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CONTENTS

INC Syllabus .......................................................................................................................................................... xii xv

UNIT I Nursing: An Introduction


1. Advanced Nursing Practice .............................................................................................................. 35
2. Role of Regulatory Bodies in Nursing ......................................................................................... 6 10
3. Trends in Nursing ............................................................................................................................... 11 13
4. Quality Assurance in Nursing ......................................................................................................... 14 22
5. Collective Bargaining ......................................................................................................................... 23 26
6. Performance Appraisal ...................................................................................................................... 27 30

UNIT II Nursing Process and Practices


1. Nursing Process ................................................................................................................................... 33 53
2. Family Health Nursing ...................................................................................................................... 54 58
3. Home Nursing ..................................................................................................................................... 59 61
4. Geriatric Nursing ................................................................................................................................. 62 69
5. Rehabilitation ........................................................................................................................................ 70 73
6. Holistic Nursing Care ........................................................................................................................ 74 79
7. Disaster Nursing .................................................................................................................................. 80 92

UNIT III Psychological Aspects of Nursing


1. Basic Human Needs .......................................................................................................................... 95 97
2. Defense Mechanism ........................................................................................................................... 98 100
3. Group Dynamics .................................................................................................................................. 101 102
4. Organizational Behavior .................................................................................................................... 103 105
5. Human Sexuality ................................................................................................................................. 106 108
6. Personality Traits ................................................................................................................................. 109 113
7. Perception .............................................................................................................................................. 114 117
8. Stress ........................................................................................................................................................ 118 123
9. Crisis and its Intervention ................................................................................................................. 124 130
10. Counseling ............................................................................................................................................. 131 133
11. Communication .................................................................................................................................... 134 149
12. Sick Role Behavior .............................................................................................................................. 150 153
13. Health Care Compliance ................................................................................................................... 154 156
14. Health Belief Model ........................................................................................................................... 157 160

UNIT IV Health Care Delivery System


1. Health Care Delivery System in India .......................................................................................... 163 173
2. Nursing Care Delivery System ........................................................................................................ 174 183
3. Role of NGOs in Health Services ................................................................................................. 184 186
x Textbook of Advance Nursing Practice

4. National Urban Health Mission ..................................................................................................... 187 189


5. Information Education and Communication ............................................................................. 190 193
6. Primary Health Care .......................................................................................................................... 194 200
7. Millennium Development Goals ..................................................................................................... 201 202
8. Public Private Partnership ................................................................................................................ 203 209
9. Skilled Birth Attendant ...................................................................................................................... 210 212
10. Reproductive and Child Health ...................................................................................................... 213 216
11. National Accreditation Board for Hospitals and Health Care Providers .......................... 217 220

UNIT V Epidemiology
1. Epidemiology ........................................................................................................................................ 223 235
2. Health Surveillance ............................................................................................................................. 236 238
3. Sample Registration System ............................................................................................................. 239 242

UNIT VI Genetics
1. Cell and Cell Division ......................................................................................................................... 245 252
2. Law of Inheritance .............................................................................................................................. 253 255
3. Gene Mutation ...................................................................................................................................... 256 257
4. Chromosomal Abnormalities ........................................................................................................... 258 261
5. Prenatal Diagnosis .............................................................................................................................. 262 266
6. Genetic Counseling ............................................................................................................................. 267 268
7. Human Genome Project ................................................................................................................... 269 271
8. Genetic Disorders in Human ........................................................................................................... 272 276

UNIT VII Nursing Theories


1. Nursing Theories ................................................................................................................................. 279 285
2. Environmental Theory of Nursing ............................................................................................... 286 289
3. Principles and Practice of Nursing ............................................................................................... 290 293
4. Patient Centered Approach to Nursing ........................................................................................ 294 298
5. Self-Care Deficit Theory .................................................................................................................... 299 310
6. Systems Model ...................................................................................................................................... 311 317
7. Behavior System Model ..................................................................................................................... 318 323
8. Theory of Goal Attainment .............................................................................................................. 324 330
9. Adaptation Model ................................................................................................................................ 331 337
10. Conservation Theory .......................................................................................................................... 338 344
11. Interpersonal Relationship Theory ................................................................................................ 345 348
12. Theory of Care, Core and Cure ...................................................................................................... 349 351
13. Science of Unitary Human Beings ................................................................................................ 352 356

UNIT VIII Disease & Causation


1. Concept of Health and Illness ........................................................................................................ 359 362
2. Illness-Wellness Continuum ............................................................................................................. 363 364
3. Oxygen Insufficiency ......................................................................................................................... 365 371
4. Cardiopulmonary Resuscitation ..................................................................................................... 372 378
5. Grief and Grieving Process .............................................................................................................. 379 388
6. Sensory Deprivation ............................................................................................................................ 389 392
Contents xi

7. Sleep Patterns and its Disturbances .............................................................................................. 393 400


8. Pain ........................................................................................................................................................... 401 415
9. Infection Control .................................................................................................................................. 416 426
10. Fluid and Electrolyte Imbalance .................................................................................................... 427 442
11. Dialysis .................................................................................................................................................... 443 446
12. Chest Physiotherapy ........................................................................................................................... 447 450
13. Hemorrhages ........................................................................................................................................ 451 454
14. Altered Body Temperature ............................................................................................................... 455 458
15. Shock ....................................................................................................................................................... 459 466
16. Nutritional Deficiencies .................................................................................................................... 467 479
17. Unconsciousness ................................................................................................................................. 480 486
18. Septicemia .............................................................................................................................................. 487 488
19. Metabolic Syndrome ........................................................................................................................... 489 491
20. Immune Disorders .............................................................................................................................. 492 493
21. Swine Flu ................................................................................................................................................ 494 498

UNIT IX Advanced Nursing Skills


1. Transcultural Nursing ........................................................................................................................ 501 509
2. Telemedicine ......................................................................................................................................... 510 513
3. Biomedical Waste Management ..................................................................................................... 514 521
4. Health Insurance ................................................................................................................................. 522 531
5. Hospital Information System .......................................................................................................... 532 534
6. Nursing Informatics ........................................................................................................................... 535 540
7. Evidence Based Practice ................................................................................................................... 541 544
8. Hemodynamic Monitoring ............................................................................................................... 545 551
9. Advanced Cardiac Life Support ...................................................................................................... 552 555
10. Pacemaker .............................................................................................................................................. 556 560
11. Abdominal Paracentesis .................................................................................................................... 561 564
12. Pulse Oximetry ..................................................................................................................................... 565 566
13. Tracheostomy ........................................................................................................................................ 567 570
14. Endotracheal Intubation ................................................................................................................... 571 574
15. Mechanical Ventilation ...................................................................................................................... 575 584
16. Life Style Diseases ............................................................................................................................... 585 586
17. Independent Practice Issues ............................................................................................................ 587 589
18. Stem Cells ............................................................................................................................................... 590 594

Annexures
Annexure - I ...................................................................................................................................................... 597 597
Annexure - II .................................................................................................................................................... 598 600
Annexure - III .................................................................................................................................................. 601 603
Annexure - IV ................................................................................................................................................... 604 605
Annexure - V ..................................................................................................................................................... 606 611
Annexure - VI ................................................................................................................................................... 612 613
Annexure - VII ................................................................................................................................................. 614 617

Glossary .................................................................................................................................................... 618 656


INC SYLLABUS

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 professional advancement.

Course Content
Unit Hours Content
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.
INC Syllabus xiii

Unit Hours Content


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
Scope, 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.
Role of nurse.
V 20 Bio-Psycho social pathology
Pathophysiology 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.
Role of nurse- Evidence based nursing practice; Best practices.
Innovations in nursing.
xiv Textbook of Advance Nursing Practice

Unit Hours Content


VI 20 Philosophy and Theories of Nursing
Values, Conceptual models, approaches.
Nursing theories: Nightingales, Hendersonss, Rogers, Peplaus, Abdellas, Lewines,
Orems, Johnsons, Kings, Neumans, Roys, Watson parsce, etc and their applications.
Health belief models, communication and management, etc.
Concept of Self health.
Evidence based practice model.
VIII 10 Nursing process approach
Health Assessment- illness status of patients/clients (Individuals, family, community),
Identification of healthillness problems, health behaviors, signs and symptoms of clients.
Methods of collection, analysis and utilization of data relevant to nursing process.
Formulation of nursing care plans, health goals, implementation, modification and
evaluation of care.
IX 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 and 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.
X 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.
XI 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: softwares.
INC Syllabus xv

Practical
Clinical posting in the following areas:
Specialty area- in-patient unit - 2 weeks
Community health center/PHC - 2 weeks
Emergency/ICU - 2 weeks

Activities
Prepare Case studies with nursing process approach and theoretical basis
Presentation of comparative picture of theories
Family case- work using model of prevention
Annotated bibliography
Report of field visits (5)

Methods of Teaching
Lecture cum discussion
Seminar
Panel discussion
Debate
Case Presentations
Exposure to scientific conferences
Field visits

Methods of Evaluation
Tests
Presentation
Seminar
Written assignments

Advance Nursing Procedures


Definition, Indication and nursing implications:
CPR, TPN, Hemodynamic monitoring, Endotrcheal intubation, Tracheostoma, mechanical ventilation,
Pacemaker, Hemodialysis, Peritonial dialysis, LP, BT Pleural and abdominal parecentasis OT techniques,
Health assessment,Triage, Pulse oxymetry.

Internal Assessment

Tech ni ques Weightage


Test- (2 tests) 50
Assignment 25
Seminar/presentation 25
100