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FOR
MGM Nursing Training School
(A Unit of Prakhar)
Prepared by:
GKB & Associates
CHARTERED ACCOUNTANTS
114, Grand Plaza, Frazer Road, Patna-800001.
Contents
Introduction ............................................................................................................. 2
About Prakhar.......................................................................................................... 6
Affiliation & Approval ............................................................................................. 7
Vision ....................................................................................................................... 7
Promoter’s Background........................................................................................... 8
Growth of Nursing Educational Institutions in India ............................................ 10
Role & Career........................................................................................................ 12
State Scenario ........................................................................................................ 15
Location Analysis of Patna ................................................................................... 17
SWOT Analysis..................................................................................................... 20
Infrastructure Facilities ......................................................................................... 21
Major Competitors in Patna .................................................................................. 22
Courses Offered..................................................................................................... 23
Future Prospects Plan of MGM (Unit of Prakhar) ................................................ 25
Assumptions .......................................................................................................... 25
Page 1
Introduction
Nursing is one of the strongest pillars that the medicine profession stands on.
The profession revolves around taking care of people which includes their
physical as well as psychological maladies. At a senior level the wok in the
nursing department includes managing particular groups of patients
from pediatric ward, psychiatric ward, ICU, etc. Apart from that the job revolves
around in taking care to the medication of the patients, maintaining patient
records, administration, routine work, setting up of medical equipment and so
much more.
Page 2
The development of nursing in India reflects the country’s history and complex
socio-cultural composition. Traditionally, amongst Hindu and Muslim
communities, the need for female nurses to work outside of the home (including
at night), to touch strangers, to mix with men, and to deal with bodily fluids
(considered polluting within Hindu and Muslim cosmology) has meant that until
relatively recently, nursing was a stigmatized and low status profession. During
colonial times, British missionaries attempted to redefine and professionalize
nursing as a respectable vocational career. British mission hospitals established
nursing schools and recruited poor women or widows from predominantly
Christian communities, many from the southern Indian state of Kerala. Kerala
remains a major supplier of Indian nurses, although this is changing due to a
shift in the desirability of nursing as a career that has come about because of
increased opportunities for migration to the Middle East and further afield. As in
many other countries, nursing is now seen as a potentially lucrative career
choice, a stepping stone to work overseas and towards greater social mobility
for the entire family. This has led to an influx of men into the profession and to a
positive change in the social status of nurses. Nonetheless, in India and
throughout South Asia, the desire to avoid the stigma associated with basic
nursing tasks forms a strong cultural backdrop to the way in which clinical
nursing is valued and practiced today.
Page 3
'Education is not the learning of many facts but the training of the mind to
think.' - Albert Einstein
Despite the fact that nurses form the largest proportion of workforce in the
health care sector, nursing is losing its appeal as a career of choice. Nursing
sector in India continues to experience challenges in terms of Availability,
Distribution and Retention. Some of the key reasons for this are lack of a
rewarding career progression, welfare, income parity, social status, inadequate
work environment, work life balance and empowerment. In addition, alternative
careers with better pay-outs and less stressful work environments and
opportunities to migrate overseas tend to attract nurses better.
Indian Nursing Council believes in the concept of health as laid down by the
W.H.O. i.e.,
“Health is a state of complete physical, mental and social well-being and not
merely the absence of disease or infirmity.”
The International Council of Nurses states that the unique function of the nurse
is to assist the individual, sick or well, in the performance of those activities
contributing to health or its recovery that he would perform unaided if he had
the necessary strength, will or knowledge.
The Council recognizes that the nature of nursing is such that a substantial
portion of learning of the students is acquired in the clinical field of practice.
Page 4
Ministry of Health and Family Welfare Notable Achievements and Initiatives-
2015
The Government of India has initiated action for opening of 132 Auxiliary Nurse
Midwife (ANM) and 137 General Nursing and Midwifery (GNM) schools in 278
identified districts in 29 states under Central Sponsored Scheme-
Strengthening/Upgradation of Nursing Services, where there is preferably no
such school. As on date, Govt. has approved for establishment of 128 ANM
School and 137 GNM Schools. Funds to the tune of Rs. 725.oo Crore have
already been released (Centre: State share as 85:15). The components that are
covered under the scheme include civil work, laboratory equipment, teaching
aids, library, computers, furniture, transport, rent for building for 18 months or
till construction is completed, salary of staff, contingencies, etc. Objective of the
Scheme:-
The Govt. of India has also initiated works under another Scheme -
Development of Nursing Services by way of Training of Nurses, upgradation of
School of Nursing into College of Nursing and by giving Florence Nightingale
National Awards Nurses who work for the people. Objective of the Scheme are-
Page 5
About Prakhar
Mrs. Seema Mishra started institute in 2009 and got affiliation from Magadh
University in 2010. The institute got affiliation for nursing from State
Government in 2015 and got recognition from Indian Nursing Council in 2016.
MGM Nursing Training School provides nursing education with diploma in
nursing and qualified auxiliary nurse midwives (A N M).
MGM continues to look for beyond the routine and so has developed many
activity based quality educational programs. Besides covering the entire
syllabus effectively, the highly interactive mode of teaching users case
studies, group discussion, situation handling, senior – junior interaction,
seminar presentation and internship. Student’s direct and active involvement
in the training makes them very comfortable in facing the challenges of the
corporate life. Looking into the requirements of corporate, the institute
maintains a very strong and close relationship with its future employers in
the form of “industry interface”, which is a very regular feature at MGM. This
helps trainees to get exposure to work culture, organizational practices and
ad in-depth understanding of corporate culture. In order to make learning
more enriched, the trainees are expected to make presentations and proper
analytical reports based on their observation and data collection.
Page 6
Affiliation & Approval
Vision
MGM Nursing Training School needs real commitment and selfless, endeavor
with love, passion and perseverance. Nursing students should act as force for
change and become vital resource for health. I wish that the students of
DRIEMS School and College of Nursing can get proper ambience to learn-
grow and develop service temperament for societal development.
Page 7
Promoter’s Background
Dr. (Mrs.) Manju Geeta Mishra
Prof. Dr. (Mrs.) Manju Gita Mishra is the head of D.G.O., M.S. (Obst. & Gynae)
F.I.C.O.G., F.I.C.S., F.I.A.M.S., F.I.C.M.C.H. and Ex-Professor of Obstetrics and
Gynaecology, Patna Medical College and Hospital, Patna. She is the President
of ISOPARB 2014-2016 and Chairperson of Medical Education Committee,
FOGSI -2007-09.
Mrs. Manju Geeta Mishra is specialized in High Risk Pregnancy & Adolescent
Gynaecology, Emergency Obstetrics. She is also connected with various
Associational activities and holds various posts in the past:
1) Past Senior Vice President of ISOPARB,
2) Past President of B.O.G.S.,
3) Past President I.M.A. Bihar State,
4) Past President I.M.A. All India Women’s Doctors Wing.
5) Past Secretary General of ISOPARB.
6) Past President of Association Obstetrics Gynaecology Society Bihar
Jharkhand
She has got the Life time achievement Award - given by B.O.G.S. in 2015 and
Jagran Health Excellence Award – 2015. She has been the recipient of various
awards:
1) Kanak Goyal Award
2) C.L.Jhaveri Family Planning Awards
3) Dr. B.C.Roy National Award
4) Dr. R.K.Menda Community Service Award
Page 8
Mrs. Seema Mishra
Mrs. Seema Mishra, w/o Mr. Prabudh Paritosh Mishra, is the resident of
Kadam Kuan, Jagat Narayan Road, Patna- 800003, Bihar. She completed
graduation from Mumbai University in 2000 and MBA (Finance) in 2006. She
started MGM Institute in 2009 and got affiliation from Magadh University in
2010. MGM institute got affiliation for nursing from State Government in
2015 and got recognition from Indian Nursing Council in 2016. She is also
associated with MGM Hospital Research Private Limited.
Vivek Jha
Mr. Vivek Jha is the corporate lawyer in PWC, Gurgaon.
Dr. (Mrs.) Renu Kumari
Dr. (Mrs.) Renu Kumari is a renowned doctor in Homeopathic Medicine and
Surgery, currently working in MGM hospital.
Anil Kumar Jha
Mr. Anil Kumar Jha is the head of accounts department in MGM Hospital.
Mr. Ravi Kant
Mr. Ravi Kant is responsible for organising and conducting various social
awareness programmes in MGM Hospital.
Page 9
Growth of Nursing Educational Institutions in India
Page 10
Page 11
Role & Career
India has long been known as a hub for nurses, and often looked upon to
supply nurses to the 1st World Nations. Notably, when we consider Indian
history, nurses were actually young men. Women acted as midwives for
aiding in childbirth. And, a long time ago, the acceptance of nursing as a
profession in India was blockaded due to various reasons. At that point in
time, India was caught in the fences of political upheaval and cultural
uncertainty.
However, time passed. Now, for many good reasons, nursing as a profession
has grown and the demand for nurses in India is set to continue. While once
there was very little choice in choosing any specialization, there is now a
plethora of career opportunities.
The career opportunities in nursing are very high not only in India but also
abroad. With more and more nursing colleges opening up each day, it is a
sign of the requirement of skilled and qualified people required for the
service. Undoubtedly, the career is not for everyone as it asks for a lot of
patience and hard work.
There is still a great deal of need of skilled nurses in the field of Medicine.
The world is far away from reaching its brink when we talk of qualified and
skilled nurses. The nursing field from medicine has also made its way to the
corporate sector which further increases the need of skilled people in the
stream. Talking only of India, we are far- far away from reaching the
adequate nurse-patient ratio.
There are opportunities available in the private as well as government
sectors. A person from this profession has the option of working
with government or private hospitals, old homes, armed forces, orphanages,
industries, Indian Red Cross Society, State Nursing Councils, Indian Nursing
Council and so many other endless possibilities exist today.
On gaining enough experience one can freelance and work as a nurse for
someone in private.
Page 12
Providing
Nursing
Care
Involvement
Transition &
of family &
Continuity
friends
Co-
Nurses Role ordination &
Shared
integration
Decision in of Care
making Healthcare (Team
Medicine)
Keeping Physical
patients safe Comfort
Emotional
Support
Staff Nurse- Staff nurses provides direct care to patients. They are
answerable to the ward supervisor for the assistance they perform in the
ward management and supervision.
Nursing Supervisor or Ward Sister is another career option. They are
answerable to the nursing superintendent. They are responsible for
nursing care, safety and comfort management of a ward or unit. They
also assign work to the personnel working in the ward, regardless of
whether they are in the nursing profession. If they work in a teaching
hospital, then they also provide lessons to students.
Page 13
An Assistant Nursing Superintendent or Department Supervisor is
answerable to the nursing superintendent and deputy nursing
superintendent. They hold the responsibility of nursing care and
management of more than one unit or ward. It can be any department,
such as the surgical department or the outpatient department.
Deputy Nursing Superintendents are answerable to the nursing
superintendent. They hold the responsibility of assisting the latter in the
nursing administration of the hospital.
Nursing Superintendent is accountable to the medical superintendent.
They hold the responsibility of safety and at the same time efficient
management of all of the services the hospital provides.
Director of Nursing holds the responsibility of keeping an eye on both the
nursing services and the teaching services if the hospital offers nursing
education.
Outside the Hospital:
A Community Health Nurse focuses on serving in the favor of
reproductive child health program.
Military Nursing Service leads nurses to be commissioned officers who
earn ranks from lieutenant to major general.
State level Deputy Director of Nursing at the state health directorate.
National level Nursing Advisor to the Government of India.
Apart from all of the career opportunities a nurse may acquire within India,
the nursing profession abroad has been very enticing with high salaries and
more opportunities that are professional. There is no doubt that the nursing
profession is a fascinating career choice.
Page 14
State Scenario
In both Bihar and Gujarat, 17 of the 21 institutes sampled were located in
urban areas. Institutes had been operating for a median of 3 years in Bihar
and 5 years in Gujarat. Institutes in Gujarat were more likely to be teaching
multiple training programs: while 84 % of institutes in Bihar taught only one
course, 49 % in Gujarat did the same.
The median class size was around 30 in both states, but the average teacher-
pupil ratio was better in Gujarat (1:10) compared to Bihar (1:12.5).
Administrators reported that among current faculty, teachers in Bihar had a
median of 7 years of teaching experience and had never worked in the
industry. Similarly, teachers in Gujarat had a median of 6 years of teaching
experience, with no other work experience. Although 45 % of institutes in
Bihar and 87 % in Gujarat had hired new faculty members in the 3 years
preceding the survey, teacher unavailability at private institutes was a cause
for concern: 19 % of students in Bihar and 23 % of students at private
institutes in Gujarat reported teachers being unavailable when required in
the week preceding the survey. The median course fees charged for an ANM
course in Bihar was 72 000 INR or 1.8 times the per capita state gross
domestic product (GDP) in 2014–2015. There was a vast difference in fees
charged by public and private institutes. Training fees paid by students were
the sole source of revenue for 86 % of institutes in Bihar and 21 % of private
institutes in Gujarat.
Students
Page 15
nursing in Gujarat: while 96 % of students in Bihar were female, the
proportion in Gujarat was 92 %. Relative to the general population of their
state, nursing students in Bihar were more likely to be from Scheduled Tribes
(8 % compared to 1 % of the state’s population). Similarly, students in Gujarat
were more likely to be from Schedule Castes (19 % of students compared to 7
% of the state’s population).
Gaining employment in the public sector was the primary reason for studying
nursing. Ninety per cent of students in Bihar and 63 % in Gujarat wanted a
public sector job upon completing training; 10 % of students (5 % in Bihar and
11 % in Gujarat) wanted to work in the private sector, and 20 % (5 % in Bihar
and 25 % in Gujarat) wanted to study further. Students reported that the
most common way of getting a job was taking exams for public sector
employment. When presented with a list of technical and non-technical skills
Page 16
and asked to pick those that are most important for getting a desired job,
students ranked working hard and passing these exams the highest.
Confidence and luck were also deemed important skills for the labor market.
In addition, students anticipated tapping into their personal networks to find
employment opportunities: most—55 % in Bihar and 64 % in Gujarat—
believed that it was very difficult to get a job without using personal contacts
and references. Eleven per cent of students in Bihar and 27 % in Gujarat
listed personal contacts as the most popular means of finding employment,
and 20% of students in both states reported institute placement cells as
important sources of information about jobs.
Twenty-eight per cent of students in both states regarded the lack of demand
for trained nurses as the biggest challenge faced while searching for
employment. In Bihar, poor communication skills, such as the inability to
converse in English, and low confidence were also cited as challenges by 20 %
of students. The primary suggestions given by students for improving their
training programs were improving placement services and teaching non-
technical skills, such as communication and personality development.
Patna is the capital and largest city of the state of Bihar in India. Patna is the
second largest city in eastern India after Kolkata. It had an estimated
population of 1.68 million in 2011, making it the 19th largest city in India.
With over 2 million people, its urban agglomeration is the 18th largest in
India. Patna also serves as the seat of Patna High Court.
One of the oldest continuously inhabited places in the world. Patna was
founded in 490 BCE by the king of Magadha, Ancient Patna, known
as Patliputra, was the capital of the Magadha Empire under
the Haryanka, Nanda, Mauryan, Shunga,Gupta and Pala empires. Patliputra w
as a seat of learning and fine arts. Its population during the Maurya period
(around 300 BCE) was about 400,000.
The modern city of Patna is situated on the southern bank of river Ganges.
The city also straddles the rivers Sone, Gandak and Punpun. The city is
approximately 35 kilometres (22 mi) in length and 16 to 18 kilometres (9.9 to
11.2 mi) wide. In June 2009, the World Bank ranked Patna second in India
(after Delhi) for ease of starting a business. As of 2011-12, Patna had the
Page 17
highest per capita gross district domestic product in Bihar, at ₹63,063. Using
figures for assumed average annual growth, Patna is the 21st fastest growing
city in the world and 5th fastest growing city in India according to a study by
the City Mayors' Foundation. Patna registered an average annual growth of
3.72% during 2006-2010.
Patna city is governed by Municipal Corporation which comes under Patna
Metropolitan Region. The Patna city is located in Bihar state of India.
Population of Patna Plan area in 2031 is likely to be 60.25 lakh out of which
the estimated urban population will be 48.77 lakh. The total number of
workers that year is projected to be 16.09 lakh, considering the 33% of the
urban population, according to the Patna Master Plan for 2031.
The projected figure has been based on the trend using share and shift
method. It has been projected for the region as a whole as well as community
development blocks (CD blocks) and villages. It has also been validated by the
provisional figures released by Census of India.
The proposed Patna Plan area would have 1,144.92 sq km. It is spread across
13 CD blocks in Patna district. There are 564 administrative units from these
13 CD blocks out of which six administrative units are urban centres, viz.
Patna Municipal Corporation, Danapur Nagar Parisad, Khagaul Nagar
Parishad, Phulwari Nagar Parishad, Maner Nagar Panchayat and Fatuha
Nagar Panchayat.
Page 18
there is a requirement for bringing necessary changes that can turn nursing
into an attractive profession.
Demand Supply
Considering the above, MGM has decided to start two new courses like
G.N.M. and B.Sc (Nursing) incorporating:
Page 19
SWOT Analysis
Strengths:
1. High demands for nursing professionals both in India and
internationally.
2. Location is the key strength of MGM as it is located at Kadamkuan,
Patna.
3. Promoters are from the medical background and have very high
reputation in the field of medical.
4. Less number of nursing institutions in Patna.
5. Extensive Institutional Infrastructure already in place.
6. Rich experience, good practices and related learning.
Weaknesses:
1) Less awareness about nursing training courses.
2) Gaps in policy, design and delivery of training and capacity building
programmes.
3) Social status attached to nursing as a profession.
Opportunities:
1) Increasing investment in nursing education based on rising global
and domestic demand of skilled nursing professional.
2) Increased Job Opportunities in Patna.
3) Competitive Advantage as MGM is a well known institute.
Threats:
1) Competition with other nursing institutes like Indira Gandhi
Institute of Medical Science (IGIMS), AIIMS.
2) Increasing complaints and litigation.
Page 20
Infrastructure Facilities
Class Room
The class rooms are equipped with LCD and other audio visual, There is
facilities for innovative Teaching-Learning –Evaluation system. To develop
competency Nursing practice there is a Nursing foundation lab with all
modern equipment to practice before entering the hospital.
Lab
Maternal and Child Health Care is the backbone of any health service. The
MCH lab is equipped with adequate facilities to train the students on
maternal and child health care.
MGM Nursing Lab is designed to train the students regarding care of
individual at community settings to facilitated service to the people at clinic.
Computer lab
A well furnished computer lab is facilitated with individual learning of nursing
students. Guidance is available to make the students expertise in computer
application in the health care delivery system and research.
Hostel
There is well furnished hostel inside the campus separately for boys and girls.
It has all the amenities of comfort and safety. Indoor games and computers
are also facilitated inside the hostel.
Library
There is well furnished hostel inside the campus separately for boys and girls.
It has all the amenities of comfort and safety. Indoor games and computers
are also facilitated inside the hostel.
Page 21
Major Competitors in Patna
There are many nursing school in Patna but only a few are the professionally
managed. MGM is placing itself into the professionally managed school and
keeping the fees accordingly.
Page 22
Courses Offered
Present course status of MGM (Unit of Prakhar)
Proposed courses
1. GNM- GNM is a three years course with the minimum eligibility is Class
10th or equivalent.
2. B.Sc (Nursing)- The student needs to have completed their Class XII
with Physics, Chemistry and Biology. The duration for B.Sc (Nursing) is
four years.
Page 23
Objectives of GNM
Page 24
understanding of human behaviour and appreciation of effective
interpersonal relationship with individuals families and groups,
ability to assume responsibility for continuing learning,
appreciation of professional attitudes necessary for leadership roles in
nursing appreciation of social and ethical obligations to society.
Over the next 5-6 years MGM has number of development goals.
1. To add new courses like GNM (3years Nursing Course) & B.SC Nursing
(4Years Nursing Course).
2. To initiate new techniques in developing the students to face modern
method of Personality Test and Interview.
3. To organize various short-term courses, workshop, seminars from
experts under various departments.
Assumptions
1) Term Loan repayment has been considered for 7 years.
3) Implementation Schedule-
Page 25