMENTS OF PERSONNEL MANAGEMENT

The main elements of personnel management are as follows-

Recruiting employees, who are suitable, qualified and has the

requisite skills, attitude and experience for the job and fulfilling the

objectives of the hospital.

Retaining such employees, ensuring that each employee is

provided with a satisfactory work environment and favourable

service conditions and gets job satisfaction.

Maintaining good interpersonal and employee relationshipthrough

a good communication system.

Ensuring that the employee are aware of subscribe to and follow

the objective of the hospital, dealing with patients with competence

and compassion and believing in the dignity of the person under

their care records training discipline.

VARIOUS CATEGORIES OF NURSING PERSONNEL

The nursing personnel categories are mainly divided in three ways-

1. clinical area or institutional staffs

2. college of nursing staff

3. school of nursing staff

4. public health or community nursing organization staff

5. Nurses at union level

6. Nursing personnel at state level

CLINICAL AND INSTITUTIONAL STAFF:

Nursing superintendent grade 1

Nursing superintendent grade 2

Assistant nursing superintendent

Deputy nursing superintendent

Chief nursing officer

Ward sister /nursing sister / senior staff nurse

Staff nurse

Home sister.

COLLEGE OF NURSING:

Principal

Vise-principal

Professor

Assistant professor

Senior lecturer

Tutor

Clinical instructors

SCHOOL OF NURSING:

Principal

Senior lecturer

Tutor

Clinical instructor

PUBLIC HEALTH / COMMUNITY NURSING PERSONNEL:

District public health nurse

Community health officer

Lady health visitor

Auxillary nurse midwife

NURSING PERSONNEL AT UNION LEVEL:

Nursing advisor

Deputy nursing advisor

Nursing officer

NURSING PERSONNEL AT STATE LEVEL:

Deputy director

Assistant deputy director

Gazetted assistant.

CLINICAL / INSTITUTIONAL NURSING PERSONNEL

1. NURSING SUPERINTENDENT GRADE I

Educational Qualifications

1. General : Pre-University course/10+2 or equivalent exam.

2. Professional : 3 years General Nursing/9 months/6 months

Midwifery /Psychiatric Nursing Diploma certificate, recognized by

Indian Nursing Council

or

Revised General Nursing and Midwifery/Psychiatric nursing

Diploma/Certificate Recognized by Indian Nursing Council.

or

Basic B.Sc Nursing from a Recognized University according to Indian

Nursing Council norms

3. Registration : Registered with the A.P State Nursing Council/Indian

Nursing Council (INC)

4. Experience : Should have experience as Nursing Superintendent Gr II.

Standard Norms

There should be one Nursing Superintendent Gr I for 200 bedded hospital,

one Nursing Superintendent Gr I for 2-4 Nursing Superintendent Gr II.

SJob Summary

Nursing Superintendent is responsible to the Medical Superintendent, in a

hospital having 200 or above bed strength. She is accountable for the safe

and efficient running of the various nursing departments in the hospital. She

is assisted in carrying out her duties, by the Deputy Nursing

Superintendent/Assistant Nursing Superintendent, ward supervisors and

clerical, linen room and domestic staff.

Nursing Services

1. Participates in the formulation of the philosophy of the hospital in

general and those specific to the nursing service.

2. Determines goals, aims, objectives and policies of the nursing

services.

3. Implements hospital policies and rules through various nursing

units.

4. Decides and recommends personnel and material requirement for

running various nursing services departments of the hospital.

5. Interviews and recruits nursing staff.

6. assists in student selection and recruitment of other auxiliary staff

whose duties are related to nursing.

7. Ensures the safe and efficient care rendered in the various nursing

departments of the hospital.

8. Makes regular visits in hospitals and wards.

9. Checks if standard of care is maintained and patients are nursed in a

clean, orderly and safe environment.

10. Takes hospital rounds with Medical Superintendent.

11. Selects and secures proper equipment needed for the hospital or

nursing home.

12. Looks after the welfare of the patients, their relatives and the

nursing staff.

13. Prepares budgets for the nursing services department.

14. Functions as a member of the condemnation board for linen and

other hospital or nursing home equipments.

15. Prepares duty roster, plans staff leave and disburses salary.

16. Gives counseling and guidance to the subordinate staff.

17. Maintains discipline among nurses and other auxiliary staff.

18. Enforces implementation of the hospital rules, regulation and

policies.

19. Participates in hospital and inter-hospital meetings/conferences.

20. Investigates complaints and takes necessary steps.

21. Evaluates confidential staff reports and recommends for promotion

or higher studies.

22. Plans staff development programmes and arranges for in-service

education and orientation programmes etc.

23. Inspects hospital kitchen and dietary services of the hospital.

24. Arranges students clinical experience and council examinations.

25. Initiates and participates in nursing research.

26. Supervision, Guidance and Control of Group “D” employees of the

hospital.

General and Office Duties

1. Attends to general correspondence

2. Maintains necessary records concerning the nursing staff, students,

confidential reports and health records etc.

3. Submits annual reports of the nursing service departments to

Medical Superintendent, Indian Nursing Council and Nurses

Registration Council.

4. Participates in professional and community activities.

5. Maintains cordial relations with public and voluntary workers.

2. NURSING SUPERINTENDENT GR II






or



or



3. Registration: Registered with A.P State Nursing Council.

4. Experience: Should have experience as senior staff nurse.

Standard Norms

Since it is the second level nursing supervisory role, it needs at lest the

Nursing Superintendent Gr II for three senior staff nurses (1:3).

Job Summary

She/he is responsible for developing and supervising nursing services of a

department or a floor consisting of two or more wards or units managed by

the senior staff nurses. These units may be inpatient wards, out-patient

department clinics, operation theatres, obstetric units, central supply

department etc. she/he is responsible to the Nursing superintendent Gr I.

Patient Care and Ward/Unit Management

1. Organises and plans nursing care activities of the department of

floor according to the hospital policies and service needs.

2. Plans staffing pattern and the other necessary requirements of

her/his department.

3. Complies and submits nursing statistics to the concerned

authorities.

4. Conducts and attends to the departmental and interdepartmental

meetings/conferences from time to time.

5. Makes regular rounds of her/his department.

6. Ensures to the safety and general dealings of the department.

7. Looks into general comforts of the patient and his/her relatives.

8. Receives report from the Night Supervisor of her/his departments.

9. Evaluates nature and quantum of care required in each unit/ward.

10. Makes rotation plan for the nursing staff and domestic staff under

her/his jurisdiction.

11. Plans ward management with the each ward/unit.

12. Reinforces the principles of good ward management in ward.

13. Helps ward/unit supervisors to procure their ward/unit.

14. Supervises the proper use and care of the equipment and supplies in

the department.

15. Acts as the public relation officer of the unit and deals with the

problems faced by the ward supervisor if any, specially with Group

“D” employees, patient attenders.

16. Keeps the nursing superintendent Gr I and office informed of the

needs of the nursing units/wards under her/his charge and of any

special problem/problems.

17. Officiates in the absence of Nursing Superintendent Gr I.

Educational Function

1. Arranges classes and clinical teaching of nursing students in the

departments, related to the specially experience.

2. Implements the ward teaching programme and clinical experience

of the students with the help of doctors and nurses.

3. Does counseling and guidance of staff and students.

4. Arranges and conducts staff development programmes of her/his

department.

5. Assists in planning for and participation in the training of auxiliary

personnel.

General

1. Escorts, Nursing Superintendent Gr I, Medical Superintendent, and

special visitors for hospital rounds.

2. Arranges and participates no professional and social function of

staff and students.

3. Acts as a Liaison officer between the nursing department and

higher hospital authorities.

4. Carries out any other duties delegated by the Nursing

Superintendent Gr I.

3. ASSISTANT NURSING SUPERINTENDENT

She is responsible for developing and supervising nursing

services of a depertment of a floor consisting of two or more wards or

units managed by the ward supervisors. These units may be in patient

ward, out patient departments / clinics, operation theater, obstetrics,

central supply department etc. she is responsible to the nursing

superintendent and deputy nursing superintendent.

1.patient care and ward management-

Organize and plan nursing activities of the department of floor

according to the hospital policies and services.

Plans staffing pattern and other necessary requirements of her

department.

Compiles and submit nursing statistics to the concern autrorities.

Conduct and attend to departmental and inter departmental meeting

conferences etc.

Makes regular rounds.

Seeks to the safety and general cleanliness of the department.

Looks into general comfort of the patient.

Receives report from the night superintendent.

Plans ward management.

Reinforces the principal of good ward management.

Act as public relations officer.

2.Educational functions-

Arranges classes and clinical teachings for the students.

Implement the ward teachings for the students

Does counseling guidance to the staff and students.

Arranges and conduct staff development programmes.

Assist in planning for and participation in the training of

auxillary personnel

Writes the confidential reports.

3.General-

Escorts the nursing superintendent / deputy nursing superintendent

and special visitors in the departments.

Participate in various professional activities.

Acts as liason between the nursing department and higher hospital

authorities.

Carries out any other duties delegated by the nursing

superintendent.

4. DEPUTY NURSING SUPERINTENDENT

Job summary-

Responsible for nursing superintendent and assists her in the nursing

service administration of the hospital. She is independently in charge of

nursing service department.

1.nursing service-

Officiates in the absence of the nursing superintendent.

Participates in the recruitment of nursing services, philosophies,

objectives, and policies.

Assist in the recruitment of the staff and students.

Makes master duty roste of the nursing staff.

Helps in allocation of nursing personnel to various nursing services

departments.

Keeps records and reports of the nursing services.

Assist in planning and organizing the new units.

Maintains confedential reports.

Interpret the policies and procedures of the hospital.

Acts as a liason between the nursing superintendent and the

nursing staff.

Receives night reports from the night supervisors.

2. Educational functions-

Does counseling guidance to the staff and students.

Arranges and conduct staff development programmes.

Maintains disciplines among the nursing personnel.

Organizes experience programmes among staff members.

3.General duties-

Escorts the nursing superintendent / deputy nursing superintendent

and special visitors in the departments.

Participate in various professional activities.

Acts as liason between the nursing department and higher hospital

authorities.

Carries out any other duties delegated by the nursing

superintendent.

5. CHIEF NURSING OFFICER

Job summary

The chief nursing officer will have the role of co-ordination and

overall supervision and guidance. She is responsible to the director of the

institution. She is accountable for the staff and efficient running of the

nursing services in the main hospital and the centers of the institutions.

Nursing services-

Participates in the formulation of the philosophy of the institutions

in general and those specific to the nursing service.

Determine goals, aims, objectives, policies of the nursing services.

Implement institutions policies and rules through hospital.

Interview and recruits nursing staff.

Ensure safe and efficient nursing care rendered to the patients of

the hospital.

Ensure standards of care is maintained.

Ensure the welfare of the patients their relatives.

Gives counseling and guidance to the sub-ordinates.

Maintains discipline among nursing staff.

Participates in the hospital meetings and conferences.

6. SENIOR STAFF NURSE/ WARD SISTER/ NURSING SISTER






or



or



3. Registration: Registered with A.P State Nursing Council/Indian Nursing

Council.

4. Experience: Should have experience as staff nurse of not less than 5 years.

Standard Norms

Since it is a first level nursing supervisory role which needs at least one

senior staff nurse for five staff nurses. (1:5).

Job summary

Senior staff nurse is a first level nursing supervisor who is accountable for

nursing care management of a ward or a unit assigned to her/him. She/he is

responsible to the Nursing Superintendent Gr II for her/his ward/unit

management. She/he takes full charge of the ward and assigns work for

various categories of nursing and non-nursing personnel working with

her/him. She/he is responsible for safety and comforts of the patients in

her/his ward.

Direct Patient Care

1. Ensures proper admission, discharge of patients.

2. Plans nursing care and makes patient assignments as per their

nursing needs.

3. Assists in the direct care/provides direct care to patients as and

when required.

4. She/he sees that total health needs of his/her patients are met.

5. Ensures safety, comfort and good personal hygiene of her/his

patient.

6. Ensures safety, comfort and good personal hygiene of her/his

patient.

7. Ensures that helpless patients are regularly fed as per direction.

8. Ensures that proper observation records of the patients are made

and necessary information imparted to the concerned authorities.

9. Takes nursing rounds with staff and students.

10. Makes rounds with doctors, assisting them in diagnosis and

treatment of patients.

11. Implements doctors instructions concerning patient treatment.

12. Assists patient and his/her relatives to adjust in the hospital and its

routine.

13. Co-ordinates patient care with other departments.

Supervision and Administration

1. Ensures safe and clean environment for the ward/unit/special

department.

2. Makes duty and work assignments.

3. Indenting and procurement of ward supplies and equipments and

keeps records.

4. Does regular inventory checking of her/his ward/unit.

5. Makes list for condemnation of articles and submits it to all the

concerned.

6. Assists in making ward requirement.

7. Establishes and reinforces standards prescribed in the procedures

and manuals of hospital and policies that are in force.

8. Acts as a liaison officer between ward staff and hospital

administration.

9. Maintains good public relations in her/his ward/unit.

10. Ensures that ward statistics are regularly submitted.

11. Maintains discipline among the personnel working in the particular

ward/unit, e.g., staff nurses, students and domestic staff.

12. Deals appropriately with any adverse situation that occurs in the

ward/unit and report to the concerned authorities.

13. Reports about any medicolegal case in the ward/unit.

14. ensures that students get desired learning experience in the

ward/unit.


1. Organises orientation programmes for new staff

2. Organiss formal and informal ward teaching, conducts bedside

clinics and demonstration etc.,

3. Conducts ward conferences/meetings.

4. Gives incidental teaching to patient, relatives, staff nurses, students

and the domestic staff.

5. Guides in formulation of nursing care studies, and nursing care

plans etc.

6. Evaluates the students performances and submit reports to the

school authorities.

7. Helps in medical and nursing research.

8. Encourages staff development programme in her/his ward/unit.

7. STAFF NURSE


a) General: Pre-University course/10+2 or equivalent exam.

b) Professional: 3 years General Nursing/9 months/6 months



or



or



c) Registration: Registered with the State Nursing Council/Indian

Nursing Council (INC)

Standard Norms and INC (Nurse: Patient Ratio)

1. General Wards

a. 1:3 (Hospital attached with school or college or nursing).

b. 1.5 (Hospital not attached with school or college of nursing).

2. ICU, ICCU and other specialty 1:1 for 24 hours.

3. Labour room 4 in each shift

4. Operation theatre 3 for 24 hours per table.

5. Out-patient department 1 in each clinic room of the OPD.

6. Casualty and emergency 1:1 in each shift

7. Pediatric Unit 1:2 beds

8. And 30 per cent leave reserve post of staff nurses should be maintained.

Job summary

Staff nurse is a first level professional nurse who provides direct patient care

to one patient or group of patients assigned to her/him during duty shift and

assist in management of wards/units/special departments. She/he is directly

responsible to Senior Staff Nurse or ward in change Nurse/Nursing

Superintendent Gr II.

Duties and Responsibilities

Direct Patient Care

1. Carry out the procedures of admission and discharge of the patient

2. Makes beds of serious patients and helps or guides students or

Group “D” employees to make beds, by supplying linen.

3. Maintains personal hygiene and comforts of the patient.

4. Attends to the nutritional needs of the patient and feeds the

helpless patients.

5. Maintains clean and safe environment for the patient.

6. Implements and maintains ward policies and routines.

7. Co-ordinates patient care with other team members.

8. Take rounds with the doctors when called to list new orders and

see that they are carried out.

9. performs various technical tasks related to nursing care.

a. Administration of medication, i.e., tablets, injections, infusions

and transfusion on prescription, or according to standing

instructions.

b. Assisting doctors in various medical and surgical diagnostic

procedures by preparing patients and getting ready with

required things.

c. Performing simple diagnostic procedures viz. urinalysis

hemoglobin % etc.,

d. Collecting and sending of specimens for laboratory diagnostic

procedures.

e. Recording of vital signs, i.e., temperature, pulse, respiration

and blood pressure.

f. Performing gastric lavage, giving enema etc.,

g. Prepares patients for operations and see that he/she is sent to

operation theatre with all necessary papers and medications.

h. Takes care of eyes, ears, back, bowel, bladder, perineum, and

breast etc., whenever needed.

i. Observes all patient conditions and take suitable action

accordingly and/or reports changes toward in charge and/or the

doctor.

j. Give expert bed-side nursing to all patients.

k. Attends last offices in case of a patient dying during shifts and

arrange to preserve dead body in mortuary, or hand over the

body with respect to concerned family

members/relatives/authorities.

Ward/Unit Management

1. Helps the ward in charge to carry out her/his work or act as ward in

change during their absence.

2. Maintains general cleanliness of the ward and the sanitary

annexure.

3. Supervises the duties of Group “D” employees and guides them and

reports accordingly.

4. Writes the diet register and supervises the distribution of diet and

report if any, necessary.

5. Maintains scheduled poisonous drug registers.

6. Supervises nursing care and other tasks carried out by the students.

7. Maintains duty room trays, sterilizes instruments and see that

procedural trays are in readiness.

8. Take over from duty nurse of the previous new and serious patients,

instruments, supplies, drugs etc and handover the same accordingly.

9. Maintains all the records pertaining to ward/unit.

a. Maintains case papers, investigation reports etc.

b. Maintains vital signs charts, intake-output charts and other

special charts if necessary.

c. Takes special care of medicolegal case papers and records.

d. Writes day and night orders and maintains ward statistics.

Operation Theatre Management

1. Maintains aseptic environment of the operation theatre.

2. Autoclaving of articles, instruments, gloves, linen etc.

required for various types of surgery.

3. Receives patients from the ward intact for surgery.

4. Prepares anesthetic trolley and trolley for surgery,

according to type and procedures.

5. Assist the surgeon and anesthetist in every step,

skillfully while performing various types of surgery.

6. Indenting and procuring surgical instruments, drugs,

gloves, suturing materials and O2, N2, CO2 etc. required for

operation theatre.

7. Maintains records and reports pertaining to the

operation theatre.

8. Maintains safety of the Boyle’s apparatus, oxygen

cylinder, nitrogen cylinder, anesthetic drugs, and autoclave etc. in

the operation theatre.

Management of Labour Room

1. Preparation of expectant mother for aseptic safe delivery.

2. Conducts normal deliveries and reports.

3. Attends and assists the doctors in all obstetrical emergencies.

4. Attends and assists in difficult and abnormal deliveries.

5. Takes care of the newborn and premature babies.

6. Maintains records and reports pertaining to labour room.

7. Indent and procure necessary drugs, supplies linen etc. to labour

room.

Management of Post operative/ICU/Burns units

1. Indent all procurement of all the necessary equipments, drugs, O2

cylinder, which are required for the units.

2. Operates ECG, EEG, cardiac resuscitation etc. or other

sophisticated high-tech machines whenever needed or assist the

doctors in operating such machines.

Psychiatric Unit

1. Assists the doctors in admission and discharge of patients.

2. Prepares patient for ECT and other procedures, and therapies.

3. Assists in management of aggressive, suicidal as grief as other

symptoms of the patients.

4. Maintains records and reports of the units.


1. Helps in orientation of new staff and students.

2. Teaches and guides the domestic staff (Group “D”) for handling

bedpans, urinals, etc.

3. Carries out health leaching for individual or group of patients.

4. Extends co-operation and participates in clinical teaching.

5. Provides for and demonstrates methods and procedure whenever

needed.

6. Participates in in-service education programme.

7. Plans and implements formal and informal health education

programme and teaching programme.

8. Assists and extends co-operation in medical and nursing research

programme.

8. HOME SISTER

job summary

Home sister is responsible to the nursing superintendent for

such duties as are assigned to her. Her duties are as follows-

General welfare and comfort of staff and students living in the

nurses home including councelling and recreational activities.

Arrangements for an appetizing and balanced diet and proper

service of meals.

Supervision guidance and discipline of domestic staff including

assignment of duties.

Receipt storage issue and use of food stuffs and fuel and verifying

of bills.

Maintain the stock for furniture crocery cutlery and other utensiles

Supervise the serving of the meals.

Reporting to the PWD for the maintenance and repair of the

building.

COLLEGE OF NUSING

PRINCIPAL

Educational Qualification and Experience

1. General: Pre-University course/10+2 or equivalent exam.

2. Professional: M.Sc, Nursing of equivalent degree

or

Ph.D, In nursing or other equivalent doctoral degree.

3. Registration: Registered with A.P State Nursing Coucil/INC.

4. Experience: Teaching experience in college not less than 5 years.

Standard Norms

As per Indian Nursing Council.

Job Summary

Principal, College of Nursing is the administrative head of the college of

nursing, will be directly responsible to the Director of Medical

Education/Director of Health and Family Welfare Services and responsible

for implementation and revision of curriculum for various courses, and

research activities of the college of nursing.

Duties and Responsibilities of Nursing

Administration

1. Planning

2. Develops philosophy and objectives for educational programme.

3. Identifies the present needs related to educational programme.

4. Investigates, evaluates and secures resources,

5. Formulates the plan of action.

6. Selects and organizes learning experience.

Organizing

1. Determines the number of position and scope and responsibility of

each faculty and staff.

2. Analyses the job to be done in terms of needs of education

programme.

3. Prepares the job description, indicate line of authority,

responsibility in the relationship and channels of communication by

means of organizational chart and other methods.

4. Considers preparation, ability and interest personally in equating

responsibility.

5. Delegates authority commensurate with responsibility.

6. Maintains a plan of work load among staff members.

7. Provides and organizational framework for effective staff

functioning such as meeting of the staff etc.

Directing

1. Recommends appointment and promotion based on qualification

and experience of the individual staff, scope of jon and total staff

composition.

2. Subscribes and encourages developmental aspects with reference

to welfare of staff and students.

3. Directs activities of staff working uner.

4. Provides adequate orientation of staff members.

5. Guides and encourages staff members in their job activities.

6. Consistently makes administrative decision based on established

policies.

7. Facilitates participation in community, professional and

institutional activities by providing time opportunity for support

for such participation.

8. Creates involvement in designing educationally sound programme.

9. Maintenance of attitude rightly acceptable to staff and learners.

10. Provides for utilization in the development of total programme and

encourages their contribution.

11. Provides freedom for staff to develop active training course within

the framework of curriculum.

12. Promotes staff participation in research.

13. Procures and maintains physical facilities which are of a standard.

Co-ordinating

1. Co-ordinates activities relating to the programmes such as regular

meetings, time schedule, maintaining effective communication etc.,

2. Initiates ways of co-operation.

3. Interprets nursing education to other related disciplines and to the

public.

Controlling:

1. Provides for continuous follow-up and revision of education

programme.

2. Maintains recognition of the educational programme by accrediting

bodies. University etc, APNC, INC, etc.,

3. Maintains a comprehensive system of records

4. Prepares periodic report with reviews the progress and problems of

the entire prorgramme and presents plans for its continuous

development.

5. Prepares, secures approval of and administrates the budget.

Instruction (Teaching)

1. Plans for participating in educational programme for further staff

development.

2. Recognizes the needs for continuing education for self and staff and

provides stimulation of opportunities for such development.

3. Participates as a teacher in the educational programme.

Guiding

1. Provides for systematic guidance programme for staff members and

students.

2. Encourages studies, research and writing for publication.

3. Provides and maintains a programme for recruitment, selection and

promotion of students.

2.VICE-PRINCIPAL

The vice principal assists the principal in directing the staff of

the college in conducting teaching programmes. She assists the principal and

professor of nursing in assessing planning, implementing, and evaluating

educational programmes.

1. Financial responsibilities-

o Assists principal in carrying out financial activities

o In operating government and private accounts

o Planning and revising budget

o Monitoring college expenditure

o In the absence of principal performs all the functions listed

above and also acts as drawing and disbursing officer.

2. Educational-

o Assists the principal in monitoring the educational programmes of

the college

o Assists principal and professor of nursing in assessing, planning,

implementing, and evaluating educational programmes.

o Assists the principal in identifying needs for professional

development of faculty and facilities.

o Participates in various teaching activities.

o Acts as a member of committee of courses.

o Assists in conducting examinations and admissions.

o Guides faculty in day to day academic activities of all educational

programmes.

o Reviews students progress reports and activities.

3. Supervisory-

o shares responsibility with the principal and professor in

supervision of teaching and non-teaching.

o Plans academic staff assignments in consultation with principal

and professor.

o Participates in orientation programmes.

o Writes staff performance report and reviews evaluation reports of

assigned staff.

o Assists principal in administration and supervision of library.

o Monitors all leave privileges of staff.

4. Recruitment and Promotion-

o Acts as member of departmental promotion and selection

committee for appoinmnt of teaching and non-teaching staff.

o Assists principal in reviewing recruitment and promotion policies

of teaching and non-teaching staff.

o Assists principal in maintaining discipline in the college.

5. Establishment-

o Assists principal in maintaining law and order in the college.

o Supervises overall functioning of the staff and students.

o Assists principal in facilitating work of maintenance departments.

6. Interpersonal-

o Assists principal in matters related to educational programmes

conducted in the college.

o Assists in matters of personal and work policies of the staff.

o Identify conflict among staff members initiates solution and report

to principal when necessary.

o Communicates with staff in explaining administrative constaints.

o Inform students of changes in college policies procedures and

standards.

o Inform parents about students progress and status.

o Does any other responsibility assigned by the principal.

3. PROFESSOR

Educational Qualifications and Experience

1 General: Pre-University course/10+2 or equivalent exam.

2. Professional: M.Sc, Nursing/M.N or equivalent doctoral degree in

nursing.

3. Registration: Registered with A.P State Nursing Council/INC.

4. Experience: Should have teaching experience in the college of nursing not

less than 5 years.

Standard Norms

As per Indian Nursing Council.

Job Summary

The professor is overall in charge of the Department and thereby responsible

for administration, teaching activity and guidance of that particular

department.

Administration

1. Participating in determination of educational purposes and policies.

2. Contributes to the development and implementation of the

philosophy and purposes of the total educational programme.

3. Utilizes opportunities through group action to initiate improvement

of the educational programme.

4. Interprets educational philosophy and policy to others.

5. Directs the activities of staff working in the department.

Instruction

1. Identifying needs of learners.

2. Identifies the needs of the learners in terms of objectives of the

programme by utilizing records of previous experience, personal

interviews, tests and observations.

3. Assists learners in identifying their needs.

4. Develops plan for learning experience.

5. Participates in the formulation and implementation of the

philosophy and objectives of the programme.

6. Selects and organizes learning experiences which are in accordance

with these objectives.

7. Participates in the continuous development and evaluation of the

curriculum.

8. Plans within the educational unit. With the nursing services and

allied groups.

9. Ascertains, selects and organizes facilities, equipment and materials

necessary for learning.

Helping the Learners to Acquire Desirable Attitudes, knowledge and

Skill

1. Seeks to create a climate conducive to learning.

2. Assists learners in using problem-solving techniques.

3. Uses varied and appropriate teaching methods effectively.

4. Uses incidental and planned opportunities for teaching.

5. Encourages learners to assume increasing responsibility for own

development.

Evaluating Learner’s Progress

1. Recognizes individual differences in appraising the learners

progress.

2. Uses appropriate devices for evaluation.

3. Measures and describes quality of performance objectively.

4. Helps learners for self-evaluation.

5. Participates in staff evaluation of learners progress.

Recording and Reporting

1. Maintains and uses adequate and accurate records.

2. Prepares and channels clear and concise reports.

3. Shares information about learner’s needs and achievements with

other concerned with instruction and guidance.

4. Participates in the formulation and maintenance of comprehensive

record system.

Investigating Ways of Improving Teaching

1. Measures effectiveness of instruction by use of appropriate devices.

2. Analysis and evaluates resource material.

3. Analyses and evaluates resource material.

4. Devices teaching methods appropriate to objectives and content.

Guidance

1. Co-operating in guidance programme.

2. Increases knowledge and skill in own curriculum area.



Counselling





Research

1. Initiates and participates in studies for the improvement of


2. Identifies problems in which research is indicate or potentially

desirable.

3. Continues to develop competence in problem-solving process.

4. Co-operates in and/or initiates group activities in development and

evaluation of studies.

5. Utilizes findings of research.

6. Makes data available concerning learners and concerning methods

of teaching and evaluation.

4. ASSISTANT PROFESSOR



2. Professional: M.Sc, Nursing/M.N. or equivalent degree in Nursing

recognized by INC.

or

Ph.D, in Nursing with any speciality or other equivalent doctoral degree in

nursing.

3. Registration: Registered with A.P State Nursing council/INC.

4. Experience: Should have teaching experience in the College of Nursing

not less than 5 years.

Standard Norms

As per Indian Nursing Council

Job Summary

The Assistant Professor usually works under professor and/HOD of the

particular department of specialty and assists him/her in administration,

teaching and guidance and councelling and research activities.

Administration

Participates in determination of educational purposes and policies.

Contributes to the development and implementation of the philosophy

and purposes of the total education programme.

Utilizes opportunities through group action to initiate improvement of

the educational programme.

Interprets educational philosophy and policy to others.

Directs and activities of staff working in the department.

Instruction

1. Identifying needs of learners.

2. Identifies the needs of the learners in terms of the objectives of the

programme by utilizing records.

3. Assists learners in identifying their needs.

4. Develops plan for learning experience.

5. Participates in the formulation and implementation of the

philosophy and objectives of the programme.

6. Selects and organizes learning experience which are in accordance


7. Participates in the continuing development and evaluation of the

curriculum.

8. Plans within the educational unit, with the nursing services and

allied groups.

9. Ascertains, selects and organizes facilities, equipment and materials


Helping the Learners to Acquire Desirable Attitudes, Knowledge and

Skill.

1. Seeks to create a climate conducive to learning.

2. Assists learners in using problem-solving techniques.

3. Uses varied and appropriate teaching methods effectively.

4. Uses incidental and planned opportunities for teaching.

5. Encourages learners to assume increasing responsibility for own

development.

Evaluation Learner’s Progress

1. Recognizes individual differences in appraising the learners

progress.

2. Uses appropriate devices for evaluation.


4. Helps learners for self-evaluation.

5. Participates in staff evaluation of learners progress.

Recording and Reporting


2. Prepares and channels clear and concise reports.

3. Shares information about learner’s needs and achievements with

others concerned with instruction and guidance.

4. Participates in the formulation and maintenance of comprehensive

record system.

Investigating ways of improving Teaching





Guidance

1. Co-operating in guidance programme.

2. Shares in planning, developing and using guidance programme.

3. Gives guidance within own field of competence.

4. Helps the learner with special problems to seek and use additional

help as indicated.

Counselling

1. Helps the learner to grow in self-understanding

2. Promotes continuous growth and development towards maturity.

Assisting in Selection and Promotion of Learners

Participates in development of criteria for selection and promotion of

learners.

Research

1. Initiates and participates in studies for the improvement of


2. Identifies problems in which research is indicated or potentially

desirable.


4. Co-operate in and/or initiates group activity in development and


5. Utilizes findings of research.

6. Makes data available concerning learners and concerning methods


5. LECTURER

Educational Qualification and Experience


2.Professional: M.Sc. Nursing/M.N. or equivalent degree recognized by

the Indian Nursing Council.

3.Registration: Registered with A.P State Nursing Council.

4.Experience: Should have experience as staff nurse not less than 5

years in government hospitals.

Standard Norms

He/she works under the direction of the departmental head and assists him in

administration, instruction and guidance activities.

Instruction

1. Identifies the needs of the learners in terms of the programme by

utilizing the records of previous experience, personal interviews,

tests and observation.

2. Assists the learners in identifying their needs.

3. Participates in formulation and implementation of the philosophies

and objectives of the post.

4. Selects and organizes learning experience which are in accordance


5. Participates in evaluation of the curriculum.

6. Plans with the educational unit with Nursing Services and allied

groups.

7. Ascertains, selects and organizes facilities equipment and materials


8. Assists the learners in using problem-solving process.



11. Prepares clear and concise reports.

12. Shares information about learners needs and achievements with

others concerned.




Guidance and Counselling

1. Gives guidance within own field of competence.

2. Helps the learner to grow in self understanding

Research

1. Assist in initiating and participating in studies for the improvement

of educational programme.

2. Identifies problems in which research is indicated or potentially

desirable.

3. Make data available concerning learners and concerning methods



5. Co-operative in and/her initiates group activity in development and


6. Utilizes the findings of research.

NURSING TUTOR/CLINICAL INSTRUCTIONS



2. Professional: B.Sc, Nursing (Post-graduate) or M.sc, Nursing or

equivalent examination.


4. Experience: Should have experience as staff nurse not less than 5 years.

Standard Norms

According to Indian Nursing Council

Job Summary

She/he is teacher in nursing school, responsible to the vice

principal/principal of the nursing school and responsible for planning and

implementation of teaching programme and assists in administration of

school of nursing.

Academic Function

1. Responsible for planning and implementation of teaching programme.

2. Teaching subjects in the curriculum.

3. Overall Supervision of clinical teaching programme of subjects in

hospital/community health setting.

4. Maintains classroom equipments, supplies and teaching aids.

5. Conduct test for (theory and practical) and evaluation of student

assignment and performance.

6. Preparing teaching materials and implanting it under the guidance of

other teachers.

7. Helping the students with extra-curricular activities.

Administration and Evaluation

1. Assisting in the administration of the school of nursing.

2. Supervision of student health, welfare and security.

3. Assisting the selections of students and administration.

4. Assisting in examination, tests (sessionals and terminals)/

5. Supervision of living condition of students in the hostel.

6. Assist in teaching of other categories of personnel in the hospital

and community.

7. Assisting in the procurement of school supplies and equipment.

8. Assisting the library work.

9. Assisting in maintaining school records.

10. Planning and implementation and evaluation of specification

courses.

11. Shall carry out any other duties assigned by the principal or head of

the department in the interest of education.

SCHOOL OF NURSING

PRINCIPAL



2. Professional: Master degree in nursing recognized by Indian Nursing

Council.

or

B.Sc, Nursing (Post-Certificate).


4. Experience: Should have teaching experience in school of Nursing not

less than 5 years.

Standard Norms

As per Indian Nursing Council

Job Summary

Principal, the administrative head of the General Nursing School will be

responsible to the Medical Superintendent or District Surgeon of the

Hospital. Once the financial control of school handed over to the principal,

he/she shall be directly responsible to the Directorate of Medical Education

and Directorate of Health and Family Welfare Services. As the head of the

school she/he will be responsible for the smooth implementation of the INC

syllabus and school administration.

Duties and Recommendation

Administrative

1. Advertising and calling for candidates for nursing programme.

2. Scrutinising applications, preparing merit lit and calling them for

interview.

3. Conducting interview through the set-up committee and selecting

candidates and informing them.

4. Planning for orientation programme for new students and staff.

5. Distributing teaching work load and departments to each tutor

along with teaching materials connected with that, e.g., nursing

arts, anatomy, physiology, etc.

6. Carrying out correspondence with other departments, agencies, or

individuals in connection with the programme.

7. Maintaining students records, admission register, results, registers

master roll call for staff, teachers and student etc.,

8. Countersigning records of each department, library and hostel after

annual verification by the concerned in charge of the department

and the warden in case of the hostel.

9. Seeing to the supply of audio visual aids, teaching material as

requested by the concerned department incharge.

10. Placing indents with the government for stationery, uniform for

certain category of Class IV servants.

11. Purchasing lines, furniture, equipments, books and journals as per

requirement of the office, hostel and nursing department.

12. Authorising repairs of vehicles and purchase of oil, petrol and

minor parts for replacement.

13. Sending proposals yearly for new items, staff, costly equipments,

etc.,

14. Countersigning cash book after periodical verification of cash.

15. Seeing that monthly pay bills are send in time, so also TA bills or

any other type of bills.

16. Assisting the auditors to their job well, and replying to the

complying with audit paras.

17. Countersigning stamp register every month.

18. Seeing that office-timings and other rules of service are observed.

19. Writing annually the confidential report of staff and teachers.

20. Holding meetings with teachers, staff of office, hostel staff,

students and their committees.

21. Representing the college and the profession on various committees.

22. Working out the philosophy and objective of the institution.

Educational

The principal/Principal Nursing Officer will be responsible for the smooth

implementation of the prescribed syllabus, keeping in mind the goal to be

achieved. She/he will therefore, be responsible for:

1. Working out the syllabus and the curriculum keeping within the

framework laid down by the Indian Nursing Council.

2. Arranging for theory and practical work for each group, with the

help of tutor/clinical Instructors so as to meet the laid down

objectives.

3. Contacting agencies, institutions, for arranging field visits, clinical

experience, etc. so that the students get the best possible experience

in that area.

4. Initiating changes in curriculum keeping within the guidelines of

the syllabus.

5. Co-operating with the State Council/Board to conduct examinations

by providing all facilities.

6. Guiding students in filling examination forms, registration fees, and

seeing that they are submitted to the Council in time.

7. Taking classes in her/his subjects.

8. Preparing and displaying weekly/monthly class, schedule, clinical

experience of relation plan, etc. in consultation with tutors.

9. Communicating to the Council any relevant information regarding

students.

10. Communicating to the Council any relevant information regarding

students.

11. Encouraging teachers to experiment with newer methods of

teaching and to find out newer clinical areas which would provide

the best possible exposure of students, to that area.

12. Encourage and supporting co-curricular activities.

13. Issuing transcripts to students.

Miscellaneous

Besides her/his responsibilities in the administrative and teaching areas

certain functions not related to these two areas are also carried out.

1. Encouraging faculty members to take up further studies, attend

seminars workshops and participate in professional activities.

2. Participating in activities of the professional organization.

3. Encouraging students to actively participate in SNA activities and

to join TNAI and GNAK on graduation.

4. Arranging graduation and candle lighting ceremonies with help

from tutors.

5. Meeting visitors and discussing issues, pertaining to the school

programme.

6. Meeting parents or guardians of the students as and when

necessary.

7. Preparing for the co-operation with inspectors from the State level

bodies (Council or Directorate) or National Council.

Note

The principal, General Nursing School is an overall in charge of the school.

However, for smooth running of the institution, it is necessary for her/him to

delegate the responsibility of the hostel, library, laboratories, nursing

sciences, nutrition community health, to the senior most person in the

department or the Warden or tutor-in-charge of that subject/area, e.g. Tutor

teaching Phy should be made responsible for charts, models, wet specimen,

skeleton, etc.,

5. SENIOR TUTOR-

Responsible for planning and implementation of teaching

programmes.

Teaching subjects of the curriculum.

Overall supervision of the clinical teaching programmes.

Assists in the administration of the school of nursing.

Supervise and guide the junior teaching staff.

Supervise students health status welfare and security.

Assisting in the selection of students and admissions.

Supervise the living condition of the students.

Participate in student guidance activities.

Assisting the principal tutor into the general administration of

the school.

Assisting in the library.

Planning, implementing, and evaluating the specific courses.

Officiating as principal tutor in her absence.

6. TUTOR

Responsible for planning and implementation of

teaching programme.

Teaching subjects in the curriculum.

Overall Supervision of clinical teaching programme of

subjects in hospital/community health setting.

Maintains classroom equipments, supplies and teaching

aids.

Conduct test for (theory and practical) and evaluation of

student assignment and performance.

Preparing teaching materials and implanting it under

the guidance of other teachers.

Helping the students with extra-curricular activities.

Assisting in the administration of the school of nursing.

Supervision of student health, welfare and security.

Assisting the selections of students and administration.

Assisting in examination, tests (sessionals and

terminals)/

Supervision of living condition of students in the hostel.

Assist in teaching of other categories of personnel in

the hospital and community.

Assisting in the procurement of school supplies and

equipment.

Assisting the library work.

Assisting in maintaining school records.

Planning and implementation and evaluation of

specification courses.

Shall carry out any other duties assigned by the

principal or head of the department in the interest of

education.

7. CLINICAL INSTRUCTOR

supervision and teaching of students in the clinical

public health field.

Planning and supervision of clinical teaching

schedule including assignment of the patients.

Supervise and guide patients care activities carried

out by students.

Assisting in evaluation of students progress.

Helping students with extra curricular activities.

Maintaining records related to clinical experience

and teaching guidance of the students.

Assists in the practical examinations.

PUBLIC HEALTH / COMMUNITY HEALTH PERSONNEL

1. DISTRICT PUBLIC HEALTH NURSE

Bhore committee recommended posting of PHN at the primary

health centers but unfortunately most states have failed to do so. The only

posting of PHN is at the district level is DPHN.

To help in organization of maternaland child health programmes as a

whole and in the implementation of the special plan scheme, centrally

sponcered and othervise in particular like the immunization

programme, training of traditional birth attendants and their active

involvement in MCH, FP etc.

To promote health and nutrition educative activities through the lady

health visitors, ANMs by providing them with taking points and

printing materials produced by various agencies.

To ensure that the lady health visitors / MHW female multi purpose

workers etc integrated MCH FP and health nutrition education in their

day to day activities.

To help in developing school health porgrammes in the district.

To ensure regular supply of equipment records register drugs vaccines

and other sundries necessary for MCH work in the primary health

centers and sub centers by assisting store keeper in procuring and

distributing the supplies.

Ensure the maintenance of prescribed records.

To help the statistical officer in the district family welfare bureau in

compiling the periodical progress reports of MCH activities.

To review the periodical progress reports of MCH activities FP work

done by the LHV/ MPHW.

To give technical guidance supervision and support to the female

MPHW LHV PHN working in the PHC.

To investigate into complaints against female medical personnel in the

district and submit reports to the district M.O.

To provide continuining education of the female MCH / FP in the

district through in service education sources.

To work together with the functioneres of other govt dept like social

welfare, rural development, education engaged in programmes for

women and children.

To co oprate MCH / FP activities undertaken through the voluntary

organization in the district and provide health inputs to the possible

extent for mothers and children.

To tour for minimum 15 days in a month and visit primary health

centers, subcenters, villages, dais, balwadi, mahila mandals etc

according to an advance programmes duly approves by the DMO.

Attending to problems reffered to her.

Provides health services to the community according to its policies of

the department in the area of preventive, promotive, curative and

rehabilitative care.

2. COMMUNITY HEALTH OFFICER

One community health officer will be posted at each new primary

health center and will cover 30,000 population. She will be under direct

administrative and technical control of MO-incharge of PHC.

DUTIES AND RESPONSIBILITIES-

Control of communicable diseases-

o Ensure that all necessary steps are being taken for the control of the

communicable diseases in the village.

o She should report any outbreak of an epidemic to Medical Office in-

charge.

o Assist the Medical Officer of the primary health centre in taking the

necessary action in case of any epidemic in the PHC area.

Maternal and child health-

o Supervise and guide the health assistant and health workers and

actively involve the health guides and trained dais in the effective

implementation of the programme for maternal and child health.

School health-

o Visit schools in the phc area at regular interval and arrange for

medical checkups by MO PHC immunization environmental

sanitation and health education.

o Make arrangements for the treatment and follow-up of those students

found to have defects.

Universal immunization programme-

o Supervise and guide the health assistants and health workers and

actively involve the health guides and trained dais the effective

implementation of the expanded programme of immunization.

Family planning-

o Supervise and guide the health assistants and health workers and

actively involve the health guides and trained dais the effective

implementation of the family planning programme.

Nutrition

o Supervise and guide the health assistant and workers and actively

involve the health guides and trained dais the effective

implementation of the nutritional programme such as administration

of vitamin A and iron and folic acid tablets.

Environmental sanitation-

o Help to ensure that all the steps are being taken to provide safe

drinking water and for the improvement of environmental sanitation

in the village.

Treatment for minor disorders-

o Provide guidance to the health assistant health workers and primary

school teachers in the treatment of minor disorders.

Community involvement and health education-

o Participate in the village committee or village panchayat meetings to

assess the health needs of the community

o To discuss the health programmes with the community and to enlist

their co-operation in these programmes.

o Maintain close liason between the Block development officer and her

staff.

o Work closely with the community leaders and community

organizations.

o Organize camps, meetings, health educations, demonstrations,displays

of posters,exhibitions,films and involve all health care workers.

Training of health personnel and community level workers-

o Educate community about health guide schemes

o Organize and conduct the training programme for health guides,

teachers, dais.

o Be primarily responsible for the continuing education of health

guides, teachers.

o Assist the M.O PHC in staff development programmes

o Be actively involved in the field training components of training

programmes conducted by the health and family welfare.

Management and supervision-

o Assist the M.O, PHC in conducting field investigations

o Ensure that the subcenters are properly maintained and managed by

the health workers and health assistants.

o Ensure about supplies and equipment to PHC

o Ensure the regular replenishment of kits and supplies.

o Scrutinize the work plans of health assistanta and health workers.

o Supervise and maintain prescribed records.

o Organize meetings at regural intervals.

o Keep notes of all her activities in the PHC.

o Any other duty assigned by the M.O should be carried out by the

CHO.

3. LADY HEALTH VISITOR

Health visitors are registered nurses who have undertaken further

training to work as part of a primary health care team. As their name

suggests, their role is to promote mental, physical and social well-being in

the community by giving advice and support to families in all age groups.

Limited resources and staff within the NHS have traditionally meant that

their work has been focused on childhood development, but the scope to

expand their roles is slowly improving. The Healthy Child Programme

published in October 2009 influences the service available to families. It is

presented in three key documents: The First Five Years, The Two Year

Review and The Healthy Child Programme for 5-19 year olds.

http://en.wikipedia.org/wiki/National_Health_Service

http://en.wikipedia.org/wiki/Primary_health_care

http://en.wikipedia.org/wiki/Nurse

They usually work with mothers once postpartum care is handed over from

the midwives, advise on feeding, care and support to both infants and

parents, provide routine child development checks and have responsibility

for child protection issues. They are also able to help people of any age who

suffer from chronic illness or live with a disability. They may run health

promotion schemes such as stop-smoking clinics.

AREA OF WORK-

Clinics, fields, maternity homes, and hospitals, family planning camps,

emergency duties in flood and epidemic areas.

Clinics-

Organizes antenatal clinics and postnatal clinics, well baby and family

planning clinic,

runs full time clinic in the absence of the doctor supervises and guides

ANMs dais FP etc principal motivator for achieving net family planning

targets independently rns 20 beds or more maternity homes assists doctors in

the insertion of iud and other emergencies responsible for error of audit,

condemnation.

In the ward-

Managers maternity ward in the maternity home which are 20 beded or more

bedded. Her duties are similar to the duties of a ward sister in any other

http://en.wikipedia.org/wiki/Postnatal

hospital, concerning patient care, taking charge of the ward stock,

maintaining the cleanliness and safety of the ward.

Field duties-

o Provides health care to all individuals families and community in any

field that she is appointed.

o Trains supervises and guides the health workers in the delivery of

health care services to the community.

o Plans health and family welfare programmes along with health

workers.

o Carries coordinate the work of male and female health workers and

other personnel.

o Arranges educational programmes for the community.

o Assists in identifying areas requiring study research approved by the

community health department.

o Assists in conducting medical examinations.

4. AUXILIARY NURSE MIDWIFE (ANM)

The roles of Auxiliary Nurse Midwife (ANM) and ASHA have

been integrated in various ways. The ANM will hold weekly/fortnightly

meeting with ASHA, and provide on-job raining by discussing the activities

undertaken during the week/fortnight and provide guidance in case ASHA

encounters any problem. ANMs will also act as resource persons for the

initial and periodic training and also ensure that during the training ASHA

gets the compensation for performance and also TA/DA for attending the

training schedule.

She will also guide ASHA in bringing the beneficiary to the outreach

session. She will utilize ASHA in motivating the pregnant women for

coming to the Sub-Centre for initial check-ups and also take ASHA’s help in

bringing married couples to sub centres and motivating pregnant women for

taking full course of Iron and Folic Acid (IFA).

o She assists in conducting MCH and FP clinics

o Surveying the area and maintaining contact with local dais.

o Supervision of work of local dais.

o Regular home visits.

o Antenatal intranatal and postnatal care.

o Maintaining records of daily work.

o Assisting in registration of birth and death.

o Providing medical care aspects.

o Does any other duties assigned by the PHN.

NURSES AT UNION LEVEL

1. NURSING OFFICER-

At the central level there is a post of nursing adviser in the

medical division of directorate general of health services. The advisor is

directly responsible to the deputy director general. The nursing advisor is

assisted-by nursing and support staff for all her work.

She advices the DGHS ministry health family welfare as well as other

ministers, departments.

The nursing advisor also takes care of administrative aspects of Raj

Kumari Amrit Kaur college of nursing and lady hardinge health

school both in delhi.

Nursing advisor being the head of the nursing services in the country

responsible for advising the govt of India on all matters concerning

nursing service nursing education and specialization in nursing.

Guides supervises and co ordinates nursing services and nursing

education in the states.

Plans total nursing manpower requirements of the country in the area

of nursing service, nursing education and continuning education etc in

co operation and co ordination with state govt units and voluntary

agencies.

Responcible for developing the national and international projects

concerning nursing in India.

She is programme officer for nursing section in the office of the

DGHS which involves components of all the national health

programmes.

2.DEPUTY NURSING ADVISOR-

Training of various categories of nursing personnel in family

on an all India basis

periodical assessment of the needs nursing personnel working

in terms of quality

advising state the situation

advising the government of India in terms of policy making as

reguard nursing training

3. NURSING OFFICER

Assists nursing advisor in all matters of nursing

Relieving nursing advisor as and when required

International assistance UNICEF equipment and supplies and

vehicles for all training institutions of nurses / ANM.

Organize and conduct refresher courses on and all India basis

Representing on committees gives advice and teaching as and when

required specially in the area of public health nursing.

NURSING PERSONNEL AT STATE LEVEL

1. DEPUTY DIRECTOR






or



or



She is responsible mainly to see that the nursing services run

smoothly

Promotions and postings.

Appointments in consultation with superintendent of nursing services

of other sections.

Review of confidential reports

Correspondence with government and non governmental institutions.

Educational programs.

Proposals to government.

Participation in health care planning .

Deputation of Bsc nursing Msc nursing in state or out of stste and

oythr training higher learning programmes.

Sanction of pre audit bills.

No objection certificate for passport.

Administrative work pertaining to nursing personnel.

She makes plan for continuous improvement of job satisfaction of the

nursing staff as well for better patient care

2. ASSISTANT DEPUTY DIRECTOR

She will work under the direct supervision of the deputy director in

the nursing .

She will assist the Dy. Director in all the matters o the nursing

colleges.

In times of the need he may go over to the colleges and inspect the

way of teaching and put before the Director of medical education.

3. GAZETTED ASSISTANT

An officer in the category of Lay secretory and Treasure grade 1 posting as

gazetted assistant in the Directorate.

He will work under the administrative control of the Director of

medical education.

He will assists the addl.director of medical education in all planning

and evaluation of the results of all plan schemes.

He will attend to any other duty assigned by the director of medical

education.

He will assist the deputy director in conducting general nursing

examinations while guiding the deputy director in the administrative

matters.

He will attend to any other work entrusted by the director of medical

education.

RESEARCH STUDIES

JOB SATISFACTION AND TURNOVER AMONG NURSES:

INTEGRATING RESEARCH FINDINGS ACROSS STUDIES

Abstract

A meta-analytic study investigated the causal relationships among job

satisfaction, behavioral intentions, and nurse turnover behavior. A

theoretical model was proposed in which behavioral intentions were viewed

as a direct antecedent to turnover behavior. Job satisfaction was expected to

be indirectly related to turnover by virtue of the mediating role of behavioral

intentions. Consistent with these expectations, a strong positive relationship

was indicated between behavioral intentions and turnover; a strong negative

relationship between job satisfaction and behavioral intentions; and a small

negative relationship between job satisfaction and turnover. The results of

the modifier analysis suggested that effect sizes are fairly robust to

differences in study designs, response rates, and methods of measuring job

satisfaction, but the manner in which behavioral intentions were

operationalized appeared to moderate the relationship between behavioral

intentions and turnover and job satisfaction. Of variables related to nursing

job satisfaction, work content and work environment had a stronger

relationship with job satisfaction than economic or individual difference

variables.

THE DELIVERY OF QUALITY NURSING CARE: A GROUNDED

THEORY STUDY OF THE NURSE’S PERSPECTIVE

This grounded theory study explored and described the delivery of quality

nursing care from the perspective of nurses. Data were gathered by tape

recorded interviews, published literature and some participant observation.

Ten registered nurses from an acute-care public hospital located in Perth,

Western Australia were interviewed. Twelve additional transcripts from

interviews conducted by postgraduate students were also used. Quality

nursing care was perceived to relate to the degree to which patients’

physical, psychosocial, and extra care needs were met. The consequences of

quality care were interpreted as ‘therapeutic effectiveness’, where the

therapy provided by nurses was perceived to positively affect patients’

healing. This was gauged by the patient’s psychosocial and physical

response to illness, safety, and satisfaction. Therapeutic effectiveness was

facilitated by the development of positive relationships between nurses and

patients, nurse’s positive attributes and competent practices, as well as a

functional nursing team. The problem of nurses’ inability to consistently

provide quality nursing care to all patients was identified. Insufficient time

(caused by a lack of human and physical resources) was perceived as the

main reason for this. Dissatisfaction and stress in nurses was related to this

problem. To deal with this, nurses used a process named ‘selective

focusing’. Work was planned to most effectively utilize the time available,

within the parameters of safety. Implications for nursing practice, education

and management are discussed, and directions for further research are

provided.

NURSE-STAFFING LEVELS AND THE QUALITY OF CARE IN

HOSPITALS

Jack Needleman, Ph.D., Peter Buerhaus, Ph.D., R.N., Soeren Mattke, M.D.,

M.P.H., Maureen Stewart, B.A., and Katya Zelevinsky

N Engl J Med 2002; 346:1715-1722May 30, 2002

Background It is uncertain whether lower levels of staffing by

nurses at hospitals are associated with an increased risk that patients

will have complications or die.

Methods We used administrative data from 1997 for 799

hospitals in 11 states (covering 5,075,969 discharges of medical

http://www.nejm.org/toc/nejm/346/22/

patients and 1,104,659 discharges of surgical patients) to examine the

relation between the amount of care provided by nurses at the hospital

and patients' outcomes. We conducted regression analyses in which

we controlled for patients' risk of adverse outcomes, differences in the

nursing care needed for each hospital's patients, and other variables.

Results The mean number of hours of nursing care per patient-

day was 11.4, of which 7.8 hours were provided by registered nurses,

1.2 hours by licensed practical nurses, and 2.4 hours by nurses' aides.

Among medical patients, a higher proportion of hours of care per day

provided by registered nurses and a greater absolute number of hours

of care per day provided by registered nurses were associated with a

shorter length of stay (P=0.01 and P<0.001, respectively) and lower

rates of both urinary tract infections (P<0.001 and P=0.003,

respectively) and upper gastrointestinal bleeding (P=0.03 and

P=0.007, respectively). A higher proportion of hours of care provided

by registered nurses was also associated with lower rates of

pneumonia (P=0.001), shock or cardiac arrest (P=0.007), and “failure

to rescue,” which was defined as death from pneumonia, shock or

cardiac arrest, upper gastrointestinal bleeding, sepsis, or deep venous

thrombosis (P=0.05). Among surgical patients, a higher proportion of

care provided by registered nurses was associated with lower rates of

urinary tract infections (P=0.04), and a greater number of hours of

care per day provided by registered nurses was associated with lower

rates of “failure to rescue” (P=0.008). We found no associations

between increased levels of staffing by registered nurses and the rate

of in-hospital death or between increased staffing by licensed practical

nurses or nurses' aides and the rate of adverse outcomes.

Conclusions A higher proportion of hours of nursing care provided

by registered nurses and a greater number of hours of care by

registered nurses per day are associated with better care for

hospitalized patients

SUMMARY

Till now we have discussed about the duties and responsibilities of

various categories of nursing personnel that includes aims of nursing

personnel management, objectives of nursing personnel, various categories

of personnel – clinical or institutional level, college level, school level and at

community level.

CONCLUSION

Personnel management means the task of dealing human relationships

with in an organization. Aim of nursing personnel management is to employ

those nurse best fitted with education, skill and experience to perform the

prescribed work. Objectives are to guarantee fairness in the maintenance of

discipline and to upgrade and promote the existing staff wherever possible.

BIBLIOGRAPHY

Anderson, E. T., and McFarlane, J. (1996). Community as Partner:

Theory and Practice in Nursing, revised edition. Philadelphia, PA:

Lippincott.

Buhler-Wilkerson, K. (1993). "Bringing Care to the People: Lillian

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Bt.Basavanthappa , (2005) Nursing Administration, 2nd edition, jaypee

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JOURNALS

Amrican Journal of Nursing (2010) January the clinical nurse leader

an update on the controversial nursing role page no 110.

American Public Health Association Public Health Nursing Section

(1996). The Definition and Role of Public Health Nursing.

Washington, DC: Author.

Keller, L. O.; Strohschein, S.; Lia-Hoagberg, B.; and Schaffer, M.

(1998). "Population-Based Public Health Nursing Interventions: A

Model from Practice." Public Health Nursing 15(June):207–215.

Kosidlak, J. G. (1999). "The Development and Implementation of a Population-Based Intervention Model for Public Health Nursing Practice." Public Health Nursing 16(October):311–320.

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