ROLE OF REGULATORY BODIES AND PROFESSIONAL

ORGANISATIONS

By:- firoz qureshiDept. psychiatric nursing

PROFESSIONAL ORGANISATIONS : Professional organisations provide a means through

which your own professional development can be channelled with authority because of their representative character.

It provides you an opportunity to express your viewpoint, develop your leadership qualities and abilities and keep you well informed of professional trends and news.

ORGANISATION : ACC. TO L.WHITE, “Organisation is the arrangement of personnel for facilitating the accomplishment of some agreed purpose through allocation of functions and responsibilities.”

INDIAN NURSING COUNCIL

INC was established in 1949. the council is responsible for regulations and maintenance of uniform standards of training for nurses, midwives, auxiliary nurse midwives and health visitors.

INDIAN NURSING COUNCIL ACT, 1947

THE INC ACT, 1947 PROVIDES FOR CONSTITUTION AND COMPOSITION OF THE COUNCIL CONSISTING OF THE FOLLOWING: One nurse enrolled in state register elected by each state council. One member elected from among themselves by head of the institutions in which health visitors are trained. One member elected by medical council of India.

One member elected by the central council of Indian medical association.

One member elected by TNAI. One midwife or ANM enrolled in a state register, elected

by each of the state councils in four groups of the states :

Kerala,MP, UP and Haryana. AP, Bihar, Maharashtra and Rajasthan. Karnataka, Punjab and West Bengal. Assam,Gujarat, Tamil Nadu and Orissa.

The director journal of health services. The chief Principal matron, medical directorate, army

headquarters.

The chief nursing superintendent, office of the director journal of health services.

The director of maternity and child welfare, Indian red cross society.

The chief medical officer of each state. Four members nominated by the central

government, of whom two shall be the nurses, midwives or health visitors and one shall be an experienced educationalist.

Three members elected by parliament.

AMENDMENTS IN INC ACT,1947

Act was amended in November 1957 to provide for the following things:

FOREIGN QUALIFICATIONS: Indian citizens: Any Indian citizen being

registered with any registering body, by the approval of INC,be enrolled in any state register.

Citizens of other countries: Any citizen of any other country, by the approval of President council, be employed temporarily as nurse,

Contd…… midwife,ANM,teacher or administrator in any

hospital or institution in any state for period of 5 years. And if want to continue, extension of recognition is needed from INC.

Indian Nurses Register: It contains names of all the nurses, midwives,

ANM and health visitors who are enrolled in any state register. It will be a public document under Indian Evidence Act,1872.

ORGANISATION CHART

COMMITTEES

1. EXECUTIVE COMMITTEE

2. NURSING EDUCATION COMMITTEE

3. EQUIVALENCE COMMITTEE

4. FINANCE COMMITTEE

FUNCTIONS : To establish and monitor a uniform standard

of nursing education. To recognize the qualifications for the purpose

of registration and employment everywhere.

To give approval for registration of Indian and foreign nurses possessing foreign qualification.

To prescribe the syllabus and regulations for nursing programme.

Power to withdraw the recognition in case the institution fails to maintain its standard.

To advise the state nursing councils, examining board, state and central government in various important items in nursing education.

GUIDELINES FOR THE ESTABLISHMENT OF NEW NURSING SCHOOLS / COLLEGES

Any organization under the central, state government, local body or a private trust should obtain the no objection certificate from the state government.

The INC on the receipt of the proposal from the institution to start nursing programme, will undertake the first inspection to assess the suitability.

After the approval from INC, the institution shall obtain the approval from state nursing council and examination board.

The INC conducts the inspection every year till the first batch completes the programme.

TYPES OF INSPECTION FIRST INSPECTION : The first inspection is

conducted on the receipt of proposal.

RE – INSPECTIONS : Re-inspections are conducted for those institutions, which are found unsuitable by INC.

PERIODIC INSPECTION : INC conducts the periodical inspections once the institution is found suitable by INC.

PROGRAMMES UNDER INC ANM: 1 and a half year GNM: Three and a half years P.B. Bsc(N): 2 years Bsc.(N): 4 years Msc.(N): 2 years M.Phil: 1 year Doctorate in Nursing:3 to 5 years

RESOLUTIONS Maximum period for the students to complete

revised ANM/GNM programme is 3 and 6 years respectively.

Maximum age for teaching faculty is 70 years. Admission to married candidates for all the

nursing programme is allowed. Relaxation of norms to establish M.Sc.(N)

Programme. Relaxation of student patient ratio for clinical

practice

Relaxation of teaching faculty qualification to start a B.Sc. (N) programme.

To maintain the quality of post-graduate, INC resolved not to have a M.Sc. (N) Programme through distance education.

Institutions should have their own building within two years of establishment.

Maximum no. of 60 seats can be sanctioned to the institutions having less than 500 bedded hospital and 100 to those having 500 bedded hospital.

INITIATIVES Teaching material for quality assurance

model(QAM):To monitor compliance with set standards for nursing practice and applying solutions to improve care.

Princes Srinagarindra Award: Awarded to Mrs. Sulochana krishan, Ex-Principal of RAK College of nursing.

Development of curriculum for HIV/AIDS and training for nurses: In collaboration with NACO and Clinton foundation.6 day training programme.

National Consortium for Ph.D. in Nursing: MOU has been signed between INC,WHO and RGUHS to promote doctoral education in various fields of Nursing.

Memorandum of Understanding(MOU) between INC and Sir Edward Dunlop's Hospitals for advancing nursing education and practice in India with following objectives:

Provide training. Graduate,Post-graduate,and Ph.D courses.

To fill gaps in India and internationally set standards of Nursing education and practice so that Indian nurses can directly be accepted to meet international standards.

Train the faculty so as to provide high quality teaching staff to training institutes in the country.

MRA under Comprehensive Economic Cooperation Agreement(CECA): It was signed in June 2005 and came into force from 1st august 2005.India and Singapore did MRAs in Medical, dental and nursing services.

State Registrars Meeting:All state Registrars were invited for two days meeting. The objectives were:

To ensure. uniformity To maintain the quality of Nursing education.

To understand the problems of each state

nursing councils. INC initiated Live Registers in the state of

Tamil Nadu:Objective was to collect data regarding number of working nurses as defined by the INC.266 were found trained nurses out of 841 nurses in Sivaganga Hospital.

STATE NURSING COUNCILS Registration in state Nursing council is very

necessary for every nurse. It is necessary to be registered in order to function officially as a professional nurse. Registration councils are functioning in all the states of India and they are affiliated to I.N.C.

A register of names of professional nurses is maintained by each state nurses Registration Council. These names are also put into the Indian Nurses Register maintained by the Indian Nursing Council. Nurses, midwives, auxiliary nurse midwives and health visitors are registered. All degree holding nurses also have to get the registration in state council.

The present functions of the State Nurses Registration Council:

Recognize Officially and inspect schools of nursing in their states.

Conduct examinations. Prescribe rules of conduct, take disciplinary

actions, etc. Maintain registers of Graduate nurses, nurses

holding degrees in nursing, midwives revised auxiliary nurse midwives or multi-purpose workers and health visitors.

Composition of SNRC The State Nursing Councils are

administratively headed by the Registrar who usually is a nurse.

There is deputy registrar who also is a nurse. There is a staff consisting of Accountant and

other staff as clerks and peons to help him in his day to day work and functions.

The President and Vice-President is elected by members from amongst themselves.

The elections procedures for all the categories are laid down by statutory provisions in By-Laws of the Councils.

Some of the members on the council are still nominated by the Government whereas majority are elected by following the electoral procedures

Functions of Registrar of SNC

Functions of the Registrar of the State Nursing Council:

To draw a programme for examinations of various types of educational programmes at all centres at the same time.

To prepare a time schedule for written and practical examinations, to prepare Roll number sheets of students and send them to various examination centres.

After examiners have drawn the question papers, to get them printed under strict confidential atmosphere and keep up the secrecy regarding them.

To prepare examination results and communicate the results to concerned institutions.

To prepare the diploma certificates and registration certificates of nurses who have been qualified for both.

CONTD…….

To arrange for inspections to ascertain that the institutions are carrying out the educational programmes as per syllabus, conditions and rules and regulations laid down by State Council.

TRAINED NURSES ASSOCIATION OF INDIA

The TNAI is the national professional association.1905 : association of nursing superintendent at lucknowOBJECTIVES : o Uphold the dignity and honour of nursing professiono Promote a sense of espirit-de-corps among all the

nurses.o Enabling members to take counsel together on matters

relating to their profession.

1909 : Inaugurated Trained Nurses Association.1910 : TNA elected its own officer.1922 : Two organizations were brought together as the

“TRAINED NURSES ASSOCIATION OF INDIA” AIMS : To standardize, upgrade, develop nursing education and to

elevate nursing education. To improve the living and working conditions of the nurses

and develop the educational conditions available for nursing.

To provide registration for qualified nurses and to provide reciprocity of registration within different states in the country and within different countries.

Organizations of TNAI Health visitors League(1922) Midwives and Auxiliary Nurses: Midwives

Association(1925) Student Nurses Association”(1929-1930) The TNAI is an associate member

of many organizations like Indian Red Cross,Tb Association of India etc. who are doing welfare activities in their own fields.

ORGANISATION OF TNAI

It consists of :1.President2. Vice President (3)3.Honorary Treasurer4. Secretary General5. Assistant Secretaries6. Branch/joint Secretaries

MEMBERSHIP

FULL MEMBERS: Fully qualified Registered nurses.

ASSOCIATE MEMBERS: Health Visitors, midwives and ANMs.

AFFILIATE MEMBERS: Student nurses and members of affiliated organizations.

BENEFITS OF TNAI MEMBERSHIP Holding national level conferences Low cost publications for members and students Continuing education programmes for updating

knowledge Socio-economic welfare programmes Research studies are conducted regularly for benefit of

members Scholarship for TNAI members and student nurses.

Annual grant to state branches to hold activities.

One fourth railway concession for TNAI members.

The guest room facilities at the headquarters and also in some states.

Nurses day celebration at Rashtrapati Bhavan every year.

PUBLICATIONS Handbook of TNAI…..published in 1913.

Nursing Journal of India……published monthly. It is the official organ of the TNAI.

A copy of this journal shall be sent free to all the full members and Associate members.

STUDENT NURSES ASSOCIATION

It is an incorporate organization of TNAI. It was established in 1929.

In 1954 : SNA celebrated its silver jubilee and no. of units were 117 At present, it has more than 506 units

OBJECTIVES OF SNA To help students to uphold the dignity of the profession. To promote a corporate spirit among students for the common

good. To encourage leadership ability and help students to gain a wide

knowledge of nursing profession. To help students to increase their social contacts & general

knowledge. To encourage professional, social & recreational development. To provide a special section in “ THE NURSING JOURNAL

OF INDIA.” for student’s benefit. To encourage students to compete for prizes in the students

nurses exhibition & to attend national & state conferences.

MANAGEMENT OF SNA GENERAL COMMITTEE OF SNA:

President of TNAI or vice president

Vice president of SNA state branches, honorary treasurer of TNAI, National SNA advisor, secretaries of SNA state branches, secretary general of TNAI.

SNA GENERAL BODYAT NATIONAL LEVEL:

Members are: Members of SNA general committee. 3 representatives from each unit i.e., SNA VP, SNA

Secretary & SNA advisor. All SNA delegates attending the conference.

AT STATE LEVEL: Members are: State SNA Executive members SNA Unit representatives ( VP, Secretary, SNA Advisor )

SNA UNITS Members elected by its own in GBM. Members are:– SNA Unit advisor ( should be a TNAI member

)– Vice president– Secretary– Treasurer– Programme chair person GBM held at regular intervals Agenda for GBM will be acc. To needs of the

unit members & aims & objectives of SNA.

ACTIVITIES OF SNAa) Organization of meetings and conferences.b) Maintenance of diary.c) Exhibition.d) Public speaking and writing.e) Project undertaking.f) Propagation of nursing profession.g) Fund raising.h) Socio-cultural and recreational activities.i) Other activities.

INTERNATIONAL ORGANISATIONS

INTERNATIONAL COUNCIL OF NURSES (ICN)

AMERICAN NURSES ASSOCIATION (ANA)

WORLD HEALTH ORGANISAION (WHO)

INTERNATIONAL COUNCIL OF NURSES (1899)

MISSION: To represent nursing worldwide, advancing

the profession and influencing health

policy.

Introduction The ICN is federation of National Nurses

Association(NNA) representing nurses in more than 128 countries.

Worlds first and widest reach international organization for health professionals.

Operated by nurses, for Nurses.

GOALS To influence nursing, health and social policy,

professional and socio-economic standards worldwide.

To assist national nurses association (NNA) to improve the standards of nursing & the competence of nurses.

To promote the development of strong NNAs. To represent nurses & nursing internationally. To establish, receive and manage funds and trusts

which contribute to the advancement of nursing & of ICN.

CORE VALUES VISIONARY LEADERSHIP

INCLUSIVENESS

FLEXIBILITY

PARTNERSHIP

ACHIEVEMENT

ACTIVITIESPROFESSIONAL NURSING PRACTICE Advance nursing practice Primary health care Family health, women’s health Safe waterNURSING REGULATIONS Code of ethics, standards & competencies. Continuing education.SOCIO-ECONOMIC WELFARE FOR NURSES Occupational health & safety. Career development.

MEETINGS OF ICN

ICN meets every 4 years.

These Quadrennial meetings are called “Congresses”.

When they are in session,Organisation is called as the International Congress of Nurses.

FUNCTIONS OF GOVERNANCE OF ICN1. To provide policy direction to fulfil the objectives of ICN2. To establish categories of membership and determine their

rights and obligations as well as dues.3. To act upon recommendations of the Board of Directors

relating to admission and readmission of member associations into ICN.

4. To receive and consider information from the Board regarding ICN activities since the last CNR.

5. To receive nominees for the Board and to elect the Board.6. To act upon proposed amendments to the ICN Constitution.7. To act upon recommendations of the Board of Directors for

the amount of NNA dues.8. To act through mail or any written communication on ICN

business that requires immediate attention.

Publication

INTERNATIONAL NURSING REVIEW

AMERICAN NURSES ASSOCIATION (1911)PURPOSE: To improve the quality of nursing care.ACTIVITIES: Establish standards for nursing care. Develop educational standards. Promote nursing research. Establish a professional code of ethics. Oversee a credentialing system. Influences legislation affecting health care.

Protect the economic and general welfare of RN. Assist with professional development of nurse.MEMBERSHIP Federation of state nurses associations Individual RN can participate in ANA joining their

respective state nurses association.PUBLICATIONS American journal of nursing. American nurses.

BIRTH OF WHO Origin in April 1945…..at San Francisco.

Formal existence as Specialized Agency…..7 April,1948.

Celebrated as “ World Health Day”

WHO A specialized, non-political health agency of

United Nations, with headquarters at Geneva. WHO is unique among the UN specialized

agencies:• Own membership.• Own governing bodies.• Own budget.

OBJECTIVE The Attainment by all peoples of highest level

of health………Set out in the preamble of the constitution.

Health for All by 2000 AD.

Membership: Open to all countries. Associate Members: Territories which are not

responsible for their conduct in International relations.

STRUCTURE OF WHO

Three Official Organs are:

The World Health Assembly The Executive Board The Secretariat

World Health Assembly It meets annually, generally at headquarters. The

Assembly is composed of delegates from member states. Functions are:

To determine international health policy and programmes.

To review the work of past year. To approve the budget needed for the following

years. To elect member states to designate a person for 3

years on Executive Board.

The Executive Board The Board originally had 18 members, each

designated by member states. Now, it has been increased to 31…no less than 3

members are to be elected from WHO regions. The members are to be technically qualified in the

field of health. The Board meets twice a year but one thirs of

membership is renewed every year. It is to give effect to the decisions and policies of

Assembly. And the Board has powers to take actions itself in an emergency such as epidemics.

The Secretariat It is headed by Director General who is chief

technical and administrative officer of the organization.

Prime function is to provide member states with technical and managerial support for their national health development programmes.

At headquarters, there are 5 Assistant Director Generals, each of whom is responsible for the work of such divisions, as assigned by the Director General.

WHO REGIONS Regional Organizations are an integral part of

WHO…..to meet special health needs of different areas.

Headed by Regional Director, who is assisted by technical and administrative officers and members of Secretariat.

Regional Committee: Composed of representatives of member states in the region. Meet once a year to review and plan the health work.

WHO REGIONS

RegionsSouth East Asia

AfricaAmerica

EuropeEastern Mediterranean

Western Pacific

HeadquartersNew Delhi

Harare(Zimbabwe)Washington DC(USA)Copenhagen(Denmark)

AlexandriaManila

WORK OF WHO

Prevention and Control of specific diseases: Epidemiological Surveillance-to ensure

maximum security against international spread of diseases.

Fight against Non communicable problems-like cancer, genetic disorders etc.

Expanded Programme on Immunization

Development of Comprehensive Health Services. It includes:

Organizing health systems based on primary health care.

Development of health manpower and utilization. Building of long term national capability. Health Services Research. Appropriate Technology for

Health(ATH):New programme by WHO to encourage self sufficiency in solving health problems.

Environmental health Health statistics : WHO has been concerned with

dissemination of wide variety of statistics related to health problems.

Data is published in: • Weekly epidemiological record• World health statistics quarterly• World health statistics annual Biomedical research: it has :1.Regional advisory committees on health: defines regional

health priorities.2.Global advisory committee: deals with policy issues of

global import.

Family health

Health literature & information:

o WHO acts as clearing house for information on health problems.

o MEDLARS ( medical literature analysis & retrieval system)-fully computerized system of US national library of medicine on international basis.

o WHO has public information centres at headquarters & each of six regional offices.

THANKS