©) studocu Organization OF Nursing Education InstitutionsORGANIZATION OF NURSING EDUCATION INSTITUTIONS INTRODUCTION Health care needs of the people are ever changing and ever increasing, these changing and increasing health needs of necessity, demand newer approaches and strategies to the health care interventions and consequent gearing of nursing education for preparing qualified nurse to meet these needs. The additional approaches to the education and training of nurses cannot meet the new demands for health; hence plans should be made to produce to produce qualified nurses who are able to respond to health needs, being aware of newer approaches. DEFINITIONS OF ORGANIZATION “An organization is a combination of necessary human beings equipment’, facilities and ‘materials and tools assembled in some synthetic and effective co-ordination in order to accomplish some desired and designed objective. ‘An organization is a combination of necessary human beings, materials, tools, equipments, working space and appurtenances brought together in systematic and effective co-ordination to accomplish some desired object. J. William Schulze ‘An organization is formed to translate the policy into action. Organization is anatomy & management physiology. Organization is the process of dividing & combining the activities. itis the process of organization which finds the means of avenues along with which efforts are directed for making such joint efforts more productive, effective & fruitful results. NATURE OF ORGANIZATION Organization is the process of dividing and combining the activities. Itis the process of organization, which finds the means, human and material to meet with situation foreseen. The purpose of organization is to unify that effort and clear understandings of human relationship is necessary if desired result isto be obtained. To achieve this, organization should have four “P” s Which form the base of organization P=Purpose e.g: education P=Process _ &.g.: personnel P = Person target group P =Place setting e.g.: hospital IMPORTANCE OF ORGANIZATION 1. Organization provides the structure within which functions of administration are performed. Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)‘* It avoids delay, duplication or confusion in performance and removes friction or rivalry among personne! Analysis of objectives of institution provides all pertinent activities. Activities in then are allocated to particular individuals. Assignment of fixed duties helps to add certainty and promptness in their work. 2. An organization ensures an optimum use of human efforts through specialization and also makes use of all resources, determines need for innovative and new technologies in terms of cost effectiveness and accomplishes objectives. ‘+ Details of specification helps for right persons are placed in right position on the basis of their knowledge, skill & experience. 3. Organization places a proportionate & balanced emphasis on various activities ‘+ Money and efforts can be spent proportionately with importance of activities. 4. Organization facilities co-ordination in enterprises ‘* Different department and section, positions of functions welded together by structural relationship of organization. 5. Organization encourages individual growth and development of personal according to individual potentials through of enrichment, training and participation. 6. Organization helps to consolidate growth & expansion of institution. It helps in growth & development of establishment in planning for need based change through appropriate division & allotment of works. 7. Itinvites creative & innovative ideas to working through adopting human relations approach. 8, It prevents the growth of laggards, wire pullers, intrigues or other forms of corrupter. 9. Unsound organization becoming the breeding ground of corruption, dishonesty and such add things. PRICIPLES OF ORGANIZATION Henri Fayol (1974) has defined these principles as “acknowledge truths, regarded as preview on which to rely”. There are six principles of organization. HIERARCHY Any organization is like pyramid, broadest at the base & tapering towards the top. Hierarchy Consists universal application of superior ~ subordinate relationship through a number of levels of responsibility reaching from top to bottom of organization. SPAN OF CONTROL ‘The number of subordinates that a manager can personally direct or supervise is known as span of control. There is no agreement as to exact number, but there does exist a general agreement that the shorter the span greater will be the contact & consequently more effective control. UNITY AND COMMAND In an organization, an employee should receive orders from one superior only, otherwise authority is undermined, discipline is in danger, order distressed & stability threatened. CENTRALISATION vs DECENTRALIZATION Centralisation means concentration of authority at or near top. Decentralization means that the central authority gives certain panels to local authorities. Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)DELEGATION Delegation implies certain specified functions by subordinate authority. The subordinate authority act as the agent of superior’s authority & supervisor always retains the right to issue directions or revise decisions. in delegation the responsibility always remains with superior. ORGANISATIONAL STRUCTURE Each organization has a formal and informal structure that governs workflow and interpersonal relationship. The formal structure is planned and publicized whereas the informal structure is unplanned & covert. ‘An organization formal structure is official management of positions into patterns of working relationship that co-ordinate the efforts of workers with diverse tasks and abilities. The informal organization structure consists of unofficial relationship among workers that influence work effectiveness. Organization is the diagrammatic representation of different positions in the hierarchy of an institution, showing channels of communication & formal lines of authority among these positions. It also helps to understand positions, roles & whom they are accountable or answerable. Academic Control RGUHS ‘Administrative and financial contro! Syndicate Senate Minister of health Academic Council Secretary of Health FW Faculty of Medicine Director of Medical Education Boards of studies in nursing Sr. Asst. Director of Nursing, Principal Teaching Library Office Hostel Staff Professor Librarian - 2 Superintendent Warden = 2 Asst. Professor Steno-1 Cooks Lecturer Clerks ~3 Table Maid -3 Typist — 1 Sweeper -1 Driver=1 Attendant -2 Peons -2 Class D-2 Watchman -3 Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kity Gam (khyatichaudhari4S @ gmail.com)Organization of educational institutions includes finance, budgeting, plant & equipment, personnel & pastoral case of students. STAFFING PATTERN (FOR 50-100 Admission Annually) Department Professor Associate Lecturer Assistant Professor Lecturer cHN 1 1 1 5 8G A i 1 3 Psychiatry Nursing 1 1 1 2 Paediatrics 1 1 1 3 Medical Surgical 2 3 4 3 including Fundamentals ‘Administration and 1 : 1 1 Education Principal and vie principal by rotation among senior most professors on 5 years rotation. All teachers must possess a basic university or equivalent qualification as laid down in schedules. They shall be registered under state nursing registration Act. Nursing lecturer must possess requisite recognized post graduate qualification in their subjects 1. Holders of equivalent postgraduate qualifications, which may be approved by INC from time to time, may be considered to have requisite recognized postgraduate qualification in subject concerned. 2. All teachers except principal and vice principal should spend at least 4 hours in clinical area for Clinical teaching & supervision every day. 3. All teaching programme could be organized for 5 days/week with half one day as off and 1 day utilized for individual conference, independent study. OTHERS: Full time lecturers - Microbiology & pathology - Psychology = ‘Anatomy & physiology Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)Part time lecturers - Other Staff a) Administrative Officer b) Personal Assistant ©) Office Superintendant d) PA. to Principal e) Stenographers to professors f) Accountant/Cashier Upper Division Clerk a) For Establishment b) For Admissions ©) For university examinations Lower Division Clerk a) For records b) Dispatch work ©) Maintenance of Stores 4) Typists @) _Peons for Principal Cyclostyling Drafting Staff f) Classroom attendants 8) Sweepers h) Lab Attendant i) Watchmen i) LabTech k) AV. & Gestetner / tech 1) Driver for each vehicle UBRARY a) Librarian b) Library Attendant HOSTEL a) Wardens b) House Keepers ©) Cools, bearers, sweepers a) Ayah e) Watchmen / Chowkidar f) Gardeners & Dhobi (desirable) COMMUNITY HEALTH STAFF a) Chowkidar cum Mali b) Cook Ayah d) Sweepers For other remaining subjects. Nutrition, pharmacology, Sociology, Language 4 2 (Desirable) 1 1 2 2 2 4 depends on structural facilities ‘ia coeumenis ale reno argnen © studocu Downloaded by Kitty Gam Tkhyatichaudharia5 @gmail.com)RECRUITMENTS AND ACADEMIC QUALIFICATION AND EXPERIENCE FOR TEACHERS DESIGNATION Principal / Professor Professor Associate Professor Lecturer, Asst. Lecturer ACADEMIC QUALIFICATION AND EXPERIENCE Master degree in nursing 10 years experience in teaching in a college of nursing Desirable: Independent published work of high standard/doctorate degree. 3 years experience in administration (years of experience is relaxable) Same Qualification Academic: Master degree in specialized field Experience: 8 years teaching in a Collegiate programme Desirable: Independent published work of high standard/doctorate degree ‘Academic: Master's degree in specialized field Experience: 5 years teaching in collegiate programme Academic: Masters degree in specialized field Experience: 3 years teaching experience Academic: B.Sc. degree in Nsg Experience: 1 year experience in Nursing Recruitment rules for other staff should be worked out as per state rules. PHYSICAL FACILITIES Teaching Block: College should be housed preferably in unitary building and should be located near teaching hospitals. College ground should be room for future expansion There should be 4 lecture theatres in college. One auditorium with seating capacity of 500 and an assembly or examination hall having capacity of 400 seats. There should be a seminar room and student's common room. ‘Academic number of storeroom and toilets to be provided, Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)Each college should have a community-oriented centre in a rural seating with residential accommodation for 50 students (5 instructors). TRANSPORT There should be facilities for transport for staff and students to clinical areas including community field. At least a 25 seater 4 minibus should be available. Parking places and garages should be provided in campus. There should be two-field cars/jeep/wagon for rural fieldwork. CLINICAL FACILITI \OSPITAL STAFF FOR HOSPITAL 1, NURSING SUPERINTENDANT Should have a master’s degree with 10 years experience in nursing and 3 years in teaching or administration 2. DEPUTY NURISNG SUPERINTENDENT Master's degree in nursing with seven years of experience of which 3 years of teaching or administration 3, ASSISSTANT NURSING SUPERINTENDENT/DEPARTMENTAL SUPERVISOR Master degree in nursing with clinical specialization with 5 years experience of which 2 years in teaching /administration superintendent 4. ASSISSTANT NURSING SUPERINTENDENT One for each departments E.g.: Medical, Surgical, Paediatrics 5. HEAD NURSE/WARD SISTER B. Sc degree having 3 years experience in nursing. One for each unit/ward having 25 or less patients 6. STAFE NURSES Should be a registered nurse, registered midwife or equivalent to midwifery for male nurses. The ‘nurse patient ratio should 1:3. in special units it should be 1:1. There should be in service co- ordinator. CLINICAL FACILITIES: COMMUNITY The activities of urban and rural health centres selected for community nursing experience should be consistent with learning experience desired for students. These centres should be well established with legal responsibilities for service independent of resource from teaching institutions. It is desirable that the college adopts a sub-centre. There should be a written agreement between health agency and teaching institutions which may be reviewed as and when desired, community health and material such as guidelines, manuals & worksheet should be made available for both students and staff, COLLEGE ADMINISTRATION: Organized and Administration of college. Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)1, The Organization should be such as to give freedom in carrying out the educational programme and facilitate the achievernent of purposes and aims of college. 2. The college of nursing should receive the same status and privileges of University as are accordant to other constituted. 3. There should be governing body and colleges committees as required by the University for other constituent or affiliated college with jurisdiction. 4. There should be college representation on various hospital committees including selection committee of nursing personnel. College Committee: College Council Co-ordinating Committee Library Committee Curriculum Committee Students welfare committee Mess committee Recreation and Sports Committee Discipline Committee ORGANIZATION OF SCHOOL OF NURSING: Administrative head of school should be principal TEACHING STAFF: A school with 150 students (annual intake of 50) 1. Principal 1 2. Vice Principal 1 3. Tutors 15 Ever y additional 10 students, there should be one tutor/clinical instructor Qualification of teaching staff 1. Principal Masters in Nursing with minimum of 3 years teaching and administrative experience or a 8. Sc Nursing with 5 years teaching & administrative experience 2. Vice Principal: Same as above 3. Tutors/clinical instructors: Masters in Nursing or B. Sc Nursing Laboratori Fundamentals - 4 McH - 4 Nutrition - 1 Community - 4 Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)Microbiology Physiology & Biochemistry Anatomy Lab/Museum = Atleast 1 Library: Should be easily accessible to staff and students. A reading room with sufficient space and seating arrangement for 100 students with good lighting and ventilation. Up to-date reference books, textbooks, journals & daily newspapers should be available and 1000 professional books printed within last five years ‘There should be provision for a) Reference room b) Room for librarian and other staff ©) Room for daftaries other attendants and book binders d) Microfilm reading room e) Journal room f) Audio-visual room There should be issue counter and catalogue space. Offices: Administrative: Principal/Dean's office Room for P.A, Cash Counter, Accounts Room Visitors/Waiting Room Room for administrative Officers ~ Office superintendent & for ministerial staff Record rooms for students file & for office records Stores Room for maintenance staff Duplicating/gestetner room Teaching: Every teaching faculty from the rank of Lecturer and above should have a separate office. Demonstration/instructors should have a common office department wise. There should be a staff common room and a students’ counselling room. There should be facilities for drinking water, proper storage and sanitation. RESIDENTIAL ACCOMMODATION FOR STUDENTS: There should be single room and double room accommodation. However the number of double room accommodation should not exceed 20% of total accommodation. Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)‘The space should be 100 sq feet for single room and 150 sq feet for double room. The furniture provided should include separate sleeping, seating and storage arrangements for each student. Its preferable to have built in wardrobe and dressing table to economize space. Sanitary and bathing facilities with a minimum of 1 latrine, 1 bathroom and 4 students. There should be sufficient be sufficient hand washing basins at strategic places. = _ Visitor's room, common room, dining hall attached with kitchen store and other facilities. - Recreation room to accommodate 50% of total number of students with facilities for indoor games - Reading room to accommodate % of students is desirable = Washing, drying & ironing facilities should be provided adequately = _ Kitchenette and pantry should be provided in each floor - Provision for outdoor games should be available - There should be at least 4 guest rooms = Warden's office should have provision for reception and enquiry + Cafeteria, enquiry and in infirmary with 4-bed unit are desirable Staff: Residential accommodation for teaching and ancillary staff should be adequate, located and preferably in campus. Either principal or vice principal should live in campus. Additional Staff: 1. Stenographer 1 2. U.D.C Cum Cashier 1 3. L.D.C Cum Typist 1 4. Librarian 1 5. Asst. Librarian 1 6. Labattendant 1 7. Chowkidars 4 8. Driver 1 9. Cleaner 1 3 3 1 (for each vehicle) 10. Peons 11. Sweepers 12. Duplicating machine operator BUDGET: School should have a separate budget, principal of school of Nursing should be drawing and disbursing officer and empowered to place for operating funds in all different heads as per government rules and regulations. PHYSICAL FACILITIES: School of nursing should have a separate school building Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)1. Class Room At least 4 with capacity to accommodate the number of students admitted in each class. 2. Laboratories ‘There should be demonstration room accommodating 6 beds and equipped with cupboards, wash basins, electric fittings, etc. b. Nutrition laboratory Community nursing and obstetric laboratory 3. Auditori It should be spacious enough to accommodate large preferably double number of current strength. It should have proper lighting and arrangement for using audio-visual aids. 4. Ubrary i) It should have comfortable seating arrangements for one third of total number of students & staff ii) ttshould have proper lighting, heating and cooling arrangements depending on climate iil) Sufficient number of cupboards racks for proper storing of books, magazines, iv) Up to-date reference books 5. Examination/Multipurpose hall i) This should be able to accommodate total number of student ii) It should be well ventilated with proper lighting & seating arrangements, heating, cooling & toilet facilities 6. Offices ’) For principal with attached toilet ii) Minimum of 6 offices for teaching staff with separate desks and toilet facilities, i) Separate office for office staff iv) Equipment: Each office should be adequately furnished There should be typewriters, fitting cabinets, duplicating machine, steel! cupboards & telephone facilities 7. Common Room Minimum of three common rooms, (one for faculty, one for students & one for office staff). Sufficient space with seating arrangements and cabinets for each to look articles 8, Record Room: Steel racks & built in shelves 9. Store Room; to be provided 10. Room for AV Aids: For storing & use of AV Aids 11. Facilities: Drinking water & toilet Field practice area: 1, Awell set up field-teaching centre with provision for accommodation for 10 students & two staff members 2. Transport facility should be provided 3. It should have arrangements for security of staff & students Hospital Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)‘The hospital should provide all clinical learning experience required for student from school of nursing, Sie There shall be a minimum of 150 beds with a daily average turnover of not less than 100 in-patients, and outdoor clinics and operating rooms. TVPES OF CLINICAL EXPERIENCE AVAILABLE DISTRIBUTION OF BEDS There should be a variety of patients of all age group and at different stages of illness in all clinical areas. At least one third of minimum beds should be medical patients and one third surgical patients. 110 beds for gynaecology, 20 for children & 20 for obstetrics. Number of beds for men patients should ot be less than one sixth of total number of beds with minimum of 25. STAFFING (for 150 beds) 1. NURSING SUPERINTENDANT ~ 1 2. DEPUTY NURSING SUPERINTENDANT ~ 1. 3. ASSISTANT NURSING SUPERINTENDANT ~ 2 (FOR EVERY ADDITIONAL 50 BEDS 1 MORE) ‘Nursing staff for wards, special units & OPDs Staff Sister Dept Sr/ANS Medical Ward 13 1:25 1 for 3-4 wards Orthopaedic Paediatric Gynaecology Maternity New Born at Icu ccu Nephrology 41:1 in each shift Neurology & Neuro 1 Dept Sister for 3-4 surgery units clubbed together Special Wards Eye, ENT or 3 for 24 leach 1 dept sister Shift per table For 4-5 theatres Casualty & Emergency 2-3 1 each shift 1 dept sister for 4-5 Depending on No of theatres beds (OPD-Based on Actual observation a) Minor OT 1 staff for every 13 patient b) Infection room ——_1 staff for every 86 patient ¢) 1 staff for every 12 patient d) Medical 1 staff for every 140 patient e) Gynaecology 1 staff for every 35 patient f) Paediatric 1 staff for every 85 patient g) Orthopaedic 1 staff for every 120 patient h) Dental 1 staff for every 120 patient Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)i) ENT 1 staff for every 120 patient i) bye 1 staff for every 86 patient k) Skin 1 staff for every 100 patient SUMMARY Organization is act of designing administration structure. It is a process of dividing and combining activities. Purpose of organization is to unify that effort & clear understanding of human relationship is necessary. Principles of organization include hierarchy span of control, unity & command, centralization span of control, unity & command, centralization v/s decentralization & delegation. ‘The organizational plan of general nursing and basic degree course where discussed. Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)‘The INC is an autonomous body under the govt of India ,Ministry of health and family welfare ,INC act ,1947 in acted by giving statutory powers to main uniform standard and regulation of nursing standard all over the country. AIM AND OBJECTIVE To regulate the training policies and programmes in the field of nursing. To bring about the standardisation of the training courses. To promote research in nursing To maintain indian nurses register for registration of nursing personnel TO regulate the standards in all training institutions uniformly throughout the country Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)Tedoanensnotnietmectonseeon Ey studocu Downloaded by Kitty Gamit(khyatichaudharia5 @gmail.com)