N U

S D
G
PATTERNS &
E

CRITICAL
EVALUATION OF
NURSE
PRACTITIONER &
Ms. Sally cynthia . J
1 year Msc nursing
st Ph.D
OVERALL
OBJECTIVE

By the end of the class students will gain indepth knowlegde

about patterns and critical evaluation of nurse practitioner
program and ph.D in nursing program and use it for personal and
professional development
 SPECIFIC OBJECTIVE
• Describe the roles of nurse practitioner.

• Elaborate on nurse practitioner program.

• Enumerate on nurse practitioner certifications.

• Identify the sub specializations in nurse practitioner course.

• Critique nurse practitioner program in India.

• Appraise the competencies of NP in critical care.

• Discuss on ph.D in nursing in India.

INTRODUCTIO
Nurse practitioner are advanced practice from premature
N new born to elderly.

In US the late 1950s and early 1960 specialization in

medicine expanded

shortage of primary care physicians.

Loretta ford, RN, EdD and Henry silver, MD

The first NP program – 1965

at the University of Colorado by nurse
 DEFINITION
Nurse practitioner (NP) is educated at the masters
or doctoral level to provide “primary, acute, chronic
and specialty care to the patients of all ages and all
walk of life
- AANP
 What does a nurse
practitoner do ?
 primary, acute, chronic and specialty
care

 Assess, diagnose & treat illness

 Evidenced based health education.

 Medical history, physical examination

and diagnostic testing.
 JOB PROFILE
• Diagnose  individualized treatment plan  follow up

• Collaborate with other health care team members

• Continuing education ( technological & development in the field)

• Serves as mentors, counselors, researcher, educator and consultants.

 NP REQUIREMENTS
US
Graduate course in Course in diagnosis Supervised clinical
health science and clinical practice.
(pathophysiology, management of
pharmacology etc) health & illness.

INDIA
Registered B.Sc minimum of one year preferably in any
nurse clinical experience critical care setting
 ROLE OF NP
• Diagnose and treat common illness and injuries.

• Manage chronic health problems ( HTN , DM…)

• Order and interpret diagnostic tests

• Prescribe medication and therapies.

• Perform procedures ( suturing, casts, injections…)

• Health education

• Critical thinkers
 NP CERTIFICATIONS
FAMILY NP

ADULT- GERNTOLOGY ACUTE CARE NP

NEONATAL NP

DOCTOR OF NURSING PRACTICE

PSYCHIATRIC MENTAL HEALTH NP

SCHOOL NP

PEDIATRIC NP- ACUTE CARE

EMERGENCY NP
 NP CERTIFICATIONS
1. FAMILY NURSE PRACTITIONER (FNP)

• Primary care competencies in specialty area : adult, family, gerontology, pediatrics and
women’s health.

• RN who completed advanced nursing education.

• focus on family as an unit.

• Graduates – FNP national certification examination through AANP.

• Equipped to work in hospitals, private practice, govt organization, community health

organization.

• 2year program
 ADULT – GERONTOLOGY ACUTE
CARE NP ( AGACNP)
• provide services that address the health issues that impact older adults (cognitive, physical,
psychological and social impairments. )

• Diagnose, treat and manage chronic and acute conditions and geriatric symptoms associated with
age

• provide therapeutic interventions or palliative treatments and end-of-life care.

• Setting - ICU, ED, OR ( hospital based )

• Clinical placements – students area of interest and career goal.

 NEONATAL NP ( NNP)
• Birth to age of 2 yrs.

• Management of both acute and chronic illness.

• Setting : neonatal ICU, transport, out patient clinic, academic and private settings.

• Function – nurse leader, clinical expert, education, researcher etc.

• A minimum of 1yr of acute care nursing is required for admission.

• Graduates – eligible to sit for national nurse practitioner certification examination.

 DOCTOR OF NURSING PRACTICE
• (DNP)
practice doctorate = dentist, physician, clinical psychologist.

• 3-4 years beyond BSc nursing degree.

• DNP - Meet demands for nurse leaders.

• Provide leadership in nursing practice.

• Practice leader within health care system or academic setting.

• Organizational and system leadership

• Development and implementation of heath policy.

• Health promotion, risk reduction and health restoration.

 PSYCHIATRIC-MENTAL HEALTH NP
AIM
(PMHNP)
• add advanced psychiatric skill of therapy, medication, clinical management of patients.

• Provide psychiatric NP with knowledge and skill across lifespan.

• provide care at domestic violence shelters, schools, correctional facilities and residential substance
abuse facilities.

• primary clinical focus - psychiatric and they work with a wide range of patients to provide specialized
intensive mental health services..
 SCHOOL NP
 School nursing is a specialized practice of professional nursing that advances the well-being,
academic success and life-long achievement and health of students.

 Positive student response to normal development.

 Health and safety promotion.

 Intervene with health problems

 Screening and referral for health condition

 Health education –nutrition, exercise, smoking, hygiene, STD, substance abuse…

 PEDIATRIC NP- ACUTE CARE
• Providing care from birth to 21 years.

• Patient care ( P/E, lab and diagnostic tests, medication and therapies)

• Graduate – pediatric nurse certification board.

• Practice- ED, clinics, hospital and icu.

• counseling young patients and their families on health-related issues.

 SUB SPECIALITIES
ALLERGY & DERMATOL EMERGENC
CARDIAC GERIATRIC ENDO
IMMUNOLOGY O-GY Y

GASTRO
HOLISTIC HOSPICE ENTEROLOG PEDS ONC SURGICAL NEURO
Y

OCCUPATION ORTHOPEDIC PUL & RESP SPORTS TRAVEL UROLOGY

 NP IN INDIA
 In the National Health Policy, 2015- reshaping health systems in all dimensions of health.

 The Indian Nursing Council has initiated the ‘Nurse Practitioner in Critical Care Program’ (NPCC),
the first postgraduate nursing residency program in India.

 It was approved by the Government of India

 launched by the Health Minister and it is announced on the INC website in the year 2017.
 Competencies of Nurse Practitioner in
Critical Care
a) Patient selection/admission into ICU and discharge

b) Problem identification through appropriate assessment

c) Selection/administration of medication or devices or therapies

d) Patients’ education for use of therapeutics

e) Knowledge of interactions of therapeutics, if any

f) Evaluation of outcomes and

g) Recognition and management of complications and untoward reactions.

 Aim
The critical care NP program prepares registered BSc nurses for advanced practice roles
as clinical experts, managers, educators and consultants leading to M.Sc degree in
critical care NP
 OBJECTIVES

• provide competent care and appropriate family care in tertiary care centres

• demonstrate clinical competence

• apply theoretical, patho-physiological and pharmacological principles and evidence

base in implementing therapies

• identify the critical condition

• Collaborate with other health care professionals

 Standards/Requirements to start the NP program
• The teaching institution must accept the accountability for the NP program

• program congruent with the INC standards.

• parent tertiary care centre with a minimum of 500 beds

• above having Medical ICU, Surgical ICU, Cardio/thoracic ICU and

Emergency care unit with a minimum of 10 beds and above in each ICU,

• to a total of 40-50 ICU beds in the hospital.

 Program Description
• Residency program

• Main focus on Competency based training.

• The duration - two years

• curriculum - theory that includes core courses, advanced practice courses and clinical courses besides
clinical practicum which is a major component.
 Physical and Learning Resources at
college/Hospital
 One classroom/conference room at the clinical setting

 Skill lab for simulated learning ( Hospital/college)

 Library and computer facilities with access to online

journals

 E- learning facilities
 Staff resources
● Full time faculty qualified NP in the specialty/ MSc in relevant specialty ( 1 faculty for every 5
students

● Professor cum coordinator 1/ Reader / Associate Professor 1

● Dual role or a senior nurse with MSc qualification employed in the tertiary centre

● Medical/nursing faculty preceptors

Admission Requirements
 registered B.Sc nurse with a minimum of one year
clinical experience

 preferably in any critical care setting prior to

enrollment.

 Number of candidates: 1 candidate for 5 ICU beds

 Salary: 1. In-service candidates will get regular

 salary 2. Salary for the other candidates as per the

salary structure of the hospital where the course is
conducted
Curriculum
Teaching methods:
 Clinical conference

 Case/clinical presentation

 Nursing rounds

 Clinical seminars

 Case study/Nursing process

 Advanced health assessment

 Faculty lecture in the clinical area

 Directed reading

 Assignments

 Case study analysis

 Workshops
 Procedures/log book
At the end of each clinical posting, clinical log book (procedures/skills & clinical requirements) has
to be signed
Assessment (Formative and Summative)
1. Seminar

2. Written assignments/Term papers 11

3. Case/Clinical presentation

4. Nursing process report

5. Clinical performance evaluation

6. Log book- counter signed by the medical/nursing faculty preceptor

7. Objective Structured Clinical Examination

8. Test papers

9. Final examination
Ph.D in Nursing
 Ph. D Nursing
● It is the university highest level supervised research degree.

● essential to prepare nurse scholars to improve the quality of nursing

education and practice in India.

● National consortium for Ph.D in Nursing (Ph.D Consortium) has been

constituted by INC in collaboration with Rajiv Gandhi University of
Health Sciences and W.H.O., under the Faculty of Nursing to promote
doctoral education in various fields of Nursing.
 Purpose

Doctoral education is to prepare nurse scholars who will contribute both to the
development and application of knowledge in nursing for enhancing quality of
nursing education, research, practice and dissemination of nursing knowledge
Objectives
• Conduct research relevant to nursing

• Develop nursing theories and nursing science

• Synthesize knowledge from nursing and other allied sciences to develop and test theory
that affects health status.

• Demonstrate the leadership skills in nursing practice, education and research.

• Disseminate the results of theory development and research

 Eligibility
1. MPhil/ MSc(N) or a PG degree in nursing recognized by INC , for enrolment for
Ph.D.in nursing (part time) under faculty of nursing RGUHS.

2. The candidates should have passed MSc.(N) with a minimum of 55% marks.

3. Should have research background (May or may not published articles in

journals.)
Selection criteria

I. Merit in entrance exam (85 marks)

II. Candidates obtaining MPhil in nursing (5marks)

III. Publications(5marks)

IV. institutions (5marks)

V. • Selection will be made by Ph.D. consortium and the decision of the consortium will be final
 National consortium study centres.
6 study centres namely

● Institute of Nursing Education (INE)Mumbai

● Rajkumari Amrit Kaur (R.A.K.) College of Nursing, New Delhi

● C.M.C. College of Nursing, Vellore

● C.M.C. College of Nursing, Ludhiana

● Govt. College of Nursing, Thiruvanthapuram

● Govt. College of Nursing, Hyderabad,

These centres will be connected by Video conferencing facilities. MOU has been signed between INC,
WHO and RGUHS
Duration
 minimum period of 3 years from the date of provisional registration

 A full time candidate is one who is not employed or who is on study leave/ deputation and pursuing
PhD.

 Work full time and will not seek any employment during study period

 A part time candidate is one who is employed and does PhD. Work in addition to the existing duties
and responsibilities.

 A full time/ part time candidate should complete research work and submit the thesis to the
university within 3 years

 part time candidate, maximum period for submission of thesis will be 4 years from the date of
provisional registration
Board of research studies
• Dean and head of departments concerned

• Principals/ heads of medical institutions recognized for PG medical studies.

• Two members nominated by the academic councils.

• Three persons nominated by the medical faculty (for their special knowledge in the medical sciences)

• The co-opted or nominate members shall hold office for a period of 2 years. Each board shall be elect a
chairman from among its own members who shall hold office for a period of 2 years.
 Calendar of Events
• Provisional registration- 1st July every year

• Submission of half yearly progress report- 15th July every year/15 Jan every year

• No two half yearly progress report should be submitted simultaneously

• Conduction of the pre-Phd examination after the approval of 1st and 2nd half
yearly progress reports and completion of one year from the date of provisional registration

• Exact date of the examination will be notified by the university

• Confirmation of registration after successfully completion of pre-Ph.D examination

• Submission of ethical clearance certificate within one year after provisional registration
 Calendar of Events
• Submission of final synopsis of research work leading to Ph.D degree after approval of all half yearly
reports and on permission to submit the synopsis of Ph.D registration committee.

• Submission of Ph.D Thesis along with the application within 6 months after the approval of the final
synopsis and permission to be sought by Phd registration committee to submit the thesis.

• Final viva-voce examination after the acceptance and approval of Ph.D thesis by the examiners (date
to be notified by the University)

• Ethical clearance from the institution should be obtained from where data is being collected

• Viva-voce to be conducted in the study centers

 Examination
Conduct of pre-ph.d examination will be at the respective study centers.

● A study center which has the videoconferencing facility shall be center for presentation of
seminar, term paper and viva-voce examination.

● A candidate has to come to the nearest study center to his/her place.

● A guide has to come to the nearest study center to his/her place.

● Scope of changing the topic is there within one year.

● Implication to nursing to be incorporated in the topic selected by the candidate.

 AWARD of PhD
Degree
After successfully completing the viva-voice, award of PhD
Degree is awarded by RGUHS, Bangalore.
Journal of Professional Nursing
Volume 32, Issue 3 Pages A1-A6, 159-252 (May–June 2016)

● Identifying Barriers and Facilitators to Nurse Faculty Careers for

PhD Nursing Students

● cross-sectional study

● aims : to identify barriers and facilitators to academic careers for

doctoral (PhD) nursing students.

● 1,500 PhD students were randomly selected from nursing schools

 Journal of Professional Nursing
RESULT :
● poor financial compensation

● negative perception of academia.

● job and family responsibilities

● lack of program flexibility and faculty mentoring

● fear of research and the dissertation process.

RECAP
DOUBTS??!!
 ASSIGNMENT
Write down the philosophy for nurse practitioner and ph.D in
nursing (INC)

Date of submission : 15.3.23

Email: sallycynthia@gmail.com
Bibliography
• Neeraja .K.P.Text book of Nursing Education.1stEd.NewDelhi:Jaypee Brothers Medical
Publishers Pvt Ltd;2003

• Sankaranarayanan B, SindhuB.Learning and teachingnursing.4thEd.New Delhi: Jaypee

Brothers Medical Publishers Pvt Ltd;2012

• Basavanthappa BT, ”Nursing Education”, JayPee Publishers, 2nd Edition, Page No.-815-
816,818

• Sudha R, “Nursing Education Principles and Concepts”, JayPee Publishers,1st Edition,

2013, Page No.- 347

• Neerja KP,” Textbook of Nursing Education”, JayPee Publishers,2nd edition, 2021, Page
No.- 72-75 & 68-70.
 Bibliography
• https://www.indiannursingcouncil.org/national-consortium-for-ph-d-nursing-in-india

• https://indiannursingcouncil.org/ph-d-nursing

• Journal of Professional Nursing Volume 32, Issue 3, May–June 2016, Pages 193-201.
Identifying Barriers and Facilitators to Nurse Faculty Careers for PhD Nursing Students

• Xue Y, Smith JA, Spetz J. Primary Care Nurse Practitioners and Physicians in Low-Income
and Rural Areas, 2010-2016. JAMA. 2019;321(1):102–105. doi:10.1001/jama.2018.17944
THANKS!

CREDITS: This presentation template was created by

Slidesgo, including icons by Flaticon and infographics &
images by Freepik
 CREDITS: This presentation template was created by
Slidesgo, including icons by Flaticon and infographics &
images by Freepik
 CREDITS: This presentation template was created by
Slidesgo, including icons by Flaticon and infographics &
images by Freepik
 THIS IS AN INFOGRAPHIC

SATURN MARS
Saturn is a gas giant A B Mars is actually a
with rings cold place

MERCUR
VENUS
Y
It is the closest D C Venus has a
planet to the Sun beautiful name
 M
S
O I
P T I M

PHONE
MOCKUP
You can replace the image on the screen
with your own work. Just right-click on
it and select “Replace image”
 OUR TEACHERS
MARIE DOE GINA JOHNS

You can speak a bit about this You can speak a bit about this
person here person here
AROUND THE WORLD

MERCURY
Mercury is the closest
planet to the Sun

JUPITER
It’s the biggest planet in
the Solar System
 LANGUAGE DEVELOPMENT
2ND YEAR 4TH YEAR
Mercury is the smallest Saturn is a gas giant with
planet several rings

1ST YEAR 3RD YEAR 5TH YEAR

Jupiter is the biggest Mars is actually a very Neptune is far away from
planet of them all cold place Earth
 DO YOU NEED PERCENTAGES?

25% 40% 35%

MERCURY VENUS MARS

Venus has a nice name and is
It’s the closest planet to the
the second planet from the
Sun and the smallest one
Sun
Despite being red, Mars is
actually a cold place. It’s full
of iron oxide dust
 9h 55m 23s
Jupiter's rotation period

333,000
The Sun’s mass compared to Earth’s

386,000 km
Distance between Earth and the Moon
 04
LANGUAG
E
EXERCISES
You can enter a subtitle here if you
need it
 SEA ANIMALS
Pictures of some sea animals are given. Tick the correct name

Crab Jellyfish Squid

Manta ray Shark Fish

 VOCABULARY
Complete the word under each picture

C_T _OG HA_ B_Y

 PHONIC EXERCISE
Look and circle the images that match with the letter

P IS FOR

F IS FOR
ALTERNATIVE RESOURCES
Here’s an assortment of alternative resources whose style fits the one of this
template:

Hand drawn chuva de amor decoration

 RESOURCES
Did you like the resources on this template?
Get them for free at our other websites:
VECTORS
● Flat chuva de amor decoration
● Beautiful glitzy stars set
● Organic flat chuva de amor
● Great job sticker collection
● Hand drawn sea animals
● Hand drawn sea animals I
● Hand drawn sea animals II
PHOTOS
● Portrait of nursery school teacher
● Girl holding paper with letters
● Yellow rain boots on bridge
● Girl running with umbrella
● Beautiful skyscape
● Portrait of nursery school teacher
● Portrait of female teacher in class
● Kitty with monochrome wall
● Cute dog portrait in a studio
● Woman in white hat
● Smiley little boy isolated on pink
 Instructions for use (premium users)
As a Premium user, you can use this template without attributing Slidesgo or keeping the "Thanks" slide.

You are allowed to:

● Modify this template.
● Use it for both personal and commercial purposes.
● Hide or delete the “Thanks” slide and the mention to Slidesgo in the credits.
● Share this template in an editable format with people who are not part of your team.

You are not allowed to:

● Sublicense, sell or rent this Slidesgo Template (or a modified version of this Slidesgo Template).
● Distribute this Slidesgo Template (or a modified version of this Slidesgo Template) or include it in a database or in
any other product or service that offers downloadable images, icons or presentations that may be subject to
distribution or resale.
● Use any of the elements that are part of this Slidesgo Template in an isolated and separated way from this
Template.
● Register any of the elements that are part of this template as a trademark or logo, or register it as a work in an
intellectual property registry or similar.

For more information about editing slides, please read our FAQs or visit Slidesgo School:
https://slidesgo.com/faqs and https://slidesgo.com/slidesgo-school
 Instructions for use
If you have a free account, in order to use this template, you must credit Slidesgo by keeping the Thanks slide. Please
refer to the next slide to read the instructions for premium users.

As a Free user, you are allowed to:

- Modify this template.
- Use it for both personal and commercial projects.

You are not allowed to:

- Sublicense, sell or rent any of Slidesgo Content (or a modified version of Slidesgo Content).
- Distribute Slidesgo Content unless it has been expressly authorized by Slidesgo.
- Include Slidesgo Content in an online or offline database or file.
- Offer Slidesgo templates (or modified versions of Slidesgo templates) for download.
- Acquire the copyright of Slidesgo Content.

For more information about editing slides, please read our FAQs or visit Slidesgo School:
https://slidesgo.com/faqs and https://slidesgo.com/slidesgo-school
 Fonts & colors used

This presentation has been made using the following fonts:

Lilita One
(https://fonts.google.com/specimen/Lilita+One)

Poppins
(https://fonts.google.com/specimen/Poppins)

#372d31 #fffdf5 #fae77f #cdea9d #8fddef

#ddb2d5 #f198c5 #f2b87e #efefef #ffffff

 Storyset

Create your Story with our illustrated concepts. Choose the style you like the most, edit its colors, pick
the background and layers you want to show and bring them to life with the animator panel! It will boost
your presentation. Check out how it works.

Pana Amico Bro Rafiki Cuate

 Use our editable graphic resources...

You can easily resize these resources without losing quality. To change the color, just ungroup the resource
and click on the object you want to change. Then, click on the paint bucket and select the color you want.
Group the resource again when you’re done. You can also look for more infographics on Slidesgo.
 JANUARY FEBRUARY MARCH APRIL MAY JUNE

PHASE 1

Task 1

Task 2

PHASE 2

Task 1

Task 2

JANUARY FEBRUARY MARCH APRIL

PHASE
1

Task 1

Task 2
 ...and our sets of editable icons

You can resize these icons without losing quality.

You can change the stroke and fill color; just select the icon and click on the paint bucket/pen.
In Google Slides, you can also use Flaticon’s extension, allowing you to customize and add even more icons.
Educational Icons Medical Icons
Business Icons Teamwork Icons
Help & Support Icons Avatar Icons
Creative Process Icons Performing Arts Icons
Nature Icons
SEO & Marketing Icons