ORGANIZATION OF NURSING EDUCATIONAL INSTITUTION

Introduction:
Nursing is a carrier that combines scientific principles and technical skills to achieve the
quality care.For the nurse to be effective in the dynamic complex health care system and
to help client to achieve theoutcome , nurses need to be knowledgeable , resourceful and able
to work well with other health care practioners. This goal is achieved through nursing
education. The quality of the educational programmedepends to a large extend on the
organizational framework wit in which it operates, and a nursing educational institution, can
operate effectively only if it is properly organized. and has the support of proper
administration and of an interested controlling authority.
Steps in the organization of nursing educational administration
1.Formulation of board of management
2.Formulation of philosophy of College Of Nursing
3.Obtaining permission from state government
4.Obtaining permission from INC
5.Obtaining permission from University
6.Preparing infrastructure and other facilities
7.Selection , recruitment , appointment of faculty
8.Selection, recruitment , appointment of students
9.Curriculum development and administration
10.Periodic credentialing and accreditation of the College
11.Extra curricular/ co curricular activities
12.Student organization
13.Maintenance of record and reports

Selection, recruitment , appointment of students:

Recruitment and Selection
Admission policies:

In relation to the Academic Qualifications

In relation to personal and social fitness

Others

Recruitment:-
After policies for admission have been agreed upon , the next step is to recruit the
students.Recruitment is a continuous activity which is carried out both for the profession in
general and for the individual schools of nursing.
General recruitment for nursing
Recruitment for individual institutions
 At this stage she will be influenced by her parents, teachers or friends or by past experience
of nursing care and by the image of nursing she has build up. Some of the ways of general
recruitment include
Talks and plays in radio
Films on nursing
By making available in public , school and club libraries biographies and fiction on nursing
subjects
By publishing articles in the journals
Recruitment for individual institutions
After the student chooses the nursing profession , the next decision to be made is where to go
for necessary preparation, and this is where the individual school will reap the benefit of
having an active recruitment programme. Some of the methods which locally used are
Some of the methods which locally used are:

Holding open days in the hospital and educational institutionArranging for prize giving
and capping ceremonies to which students may invite parents and the issue and receipt of
the application form are an administrative responsibility.

friends

Arranging talk by the staff of the educational institution in local schools, youth clubs and
other community organizations

Displaying suitable posters in the institution, in the hospital and other appropriate place

Publishing articles , notices, reports and pictures of the institutional activities in the local
press

Publication of the institutional brochure

Selection:
The methods used for the selection of the students should be as objective as possible and
should have proved themselves to be value and successful in identifying the kind
of students wanted. Some suggestions relating to selection procedures are:

The institution should have clearly defined selection policies

Application form

Selection committeeApplication form:The information contained in the application form and

the reports received in connection with them should be systematically tabulated and filed
Selection committee. The members of the selection committee should include:

The head of the nursing institution

The senior tutor

A representative of the local controlling authority(hospital)

Any or all of the following

A representative from the nursing division of the state( if applicable)

A physician

A school teacher and possibly

An educational psychologist

Budget
is a concrete precise picture of the total operation of an enterprise in monitory terms. H.M
.Donovan. How to make a budget for the nursing institution
1.
Find out the actual budget for the previous year

2.
Estimate the financial budget for the next year
Budget for 2010-2011
2009- 2010 Actual budget

2010-2011 estimated budget

Income Expenditure Income expenditureIncome

Invested fund,

Tuition fees based on number of student admission,

Textbook

Uniform, etc
Expenditure
Indirect

Provision for general administration

Duty expense

Laundry expense

Telephone expense etc.

Direct

Instructional

Non -instructional

Resident for the staff

Recreational

Clerical expense

Salaries

Maintenance and repair

Purchase of uniform

Health programmes supplies

Library ( book acquisition, periodical subscription, textbook purchase, other library

equipments

Recreational equipments

School equipments (class room and lab repairs)

Supplies and equipments for library , lab, classroom,

Scholarship for the students, professional development of the faculty

Contingency fund for educational tours, professional activities Normally controlling body
takes the full responsibility for administering some of the item mentionedabove , such
as salary , stipend , equipment , linen, household supplies and transport. But there are others
for which it is essential that the staff should be directly responsible if the objectives is to be
achieved. This neednot necessarily involve them in the actual payment of the bills , but it
does mean that they must advise theamount of budget required, should know the amount
sanctioned, and should have full control over how themoney provided will spent

The library for the purchase of books , journals and daily newspapers , for binding of
journals, for stationary , such as index card , label etc

Incidental teaching equipment for teaching aids such as charts, films or slides, posters, paints
etc

Office supplies for stationary , including stencils, registers, typewriter ribbons , files etc

External lecturers for the payment of fees in accordance with the policy of the controlling
body

Contingencies as mentioned in the above list

Curriculum development and administrationCurriculum

Is defined as the systematic arrangement of the sum total of selected experiences planned
by the schoolfor a defined group of students to attain the aims of a particular
educational programme.
Steps in the development of the curriculum
According to Ralph Tylor;1.The establishment of the educational purpose \
objectives of the institution2.The selection of the learning experiences which
will achieve the purpose3.The effective organization of the selected learning
experiences4 . P l a n n e d a n d c o n t i n u i n g e v a l u a t i o n
The establishment of the educational purpose\e objectives of the institution:
Educational objectives are the desired change in behavior as a result of specific teaching
learningactivity or specific teacher learner activity.
Determination of the aims\ objectives:Determination of the aims\ objectives should be
based on the following factors

The statement of the schools philosophy

The social and health needs of the people

The kind of students that is expected to be recruited and her specific needs

The level of the professional competence to be attained

The role of the nurse to play in the society

The statutory minimum requirements

The teaching, physical and clinical resources availableFormulation of the purpose\

objectives:The purposes are the overall goals of the total educational programme and should
be formulated as a broad statement of one to two sentences.The objectives which are derived
from the purposes should be more specific and should be stated insuch a way that they will be
a guide , in the construction of curriculum and selection of the learningexperiences.
Selection of the learning experiences which will achieve the purpose:
The selection of the learning experience , broadly speaking , deciding on what will be the
content of the curriculum. A learning experience is something in which the student actively
participates and which resultin a change in the behavior.The kind of learning experience
which the student require will depend on theobjectives of the curriculum.
The effective organization of the selected learning experiences:
The steps include

Grouping Learning experiences under subject heading

Preparation of master plan for the curriculum

Placement of learning experiences in the total curriculum

Preparation of the correlation chart

Organization of clinical experiences

Types of teaching system have to be followedGrouping Learning experiences under subject

heading
A
After selecting the learning experience one has to organize them with an intention to provide
optimumexperience to the students.Preparation of master plan for the curriculumPreparation
of the master plan helps the teachers in the placement of the subject matter and the
clinicalexperience.it should include:

Total duration of the programme

Explanation of the different courses

Total allotted times in terms of theory and practice

Teaching learning method

Scheme of evaluation

Details of the student activiiesPlacement of learning experiences in the total curriculum

all elements of the curriculum should be related to one another

the learning experience should follow principle of sequence , integration, and correlation

Preparation of the correlation chart

it will help to identify the extend of correlation achieved in the total curriculum in relation
to differentcourses of study and the various subjects and clinical experience offered in the
programmeOrganization of clinical experiencesProper organization of the clinical experience
will help to develop the expertise in the field of nursingTypes of teaching system have to
be followed

complete block or teaching block system

partial block system and

study day system

Curriculum implementation in NUINS

The Academic council meeting will be held before commencement of the Academic year

The coordinators for undergraduate students will be post graduate teachers only
n the meeting, the subjects coordinators will be nominated by the Principal & Vice Principal

The subject allocation will be done by Principal & vice principal

The coordinators will prepare the master plan along with master rotation plan in consultation
with thevice principal

The subject coordinators will prepare the course plan,unit plan & the clinical rotation plan

Allocation of the workload will be done by departmental HOD to her respective department.
Periodic credentialing and accreditation of the College
The quality of nurse education is controlled from within the profession through state boards
of nursing andnational accrediting bodies.These bodies ensure quality in practice by
preparing nursing students in:

The contemporary and anticipated needs of health care.

An outcome based competency approach to fitness of practice.

Sound assessment of practice and its integration with theory.

The nature of and standards for the teaching of nursing.

Positioning in relation to possible inter-professional approaches where necessary.

Credentialing
This is generally defined as
the formal recognition of

professional or technical competence and attainment of minimum standards

by a person
to:a. Produce a quality product b. Confer a unique identityc. Protect provider and publicd.
Control the profession
Accreditation

This is one of the major quality assurance tool employed in nursing.

It is a system of evaluating nurse academic programmes in line with the minimum laid down
standards.

To ensure quality, the International Council of Nurses established standards that are use by
national bodies to inspect nursing education programmes while the National Universities
Commission have their own standards for university-based education.
Objectives of the accreditation
The accreditation process objectives are primarily to evaluate the school or departments
physicalstructure, organizational structure, funding, library as well as employer rating

Ensure that at least minimum academic standards documents are attained, enhanced and
maintained.

That employer as well as other community members is sure of the level of competency
attained bynursing graduates.

Prove to the international community that nursing programmes whether basic or university
levelmeasure up with international standards of caregivers to service recipients.Three levels
of status Accreditation

Full accreditation usually granted to nursing programmes that satisfies the minimum period
of three (3)years.

Provisional accreditation is given to schools that have met the minimum standards required
but are leftwith a few more things to do.

Denied accreditation is for those schools that do not meet the minimum requirements to run a
school of nursing.
Periodic Inspection by Indian Nursing Council
Indian Nursing Council conducts periodical (after 3 years) inspection of the institution once
the institution isfound suitable by Indian Nursing Council to monitor the standard of nursing
education and the adherence of the norms prescribed by INC. Institution are required to pay
annual affiliation fees every year. However, if theinstitution does not comply to the norms
prescribed by Indian Nursing Council for teaching, clinical & physical facilities, the
institution will be declared unsuitable.
Extra curricular/ co curricular activities/ Student welfare activities
Student welfare is an important part of the total educational programme. It broadly covers
their physical ,mental, and social well being. Such needs of the students will be met partly by
the facilities provided in thehostel and partly through an active and adequate student health ,
guidance and counseling services , andopportunities for recreation and for cultural and
religious activities
Extra curricular/ co curricular activities/ Student welfare activities

Student health services

Counseling

Recreational and cultural activities

Student health services

These are designed to permit the students to achieve the maximum benefit from their
school experience.To promote good health habits which will be lasting and which they can
apply in the practice of nursing , and togive them the required care when they are sick.The
health services include
Medical examination on admission and routine

Health records

Student health clinic

Health room in the hostel

Sickroom for the students

Counseling
To give the students the guidance and counsel in her daily living personal problems ,
adjustment to groupliving , educational programme and her professional responsibilities
should be taken into accountEach tutor may act as advisor to a certain number of help the
students to identify their problem , to identifywhat need to be done about them and to work
out their own solution with such guidance as is indicatedReports should be maintained on the
services provided

Counseling
To give the students the guidance and counsel in her daily living personal problems ,
adjustment to groupliving , educational programme and her professional responsibilities
should be taken into accountEach tutor may act as advisor to a certain number of help the
students to identify their problem , to identifywhat need to be done about them and to work
out their own solution with such guidance as is indicatedReports should be maintained on the
services provided
Recreational and cultural activities:
To make it possible for them to continue with the leisure time interests they have already
acquired , as far as itis compactable with the objectives of the programme, as well as to guide
them in assisting them in developingothers- cultural, social and creative past time- in
accordance with their preferencesThere are so many recreational programmes which can be
pursued in the nursing educationalinstitutions such as music , dance and drama, reading and
creative writing , needle work photography, naturestudy, gardening and social entertainments
such as giving parties , going for picnics and both indoor andoutdoor gamesThere should be
adequate facilities for recreation like sitting room, reading room, and recreation roomand
lawn, badminton and tennis courts and space for other out door games
Student organization
The involvement of the students as an organized group is an important factor in the
management of theschool and in meeting the objectives of the programme. The two principal
ways by which this can be achievedare through student government and by the formation of a
unit of the Student Nurses Association
Student government
overnment by the student usually requires the setting up of a student association of the
institution, tofunction as the officially recognized organization of the students. The council,
which would be the executiveorgan of the student association , should be composed of two
or more elected representatives from each class.It should have a president , vice president and
secretary and should maintain record for its all meetingsThe objectives of such student
association may include:

The promotion of student welfare

To encourage leadership ability and help students to gain a wide knowledge of the nursing
professionin all its different branches and aspects

To increase the students social contact and general knowledge in order to help them take their
place inthe world when they are finishing their training

To encourage both professional and recreational meetings, games and sports

To encourage both professional and recreational meetings, games and sports

To provide a special section in the nursing journal of india for the benefit of student

To encourage students to compete for prices in the Student Nurses Exhibitions and to attend
nationaland regional conferences
Maintenance of record and reports
RecordsRecords play an important part in a nursing educational programme.Apart from being
necessary for the day to day administration of the nursing educational institutions,
they provide continuity from the time the institution was established, thus facilitating the
evaluation of the programme.Records and the maintaining system may vary from one
institution to the other.Types of records to be kept in the nursing
institutions:1 . T h o s e c o n c e r n i n g t h e s t u d e n t s 2 . T h o s e c o n c e r n i n g t h e
s t a f f 3 . G e n e r a l s c h o o l r e c o r d s Records concerning the students

Application forms and other reports called for at the time off recruitment, selection and
appointment

A record of each students clinical experience

A progress report showing grades and any other forms of pertinent information

A final record giving summary of instruction, clinical experience , grades and other relevant
material

A health recordRecords concerning school staff

Application form

Copy of letter of appointment and any subsequent letter showing the change in the status

Job description

Record of staff members educational qualification, previous experiences, any short term
educationalcourses attended, membership in professional societies, and professional activities
such as contributionof articles to the journal, holding office in associations or organizations,
participation in seminars,conferences etc

Periodic evaluation or progress report

Leave record( vacation, casual, special , or sick leave)

Health recordGeneral school record:These should consist of;

The philosophy, purpose and curriculum of the school

Written policies of the school

Statement of budget proposals and allotments

Letter of agreement with affiliating agencies

Minutes of staff meetings

Copy of institutional brochure

Inventories of stokeReportsThe number and nature of reports will depend on what is

required by the controlling body and thenursing councils. The preparation of such reports
should be done very carefully and accurately as the data theygive is requently used for the
purpose of planning and evaluating at state and national level.ReportsIf the report is
submitted on a structured form, the questions asked should be read carefully to avoiddelay
caused by returning them for clarification.It is important that the report sent promptly as they
may be required by the authority calling for them to form part of a more comprehensive
report of the schools in the state or country.The type of information required in an annual
report is as follows:

Factual data concerning the students, staff , clinical facilities, physical facilities ,
administration and thecurriculum

Developments in the school programme since last report

Proposals and plans for future development

Problems encountered

Recommendations

Developments in the school programme since last report

Proposals and plans for future development

Problems encountered

Recommendations
Sample organization chart for an independent schoolControlling authority( Hospital
committee, Board, Trust , Medical superintendent\ hospital administration)

Director of nursing service Director of nsg education (Nsg supdt)(Principal)

Nursing staff Teaching and otherstaff

H o u s e k e e
p i n g H o u s e
 k e e p i n g Bibliograph
y:
Basavanthappa B.T Nursing administration. 1
st
edition. NewDelhi: Jaypee brothers Medical publishers; 2007WHO. Guide for schools of
nursing in India. New Delhi: 1966Dutta P. Jaiwanti. Nursing Administration and
management. 1
st
edition. NewDelhi:
TNAI;2000http://www.google.co.in/search?hl=en&source=hp&q=organisation+of+nursing+
education&aq=f&aqi=&aql=&oq=&gs_rfai=http://www.nnnet.gov.au/confwatch.htmhttp://w
ww.indiannursingcouncil.org/http://www.ncbi.nlm.nih.gov/pubmed/162590
College Administration

The government body should decide about the principal or dean or head of department of
director of nursing education.

Duties and responsibilities (to be worked out)

Qualification and rules for appointment (however, the appointing authority may relax
experience)
Method of locating prospective candidates for the principal
Selection procedures
Appointment procedure.

College Teaching Staff

Institutional staff to have university status and
nomenclature.
Duties and responsibilities
Qualification and rules for appointment
Recruitment and method of locating prospectiv
candidates
Selection procedure
Rules of promotion (all this have to be worked at by th
_principal)