NURSING

ENTREPRENEUR

Presented By:
Dr.C.SUSILA
PRINCIPAL
BILLROTH COLLEGE OF NURSING
CHENNAI
What you want to be ?

Difference between employer and employee.wmv.mp4

 INTRODUCTION
• Well there is Small but growing percentage of nurses is
Reclaiming their traditional right to independent
clinical practice.

• Nurses are expanding their roles and offering a range of

services, with the focus primarily on health promotion,
illness and accident prevention, rehabilitation and support
services, but including clinical specialty practices and
management consultancies.

• These nurse entrepreneurs are providing research-

confirmed quality and effective care and establishing a
public image as patient advocates, carers, counsellors and
educators in addition to efficient clinicians.
 DESCRIBE - ENTREPRENEUR
▫ Individual who assumes the total responsibility and
risk for discovering or creating unique
opportunities to use personal talents, skills and energy,
and who employs a strategic planning process to
transfer that opportunity into a marketable service
or product.

ENTREPRENEUR = A PERSON WHO RUNS HIS

OWN “BUSINESS”
DESCRIBE - NURSE ENTREPRENEUR
▫ A proprietor of a business that offers nursing
services of a direct care, educational, research,
administrative or consultative nature.

▫ The self-employed nurse is directly accountable

to the client, to whom, or on behalf of whom, nursing
services are provided.

▫ Who is NURSE INTRAPRENEUR?

DESCRIBE - NURSE INTRAPRENEUR
▫ A salaried nurse who develops, promotes and
delivers an innovative health/nursing
programme or project within a given health care
setting.
 HISTORY OF NURSE ENTREPRENEURS
The word 'ENTREPRENEUR' is derived from the French
word 'ENTERENDRE' that means 'to undertake'.

FLORENCE NIGHTINGALE

•The first entrepreneur was

Florence Nightingale.

•She started the first secular

nursing training was in England
in 1854.
•She made a worldwide change
in health care.
 HISTORY OF NURSE ENTREPRENEURS
Con..
MARY GRANT SEACOLE

•She volunteered her services in the

Crimean war effort.

•But, the Nightingale School of

Nursing and the governing military
forces rejected her.

•Undaunted, she started a hotel

where the wounded soldiers on both
sides were taken care and to recover
conflict.
HISTORY OF NURSE ENTREPRENEURS
Con..
CLARA BARTON
•She began her career during the
U.S. Civil War.

•She established the Bureau of

Records of Missing Army
Men at her own expense to
help families find their loved
ones.

•In 1881, she founded the

American National Red Cross.
Transformation of entereprenur
in nursing education
• In 2006, two US nursing colleges launched the
first degree programmes focusing on innovation,
and intra/entrepreneurship.
• In Australia, Swinburne University of
Technology has established a Master of
Entrepreneurship and Innovation degree.
• It is tailored for those who want to bring
visionary attitudes and possibilities to existing
business ventures or non-business ventures
(www.swinburne.edu.au 2011)
• Gilmartin 2013 United States
• New York University College of Nursing, New York
• Social entrepreneurship course
• Boore & Porter 2011 United Kingdom
• School of Nursing, University of Ulster;
The Northern Ireland Centre for entrepreneurship (NICENT) -Social
entrepreneurship course
• Shirey 2007 United States
• Drexel University, College of Nursing and Health Professions,
Philadelphia
• Master of Science in Nursing (MSN) in Innovation and Intra/
Entrepreneurship in Advanced Practice Nursing
• Master of Healthcare Innovation (MHI)/ Arizona State University
•

•
App based information about students
• selecting students to enter nursing programmes.
• They need to be: creative and innovative

• Me & MyCity (http://yrityskyla.fi/en/what-is-

memycity/) is a study module providing unique
entrepreneurship education for children in grade
6 (12-13 years of age) in an authentic learning
environment featuring society, working life and
entrepreneurship.
In India
• In 2000 – Nursing entrepreneur concept came
in to the masters syllabus through INC in all
colleges.
• No Degree programme in innovation
• Some develop medical devices,
computerized systems (NLS), Career
Guidance, HR consultants, and Home
health products.
 PROFILE OF A NURSE ENTREPRENEUR -
CHARACTERISTICS OF NURSE ENTREPRENEURS
PERSONAL QUALITIES
•Strong self-image and self-confidence, need for
achievement
•Risk taker
•Creative, shows initiative
•Visionary
•Self-disciplined
•Independent, goal oriented
•Able to deal with failure, and uncertainty
•Displays integrity, reliability, patience, enthusiasm
•Good organizer, planner
•Proactive
 PROFILE OF A NURSE ENTREPRENEUR -
CHARACTERISTICS OF NURSE ENTREPRENEURS Cont..

PROFESSIONAL QUALIFICATIONS
•Work experience in nursing (3 - 15 years);
•Degree or Post-basic education and More..
•Competent in communication, negotiation,
marketing,
•Time management, public relations and
accounting skills,
•Knowledgeable in legal, insurance, grants and tax
matters.
 Questions to be asked by the NE
Schulmeister (1999) ·
Why does starting a business interest me?
• · What are my clinical strengths?
• · What are my personal strengths and weaknesses?
• · How well do I cope with uncertainty?
• · How essential is a steady income?
• · Do I have necessary financial, emotional and physical reserves?
• · Do I have the support of those closest to me?
• · Do I have the time and energy required to get the business started?
• · What sacrifices am I willing to make to pursue this activity?
Nurse entrepreneur assumes a MULTITUDE OF ROLES
directly linked with the professional and business aspects of the
practice.
• Clinician • Secretary
• Educators • Accountant
• Consultant • Receptionist
• Therapist • Marketing consultant
• Researcher
• Case manager
• Supervisor
When they perform
• Owner in organization that
• Partner is called
• Employer Entrepreneur
ship.
Other roles
• LEGAL CONSULTANT
• HEALTH AND WELLNESS COACH
• FITNESS COACH
• CERTIFIED YOGA NURSE
• LACTATION CONSULTANT
• DOULA Clients needs
• CANCER CARE NAVIATOR
will be
• LIFECARE PLANNER
professionally
and personally
FULFILLED
Other roles
• STAFFING AGENCY
• HOME HEALTH AGENCY
• SPEAKER
• PODCASTER
• BLOGGER
• AUTHOR
• PRODUCT BASED BUSINESS

• ALL POSSIBLE EVERY WHERE?

Legal restrictions
For example, in
•Korea, nurses can operate certain institutions such as
nursing homes, children’s centres and postpartum care
centres.
 However, they cannot operate elderly welfare centres or
social reinstatement centres.
 Likewise, nurses in Hong Kong can operate nursing
homes, but face restrictions in other areas.
 Living nurse entreprenurs
• Marlene Griffin is a nurse who continues to help
others through her website. Marlene created her
website to provide reliable, well-researched, up-to-
date information about health and wellness
issues from a nurse's point of view.
• So she took advantage of one of the services
offered by SBI, "Do-It-For-Me".
• That was just what was needed to take over and
continue the development of her online
business, www.Womenover40health.com.
nurse entrepreneur used one of the several
techniques to build her business. It was such a
great story that it became of those featured in the 
case studies from SBI
"Do-It-Yourself"
• Suzanne Prochaska 
• in a number of different areas and has built
herself quite a business. In addition to
www.rn-guide-to-skin-care.com, she now
owns and operated the following sites:
• www.mineral-makeup-reviews.com
• www.fashion-doll-guide.com
• www.trendy-plus-size-clothes.com
• www.suzieMax.com (Depression Glass and
Vintage Glass)
• www.vintagebliss.com
• Suzanne is one nurse who has made quite an
impact, as demonstrated by the 
ranking of two of her websites in the top 1
% of all websites.
Mental health practice 
Vascular access agency
Popular CE courses sharpen your
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• WEB338: It’s Just a Stage 1 Pressure
Injury. Or is it? (1 contact hour)
The National Pressure Ulcer Advisory Panel
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• WEB337: Human Trafficking
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•
Human trafficking is a secretive yet widespread
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• This webinar provides information about
referral resources, tools, assessment data and
reporting to help the healthcare team identify
and help victims.
Nurse entreprenurs -living
• Schulmeister (1999) describes a nurse who asked
her clients in their first smoking-cessation clinic
how they would value the service. The clients
decidedto pay her the amount of money they
would have spent on cigarettes.

• This payment structure added up to more than

the nurse had thought she could charge.
Flight transport agency - nurse
• In Canada, nurses who worked in rural intensive care units
were assigned to travel with critically ill patients in small
planes to tertiary medical centres.
• One nurse decided to establish a flight transport company, with
skilled professional staff, and was told by the national health
service that the position she wanted did not exist. So she sold
the idea to hospitals in the area.
• Now the company has many clients and is internationally
successful (www.angelsofflightcanada.com).
Legal nurse business
Healing touch for babies
Rita hosts over 35 years of nursing experience in
Neonatal Intensive Care.
She created Healing Touch for Babies in January 2000,
to meet the needs of babies at a deeper level.
Her true passion is to give babies the best start in life. She
envisions HTB to be integrated into all areas of pre and
perinatal care.
Katie caroll paediatric nurse
making a health coaching buisness
Indian nurse entrepreneur
Dr. A.RAMASAMY
PROPERITOR OF SHEENBAGA CON
CHHENNAI
Indian nurse entreprenur

• Sangeeta Agarawal, RN, founder of Helpsy

Health
Nursing care rehabilitation centre
for old people

Prof . Anuradha
Former
PRINCIPAL
VEL.RS. CON
Nurse Entrepreneur 09/11/20

Dr. T.R. Udaya Kumar, RN, PhD

Chief Executive Officer
Impetus Healthcare Skills Private Limited

Alumni of SRM College of Nursing – 97

batch

https://www.ihsnursing.com/
https://www.healthcareskill.com/

Mobile: +91-9176663677
Mail Id: udayakumar@healthcareskill.com
POTTERS CLAY MISSION

MS. ELAKKIYA GEETHA , RN Bsc Nursing

FIRST BATCH OF BILLROTH COLLEGE OF

NURSING

it is a NGO
Orange multi specialty health camps

phone 1: +91 9176 03 2222

Phone 2: +91 9176 04 3333
Turning point saravanan for nurses
Home care agency

Dhanalakshmi Bsc (N)

With 10 -15 ANM

Alumini of Meenakshi con

Nurse entreprenur – stich by stich

Mrs. Isabella ebinezer

77 yrs old
Rtd army nurse and
enterprenur
 Get authority to practice-how?
• Alternatively, nurses could petition the hospital or national health
system to create a position or job that should exist in order to meet a
patient need.
• For example, pain management is recognised as an important service
independent of particular disease processes. A nurse who works in a
hospice unit and is skilled in recognising and managing pain could
propose a Nursing Pain Management position as a resource or
consultant to nursing and hospital
• staff on other units. In the UK, consultant midwives worked to reduce
caesarean section rates by developing counselling services for women
who requested caesareans without medical indications (Dunkley-Bent
2004).
Get authority to practice-how?
• the Korea Nurses Association (KNA) requested
authorisation to establish a research centre to study
oriental medicinal nursing, hospice nursing, geriatric
nursing and chronic illness nursing centres.
• Additionally, the KNA is involved in “Research for
Enlarging Nurses’ Business opportunities, and case
studies from other countries that might have application in
Korea (ICN Asia Workforce Forum – see www.icn.ch).
• This illustrates some creative ways to find entrepreneurial
ventures likely to succeed.
Get authority to practice-how?
• inThe Royal College of Nursing produced the first
UK guidance for nurse entrepreneurs
• 1994, which is now in its third edition (RCN
2003).
• The publication provides detailed
• information on legal, insurance and financial
issues as well as giving case examples.
Get authority to practice-how?
• In New Zealand, an act passed in 1990 permitting
midwives to care for women without the involvement
of an obstetrician or a GP has promoted the practice of
independent midwifery.

• Furthermore, women in New Zealand have been able to

choose their lead maternity caregiver and many are
choosing independent midwives (Stimpson 1996).
• They also published an Information Pack for nurses and
midwives in private practice.
Get authority to practice-how?
• In Germany, introduction of long-term health
insurance legislation in 1995 created the
• opportunity for nurses to become self-employed
and provide home nursing care, to be
• purchased directly by the insured person
(German Nurses Association 2005).
Get authority to practice-how?
• In the US, the prestigious Institute of Medicine
released a comprehensive study calling for
• elimination of ‘regulatory and institutional
obstacles’ including limits on nurses ‘scope of
• practice’ (IOM 2010).
 Get authority to practice-how?
• In the Netherlands, the organisation of the insurance
system and the law regulating health care fees allow the
government to control costs by specifying the rules of
coverage, which has protected the economic interests of
the private midwifery practitioner (De Vries 2005).
• With changes that have recently been introduced in the
Swedish health system, nurses are beginning to have
independent practice opportunities.
• The Swedish Association of Health Professionals has
developed a series of educational programmes to support
nurses in these innovative ventures.
Get authority to practice-how?
• APNs have a long history of innovative practice.
Nurses were the first professional group to
• provide anaesthesia services in the US. Established
in the late 1800s, nurse anaesthesia
• has since become recognised as one of the first
clinical nursing specialities.
• The first formal educational programmes
preparing nurse anaesthetists were established in
1909.
.
Get authority to practice-how?
• In 1914, Dr George Crile and nurse anaesthetist
Agatha Hodgins went to France to set up
hospitals for the Allied Forces.
• While there, they taught both physicians and
nurses from England and France how to
administer anaesthesia (Thatcher 1953).
 Get authority to practice-how?
• Nurse-midwives from England travelled to the US in the
1920s, at the request of the Frontier Nursing Service.
• The British nurse-midwives had established an excellent
record of positive patient outcomes in maternal child health.
These were the first nurse-midwives in the US and, in
addition to providing quality maternity services to patients
in rural areas, they assisted in creating the first schools of
nurse-midwifery (www.acnm.org).
• In some countries today, midwifery remains a separate
profession from nursing
Get authority to practice-how?
• APNs in the US have authority to prescribe
medication in all 50 states, and only two states
do not grant the authority to prescribe controlled
substances.
In several states, a variety of restrictions on
controlled substances prescribing remains.
The co-signature of a collaborating physician is
not required in any state on any prescription
that an NP is authorised to write
(www.medscape.com)
How many of u now want to be NE?
• YES
• NO
• Yes- how ?
• yes – no money
Indian Govt schemes for women
entreprenur
• 1. Annapurna Scheme
• Under this scheme, the Government of India offers women
entrepreneurs in food catering business, loans upto  ₹50,000.
• The loaned amount could be used for working capital
requirements such as buying utensils, cutlery, gas connection,
refrigerator, mixer cum grinder, hot case, utensil stand, lunch
boxes, working table, water filter etc.
• A guarantor is required to avail the loan and the assets of the
business have to be pledged as collateral. Once sanctioned, it has
to be repaid in 36 monthly installments (which equals to a period
of three years).
•  Stree Shakti Package For Women Entrepreneurs
• The Stree Shakti Package is a unique SBI-run scheme to
support entrepreneurship among women by providing
certain concessions.
• This scheme is eligible for women who have majority
ownership (over 50 percent) in a small business.
• Another requirement is that these entrepreneurs have to
be enrolled in the Entrepreneurship Development
Programmes (EDP) organised by their respective state
agency.
• This scheme allows women to avail an interest concession
of 0.05 percent on loans exceeding ₹2 lakh. No security is
required for loans up to ₹5 lakh in case of tiny sector units.
• Cent Kalyani Scheme
• This scheme under the Central Bank of India can be
availed by both existing and new entrepreneurs and self-
employed women for micro/small enterprises like
government sponsored programs and retail trade.)
• Under this scheme, loans up to ₹1 crore are sanctioned
with a margin rate of 20 per cent. You do not require any
collateral security or guarantors for this loan.
• Interest on loans depends on market rates. The loan
tenure will be a maximum of seven years including a
moratorium period of 6 months to 1 year.
• Mudra Yojana Scheme
• This is a general scheme for small units that women entrepreneurs can avail
of too. Offered by nationalised banks under the Pradhan Mantri Mudra
Yojana, this can be used to set up beauty parlour, tuition center, tailoring
unit, etc. Loans between ₹50,000 to ₹50 lakh are sanctioned under this
scheme. No collateral and guarantors are required for loans below ₹10 lakh.
• The scheme has three plans:
• Shishu – Grants you loans up to a maximum limit of ₹50,000 for a new
business with rate of interest being 1 per cent per month or 12 per annum.
The repayment period up to 5 years.
• Kishore – Grants loans from ₹50,000 up to Rs 5 lakh for well-established
businesses..
• Tarun – Grants loans from ₹5 lakh up to ₹10 lakh for business expansion.
• Mahila Udyam Nidhi Scheme
• Offered by Punjab National Bank and Small Industries
Development Bank of India (SIDBI),
this scheme supports women entrepreneurs to set up a
new small-scale venture by extending loans upto ₹10
lakh to be repaid in 10 years.
• Under this scheme, SIDBI offers different plans for
beauty parlours, day care centres, purchase of auto
rickshaws, two-wheelers, cars, etc. It also assists with
upgrading and modernisation of existing projects.
• Dena Shakti Scheme
• It provides loans up to ₹20 lakh for women
entrepreneurs in agriculture, manufacturing,
micro-credit, retail stores, or small enterprises.
• Orient Mahila Vikas Yojana Scheme
• Launched by Oriental Bank of Commerce,
women, who hold a 51 per cent share capital
individually or jointly in a proprietary concern,
are eligible for the loan. No collateral security is
required for loans between ₹10 lakhs to ₹25
lakhs for small-scale industries. The repayment
period is seven years.
• Bhartiya Mahila Bank Business Loan
• it offered women entrepreneurs business loans up to ₹20
Crores for meeting working capital requirement, business
expansion, or manufacturing enterprises.
• Shringaar- The BMB Shringaar loan is applicable to self-
employed women or homemakers who want to set up a
parlour, purchase equipment, or meet daily business expenses.
The loan doesn’t require you to provide any collateral security.
• Parvarish- Similarly, BMB Parvarish loan is for self-
employed women or homemakers to set up day-care creches.
The upper limit of this loan can be ₹1 Crore without any
collateral security under the Credit Guarantee Fund Trust for
Micro and Small Enterprises (CGSTSM) scheme.
Barriers for nurse entreprenurs
• Three very traditional barriers to new or expanding roles for nurses
in clinical practice or health system management are:

• (1) physician resistance to what they perceive to be incursions into

the “medical” domain;
• (2) patient reluctance to shift their confidence to what they may see
as a new category of health worker; and
• (3) legal limitations to the type of businesses or practices that may
be run by nurses.
But still u can

1. Where have I been?

2. Where am I now?
3. Where would I like to go? and
4. How will I get there?
 REFERENCES
Primary References:
•Aiken, L, Clarke, S, Sloane, D, Sochalski, J, Silber, J. (2002). Hospital
Nurse Staffing and Patient Mortality, Nurse Burnout, and Job
Dissatisfaction. JAMA, 288:1987- 1993.

Secondary References:
•Batre, C. (1990). Socializing Nurses for Nursing, Entrepreneurial
Roles. Nursing and Health Care. 11(1), 35-37.

•Brent, N. (1989). The Home Health Care Nurse as, Entrepreneur:

Exploring the Possibility of Establishing One's Own Home Care
Agency. Home Health Care Nurse. 7(5), 6-7.
THANK YOU