Analysis of nurse practitioner programme in india

Nursing ppt for nursing education - Msc nursing students
nursing education topic

1. Mathew Varghese V MSN(RAK),FHNP (CMC Vellore),CPEPC Nursing officer AIIMS Delhi Analysis of Nurse Practitioner Programme 1 [email protected]

2. History The advanced practice nursing role began to take shape in the mid-20th century in  United States.  Nurse anesthetists and nurse midwives were established in the 1940s, followed by psychiatric nursing in 1954. The present day concept of the APRN as a primary care provider was created in the mid-1960s During the mid 1970s to early 1980s, the completion of a master's degree became required in order to become a certified nurse practitioner. 2 [email protected]

3. Definition According to the American Association of Nurse Practitioners, A nurse practitioner is educated at the masters or doctoral level to provide "primary, acute, chronic, and specialty care to patients of all ages and all walks of life" 3 [email protected]

4. What Does a Nurse Practitioner Do? According to the American Association of Nurse Practitioners (AANP), NPs give primary acute and specialty healthcare services to diverse populations. With their advanced clinical training, NPs are authorized to diagnose illnesses, treat conditions, and provide evidence-based health education to their patients. NPs assess their patients by examining medical histories; performing physical evaluations; and ordering (or performing) diagnostic tests. 4 [email protected]

5. Job profile They diagnose patients and develop individualized treatment plans, follow up on courses of treatment, collaborate with other healthcare professionals, and maintain detailed records. NPs must also engage in continuing education (CE) to keep abreast of technological, methodological, and other developments in their field. Most importantly, these professionals serve not only as healthcare providers to patients, but also as mentors, counselors, researchers, educators, and consultants.   5 [email protected]

6. NP Specializations Women's Health Nurse Practitioner  Women’s Health Nurse Practitioners (WHNPs) account for about 5.8 percent of NPs Their primary clinical focus area is obstetrics and gynecology (OB/GYN). WHNPs are educated and skilled in partnering with women to address their total health needs, from managing chronic health conditions affecting women to gender-focused disease prevention and health promotion. 6 [email protected]

7. Adult-Gerontology Nurse Practitioner Gerontological Nurse Practitioners (GNPs) account for approximately 6 percent of NPs. The top practice settings for GNPs include hospital outpatient clinics and long-term care facilities and their focus area mainly is primary care. They have received advanced education to provide services that address the health issues that impact older adults, as well as the resultant cognitive, physical, psychological and social impairments. Their expertise equips them to diagnose, treat and manage chronic and acute conditions and geriatric symptoms associated with age and provide therapeutic interventions or, at times, palliative treatments and end-of-life care. 7 [email protected]

8. Pediatric Nurse Practitioner  Pediatric Nurse Practitioners (PNPs) account for about 6 percent of NPs. Their primary practice setting is hospital outpatient facilities, although they can provide care anywhere from hospitals to physicians’ offices. Their clinical focus area is generally primary care. Similar to pediatricians, PNPs work autonomously or with other healthcare providers to serve patients from infancy through young adulthood. The services they provide to their patients include diagnosing illnesses; prescribing medication and therapy, in some states; conducting routine check-ups, well-child exams and childhood immunizations; ordering patient lab tests; and counseling young patients and their families on health-related issues. 8 [email protected]

9. Family Nurse Practitioner  Family Nurse Practitioners (FNPs) by far represent the largest category in the NP population. The largest percentage of FNPs work in a private group practice setting, or conventional doctor’s offices, but they also work in clinics, schools, hospitals and private homes. Their main clinical focus is primary care. Because they are working with a diverse patient population, FNPs are trained to provide a wide range of healthcare services for every member of the family, such as conducting exams; performing screening evaluations and diagnostic tests; treating mild ailments and serious conditions; promoting healthy lifestyle habits and preventative care; prescribing medications; and counseling. They also serve as administrators and policymakers. 9 [email protected]

10. Neonatal Nurse Practitioner  Neonatal Nurse Practitioners (NNPs), which form about 2 percent of the NP population, generally practice in the hospital inpatient clinic setting, including neonatal intensive care units (NICU), delivery rooms, emergency rooms and specialty clinics. NNPs are advanced practice nurses that are trained in giving care to newborns, particularly those in need of specialized attention, during the first 28 days of life. They serve as the primary caregivers for sick or premature newborns and assume full responsibility for their patients. They perform numerous duties, from monitoring specialized equipment and dispensing medications to performing diagnostic tests and other procedures and managing basic care. 10 [email protected]

11. Psychiatric Nurse Practitioner  Psychiatric Mental Health Nurse Practitioners (PMHNPs) primarily work in clinical settings such as private psychiatric practices and in-patient or out-patient psychiatric/mental health facilities. However, they also provide care at domestic violence shelters, schools, correctional facilities and residential substance abuse facilities. Their primary clinical focus is psychiatric and they work with a wide range of patients to provide specialized intensive mental health services. PMHNPs are specialists who are certified to assess and diagnose mental health issues and manage pharmacotherapeutic and psychotherapeutic interventions as means of treatment. 11 [email protected]

12. Emergency Nurse Practitioners (ENPs) Emergency Nurse Practitioners (ENPs) work in emergency care settings, which often are complex and unpredictable, and provide healthcare services for individuals of all ages either autonomously or through interdisciplinary collaboration. Some of the provided services include health promotion; disease and injury prevention; assessing, diagnosing and managing acute episodic and exacerbations of chronic illnesses; and administering education or counseling services to patients and their families. Because of their knowledge and expertise, ENPs also serve as researchers, advocates and consultants.   12 [email protected]

13. Acute Care Nurse Practitioner Acute Care Nurse Practitioners (ACNPs) account for about 7.7 percent of the NP population and they typically work within an inpatient setting. They are among the medical professionals trained to provide care for patients experiencing brief yet severe episodes of injury, illness or trauma, including respiratory distress and heart attacks. This care generally consists of emergency medical interventions and involves diagnosing and treating acute medical conditions through an immediate process. ACNPs might be skilled and trained in a specialty areas specific to a patient population, setting, condition or disease type. 13 [email protected]

14. Sub specialization Allergy & immunology NP Cardiac NP Dermatology NP Geriatric NP Emergency room NP Endocrinology NP Holistic NP Hospice NP 14 [email protected]

15. Sub specialization Gastroenterology NP Pediatric oncology NP Surgical NP Neurology NP Occupational health NP Orthopedics NP Pulmonology & respiratory NP Sports medicine NP Travel NP Urology NP 15 [email protected]

16. Skills & Personality Traits of Successful Nurse Practitioners The Mayo Clinic (2016) recommends NPs be compassionate, self-confident, analytical, personable, and calm under pressure. Since NPs may be confronted with time-sensitive healthcare issues, they must be able to make good decisions under duress and show leadership in uncertain situations. Having a strong grasp of math and science contributes to the day-to-day problem-solving, analysis, and diagnostic capabilities of NPs. Effective NPs also spend much time liaising with patients, their families, and healthcare professionals, and therefore are expected to possess excellent communication skills. Other desirable traits include being detail-oriented, empathetic, and emotionally stable. 16 [email protected]

17. NP programmes in India Nurse Practitioner in Critical Care (Post Graduate- Residency Program) Critical Care Nurse Practitioner Program is intended to prepare registered BSc Nurses to provide advanced nursing care to adults who are critically ill. The nursing care is focused on stabilizing patients’ condition, minimizing acute complications and maximizing restoration of health. These NPs are required to practice in tertiary care centers. 17 [email protected]

18. Competencies of Nurse Practitioner in Critical Care Patient selection/admission into ICU and discharge Problem identification through appropriate assessment Selection/administration of medication or devices or therapies Patients’ education for use of therapeutics Knowledge of interactions of therapeutics, if any Evaluation of outcomes and Recognition and management of complications and untoward reactions.   18 [email protected]

19. 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 19 [email protected]

20. Objectives 1. Assume responsibility and accountability to provide competent care to critically ill patients and appropriate family care in tertiary care centres 2. Demonstrate clinical competence / expertise in providing critical care which includes diagnostic reasoning, complex monitoring and therapies 3. Apply theoretical, patho -physiological and pharmacological principles and evidence base in implementing therapies / interventions in critical care 4. Identify the critical conditions and carry out interventions to stabilize and restore patient’s health and minimize or manage complications 5. Collaborate with other health care professionals in the critical care team, across the continuum of critical care   20 [email protected]

21. Standards/Requirements to start the NP program The teaching institution must accept the accountability for the NP program and its students and offer the program congruent with the INC standards. The hospital should be a parent tertiary care centre with a minimum of 500 beds and 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. Recognition for Nurse Practitioner in Critical Care (Post Graduate – Residency Program) will be given by Indian Nursing Council (INC) as per the guidelines laid down by INC 21 [email protected]

22. 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 22 [email protected]

23. 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 The above faculty shall perform dual role or a senior nurse with MSc qualification employed in the tertiary centre Medical/nursing faculty 23 [email protected]

24. Curriculum 24 [email protected]

25. 25 [email protected]

26. 26 [email protected]

27. Criteria for Admission - Applicants must possess a registered B.Sc nurse with a minimum of one year clinical experience, preferably in any critical care setting prior to enrollment. Must have undergone the B.Sc in an institution recognized by the Indian Nursing Council. Must have scored not less than 55% aggregate marks in the B.Sc program. Selection must be based on the merit of an entrance examination and interview held by the competent authority.   27 [email protected]

28. Number of candidates: 1 candidate for 5 ICU beds Salary: In-service candidates will get regular salary Salary for the other candidates as per the salary structure of the hospital where the course is conducted 28 [email protected]

29. Teaching methods: Teaching-theoretical, lab & Clinical can be done in the following methods and integrated during clinical posting Clinical conference Case/clinical presentation Nursing rounds Clinical seminars Journal clubs 29 [email protected]

30. Teaching methods: Case study/Nursing process Advanced health assessment Faculty lecture in the clinical area Directed reading Assignments Case study analysis Workshops   30 [email protected]

31. Assessment Formative and Summative Seminar Written assignments/Term papers Case/Clinical presentation Nursing process report Clinical performance evaluation Log book- counter signed by the medical/nursing faculty preceptor Objective Structured Clinical Examination Test papers Final examination 31 [email protected]

32. 32 [email protected]

33. Comparison of facilities available in MIMS CON with INC recommendation Recognition – INC, KNMC, KUHS& NAAC (National Assessment and Accreditation Council) Physical and Learning Resources at college/Hospital Two class rooms for NP and one seminar room available in clinical area 33 [email protected]

34. Skill lab for simulated learning ( Hospital/college)   Preclinical Lab:-  The college boasts of a well equipped preclinical lab with various equipment and manikins for familiarization with nursing skills before the actual clinical practice in hospital. Computer Lab:-  A well equipped computer lab intended to impart all the essential computer skill training fully caters to the requirement of students. Laboratories in Maternity Nursing, Pediatric Nursing and Community Health Nursing : - These laboratories are fully equipped for practical skill training in the above three specialties. All type of equipments and manikins are available for hands on training of students in each of these specialties. 34 [email protected]

35. Skill lab for simulated learning ( Hospital/college) Basic Science(s) Lab:-  Basic science facilities in Anatomy, Physiology, Biochemistry, Microbiology etc are available in Allied Medical Sciences Laboratories and students are exposed to all the necessary equipment and experiments. The Library of College of Nursing is fully equipped and spacious with an excellent collection of authentic reference books (5000+ +) and large number of national and international journals. Spacious reading hall with plenty of broad band connections for internet use make the library the heart of this academic campus. Periodically all the new books are added to the library to update the knowledge resource. Library is open from 08:00 a.m. - 08:00 p.m. every day to enable students and faculty to utilize the facilities to the maximum. 35 [email protected]

36. E learning facilities are available Faculties Total No. of permanent faculty-27 Total Asst. Professors -7 Associate Professors-0 Professors -4 Lectures -16 No. of Guest and Visiting faculty -10 36 [email protected]

37. List of college with NP State No of institutions Assam 1 Chattisgarh 1 Karnataka 1 Kerala 7 Madhya Pradesh 2 Maharashtra 3 Uttar Pradesh 2 Uttarakhand 1 Total 18 37 [email protected]

38. cp 38 [email protected]

39. Organization chart 39 [email protected]

40. Questions 40 [email protected]

41. References Neeraja . K.P.Text book of Nursing Education.1 st Ed.NewDelhi:Jaypee Brothers Medical Publishers Pvt Ltd;2003 Aggrawal JC. Principles , Methods and Techniques of Teaching.NewDelhi:Vikas Publishing House Pvt Ltd;1996 Sankaranarayanan B, SindhuB.Learning and teachingnursing.4 th Ed.New Delhi: Jaypee Brothers Medical Publishers Pvt Ltd;2012 Gopichandran . L,Kanniammal . C.Essentials of Communication ansd Technology.1 st Ed.NewDelhi:CBS Publishers and Distributers Pvt Ltd;2017 41 [email protected]