SAM COLLEGE OF NURSING,

BHOPAL (M.P.)

SUBJECT: - NURSING EDUCATION

COURSE PLAN

SUBMITTED TO:- SUBMITTED BY:-

Ms. SANI S GEORGE MR. FIROJ KHAN

LECTURER M.Sc. NURSING (PREV)2021-22

SAM COLLEGE OF NURSING SAM COLLEGE OF NURSING

BHOPAL BHOPAL
 CURRICULUM

NURSING EDUCATION

Placement : Ist Year Hours of Instruction

Theory 150 Hours Practical 150 Hours
Total : 300 Hours
Course Description
This course is designed to assist students to develop a broad understanding of Fundamental
Principles, concepts, trends and issues related to education and nursing education. Further, it
would provide opportunity to students to understand, appreciate and acquire skills in teaching
and evaluation, curriculum development, implementation, maintenance of standards and
accreditation of various nursing educational programs.
Objectives
At the end of the course, students will be able to :
1. Explain the aims of education, philosophies, trends in education and health: its impact on
nursing education.
2. Describe the teaching learning process.
3. Prepare and utilize various instructional media and methods in teaching learning process.
4. Demonstrate competency in teaching, using various instructional strategies.
5. Critically analyze the existing nursing educational programs, their problems, issues and
future trends.
6. Describe the process of curriculum development, and the need and methodology of
curriculum change, innovation and integration.
7. Plan and conduct continuing nursing education programs.
8. Critically analyze the existing teacher preparation programs in nursing.
9. Demonstrate skill in guidance and counseling.
10. Describe the problems and issues related to administration of nursing curriculum
including selection and organization of clinical experience.
11. Explain the development of standards and accreditation process in nursing education
programs.
12. Identify research priorities in nursing education.
13. Discuss various models of collaboration in nursing education and services.
14. Explain the concept, principles, steps, tools and techniques of
evaluation
Uni Hours Content
ts
Theo Practic
ry al
I 10 INTRODUCTION :
Education :Definition, aims, concepts,
philosophies & their education implications,
Impact of Social, economical, political &
technological changes on education:
 Professional education
 Current trends and issues in education
 Educational reforms and National
Educational policy, various educational
 commissions-reports
 Trends in development of nursing education
in India
 Traditional and liberal movement in
education.
 Freedom and authority in education.
 Agencies of education.
II 30 40 TEACHING – LEARNING PROCESS:
 Concepts of teaching and learning: Definition,
theories of teaching and learning, relationship
between teaching and learning.
 Educational aims and objectives; types,
domains, levels, elements and writing of
educational objectives
 Competency based education(CBE) and
outcome based education(OBE)
 Instructional design: Planning and designing
the lesson, writing lesson plan: meaning, its
need and importance, formats.
 Instruction strategies: Lecture, discussion,
demonstration, simulation, laboratory,
seminar, panel, symposium, problem solving,
problem based learning (PBL), workshop,
project, role- play(sociodrama), programmed
instruction, self directed learning(SDL), micro
teaching, computer assisted instruction(CAI),
computer assisted learning (CAL), Innovative
Teaching Strategy.
 Clinical teaching methods
INSTRUCTIONAL MEDIA AND METHODS:
 Key concepts in the selection and use of
media in education
 Developing learning resource material using
different media
 Instructional aids – types, uses, selection,
preparation, utilization.
 Teacher’s role in procuring and managing
instructional Aids – Project and non-projected
aids, multi media, video-tele conferencing
etc.

III 10 MEASUREMENT AND EVALUATION:

 Concept and nature of measurement and
evaluation, meaning, process, purposes,
problems in evaluation and measurement.
 Measurement of cognitive, affective and
psychomotor domine.
 Principles of assessment, formative and
summative assessment- internal assessment
 external examination, advantages and
disadvantages.
 Criterion and norm referenced evaluation,
IV 12 10 STANDARDIZED AND NON-STANDARDIZED
TESTS :
 Meaning, characteristics, objectivity, validity,
reliability, usability, norms, construction of
tests-
 Essay, short answer questions and multiple
choice questions.
 Rating scales, checklist,
OSCE/OSPE(Objective structured
clinical/practical examination)
 Differential scales, and summated scales,
sociometry, anecdotal record, attitude
scale, critical incident technique
 Question bank-preparation, validation,
moderation by panel, utilization
 Developing a system for maintaining
confidentiality.
V 8 5 ADMINISTRATION, SCORING AND
REPORTING:
 Administering a test; scoring, grading versus
marks
 Objective tests, scoring essay test, methods
of scoring, Item analysis.
VI 12 6 STANDARDIZED TOOLS:
 Tests of intelligence aptitude, interest,
personality, achievement, socio-economic
status scale, tests for special mental and
physical abilities and disabilities.
VII 5 6 NURSING EDUCATIONAL PROGRAMS:
 Perspectives of nursing education: Global and
national.
 Patterns of nursing education and training
programmes in India. Non-university and
University programs: ANM, GNM, Basic B.Sc.
Nursing, Post Certificate B.Sc. Nursing,
M.Sc(N) programs, M.Phil and Ph.D) in
Nursing, post basic diploma programs, nurse
practitioner programs.
VIII 12 25 CONTINUING EDUCATION IN NURSING:
 Concepts – Definition, importance, need
scope, principles of adult learning,
assessments of learning needs, priorities,
resources.
 Program planning, implementation and
evaluation of continuing education programs.
 Research in continuing education.
  Distance education in nursing.
IX 10 10 CURRICULUM DEVELOPMENT:
 Definition, curriculum determinants, process
and steps of curriculum development,
Curriculum models, Types and framework.
 Formulation of philosophy, objectives,
selection and organization of learning
experiences; master plan, course plan, unit
plan.
 Evaluation strategies, process of curriculum
change, role of students, faculty,
administrators, statutory bodies and other
stakeholders.
 Equivalency of courses: Transcripts, credit
system.
X 8 4 TEACHER PREPARATION:
 Teacher–roles & responsibilities, functions,
characteristics, competencies, qualities,
 Preparation of professional teacher
 Organizing professional aspects of teacher
preparation programs
 Evaluation: self and peer
 Critical analysis of various programs of
teacher education in India.
XI 10 5 GUIDANCE AND COUNSELING:
 Concept, principles, need, difference between
guidance and counseling, trends and issues.
 Guidance and counseling services: diagnostic
and remedial.
 Coordination and organization of services.
 Techniques of counseling: Interview, case
work, characteristics of counselor, problems
in counseling.
 Professional preparation and training for
counseling.
XII 15 10 ADMINISTRATION OF NURSING
CURRICULUM:
 Role of curriculum coordinator–planning,
implementation and evaluation.
 Evaluation of educational programs in nursing
course and program.
 Factors influencing faculty staff relationship
and techniques of working together.
 Concept of faculty supervisor (dual) position.
 Curriculum research in nursing.
 Different models of collaboration between
education and service
XIII 10 MANAGEMENT OF NURSING EDUCATIONAL
INSTITUTIONS:
  Planning, organizing, staffing, budgeting,
recruitment, discipline, public relation,
performance appraisal, welfare services,
library services, hostel,
XIV 5 5 STANDARDS & ACCREDITATION:
 Development & maintenance of standards &
accreditation in nursing education programs.
 Role of Indian Nursing Council, State
Registration Nursing Councils, Boards and
University.
 Role of Professional associations and unions.

ADVANCE NURSING PRACTICE

Placement: 1ST Year Hours of Instruction

Theory 150 Hours
Practical 200 Hours
Total : 350 Hours
Course Description
The course is designed to develop an understanding of concepts and
constructs of theoretical basis of advance nursing practice and critically
analyze different theories of nursing and other disciplines.
Objectives:
At the end of the course the students will be able to:
1. Appreciate and analyze the development of nursing as a profession.
2. Describe ethical, legal, political and economic aspects of health care
delivery and nursing practice.
3. Explain bio- psycho- social dynamics of health, life style and health care
delivery system.
4. Discuss concepts, principles, theories, models, approaches relevant to
nursing and their application.
5. Describe scope of nursing practice.
6. Provide holistic and competent nursing care following nursing process
approach.
7. Identify latest trends in nursing and the basis of advance nursing
practice.
8. Perform extended and expanded role of nurse.
9. Describe alternative modalities of nursing care.
10. Describe the concept of quality control in nursing.
11. Identify the scope of nursing research.
12. Use computer in patient care delivery system and nursing practice.
13. Appreciate importance of self development and profession
advancement.
Course Content:

Unit Hour Content

s s
I 10 NURSING AS A PROFESSION:
 History of development of nursing profession,
characteristics, criteria of the profession, perspective of
nursing profession-national, global
 Code of ethics (INC), code of professional conduct(INC),
autonomy and accountability, assertiveness, visibility of
nurses, legal considerations,
 Role of regulatory bodies.
 Professional organizations and unions-self defense,
individual and collective bargaining
 Educational preparations, continuing education, career
opportunities, professional advancement & role and
scope of nursing education.
 Role of research, leadership and management.
 Quality assurance in nursing (INC).
 Futuristic nursing.
II 5 HEALTH CARE DELIVERY:
 Health care environment, economics, constraints,
planning process, policies, political process vis a vis
nursing profession.
 Health care delivery system- national, state, district and
local level.
 Major stakeholders in the health care system-
Government, non-govt, Industry and other professionals.
 Patterns of nursing care delivery in India.
 Health care delivery concerns, national health and
family welfare programs, inter-sectoral coordination,
role of nongovernmental agencies.
 Information, education and communication (IEC).
 Tele-medicine.
III 10 GENETICS:
 Review of cellular division, mutation and law of
inheritance, human genome project, The Genomic era.
 Basic concepts of Genes, Chromosomes & DNA.
 Approaches to common genetic disorders.
 Genetic testing – Basis of genetic diagnosis, Pre
symptomatic and predisposition testing, Prenatal
diagnosis & screening, Ethical, legal & psychosocial
issues in genetic testing.
 Genetic counseling.
 Practical application of genetics in nursing.
IV 10 EPIDEMIOLOGY:
 History, Scope, Aim epidemiological approach and
methods,
 Morbidity, mortality,
 Concepts of causation of diseases and their screening,
 Application of epidemiology in health care delivery,
Health survelliance and health informatics, uses of
 epidemiology.
 Role of nurse.
V 20 BIO-PSYCHO SOCIAL PATHOLOGY:
 Patho-physiology and Psychodynamics of disease
causation
 Life processes, homeostatic mechanism, biological and
psycho-social dynamics in causation of disease, life style
 Common problems: Oxygen insufficiency, fluid and
electrolyte imbalance, nutritional problems,
hemorrhage] and shock, altered body temperature,
unconsciousness, sleep pattern and its disturbances,
pain, sensory deprivation.
 Treatment aspects: Pharmacological and pre- post
operative care aspects,
 Cardio pulmonary resuscitation.
 End of life Care
 Infection prevention (including HIV) and standard safety
measures, bio-medical waste management.
VI 20 PHILOSOPHY AND THEORIES OF NURSING:
 Values, Conceptual models, approaches.
 Nursing theories: Nightingale’s, Hendersons’s, Roger’s,
Peplau’s, Abdella’s, Lewine’s, Orem’s, Johnson’s, King’s,
Neuman’s, Roy’s, Watson parsce, etc and their
applications,
 Health belief models, communication and management,
etc
 Concept of Self health.
 Evidence based practice model.
VII 10 NURSING PROCESS APPROACH:
 Health Assessment- approaches, illness status of
patients/clients (Individuals, family, community),
Identification of health illness problems, health
behaviors, signs and symptoms of clients.
 Methods of collection, analysis and utilization of data
relevant to nursing process.
 Nursing Diagnosis
 Planning
 Formulation of nursing care plans, health goals,
implementation, modification and evaluation of care.
 Theory application in nursing process.
VIII 30 PSYCHOLOGICAL ASPECTS AND HUMAN RELATIONS:
 Human behavior, Life processes & growth and
development, personality development, defense
mechanisms,
 Communication, interpersonal relationships, individual
and group, group dynamics, and organizational
behavior,
 Basic human needs, Growth and development,
(Conception through preschool, School age through
 adolescence, Young & middle adult, and Older adult)
 Sexuality and sexual health.
 Stress and adaptation, crisis and its intervention,
 Coping with loss, death and grieving,
 Principles and techniques of Counseling.
IX 10 NURSING PRACTICE:
 Framework, scope and trends.
 Alternative modalities of care, alternative systems of
health and complimentary therapies.
 Extended and expanded role of the nurse, in promotive,
preventive, curative and restorative health care delivery
system in community and institutions.
 Health promotion and primary health care.
 Independent practice issues,- Independent nurse-
midwifery practitioner.
 Collaboration issues and models-within and outside
nursing.
 Models of Prevention,
 Family nursing, Home nursing,
 Gender sensitive issues and women empowerment.
 Disaster nursing.
 Geriatric considerations in nursing.
 Evidence based nursing practice- Best practices
 Trans-cultural nursing.
 Innovations in nursing.

X 25 COMPUTER APPLICATIONS FOR PATIENT CARE

DELIVERY SYSTEM AND NURSING PRACTICE:
 Use of computers in teaching, learning, research and
nursing practice.
 Windows, MS office: Word, Excel, Power Point,
 Internet, literature search,
 Statistical packages,
 Hospital management information system: soft-wares.

NURSING RESEARCH AND STATISTICS

CONTENT OUTLINE:
Unit Hours Content
s
Theor Practic
y al
I 10 INTRODUCTION:
 Methods of acquiring knowledge – problem
solving and scientific method.
  Research – Definition, characteristics,
purposes, kinds of research
 Historical Evolution of research in nursing
 Basic research terms
 Scope of nursing research: areas, problems in
nursing,
 health and social research
 Concept of evidence based practice
 Ethics in research
 Overview of Research process
II 5 5 REVIEW OF LITERATURE:
 Importance, purposes, sources, criteria for
selection of resources and steps in reviewing
literature.
III 12 Research Approaches and designs
 Type: Quantitative and Qualitative
 Historical, survey and experimental –
Characteristics, types advantages and
disadvantages
 Qualitative: Phenomenology, grounded theory,
ethnography.
IV 10 5 RESEARCH PROBLEM:
 Identification of research problem
 Formulation of problem statement and
research objectives
 Definition of terms
 Assumptions and delimitations
 Identification of variables
 Hypothesis – definition, formulation and types.
V 20 DEVELOPING THEORETICAL/CONCEPTUAL
FRAMEWORK:
 Theories: Nature, characteristics, Purpose and
uses
 Using, testing and developing conceptual
framework, models and theories.
VI 6 SAMPLING:
 Population and sample.
 Factors influencing sampling.
 Sampling techniques.
 Sample size.
 Probability and sampling error.
 Problems of sampling.
 Characteristics of a good sampling design.
VII 20 10 TOOLS AND METHODS OF DATA
COLLECTION:
 Concepts of data collection
 Data sources, methods/techniques
quantitative and qualitative.
 Tools for data collection – types,
 characteristics and their development
 Item analysis
 Validity and reliability of tools
 Pilot study
 Procedure for data collection
VIII 5 IMPLEMENTING RESEARCH PLAN:
Research plan (design)., planning for data
collection, administration of tool/interventions,
collection of data
IX 10 10 ANALYSIS AND INTERPRETATION OF DATA:
 Plan for data analysis: quantitative and
qualitative
 Preparing data for computer analysis and
presentation.
 Statistical analysis
 Interpretation of data
 Conclusion and generalizations
 Summary and discussion

X 10 REPORTING AND UTILIZING RESEARCH

FINDINGS:
 Communication of research results; oral and
written
 Writing research report purposes, methods
and style vancouver,
 American Psychological Association(APA),
Campbell etc
 Writing scientific articles for publication:
purposes &
 Style.
 Utilization of research findings.
XI 3 8 Critical analysis of research reports and
articles.

XII 4 7 Developing and presenting a research

proposal.

Part –B: Statistics

CONTENT OUTLINE:
Unit Hours Content
s
Theor Practic
y al
I 7 4 INTRODUCTION:
 Concepts, types, significance and scope of
statistics, meaning of data,
 Sample, parameter
 Type and levels of data and their measurement
  Organization and presentation of data – Tabulation
of data;
 Frequency distribution
 Graphical and tabular presentations.
II 4 4 MEASURES OF CENTRAL TENDENCY:
 Mean, Median, Mode
III 4 5 MEASURES OF VARIABILITY:
 Range, Percentiles, average deviation, quartile
deviation, standard deviation
IV 3 2 NORMAL DISTRIBUTION:
 Probability, characteristics and application of
normal probability curve; sampling error.
V 6 8 MEASURES OF RELATIONSHIP:
 Correlation – need and meaning
 Rank order correlation;
 Scatter diagram method
 Product moment correlation
 Simple linear regression analysis and prediction.
VI 5 2 Designs and meaning:
 Experimental designs
 Comparison in pairs, randomized block design,
Latin squares.
VII 8 10 SIGNIFICANCE OF STATISTIC AND SIGNIFICANCE
OF DIFFERENCE BETWEEN TWO STATISTICS
(TESTING HYPOTHESIS):
 Non parametric test – Chi-square test, Sign, median
test,
 Mann Whitney test.
 Parametric test –‘t’ test, ANOVA, MANOVA,ANCOVA.
 Advantage & disadvantages of non-parametric
tests before Chi-square test.
 Mann Whitney’s “U” test
 Mc nemer test, Fisher’s exact probability test.
VIII 5 5 USE OF STATISTICAL METHODS IN PSYCHOLOGY
AND EDUCATION:
 Scaling – Z Score, Z Scaling
 Standard Score and T Score
 Reliability of test Scores: test-retest method,
parallel forms, split half method.
IX 4 2 APPLICATION OF STATISTICS IN HEALTH:
 Vital & health statistics.
 Ratios, Rates, Trends
 Vital health statistics – Birth and death rates.
 Measures related to fertility, morbidity and
mortality.
X 4 8 USE OF COMPUTERS FOR DATA ANALYSIS:
 Use of statistical package.
 Use of computers in research.

CLINICAL SPECIALITY – I
MEDICAL SURGICAL NURSING
COURSE CONTENT:
Units Hour Content
s
I 5 INTRODUCTION:
 Historical development of Medical- Surgical Nursing in India.
 Current concept of health.
 Trends & issues in Medical – Surgical Nursing.
 Ethical & cultural issues in Medical – Surgical Nursing.
 National health policy, special laws & ordinances relating to
older people.
 National health programs related to adult health.
II 20 HEALTH ASSESSMENT OF PATIENTS
 History taking.
 Physical examination of various systems.
 Nutritional assessment.
 Related investigations and diagnostic assessment
III 5 CARE IN HOSPITAL SETTINGS:
 Ambulatory care.
 Acute and Critical care.
 Long term care.
 Home Health Care.
 Characteristics, care models, practice settings,
interdisciplinary team.
 Hospitalization- effects of hospitalization on the patient &
family.
IV 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF
GASTRO INTESTINAL TRACT:
 Review of anatomy and physiology.
 Common Disorders-etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment- History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
V 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF
NERVOUS SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
VI 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF
RESPIRATORY SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
  Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
VII 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF CARDIO
VASCULAR SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
VIII 5 MANAGEMENT OF PATIENTS WITH DISORDERS OF BLOOD:
 Review of anatomy and physiology.
 Common Disorders-etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies
 Evidence based nursing practice
 Rehabilitation and follow-up
IX 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF GENITO
URINARY SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
X 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF
ENDOCRINE SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
XI 10 MANAGEMENT OF PATIENTS WITH DISORDERS OF
MUSCULO-SKELETAL SYSTEM :
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
XII 8 MANAGEMENT OF PATIENTS WITH DISORDERS OF
INTEGUMENTORY SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.

XIII 5 MANAGEMENT OF PATIENTS WITH DISORDERS OF EYE

AND ENT:
 Review of anatomy and physiology.
 Common Disorders-etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
XIV 8 MANAGEMENT OF PATIENTS WITH DISORDERS OF
REPRODUCTIVE SYSTEM:
 Review of anatomy and physiology.
 Common Disorders- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.
XV 8 Geriatric nursing
 Nursing Assessment-History and Physical assessment.
 Ageing;
 Demography; Myths and realities.
 Concepts and theories of ageing.
  Cognitive Aspects of Ageing.
 Normal biological ageing.
 Age related body systems changes.
 Psychosocial Aspects of Aging.
 Medications and elderly.
 Stress & coping in older adults.
 Common Health Problems & Nursing Management;
 Psychosocial and Sexual.
 Abuse of elderly.
 Role of nurse for care of elderly: ambulation, nutritional,
communicational, psychosocial and spiritual.
 Role of nurse for caregivers of elderly.
 Role of family and formal and non formal caregivers.
 Use of aids and prosthesis (hearing aids, dentures,
 Legal & Ethical Issues.
 Provisions and Programmes for elderly; privileges,
Community Programs and health services;
 Home and institutional care.
 Issues, problems and trends.

XVI 8 MANAGEMENT OF PATIENTS WITH COMMUNICABLE AND

SEXUALLY TRANSMITTED DISEASES:
 Review of immune system.
 Common Disorders of immune system – HIV/AIDS.
 Review of infectious disease process.
 Communicable Diseases- etiology, Patho-physiology, Clinical
manifestations, complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up
XVII 8 EMERGENCY, TRAUMA AND MULTI-SYSTEM ORGAN
FAILURE:
 DIC (disseminated intravascular coagulation)
 Trauma, burns, poisoning
 Etiology, Patho-physiology, Clinical manifestations,
complications, prognosis.
 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
 Treatment modalities and trends.
 Nursing management.
 Related research studies.
 Evidence based nursing practice.
 Rehabilitation and follow-up.

CLINICAL SPECIALITY- I
COMMUNITY HEALTH NURSING - I

COURSE CONTENT:
Unit Hour Content
s s
I 10 INTRODUCTION:
 Historical development of Community Health and
Community health Nursing- World and India, various
health and family welfare committees
 Current status, trends and challenges of Community
Health Nursing
 Health status of the Community-community diagnosis
 Scope of Community health Nursing practice
 Extended and expanded role of community health nurse
 Ethical and legal issues
 Socio-cultural issues in Community health Nursing
 National Policies, plans and programmes
 National health policy
 National Population policy
 National Health and welfare Programmes
 National Health goals / indicators / Millennium
developmental goals(MDG) / Strategies
 Planning process: Five year plans
 National Rural Health Mission
 Panchayat raj institutions
II 10 HEALTH:
 Concepts, issues.
 Determinants.
 Health illness spectrum and levels of prevention.
 Measurements.
 Alternate systems for health promotion and
management of health problems.
 Health economics.
 Health technology.
 Genetics and health.
 Waste disposal.
 Eco system and ecological factors.
 Definition, scope, component parts.
 Characteristics and principles of ecosystem.
 Changing ecosystem and its impact on health and
illness.
 Urbanization, Industrialization and its effects on air,
water, soil.
 Conservation of ecosystem.
III 30 COMMUNITY HEALTH NURSING:
 Philosophy, Aims, Objectives, Concepts, Scope,
Principles,
 Functions
 Community health Nursing theories and models
 Family nursing and Family centered nursing approach
 Family health nursing process
 Family health assessment
  Diagnosis
 Planning
 Intervention
 Evaluation
 Nursing care for special groups: children, adolescents,
adults, women, elderly, physically and mentally
challenged- Urban and rural population at large
 Community nutrition:
 Nutrition survey, Community nutrition, nutrition
assessment, nutritional problems and programs,
food adulteration, fortification.
 Nutritional education, planning diet for different
age groups,
 Nutritional rehabilitation.
 Food legislation and enforcement of laws
 Concept, role and responsibilities of community health
Nurse practitioners / nurse midwifery practitioners-
decision making skills, professionalism, legal issues
IV 15 HEALTH CARE DELIVERY SYSTEM: URBAN, RURAL,
TRIBAL AND DIFFICULT AREAS:
 Health organization: National, State, District, CHC, PHC,
Sub Centre, Village - Functions, Staffing, pattern of
assistance, layout, drugs, equipments and
supplies,Roles and Responsibilities of DPHNO
 Critical review of functioning of various levels,
evaluation studies, recommendations and nursing
perspectives.
 Alternative systems of medicine
 Training and supervision of health workers.
 Health agencies: NGO’s, Roles and functions.
 Inter-sectoral co-ordination.
 Public private partnership.
 Challenges of health care delivery system.
V 15 POPULATION DYNAMICS AND CONTROL:
 Demography
 Transition and theories of population
 National population policy
 National population programmes
 Population control and related programmes
 Methods of family limiting and spacing
 Research, Census, National Family Health Survey.
 Impact of demography on health policy and planning
utilization.
VI 25 MATERNAL AND NEONATAL CARE:
 IMNCI(Integrated Management of Neonatal And
Childhood Illnesses) module
 Skilled Birth Attendant (SBA) module
 Maternal health, ante natal, intra natal, post natal care
and family welfare services.
VII 20 EPIDEMIOLOGY:
 Introduction
 Concept, scope, definition, trends, history and
development of modern epidemiology.
 Contribution of epidemiology
 Implications
 Epidemiological methods
 Measurement of health and disease
 Health policies
 Epidemiolgical approaches
 Study of disease causation
 Health promotion
 Levels of prevention
 Epidemiology of
 Communicable diseases
 Non communicable diseases
 Emerging and re-emerging diseases, Epidemics
 National integrated disease surveillance programme
 Health information system.
 Epidemiology study and reports
 Role of community health nurse in epidemiology.
VIII 15  Disaster nursing (INC module on Reaching out: Nursing
Care in emergencies)
IX 10 INFORMATION, EDUCATION AND COMMUNICATION:
 IEC/BCC: Principles and strategies
 Communication Skills
 Management information and evaluation system:
Records and reports
 Information technology
 Tele-medicine and tele-nursing
 Journalism
 Mass media
 Folk media

CLINICAL SPECIALITY – I
MENTAL HEALTH (PSYCHIATRIC) NURSING

COURSE CONTENT:
Unit Hour Content
s s
I 15 INTRODUCTION:
 Mental Health and Mental Illness
 Historical perspectives
 Trends, issues and magnitude
 Contemporary practices
 Mental health laws/Acts
 National mental health program -National mental health
 authority, state mental health authority
  Human rights of mentally ill
 Mental Health/ Mental Illness Continuum
 Classification of mental illnesses-ICD, DSM
 Standards of Psychiatric nursing
 Challenges and Scope of psychiatric nursing
 Multi-disciplinary team and role of nurse
Role of psychiatric nurse- extended and expanded
II 10 CONCEPTS OF PSYCHOBIOLOGY:
 The Nervous System:
 An Anatomical Review
 The Brain and limbic system
 Nerve Tissue
 Autonomic Nervous system
 Neurotransmitters
 Neuroendocrinology
 Pituitary, Thyroid Gland
 Circadian Rhythms
 Genetics
 Neuro psychiatric disorders
 Psychoimmunology
 Normal Immune response
 Implications for psychiatric Illness
 Implications for Nursing
III 10 THEORIES OF PERSONALITY DEVELOPMENT AND
RELEVANCE TO NURSING PRACTICE:
 Psychoanalytic Theory- Freud’s
 Interpersonal Theory-Sullivan’s
 Theory of Psychosocial Development-Erikson’s
 Theory of object relations
 Cognitive Development Theory
 Theory of Moral Development
 A Nursing Model-Hildegard E. Peplau
IV 5 STRESS AND ITS MANAGEMENT:
 An introduction to the concepts of stress
 Psychological Adaptation to stress
 Stress as a Biological Response.
 Stress as an Environmental Event.
 Stress as Transaction between the Individual and the
Environment.
 Stress management.
V 10 THERAPEUTIC COMMUNICATION AND INTERPERSONAL
RELATIONSHIP:
 Review communication process, factors affecting
communication
 Communication with individuals and in groups
 Techniques of therapeutic communication-touch therapy
 Barrier of communication with specific reference to
psychopathology
 Therapeutic attitudes
  Dynamics of a therapeutic Nurse-client relationship;
 Therapeutic use of self Gaining self-awareness
 Therapeutic nurse-patient relationship its phases;
Conditions essential to development of a therapeutic
relationship
VI 10 ASSERTIVE TRAINING:
 Assertive Communication
 Basic Human Rights
 Response Patterns
 Nonassertive Behavior
 Assertive Behavior
 Aggressive Behavior
 Passive-Aggressive Behavior
 Behavioral Components of Assertive Behavior
 Techniques that Promote Assertive Behavior
 Thought-Stopping Techniques Method

Role of The Nurse

VII 10 PROMOTING SELF-ESTEEM:
 Components of Self-Concept
 The Development of Self-Esteem
 The Manifestations of Low-Self-Esteem
 Boundaries
Role of The Nurse
5 WOMEN AND MENTAL HEALTH:
 Normal reaction to conception, pregnancy and puerperium
 Problems related to conception, pregnancy and puerperium and its
management.
 Counselling – Premarital, marital and genetic
VIII 10 THE NURSING PROCESS IN PSYCHIATRIC/MENTAL
HEALTH NURSING:
 Mental health assessment- History taking, mental status
examination
 Physical and neurological examination
 Psychometric assessment
 Investigations, Diagnosis and Differential diagnosis
 Interpretation of investigations
 Nurse’s role
 Nursing case management
 Critical pathways of care
 Documentation
 Problem-oriented recording
 Focus charting
 The PIE method
IX 35 PSYCHO SOCIAL AND PHYSICAL THERAPIES:
 Individual therapy
 Behavioural Therapy- Relaxation therapy, cognitive
therapy, positive- negative reinforcement, bio-feedback,
guided imagery, ab-reactive therapy
  Group Therapy
 Family Therapy
 Milieu Therapy
 The Therapeutic Community
 Occupational therapy
 Recreational therapy
 Play therapy
 Music therapy
 Light therapy
 Color therapy
 Aroma therapy
X 5 ELECTROCONVULSIVE THERAPY:
 Historical Perspectives
 Indications
 Contraindications
 Mechanisms of Action
 Side Effects
 Risks Associated with Electroconvulsive Therapy
 The Role of The Nurse in Electroconvulsive Therapy
XI 10 Psychopharmacology
 Historical Perspectives
 Role of a Nurse in Psychopharmacological Therapy
 Antianxiety Agents
 Antidepressants Agents
 Mood stabilizers
 Antipsychotics
 Sedative-Hypnotics
 Central Nervous System Stimulants
 Future developments
XII 15 Alternative systems of medicine in mental health
 Types of Therapies
 Herbal Medicine
 Unani
 Siddha
 Homeopathic
 Acupressure and Acupuncture
 Diet and Nutrition
 Chiropractic Medicine
 Therapeutic Touch and Massage
 Yoga
 Pet Therapy

NURSING MANAGEMENT

COURSE CONTENT:

Unit Hour Content

s s
I 10 INTRODUCTION:
 Philosophy, purpose, elements, principles and scope of
administration
 Indian Constitution, Indian Administrative system vis a
vis health care delivery system: National, State and
Local
 Organisation and functions of nursing services and
education at National, State , District and institutions:
Hospital and Community
 Planning process: Five year plans, Various Committee
Reports on health, State and National Health policies,
national population policy, national policy on AYUSH and
plans,
II 10 MANAGEMENT:
 Functions of administration
 Planning and control
 Co-ordination and delegation
 Decision making – decentralization basic goals of
decentralization.
 Concept of management

NURSING MANAGEMENT:
 Concept, types, principles and techniques
 Vision and Mission Statements
 Philosophy, aims and objective
 Current trends and issues in Nursing Administration
 Theories and models
 Application to nursing service and education
III 15 PLANNING:
 Planning process: Concept, Principles, Institutional
policies
 Mission, philosophy, objectives,
 Strategic planning
 Operational plans
 Management plans
 Programme evaluation and review technique(PERT),
Gantt chart, Management by objectives(MBO)
 Planning new venture
 Planning for change
 Innovations in nursing
Application to nursing service and education
IV 15 ORGANISATION:
 Concept , principles, objectives, Types and theories,
Minimum requirements for organisation, Developing an
organizational Structure, levels, organizational
Effectiveness and organizational Climate,
 Organising nursing services and patient care: Methods
of patient assignment- Advantages and disadvantages,
primary nursing care,
 Planning and Organising: hospital, unit and ancillary
 services(specifically central sterile supply department,
laundry, kitchen, laboratory services, emergency etc)
 Disaster management: plan, resources, drill, etc
Application to nursing service and education.
V 15 HUMAN RESOURCE FOR HEALTH:
 Staffing
 Philosophy
 Norms: Staff inspection unit(SIU), Bajaj Committee,
High power committee, Indian nursing council (INC)
 Estimation of nursing staff requirement- activity
analysis
 Various research studies
 Recruitment: credentialing, selection, placement,
promotion
 Retention
 Personnel policies
 Termination
 Staff development programme
 Duties and responsibilities of various category of nursing
personnel
Applications to nursing service and education
VI 15 DIRECTING:
 Roles and functions
 Motivation: Intrinsic, extrinsic, Creating motivating
climate, Motivational theories
 Communication : process, types, strategies,
Interpersonal communication, channels, barriers,
problems, Confidentiality, Public relations
 Delegation; common delegation errors
 Managing conflict: process, management, negotiation,
consensus
 Collective bargaining: health care labour laws, unions,
professional associations, role of nurse manager
 Occupational health and safety
Application to nursing service and education
VII 10 MATERIAL MANAGEMENT:
 Concepts, principles and procedures
 Planning and procurement procedures : Specifications
 ABC analysis,
 VED (very important and essential daily use) analysis
 Planning equipments and supplies for nursing care: unit
and hospital
 Inventory control
 Condemnation
Application to nursing service and education
VIII 15 CONTROLLING:
 Quality assurance – Continuous Quality Improvement
 Standards
 Models
 Nursing audit
  Performance appraisal: Tools, confidential reports,
formats, Management, interviews
 Supervision and management: concepts and principles
 Discipline: service rules, self discipline, constructive
versus destructive discipline, problem employees,
disciplinary proceeding senquiry etc
 Self evaluation or peer evaluation, patient satisfaction,
utilization review
 Application to nursing service and education
IX 15 FISCAL PLANNING:
 Steps
 Plan and non-plan, zero budgeting, mid-term appraisal,
capital and revenue
 Budget estimate, revised estimate, performance budget
 Audit
 Cost effectiveness
 Cost accounting
 Critical pathways
 Health care reforms
 Health economics
 Health insurance
 Budgeting for various units and levels
Application to nursing service and education
X 10 NURSING INFORMATICS:
 Trends
 General purpose
 Use of computers in hospital and community
 Patient record system
 Nursing records and reports
 Management information and evaluation system (MIES)
 E- nursing, Telemedicine, telenursing
 Electronic medical records
XI 10 LEADERSHIP:
 Concepts, Types, Theories
 Styles
 Manager behaviour
 Leader behaviour
 Effective leader: Characteristics, skills
 Group dynamics
 Power and politics
 lobbying
 Critical thinking and decision making
 Stress management
Applications to nursing service and education
XII 10 LEGAL AND ETHICAL ISSUES:
LAWS AND ETHICS:
 Ethical committee
 Code of ethics and professional conduct
 Legal system: Types of law, tort law, and liabilities
 Legal issues in nursing: negligence, malpractice,
 invasion of privacy, defamation of character
 Patient care issues, management issues, employment
issues
 Medico legal issues
 Nursing regulatory mechanisms: licensure, renewal,
accreditation
 Patients rights, Consumer protection act(CPA)
 Rights of special groups: children, women, HIV,
handicap, ageing
 Professional responsibility and accountability
 Infection control
 Standard safety measures

CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING
SUB SPECIALITY – CARDIO VASCULAR AND THORACIC
NURSING

COURSE CONTENT:
Unit Hour Content
s s
I 5 INTRODUCTION:
 Historical development, trends and issues in the field of
cardiology.
 Cardio vascular and thoracic conditions – major health
problem.
 Concepts, principles and nursing perspectives
 Ethical and legal issues
 Evidence based nursing and its application in cardio
vascular and thoracic nursing( to be incorporated in all
the units)
II 5 EPIDEMIOLOGY
 Risk factors: hereditary, psycho social factors,
hypertension, smoking, obesity, diabetes mellitus etc
 Health promotion, disease prevention, Life style
modification
 National health programs related to cardio vascular and
thoracic conditions
 Alternate system of medicine
 Complementary therapies
III 5 REVIEW OF ANATOMY AND PHYSIOLOGY OF CARDIO
VASCULAR AND RESPIRATORY SYSTEM:
 Review of anatomy and physiology of heart, lung,
thoracic cavity and blood vessels. Embryology of heart
and lung.
 Coronary circulation
  Hemodynamics and electro physiology of heart.
 Bio-chemistry of blood in relation to cardio pulmonary
function.
IV 20 ASSESSMENT AND DIAGNOSTIC MEASURES:
 History taking
 Physical assessment
 Heart rate variability: Mechanisms , measurements,
pattern, factors, impact of interventions on HRV
 Diagnostic tests
 Hemodynamic monitoring: Technical aspects,
monitoring, functional hemodynamic indices,
ventricular function indices, output measurements
(Arterial and swan Ganz monitoring). Blood gases
and its significance, oxygen supply and demand
 Radiologic examination of the chest: interpretation,
chest film findings
 Electro cardiography(ECG) : electrical conduction
through the heart, basic electrocardiography, 12 lead
electrocardiogram, axis determination - ECG
changes in: intraventricular conduction
abnormalities- Arrhythmias, ischemia, injury and
infarction, atrial and ventricular enlargement,
electrolyte imbalance,
 Echocardiography: technical aspects, special
techniques, echocardiography of cardiac structures in
health and disease, newer techniques
 Nuclear and other imaging studies of the heart:
Magnetic Resonance Imaging.
 Cardio electrophysiology procedures: diagnostic
studies, interventional and catheter ablation, nursing
care
 Exercise testing: indications and objectives, safety
and personnel, pretest considerations, selection,
interpretation, test termination, recovery period
 Cardiac catheterization: indications,
contraindications, patient preparation, procedure,
interpretation of data
 Pulmonary function test: Bronchoscopy and graphies
 Interpretation of diagnostic measures
 Nurse’s role in diagnostic tests
 Laboratory tests using blood: Blood specimen collection,
Cardiac markers, Blood lipids, Hematologic studies,
Blood cultures,
 Coagulation studies, Arterial blood gases, Blood
Chemistries, cardiac enzyme studies, Serum
Concentration of Selected drugs.
 Interpretation and role of nurse
V 25 Cardiac disorders and nursing management:
 Etiology, clinical manifestations, diagnosis, prognosis,
 related Patho-physiology, treatment modalities and
nursing management of:
 Hypertension
 Coronary Artery Disease.
 Angina of various types.
 Cardiomegaly
 Myocardial Infarction, Congestive cardiac failure
 Heart Failure, Pulmonary Edema, Shock.
 Rheumatic heart disease and other Valvular
Diseases
 Inflammatory Heart Diseases, Infective Endocarditis,
Myocarditis, Pericarditis.
 Cardiomyopathy, dilated, restrictive, hypertrophic.
 Arrhythmias, heart block

Associated illnesses
VI 10 ALTERED PULMONARY CONDITIONS:
 Etiology, clinical manifestations, diagnosis, prognosis,
related Patho-physiology, treatment modalities and
nursing management of:
 Bronchitis
 Bronchial asthma
 Bronchiectasis
 Pneumonias
 Lung abscess, lung tumour
 Pulmonary tuberculosis, fibrosis, pneumoconiosis etc
 Pleuritis, effusion
 Pneumo, haemo and pyothorax
 Interstitial Lung Disease
 Cystic fibrosis
 Acute and Chronic obstructive pulmonary disease
(conditions leading to)
 Cor pulmonale
 Acute respiratory failure
 Adult respiratory distress syndrome
 Pulmonary embolism
 Pulmonary Hypertension
VII 10 VASCULAR DISORDERS AND NURSING MANAGEMENT:
 Etiology, clinical manifestations, diagnosis, prognosis,
related Patho-physiology, treatment modalities and
nursing management of:
 Disorders of arteries
 Disorders of the aorta
 Aortic Aneurysms,
 Aortic dissection
 Raynaud’s phenomenon
 Peripheral arterial disease of the lower extremities
 Venous thrombosis
 Varicose veins
  Chronic venous insufficiency and venous leg ulcers
 Pulmonary embolism
VIII 10 CARDIO THORACIC EMERGENCY INTERVENTIONS:
 CPR- BLS and ALS
 Use of ventilator, defibrillator , pacemaker
 Post resuscitation care.
 Care of the critically ill patients
 Psychosocial and spiritual aspects of care
 Stress management; ICU psychosis
 Role of nurse
IX 10 NURSING CARE OF A PATIENT WITH OBSTRUCTIVE
AIRWAY:
 Assessment
 Use of artificial airway
 Endotracheal intubation, tracheostomy and its care
 Complication, minimum cuff leak, securing tubes
Oxygen delivery systems.
 Nasal Cannula
 Oxygen mask, Venturi mask
 Partial rebreathing bag
 Bi-PAP and C-PAP masks
 Uses, advantages, disadvantages, nursing implications
of each.
Mechanical Ventilation
 Principles of mechanical ventilation
 Types of mechanical ventilation and ventilators.
 Modes of ventilation, advantage, disadvantage,
complications.
 PEEP therapy, indications, physiology, and
complications. Weaning off the ventilator.
 Nursing assessment and interventions of ventilated
patient.
X 10 CONGENITAL HEART DISEASES:
 Etiology, clinical manifestations, diagnois, prognosis,
related Patho-physiology, treatment modalities and
nursing management of:
 Embryological development of heart.
 Classification – cyanotic and acyanotic heart
disease.
 Tetralogy of Fallots.
 Atrial Septal Defect, Ventricular Septal Defect.,
Eisenmenger’s complex.
 Patent ductus arteriosus, AP window
 Truncus Arteriosus.
 Transposition of great arteries.
 Total Anomaly of Pulmonary Venous Connection.
 Pulmonary stenosis, atresia.
 Coarctation of aorta.
 Ebstein’s anomaly
  Double outlet right ventricle, Single ventricle,
Hypoplastic left heart syndrome.
XI 10 PHARMACOLOGY:
Review
 Pharmacokinetics
 Analgesics/Anti inflammatory agents
 Antibiotics, antiseptics
 Drug reaction & toxicity
 Drugs used in cardiac emergencies
 Blood and blood components
 Antithrombolytic agents
 Inotropic agents
 Beta-blocking agents
 Calcium channel blockers.
 Vaso constrictors
 Vaso dilators
 ACE inhibitors.
 Anticoagulents
 Antiarrhythmic drugs.
 Anti hypertensives
 Diuretics
 Sedatives and tranquilizers.
 Digitalis.
 Antilipemics
 Principles of drug administration, role and
responsibilities of nurses and care of drugs
XII 20 NURSING CARE OF PATIENT UNDERGOING CARDIO
THORACIC SURGERY:
 Indications, selection of patient
 Preoperative assessment and preparation; counseling.
 Intraoperative care: Principles of open heart surgery,
equipment anaesthesia, cardiopulmonary by pass.
 Surgical procedures for Coronary Artery Bypass
Grafting, recent advances and types of grafts, Valve
replacement or reconstruction, cardiac transplant,
Palliative surgery and different Stents, vascular surgery,
other recent advances.
 Thoracic surgery: lobectomy, pneumonectomy, tumour
excision etc
 Immediate postoperative care : assessment, post
operative problems and interventions : Bleeding,
Cardiac tamponade, Low cardiac output, Infarction,
Pericardial effusion, Pleural effusion, Pneumothorax,
Haemothorax, Coagulopathy, Thermal imbalance,
Inadequate., ventilation / perfusion, Neurological
problems, renal problems, Psychological problems.
 Chest physiotherapy
 Nursing interventions- life style modification,
complementary therapy/alternative systems of
 medicine.
 Intermediate and late post operative care after CABG,
valve surgery, others.

Follow up care
XIII 5 CARDIAC REHABILITATION:
 Process
 Physical evaluation
 Life style modification
 Physical conditioning for cardiovascular efficiency
through exercise
 Counseling
 Follow up care
XIV 5 INTENSIVE CORONARY CARE UNIT/INTENSIVE CARDIO
THORACIC UNIT:
 Quality assurance
 Standards, Protocols, Policies, Procedures
 Infection control; Standard safety measures
 Nursing audit
 Design of ICCU/ICTU
 Staffing; cardiac team
 Burn out syndrome
 Nurse’s role in the management of I.C.C.U and ICTU.
 Mobile coronary care unit.
 Planning inservice educational programme and teaching

CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING - CRITICAL CARE NURSING
COURSE CONTENT:

Unit Hour Content

s s
I 5 INTRODUCTION TO CRITICAL CARE NURSING:
 Historical review- Progressive patient care(PPC)
 Review of anatomy and physiology of vital organs, fluid
and electrolyte balance
 Concepts of critical care nursing
 Principles of critical care nursing
 Scope of critical care nursing
 Critical care unit set up including equipments supplies,
use and care of various type of monitors & ventilators
 Flow sheets
II 10 CONCEPT OF HOLISTIC CARE APPLIED TO CRITICAL
CARE NURSING PRACTICE:
 Impact of critical care environment on patients:-
 Risk factors, Assessment of patients, Critical care
psychosis, prevention & nursing care for patients
 affected with psychophysiological & psychosocial
problems of critical care unit, Caring for the patient’s
family, family teaching
 The dynamics of healing in critical care unit:-therapeutic
touch, Relaxation, Music therapy, Guided Imagery,
acupressure
 Stress and burnout syndrome among health team
members
III 14 REVIEW:
 Pharmacokinetics
 Analgesics/Anti inflammatory agents
 Antibiotics, antiseptics
 Drug reaction & toxicity
 Drugs used in critical care unit (inclusive of ionotropic,
life saving drugs)
 Drugs used in various body systems
 IV fluids and electrolytes
 Blood and blood components
 Principles of drug administration, role of nurses and care
of drugs
IV 5 PAIN MANAGEMENT:
 Pain & Sedation in Critically ill patients
 Theories of pain, Types of pain, Pain assessment,
Systemic responses to pain
 pain management-pharmacological and non-
pharmacological measures
 Placebo effect
V 5 INFECTION CONTROL IN INTENSIVE CARE UNIT:
 Nosocomial infection in intensive care unit; methyl
resistant staphylococcus aureus (MRSA), Disinfection,
Sterilization, Standard safety measures, Prophylaxis for
staff
VI 10 GASTROINTESTINAL SYSTEM:
 Causes, Patho-physiology, Clinical types, Clinical
features, diagnosis, Prognosis, Management: Medical,
Surgical and Nursing management of:-Acute
Gastrointestinal Bleeding, Abdominal injury, Hepatic
Disorders:-Fulminent hepatic failure, Hepatic
encephalopathy, Acute Pancreatitis, Acute intestinal
obstruction, perforative peritonitis.
VII 10 RENAL SYSTEM:
 Causes, Patho-physiology, Clinical types,Clinical
features, diagnosis, Prognosis, Management: Medical,
Surgical and Nursing management of:-Acute Renal
Failure, Chronic Renal Failure, Acute tubular necrosis,
Bladder trauma
 Management Modalities: Hemodialysis, Peritoneal
Dialysis, Continuous Ambulatory Peritoneal Dialysis,
Continuous arterio venus hemodialysis, Renal
 Transplant,
VIII 10 NERVOUS SYSTEM:
 Causes, Patho-physiology, Clinical types,Clinical
features, diagnosis, Prognosis, Management: Medical,
Surgical and Nursing management of:-Common
Neurological Disorders:-Cerebrovascular disease,
Cerebrovascular accident, Seizure disorders,
GuilleinBarre-Syndrome, Myasthenia Gravis, Coma,
Persistent vegetative state, Encephalopathy, Head
injury, Spinal Cord injury.
 Management Modalities: Assessment of Intracranial
pressure, Management of intracranial hypertension,
Craniotomy
 Problems associated with neurological disorders:
Thermo regulation, Unconsciousness, Herniation
syndrome
IX 5 ENDOCRINE SYSTEM:
 Causes, Patho-physiology, Clinical types, Clinical
features, diagnosis, Prognosis, Management: Medical,
Surgical and Nursing Management of :-Hypoglycemia,
Diabetic Ketoacidosis, Thyroid crisis, Myxoedema,
Adrenal crisis, Syndrome of Inappropriate/
hypersecretion of Antidiuretic Hormone (SIADH)
 Diabetes insepidus.
X 10 MANAGEMENT OF OTHER EMERGENCY CONDITIONS:
 Mechanism of injury, Thoracic injuries, Abdominal
injuries, pelvic fractures, complications of trauma, Head
injuries
 Shock: Shock syndrome, Hypovolemic, Cardiogenic,
Anaphylactic, Neurogenic and Septic shock
 Systemic inflammatory Response:The inflammatory
response, Multiple organ dysfunction syndrome
 Disseminated Intravascular Coagulation
 Drug Overdose and Poisoning,
 Acquired Immunodeficiency Syndrome (AIDS)
 Ophthalmic: Eye injuries, Glaucoma, retinal detachment
 Ear Nose Throat: Foreign bodies, stridor, bleeding,
quincy, acute allergic conditions
 Psychiatric emergencies, suicide,
 crisis intervention
XI 20 CARDIOVASCULAR EMERGENCIES:
 Principles of Nursing in caring for patient’s with
Cardiovascular disorders
 Assessment: Cardiovascular system: Heart sounds,
Diagnostic studies:- Cardiac enzymes studies,
Electrocardiographic monitoring, Holter monitoring,
Stress test. Echo cardiography, Coronary angiography,
Nuclear medicine studies.
 Causes, Patho-physiology, Clinical types, Clinical
 features, Diagnostic Prognosis, Management : Medical,
Surgical & Nurisng management of:-Hypertensive crisis,
Coronary artery disease, Acute Myocardial infarction,
Rheumatis heart disease, Cardiomyopathy, Deep vein
thrombosis, Valvular diseases, Heart block, Cardiac
arrhythmias & conduction disturbances, Aneurysms,
Endocarditis, Heart failure Cardio pulmonary
resuscitation BCLS/ ACLS
 Management Modalities: Thrombolytic therapy,
Pacemaker – temporary & permanent, Percutaneous
transluminal coronary angioplasty, Cardioversion, Intra
Aortic Balloon pump monitoring, Defibrillations, Cardiac
surgeries, Coronary Artery Bypass Grafts (CABG/MICAS),
Valvular surgeries, Heart Transplantation, Autologous
blood transfusion, Radiofrequency Catheter Ablation
XII 15 RESPIRATORY SYSTEM:
 Acid-base balance & imbalance
 Assesment : History & Physical Examination
 Diagnostic Tests:Pulse Oximetry, End –Tidal Carbon
Dioxide Monitoring, Arterial blood gas studies, chest
radiography, pulmonary Angiography, Bronchoscopy,
Pulmonary function Test,
 Ventilation perfusion scan, Lung ventilation scan
 Causes Patho-physiology, Clinical types, Clinical
features, Prognosis, Management: Medical, Surgical and
Nursing management of Common pulmonary disorders:-
Pneumonia, Status asthmaticus, interstitial drug
disease, Pleural effusion, Chronic obstructive pulmonary
disease, Pulmonary tuberculosis, Pulmonary edema,
Atelectasis, Pulmonary embolism, Acute respiratory
failure, Acute respiratory distress syndrome (ARDS),
Chest Trauma Haemothorax, Pneumothorax
 Management Modalities:-Airway Management
 Ventilatory Management:-Invasive, non- invasive, long
term mechanical ventilations
 Bronchial Hygiene:-Nebulization, deep breathing
exercise, chest physiotherapy, postural drainage, Inter
Costal Drainage, Thoracic surgeries.
XIII 7 BURNS:
 Clinical types, classification, Patho-physiology, clinical
features, assessment, diagnosis, prognosis,
Management: Medical, Surgical & Nursing management
of burns
 Fluid and electrolyte therapy – calculation of fluids and
its administration
 Pain management
 Wound care
 Infection control
 Prevention and management of burn complications
  Grafts and flaps
 Reconstructive surgery
 Rehabilitation
XIV 5 LEGAL AND ETHICAL ISSUES IN CRITICAL CARE-
NURSE’S ROLE:
 Brain death
 Organ donation & Counselling
 Do Not Resuscitate(DNR)
 Euthanasia
 Living will
2 QUALITY ASSURANCE:
 Standards, Protocols, Policies, Procedures
 Infection control; Standard safety measures
 Nursing audit
 Design of ICU/CCU

CLINICAL SPECIALITY - II
PSYCHIATRIC (MENTAL HEALTH) NURSING

COURSE CONTENT:

Unit Hour Content

s s
I 2 PRINCIPLES AND PRACTICE OF PSYCHIATRIC
NURSING:
 Review
II 10 CRISIS INTERVENTION:
 Crisis, Definition
 Phases In The Development of A Crisis
 Types of Crisis; Dispositional , Anticipated Life
Transitions Traumatic Stress, Maturational/
Development , Reflecting Psychopathology
 Psychiatric Emergencies and their management
 Grief and grief reaction
 Crisis Intervention; Phases
 Post traumatic stress disorder (PTSD)
 Role of the Nurse
III 4 ANGER/ AGGRESSION MANAGEMENT:
 Anger and Aggression, Types, Predisposing Factors
 Management
 Role of The Nurse
IV 5 THE SUICIDAL CLIENT:
 Epidemiological Factors
 Risk Factors:
Predisposing Factors: Theories of Suicide-
Psychological, Sociological ,Biological
 Nursing Management
V 5 DISORDERS OF INFANCY, CHILDHOOD, AND
ADOLESCENCE:
 Mentally Challenged
 Autistic Disorders
 Attention-Deficit/Hyperactivity Disorder
 Conduct Disorders, behavioural disorders
 Oppositional Defiant Disorder
 Tourette’s Disorders
 Separation Anxiety Disorder
 Psychopharmacological Intervention and Nursing
Management
VI 5 DELIRIUM, DEMENTIA, AND AMNESTIC DISORDERS:
 Delirium
 Dementia
 Amnesia
 Psychopharmacological Intervention and Nursing
Management
VII 10 SUBSTANCE-RELATED DISORDERS:
 Substance-Use Disorders
 Substance-Induced Disorders
 Classes Of Psychoactive Substances
 Predisposing Factors
 The Dynamics Of Substance-Related Disorders
 The Impaired Nurse
 Codependency
 Treatment Modalities For Substance-Related Disorders
and Nursing Management

VIII 10 SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS

(CHECK ICD10):
 Nature of the Disorder
 Predisposing Factors
 Schizophrenia -Types
 Disorganized Schizophrenia
 Catatonic Schizophrenia
 Paranoid Schizophrenia
 Undifferentiated Schizophrenia
 Residual Schizophrenia
 Other Psychotic disorders
 Schizoaffective Disorder
 Brief Psychotic Disorder
 Schizophrenicform Disorder
 Psychotic Disorder Due to a General Medical
Condition
 Substance-Induced Psychotic Disorder
 Treatment and Nursing Management
IX 8 MOOD DISORDERS:
 Historical Perspective
 Epidemiology
  The Grief Response
 Maladaptive Responses To Loss
 Types Of Mood Disorders
 Depressive disorders
 Bipolar disorders
 Treatment and Nursing Management
X 8 ANXIETY DISORDERS:
 Historical Aspects
 Epidemiological Statistics
 How much is too much?
 Types
 Panic Disorder
 Generalized Anxiety Disorder
 Phobias
 Obsessive-Compulsive Disorder
 Posttraumatic Stress Disorder
 Anxiety Disorder Due to a General Medical
Condition
 Substance-Induced Anxiety Disorder
 Treatment Modalities
 Psychopharmacology & Nursing Management
XI 5 SOMATOFORM AND SLEEP DISORDERS:
 Somatoform Disorders
 Historical Aspects
 Epidemiological Statistics
 Pain Disorder
 Hypochondriasis
 Conversion Disorder
 Body Dysmorphic Disorder
 Sleep Disorder
 Treatment Modalities and Nursing Management
XII 4 DISSOCIATIVE DISORDERS AND MANAGEMENT:
 Historical Aspects
 Epidemiological Statistics
 Application of the Nursing Management
 Treatment Modalities and Nursing Management
XIII 4 SEXUAL AND GENDER IDENTITY DISORDERS:
 Development Of Human Sexuality
 Sexual Disorders
 Variation In Sexual Orientation
 Nursing Management
XIV 4 EATING DISORDERS:
 Epidemiological Factors
 Predisposing Factors : Anorexia Nervosa And Bulimia
Nervosa obesity
 Psychopharmacology
 Treatment & Nursing Management
XV 4 ADJUSTMENT AND IMPULSE CONTROL DISORDERS:
 Historical and Epidemiological Factors
  Adjustment Disorders
 Impulse Control Disorders
 Treatment & Nursing Management
XVI 4 MEDICAL CONDITIONS DUE TO PSYCHOLOGICAL
FACTORS:
 Asthma
 Cancer
 Coronary Heart Disease
 Peptic Ulcer
 Essential Hypertension
 Migraine Headache
 Rheumatoid Arthritis
 Ulcerative Colitis
 Treatment & Nursing Management
XVII 8 PERSONALITY DISORDERS:
 Historical perspectives
 Types Of Personality Disorders
 Paranoid Personality Disorder
 Schizoid Personality Disorder
 Antisocial Personality Disorder
 Borderline Personality Disorder
 Histrionic Personality Disorder
 Narcissitic Personality Disorder
 Avoidance Personality Disorder
 Dependent Personality Disorder
 Obsessive-Compulsive Personality Disorder
 Passive-Aggressive Personality Disorders
 Identification, diagnostic, symptoms
 Psychopharmacology
 Treatment & Nursing Management

XVIII 8 THE AGING INDIVIDUAL:

 Epidemiological Statistics
 Biological Theories
 Biological Aspects of Aging
 Psychological Aspects of Aging
 Memory Functioning
 Socio-cultural aspects of aging
 Sexual aspects of aging
 Special Concerns of the Elderly Population
 Psychiatric problems among elderly population
 Treatment & Nursing Management
XIX 5 THE PERSON LIVING WITH HIV DISEASE:
 Psychological problems of individual HIV/AIDS
 Counseling
 Treatment & Nursing Management
XX 5 PROBLEMS RELATED TO ABUSE OR NEGLECT:
 Vulnerable groups, Women, Children, elderly,
psychiatric patients, under privileged, challenged
  Predisposing Factors
 Treatment & Nursing management- Counseling
XXI 7 COMMUNITY MENTAL HEALTH NURSING:
 National Mental Health Program- Community mental
health program
 The Changing Focus of care
 The Public Health Model
 The Role of the Nurse
 Case Management
 The community as Client
 Primary Prevention
 Populations at Risk
 Secondary prevention
 Tertiary Prevention
 Community based rehabilitation
XXII 5 ETHICAL AND LEGAL ISSUES IN
PSYCHIATRIC/MENTAL HEALTH NURSING:
 Ethical Considerations
 Legal Consideration
 Nurse Practice Acts
 Types of Law
 Classification within Statutory and Common Law
 Legal Issues in Psychiatric/Mental Health Nursing
 Nursing Liability
XXIII 5 PSYCHOSOCIAL REHABILITATION:
 Principles of rehabilitation
 Disability assessment
 Day care centers
 Half way homes
 Reintegration into the community
 Training and support to care givers
 Sheltered workshops
 Correctional homes
XXIV 5 COUNSELING:
 Liaison psychiatric nursing
 Terminal illnesses-Counseling
 Post partum psychosis-treatment, care and counseling
 Death dying- Counseling
 Treatment, care and counseling –
 Unwed mothers
 HIV and AIDS
XXV 5 ADMINISTRATION AND MANAGEMENT OF
PSYCHIATRIC UNITS INCLUDING EMERGENCY UNITS:
 Design & layout
 Staffing,
 Equipment, supplies,
 Norms, policies and protocols
 Quality assurance
 Practice standards for psychiatric nursing
  Documentation
XXVI 5 EDUCATION AND TRAINING IN PSYCHIATRIC CARE:
 Staff orientation, training and development,
 In-service education program,
 Clinical teaching programs.