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ROLE OF REGULATORY BODIES

INTRODUCTION Health Professionals such as nurses doctors, Pharmacist and many others are regulated and licensed by regulatory bodies as required by provincial legislation. All nurses are required to be licensed to practice with their designated provincial nursing regulatory body. Legal responsibility in nursing practice is becoming of greater importance as each year passes. In order to provide safe and competent nursing care an understanding of legal boundaries is very essential. It is important to know the law in one state and the authorities enforcing these laws. VITAL ROLE OF REGULATORY BODIES o ensure the public!s light to quality health care service. o support and assist professional members. "et and enforce standards of nursing practice. #onitor and enforce standards for nursing education. #onitor and enforce standards of nursing practice. "et the requirements for registration of nursing professionals. $ursing regulatory bodies also known as colleges or associations, are responsible for the licensing of nurses with in their respective provinces territory. legislation. he $ursing %egulatory bodies receives their authority from

MAJOR TYPES OF REGULATORY

BODIES he central government. he state government Institutional %ules rained $urses Association of India International council for $urses American $urses Association 'anadian $urses Association $ational League for $ursing ROLE OF CENTRAL GOVERNMENT he central government is a source of regulatory body in three ways, through. &( )overnment service conduct rules *( +( he Indian $ursing council Act he ,nglish law

THE GOVERNMENT SERVICE CONDUCT RULES hese are detailed rules of conduct for are government employees. ,-amples of these are the requirement to maintain absolute integrity, devotion to duty and high standards of moral behaviour. .nly a few are

+ applicable to the nursing practice, but all would be applicable to the practice of a nurse employed by the government. INDIAN NURSING COUNCIL ACT he Indian $ursing 'ouncil, which was authorised by the Indian $ursing 'ouncil Act of &/01, was established In &/0/ for the purpose providing uniform standards in nursing education and reciprocity in nursing registration throughout the country. he only national legislation directly related to nursing practice, also provides a basis from which rules for nursing practice can be developed. Among other responsibilities, this Act gives authority to the Indian $ursing 'ouncil for prescribing curricula for nursing education and recognising qualifications of institutions with teaching programmes for nursing. his

means that the INC has authorit to !o"tro# "ursi"$ e%u!atio" a"% &hat the "urse is 're'are% to %o. It is important because legal responsibility does finally depend upon what you should be able to do and how you should do it as well as what you are not prepared to do. he I$' uses this authority in nursing education but it delegates authority for control of nursing practice to the State Nurses( Re$istratio" Cou"!i#s. INDIAN NURSING COUNCIL he Indian $ursing 'ouncil was authori2ed by the Indian $ursing Act of &/01. It was established in &/0/ to providing uniform standards in nursing education and reciprocity in nursing registration through out the country.

0 $urses registered in one stat were not necessarily recogni2ed for registration in another state before this time. he 'ondition of mutual recognition by the state $urses %egistration 'ouncils, which is called reciprocity, was possible only if uniform standards of nursing education were maintained. FUNCTIONS OF INC &( It provide uniform standards of in nursing education and reciprocity in nursing registration. *( It has authority to prescribe curriculum for nursing education in all states. +( It has authority to recogni2e programme for nursing education or to refuse recognition of a programme if it did not meet the standards required by the council. 0( o provide the %egistration of foreign nurses and for the maintance of the Indian $urses %egister. 3( he I$' authori2es "tate $urses %egistration 'ouncil and ,-amining 4oard to issue qualifying certificates. he I$' has been given heavy responsibilities for nursing practice and nursing education but it has not been able to e-ert enough power to support high standards in nursing. ENGLISH LA) he law based upon the ,nglish Pattern is the third way in which the 'entral )overnment is a source of legal authority. hese laws are very

3 specific and make you *#ia+#e ,or "e$#i$e"!e- or answerable to the laws for acts of carelessness. he laws summarised below are given for medical practitioners including nurses. &( The ri$ht to re,use to the treat a 'atie"t e-pect in an emergency situation. *( The ri$ht to sue ,or ,ees. 5Applicable only to private duty nurse or private practitioners6 other nurses are salaried.( +( The ri$ht to a%% a titi#e %es!ri'tio"s to o"e(s "a/e. Any title, description, abbreviation or letter which implies nolding a degree, diploma, license or certificate showing particular qualifications may be added. 5Improper use of these is often prohibited by "tate $urses %egistration Acts.( he right to wear the %ed 'ross ,mblem is

given only to members of the Army medical service. 0( U"re$istere% 'ra!titio"ers are "ot a##o&e% to ho#% 'ositio"s or appointments i" 'u+#i! a"% #o!a# hos'ita#s 3( Fu"%a/e"ta# %uties. a( o e-ercise a reasonable degree of skill and knowledge in treating patients. he standard held is that e-ercised by other reputable members of the same profession in similar circumstances. b( .nce a relationship to a patient has been established, there is an obligation to attend the patient as long as necessary unless

7 the patient requests withdrawal or notice is given of intention to withdraw. c( A practitioner must give personal attention to his cases and answer calls with reasonable promptness. d( 'hildren must be protected from harming themselves. e( "pecial precautions must be taken in the case of adults who are incapable of taking care of themselves. 7( he Indian Penal 'ode demands that 'oiso"ous %ru$s +e 0e't i" se'arate !o"tai"ers properly labeled and marked. 'are must be taken not to mi- with nonpoisonous drugs. 1( here is a %ut o, se!re! to the 'atie"ts. %ecords must be treated as confidential unless the practitioner is called upon to give evidence in court. 8( Da"$erous %iseases /ust +e re'orte%. 5 heses will vary in different parts of the country.( /( Nurses as !o"si%ere% so#e# res'o"si+#e ,or their o&"

'ro,essio"a# a!ts irrespective of the employing authority. A fine is the usual penalty imposed for disobeying the law stated above, although imprisonment is also possible. he central responsibility consists mainly of Policy making, palnning, guiding, assisting evaluating and 'o. ordinating the work.

1 THE OFFICIAL ORGAN OF HEALTH SYSTEM AT THE

NATIONAL LEVEL #inistry of health and family welfare he directorate general of health service he central council of health and family welfare. FUNCTIONS OF MINISTRY OF HEALTH AND FAMILY )ELFARE International health relations and administration of port quarantine Administration of the central institute such as All India Institute of hygiene and public health, 9olkata, $ational institute for the control of communicable disease, :elhi Promotion and development of medical, pharmaceutical, dental and nursing professions ,stablishment and maintenance of drug standards 'ensus, and collections and publication of other statistical data Immigration and emigration %egulation of labour in the working of mines and oil fields 'o. ordination with states and with other ministry for the promotion of health CONCURRENT LIST he functions listed under this are the responsibility of both ccentral and state government.

8 &( Prevention of e-tension of communicable disease from one unit to another *( Prevention of adulteration of food stuffs +( 'ontrol of rugs and poisons 0( ;ital statistics 3( Labour welfare 7( Ports other their ma<or 1( ,conomic and social planning 8( Population control and =amily planning DIRECTORATE GENERAL OF HEALTH SERVICE Fu"!tio"s1 &( International health relations and quarantine of all ma<or ports in the country and international airport *( 'ontrol of drug standards +( #edical stone depots are maintained 0( Administration of post graduate training programes 3( Administration of certain medical colleges in India 7( 'onducting #edical %esearch through Indian council of medical %esearch 1( 'entral )overnment health schemes 8( Implementation of national health programs /( #aintaing the central health education 4ureau

/ &>( Health intelligence to centrali2e collection compilation, analysis, evaluation and dissemination of all information on health statistics for the nation as a whole &&( #aintaining and Administering the $ational #edical Library. CENTRAL COUNCIL OF HEALTH Fu"!tio"s1 &( o consider and recommend broad outline of policy regard to matters concerning health like environmental hygiene, nutrition and health ,ducation, provision of remedical and preventive care. *( o make proposals for legislation relating to medical and public health matters +( o make recommendation to the central government regarding distribution of available grants?in?aid for health purposes ROLE OF STATE GOVERNMENT he state government controls nursing practice through the state $urses %egistration Acts. he state $urses %egistration 'ouncils have

authority to prescribe rules of conduct, to take disciplinary action and to maintain registers of nurses. ,-cept for the uniform standards given by the I$', the state nurse practice act is the important law affecting one nursing practice act that protect the public by broadly defining the legal scope of nursing practice.

&> Fu"!tio"s1 &( It registers $urse @ #idwives *( It serves as legal protections to the nurse +( It protect the public from incompetent nursing practice or poor nursing care 0( It accredits and inspects schools of nursing and college of nursing 3( It prescribes the rules of conduct, table disciplinary action 7( It takes united efforts to elevate the standards of nursing 1( It works for the welfare of the members UNETHICAL PRACTICES COMMONLY PROHIBITED BY STATE he dishonest use of certificate Procuring registration by false means =alsification of the register %epresentation of registration by an unrecognised person %epresentation of a registrant as a medical practitioner #any states prohibit an unregistered person from holding a nursing position in an institution wholly or partially supported by government funds. "ome states prohibit practice of any unregistered nurse. A fine is the usual penalty imposed for disobeying the laws stated above although imprisonment is also possible. In actual practice, the state 'ouncil often delegates responsibility for the supervision of nurses to local

&& authorities such as the :istrict 'ivil "urgeon or a board appointed for this purpose. he Trai"e% Nurses( Asso!iatio" o, I"%ia bases its standards for conduct of professional nurses upon the I"ter"atio"a# Co%e ,or Nurses. INSTITUTION RULES Institution acts as a regulatory body for all employees by formulating some rules and regulation Professional rules of conduct may be stated by the institution regarding conditions of agreement for employment such as periods of time needed when giving notification of registration. TRAINED NURSES ASSOCIATION OF INDIA $AI means rained $urses Association of India, is a national he level of organi2ation moves to the

professional association of nurses.

district, state and national levels. #embers of $AI are usually most active on the level of the local unit. Activities and conference however are planned regularly by the state branches and provide opportunities for valuable professional participation and development of the individual member. Fu"!tio"s1 Ap grading development and standardi2ation of nursing education Improvement of living and working condition for nurses in India %egistration for qualified nurses

&* It has promoted the development of courses in higher education for nurses It gives scholarships for nurses who wish to go on for advanced study Helped to organi2e the state nurse and midwives %egistration 'ouncil Helps to develop leadership ability Helps to share and solve professional problems Helped to remove discrimination against male nurses Helped to improve economic conditions for nurses he official organ of $AI is the $ursing <ournal of India which is published monthly THE INTERNATIONAL COUNCIL OF NURSE he International council of nurses, founded in &8// by #rs.4edford =enwick, is a federation of non?political and self? governing national nurses association. he head quarters are in )eneva, "wit2erland. he main purpose of the I'$ is to provide a mean through which the national associations can share their interest in the promotion of health and care of the sick. Fu"!tio"s1 &( *( o promote the development of strong national nurses associations o assist national nurses association to improve the standards of nursing and the competencies of nurses

&+ +( o assist national nurses associations to improve the status of nurses within their countries. 0( o serve as the authoritative voice for nurse and nursing internationally. he international council of nurses is the global voice of nursing. he

governing body of the I'$ is the council of national representative which is made up of the I'$ Honorary officers and the presidents of the national members associations. he I'$ code of ethics for nurses has four principles elements. ,lements of the code6 NURSES AND PEOPLE he nurses primary responsibility is to people requiring nursing care. In providing care, the nurse promotes an environment in which the human rights, values customs and spiritual belief of the individual, family and community are respected. he nurse ensures that the individual receives sufficient information on which to base consent for care and related treatment. he nurse hold in confidence personal information and uses <udgement in sharing this information. he nurse shares with society the responsibility for initiating and supporting action to meet the health and social needs of the public in particular those of vulnerable populations.

&0 he nurses also hares responsibility to sustain and protect the natural environment from depletion, pollution, degradation and destruction. NURSE AND PRACTICE he nurse carries personal responsibility and accountability for nursing practice, and for maintaining competence by continual learning. he nurse maintains a standard of personal health. ability to provide care is not compromised. he nurse uses <udgments regarding individual competence when accepting and delegating responsibility. he nurses at all times maintains standards of personal conduct which respect well on the profession and enhance public confidence. he nurse, in providing care ensures that uses of technology and scientific advances are compatible with safety, dignity and rights of people. NURSES AND THE PROFESSION he nurses assumes the ma<or role in determining and implanting acceptable standards of clinical nursing practice, managent research and education. he nurse is active is developing a core of research?based professional knowledge. he nurse, acting through the professional organi2ation, participate in creating and maintaining safe, equitable social and economic working conditions in nursing. NURSES AND CO2)OR3ERS "uch that the

&3 he nurse sustains a co operative relationship with co?workers in nursing and other field. he nurse takes appropriate action to safeguard individuals, families and communities when their health is endangered by a co?workers or any other person. AMERICAN NURSES ASSOCIATION he A$A is the professional organi2ation for registered nurses in the united states to advance and protect the profession of nursing the purpose of A$A areB o work for the improvement of health standards and the availability of health care services for all people. o foster high standards of nursing and to stimulate and promote the professional development of nurses and advances their economic and general welfare. Fu"!tio"s1 Accredits containing education programs Provide certification for individual registered nurse "upplies data for research analysis. Provide public policy analysis and political education and maintains government relations and political action activities. Implements an economic and general welfare program. Publishes a variety of publications including the American $urses Holds conferences and a biennial convention. &. hey are responsible for creating code of ethics for nurses. he nurse, in all professional relationships, practice with compassion and respect for the inherent dignity, worth and uniqueness of every individuals, unrestricted by considerations of social or economic status, personal attributes or the nature of health problems.

&7 *. +. 0. he nurse!s primary commitment is to patient whether an individual, family, group or community. he nurse promotes advocates for and strives to protect the health, safety and rights of the patient. he nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurses obligation to provide optimum patient care. 3. he nurse owes the same duties to self as to other including the responsibility to preserve integrity, to maintain competence, and to continue personal and professional growth. 7. he nurse participates in establishing maintaining and improving health care environment and improving health care environment and conditions of employments conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. 1. he nurse participates in the advancement of the profession through contributions to practice, education, administration and acknowledge development. 8. he nurse collaborates with other health professionals and with the public in promoting community, national and international efforts to meet health needs. /. he profession of nursing as represented by associations and their members is responsible for the articulating of nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. CANADIAN NURSES ASSOCIATION It is the national nursing association of 'anada. he 'anadian $urses Association has developed national standards and a code of ethics and it

&1 offers support to all professional associations. hough this foundation

research grants, fellowships and scholarships and offered to 'anadian $urses. he nursing profession in 'anada is regulated in the public interest meaning that a person is not allowed to work in a nursing <ob or even use the little CnurseD unless he@she is registered with a provincial regulatory authority. Fu"!tio"s %egulating nursing education standards for nursing programs. "etting criteria for admission to the professional "etting standards for practice Acting on complaints from the public :isciplining members who fail to meet the necessary standards of life practice. Providing support for nursing practice to registered members. NATIONAL LEAGUE FOR NURSING he mission of the national league for nursing is to advance the promotion of health and the provision of quality health care within a changing health care environment by promoting and monitoring effective nursing education and practice through collaborative efforts of nursing leaders, representatives of relevant agencies, and the general public. Fu"!tio"s "trengthen nursing!s role in the promotion of quality health care that is both accessible and affordable. Promote quality in nursing practice. Assure quality in nursing education. ,nhance the consumer involvement in attaining the goals of the organi2ation.

&8 :evelop creative and collaborative approaches to the resolution of health care problems. %estructure the organi2ation to provide fle-ibility for fi-ture growth and development. ,nsure the financial solvency of the organi2ation. he $L$ is recogni2ed in the united states as the national accrediting body for all basic nursing education, programs, as well as for masters degree nursing programs. Provide peers?review accreditation programs for home health agencies and community nursing service. Provide consultation services, continuing education, programs, analysis of statistical data related to nursing education and a variety of information package to affect recruitment image and legislative affairs.

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*> CONCLUSION he provincial regulatory bodies have responsibility for monitoring and approving nursing education. All nursing education programs must he prove that their nursing curriculum. Prepares graduates to practice professionally and meet the required standards and competencies. government sets out the legislation for the protection of the public it is the nurses themselves who carry out this legislation under the specific mandate and structure required by the law. A.V. AIDS USED Power point, .HP, 'hart. BIBLIOGRAPHY BOO3 REFERENCES Ann. E. Fwemer 5&//3(, Te4t Boo0 o, Pro,essio"a# A%5ust/e"ts a"% Ethi!s ,or Nurses I" I"%ia, "i-th edition, 4.I. Publications, #adras, p.no6 &+/ G &01. )race L. :eloughery 5 (, Issue a"% Tre"%s i" Nursi"$6 third (, Curre"t Issues i" edition #os by company publications, p.no./&?/*. Eoanne 'ome #ecloskey, Helan 9ennedy, 5 &&7, 01*?017. 9. Park, 5*>>*(, Te4t Boo0 o, Pre7e"ti7e a"% So!ia# Me%i!i"e6 "eventh edition 4anarsidas 4hanot Publication, p.no. 70>. #ary Lucita, 5 (, Nursi"$ Pra!ti!e a"% Pu+#i! Hea#th A%/i"istratio" Curre"t Co"!e'ts a"% Tre"%s6 "econd edition, ,lsevier publications, $ew :elhi, p.no.&7/. "usan Leddy E. #ae, 5 (, Co"!e'tua# Basis o, Pro,essio"a# Nursi"$6 "econd edition, E.4. 'ompany publication, p.no.+&?+0.

Nursi"$6 third edition, '.;. #osby company publications, p.no. 03,

*& aylor 'arol 5*>>8(, Te4t Boo0 o, Fu"%a/e"ta#s o, Nursi"$ 8 The Art a"% S!ie"!e o, Nursi"$ Care , ;ol. &, "i-th edition, Lippin 'ott Hilliams and Hilkins Publications, Philadelphia, p.no. &*+. JOURNALS Re$u#ator Mo%e# o" Tra"sitio"i"$ Nurses Fro/ E%u!atio" to 'ra!ti!e6 $ancy "pector, "ulling Li, Eoan!s Health 'are Law, ethics and %egulation @ volume / $o.& Eanuary G #arch, *>>1, p.no.&/ G **. Issues o, A!!re%itatio"6 A Dea"s Pers'e!ti7e6 'ollins, online <ournal of issues in nursing volume *, $o.+. The Tri Cou"!i# ,or Nursi"$1 4arbara, 9. %edman, )eradline, &3 Iears of =ruitful 'o?operation $ursing .utlook, ;ol. +/, $o.+, p.&*8? &+8.