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aRevised Ordinance Governing Regulations and Curriculum of

Basic B.Sc. Nursing Degree Course


2006

Volume I
REGULATIONS AND CURRICULUM

Rajiv Gandhi University of Health Sciences, Karnataka


4th ‘T’ Block, Jayanagar, Bangalore 560 041.
Revised Ordinance Governing Regulations and Curriculum of
Basic B.Sc. Nursing Degree Course and Curriculum - 2006
Volume I & Volume II

I Edition printed : 1997

II Edition printed : 1999

Rs.

Copies may be obtained from :

The Director,
Prasaranga,
Rajiv Gandhi University of Health Sciences,
4th T Block, Jayanagar,
Bangalore 560 041.
Rajiv Gandhi University of Health Sciences, Karnataka bangalore,

The Emblem

The Emblem of the Rajiv Gandhi University of Health Sciences is a symbolic


expression of the confluence of both Eastern and Western Health Sciences. A central
wand with entwined snakes symbolises Greek and Roman Gods of Health called
Hermis and Mercury is adapted as symbol of modern medical science. The pot above
depicts Amrutha Kalasham of Dhanvanthri the father of all Health Sciences. The
wings above it depicts Human Soul called Hamsa (Swan) in Indian philosophy. The
rising Sun at the top symbolises knowledge and enlightenment. The two twigs of
leaves in western philosophy symbolises Olive branches, which is an expression of
Peace, Love and Harmony. In Hindu Philosophy it depicts the Vanaspathi (also called
as Oushadi) held in the hands of Dhanvanthri, which are the source of all Medicines.
The lamp at the bottom depicts human energy (kundalini). The script “Devahitham
Yadayahu” inside the lamp is taken from Upanishath Shanthi Manthram (Bhadram
Karnebhi Shrunuyanadev…), which says “May we live the full span of our lives
allotted by God in perfect health” which is the motto of the Rajiv Gandhi University
of Health Sciences.
Rajiv Gandhi University of Health Sciences, Karnataka
Bangalore

Vision Statement

The Rajiv Gandhi University of Health Sciences, Karnataka, aims at bringing about a
confluence of both Eastern and Western Health Sciences to enable the humankind “Live the
full span of our lives allotted by God in Perfect Health”

It would strive for achievement of academic excellence by Educating and Training


Health Professionals who

 Shall recognize health needs of community,


 Carry out professional obligations Ethically and Equitably and in keeping with
National Health Policy,

It would promote development of scientific temper and Health Sciences Research.

It would Encourage inculcation of Social Accountability amongst students, teachers and


institutions.

It would Support Quality Assurance for all its educational programmes

Motto
Right for Rightful Health Sciences Education
SECTION I

Philosophy, Aims and Objectives


Philosophy
(Adapted from Indian Nursing Council)
Indian Nursing Council believes that:

Health is a state of well-being that enables a person to lead a psychologically, socially and
economically productive life. Health is a right of all the people. Individuals, Families and
communities have responsibility towards maintaining their health.

Nursing contributes to the health services in vital and significant way in the health care
delivery system. It recognizes national health goals and is committed to participate in the
implementation of National Health policies and programmes. It aims at identifying health
needs of the people, planning and providing quality care in collaboration with other health
professionals and community groups.

Scope of nursing practice encompasses provision of promotive, preventive, curative and


rehabilitative aspects of care to people across their life span in wide variety of health care
settings. Practice of nursing is based upon application of basic concepts and principles
derived from the physical, biological, and behavioural sciences, medicine and nursing.

Nursing is based on values of caring and aims to help individuals to attain independence in
self care. It necessitates development of compassion and understanding of human behaviour
among its practitioners to provide care with respect, dignity and protect the rights of
individuals & groups.

Undergraduate nursing programme is broad based education within an academic framework


specifically directed to the development of critical thinking skills, competencies & standards
required for practice of professional nursing and midwifery as envisaged in National Health
Policy 2002.

The teachers have the responsibility to be role models and create learning environment that
enables students to acquire inquiry driven, self directed learning and foster an attitude of life
long learning.

Under graduate nursing education program prepares its graduates to become exemplary
citizen by adhering to code of ethics and professional conduct at all times in fulfilling
personal, social and professional obligations so as to respond to national aspirations.
Aim
The aim of the undergraduate nursing program is to:
• Prepare graduates to assume responsibilities as professional, competent nurses and
midwives in providing promotive, preventive, curative, and rehabilitative services.
• Prepare nurses who can make independent decisions in nursing situations, protect the
rights and facilitate individuals and groups in pursuit of health, function in the
hospital, community nursing services, and conduct research studies in the areas of
nursing practice. They are also expected to assume the role of teacher, supervisor and
manager in a clinical / public health setting.
Objectives
On completion of the four year B.Sc. Nursing program the graduate will be able to:
1. Apply knowledge from physical, biological, and behavioural sciences, medicine
including alternative systems and providing nursing care to individuals, families
and communities.
2. Demonstrate understanding of life style and other factors, which affect health of
individuals and groups.
3. Provide nursing care based on steps of nursing process in collaboration with the
individuals and groups.
4. Demonstrate critical thinking skill in making decisions in all situations in all
situations in order to provide quality care.
5. Utilize the latest trends and technology in providing health care.
6. Provide promotive, preventive, and restorative health services in line with the
national health policies and programmes.
7. Practice within the framework of code of ethics and professional conduct, and
acceptable standards of practice within the legal boundaries.
8. Communicate effectively with individuals and groups, and members of the health
team in order to promote effective interpersonal relationships and teamwork.
9. Demonstrate skills in teaching to individuals and groups in clinical/community
health settings.
10. Participate effectively as members of the health team in health care delivery
system.
11. Demonstrate leadership and managerial skills in clinical/community health
settings.
12. Conduct need based research studies in various settings and utilize the research
findings to improve the quality of care.
13. Demonstrate awareness, interest and contribute towards advancement of self and
of the profession.
(Schedule annexed to University Notification No. UA/SYN/ORD/B.Sc.(N)/32/2005-06 dated
08.08.2006)

Revised Ordinance Governing Regulations and Curriculum of


Basic B.Sc. Nursing Degree Course - 2006
(as per Indian Nursing Council Guidelines of 2004, vide letter from the Secretary, INC, No.
12-1/2004-INC dated 07.05.2005)

SECTION – II
REGULATIONS
1. Eligibility
1.1 Qualifying Examination

A candidate seeking admission to first Basic B.Sc. Nursing course:


i) shall have passed two years Pre University examination conducted by Department of
Pre-University Education, Karnataka State, with English as one of the subjects and
Physics, Chemistry and Biology as optional subjects. The candidate shall have passed
subjects of English, Physics, Chemistry and Biology individually and must have
obtained a minimum of not less than 50% marks in Physics, Chemistry, Biology and
English (PCBE) taken together in the qualifying examination. In respect of candidates
belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes, the
marks obtained in Physics, Chemistry, Biology and English taken together in
qualifying examination be not less than 40% instead of 50% as above.
OR
ii) shall have passed any other examination conducted by Boards /Councils/ Intermediate
Education established by State Governments/ Central Government and recognised as
equivalent to two year Pre University examination by the Rajiv Gandhi University of
Health Sciences/Association of Indian Universities (AIU), with English as one of the
subjects and Physics, Chemistry and Biology as optional subjects and the candidate
shall have passed subjects of English, Physics, Chemistry and Biology individually
and must have obtained a minimum of not less than 50% marks in Physics,
Chemistry, Biology and English taken together in the qualifying examination. In
respect of candidates belonging to Scheduled Castes, Scheduled Tribes or Other
Backward Classes, the marks obtained in Physics, Chemistry, Biology and English
taken together in qualifying examination be not less than 40% instead of 50% as
above.
OR
iii) In case of candidates from the stream of Vocational Higher Secondary Course
conducted by the Board of Vocational Higher Secondary Examination, Kerala, the
candidate shall have taken a minimum of 5 (five) subjects including Physics,
Chemistry, Biology and English in addition to the vocational subject (vide RGUHS
Notification No. RGUHS/SEF/EC.B.Sc.Nsg/191/2005-06 dated 18.05.2006.) and
shall have passed the said examination in all the subjects individually and shall have
obtained a minimum of not less than 50% marks in Physics, Chemistry, Biology and
English taken together in the qualifying examination. In respect of candidates
belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes, the
marks obtained in Physics, Chemistry, Biology and English taken together in the
qualifying examination be not less than 40% instead of 50% as above.

1.2 Age: The candidate should have completed 17 years on or before 31st day of December
of the year of admission.
1.3 Candidate shall be medically fit.
2. Selection
Selection of the candidates should be based on the merit in the entrance examination
held by University or competent authority.
3. Duration of the Course
Duration of the course shall be four completed years including clinical training of 24
weeks.

4. Medium of Instruction

English shall be the medium of for the course as well as for the examination.

5. Course of Study
Candidates shall undergo course of instruction in the following subjects. Details of
Subjects and Distribution of Hours of Teaching in Theory and Practical from First to Fourth
Year are given in the Tables 1 to 4.

Table 1-First year Basic BSC Nursing :

SL SUBJECTS THEORY PRACTICAL TOTAL


NO HOURS /CLINICAL
HOURS
1. Anatomy 60 20 80
2. Physiology and Biochemistry 60+30 20+13 125
3. Basic principles and practice of Nursing 240 300 540
4. General and Education Psychology 45+45 - 90
5. Microbiology 45 15 60
6. Introduction to Community Health 75 45 120
Nursing
7. Sociology 60 - 60
8. English 90 - 90
9. Kannada (Regional Language) 45 - 45
Table 2-Second year basic BSC Nursing;

SL SUBJECTS THEORY PRACTICAL/ TOTAL


NO HOURS CLINICAL
HOURS
1. Pharmacology 30 15 45
2. Medical surgical nursing-1 270 600 870
3. Community health nursing-1 75 105 180
4. Growth and development 60 30 90
including nutrition
5. Statistics and introduction to 30+45 - 75
nursing research

Table 3-Third year basic BSC Nursing:

SL SUBJECTS THEORY PRACTICAL/ TOTAL


NO HOURS CLINICAL
HOURS
1. Child health nursing 75 240 315
2. Medical surgical nursing-II 75 210 285
3. Mental health nursing 75 240 315
4 Midwifery including maternity 60 150 210
and gynecological nursing-1
5. Nursing Education 60 150 210

Table 4-Fourth year BSC Nursing:

SL SUBJECTS THEORY PRACTICAL TOTAL


NO HOURS /CLINICAL
HOURS
1. Midwifery including maternity 60 300 360
and gynecological nursing-II
2. Community Health Nursing 60 450 510
3. Nursing Administration 60 105 165
4. Trends and issues in Nursing 45 - 45
5. Electives-Computer Science 45 30 75

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.

9. Criteria for Pass: A candidate has to fulfill the following criteria:

For declaration of pass in any subject in the University examination, a candidate shall pass
both in Theory and Practical/Clinical examinations components separately as stipulated
below:

The Theory component consists of marks obtained in University Written paper(s)


and internal Assessment (Theory). For a pass in theory, a candidate shall secure
not less than 50% marks in aggregate i.e., marks obtained in written examination
and internal assessment (theory) added together. For a pass in practical/clinical
examination, a candidate shall secure not less than 50% marks in aggregate, i.e.,
marks obtained in university practical /clinical examination and internal
assessment (practical) added together.

A candidate not securing 50% marks in aggregate in Theory or Practical/Clinical


examination in a subject shall be declared to have failed in that subject and is
required to appear for both Theory and Practical/Clinical again in the subsequent
examination in that subject.

However, for a pass in English paper, a candidate shall secure not less than 40% of

maximum prescribed marks in theory and 40% of maximum prescribed marks in internal

assessment.

10. Declaration of Class: (Only in the final year examination)


a) A candidate having appeared in all the subjects in the same examination and passed
that examination in the first attempt and secures 75% of marks or more of grand
total marks prescribed will be declared to have passed the examination with
distinction.
b) A candidate having appeared in all the subjects in the same examination and passed
that examination in the first attempt and secures 65% of marks or more but less than
75% of grand total marks prescribed will be declared to have passed the examination
in First Class.
c) A candidate having appeared in all the subjects in the same examination and passed
that examination in the first attempt and secures 50% of marks or more but less than
65% of grand total marks prescribed will be declared to have passed the examination
in Second Class.
d) A candidate passing a university examination in more than one attempt shall be
placed in Pass class irrespective of the percentage of marks secured by him/her in the
examination.
[Please note fraction of marks should not be rounded off for clauses (a), (b) and (c)]
11. Carry Over
1. A candidate failing in more then two subjects will not be promoted to the next year.
2. Candidate shall not be admitted to the subsequent higher examination unless the
candidate has passed in all the papers in the previous examination.
3. If a candidate fails in theory or practical exam in a paper in that paper he/she has to
re-appear for both in Theory and Practical.

12. Maximum number of attempts and maximum period for completion of the
course
1. Maximum number of attempts permitted for each paper is three including first
attempt.
2. The maximum period to complete the course successfully should not exceed eight
years.

13. Award of degree


Must have 100 % attendance in each of the practical areas before award of degree.

14. Number of Examiners: One internal and one external examiner should jointly
conduct
practical / clinical examination for each student.

14. Eligibility of Examiner


1. To be eligible to be an examiner, one should have passed M.Sc (N) in concerned
subject, should have a minimum of three years teaching experience in a college of
nursing and should be holding a full time post of Lecturer or above.
2. To be an examiner for Nursing Foundations course, a teacher should have passed M.Sc (N)
in concerned subject, should have a minimum of three years teaching experience in a college
of nursing and should be holding a full time post of Lecturer or above
COURSE DESCRIPTION:

FIRST YEAR BSC NURSING

ANATOMY

COURSE OUTLINE

Placement: 1st year,leading to bsc nursing(basic) degree

Time allotted: theory:60 hours, practicals-20hours

Course description:
This course is designed to increase knowledge and understanding of the
concepts of structure and functions of the human body.

Behavioral objectives:

1.Possesses a more meaningful comprehension of the structure and functions of


body parts.
2.Understands principles of anatomy which are necessary for the practice of
nursing.

UNIT 1: The human body as a whole:

General structure, terminology, cavities, regions, systems and functional units.

UNIT 2: The cell:

Structure, function, cellular environment.

UNIT 3: The body tissues:

Nature, location, functions, tissue repair processes and condition favourable to


wound healing.

UNIT 4: Locomotion and support:


- The skeletal function and classification of bones in the whole body.
- Joints-structure, classification, type of movements.
- Muscular tissue, properties, classification, functions and physiology of
contraction.
- Function of muscle in the whole body and their relationship of nerve and
blood supply.
UNIT 5:Generalised control and response to environment:
A: anatomy of the nervous system
Components of nervous activities
The spinal cord, principal spinal pathway
Spinal nerves
The brain, organization and functions of cranial nerves.

B: general physiology of sensations:


Sensations: cutaneous, position sense, taste smell, hearing ,equilibrium and
vision.

C: The autonomic nervous system

UNIT 6: Means of distributing materials to and from the cells:

The heart and blood vessels: structure

UNIT 7: Distribution of materials:

The respiratory organs: structure, portal circulation


The structure of alimentary tract: structure of liver and pancreas.
Gall bladder and other structure in abdomen and pelvis
Hormones: classification, structure of endocrine glands.

UNIT 8: Maintenance of homeostasis-body fluids:

Structure of kidneys, ureters, bladder

UNIT 9: Human reproduction:

Male and female organs of reproduction: structures


PHYSIOLOGY

Placement: 1st year,leading to (basic) bsc nursing degree course.

Time allotted: 60+30 hours

Course description:

The course is designed to increase knowledge and understanding of the


concepts of functions of human body.

Behavioral objectives:

1. Possess of comprehension of the functions of human body parts.


2. Appreciate the principles of physiology which are necessary of the
practice of nursing.

UNIT 1: General physiology:

The cell, cellular environment, body fluid compartment.

UNTI 2: Physiology of nerve and muscle:

Conduction of nerve impulse, synapses


Mechanism of muscle contraction
Neuromuscular junction

UNIT 3: Function of nervous system:

Sensations: cutaneous, position sense, taste, smell hearing, equilibrium and


vision.
Autonomous nervous system.

UNIT 4: Means of distributing materials to and from the cells:

- Blood and lymph; functions, coagulation, blood groups and typing.


- Cardio vascular system; functions
- Physiology of circulation
Function of the lymph vascular system
Practicals: cell count, estimation of hb; blood grouping.
UNIT 5: Distribution of materials:

Physiology of respiration and control


Digestive system function: absorption and utilization of nutrients
Temperature regulation
Hormones regulation.

UNIT 6: Maintenance of homeostasis-body fluids:

Urine formation, micturation reflexes

UNIT 7: Human reproduction:

Functions of male and female reproductive organs.


Hormonal control,menstruation.

BIO-CHEMISTRY

Placement: 1st year, leading to bsc nursing (basic) degree

Time allotted -: 30+15 hours

Course description:

The course introduces fundamental principles of bio chemistry related to


nursing practice, so as to enable the students to apply the knowledge in relevant
nursing situation.

Behavioral objectives:

1. Knows major chemical changes that takes place in cells.


2. Understands the application of these principles in relevant nursing
activities and situations.

UNIT 1: Introduction:

Definition,scope
UNIT 2: Electrolytes:

- theory of ionization
- Nature of acids, base and salts
- Demonstration of simple experiments to illustrate

UNIT 3: Food chemistry:

- Carbohydrates, fats, proteins and vitamins


- Classifications of different types
- Chemical composition
- Properties – physical and chemical
- Chemistry of digestion
- Metabolism
- Demonstration of tests for detection of carbohydrates , fats and proteins in
urine and body fluids.

UNIT 4: Blood chemistry:

- Normal range of components


- Factors maintaining homeostasis of blood
- Serum electrolyte levels
- Respiratory and metabolic acidosis and alkalosis
- Demonstration to illustrate

Unit 5 : Urine:

- Normal physical characteristics


- Chemical components of urine and their significance
- Pathological components of urine – test for same
- Kidney function tests
BASIC PRINCIPLES AND PRACTICE OF NURSING
THEORY:

Placement: 1st year leading to bsc nursing (basic) degree

Time allotted : theory 240 hours, practicals-300 hours

Course description:

This course is designed to introduce the students to nursing concept and


components related to nursing practice in present day society. Emphasis is
on holistic approach in meeting the health needs of an individual in a
scientific manner.

Behavioral objectives:

1. Realize the concepts of nursing practice and the role of nursing in the
present health care delivery system.
2. Appreciates the need for inter personal relationships and an effective
communication.
3. Develops an ability to function as an team member.
4. Develops skills in meeting the basic need of an individual in a scientific
way.

UNIT 1: Introduction to health and illness:

- definition, changing concepts of health, illness concept.


- Health illness continueum
- Concept of community health, current health problems.
- Role of a nurse in health care delivery system.
- Health care levels and health care delivery system.

UNIT 2: Introduction to nursing:

- Definition, concept of nursing, evolution, nursing as a community service-


nature and scope of nursing.
- Nursing as a profession-is nursing a profession?-qualities, professional and
ethical behavior, principles and roles and responsibilities of a nurse.
- Concepts of nursing care and models of nursing practice-team nursing,
progressive nursing care,principles and roles and responsibilities of a nurse.

UNIT 3: Health care agencies for health service:


- Primary health care services.
- Agencies providing patient care :public ,private, voluntary and indigenous
systems.
- Home care services, extended care services, rehabilitative services
- Environmental conditions in health care agencies- air, light, humidity,
noise, privacy and temperature.

Practicum: visit to different health care agencies to observe their functions.

UNIT 4: Health care providers:

Health team, multi disciplinary approach, nursing team, inter and intra
disciplinary, community participants of health care providers.

UNIT 5: Man as an individual and recipient of nursing care:

- Man as a bio psycho social being.


- Man interacting with his environment
- Basic need of a man
- Mans response to stress and illness, sick role and behavior, stigma and
cultural effects on behavior stress, anxiety, fear, coping strategies.
- Health illness continuem and levels of care
- Causes of illness

UNIT 6: Interpersonal relationship and communication.

- Definition, principles, theories, nature, scope


- Communication process, culture and communication
- Communicating with persons with disabilities
- Interpersonal techniques, reporting and recording
- Observation- subjective and objective
- Interviewing, process recording, role play interacting, effective speech’

UNIT 7 : Nursing process-needs, objectives ,steps components:

A: assessing health status of individual: data collection- objective and


subjective : observation, interviews, physical examination, tools and
techniques.

B: nursing diagnosis: statement of nursing diagnosis, goal setting. intervention


and evaluation.
UNIT 8: Admission and discharge of a client to health care agency:

- admission: types and procedure


- discharge including terminally ill patients and last offices of the dead.

UNIT 9: Meeting the basic need of a client :

A: comfort, rest, sleep, making simple, occupied, P.O.P and special beds ,
hygienic needs personal and environment , care of skin, hair. eyes, ears, oral
hygiene ,pressure points, menstrual hygiene, environmental hygiene.

B: activity and exercise: - posture and ambulation, shifting, lifting,


transferring, body mechanics.

C: Nutritional needs: role of nutrition in health and illness, types of nutrients,


serving and feeding, feeding with helpless patients.

D: elimination needs: promoting urinal and intestinal elimination,


Observation of urine, faeces. Sputum, intake and output charts, maintain fluid
and electrolyte imbalance.
Disturbance in elimination.

E: learning need:
Safety need: prevention and control of infection,injuries,physical,clinical and
biological

F: spiritual needs:

Student activity: student identifies the basic needs of a hospital and non
institutionalized clients and provides service based on the needs .

UNIT 10: First aid in emergencies:

- Meaning, scope, objective, principles


- Review of human body- structure and functions
- Common emergencies and first aid for these conditions
- Wounds and dressings
- Bandages, types, materials used, special bandages, splints- preparation and
application.

UNIT 11: Scientific principles in nursing :


- Definition, utilization, analysis of scientific principles, hand washing,
handling transfer forceps and thermometer technique, recording BP , pulse,
respiration.

UNIT 12:Managing some common problems in illness:

- Disturbance in gastro-intestinal tract- diarrhoea, vomiting, anorexia,


constipation, incontinence of faeces, inspection, distention, therapeutic
measure- enema, suppositories, colon injuries.
- Disturbance in urinary tract.
- Retention, incontinence, catheterization and condom drainage.
- Disturbance in respiratory system.
 Dysnoea, apnoea, cyanosis
 Measure to promote normal breathing- breathing exercise
 Coughing exercise, inhalation, oxygen inhalation.

UNIT 13: Rehabilitation aspects of nursing care:

- Definition, philosophy, principles – development of rehabilitation to


movement – rehabilitation process, rehabilitation team
- Role of a nurse in rehabilitation.
UNIT 14: Introduction in pharmacological theory:

- General principles of drug therapy, weight, measure

- Administration of drug-oral , parentral- intraderma


Intramuscular, subcutaneous, intravenous. topical administration,
instillation, inhalation,insertions.

UNIT 15:Assisting diagnostic measures and specific therapeutic measures:

- Collection of specimens
- Venous puncture, blood transfusion, lumbar puncture
- Paracentesis, thoracentesis, gastric and duodenal and suction
- Gastric analysis, gastric gavage, electrocardiogram.

UNIT 16: Management of patients with common problems:

- Immobility, unconciousnous, pain, abnormal body temperature, shock,


traction and plaster cast.
BASIC PRINCIPLES AND PRACTICE OF NURSING

PRACTICALS:

(1) Hospital admission and discharge (III)


* Admission
* Prepare Unit for new patient
* Prepare admission bed
* Performs admission procedure
o New patient
o Transfer in
* Prepare patient records

(2) Discharge / Transfer out


* Gives discharge counseling
* Perform discharge procedure
(Planned discharge, LAMA and abscond, Referrals and transfers)
* Prepare records of discharge/transfer
* Dismantle, and disinfect unit and equipment after discharge / transfer.

(3) Perform assessment:


* History taking, Nursing diagnosis, problem list, Prioritization, Goals &
Expected Outcomes, selection of interventions
* Write Nursing Care Plan
* Gives care as per the plan

(4) Communication
* Use verbal and non verbal communication techniques

(5) Prepare a plan for patient teaching session

(6) Write patient report


* Change-of shift reports,
Transfer reports, Incident reports etc.
* Presents patient report
(7) Vital Signs
* Measure, Records and interpret alterations in body temperature, pulse
respiration and blood pressure

(8) Health assessment


* Health history taking
* Perform assessment:
o General
o Body system
* Use various methods of physical examination
* Inspection, Palpation, Percussion, Auscultation, Olfaction
* Identification of system wise deviations

(9) Prepare Patient’s unit:


* Prepare beds:
o Open, closed, occupied, operation, amputation,
o Cardiac, facture, burn, Divided, & Fowlers bed
* Pain assessment and provision for comfort

( 10 ) Use comfort devices Hygienic care


* Oral hygiene:
* Baths and care of pressure points
* Hair wash, Pediculosis treatment

(11) Feeding:
* Oral, Enteral,
Naso/Orogastric, gastrostomy and Parenteral feeding
* Naso-gastric insertion, suction, and irrigation

(12) Assisting patient in urinary elimination


* Provides urinal/bed pan
* Condom drainage
* Perineal care
* Catheterization
* Care of urinary drainage

( 13) Bladder irrigation


Assisting bowel Elimination:
* Insertion of Flatus tube
* Enemas
* Insertion of Suppository
( 14 ) Bowel wash Body Alignment and Mobility:
o Range of motion exercises
o Positioning: Recumbent, Lateral (rt/lt), Flowers, Sims, Lithotomy, Prone,
Trendelenburg position
o Assist patient in Moving lifting, transferring, walking,
o Restraints

(15) Oxygen administration

(16) Suctioning: Oropharyngeal, nasopharyngeal

(17) Chest physiotherapy and postural drainage

(18) Care of Chest drainage

(19) CPR-Basic life support

(20) Intravenous therapy

(21) Blood and blood component therapy

(22) Collect/assist for collection of specimens for investigations Urine,


sputum, faeces, vomitus, blood and other body fluids

(23) Perform lab tests:


* Urine: sugar, albumin, acetone
* Blood: sugar(with strip/ gluco-meter)

(24) Hot and cold applications:


Local and general Sitz bath

(25) Communicating and assisting with self-care of visually & hearing


impaired patients

(26) Communicating and assisting with self-care of mentally


challenged/disturbed patients Recreational and diversional therapies.

(27) Caring of patient with alteration in sensorium

(28) Infection control


* Perform following procedures :
o Hand washing techniques
o (Simple, hand antisepsis and surgical antisepsis (scrub)
o Prepare isolation unit in lab/ward
o Practice technique of wearing and removing Personal protective
equipment (PPE)
o Practice Standard safety precautions (Universal precautions)

(29) Decontamination of equipment and unit:-


* Surgical asepsis:
o Sterilization
o Handling sterilized equipment
o Calculate strengths of lotions,
o Prepare lotions
• Care of articles

(30) Pre and post operative care:


* Skin preparations for surgery : Local
* Preparation of Post operative unit
* Pre & Post operative teaching and counseling
* Pre & Post operative monitoring
* Care of the wound
* Dressings, Suture Care, care of Drainage, Application of Bandages, Binders,
splints & Slings
* Bandaging of various body parts

(31) Administration of medications


* Administer medications in different forms and routes
* Oral, Sublingual and Buccal
* Parenteral : Intradermal, subcutaneous, Intramuscular etc.
* Assist with Intra venous mediations
* Drug measurements and dose calculations
* Preparation of lotions and solutions
* Administers topical applications
* Insertion of drug into body cavity: Suppository & medicated packing etc.
* Instillation of medicines and spray into Ear, Eye, Nose and throat
* Irrigations: Eye, Ear, Bladder, Vagina and Rectum
* Inhalations: dry and moist

(32) Care of dying patient


* Caring and packing of dead body
* Counseling and supporting grieving relatives
* Terminal care of the unit
GENERAL AND EDUCATION PSYCHOLOGY :

Placement: 1st year leading to bsc nursing (basic) degree.


Allotted time: 90 hours.

Course description:

Basic introduction to the study of psychology and the psychological aspects of


education. emphasis is on perception, motivation, development and
organization of personality, theories of personality, methods of assessing the
person : nature and fundamental principles of learning, procedure and
conditions which make for efficient learning and relation, chief forms of
learning and application to teching problems.

Behavioral objectives:

1. Possesses knowledge of the basic concepts and fundamental principles of


general and education psychology.
2. Understands human behavior
3. Acquires knowledge of the nature and development of the child.
4. Acquires knowledge of the behavior and problems related to it
5. Acquires knowledge of psychological principles and laws governing the
principles of teaching and learning
6. Develops the ability to apply the knowledge of psychology to situations in
and outside the classroom.

General psychology:

UNIT 1: Psychology as a science of behavior:

- Definition and scope of psychology


- Methods of psychology
- The behavior of organism
- Integrated responses
- Levels of functioning
- Heredity and environment
- Principles of heredity
UNIT 2: Attention and perception:

A:
- Attention
- Definition of attention
- Varieties
- Determinants
- Duration and degree of attention

B:
- Perception
- Meaning of perception
- Sensation and perception
- Organization of perception
- Factors influencing perception
- Extra-sensory perception

UNIT 3: Motivation:

- Drives and needs- their range and classification


- Biological motives
- Person and social motives
- Views on motivation
- Conflict in motive and relation

UNIT 4: Emotions:

- Definition of emotion-emotional status-emotion as motives


- Emotion and health-general theories of emotion

UNIT 5: Personality:

- Definition of personality – types of personality


- Development and organization of personality- methods of
assessing the person – theories of personality – importance of personality
in nursing.

EDUCATIONAL PSYCHOLOGY

UNIT 1: Introduction:

- Meaning of psychology
- Meaning and scope of educational psychology (reference to be made to
development and social psychology)
- Methods of educational psychology
• Introspection
• Observation
• Experimental method
• Case study

UNIT 2: The individual difference:

- Nature and causes of individual differences


- Educational age, physical traits, psychological/personality traits.
- Intelligence, sex, social traits : implication for education influence of
learning.
- Role of heredity and environment in human development and in causing
individual difference.

Intelligence:
- Meaning and distribution of intelligence, types of intelligence,tests,uses
- Creativity
Nature and factors influencing creativity, fostering of creativity.

UNIT 3: Psychology of learning:

- Meaning of learning
Types of learning- trial and error (thorndike)
Learning by conditioning (Pavlov), operational conditioning (skinner)
Learning by insight (gestalt) their educational implication.

- Factors affecting learning:


Role of maturation-motivation attention

- Laws of learning
The educational implication

- Transfer of learning
Meaning-mordern theories ( theories of identical elements and
generalization of experience) – educational implication.

- Remembering and forgetting

Their nature- factors influencing remembering methods of memorizing.


- Learning of concepts and skills
Development of concepts – specific reference to be made to piagets and
burners contribution in the concept development.

UNIT 4: Thinking and reasoning:

- Type
- Development of thinking, tools of thinking, errors in thinking
- Methods of developing right habits of thinking attributes
- Definition, development of attributes, modification of attributes.

UNIT 5:
- Characteristics of effective teaching
- Teacher learner relationship
- Evaluation and concepts-tools

UNIT 6: Attitudes:

- Meaning of nature of attitudes


- Development of attitude
- Measurement of attitudes

UNIT 7: Evaluation:
- Meaning of evaluation
- Steps of evaluation
- Purpose of evaluation
- Tools of evaluation- achievement tests; meaning; types and oral tests –
essay type, short answer type and objective type tests.
MICROBIOLOGY

Placement: 1st year leading to bsc nursing (basic) degree


Allotted time: 60 hours (45 +15)

Course description:

The course introduces the principles of microbiology and immunology.


Emphasis is placed upon organisms pathogenic to man and methods and of
control. Laboratory work experience, identification and structure of
representative forms.

Behavioral objectives:

1. Possesses knowledge of common pathogenic micro-organisms and


methods of control.
2. Knows the basic principles of microbiology and their relationship to
health and disease.

UNIT 1: Morphology and classification of microbes:

- Morphological types
- Size and shape of bacteria
- Motility
- Classification of micro organisms
- Practice in use of microscope
- Examination of smears

UNIT 2: Growth and nutrition of bacteria:


- Effects of environmental factors on microbes
- Nutrition in bacteria
- Growth and multiplication of bacteria
- Practice in preparation of media and culture techniques.

UNIT 3: Identification of micro organisms:

- Discussion of laboratory methods of identifying methods


- Microscopic diagnosis of bacxterial diseases
- Practice in staining techniques
- Gram staining,acid fast bacilli staining

UNIT 4: Inhibition and destruction of microbes


- Sterilization and disinfection
- Principles and methods of sterilization
- Principles and methods of disinfection
- Chemotherapy and antibiotics
- Sensitive tests for antibiotics

UNIT 5: Disease producing micro organisms :

A; pathogenic properties characteristics of

Cocci
Bacilii
Fungi
Spirochates
Rickettsiae

B: identification and study of the following organisms in the laboratory:

Streptococci
Gonococci
Staphylococci
Pneumococci
Salmonella
Diphtheria bacilli
E.coli
Spirochetes

UNIT 6: Infection and immunity:

Infection and factors influencing infection, body defence against infection


Immunity and hypersensitivity
Immunization- baccines, dosage, indications,
Demonstration of serological methods.

UNIT 7: Viruses:

- Characteristics and classification of viruses


- Common diseases caused by viruses in mean
- Prevention and control of illness
UNIT 8: Pasrasites and vectors:

- Characteristics and classification of parasies,


- Protozoal infection including amoebiasis
- Tape worms, helminthic infections
- Diagnosis of parasitic infections
- Vectors and diseases transmitted by them
- Examination of stool for ova, amoeba and cysts
- demonstration

UNIT 9: Micro-organisms transmitted through food:

- Food poisoning
- Food borne infections
- Demonstration

INTRODUCTION TO COMMUNITY HEALTH NURSING:

Placement: 1st year leading to bsc nursing (basic) degree


Time allotted: theory 75 hours, practicals-45 hours

Course description:

This is an introductory course designed to provide basic concepts of community


health nursing including an epidemiological approach to communicable and non
communicable diseases with an emphasis to the levels of prevention.

Behavioral objectives:

On completion of this course students will be able to:

1. Describe the concepts of community health and community health


nursing
2. Apply the principles of epidemiology in community health nursing
practice.
3. Demonstrates skill in assessing the nutritional status of different age
groups and in physiological conditions.
4. Demonstrates skill in providing health education based on health needs of
the community.

UNIT 1: Introduction:
- Review concepts of community, health and nursing
- Definition, nature, philosophy, scope, goals, objectives of community
health nursing .
- Determinants of community health, principles of community health and
community health nursing.
- Community health team and functions of its members

UNIT 2: Historogenesis of health service in India:

- Evolution of community health service in India


- Review of health care delivery system in india-union to peripheral level.
- Health status of india
- Health problems of india

UNIT 3: Health for all and primary health care:

- Meaning, definition, and strategies for health for all


- Concepts and principles of primary health care
- Role of community health care in primary health care

UNIT 4: Environmental health:

- Definition, types of environment, health hazards of environment


- Air composition, needs of the human body, indices of thermal
- Air pollution and its effects and prevention
- Lighting- requirements of good lighting, measurements of lighting
Types – effects of light on health, control of ill effects.
- Ventilation- types, standard, ill effects and its prevention.
- Noise- source and properties, effects of noise, noise control
- Radiation- sources, types, effects on health, protective measure
- Meteriological environment
- Elements of climate, effects of climate, and its measurements
- Housing- criteria of healthful house, standards, effects of poor housingand
remedies town planning.
- Disposal of solid waste- sources, effects, storage, collection and methods of
its disposal. Disposal of human excreta.
- Water sources, water pollution and its hazards. Hardness of water and its
removal, purification of water.
- Sanitation of fairs, festival camps, swimming pool
- Traffic sanitation, rural sanitation.

UNIT 5: community health aspects of nutrition:


- Review of nutrients-macro and micronutrients
- Food sanitation, food adulteration and its prevention
- Assessment and management of malnutrition-PEM, vitamin deficiency,
mineral deficiency, obesity
- Approaches to nutrition education, nutritional supplements, and nutritional
rehabilitation
- Special nutritional programmes of government and non government
agencies
- Role of nurse in nutrition educationand programmes.

UNIT 6: Epidemiology in community health nursing:

- Definition, objectives, scope and principles of epidemiology


- Advantages/uses of epidemiology in community health nursing
- Epidemiological triad. Natural history of disease and levels of prevention
- Approaches and methods of epidemiology
- Modes of disease transmission
- General measures of controlling communicable diseases
- Legislation of certain diseases of national and international importance
- Role of community health nurse in epidemics

UNIT 7: Health education:


- Information, Education, and communication
- Meaning, definition, aims, objectives of health education
- Health education principles
- Education and barriers of communication in health education
- Concepts, selection, preparation and use of AV aids.
- Administration of health education at all levels
- Role of nurse in health education and planning implementation
And valuation of health education programmes.

PRACTICALS:

1. Under the guidance of the faculty students will have observational visits.

- Water purification plant


- Disposal of liquid and solid waste plant
- Central leprosarium
- Epidemic disease hospital
- Food preparation and preservative centre
- Urban community to study environmental conditions.
2. Conducts health teaching
3. Observation of slides and specimens

METHODS OF TEACHING:

Lecture, discussion, demonstration, seminar, clinical experience, field trip.

SOCIOLOGY

Placement: first year leading to bsc nursing (basic) degree


Allotted time: 60 hours

Course description:

Introduction to basic social concepts principles and social processes study of


social institutions in relation to the individual family and community in India
changing social structure , social welfare planning in India.

Behavioral objectives:

1. Possess knowledge of sociological principle and social institution in


relation to to the individual, family and groups
2. Understand the role of sociology in nursing and in understanding the
individual, family and community problems in India.
3. Possess the knowledge of the various social factors affecting Indian
society.
4. Understand social welfare planning in India.

UNIT 1: What is sociology:

Definition of sociology, nature and scope, importance of sociology, use of


sociology in nursing.

UNIT 2: Man and society:

- Definition of society and community- nature of society


- Difference between society and community- process of socialization-
individualisation

UNIT 3: Social processes:

- Co-operation- competition-conflict-accommodation- assimilation-isolation


UNIT 4: Social groups:

The meaning of group-classification of groups- primary and secondary- in-


group vs outgroup-class tribes, caste, economic, political and religious groups,-
crowd, public and audience.

UNIT 5: Family and marriage:

A:
- Family, types of family, functions of family
- The modern family, changes in the modern family
- Family problems of the modern family, family welfare services
- The Indian family
- Joint family system
- Change in the Indian family
- Legislation on Indian marriage and family

B:
- Marriage:
Forms of marriage, marriage and family problems in India

UNIT 6: Rural community in India:

- Features of village community


- Characteristics of Indian village
- Change in Indian rural life
- Community development project and planning.

UNIT 7: The urban and regional community:

A:
- Urban
- The growth in the cities, features of urban community
- City community in India
- Urban-rural contact
- Major urban problems
B:
- The regional community:

UNIT 8: Social stratification:

- Class and caste


 The Indian caste system
 Orgin of caste
 Outstanding features
 Caste in Indian today
 Features of caste system in India
 Social mobility

UNIT 9: Social system:

- Definition of social system


- Principle type of social systems
- Role and status

UNIT 10: Race

UNIT 11: Population:


- Society and population
- Population distribution in India
- Mathusian theory

UNIT 12: Social control:

- Norms and values: folkways and mores: customs


- Laws and fashion: religion and public opinion

UNIT 13: Social change:

- The theories of social change


- The factors of social change
- Culture and functions of social change
- Social disorganization
- Major social problems
- Social welfare planning in India
ENGLISH

Placement: first year leading to bsc nursing( basic) degree


Allotted time: 90 hours

Communication is essential to nursing. Thus its necessary to update all


communication skills in reading, writing and speaking of nursing students. The
course should be designed for reading comprehension. The student should be
introduced to various kinds of writing, which will also improve the vocabulary,
reading comprehension and writing skills.

The teaching should be based on the reading material so that the examples are
live and students do not view grammar as something dull and boring. The
object is to help develop the language skill of the students and also to make it
enjoyable and expose the students to good literary work.

For reading comprehension, for the sake of convenience, the texts prescribed
for the 1st year degree course of Bangalore university, Bangalore be prescribed
for nursing also, as the texts are easily available. Whenever the degree texts are
changed, the degree texts are changed , the same changed should be followed
here.

- An anthology of English essays, poems and short stories, published by:


prasaranga, Bangalore university, Bangalore

1. Prose:

Essays:

1. The canker untruth - M K Gandhi


2. Students mobs - J B Priestley
3. A layman looks at science- Raymond B Fosclick
4. Can we afford to keep open minds- Bertrand Russel

Short stories:

5. A cup of tea – Katherine Mansfield


6. The exploits of hanuman- J.E.B Gray
7. The tiger in the tunnel - Ruskin bond
8. Sweets for angels - R.K Narayan

2. Poetry:
1. A little learning – A pope
2. On the grasshopper and cricket – John keats
3. Work – D.H Lawrence
4. Homeless – Vikram seth

3. Grammar with emphasis on usage

4. Composition
a. Writing formal letters
b. Writing reports
c. Notes taking
d. Summaries
e. Table and charts
f. Speaking skills conversation
g. Interview and
h. Seminars.
SECOND YEARS BSC NURSING (BASIC) DEGREE

Placement: Second year bsc nursing (basic) degree


Allotted time: 30 hours + 15 (practicals) = 45 hours

Course description:

The course is designed to introduce the student to the source of drugs ; action
of drugs in living tissue; and poisonous effects that may be produced by drugs.

Behavioral objectives:

1. Knows how drugs affect human cells


2. Knows the sources, types of preparation, the actions of common
pharmaceutical preparation and the routes of administration.
3. Recognize toxic symptoms relating to common drugs and poisons.

UNIT 1: Introduction:

- Brief history
- Drugs, standard, laws
- Drugs control
- Sources of drugs- active principles

UNIT 2: pharmaceutical principles:

- Solids
- Liquids
- Colouring
- Flavouring
- Other auxillary agents

UNIT 3: Drugs information sources:

- Local, national, international

UNIT 4: Dosage of drugs:

- Definitions
- Dose- minimal; maximum; toxic; lethal
- Indiosyncracy
- Hypersensitivity
UNIT 5: Weight and measures
- Metric system
- Apothecaries table of equivalents
- Calculation of dosage
- Preparation of solution
- Common abbreviation in use

UNIT 6: Sites of drug action:

- Local
- Systemic

UNIT 7: Therapeutic action of some common drugs:

- Analgesics
- Antihelmintics and ameobicides
- Antiseptics
- Disinfectants
- Enzymes
- Antibiotics
- Hormones
- Serums
- Tranquilizers
- Minerals
- Vitamins
- Sulfonamides
- Vaccines

UNIT8: Common poisons:

- Symptoms and antidotes

MEDICAL SURGICAL NURSING -1

Placement: Second year bsc nursing (basic) degree


Time allotted: theory-270 hours, practicals-600 hours

Course description:

Nursing care of patients with most prevalent medical surgical conditions


includes principles of nursing care derived from patho physiology of
diseases, emphasis is on the problem solving approach to patients care
during various phase of illness and physiological mechanisms by which
alteration occurs.

Behavioral objectives:

1. Investigates patients health care problems systematically


2. Understands the basic pathogenic process in the body.
3. Identifies and utilizes underlying principles from social, behavioral,
biological and physical science in assessing planning and administrating
preventive, curative and rehabilitative care.
4. Uses discerning judgement in evaluating the effectiveness of
intervention and patients response to nursing actions.

UNIT 1: Concepts basic to the care of patients medical surgical condition:

A. Introduction to medical surgical nursing:

Brief history of evaluation of modern medicine and surgery


General principles in the care of patients
Concepts of diseases, causes, classification,effects
General and preventive measures
Common terms used in medicine and surgery

B. Basic pathogenic process:

Inflammatory processes
Suppuration
Regeneration (includes healing)
Degeneration

UNIT 2: Nursing care:

- Pre-operative preparation
- Post-operative care

UNIT 3: Introduction to operation theatre technique:

- The theatre and operating suite


- Operating table and position used
- Preparation of operative theatre and sterile supplies
- Laying operation table and assisting the surgeon
- Anaesthesia- types, methods of induction, care before, during and after
anaesthesia.

UNIT 4: Intensive nursing care:

- Principles of intensive nursing care


- Organization
- Special technologies and procedures
- Emergencies treatment
- Intensive care records
- Psychological consideration

UNIT 5:
Specific method surgical conditions, alterations in structure and functions of
vascular system, genitor urinary system, liver, gallbladder, pancreas, male
reproductive tract, muscles and bones and skin including pathophysiology,
diagnostic procedures, treatment and nursing management

A. Vascular system:

- Hypertension- hypotension
- Arteriosclerosis
- Anaemia- pernicious, hemolytic and iron deficiency
- Leukaemias
- Purpura
- Hemophilia
- Thrombo agitis obliterans

B. Genito urinary system:

- Congenital anomalies
- Nephritis
- Pyelitis
- Nephritic syndrome
- Urinary infection
- Calculi
- Cystitis
- Acute and chronic renal failure
- Dialysis- hemo and peritoneal

C. Male reproductive tract:

- Orchitis, epidymitis, hydrocele, variocele


- Undescended testis
- Benign hyperplasia of the prostate

D. Production and activity of chemical regulations:

- Diabetes mellitus
- Diabetes inspidus
- Hypothyroidism and hyperthyroidism
- Addisons disease
- Cushings syndrome
- Pituitary disorders

E. Intake, digestions and absorptions of nutrients:

- Diseases of mouth, pharynx and oesophagus


- Peptic ulcers
- Intestinal obstructions
- Appendicitis
- Hernia
- Parasitic infestation
- Fistula, fissure and haemorrhoids
- Ulcerative colitis
- Malabsorption syndrome
- Intestinal- T.B
- Diarrhea
- Dysentery- bacillary and amoebic
- Food poisoning
- Deficiency diseases

F. Liver, gallbladder and pancreras:

- Hepatitis
- Liver abscess
- Cirrhosis of liver
- Biliary conditions
- Pancreatitis

G. Muscle and bones:

- Talipes equinovarus, torticollis


- Arthritis and arthoplasty
- Osteoporosis
- Osteomyellitis
- Fractures
- Amputations- above knee and below knee
- Spondilitis
- Scoliosis
- Lordosis
- Kyphosis

H: skin:

- Parasitic infestation
- Pediculosis, scabies
- Infections of the skin: bacterial and fungal
- Eczema and vascular disorders, uritcaria, leucoderma
- Psoriasis
- Lichen planus
- Pemphigus vulgaris

I: Burns, scalds and reconstructive surgery:

UNIT 6:
management of patients with oncological conditions
including pathophysiology , diagnostic procedures, treatment, nursing
management.

Histological overview

- Epidemiology
- Classification
- Pathology
- Symptomatology
- Patients reaction to cancer
- Prevention and control
- Treatment
• Surgery
• Radiology
• Chemotherapy

- Rehabilitation

- Nursing management of patients with of cancer of-


Mouth, breast, respiratory tract, bladder, male and female genital organs,
leukemia, hodgkins disease and bone.
PRACTICUM:

In selected medical and surgical units each student will plan and
administrator comprehensive care to patients and their families utilizing the
problem solving process. Nursing conference: presentation and analysis of
problems encountered in the clinical settings.

COMMUNITY HEALTH NURSING-1

Placement: second year to bsc nursing (basic) degree


Time allotted: theory:75 hours
Practicals: 105 hours

Course description:

The course is designed to provide need based family and community health care
with an emphasis on the application of nursing process and principles of
nursing practice.

Behavioral objectives:

On completion of this course students will be able to:

1. Conduct baseline survey and identify community health problems plans


and implement actions.
2. Provide family health care by conducting home visits and provide
comprehensive health care to individual family and community.
3. Demonstrate beginning skills in conducting home visits and provide
comprehensive health care to individual, family and community.
4. Recognize the need for maintenance of personal and mental health.
5. Describe the reproductive and child health services and participate in
related specific clinics.
6. Develop an ability to maintain relevant records and reports of community
health nursing practice/service rendered

COURSE CONTENT:

UNIT 1: personal and mental health maintenance:

- Personal hygiene and its importance in health


- Care of the persons-head to foot
- Importance of clotting , exercises, habits, sex in health
- Promotional measures of personal and mental health .

UNIT 2: community health nursing process:

- Community assessment/identification and community health diagnosis


- Definition, nature and implication of nursing process
- Components of nursing process – establishing IPR/contact, assessment,
nursing diagnosis, planning, implementation, and evaluation.
- Community nursing care plan

UNIT 3: Records and reports in community health nursing:

- Meaning, definition and importance of records and reports


- Purposes and principles of recording and reporting
- Types of records, registers, reports in C.H.N
- Legal implication of records and reports
- Role of community health nurse in recording,reporting

UNIT 4: Family health care:

- Review concepts of family and its functions


- Family as a unit of community health services
- Aims, objectives and principles of family health care
- Concepts, principles and steps for home visit
- Bag technique and procedures used in family health care
- Family profile and family nursing care plan
- Records and reports pertaining to family health care

UNIT 5: Reproductive health and child health service

- Evolution of maternal and child health services in India


- Review of reproductive system
- Aims and objectives of MCH/RCH services
- Safe motherhood- menstrual care, changes in pregnancy, care at antenatal,
intranatal, postnatal period.
- Safe childhood - neonatal care, infant care, care of under lives and school
age children, care of adolescent.
- Development of MCH services/ programmes at rural and urban levels
- Role of nurse in reproductive and child health programme

UNIT 6: Family welfare services:


- Review concepts of demography and population explosion
- Methods of fertility, regulations and recent trends
- National family welfare programme- goals and objectives
-timing of birth, spacing of birth, limitation of birth and new trends.
- planning ,organizing, implementing and evaluation of family welfare
programmes.
- role of nurse in family welfare programme

Under the supervision and guidance of the faculty the students will:
- Conduct a family/community health survey in urban area
- Select five families to provide need based health care
- Perform required assessment including nutritional assessment
- Conduct health teaching to individuals nutritional assessment
- Conduct health teaching to individuals , groups and public
- Participate in MCH clinics, F.P clinic/camps
- Participate in national health programmes
- Visits to PHC, sub centre, CHC, Anganwadis ,PPC , family welfare bureaus
- Observe IUDs, medical termination of pregnancy, tubectomy, vasectomy.

Methods of teaching:

- Lecture, discussion, demonstration, seminars,


Clinical experience, field trips,observation visits.

GROWTH AND DEVELOPMENT INCLUDING NUTRITION:

Placement: second year, leading to bsc nursing (basic) degree


Time allotted: theory-60 hours
Practicals-30 hours

Course description:

SECTION- A

GROWTH AND DEVELOPMENT

UNIT 1: Introduction to growth and development

- Current concepts of growth and development


- Biological principles of growth and development
- Factors influencing growth and development
- Theories of growth and development-Erickson, Freud
UNIT 2: Prenatal development:

- Pregnancy
- Embryo and fetal development by age
- Factors influencing fetal development

UNIT 3: Physical growth and psychosocial development:

A. Newborn (birth to one mouth):

- Physical growth
- Physical adjustment
- Neuro muscular endownment of the newborn
- Emotional outlook of the newborn
- Interpersonal relationship
- Appraisal of the newborn

B. Infant from one month to one year

- Developmental tasks
- Physical growth
- Social and emotional problems, common behavior problems
- Appraisal of infants

C. Child from one to five years:

- Development tasks
- Physical growth
- Social and emotional development
- Care and guidance during training period

D. Child from six to twelve years:

- Development tasks
- Physical growth
- Social, emotional and intellectual development
- Emotional preparation for sucees in school

E. Adolescence

- Developmental tasks
- Physical growth
- Emotional, social and intellectual development
- Guidance during emotional instability
- Recreational and vocational interest
- Special problems for the adolescence in society,sex edication

UNIT 4: Dynamics of human behavior and adjustments:

- Maturity developmental tasks


- Some normal problems of adulthood
- Preparation of marriage
- Marital adjustment
- Planned parenthood
- The family
- Occupation

UNIT 5: Later maturity and old age:

- Later maturity- developmental tasks


- Physiological and psychological changes
- Problems of management
- Old age
- Physical, psychosocial, social ages affecting old persons
- Health problems and health needs of the elderly

Practicum:

Appraisal of individuals at various stages of growth and development

SECTION-B

NUTRITION

UNIT 1: Introduction to the science of nutrition:

- Definition
- Food pattern and relation to health
- Factors influencing food habits and selections: and food stuffs
- Superstitions, culture, religious, income, composition of family, age,
occupation, spl group etc
- Food selection, storage and preservation
- Prevention of food adultertation

UNIT 2: Classification of nutrients:


- Macronutrients and micronutrients
- Proteins-types, sources, requirements and deficiency
- Carbohydrates- sources, requirements , deficiency
- Fats- types, sources, requirements and deficiency of fats
- Water- sources of drinking water, requirements and preservation of water
- Minerals- types, sources, requirements, deficiency of minerals
- Vitamins- types, sources, requirements and deficiency of vitamins

UNIT 3: Planning diets:

- Need for planning diets


- Concept of a balanced diet
- Food group and balanced diet
- Influence of age, sex, occupation and physiological state
- Recommended dietry intake in planning diet
- Steps in planning balanced diet
- Planning diet for newborn, infant, preschool, school age child, adolescent,
adult, worker expectant and lactating mother old age

UNIT 4: Introduction to cookery:

- Purpose and methods of cooking


- Effects of heat on cooking of foods
- Preparation of basic recipes – clear fluids, full fluids
Vegetable preparation, egg recipes, fish and meat recipes , light pudding

UNIT 5: Assessment of nutritional status:

1. Preparation of recipes
- Tea, coffee, fruit juice
- Barley water
- Albumin water
- Lime whey

2. Fluid diet:
- Egg flip
- Dhal soup
- Vegetable soup
- Butter milk

3. Light diet
- Toast porridge
- Salads,jelly
- Arrowroot
- Boiled egg, egg custard
- Scrambled egg
- Steamed fish

4. Dinner:
- Planning, inviting and entertaining guests, serving and cleaning

5. Preparation of normal diet for different age groups

STATISTICS AND INTRODUCTION TO NURSING RESEARCH

Placement: second year bsc nursing (basic) degree


Allotted time : 45+30 hours

Course description:

Introduction to basic statistical concepts: methods of statistical analysis:and


interpretation data.

Behavioral objectives:

1. Understands statistical forms.


2. Possesses knowledge and skill in the use of basic statistical research
methodology.

UNIT 1: Introduction:

- Meaning, definition, characteristics of statistics


- Importance of the study of statistics
- Branches of statistics
- Statistics and health science including nursing
- Parameters and estimates
- Descriptive and inferential statistics
- Variables and their types
- Measurements scales

UNIT 2: Tabulation of data:

- Raw data, the array, frequency distribution


- Multiple classification
- Basic principles of tabulation of data
- Working method of preparation of tables
- Tally marks method
- Mechanical tabulation – marginal or edge punch cards
- Tabulation of mortalities, morbidities and other data
- Basic principles of graphical representation
- Types of diagrams- histograms, frequency polygons, smooth frequency
polygon, commulative frequency curve, ogive. Normal probability curve.

UNIT 3: Measure of central tendency:

- Need to measures of central tendency


- Definition and calculation of mean- under grouped and grouped
- Meaning, interpretation and calculation of median ungrouped and grouped
- Meaning and calculation of mode
- Composition of the mean and mode
- Guidelines for the use of various measures of central tendency

UNIT 4: Measures of variability:

- Need of measure of dispression


- The range, the average deviation
- The variance and standard deviation
- Calculation of variance and standard deviation- un grouped and grouped
- Properties and uses of variance and SD

UNIT 5: Measures of relative standards

- Age norms, grade norms-percentiles


- Calculation of percentiles- rank for ungrouped data and grouped data
- Standard scores , chi- square, t test

UNIT 6: sampling techniques:

- Need for sampling-criteria for good samples


- Application of sampling in community
- Procedures of sampling and sampling designs errors
- Sampling variation and tests of significance

UNIT 7: Correlation and regression:

- Meaning and definition of correlation


- Scatter diagram, co-variance, correlation, co-efficient
- Properties of correlation co efficient and its calculation
- Regression-linear, non linear
- Multiple correlation and regression

UNIT 8: health indicator:

- Importance of health indicators


- Indication of population, morbidity, mortality, health services
- Calculations of rates and rations of health

SECTION B:

INTRODUCTION TO NURSING RESEARCH

Course contents:

Introduction to research methodology:

UNIT 1: steps of scientific methods, definition of research, need for nursing


research, characteristics of good research, research process.

UNIT 2: statement of research problem, statements of purpose and objectives,


definition of research terms
- Review of literature

UNIT 3: research approaches


- Historical, surbey and experimental

UNIT 4: Sampling, techniques and methods of data collection


- Sampling
- Instruments- questionaire, interviews
- Observation schedule, records, measurements
- Reliability and validity of instruments

UNIT 5: Analysis of data tabulation, classification, summarization, presentation


Interpretation data

UNIT 6: writing report: organizing materials for writing format on the report,
use of report.

Introduction to statistics:

UNIT 7: descriptative statistics, frequency distribution,- types of measure-


frequencies, class interval, graphic methods of describing frequency.
Measures of variability: range, standard deviation, introduction to normal
probability

UNIT 8: correlation: compulation by rank difference methods, uses of


correlation coefficient.

UNIT 9: Biostatistics: crude rates and standardized rates, ration and estimation
of the trends.

PRACTICUM:

Students will conduct research products in small groups in selected areas of


nursing and submit a report (group study may include studying of existing
health practices improved practices of nursing (procedures), health records,
patient records and survey of nursing literature.
THIRD YEAR BSC NURSING (BASIC) DEGREE

CHILD HEALTH NURSING

Placement: third year leading to bsc nursing (basic) degree


Time allotted: theory-75 hours, practicals-240 hours

Course description:

The course designed to assist the student in identification and applying nursing
principles specific to the area of children . This identification of principles and
the nursing responsibilities are purposefully selective so that uniqueness of
nursing of children, in health and illness, may be brought into focus.

Behavioral objectives:

The student shall be able to:

1. Possess knowledge of common childhood disorders.


2. Apply knowledge of preventive paediatrics
3. Know the community organization for care of the handicapped children.
4. Know the management of children with behavioral problems
5. Appreciate the nurses role of child guidance clinic
6. Develop skill in identification and applications principles specific to area
and in the nursing care of children
7. Develop skill to provide comprehensive nursing care to children in a
range of situations , both in health and illness.
8. Appreciates problems which children are confronted with on
hospitalization.

UNIT 1: Introduction to child health:

- Historical background of nursing of children as a speciality


- Introduction to modern concepts of care
- Changing trends in paediatric nursing
- Changing trends towards hospital care
- Aspects of child health
• Promotive
• Preventive
• Curative
• Rehabilitative
- Role of pediatric nurse.
UNIT 2: Prevention of diseases in children:

- Assessment of child health by history, physical examination, growth chart,


speech, hearing and vision test.
- Preventive measures
- Maternal and child health programme
• MCH clinics
• Under five clinics
• ICDS
• Child survival and safe motherhood (CSSM) reproductive and child
health programme (RCH).
• Baby friendly hospital intiative
• Child to child concept
• School health programme
• Immunization schedule
- Nutrition programme
- Child welfare programme
- Child health programme

UNIT 3: The sick child:

- Anatomical, physiological and psychological difference of children


- Manifestation of illness in children
- Identification of congenital anomalies
- Nursing process applied to care of child
- Admission of children to hospital
- Reaction to hospitalization
- Role of parents in care of child
- Concepts of pre and post operative care of children

UNIT 4: Pediatric variation of nursing interventions:

- Restraining- positions
- Collecting specimen
- Clinic procedures
- Administration of medication
- Intravenous fluid therapy
- Oxygen inhalation
- Steam inhalation, nebulizer
- Feeding of children
- Resuscitation
- Care of children in incubator
UNIT 5: development and health deviations according to various system;

Etiology, signs and symptoms, diagnosis, medical and surgical, nursing


management, diet and drug therapy, complications and preventions of diseases
in children.

A. Respiratory system

- Acute respiratory infection


- Pneumonia
- Bronchial asthma
- Bronchitis
- Cystic fibrosis
- Diphtheria
- Tuberculosis
- AIDS

B. Gastro intestinal tract

- Cleft and palate


- Trachea esophageal fistula, atresia
- Pyloric stenosis
- Gastro- oesophageal reflex
- Portal hypertension
- Billiary atresia
- Viral hepatitis (jaundice)
- Diarrhea and dysentery
- Helminthic infestation
- Celiac disease
- Intestinal obstruction
- Hernia
- Congenital megacolon
- Anogenital anomalies
- Rectal prolapsed

C. Cardio-vascular system:

- General consideration- congenital anomalies


- Patent ductus arteriosis- tetralogy of fallot (TOF)
- Septal defects – congestive cardiac failure
- Rheumatic ,fever, infective endocarditis
D. Haemotological system:

- Anaemias – iron deficiency


- Sickle cell anaemia
- Aplastic
- Thalessemia
- Hemophilia – thrombocytic purpura -epistaxis
- Leukaemia-lymphomas

E. Genitor urinary system:

- Nephritis-nephrotic syndrome
- Urinary tract infections
- Malformations
• Hypospadias,-epispadias-extrophy of bladder
• Hydronephrosis- posterior urethral valve-phimosis
• Undescended testis-adrogenital syndrome
• Wilms tumour

F. Central nervous system:

- Meningitis-encephalitis-convulsive disorders
- Cerebral palsy-downs syndrome
- Malformations spinobifida, hydrocephalus
- Micro and macro cephalus
- Brain tumour- neuro blastoma – head injury
- Cerebral palsy

G. Nutritional disorder:

- Marasmus – kwashirokar- vitamin deficiencies

H. Endocrine system:

- Dwarfism, gigantism, acromegaly,- diabetes insipidus


- Diabetes mellitus – cretinism, goitre , hyperthyroidism]
- Parathyroid , hypo and hyper function – addisons diseases
- Cushing syndrome

I. Skeletal system:

- Congenital deformities – club foot


- Torticollis – hip replacement – oxteomyelitis
J. Integumentary system:

- Scabies-impetigo- seborrhic dermatitis- burns

UNIT 6: Care of a child with communicable disease:

- Review:
- Pertusis- measles-chicken pox- mumps-diptheria
- Poliomyelitis- tetanus- AIDS-cholera

UNIT 7: nursing care of handicapped child and those with behavioral


problems:

- Community of organization for physically and mentally


Handicapped – delinquency- exceptional child

- Battered child syndrome/ child-enuresis


- Speech defects – thumpsucking- somnambulism- tics

UNIT 8: Pediatric emergencies:

- Foreign body aspiration-accidents-poisoning and stings,


- Pediatric ICU

Suggested practicals:

- Clinical experience in hospital/OPD and community health centre


- Visit to centre of physically, mentally handicapped
- Demonstration techniques in:
- Admission procedure:
• Feeding children-collection specimen
• Visit to centre of physically, mentally handicapped
• Medication: oral, intramuscular, intravenous, other router as
available – IV fluids
• Immunization
• Assisting in painful procedure- steam inhalation
• Oxygen administration- use of restraints
• Assisting in resuscitation

METHODS OF TEACHING:
- Lecture with discussion-clinical presentation
- Demonstration- field visits
- Observation of children

MEDICAL SURGICAL NURSING – II

Placement: third year bsc nursing (basic) degree


time allotted: 75+20 hours (theory and practicals)

Course description:

Assessment of needs of patient with complex medical surgical conditions in


various clinical settings. Integration of knowledge from the physical, biological,
social and behavioral sciences in helping the patients to meet these needs.

Behavioral objectives:

1. Investigates systematically complex health care problems of patients


based on the social, behavioral, physical and biological sciences
2. Discusses manifestation of clinical problems, analysee these in terms of
appropriate nursing intervention.
3. Interprets, demonstrates, teaches professional nursing care to patients,
their families and other members of the health team.

UNIT 1: Specific medical surgical conditions:

A. Alteration in structure and function of eye, ear, nose, throat. Foreign


bodies.
- Epistaxis
- Loss of hearing
- Otitis media
- Mastoiditits
- Laryngeal and tracheal obstruction
- Injuries and infections of eye
- Glaucoma
- Cataract
- Corneal transplant
- Blindness
- Rhinitis, sinusitis, DNS, polyp, tonsillitis, adenoiditis, pharyngitis,
laryngitis

B. Cardio-thoracic structure and functions:


- Heart rhythm, endocarditis, pericarditis, rheumatic heart disease, cardiac
arrest
- Conjestive heart failure
- Coronary heart disease
- Lung
- Pulmonary tuberculosis
- Cystic lung
- Hypoxia and respiratory failure
- Asthma, bronchitis, bronchiectasis, lung abscess, pneumothorax,
emphysema, pleural effusion, atelectasis, COPD (chronic obstructive
pulmonary disease)

C.

1. Head injuries-
Level of unconciousnous
Cerebral concussion and compression

2. Spinal injuries
Paraplegia
Quadriplegia
Spinal cord compression

3. Infection-
4. Epileptic seizures

5. Cerebro vascular accident


Hemiplegia and aphasia

6. Tumors of the brain and spinal cord


7. Degenerative diseases
Multiple sclerosis
Parkinsons disease

PRACTICUM:

The student will plan and administer care for patient atleast one patient of
a selected group. Teaching experience with patient, family and other
group will be arranged. At seminars, selected nursing care reports and
problems will be considered by each student

MENTAL HEALTH NURSING


Placement: third year leading to (basic) bsc nursing degree
Time allotted: theory 75 hours, practicals – 240 hours

Course description:

The course introduces the basic principles and concepts of mental health
nursing, emphasis is placed on therapeutic interventions with individuals,
families and groups. Focus is on maladaptive behavior and crisis
situation.

Behavioral objectives:

1. Knows the basic principles and concepts of mental health nursing and
understands maladaptive behavioral based on knowledge of the
normal.
2. Acquires knowledge of the various mental disorders, the current
treatments and existing community resources.
3. Acquires knowledge of the current trends in mental health nursing.
4. Understands the underlying principles, from the social and behavioral
science and utilizes them in planning , implementing , and evaluating
the mental health nursing care, based on needs of the patients and their
families
5. Understands the implication for nursing in meeting crisis situation

UNIT 1: Introduction:

- Concepts of normalcy and abnormalacy


- Causes of abnormal behavior
- Problems of mental disorders
- Review of personality development

UNIT 2: Principles and concepts of mental health nursing:

- Meaning, definitions and terminologies


- Scope
- Historical developments and current trends in mental health nursing
- Standards of mental health nursing
- General principles
- Classification of mental disorders

UNIT 3: Therapeutic nurse-patient relationship:


- Type of relationship
- Phases of nurse- patient relationship
- Interpersonal environment
- Therapeutic dynamics
- Process recording

UNIT 4: Conceptual models:

- Psycho-analytical models
- Behavioral model
- Interpersonal model
- Communication model
- Nursing model
- Medical model
- Holistic model

UNIT 5: The individual with functional psychiatric disorder:

- Schizophrenic disorder
- Mood disorder
- Etiology
- Dynamics
- Therapy

UNIT 6: The individual with organic disorder:


- Toxins and poisons
- Degeneration – senile dementia
- Epilepsy
- Brain tumors and head injury
- Etiology
- Dynamics
- Therapy

UNIT 7: The individual with psycho-neurotic disorder

- Anxiety
- Phobias
- Dissociation and conversion disorder
- Obsession and compulsion
- Multiple personality
- Etiology
- Dynamics
- Therapy
UNIT 8:The individual with psycho physiological disorder

- Types
- Etiology
- Dynamics
- Therapy

UNIT 9: The individual with character disorder and addition:

- Sociopath reactions
- Sexual disorders
- Alcohol dependence syndrome
- Substance abuse
- Therapy

UNIT 10: Childhood disorders:

- Mental retardation
- Conduct disorder
- Emotional disorder
- Specific development disorder
- Personality disorder
- Tics and mannerism disorder

UNIT 11: Mordern therapies:

- Physical therapy
- Psycho pharmacology
- Therapeutic community
- Psychological therapies
- Individual
- Family
- Group
- Behavioral therapy
- Psycho-analytical therapy
- Play therapy
- Activity therapy
• Occupation therapy
• Music therapy
• Dance therapy
• Psycho therapy
• Recreational therapy
UNIT 12: Crisis situation:

- Theory grief
- grief process
- types of crisis
- crisis intervention
- suicidal prevention

UNIT 13: Legal aspects of mental health nursing:

- admission and discharge procedure


- Indian lunacy act 1912
- The mental health act 1987
- Civil responsibility
- Criminal responsibility

UNIT 14: Community mental health nursing:

- Historical development of community health nursing


- National mental health programme
- Levels of prevention
- Mental health services available
- Nurses role
PRACTICAL:

1. The student will plan and administer care to selected patients in psychiatric
setting.
2. Analysis of problems encountered in clinical areas like community mental
health centres, child guidance clinics, O.P.D and psychiatric hospitals will
be presented in nursing conference.
3. The student will write present process recording of minimum 2 (two)
elected in psychiatric nursing.

MIDWIFERY INCLUDING MATERNITY AND


GYNAECOLOGICAL NURSING-1

Placement: third year bsc nursing (basic) degree


Time allotted: theory-50 hours
Practicals-150 hours
Course description:

The course is designed to increase the knowledge and skills of students in


Administering comprehensive care to the mothers through out maternity
cycle and care of the newborn infant. It also includes planning and
providing care to the women on reproductive health aspects. family welfare
emphasized through out the course.

Behavioral objectives:

1. Possesses knowledge and understanding of the maternity cycle.

2. Possesses ability to assess nursing needs and provides care to the mothers
throughout the maternity cycle.

3. Demonstrating cycles in conducting normal deliveries and providing


immediate care to the newborn.

4. Understanding basic concepts of family welfare and develops the ability


to supply them .

5. Understands common gynaecological disorders

6. Provide care to the the patients with gynaecological problems.

UNIT 1: Introduction to maternal and child health nursing:

- History, scope, objectives, nature and scope of women and child health.
- Trends in M.C.H
- Review morbidity and mortality in mothers and children.
- Factors influencing maternal health
- Planned parenthood

UNIT 2: Review of the reproductive system, conception and development of


the fertilized ovum:

A. Review of the reproductive system


B. Review female pelvis and its measurements, fertilization, changes in the
fertilized ovum.
- Development of normal placenta and foetal sac, abnormal placenta, foetal
circulation
- Development of embryo
- Influence of the hereditary factors on growth and development of foetus
and health of the newborn.

UNIT 3: Normal pregnancy and management

- Maternal changes during pregnancy


- Signs, symptoms and diagnosis of pregnancy
- Management during pregnancy
- Minor disorder during pregnancy
- Attitudes of the family towards the pregnant mother
- Health teaching to the mother and family
- Services available at the community level

UNIT 4: Normal labour and management:

- Physiological changes
- Stages of labour
- Factors influencing labour
- Management of normal labour
- Immediate care of the baby
- Birth injuries, asphyxia and malformation
- Home delivery
- Parto graph

UNIT 5: Normal purperium and management:

- Physiology of purperium
- Management and nursing care of the mother, baby and family
- Physiology of lactation and establishment of lactation.
- Customs and beliefs in relation to confinement of lactation.

UNIT 6: New born:

- Review of normal characteristics of new born


- Management of newborn immediate care, immunization
- Breast feeding, weaning
- Neonatal problems
- Information of the newborn
- Haemolytic disease of the newborn
- Still births, incidence, cause and prevention
- Care of high risk infants
- Care of under fives

UNIT 7: Family welfare:

- Definition, scope and need for family planning


- Health rationale for family planning
- Target population, eligible couple, target free approach
- Contraceptive methods- use, advantages, disadvantages
- Post partum programme
- Medical termination of pregnancy
- Nurses responsibility of in family planning
- Client finding- education
- Client holding
- Follow up
- Sterility – diagnosis and management
- Assisted reproductive technologies
- Artificial inseminations, in vitro fertilization

UNIT 8: Drugs in midwifery:

- Drugs in common use in midwifery


- Indication and administration of drugs
- Standing orders for practice of midwifery
- Drugs permitted for the use by nurse/midwife

Practicum:

Each student is required to have following experience:

1. Conducts antenatal examinations – 30


2. Witness normal deliveries - 20
3. Conducts normal delivery -5
• Hospital
• Home
4. Conducts vaginal examinations - 5
5. Episiotomy and suturing -2
6. Provides care to postnatal mother
• Hospitalized - 20
• Home -3
NURSING EDUCATION

Placement: third year leading to bsc nursing (basic) degree


Time allotted: 60+150 (theory+ practical)

Course description:

The course includes the philosophy and objectives of nursing education,


concepts and principles of curriculum development, evaluation methods of
teaching, use of different A.V aids, guidance and counseling.

Specific objectives:

On completion of the course the students will be able to:

1. Explain the basic concepts of education and nursing education,


curriculum development.
2. Appreciates the different steps in curriculum planning and
implementation
3. Use various educational methods and media for effective teaching
4. Apply principles for education and learning process when developing
plans to teach in the field of nursing
5. Prepare evaluation tools for evaluating the effectiveness of theory and
practical teaching.

UNIT 1: Introduction of education:

- Definition of terms, meaning, aims, objectives, principles agencies and


function
- Historical development of education and philosophy
- Meaning and scope of philosophy
• Naturalism
• Idealism
• Realism
• Pragmatism

UNIT 2: Philosophy of education:

- Philosophy and role of philosophy in nursing education


- Current trends in nursing education

UNIT 3: Curriculum:
- Meaning and concepts of curriculum
- Principles of curriculum
- Factors influencing curriculum construction
- Steps in curriculum development
• Formulation of philosophy and objectives
• Statement of objectives
• Types of objectives
• Importance of objectives in evaluation
- Curriculum change
- Curriculum committee
- Current trends in planning nursing curriculum

UNIT 4: Organisational pattern of nursing curriculum:

- Current pattern of curriculum organization


- Course divisions with time allotment and plan of work
- Selection and organization of learning experience
- Course plan, unit plan, lesson plan
• Master schedule of course
• Organization of clinical experience

UNIT 5: Clinical component in nursing education:

- Correlation between theory and practical


- Master and individual rotation plan
- Organization of clinical area for clinical teaching
(hospital and community )
- Maintenance of teaching and learning records

UNIT 6: Educational strategies used in nursing :

- Essential of teaching
• Definition of terms
• Aims and objectives of teaching
• Concept of good teacher and good learner
- Teaching methods (classroom) lecture demonstration, questioning, group
discussion, role play, laboratory, project symposium, seminar programme
instruction, problem solving, micro teaching, simulation assignment and
library work.
- Teaching methods (clinical) nursing clinics, nursing rounds, nursing
conference, demonstration, reports ,process recording, field trips, individual
conference, observational visits.

UNIT 7: Learning methods:

- Principles and methods of learning


- Learning process
- Types of learning
- Factors promoting learning
- Theories of learning
- Adult learning

UNIT 8: Instructional method:

- Definitions and purposes


- Principles and preparation of use
- Types (projected, non projected and audio aids

UNIT 9: Evaluation:

- Definitions, purpose, scope and principles of evaluation


- Criteria for evaluation
- Types of evaluation
- Types of tools
- Construction and use of evaluations tools
- Evaluation tools for clinical performance and classroom

Practicum:

1. Conduct practice teaching classes in classroom including micro –


teaching clinical area.
2. Prepare different A.V aids and prepare a folder
3. Visit school of nursing and collect date pertaining to organization,
implementation and evaluation of student programme.
FOURTH YEAR BSC NURSING (BASIC) DEGREE:

MIDWIFERY INCLUDING MATERNITY AND GYNAECOLOGICAL


NURSING

Placement: fourth year leading to bsc nursing (basic) degree


Time allotted: 60+300 (theory+ practical)

Course description:

This course is designed to increase the knowledge and skill of students in


identifying the high risk factors associated with pregnancy, labour and
puerperium and to administer comprehensive nursing care to the mothers
throughout the maternity cycle.

Behavioral objectives:

1. Identify the deviation from normal pregnancy, labour and pueperium.

2. Explain the care of high risk mother during pregnancy, labour and
puerperium.

3. Appraise the newborn, identify the high risk in newborn and provide
suitable interventions im giving care to both normal and high risk new
born.

4. Identify the obstetric emergencies and provide appropriate interventions.

5. Assist in conducting abnormal deliveries

6. Conduct normal delivery and provide family centred care in the


community.

7. Understand common gynaecological disorder

8. Tp provide care to the patients with gynaecological problems.

UNIT 1: Review:

- Review of normal pregnancy


- Assessment of risk factors in pregnancy
- Bio-physical
- Bio-chemical
- Maternal assays
- Electronic monitoring and nursing role.

UNIT 2: Abnormal pregnancy and management:

A. Bleeding in early pregnancy”

- Miscellaneous causes vaginal bleeding


- Abortion
- Ectopic pregnancy
- Molar, pregnancy

B. Disorder caused by pregnancy:

- Hyperemesis gravidarum
- Toxaemias of pregnancy
- RH incompatibility

C. Disorder of pregnancy:

- Antepartum haemorrhage
- Blood coagulation failure
- Disorder of amniotic fluid
• Polyhydraminos
• Oligohydraminos

D. Disease associated with pregnancy:

- Infection
- Cardiac disease
- Anaemias
- Essential hypertension
- Renal problems
- Endocrine and metabolic disorder of pregnancy
• Diabetes mellitus
• Thyroid disorder
• Pheny ketonuria
- Epilepsy
- Hepatic necrosis

E. Gynaecological conditions complicating pregnancy:


- Fibroid uterus
- Uterine prolapsed
- Ovarian cysts

F. Structural abnormalities affecting pregnancy

- Uterine malformations
- Displacement of pregnant uterus
- Abnormality of pregnant uterus

G. Genital and sexually transmmisible infections in pregnancy:

- Local infection of the vulva and vagina


- Protozoal infection
- Bacterial infection
- Viral infection
- AIDS

UNIT 3: Review of normal labour and management

UNIT 4:Abnormal labour and management:

A. Abnormal presentation and positions.

- Occipito, posterior
- Breech
- Face
- Shoulder
- Unstable lie, compound presentations

B. Multiple presentations

C. Obstetrics emergencies

- Presentation and prolapsed of cord


- Placenta previa
- Amniotic fluid embolism
• Rupture of the uterus
• Acute inversion of the uterus
• Cervical dystocia
• Haemorrhagfe and shock

D. Prolonged pregnancy and disorder of uterine action


- Prolonged pregnancy
- Induction of labour
- Abnormal uterine action
- Prolonged labour
- Obstructed labour

E. Complication of third stage of labour

F. Injuries of the birth canal

G. Obstetric operations

- Version
- Episiotomy
- Forceps delivery
- Vacuum extraction
- Caeserrean section
- Destructive operation

UNIT 5: Review of normal pueperium:

UNIT 6: Abnormal puerperium:

- Puerperium infection
- Breast infection
- Urinary tract infection
- Respiratory infection
- Subinvolution of uterus
- Psychiatric disorder of pregnancy
- Thrombo phlebitis and venous thrombosis
- Difficulties of lactation
- Suppression of lactation

UNIT 7: Gynaecological nursing:

- Disorders of menstrual cycle


- Gynaecological examination and diagnostic procedure biopsy
- Inflammatory conditions of female reproductive organs
- New growths, malignant, polyps, cysts
- Displacement of uterus
- Menopause
- Pre and post operative care
- VVF and RVF
- Congenital deformities

UNIT 8: Review of normal newborn

UNIT 9: Neonatal problems:

- Birth injuries
- Asphyxia neonatorum
- Congenital malformation
- Neonatal jaundice
- Convulsions
- Vomiting
- Metabolic disorder
- Pre term babies and post dated babies
- Still birth- incidence, course and prevention
- Haemorrhagic disorders of the newborn

Practicum:

1. Witness abnormal deliveries - 10


2. Motivation of planned parenthood – 2
3. Attend antennal and postnatal clinics
4. Assist with obstetrical and gynaecological operations episiotomy,
evacuation, forceps delivery, caeserrean section, IUD insertion ,
sterilization (male and female).
5. Provides care to high risk mothers - 5 nos
6. Provides care to neonatal (high risk) – 5 nos
7. Assist in abnormal deliveries – 5 nos
8. Clinical experience in atenatal, postnatal ward, gynaic ward, septic labour
ward, operation theatre, neonatal ward.
COMMUNITY HEALTH NURSING – II

Placement: fourth year leading to bsc nursing (basic) degree


Time allotted: theory- 60 hours, practicals- 450 hours

Course description:

The course is intended to give a broader understanding of managerial aspects of


community health nursing practice with emphasis of planning, organizing,
implementing and evaluation of community health programme.

Behavioral objectives:

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

1. Explain the health care delivery system in India ie, union, state, district
block and local level

2. Describe the national health planning in India,

3. Recognize the role of community health nurses in national health


programme in India

4. Describe the voluntary health care agencies and their contributions to


national health care systems

5. Apply principles of management, supervision and personal management


in community health nursing services

6. Identify the training needs and conduct self development programme for
different functionaries in the community.

7. Prepare job description for different categories of community health


nursing.

8. Plan and organizes the special community health nursing programme

UNIT 1: Health administration in India:

- Brief history of health administration in India


- Health organization and function at union level- union ministry of health
and family welfare, DGHS ( directorate general of health services, New
Delhi , central, councils and family welfare, NHFW (national institute of
health and family welfare)
- Trends and objectives of health administration.
- Health organization functions at state level.
Ministry of H and F W, health secretariat , health directorates, HFWTCS
- Health organization, function at district,block and local level.

UNIT 2: Health planning in India:

- Evolution of health planning in India


- National health comitees of pre and post independent India
- National health policy
- Planning commission of India
- National development and health
- Planning process in community health nursing

National health programme:

• NMEP -National malaria eradication programme


• NFCO - National filarial control programme
• NLCO – National leprosy eradication programme
• NTCP – National tuberculosis control programme
• NPVICB – National programme for prevention of visual impairment
and control of blindness.
• NSTDP – National sexually transmitted transmitted disease control
programme.
• DDCP – Diarhoel disease control programme
• CSSM- Child survival safe motherhood
• RCH – Reproductive and child health
• UIP – Universal immunization programme
• NFWP – National family welfare programme
• NCCP – National water supply and sanitation programme
• Guines worm eradication programme
And other vertical health programmes

UNIT 3: International and voluntary health agencies:

- Definition, objectives and functions of voluntary health agencies and their


contributions of health.
- International health agencies
• WHO
• UNICEF
• UNESCO
• USAID
• UNDP
• FAO
• CARE
• ROCKETFELLER FOUNDATION
• FORD FOUNDATION
• COLOMBO PLAN
• WORLD BANK

Voluntary health agencies in India and their contributions

• Indian red cross society


• Hind kusht nivaran sangh
• Indian council of chilf welfare
• Bharat sevak samaj
• Central social welfare board
• Kasturba memorial fund
• Family planning association of India
• All India womens conference
• All India blind relief societies

Professional bodies:
• TNAI
• MCI
• DCI
• PCI
• COUNCIL OF ISM
• ICN

UNIT 4: Staff management and development in communit health nursing :

- Qualities and trends in management of community health personnel


- Recommendation of high power committee in nursing
- Methods of recruitment and techniques of supervision
- Qualification, qualities and responsibilities of supervisor
- Working relationship with team members and community
- Preparation of evaluation tools and record of effective supervision
- Methods of supervision- staff and individual
• Conference., auditing and review of records
• Use of coping index and family process
• Review and field supervision – anecdotal reports,
- Staff development
• Orientation- guidance and counseling in C.H.N service
• Inservice education, continuing education, skill training
• Community health nursing standards
• Trends in manpower planning in C.H services

UNIT 5: School health programme (SHP)

- Development of SHP in India


- Definition, nature, scope and objective of SHP
- Contents/ components of SHP
- Role and responsibilities of nurse in planning
- Implementation and evaluation of school health programme

UNIT 6: Occupation health programme (OCP)

- Development of occupation health in India


- Definition, nature, scope and objective of OHP
- Occupational hazards
- Health acts and health measures of OHP
- Role of nurse in promotion of occupational health

UNIT 7: community mental health nursing programme ( CMHNP)

- Review, concepts of mental health and illness


- Mental health movement in India
- Meaning, scope and objective of community mental health programme
- Promotional measures of mental health in community
- Preventive measures of mental illness in community
- Role of nurse in community mental health programme

UNIT 8: Nursing and disaster:

- Nature, scope and objective and types of disasters


- Role of nurse in various disasters

UNIT 9 : Communicable and communicable diseases:


- Communicable diseases- diphtheria, tetanus, pertusis, poliomyelitis,
measles, mumps, tuberculosis, malaria, filarial, leprosy, diarrhoel disease,
worm infestation, STD, AIDS, JEB, jaundice, rabies, KFD, dengue fever,
plague and others.
- Non communicable diseases and conditions: heart diseases, cancer,
diabetes, hypertension, accidents,.
- Trends in management of prevailing communicable and non communicable
diseases and conditions.

Practicals:

Under the supervision and guidance of faculty, students will :

- Visit health organizations and institutions of national and international


importance during the educational tour and prepare reports.

- Plan organize/participate in special health programmes such as school


health, mental health and disaster belief.

- Visit to school, rural health centre, local industries.

- Conduct group activities – Community health survey in geographical area


and plan health care and also participate in health centre activities and
research activities

- Perform individual activities – selecting five families and providing care


and conduct health teaching for selected groups of individual.

NURSING ADMINISTRATION

Placement : fourth year, leading to bsc nursing (basic) degree


Time allotted: 60=105 hours ( theory + practical )

Course description:

The course is designed to orient the student to the basic concepts of


administration applied in nursing service and education with emphasis on
developing beginning skills of management.

Behavioral objectives:
1. Describe basic concepts and and principles of management
2. Appreciates different techniques of management skills
3. Realize the responsibilities of nurse administrator in different
areas/levels.

UNIT 1: Basic concepts of administration:

- Significance, meaning, nature, scope and philosophy of administration.


- Approaches to the study of public administration
- Human factor in administration
- Public and private administration
- Administration and management
- Administration, science, art or both
- Elements of administration planning, organizing
- Staffing, delegating, coordination, reporting, budget,
- Tools of administration- human relation communication
- Review of leadership in administration- nurse as a leader
- Innovation and charge – use of creativity

UNIT 2: Health administration and hospital

- Definition, nature, scope, objectives, and principles of health administration


- Definition, classification of hospitals
- Evolution of Indian hospitals
- Hospitals, organization and function/

Unit 3: nursing service administration:

- Nature, scope, philosophy, objective and principles of nursing


administration
- Planning nursing service at all levels- centre state, local hospital and
community.
- Techniques of management in nursing – management by objective,
management by evaluation, PERT.
- Importance of records and reports in nursing administration
- Trends and issues in nursing service.

UNIT 4: Function of nursing administration:

- Human resources management and role of nurse manager.


- Staff- recruiting, selection, induction, confirmation, probation, termination,
personel policies, staff computation, job analysis, job specification, job
description, staff assignments.
- Supervison- meaning, nature, scope, objectives of supervision.
- Supervision of staff and clients care
- Staff development – definitions, nature, scope and objectives of staff
development, inservice education, continuing education, orientation, skill
training,.
- Staff welfare – working condition, safety health, salaries, benefits,
recreation.
- Maternal management and the role of nurse manager
- Demand estimation, procurement, receipt and inspection storage, issue and
use of maintenance and repair disposal , accounting and information system
inventory control .
- Financial management and role of nurse manager
- Financial system, source of funds, budgeting,- principles and process.

UNIT 5: Nursing management of a unit/department.

- Organization and management of nursing unit


- Factors influencing good unit/ward management
- Planning for daily patient care
- Physical facilities, equipment and supplies
- Assignment
- Maintaining of records and reports
- Quality assurance, setting nursing standards
- Evaluation of patient care / nursing care

UNIT 6: Nursing education administration:

- Aspects of educational management


- Physical facilities for nursing schools, colleges
- Recruitment and selection of faculty and students
- Job description of teachers- schools and college of nursing
- Rules and regulation policies of nursing education
- Affiliation and accreditation of nursing education instruction
- Trends and issues of nursing education in India
- Evaluation tool for effectiveness of teaching and student programme
- Records and reports pertaining to staff and students
- Utilization of nursing service personal and nursing education

UNIT 7: Medical aspects of nursing:

- Legal terminology
- Consumer protection act
- Legal limits in nursing
- Registration act
- Legal issues in speciality areas in medical, surgical, obstetrics and
gynecology
- Psychiatric and community health nursing.

PRACTICALS:

Each student will be required to :

- Work with the charge nurse and apply the principles of administration
pertaining to the unit.
- Present reports of patients, copies of various records, reports and job
description.
- Plan, organizes, and implement total nursing care and present nursing care
plans
- Report of the education tours.

TRENDS AND ISSUES IN NURSING

Placement : fourth year leading to bsc nursing (basic) degree


Time allotted: 45 hours

Course description:

This is an introductory course that deal with the development and structural
changes of organized nursing in selected areas of the world. Emphasis is on the
general trends of events on recent happenings on the profession.

Behavioral objectives:

1. Understands the responsibilities of nursing and its development as a


profession.
2. Appreciates the present role of nurse in selected countries.
3. Increases understanding of the activities of international agencies in the
development of nursing.

UNIT 1: Introduction:

- Course frame work


- Evolution of society – a transition phase
- Nursing as a profession
UNIT 2: Influence of cultural patterns on health improvement:

- Seminar: nursing problem


- Focus: nursing care delivery in relation to health problems found in one
particular section of the state or country.

UNIT 3: Structure of organized nursing in India:

- Indian nursing council- State nursing council


- Trained nurses association of India
- Development and role of state branches

UNIT 4: Development of nursing in different parts of the world:

- Seminar- modern nursing in the world today


- Focus- social and economic status of nursing and conditions for work basic
preparation programmes in India and other countries.

UNIT 5: International organizations and their implication of nursing:

- Seminar- international agencies


- Focus - how these agencies can assist nursing and improve health in
world.

ELECTIVES
YOGA

Placement: fourth year leading to bsc nursing (basic)degree


Time allotted: 45 hours ( 20 hours practicals and 25 hours theory)

Course description:

this course is designed to equip the bsc nursing degree nursing students with
basic concepts of yoga. Scope is also given to study the patients and rectify
their behavioral and habits which are harmful.

Behavioral objectives:

1. Acquire knowledge about the basic concepts of yoga.


2. Integrate the knowledge in attaining the optimum level of health.
3. Appy this knowledge in bringing about the therapeutic effectiveness in
disease conditions.
UNIT 1:
- Introduction to yoga
- History of yoga

UNIT 2:
- Different types of yoga
- Raja yoga, bhaktiyoga, karma yoga, gyana yoga, hata yoga, laya yoga

UNIT 3:
- Asthanga yoga of maharshi patanjali
- Yama,niyama, asama, pranayama, prathyahaara, dharma, dhyana, Samadhi.

UNIT 4:
- Important yoga sutras of patanjali

UNIT 5:
- Theory of pacha-kosha, anatomy and physiological related to yogic
practices.

UNIT 6:
- Difference between yogic practices and misconception of yoga.

UNIT 7:
- Shatkriyas- neti, dhouli, nanti, kapalabhati and trataka.

UNIT 8:
- Rules to be followed for practice of yogic methods.

UNIT 9:
- Classification of asanas
- Meditative, culture and relaxative asanas and their psycho-somatic effects.

UNIT 10:
- Breathing exercise, pranayamaas, their types and effects

UNIT 11:
- Dharma and syama (concentration and meditation), types of dharma and
their effects.

UNIT 12:
- Yoga for women,young,aged

UNIT 13:
- Mudhras and bandhas- role of basic asanas in maintaining health and curing
diseases.

Practicum:

Yogic methods of practice:

A. Sukshama vyayama
B. Surya namaskaras – shavasana (relaxation)
C. Abdominal exercise
D. Spinal exercise
E. Asanas (pacting sequence)

1. Vjrasana- mandukasana
2. Bhadrasana
3. Gomukasana
4. Bhjangasana- sarpasana
5. Ardha salambasana- porna shalambasana
6. Marasana (relaxation)
7. Sukasana- ardha-padmasna, padmasana
8. Vipareethakami
9. Matsyasana
10.Halasana
11.Ahanurvasana- shavasana
12.Vakrasana
13.Ardha matsendrasana
14.Yoga-mudra
15.Navasana
16.Nowkasana- mukarasana
17.Janitrasana
18.Pachimothrasana- shavasana
19.Poorvatharwasana
20.Chakrasana- shavasana
21.Shirasana-shavasana
22.Standing postures
23.Ukatasana
24.Trikonasana
25.Parshova-chakrasena
26.Nata- rajasana
27.Veer bhadrasana

F. Shatkriyas:
- Jala neti
- Sutra neti
- Kunjala
- Vastra shonti
- Kapala bhonti
- Trataka

G. Breathing exercises
- Upper respiratory
- Diaphragmatic breathing
- Lower respiratory
- Tiger breathing

H. Pranayamas : pooraka:kumbaka: rechaka

- Anulama- viloma
- Nadi-shudi pranayama
- Seethkari
- Seethali
- Bharrika
- Bramari

I. Yoga nidra: (conscious relaxation)


J. Practice of meditation

APPRECIATION OF FINE ARTS

Placement: fourth year leading to bsc nursing (basic) degree


Time allotted: 45 hours

Course description:

The course is designed to enable the student appreciate and utilize the concepts
and principles in personal and professional activities. The approach is generic
and focuses on individual expression and aspects of culture and the role of
social institution in changing trends.

Behavioral objectives:

1. Appreciates the arts as an expression of individuals and the culture.


2. Enjoys and appreciates beauty whereever it is found.

UNIT 1: Introduction:
- What is art ?definitions, nature beauty, how art began, sources in magic and
ritual, decorations, crafts, imitations

UNIT 2: Psychology of art appreciation:

- Art as idea, imagination, design, form, order, arts as expression, creativity,


communication, catharsis.

UNIT 3: Areas of art activity:

- General introduction
- Visual arts and plastic arts – useful arts

UNIT 4: Fine arts:

- Painting – drawing, colour, composition, materials


- Sculpture – modeling, carving, narrative and religious, sculpture, relating to
architecture.
- Music – sound, form, voice, instruments, classical and light traditions
Indian musical ideas.
- Dance – language of movement, grace, body, employment of music.
- Drama – entertainment and instructions, language, message, cinema.
- Crafts – jewellery, costumery, decoration, pottery.

UNIT 5: Culture and appreciation:

- Artistic purposes and styles in cultural areas


- The individual and society in India
- Civilization and changing trends
- Art criticism
- Principles
- Problems

UNIT 6: Utilization of principles of art appreciation:

- Environmental beauty
- Flower arrangement
- Interior decoration
- Behavioral beauty
- Manners
- Conversational elegance
- Aesthetic and effective aspects
- Communicative beauty
- Teaching art appreciation.

COMPUTER SCIENCE IN NURSING

Placement: fourth year leading to bsc nursing (basic) degree


Duration: theory: 25 hours
Practicals : 20 hours

Course description:

The course is designed to study the fundamental of computers – application of


computers – data processing in India – logic of computer- development of
algorithms – flow chart – word processing – storing files – storing and analysis
of data graphics.

Objectives:

The student

1. Acquires basic knowledge of computer


2. Finds the utility of computer application of in other fields
3. Develops the ability in creating database
4. Learns database programming
5. Appreciates the utility of computer through algorithms and flowcharts
6. Prepare files and store files
7. Stores and analysis data
8. Represents the data through graphics

COMPUTER SCIENCE

1. Fundamentals in computers:

- Historical view of computers


- Types of computers
- Parts of computers
- Applications of computer – scientific – educational – medical science
- Computer languages

2. Data processing concepts:

- Booting
- DOS commands
- Creating a data base
- Creating reports
- An approach to data programming
- Learning database programming

3. Approach to problem solving”:

- The logic of computer


- Problems definition
- Algorithms - definitions
- Step by step development of algorithm
- Flowcharts – symbols and structured programming.

4. Word processor:

- Word processing
- Storing of files
- Use of computer in nursing research
- Storing and analysis in data
- Graphics.

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