ROLE OF INDIAN NURSING COUNCIL STATE REGISTRATION NURSING COUNCIL S BOARD’S AND

UNIVERSITY

Accrediting agencies Universities INC, KNC and

Indian Nursing Council

Introduction: Indian nursing council is considered

the statutory body that influences nursing education at to be the national level. The INC was
constituted to establish a uniform standard of education for nurses, midwives, health visitors and
auxiliary nurses. the Indian nursing council act was ordained in 1947.

Composition and constitution: The Indian Nursing council consists of the following members:

1. Elected members – 25

2. . Nominated member - 4

3. Ex-officio members - 33

Elected Members - 25

• Nurses from state council

• Heads of institutions giving training for degree. Nursing and certificate courses - 2

• Head of an institution training health visitors - 1 Medical council of India - 1

• Central council of Indian Medical Association - 1

• . TNAI - 1

• State Nursing Councils (ANMS) - 3

• Parliament -3
 • . Nominated members - 4

• . Government of India nominee

• Ex-officio Members – 33

a) Director general of the health sciences - 1

b) The chief Principal/matron – 1

c) The chief Nursing superintendents

d) The Director of maternal and child welfare

e) The Chief administration medical officers of eachstate

f) Superintendent of nursing services

Composition:

Nurses 30, Doctors - 24

• The president shall be elected by the members of the council among themselves.
Members of the council are elected by the state council Philosophy
INC, states that, nursing is the unique function of the nurse, that is to assist the individual, sick or
well in the performance of those activities contributing to health or recovery, that he would
perform unaided if he had the necessary strength, will or knowledge.

Keeping this in mind, the nursing is a formal educational preparation, which should be based on
sound educational principles. It recognizes the programmes as the foundation on which the
practice of nursing is built and on which depends further professional education. It recognizes its
responsibility to the society for the continued development of students as individuals, nurses and
citizens. The INC recognizes the necessary of developing a deep pride in the nursing profession
among students to enable to further profession among the students and to enable further
professional growth.

Aims of INC:

• To establish uniform standard of training throughout the state

• Prohibit training centre, which are in adequate Prohibit practice of nursing by non
qualified nurses

Functions and Role of INC:

The INC provides a framework for nursing in India.It has many roles

1. Prescribing of Syllabi : INC is prescribing syllabi and curriculum for various courses of nursing
and conducting qualifying examination based on the development in science and technology.
Syllabi have also been prescribed for all post certificate courses, degree courses, diploma and for
health visitor courses.

2. Inspection: Inspections are done and granting of recognition based as the requirements, their
set up and the strength of the institutions. They also have full freedom to withdraw recognitions.
A right of appeal against any disciplinary action takes by the council is provided for in the acts.

Nature of Inspections by INC:

There are three types of inspections by INC since 1996.

a First Inspections

• Institutions are inspected by the INC when they apply for starting a course in nursing.

This is the first step towards INC recognition

The schools that seek recognition are required to submit

1 Permission letter for state government

2 Permission letter for state mursing councils 3 A copy of the inspection report of the state nursing
council

b. Re-Inspections

These are done for those institutions which are found unsuitable on first or subsequent inspection
by INC. Once the institution takes necessary steps to remove the deficiencies and informs the
INC's reinspection is done within one year or earlier.

c Periodic Inspections :

Once an institution is give recognition by INC the institute is required to send an annual
inspection fee regularly . The INC inspects the institute generally after 3 years

State Nurses Registration Councils:

State Nurses Registration Councils, which is called reciprocity, was possible only if uniform
standards of nursing education were maintained.

KNC: The Karnataka Nursing Council was started in the year 1961:

Function of KNC

1 Regulation of training programmes

2. Supervision of practice and profession

3. Accrediting the training institutions 4. Implementing and prescribing syllabus and curriculum

5 Registration and granting certificates

6 Take action against malpractices.

Accrediting the Nursing institutions:

By an inspection committee-constituted with several members reports of adequacy of

training programmes or various courses and conduct qualifying exam. Registering and
Granting Certificate to Qualified Person to Practice Nursing The council maintains a
register of nurse, midwives, register.

ANM register known as Karnataka state nurses. The state registration councils are autonomous to
a great extent except that they do not have powers to prescribe syllabi for the various training
courses, recognize examining bodies and to negotiate reciprocity.

Registration in state nursing council is very necessary for every nurse. It is necessary to be
registered in order to function officially as a professional nurse
KNC At State Level:

The Karnataka Nursing council was constituted in the year 1971 under the authority of nurses,
midwives and health visitors. The council started functioning from 1978.

Composition:

As per the section number - 3 Karnataka Nursing Act of 1961, the council consisting of 22 members
of which 16 elected, 3-ex-officers and 3 nominated. The council

consists of the following members.

1) Ex-office members - 3

2) Elected – 16

3) Nominated- 3

Ex-office members -31:

• Director of health and family welfare service in Bangalore

• oint director of medical education as such other offer as the state Govts, may nominate.

• Deputy director of nursing service.

Elected members from professionals:

• 2 Persons to be elected from themselves from the head of the affiliated institutions.
• 2 Persons to be elected among themselves from the matrons and nursing tutors of the
affiliated institutions.

• One person to be elected among Karnataka Medical Association

• One person to be elected among the members by sister tutors of affiliated institutions.
One person from Indian Medical Associaton One person from Karnataka State Branch TNAL.

. Nominated members of 3 by the Govt of Karnataka

• One member a women

• Two persons of any kind

• Organizations The 22 council members elect president and vice president among
themselves. The president elects registrar who is an executivehead of the council of
Karnataka state

Meeting:

• Representatives are sent by the nursing personnel to the council asmembers

• Council members request the president tocommence meeting
• Intervals are fixed by the members only as and when they meet

Functions:

1) Regulations of the training programme of the nurses, midwives and ANMs

Regulations are giving regarding staff, physical

facilities, library, hostel for students, quarters for

staff, records etc.

For eg A school with 150 students should have

Principal. -1

Vice-principal. -1

Tutors/ Clinical instructors. -15

Qualifications of teaching faculty:

Principal: Masters in nursing with a minimum 3 yearsteaching and administrative experience. If

such candidate is not available a B Sc Nursing with 5years teaching and administrative experience.
Vice-Principal: Should also have same experience.Tutors/Clinical Instructors: Masters in nursing. If
not available BSc/ Post certificate BSc.

2) Supervision of practice of professions by its members.The nursing practice in the hospitals and
other centers are controlled by periodical inspection and suggesting measures for improvement.

3) Accrediting the training institution of nursing and hospital nursing service.

4) Registration and granting certificate to qualified person

5) Carrying out the prescribed syllabus and curriculum for various courses of nursing.

6) Conducting qualifying examinations of ANMs.

• Contribution of Karnataka Nursing Council To The Development of Nursing Education And

Practice

• Recruitment of additional students and the necessary staff for supervision and teaching in
the training centers for the betterment of nursing care and also the proper development
of the students.

• Creation of posts for nursing staff in institutions and in the public health field to absorb
the additional number of nurses who will be trained so that the proper man power, will be
maintained and the available resources will be used at its optimum level.

• The appointment of auxillary nurses and midwives to supplement nursing service in

hospitals so that nurses will not be overburdened with the work.

• Training conditions of nurses are improved by:

• Raising of educational standard wherever possible.

➤ Facilitates for practical work

➤ Shortening working hours.

➤ Adequate living conditions.

Proper care of students health.

• Counselling system for students by experienced sister so that student nurses will be able
to solve their problems, which of not solved can hindertheir development.
• Better publicity to the potentialities of nursing as a carrier so that the standards of nursing
will improve and people will under and what nursing is will create a positive feelings in the
minds of the people, making them realize the importance of nursing.

• Recruitment of men as student nurses so that nursing care can be given in a better way
also it will help in the employment of men.

• 4 years BSC Nursing degree programme to gain knowledge in the patient care.

• MSC Nursing post graduate programme to improve the quality of patient care.Research.

State Registration Councils:

Since the INC works in co-operation and coordination with the State Nursing Councils it is
necessary that one must say a few words about the State Nursing councils. There are present
eighteen State Nursing Councils Andra Pradesh, Assam, Bihar, Gujarat, Haryana, Himachal
Pradesh, kerala, Karnataka, Maharashtra, Madhya Pradesh, Orissa, Punjab, Rajasthan, Tamil

Nadu, Tripura, Uttar Pradesh and West Bengal Delhi Nursing Council Bill has been recently passed
by the assembly. Mainpur registration council is in the process of being constituted.

The training of nurses, midwives, health visitors and ANMS is to a large extent controlled by
Nurses' Registration Councils in the respective States.

State nursing council serves as a legal protection to the nurse and protects the public from
incompetent nursing practices or poor nursing care.
The functions of the Councils are to:

Inspect and accredit schools of nursing in their State.

• Conduct examinations Prescribe rules of conduct, take disciplinary actions etc.

• Maintain register of nurses, midwives, ANMs and health visitors in the State.

• The State Registration councils are autonomous to a great extent except that they do not
have powers to prescribe syllabi for the various training courses, recognize examining
bodies and to negotiate reciprocity These powers are vested with the INC and State
Councils ensure that the prescribed syllabi are followed and standards are maintained.

University Level:

Every state has their own universities Government, Quasi govt & Deemed Universities, Private.
(Approved by government).

• State universities -coordinates with INC.KNC.DME & other professional bodies for the
health science courses Syndicate, Academic council and Board of study will govern the
Admissions, Syllabus Examinations, Approval of affiliations for continuation of programs,
accreditation of new colleges through Local inspections committee.

• NIMHANS (Central Government) Coordinates with INC & functions as independent

university following their norms to maintain the standards for education and patient care.

Criteria for the selection of an affiliating agency

1. The primary reason for its selection should be its ability to provide the experience tuberculosis
required by thestudents

2. The staff of the hospital should be prepared to recognize that the students are being posted
there as a part of their planned, educational programme, and that though a certain amount of
service can be expected from them while they are gaining the required experience, their
educational needs should receive their rightful place.

3. The nursing care given, and the physical facilities, staffing and equipment of the hospital should
be of the same standard as required in the parent hospital.
4. The living arrangements for the students should be provided on the same principles as in the
school hospital. Where residents is not part of the agreement, there should be satisfactory
transport arrangements which will save the students from under fatigue and inconvenience.

5. The agency should be able to take in students on a regular basis in mutually agreed times.

6. The agency should be prepared to accept responsibility for the education and welfare of the
students in accordance with a written agreement entered into by the school and the agency.

Affiliation Agreement Factors to be considered:

In a written statement or letter of arrangement with the affiliating agency attention should be
focused on the experience required and on the special needs of the students created by their
separation from the school. Procedures for each step of the accreditation process is available in
the Accreditation Process Guide.

Step 1: Subscription

State and local emergency management "programs meaning departments, divisions or offices
responsible for emergency management functions will "subscribe" as the first step to the
accreditation process.

Programs and individuals may subscribe online or on paper via mail or fax.

Subscribing provides a program access to the EMAP Assessment Tool and other services (see
"Subscribe to EMAP" for more information). An EMAP subscription is valid for one calendar year
and is renewable for a 5% discount if received 30-days before subscription expires. Subscribing
does not commit you to seeking accreditation; but does allow you to complete your self
assessment.

Step 2: Self Assessment:

Once the program has subscribed, it is time to begin the process of self-assessment. While
programs have access to the EMAP Assessment Tool when they subscribe, the first step of the self
assessment is to select an accreditation manager. The accreditation manager is the individual
within the program responsible for coordinating the administrative aspects of performing the self-
assessment. This includes obtaining and documenting evidence of compliance with accreditation
standards and other scheduling and oversight activities.
Program self-assessment involves a review of the program against each of 63 standards within the
Emergency Management Standard. As the self assessment is conducted, the program asks, "Is our
program in compliance with this standard?", and compiles documentation to support positive
answers. This self-assessment is recorded within the online EMAP Program Assessment Tool,
access to which is provided as part of EMAP subscription. During the self-assessment, additional
review or corrective.

activities can be entered in areas in which compliance has not been attained or cannot be
documented. When the program believes the self-assessment is satisfactorily completed, they
would select "Submit" within the EMAP online Assessment Tool. This submits all data entered into
the system to the EMAP office and serves as evidence of its readiness for on-site assessment.
EMAP staff will review the self assessment & will contact the Program to determine if they wish to
seek accreditation

STEP 3:APPLICATION::

Once the subscribed program has completed their self-assessment they can choose whether or not
they wish to seek accreditation. The program wishing to apply would complete an application and
would be given an estimate of the costs associated with the assessment.

STEP 4 : Assessment:

The EMAP Commission (part of EMAP's governance) provides the applicant program information
about the proposed schedule for the on-site assessment, the composition of the assessor team,
and required fees. The applicant program pays the fees, reviews the team composition for
potential conflicts, and coordinates on-site assessment details with EMAP staff. The final
assessment team is selected and the team is provided logistics information and any read-ahead
materials. The team travels to the site as scheduled and conducts the on site assessment during
the work week, reviewing and verifying information provided in the program's application and
documentation materials. The team conducts an exit briefing and prepares findings on the
assessment in an assessment report, which is presented to the program and to the EMAP REVIEW
committee.

Step 5: Committee Review

The assessor team provides its Committee Revie On-Site Assessment Application findings to the
Program Review Committee in an assessment report that includes summaries of compliance
issuefor the program for each of 63 EMAP standards. The report outlines key documentation that
supported the assessors findings of compliance or non-compliance. The program has the
opportunity to respond to the report. A copy of the program's comments or response also are
provided to the Program Review Committee. The Program Review Committee's role is to review
the assessment report along with application materials, comments from the applicant program,
and any additional information provided by the applicant program and make recommendation to
the EMAP

Commission as to accreditation status. The recommendation will be either accreditation;

conditional accreditation; or accreditation denied. For full accreditation, compliance with all 63
standards is required. If the report includes areas of non-compliance, the program should be
prepared to demonstrate to the Program Review Committee how it will address all areas of non-
compliance within nine months. If the applicant program is successful in showing this, the
Program Review Committee will recommend "conditional accreditation". The applicant program
may attend the Program Review Committee meeting at which its accreditation application will be
considered. The committee's deliberation is conducted during an executive session.

Step 6 :Accreditation DecisioAccreditation Decision

• The Program Review Committee's recommendation is forwarded to the EMAP Commission

for final action. If the candidate program is accredited, the EMAP Commission provides a
letter and certificate of accreditation conditional accreditation is available tprogramme
s with nine months.

Accreditation Maintenance

After accreditation is achieved, accredited programs are expected to maintain compliance with the
standards and keep proof of compliance up to date. Each accredited program will complete and
file with the commission an annual report via the Program Assessment Tool. Accreditation is valid
for five years, after which the entity will be encouraged to apply for reaccreditation.

Reaccreditation

• The reaccreditation process involves essentially the same steps as the original application
process. Reaccreditation will call for documentation and compliance information of the
program performance during the maintenance period. The reaccreditation on site
 assessment may be less arduous to accomplish in that documentation will have been
previously assembled and reviewed annually.

• crediting organization granting the accreditation. A college or university's accreditation is

maintained by continued adherence to the set criteria.

The Five Models of Approval/Accreditation by Boards of Nursing

1. Boards of nursing are independent of the national nursing accreditors. These boards of
nursing approve/accredit nursing programs separately and distinctly from the national
nursing accrediting bodies. Initial approval processes are conducted before accreditation
takes place.

2. Collaboration of boards of nursing and national nursing accreditors. Boards of nursing

share reports with the national nursing accrediting bodies, and/or make visits with them,
sharing information. However, the final decision about approval is made by the board of
nursing, independent of decisions by the national nursing accreditors. Initial approval
processes are conducted before accreditation takes place

3. Deem national nursing accreditation as meeting state approvals Boards of nursing deem
CCNE or NLN-AC accreditation as meeting state approvals, though they continue to
approve! accredit those schools that don't voluntarily get accredited. The board of nursing
is available for assistance with statewide issues (ie the nursing shortage in that state);
boards retain the ability to make emergency visits to schools of nursing. if requested to do
so by a party reporting serious problems, and the board of nursing has the authority to
close a school of nursing, either on the advice of the national nursing accreditors or after
making an emergency visit with evidence that the school of nursing is causing harm to the
public. Initial approval processes are conducted before accreditation takes place.

4. Boards of nursing require national nursing accreditation Boards require their nursing
programs to become accredited by CCNE or NLN-AC, and then they will use Model III. or III
a. to approve them. Initial approval processes are conducted before accreditation takes
place.

5. Boards of nursing are not involved with the approval system at all. In this model the board
of nursing is not given the authority to approve nursing programs. This is usually done by
another state authority.
Policies for Accreditation:

1. . Board Approval of the Initial Development of the Nursing Program

• Letter of intention should be submitted to the board describing the reasons for
establishing the school and the predicted timetable of development.
• Qualification forms to be submitted to the board, by the full time person responsible for
the program, who is qualified with the Master Degree in nursing accredited by the
national leaguer for nursing and with appropriate preparation for administration in
nursing education. Faculty qualification is to be on file in the board office on all nurse
faculty members.

• The nurse director or chairman of the department nursing be employed on a full time basis
for one academic year before the

admission of students to the nursing program. This period is known as the "planning year". There
should be funds available for the departure chairman to have nurse faculty members participate in
developing the philosophy, objectives and course content in the nursing subjects prior to their full
appointment of the faculty.

B. Board Approval for the Admission of Students

a. A statement describing the philosophy, objectives nature of organization and administration

should be submitted to the board, at least three weeks prior to the board meeting at which time
the program will be reviewed. This must occur at least 6 months to the admission of the first
batch.

b. The statement should contain descriptions of the following as well:

c. Student body (number to be admitted to the first batch maximum number to be admitted with
projected time table containing source of qualified students desiring this type program).
d. Faculty: Number to be employed, dates of appointment, for faculty recruitment, qualification or
appointed members.

Note: not more than 10 students should be the responsibility one faculty member in a clinical area
at any one time.

e. Curriculum, educational and clinical facilities

f. Projected budget for a five year period

g. Plans for evaluation.

Further Procedures regarding Board Approval:

a. An application for accreditation should be filled with concerned authority

b. Request will be reviewed at regular board meeting and institution advised of board actions.

c. Initial accreditation is granted for a period of one year, after which time an evaluation visit is
made, the evaluation determined on the basis of the total programme in relation to the stated
purposes and the degree to which these have been achieved.

d. Renewal accreditation is based on survey visits, conference and correspondence during the
period, the annual report etc.