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THIRD YEAR B.

Sc NURSING

Medical Surgical Nursing


(Adult including Geriatrics-II)
Theory: 100 hrs

Placement: II YEAR
(Nursing Faculty: 70)
Medical Faculty: 30
Practical (400 hours)

Course Description: This course is designed to enable the student to recognize the etiology, pathophysiology,
symptomatology, diagnostic

measures and management of patients with complex medical and surgical conditions in Cardiology,
Cardiothoracic surgery, Neurology,

Neurosurgery, Nephrology, Oncology, Plastic & Reconstructive surgery, and Emergencies and to provide
comprehensive Nursing

care based on Nursing process approach.


Unit Time Learning Objective Content Teaching Assessment
(Hrs) Learning Method
Activities
1 8 Describe the Nursing Management of patients in critical care Units Lecture Essay, Short
organization of Introduction: Organizational set up policies, Staffing Norms. Discussion answers,
critical care units Explain using Objective type,
Classification: Principles of critical care Nursing, Charts, graphs Assessment of
Nursing assessment, History, - Physical examination. Models, films, skills with check
Describe the role of → Protocol, Equipments & supplies-Ventilators, Cardiac monitors, slides list, Assessment
the nurse in infusion pumps. Demonstration, of patient
management of → Infection control in critical care units Practice session management
patients in critical → Ethical and Legal aspects, psychosocial aspects. Case Discussion problem
care units → Nursing Management of patients in critical care units, multi system / Seminar,
organ failure Health
→ CPCR-Basic Life Support, Advanced life Support education
→ Crisis Intervention & Stress Management Supervised
→ Drugs used in Critical Care Units ,Intensive Care, clinical practice
→ Records Drug book/
→ Communication with patient and family, special treatments and presentation
procedures-Cardiac monitoring, CVP monitoring, Transitional Care
II 8 Describe Nursing Management of Patients with Emergencies and Disaster Lecture, Essay
organization of situations Discussion, Short
emergency and Explain using Answers
disaster care Disaster Nursing Charts, graphs Objective type
services. Models, films, Assessment
Concepts and principles of Disaster Nursing Slides Of skills
Demonstration, With
Describe the role of Causes and Types of Disaster: Practice Checklist
nurse in disaster Natural and Man-Made session, Assessment
management. Earthquakes, Floods, Epidemics, Cyclones, Tsunami Case Of patient
Fire, Explosion, Accidents, Violence, terrorism: biochemical, war discussion, Management
Describe the role of Policies related to emergency/disaster Management: international, Seminar, problem
nurse in national State, institutional Health
management of Disaster preparedness: education,
common Team, Guidelines, protocols, Equipments, resources Supervised
emergencies Coordination and involvement of Community, various Govt. Clinical
departments, non-govt organizations and international agencies. practice,
Role of nurse and disaster management Disaster
Legal Aspects of Disaster Nursing Management
Post Traumatic stress Disorder, Rehabilitation: physical, psychosocial, Drills,
Financial, relocation Drug book,
Emergency Nursing presentation
Concept, priorities, principles and Scope of emergency nursing,
Issues in Emergency care
Organization of emergency Services: physical setup, staffing, equipment,
and supplies, protocols, Concepts of triage and role of triage nurse
Coordination and involvement of different departments and facilities
Medico Legal Aspects
III 10 Explain the concept, Nursing care of the Elderly Lecture Essay
theories and Demographics in ageing Discussion Short answer
problems of ageing. Assessment ageing, concepts, theories, ageing process Case Objective
Psychosocial aspects-stress & coping in order adults presentation Type
Cognitive Aspects of Ageing Seminar Assessment of
Describe the nursing Normal biological ageing:- Health skills
care of the elderly. Age related body systems changes and health promotion strategies. education With
Common health problems & Nursing management Supervised Checklist
Cardiovascular,Respiratory, clinical practice Assessment of
Musculoskeletal,Endocrine,Genitourinary,Gastrointestinal,Neurological, Drug book patient
Skin and other sensory organs. Presentation Management
Psychosocial and sexual abuse of the elderly. Visit old age
Environmental aspects of ageing home
Role of nurse in care of the elderly-ambulation ,nutrition,psychosocial
and spiritual, drugs,- home, institution care
Role of the nurse for caregivers of elderly
Role of family and formal and nonformal caregivers
Use of aids and prosthesis(hearing aids, dentures)
Legal and ethical issues,
Provisions and programmes for the elderly, privileges, community
programmes and health services.

Describe the nursing Nursing management of patients with Respiratory disorders


IV management of Medical faculty-(Dept of Respiratory medicine) Lecture Essay
3 patients with ARDS, Pulmonary oedema, Interstitial lung disease, Respiratory Discussion Short
respiratory insufficiency and arrest. Answer
disorders Mechanical ventilator support Objective
Nursing faculty Type
Nursing management of patients with ARDS Pulmonary oedema,
6 nterstitial lung disease.
Nursing management of patients on mechanical ventilator.
Lecture Essay
Nursing management of patients with cardiothoracic conditions Discussion Short answer
V Describe the Medical faculty-Cardiologist Demonstration Objective type
etiology,patho- Acute coronary syndrome, Dysrrhythmias, Cardiomyopathies, LVF,
5 physiology, ,Cardiac arrest-CPR,ACLCS
clinical Supportive therapies-Pacemaker, IABP, Defibrillators, Thrombolytic
manifestations Therapy, Interventional cardiology, correcting congenital defects
and medical , Cardiac rehabilitation, cardiac drugs.
surgical and nursing
5 management Nursing management of patients with cardiac pacemaker,
of common cardiac Arrhythmias.
conditions Cardiac rehabilitation, Cardiac drugs.
Cardiothoracic surgeon:
Pre and post operative management of patients undergoing
Closed and open heart surgery-valvotomy, valve replacement,
CABG, Heart transplantation, repair of aneurysms.

Nursing faculty:
Review acute coronary syndrome,
10 Nursing management in Dysrrhythmias, cardiomyopathies, Essay
LVF, Cardiac arrest-ACLS, pacemaker therapy, IABP, defibrillation, Lecture Short answer
Pre and postoperative management of patients undergoing Discussion Objective type
Closed and open heart surgeries-valvotomy, CABG, valve replacements,
Heart transplantation
Rehabilitation after cardiac surgery
Describe the Nursing management of patients with neurological conditions
VI Medical ,surgical Neurologist:
And nursing Neuro assessment,e pilepsy
5 management Neurosurgeon:
Of patients with Head injury, spinal cord injury, IVDP,ICSOL-Brain tumours, cerebral
Neurological aneurysms, Essay
And neurosurgical Lecture Short answer
10 Conditions Nursing faculty: Discussion Objective
Nursing management in with epilepsy, head injury, spinal Demonstration Type
Cord injury, ICSOL-Brain tumours
Nursing management of patients undergoing cranial and spinal surgeries,
cerebral aneurysms, IVDP

VII Describe the


4 Nursing Nursing management of patients with renal disorders
management of Nephrologist: Essay
patients with renal ARF,CRF-Review Lecture Short
disorders Dialysis-HD, PD, CRRT, Renal transplantation Discussion Answer
Slides Objective
Nursing faculty: Demonstration Type
7 Review- ARF,CRF
Nursing management in ARF, CRF, Dialysis,r enal transplantation.
Describe the
VII Nursing Nursing management of patients with oncological disorders
5 management of Oncologist: Lecture
patients Cell cycle, cell characteristics, staging and grading Discussion
With oncologic Treatment modalities-chemotherapy Slides
Disorders radiation therapy, immunotherapy, Demonstration
Gene therapy, BMT, Stem cell replacement therapy Practice session
Hormone therapies, other therapies. Seminar
Oncological emergencies Health
Palliative care education Essay
Supervised Short
Nursing faculty: clinical practice Answer
8 Structure and characteristics of normal and cancer cells, Drug book objective
Nursing assessment-History, physical examination Presentation type
Early signs of cancer, prevention, screening, early detection Visit to
Epidemiology, etiology, classification, pathophysiology, Palliative care
Staging, clinical manifestations, diagnosis, treatment modalities, medical Centre, hospice
and surgical management of oncological conditions
Common malignancies of various body systems-oral, larynx,
Lung, stomach and colon, liver, leukaemias, lymphomas
Breast, cervix, ovary, uterus, sarcoma brain, renal, bladder, prostate etc.
Oncological emergencies, Modalities of treatment
Nurses role in immunotherapy, chemotherapy, radiotherapy ,surgical
interventions, Stem cell and bone marrow transplantation, gene therapy
Other forms of treatment
Psychosocial aspects of cancer, Rehabilitation, Palliative care, Symptom
and pain management, Nutritional support, Home care, Hospice care.
special therapies
Nursing management of patients undergoing plastic, reconstructive and
Describe the cosmetic surgeries
IX Significance of Plastic surgeon: Lecture
3 Plastic, Types of repair, traumatic injuries, burns congenital defects Discussion
reconstructive Skin grafts Explain with Short
And cosmetic Cosmetic surgeries-prosthesis Charts, models Answer
surgeries Graphs, films objective
Nursing faculty Slides type
3 Nursing assessment, nursing management in skin graft Demonstration
Pre and postoperative care of patients undergoing plastic Practice
Reconstructive and cosmetic surgeries Session
Legal aspects, rehabilitation Health
education
References:

Brunner and Suddarth’s textbook of Medical Surgical Nursing: Lippincott, Williams and Wilkins

Black and Mattassarin Jacobs, Luckmann and Sorrensen’s Medical Surgical Nursing: Philadelphia. W.B. Saunders

Lemone Pricilla and Burke Karen M. Medical Surgical Nursing: California. Addison Wesley

Krishnadas K V. Textbook of Medicine; New Delhi , Jay peep brothers

Haslet, Chilvers, Hunter and Boon. Davidson’s Principles and Practice of Medicine: Edinburgh. Churchill Livingstone

Miaskewski and Buchoel. Oncology Nursing-Assessment and Clinical Care: St. Louis. Mosby

Otto Shirlay. Oncology Nursing: St. Louis. Mosby

Hicky Joanne V. The Clinical practice of Neurological and Neurosurgical Nursing: Philadelphia. Lippincott

Woods Sivarajan, Frolikher . Cardiac Nursing: Philadelphia, Lippincott

Daver Antina and Furnas. Hand book of Plastic Surgery: Bombay. Oxford university press

Dr. Kasi Visweswaran. Essentials of Nephrology and Urology

Patricia Tabloski Gerontological Nursing: Pearson Prentice Hall

Joanne C Langan Preparing Nurses for Disaster Management: Pearson-PrenticeHall.


MEDICAL SURGICAL NURSING-PRACTICAL –II

Areas Duration Objectives Skills to be developed Assignments Assessment


(weeks) Of posting method
Critical care 2 Provide care -Monitoring of patients in the ICU Provide care to Assess each skill
Unit To critically -Maintain flow sheet assigned patient with checklist
(general) Ill patients - Care of patient on ventilators Observation Assess performance
MICU -Perform endotracheal suction report of with rating scale
SICU -Demonstrate use of Critical care unit Evaluation of
Ventilators, cardiac monitors etc. Drug book Observation report
-Collect specimen and Completion of
Interpret ABG analysis Activity record
-Assist with arterial puncture
-Maintain CVP line, Pulse oximetry
-CPR-ACLS ,defibrillators, pacemakers,
-Bag-mask ventilation
-Emergency tray/trolley,
Crash cart
-Administration of drugs
-Infusion pump
-TPN
-Chest physiotherapy, active and passive
exercises
-Counsel patient and family in dealing
with grieving and bereavement.

Casualty/ 1 Provide care to Practice” triage’’. Assist with assessment, Observation Assess performance
Emergency patients in examination, investigations ,and report of with rating scale
unit emergency and their interpretations in emergency and emergency unit Evaluation of
disaster disaster situations observation report
situation Assist in documentations Completion of
Counsel Assist in legal procedures in the activity record
patients and emergency unit.
families for Participate in managing crowd
grief and Counsel patient and families in grief and
bereavement bereavement
Dialysis unit 1 Provide care to Monitoring and care of patients during Observation Assess performance
patients dialysis report with rating scale
Undergoing Assist in documentation, patient Nursing care plan Evaluation of
Haemodialysis/ education, and counseling observation report
Peritoneal Completion of
dialysis, renal activity record
Transplantation

ICU,CCU, 2 Assist in arterial puncture for ABG analysis Provide care to Observation of
Cardiac OT Provide care to Interpret ABG values assigned patients performance
CATH LAB critically ill Record ECG-interpret values Arterial Evaluation of report
patients. Care of patient on mechanical ventilator puncture- Completion of
Develop skill in Assist in endotracheal intubation, Recording ECG- activity record
Assisting with endotracheal suctioning Tracheal
Special Demonstrate the use of-ventilators suctioning-
procedures Cardiac monitors, hemodynamic Administration-
used in critical monitoring, pulse oximetry, CPR-ACLS CPAP
Care unit. Defibrillators, Pacemakers, Bag-mask Nursing care
Identify Ventilation, infusion pumps, plan-
potential -.TPN Drug record
problems and Chest physiotherapy, active and passive
Provide care exercise
accordingly. Assist with interventional cardiology
Develop skill in
Setting and
handling
Ventilator.
Administer
Injections in
Infusion pump.
Maintain
records of
Observations
and drugs
Neurosurgical 1 Develop skill in Assess neurological status Provide care to Assessment of
ICU,OT Neurological Provide care to patients with head injury assigned patients Performance
Assessment and spinal injury Neuro Completion of
Provide care to Pre and post operative care to assessment activity record
Patients with neurosurgical patients -head injury,
-head injury, Assist with surgical procedures spinal
Spinal injury, Injury, pre op,
Cranial and post op.
Spinal surgery Nursing care plan
Drug file

Burns, plastic Assess the Nursing care of patients with burns Provide care to Assess skill with
And 1 severity of -percentage of burns. degree of burns assigned patients Checklist
reconstructive burns -fluid and electrolyte replacement Nursing care plan Assess performance
Surgery Administer therapy Observation with
rehydration -record intake/output report of burns Rating scale
therapy - care of burn wounds unit Evaluation of
Observe -exercises Care plan,
reconstructive -counsel and teach patients and families observation report
surgery -participate in rehabilitation programme Completion of
Provide care to Nursing care of patients undergoing activity record
Patients with various reconstructive surgeries.
Burns
Counsel
educate
patients and
Families
Oncology unit 2 Provide care to Screen for common cancers Provide care to Assess skill with
Patients with Assist with diagnostic procedures assigned patients Checklist
cancer -biopsies, pap smear, bone marrow Nursing care plan Assess performance
Counsel aspiration, breast self examination Observation With rating scale
patients and Assist with therapeutic procedures report of cancer Evaluation of care
families Participate in various modalities of unit plan and
treatment-chemotherapy, radiation Observation report
therapy Completion of
Pain management, activity record
hormonal therapy immunotherapy, Gene
therapy,
Alternative therapy
Participate in palliative care
Counsel and teach patients and families
-breast self examination
-warning signs
Participate in rehabilitation programme
CHILD HEALTH NURSING

Placement- 3rd year B. Sc Nursing

Time: 140 Hours


Child Health
Nursing: 100 Hours
External Classes:
40 Hours
Practical: 420
Hours

Time Allotment

Genetics & Embryology - 10 Hours


Pediatric surgery - 10 Hours
Pediatric Medicine - 15 hours
Child Psychology - 5 Hours
Child health nursing - 100 Hours
Total - 140 Hours

Course Description

Students identify the normal growth and development, needs/problems of children of various age groups and
deviations from normal, recognize the basic concepts, principles and techniques of child care and the role of
family in child rearing, develop beginning ability to plan and provide comprehensive nursing care to children
suffering from diseases and disorders.

Genetics and Embryology 10 hours

 Concepts and importance in Pediatrics.


 Gene structure and function
 Pattern of inheritance
 Common chromosomal disorders - Down’s Syndrome, Turner’s syndrome, Klinefelter’s syndrome, Edwards syndrome,
Albinism, Inborn errors of metabolism, phenylketonuria, galactosaemia, and mental retardation
 Growth and development of fetus
 Mal development leading to congenital anomalies
 Genetic testing in neonates and children
PEDIATRIC SURGERY - 10 Hours (Pediatric Surgeon specialist)

Management of children with congenital disorders and diseases of

1. Cardiovascular System .
Patent Ductus Arteriosus, Ventricular Septal Defect, Atrial Septal Defect , Tetralogy of Fallot

2. Gastro intestinal system


Cleft lip, Cleft palate, Tracheo-esophageal fistulae, Pyloric stenosis, intestinal obstruction, Hirschsprung’s disease,
Anorectal Malformations, Omphalocele, Hernias.
3. Central Nervous System ‘.
Head injury, Hydrocephalus, Spina Bifida, Encephalocele, Brain Tumors

4. Genitourinary system
Wilm’s Tumor, Obstructive Uropathy, Epispadias, Hypospadias, Ectopia vesicae

5. Orthopedic Disorders
Club foot, Hip dislocation, Fracture

6. Burns

PEDIATRIC MEDICINE 15 hours (Pediatrician)

Management of children with diseases of

Respiratory system: Croup, Bronchiolitis, Bronchitis, Pneumonia, Tuberculosis, Bronchial Asthma, emphysema,
Empyema, Epiglottitis.

Cardiovascular System: Rheumatic fever, Rheumatic Heart Disease, Congestive Heart Failure, Kawasaki disease.
Gastrointestinal system: Gastroenteritis, Malabsorption syndrome, Hepatitis
Central Nervous System: Meningitis, Encephalitis, Cerebral palsy, Convulsions, Epilepsy
Genito urinary system: Acute glomerulonephritis, Nephrotic syndrome, Renal failure
Endocrine Disorders- Juvenile Diabetes, Congenital Hypothyroidism.
Anaemia, Thalassemia, Hemophilia, Leukemia, Lymphomas, ITP.
HIV/AIDS
CHILD PSYCHOLOGY 5 Hours (Child-Psychologist)

Child’s normal behaviour and development, theories of development.


Childhood problems - Behavioural, Developmental, Habit disorders, Discipline
Child guidance and counseling - child guidance clinic, child guidance - home & outside

Assessment/
Unit Time Learning Content Teaching
Methods
(Hrs) Objective Learning

Activities

I 9 Explain the concept of child care Concepts of child care Lecture Essay type
Describe the principles of child History of Child Health
health nursing Discussion Short
Nursing
Recognize the difference between Principles of Child answers
child and adult nursing Health Nursing
Identify the reactions of child and- Difference between Objective
family towards hospitalization and adult and child nursing
illness type
Rights of children
Describe the major functions and
Qualities of a Child
role of. pediatric nurse in caring for a
Health Nurse
hospitalized child
Role of Child Health
Nurse in caring for a
hospitalized child, Reaction
of child and family towards
illness and hospitalization
and nurse’s role in
minimizing stress, General
preoperative and post-
operative management of
children

II 5 Describe national Preventive Pediatrics Lecture Short


policy and child welfare Discussion answers
programmes National policy &
Recognize universal legislations in relation to Immunization Assessment
Immunization programme child health and welfare clinic of Reports
Explain the activities of Child welfare programmes:
Child Guidance Clinic State, National, Field visit to
International Child Child Guidance
Identify measures to
Morbidity and mortality Clinic
prevent common
rates Universal
childhood diseases
Immunization
Programme,cold chain,
underfive clinic,wellbaby
clinic Genetic counseling
Child Guidance Clinic, IMNCI
III 10 Describe the normal growth & The healthy child Lecture Short
development of children at different Discussion answers
ages Principles of growth and Developmental Objective
Identify the nutritional needs of development
assessment of type
children at different ages & provide Factors affecting growth
infant and Assessment
parental guidance. & development
children of field visit
Appreciate the role of play for Growth and
normal & sick children development from and develop-
Appreciate the accident conception to adolescence mental study
prevention measures and strategies for Nutritional needs of Field visit to reports
children children & infants: breast
Anganwadi.
feeding, exclusive breast
feeding, supplementary/
artificial feeding and
weaning
Baby friendly hospital
initiative
Accidents: causes and
prevention
Play needs of children

IV 9 Provide care to normal & high risk Nursing care of a neonate Lecture Short
neonates Discussion
Perform neonatal resuscitation. Nursing care of a Workshop on Answers
Recognize and manage common normal newborn/Essential neonatal Objective
neonatal problems newborn care resuscitation type
Kangaroo mother care Demonstration Assessment
Nursing management of Practice session,
of skills with
High risk Neonate Low birth Clinical practice
checklist
weight, Respiratory distress
syndrome, Pre term,
Hyperbilirubinemia,
Meconium Aspiration
Syndrome, Infant of diabetic
mothers, Neonatal
infections and preventive
measures.
V 5 Demonstrate skill in doing specific Nursing management in Lecture Short
Child Health Nursing procedures common childhood Discussion answers
Provide nursing care to diseases Demonstration Objective
children with various Specific Child Health Practice session type
nutritional disorders. Assessment
Nursing Procedures Clinical practice
of skills with
Nutritional deficiency
checklist
disorders
Protein Energy Mal
nutrition,
Vitamin & Mineral
Deficiencies
V1 5 Provide nursing care in Respiratory disorders Lecture Essay type
common respiratory and infections Discussion Short
disorders in children Croup, Bronchiolitis Demonstration answers
● Objective
Demonstrate skill in Bronchitis, Pneumonia, Practice session
type
identifying respiratory Tuberculosis, Epiglotitis, Clinical
● Assessment
disorders in children Bronchial Asthma, practice
of skills with
Emphysema, Empyema checklist
Gastrointestinal disorders
essay type
Medical: gastro enteritis,
Provide nursing care in Malabsorption Lecture Short
common gastro intestinal disorders in syndrome, Hepatitis, Indian
children Discussion
childhood cirrhosis answers

Surgical: Cleft lip & Palate, Clinical ● Objective


V11 7 Demonstrate skill in Tracheo-esophageal fistula,
identifying gastro intestinal Practice type
Pyloric, stenosis, Intestinal
disorders in children. obstruction, Diaphragmatic
● Assessment
Hernia, Intussusception,
Hirschsprung’s disease, of skills with
Anorectal malformation,
checklist
Omphalocele, Abdominal
wall defects, Hernias

V111 6 Demonstrate skill in Cardio vascular disorders Lecture ●Essay type


providing Nursing Care to Medical : Rheumatic fever, Discussion ●Short
children with cardio rheumatic heart disease, answers
vascular disorders. Clinical ● Objective
Heart failure, Kawasaki
Disease. practice type
Surgical : Patent ductus ●Assessment
arteriosus, Ventricular of skills with
septal checklist
defect, Atrial septal defect,
Tetralogy of Fallot,
TGA,TAPV

Demonstrate skill in Genitourinary disorders: Lecture ●Essay type


providing nursing care to Medical: UTI, Acute Discussion ●Short
children with common genito-urinary glomerulo nephritis, answers
disorders Nephrotic syndrome, Clinical ● Objective
1X 6
Surgical: Wilms’ tumor, type
practice
Obstructive uropathy, ●Assessment
Epispadias, Hypospadias, of skills with
Ectopia vesica. checklist
Provide nursing care in Neurological infections and Lecture ●Essay type
common neurological infections in disorders: Discussion ●Short
X 6 children answers
Medical: convulsions,
Clinical ● Objective
epilepsy, meningitis,
Encephalitis, cerebral palsy. practice type
Surgical: Head Injury, Brain ●Assessment
Tumors, hydrocephalus, of skills with
Neural tube defects, checklist
Encephalocele

●Essay type
Hematological disorders: Lecture ●Short
X1 5 Provide nursing care in Anemias, thalassemia, ITP, answers
Discussion
common hematological
Leukemia, Hodgkins’ & Non Clinical ● Objective
disorders in children Hodgkin’s Lymphoma, type
practice
hemophilia ●Assessment
of skills with
checklist

Provide nursing care in Endocrine disorders: Lecture ●Short


common endocrine Juvenile Diabetes Mellitus, Discussion answers
X11 3 disorders in children ● Objective
Congenital hypothyroidism Clinical
practice type
X111 2 Demonstrate skill in Orthopedic disorders: club Lecture ●Short
identifying orthopedic feet, hip dislocation and Discussion answers
disorders and provide nursing care in fracture. Clinical ● Objective
orthopedic practice type
disorders in children.

X1V 5 Provide nursing care in Genetic Disorders Lecture


common genetic Common chromosomal Discussion
disorders in children ●Short
disorders
Clinical
Down’s Syndrome, answers
Turner’s syndrome, practice
Kleinfelter’s syndrome, ● Objective
Edwards syndrome,
type
Albinism, Inborn errors of
metabolism,
phenylketonuria,
galactosemia, and mental
retardation
XV 2 Demonstrate skill in Common disorders of Lecture ●Short
skin, eye, and ears Discussion answers
providing care to children Clinical ● Objective
with disorders of skin, practice type

eye, and ears.

Demonstrate skill in Common Lecture ●Short


providing care to children communicable diseases in Discussion answers
XVI 5 with communicable children, their - ● Objective
Clinical
diseases. identification, nursing practice type
management in hospital
and home and prevention.

XVII 6 Demonstrate skill in Child health emergencies Lecture ●Short


providing Nursing Care to poisoning, foreign bodies. Discussion answers
children with emergency Shock, hemorrhage, bums Clinical ● Objective
conditions. and drowning, snake bite. practice type
Nursing care of infant and
children with HIV/AIDS,
Dengue fever, Chikun
Guinea.
XVIII 4 Manage the child with Management of Lecture ●Short
behavioural & social behavioural & social Discussion answers
problems problems in children ● Field ● Objective
● Identify the social & ●Management of visits to type
welfare services for common school for
challenged children
behavioural disorders
mentally,
●Management of
physically
common
psychiatric problems and
● Management of socially
challenged children: challenged
Mentally, Physically, &
Socially challenged
●Welfare services for
challenged children in
India.
CHILD HEALTH NURSING – PRACTICAL

Placement : Third Year Time: 420 Hours (10 weeks)

Duration Objectives of Assessment


Areas Skills to be developed Assignments
(in wks) posting method

Pediatric 3 Provide nursing Taking Pediatric history Give care to Assess clinical
Medicine care to children Physical examination and three assigned performance
ward with' various assessment of children. pediatric
medical disorders Administer of oral, I/M &IV patients with rating scale
Counsel and medicine /fluids Calculation of Nursing care
fluid requirements Assess each skill
educate parents plan-I with checklist
Prepare different strengths
of IV fluids OSCE/ OSPE
Case study/
Apply restraints Administer Evaluation of case
presentation-1
O2 inhalation by different study/
Health talk- 1
methods. presentation and
Feed children by cup and Health education
spoon
Collect specimens for session
common investigations Completion of
Assist with common activity record
diagnostic procedures
Teach mothers/parents
Malnutrition Oral rehydration
therapy feeding & Weaning
Immunization schedule play
therapy Specific Disease
Conditions
Pediatric 3 Recognize Calculate prepare and Give care to Assess
Surgery different administer I/V fluids three. Assigned clinical
Ward pediatric surgical Do bowel wash pediatric performance
conditions/ Care for ostomies: patients with rating
malformations colostomy irrigation- Nursing care scale
Provide pre and Ureterostomy-Gatrostomy- Plan-I Asses each
Enterostomy
post Case study/ skill with
Urinary Catheterization and
operative care to drainage Presentation - I check list
children with Feeding-Naso-gastric OSCE/
common Gastrostomy-Jejunostomy OSPE
paediatric Care of surgical wounds Evaluation
surgical Dressing of ease
conditions/ -Suture removal study/
malformations presentation
Counsel and Completion
educate parents of activity record
1 Perform Assessment of children Developmental Assess clinical
assessment of Health assessment study - I performance with
children: Health Developmental assessment rating scale
paediatric developmental Anthropometric assessment Completion of
OPD/ and Immunization activity record
Immunizat anthropometric Health/Nutritional
Perform Education
ion room
Immunization

Give Health’
Education
/Nutritional
Education

3 Provide nursing Care of a baby in Nursing care Assess clinical


care to critically incubator/ warmer plan-I performance with
Peadiatric ill children Care of a child on ventilator Observation rating Completion
Medicine Endotracheal suction Chest report of activity
and physiotherapy
surgery Administer fluids with record
infusion pump
ICU Evaluation of
Total parenteral nutrition
Phototherapy
observation report
Monitoring of babies
Cardio Pulmonary
resuscitation
References

Marlow and Redding Textbook of pediatric Nursing Latest Edition, WB. Saunders Company.
Wong DL & Hockenberry MJ,WONG’s NURSING CARE of INFANTS AND CHILDREN Latest Edition, Mosby
Marilyn J Hockenberry , Wong’s essentials of Pediatric Nursing, Mosby
Behrman, Kliegman &Arvin , NELSONS’s text book of pediatrics ( Book I & II) Latest Edition W.B. saunders Company
Nancy Tkacz Browne, Laura M Flanigan,Carmal,Pam. Nursing care of the pediatric surgical patient , Jones and Bartlett publishers.
O.P GHAI, GHAI Essential pediatrics Latest Edn.lnterprint, New Delhi.
Meharban singh , Care of New born Latest Edn. Sagar Publications, New Delhi
Ashcraft KW, Holocomb GW & Murphy J.P. Peadiatric surgeon Latest Edn, Elsevier.saunders
Neill J A (2003) Principles of Pediatric surgery 2nd End, Mosby, S1. Louis)
Theresa Kyle, Essentials of pediatric nursing, Lippincott Williams & Wilkins Latest Edn.
Meharban singh,Paediatric emergencies, Sagar Publications.
Bowden,Children and their family, Lippincott Williams & Wilkins Latest Edn.

Internal Evaluation

Method of evaluation Weightage

1. Theory
Three sessional examinations 100%
2. Clinical
1. Growth & development assessment 10%
(Infant, Toddler, Pre-schooler) and
Newborn assessment
2. Care Study -2
Medical -1 10%
Surgical -1
3. Health Talk 10%
4. Case Presentation- 1 10%
(Medical/Surgical)
5. Ongoing Clinical Evaluation 40%
6. Internal Practical Exam 20%
Total 100
MENTAL HEALTH NURSING

Placement: Third Year Time: Theory – 120 hours

Practical – 360 hours


Course Description: This course is designed for developing an understanding of the modern approach to mental
health, identification, prevention and nursing management of common mental health problems with special
emphasis on therapeutic interventions for individuals, family and community.
U Tim Learning Content Teaching Assessment
n e
it Objective Learning Method
(Hrs
) Activity

I 6 Introduction

• Describe the • Perspectives of Mental Health and • Lecture • Short


historical Mental Health nursing: evolution of discussion answer
development & mental health services, treatment
current trends and nursing practices.
in mental • Prevalence and incidence of mental
health nursing health problems and disorders in
• Describe the India
epidemiology of • Mental health team
mental health • Nature and scope of mental health
problems nursing
• Describe • Role and functions of mental health
Mental Health nurse in various settings and factors
Act, Forensic affecting the level of nursing
Psychiatry practice
• Discuss the • Concepts of normal and abnormal
admission & behaviour
discharge
procedure
• Discuss the
Role and
responsibilities
of the Nurse.
• Discusses the
scope of mental
health nursing
• Describe the
concept of
normal &
abnormal
behaviour
II 8 • Defines the Principles and Concepts of Mental Health • Lecture • Essay type
various terms Nursing discussion • Short answer
used in mental
health nursing • Definition: mental health nursing • Explain
• Explains the and terminology used using
classification of • Classification of mental disorders: Charts
mental ICD • Review of
disorders • Review of personality development, personality
• Explain psycho defense mechanisms developme
dynamics of • Maladaptive behaviour of nt
maladaptive individuals and groups : stress,
behaviour crisis and disaster(s)
• Discuss the • Etiology : bio-psycho-social factors
etiological • Psychopathology of mental
factors, disorders: review of structure and
psychopatholog function of brain, limbic system and
y of mental abnormal neuro transmission
disorders • Principles of Mental health Nursing
• Explain the • Standards of Mental health Nursing
Principles and practice
standards of • Conceptual models and the role of
Mental health nurse:
Nursing Psycho-analytical
• Describe the
conceptual models- Freud
models of
mental health Behavioural model-
nursing
BF. Skinner, Joseph Wolpe,
EL.Thorndike, Ivan Pavlov

o Psychosocial model-
Erikson

Interpersonal model-

H. Peplau

H.S. Sullivan
II 8 • Describe Assessment of mental health status • Lecture • Short answer
I nature, purpose discussion • Assess-ment of
and process of • History taking skills with check
assessment of • Mental status examination • Demonstra list
mental health • Mini mental status examination tion
status • Neurological examination: Review
• Investigations: Related Blood
chemistry, EEG, CT & MRI
• Psychological tests Role and
responsibilities of nurse
I 8 • Identify Therapeutic communication and nurse- • Lecture • Short answer
V therapeutic patient relationship discussion • Short Essay
communication
techniques • Demonstra
• Describe tion
therapeutic • Therapeutic communication: Types, • Role play
relationship techniques, characteristics • Process
• Describe (Review) recording
therapeutic
impasse and its • Types of relationship,
intervention • Ethics and responsibilities
• Elements of nurse patient contract
• Review of technique of IPR-Johari
Window
• Goals, phases, tasks, therapeutic
techniques
• Therapeutic impasses and its
intervention
V 10 • Explain Treatment modalities and therapies • Lecture • Essay type
treatment used in mental disorders discussion • Short answers
modalities and • Demonstra
therapies used • Psycho Pharmacology tion
in mental • Psychological therapies: • Group
disorders and Therapeutic community work
role of the • Practice
nurse Psycho therapy session
• Clinical
- Individual therapy practice

psychoanalytical,

cognitive and

supportive

- Family Therapy

- Group Therapy

Behavioral Therapy

Play therapy,

Psycho-drama

Music, Dance,

Recreational and

Light therapy,

• Relaxation therapies
- Relaxation Technique

- Yoga, Meditation, bio

Feedback

• Occupational therapy
• Physical Therapy:
electro convulsive

therapy

V 8 • Describe the Nursing management of patient with • Lecture • Essay type


I etiology, Schizophrenia and other delusional discussion • Short answers
psycho- • Case • Assess-ment of
pathology,
disorders
discussion patient &
clinical • Case manage-ment of
manifestations, presentatio problems
diagnostic n
criteria and • Classification; ICD
• Clinical
management of • Etiology, psycho-pathology, types, practice
patients with clinical manifestations, diagnosis
Schizophrenia • Nursing Assessment- History,
Physical and mental assessment
• Treatment modalities and nursing
management of patients with
Schizophrenia
• Follow-up, and home care and
rehabilitation
V 8 • Describe the Nursing management of patient with • Lecture • Essay type
II etiology, affective disorders discussion • Short answers
psycho- • Case • Assess-ment of
pathology, discussion patient &
clinical • Case manage-ment of
manifestations, presenta- problems
• Affective disorders: Bipolar, Mania
Diagnostic tion
depression
criteria • Etiology, psycho-pathology, clinical • Clinical
and manifestations, diagnosis, practice
management • Nursing Assessment- History,
of patients with Physical and mental assessment
affective • Treatment modalities and nursing
disorders management of patients with mood
disorders
• Follow-up and home care and
rehabilitation
V 8 • Describe the Nursing management of patient with • Lecture • Essay type
II etiology, neurotic, stress related and discussion • Short answers
I psycho- • Case • Assess-ment of
pathology,
somatoform disorders
discussion patient &
clinical • Case manage-ment of
manifestations, presenta- problems
diagnostic tion
criteria and • Anxiety disorder, Phobias,
• Clinical
management of Dissociative disorder, Obsessive
practice
patients with compulsive disorder, somatoform
neurotic, stress disorders, Post traumatic stress
related and disorder
somatoform • Etiology, psycho-pathology, clinical
disorders manifestations, diagnosis
• Nursing Assessment-History,
Physical and mental assessment
• Treatment modalities and nursing
management of patients with
anxiety, OCD, Phobias, stress
related and somatoform disorders
• Follow-up and home care and
rehabilitation

I 8 • Describe the Nursing management of patient with • Lecture • Essay type


X etiology, Substance use disorders discussion • Short answers
psycho- • Case • Assess-ment of
pathology, discussion patient &
clinical • Case Manage
manifestations, presen-
• Commonly used psychotropic
diagnostic substance: Classification, forms, tation ment of problems
criteria and routes, action, intoxication and
management of withdrawal • Clinical
• Etiology of dependence: tolerance, practice
patients with
psychological and physical
substance use
dependence, withdrawal syndrome,
disorders diagnosis,
• Nursing
Assessment-History, Physical,
mental
assessment and drug

assay

• Treatment (detoxification, antabuse


and narcotic antagonist therapy
and harm reduction) and nursing
management of patients with
substance use disorders
• Follow-up and home care and
rehabilitation
X 8 • Describe the Nursing management of patient with • Lecture • Essay type
etiology, Behavioral syndromes associated with discussion • Short answers
psycho- • Assess-ment of
pathology,
Physiological disturbances and physical
• Case patient &
clinical factors, sleep discussion manage-ment of
manifestations, • Case problems
Diagnostic Sexual dysfunction and presentatio
criteria and n
management of Eating disorders • Clinical
patients with practice
Eating disorders
sleep, Sexual
and Eating
disorders
• Anorexia nervosa
• Bulimia nervosa
Non organic sleep disorder

• Insomnia
• Hypersomnia
• Sleep walking
• Nightmares
Sexual dysfunctions

Puerperium psychosis

• Classification of disorders
• Etiology, psycho-pathology,
characteristics, diagnosis,
• Nursing Assessment-History,
Physical and mental assessment
• Treatment modalities and nursing
management of patients with
Non organic sleep

Sexual and Eating

disorders

• Follow-up and home care and


rehabilitation
X 8 • Describe the Nursing management of childhood and • Lecture • Essay type
I etiology, adolescent disorders including mental discussion • Short answers
psycho- • Case • Assess-ment of
deficiency
pathology, discussion patient &
clinical • Case manage-ment of
manifestations, presen- problems
diagnostic tation
criteria and • Classification
management of • Etiology, psycho-pathology, • Clinical
childhood and characteristics, diagnosis Nursing practice
adolescent Assessment-History, Physical ,
disorders mental and IQ assessment
including • Mental Retardation
mental Developmental disorder of
deficiency
• Speech & language
• Scholastic skills
• Hyperkinetic disorder
• Conduct disorder
• Autism
• Enuresis
• Encopresis
• Tic disorders

X 7 • Describe the Nursing management of organic mental • Lecture • Essay type


II etiology, disorders discussion • Short answers
psycho- • Case • Assess-ment of
pathology, discussion patient &
clinical • Case manage-ment of
manifestations, presentatio problems
diagnostic • Classification: n
criteria and • Etiology, psycho-pathology, clinical • Clinical
management of features, diagnosis and Differential practice
organic brain diagnosis-
disorders Dementia, Delirium

alzheimers

• Nursing Assessment-History,
Physical, mental and neurological
assessment
• Treatment modalities and nursing
management of organic mental
disorders
• Follow-up and home care and
rehabilitation
XIII 8 • Identify Psychiatric emergencies • Lecture • Short
psychiatric and crisis intervention discussion answers

emergencies • Types of • Demonstration


psychiatric • Practice session
and carry out crisis • Clinical practice
emergencies and
intervention
their management

• Stress adaptation
Model:
stress and stressor,

coping, resources

and mechanism

• Grief: Theories of
grieving process,
principles,
techniques of
counseling
• Types of crisis
• Crisis Intervention:
Principles

Techniques and

Process
XIV 5 • Describe the • Disorder of adult • Lecture discussion • Short
etiology, psycho- personality and answer
pathology, clinical Behaviour s
feature and • Personality
management of disorders
personality • Gender identity
disorders disorder
- Transsexualism
- Dual role
Tranvestism
• Sexual preference
(pervation)
• Habit and
Impulse disorder

XV 4 • Identify the mental Geropsychiatry • Lecture discussion • Short


disorders of old age, answer
Discuss the I Theories of aging s

management of (Review)

Mental Health II Mental illness in

Problems of old elderly

age & the role of • Management of


Mental disorder in
Geropsychiatric old age
• Role of
Nurse Geropsychiatric
Nurse
XVI 4 • Explain legal aspects Legal issues in Mental • Lecture discussion
applied in mental Health Nursing • Case discussion
health settings
• The Mental Health
Act 1987: Act, • Short
Sections, Articles answer
and their s
implications etc.

• Indian Lunacy Act.


1912
• Rights of mentally
ill clients
• Forensic psychiatry
• Acts related to
narcotic and
psychotropic
substances and
illegal drug
trafficking
• Admission and
discharge
procedures (Govt.
hospitals)
Role and responsibilities of
nurse
XVII 4 • Describe the model Community Mental • Lecture discussion • Short
of preventive Health Nursing • Clinical/ answer
psychiatry field s
• Describes • Assess
Community Mental practice ment
health services and • Development of of the
role of the nurse Community Mental • Field visits to mental field
Health Services: health service visit
• National Mental agencies report
Health Programme s
• Institutionalization
Versus
Deinstitutionalizati
on
• Model of
Preventive
psychiatry: Levels
of Prevention
• Mental Health
Services available
at the primary,
secondary, tertiary
levels including
rehabilitation and
Role of nurse
• Mental Health
Agencies:
Government and
voluntary, National
and International

• Mental health
nursing issues for
special
populations:
Victims of violence
and abuse,
disaster, HIV/AIDS
etc.
Internal Assessment - Theory

Weightage

1) Assignment 2 10%

2) Sessional Exam 3 60%

3) Model Exam 1 30%

References (Latest Editions)

Sadock K. (1998) Synopsis of psychiatry, William and Wilkins Baltimore, USA

Stuart G.W.& Sandeen S.J Psychiatric Nursing (1998) C.V. Mosby company

Judith Sheila V. Lippincott Mannual lof psychiatric Nursing care plan, Williams & Wilkins Philadelphia 2005

Gelder M. Oxford, Textbook of Psychiatry, New Yorkm, Oxford University Press

WHO (1992) ICD – 10 Classification of mental & behavioural disorders clinical descriptant diagnostic guideline, Oxford University Presss,
Oxford
Beck, Rawline & William, Mental Health Psychiatric Nursing- A holistic life cycle approach, C.V Mosby Company

Lego, Suzanne, The Americal Hand book of Psychiatric Nursing, J.B. LippinCott company, Philadelphia

Boyd Ann Mary – Psychiatry Nursing Contempary practices. Lippincott William & Wilkins

Stuart W. Gail, Laraia T. Michele. Principles & Practice of Psychiatric Nursing, (Mosby) Elseviers

Roy K George, Riaz K Marakkar. Essentials of Psychiatric Nursing. V Publishers. Kottayam.

Townsend C. Mary, Psychiatric Mental Health Nursing Jaypee Brothers, Medical Publishers

National Mental Health Programme for India draft

Mental Health Act, 1987

Schultz. Lippincott’s Manual of Psychiatric Nursing Care Plans, Lippincott William & Wilkins

Sreevani, A guide to mental health and Psychiatric nursing jaypee Brothers Medical publisher

Neeraja, Essentials of mental health and Psychiatric nursing Jaypee Brothers Medical publishers.

Shives Rebraca Louise – Basic concepts of psychiatric. Mental Health Nursing , Lippincott William & Wilkins
MENTAL HEALTH NURSING - PRACTICAL

Placement: Third Year Time: Practical – 360 hours (9 weeks)

Areas Dura- Objectives Skills Assignments Assessment


tion Methods

(in
week)

Psychiatric 1 • Assess patients • History taking • History taking • Assess


with mental • Perform mental and Mental performanc
OPD health problems status status e
• Observe and examination examination -5 with rating
assist in (MSE) • Health
therapies • Assist in Education-1 scale
• Counsel and Psychometric • Observation
educate patient, assessment report of OPD • Assess each
and families • Perform skill with
Neurological checklist
examination • Evaluation
• Observe and of health
assist in education
therapies • Assessment
• Teach patients of
and family observation
members report
• Completion
of activity
record.
Child 1 • Assessment of • History taking • Observation • Assess
Guidance children with • Assist in report of performanc
clinic various mental psychometric different e with rating
health problems assessment therapies one scale
• Counsel and • Observation and each • Assess each
educate assist in various skill with
children, families therapies checklist
and significant • Teach family and • Evaluation
others. significant others of the
observation
report
Inpatient 6 • Assess patients • History taking • Give care to 2-3 • Assess
ward with mental • Perform mental patients with performanc
health problems status various mental e with rating
• To provide examination disorders scale
nursing care for (MSE) • Case study-1 • Assess each
patients with • Perform • Care plan-2 skill with
various mental Neurological • Clinical checklist
health problems examination presentation-1 • Evaluation
• Assist in various • Assist in • Process of the case
therapies psychometric recording-5 study, care
• Counsel and assessment • Maintain drug plan, clinical
educate • Record book presentation
patients, families therapeutic , process
and significant communication recording
others • Administer • Completion
medications of activity
• Assist in Electro record.
convulsive
Therapy(ECT)
• Participate in all
therapies
• Prepare patients
for Activities of
Daily living (ADL)
• Conduct
admission and
discharge
counseling
• Counsel and
teach patients
and families
Community
psychiatry • To identify
1 patients with • Identify • Observation • Assess
various mental individuals with report on field performance
disorders mental health visits
• To motivate problems 1. Special School with rating
patients for early • Assists in mental
treatment and health camps and for Mentally scale
follow up clinics
• To assist in follow Counsel and Teach family challenged • Evaluation
up clinic members, patients and of case
Counsel and educate community 2. De addiction work and
patient, family and Centre observation
community report
3. Old age home Completion of
Rehabilitation centre for activity record.

2. mentally ill
Home for Destitute

Plan for Internal Assessment- Practical

Details of Clinical Assignments

Weightage (%)
1) Case Study -1 - 10

2) Care Plan -4 - 10

3) Concept Maping -1 - 5

4) Mental Status Examination - 5 - 5

5) Process Recording - 5 - 5

6) Clinical Presentation -1 - 5

7) Health Education -1 - 10

8) Drug File - 5

9) Clinical Evaluation - 15

Practical Examination

1) Sessional Examination -1 - 15

2) Model Examination -1 - 15

-----------
Nursing Research and Statistics
Placement: Third Year Time : Theory – 50 Hours

(Nursing Research – 35 hours

Statistics- 15 hours)
Practical – 80 hours (2 weeks)

Course Description: This course is designed to enable students to develop an understanding of basic concepts of research, research process and
statistics. It is further structured to conduct/participate in need based research studies in various settings and utilize the research findings to
provide quality nursing care. The hours for practical will be utilized for conducting individual/group research project.

Unit Time Learning Content Teaching Assessment


(Hours) Objectives Learning Methods
Activities
1 4 Describe the Research and Lecture Discussion Short
concept of research process Narrate steps of answer
research, ●Introduction and research process Objective
terms, need need for nursing followed from type
and areas of research examples of published
research in ●Definition of studies
nursing Research & nursing
Explain the research
steps of ●Steps of scientific
research methods
process. ●Characteristics of
good research
●Steps of Research
process-overview

Identify and Research Lecture Discussion Short


11 4 state the Problem/Question Exercise on writing answer
research ●Identification of statement of problems Objective
problems and problem area and objectives type
objectives ●Problem statement
●Criteria of a good
research problem
●Writing objectives
111 3 Review the Review of Lecture Discussion Short
related Literature Exercise on reviewing answer
literature ●Location one research report/ Objective
●Sources article for a selected type
●On line search: research problem.
CINHAL, Prepare annotated
COCHRANE ….. bibliography
●Purposes
●Method of review

1V 6 Describe the Research Lecture Discussion Short


research approaches and Explain types of answer
approaches designs research approaches Objective
and designs ●Historical, survey used from examples type
and experimental of published and
●Qualitative and unpublished research
Quantitative designs studies with rationale

V 10 Explain the Sampling and data


sampling collection Lecture Discussion Short
process ●Definition of population, Reading assignment answer
Describe the Sample, sampling criteria, on examples of data Objective
methods of factors influencing Collection tools. type
data Sampling process, types Preparation of sample
collection of sampling techniques data collection tool.
●Data-why what, from Conduct group
whom, when and where research project
to collect
●Data collection methods
and instruments:
-Methods of data
collection-questioning,
Interviewing
observations, record
analysis and
measurement
-Types of instruments
-Validity & Reliability
of the instrument
-Pilot study
-Data collection
procedure

V1 4 Analyse Analysis of data:


Interpret and Compilation, Lecture Discussion Short
summarize Tabulation, Preparation of sample answer
the research classification, table Objective
data summarization, type
presentation,
interpretation of data

V11 15 Explain the Introduction to Lecture Discussion Short


use of statistics Practice on graphical answer
statistics Definition, use of presentations Objective
scales of statistics, scales of Practice on type
measurement measurement computation of
and graphical Frequency measures of central
presentation of distribution and graphical tendency, variability &
data presentation of data correlation
Describe the Mean, Median
Mode, Standard
measures of deviation
Normal probability
central and tests of
significance
tendency and Co-efficient of
correlation
variability and
Statistical
packages and its
methods of
application
correlation

Short
Communication Communication answer
Lecture Discussion
V111 4 and utilization of and utilization ofResearch
Read/Presentations of
Research ●Communication of Objective
a sample
research findings
findings published/unpublished type
-Verbal report
research report
-Writing research report
Writing group Oral
-Writing scientific
research project
article/paper
-Critical review of presentation
published research
-Utillization of Assessment
research findings
of group

research

project.

Project

Each group of 5 to 7 student will undertake a research project intended to improve patient care directly or indirectly. Project report has to be
submitted for evaluation.

References:

Polit .D.F.and BeckC.T., Nursing Research : Principles and Methods , Lippincott Williams and Wilkins (Latest edn.).
Polit .D.F.and BeckC.T.,Essentials of Nursing Research appraising evidence for Nursing practice, Lippincott Williams and Wilkins (Latest
edn.).
Burns .N. and Susan K Groove. Understanding Nursing research building an Evidenced Based Practice.W.B.Saunders,St.Luis.
A Textbook of Nursing Research. A TNAI Publication,V Publishers, Kottayam. (Latest edn.).

Wood,G.L.and Haber J.Nursing research methods and Critical Appraisal for Evidenced- Based Practice.Elsevier.
Treece and Treece elements of Research in Nursing C.V. Mosby Company
Janet Houser ,Nursing Research Reading Using and Creating Evidence.Jones and Bartlett India pvt.Ltd
B.K Mahajan ,Methods in Biostatistics for medical students and research workers Jaypee Latest edn.
P.S.S.Sundar Rao,G Jesudian and J.Richard, An introduction to biostatistics a manual for students in Health Sciences.
Rajee Reghunath Text book of Nursing Research Masters publishers, Kollam.

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