Bajaj Committee and High-power Committee .pptx

National committees in nursing administration and management are formed to address various issues related to nursing education, practice, and research at a national level. They provide a platform for experts and stakeholders to collaborate, develop guidelines, and advocate for policies that promote quality nursing care and improve patient outcomes.
Bajaj and the Highpower Committees were two committees that addressed nursing administration in India. It was observed that nurses are not involved in making policies that govern their status and practice. By understanding the contribution of the Bajaj and high-power committees, nursing administrators can better appreciate the historical context of the profession and work towards further improving the quality of nursing care in India. This PowerPoint presentation is about the references made by the two committees concerning nursing.

1. BAJAJ COMMITTEE AND HIGHPOWER COMMITTEE PREPARED BY: Mrs. Jane Jose 2 nd year MSc. Nursing

2. Introduction National committees in nursing administration and management are formed to address various issues related to nursing education, practice and research at a national level. They provide a platform for experts and stakeholders to collaborate, develop guidelines and advocate for policies that promote quality nursing care and improve patient outcomes. Bajaj and Highpower committee were two committees that addressed nursing administration in India.

3. BAJAJ COMMITTEE The Bajaj committee was constituted in 1986 by the Ministry of Health and Family Welfare to assess India's existing and projected National Health manpower requirements and recommended ways to strengthen health manpower production and development . 1/29/2025 Jane Jose 3

4. Constitution of the committee Set up by the MHFW Government of India in 1986 . Chairman-Prof J S Bajaj, P rofessor of medicine ,AI IMS , New Delhi Joint advisor (Health) planning commission member- Dr. Harcharen Singh. Below him 6 members was assigned as members from Human Resource Department and National Institute of Health and Family Welfare and Employment &Training ( Ministry of Labor) 1/29/2025 Jane Jose 4

5. Terms of references To figure out how many healthcare workers we need now and in the future, especially for primary and intermediate care, and also to set up a system to keep checking these needs as the population and health problems change. To suggest what subjects students should study in high school to prepare them for health-related jobs and also to suggest what subjects +2 students should learn to get interested in these health careers. 1/29/2025 Jane Jose 5

6. Cont.. To suggest what kind of schools and colleges we should build to train the right number of healthcare workers and to improve the existing healthcare schools and colleges. To change how we train and use healthcare workers to ensure we have the right people in the right places. This includes improving education and training programs and creating better systems for hiring and managing healthcare workers . 1/29/2025 Jane Jose 6

7. Cont.. To suggest ways to help healthcare workers advance their careers by offering courses (bridge courses) to help them move between different jobs and levels of expertise . 1/29/2025 Jane Jose 7

8. Health manpower needs and resources Health planning system approach: To achieve and attain the goal of “Health for all-2000 AD” health services in the country are being organized on a 4-tier system. At village level Sub-center (3000 -2000 population) Primary health center (20,000 -30,000 population) Community health center. (1,00,000 population)

9. The techniques of health manpower projection

10. High Power Committee Established in 1987 Chairman - Smt. Sarojini Varadappan Member secretary –Smt. Rajkumari Sood, nursing advisor to the government of India

11. Objectives 1. To examine the role and working conditions of nurses and in nursing services in rural and urban areas. 2. To recommend adequate staffing norms for hospitals and other health institutions. 3. To review the training provided to all categories and levels of nurses and midwives. 4. To examine the need for organising nursing services at national state and district levels and study other relevant aspects.

12. Recommendations on Nursing profession 1.Employment: Uniformity in employment procedures Recruitment rules for all categories of nursing posts (qualification and experience) No bond for nursing students States should create posts and appointments for freshers in the appropriate positions.

13. Cont.. 2. Job descriptions . For all categories of nursing personnel is prepared by the central government to provide guidelines.

14. Cont … 3. Workin g hours Weekly working hours- 40hrs/week Str aight shift Extra working hours compensated by leave or by extra emoluments depending on the state policy Nurses be given day off weekly and all gazetted holidays as per the government rule

15. Cont.. 4 . Workload/ working facilities Nursing homes for patient care and community care to be adopted as recommended by the committee . Hospitals to develop central sterile supply department, central linen services and central drug supply system . Group D employees — responsible for housekeeping department . Policies for breakage and losses to be developed . N urses are not made responsible

16. Cont.. 5. Pay and allowances Uniformity of pay scales of all categories of nursing personnel is not feasible . Special allowances like uniform allowance family allowance mess allowance accommodation can be given.

17. Cont.. 6.Promotional opportunities Post basic BSc nursing is essential for promotion to ward sister More supervisory positions are needed Guidance and supervision should be provided during evening and night shift s Nurses should have 3 promotions during their career

18. Cont.. Promotions should be eased on merit and seniority Top administrative and teaching positions should be filled through open selection Stagnant positions should be addressed with selection grades and running scales .

19. Cont.. 7. Career development Provision for deputation for higher studies after 5 years Opportunity to attend at least one refresher course every 2 years

20. Cont.. 8. Accommodation Priority allotment of accommodation near to workplace for nursing staff . Apartment type of accommodation rather than hostel facility

21. Estimate equipment and consumable costs Identify and list all equipment-related consumables. Determine the quantity and cost of required consumables. Consider capital and recurrent expenditure for equipment and maintenance. Calculate usage rates for consumables to optimize inventory. Regularly update the estimate to ensure accurate budgeting . 1/29/2025 Jane Jose 21

22. Cont.. 9 . Transportation : during odd hours , calamities 10. Special incentives : in terms of awards increment 11. Occupational hazards : medical facilities by central govt, free medical services, risk allowances 1/29/2025 Jane Jose 22

23. Additional facilities for nurses working in rural areas > Family accommodation at the sub centre > A woman attendant selected from the village must accompany the ANM for visit to other villages > Vehicle 4 field supervision for the district public healthiness > Rural allowance as granted to other employees is paid to nursing personnel 1/29/2025 Jane Jose 23

24. NURSING EDUCATION Nursing education to be fitted into national stream of education to bring about uniformity, recognition and standards of nursing education . Recommendations: There should be 2 levels of nursing personnel - professional nurse ( degree level - +2 with science, 4 yrs) and auxiliary nurse ( vocational nurse - 10 th standard , 2 years). 1/29/2025 Jane Jose 24

25. All School of Nursing attached to Medical College hospitals is upgraded to degree level in a phased manner . All ANM and School of Nursing attached to district hospitals be affiliated with the senior secondary board P ost certificate BSc nursing degree to be continued , giving opportunities to the diploma nurses to continue higher education 1/29/2025 Jane Jose 25 Cont..

26. Cont.. MS c. nursing program to be increased and strengthened D octoral programs in nursing to be started in selected universities C entral assistance be provided for all levels of nursing education institutions in terms of budget U pgradation of degree-level institutions be made in a phased manner . 1/29/2025 Jane Jose 26

27. Cont.. Each school should have a separate budget till such time is phas ed to a degree program . Nursing personnel should have a complete say in matters of selection of students selection is completely based on merits . All schools to have adequate budget for libraries and teaching equipments 1/29/2025 Jane Jose 27

28. Cont.. All schools to have independent teaching block with adequate classroom facilities library common room as per I NC norm A dequate accommodation and other facilities are provided to students as per recommended INC norm St udents should learn under supervision in the w ard . Tutors or clinical instructors must go to war d with students 1/29/2025 Jane Jose 28

29. Cont.. Students should not be used for the service of the hospital . Community nursing experience should be as per Inc recommendations necessary transport and accommodation should be made available for the safety security of the students . INC requirements for staffing and minimum requirements are followed by all schools . 1/29/2025 Jane Jose 29

30. Cont.. Provision for higher training abroad and exchange programs are made . Continuing education and staff development . The National Institute for Nursing Education Research and Training needs to be established like NCERT for the development of educational technology preparation of textbooks media or manuals for nursing . 1/29/2025 Jane Jose 30

31. NURSING SERVICES Definitely nursing policies regarding nursing practice be available in each institution . T hese policies include . a) Qualification or recruitment rules b) J ob description or job specifications O rgorganizational chart of the institution N ursing care standards for different categories of patient 1/29/2025 Jane Jose 31

32. Cont.. Staffing as per I NC norm S tudents not to be counted for staffing in the hospitals . Adequate supplies and equipments drugs EC be made available for practice of nursing . There should be a separate budget head for nursing equipment and supplies in each hospitals . 1/29/2025 Jane Jose 32

33. Cont.. N urses to be relieved from non nursing duties . Duty station is provided for nurses in each w ard . Provision of part time jobs for married nurses to be considered .( min 16-20 hrs /week ) Re - entry b y married nurses at the age of 35 or above may be considered ; such nurses should be given induction courses 1/29/2025 Jane Jose 33

34. Cont.. Nurses in senior positions like ward sisters, ANS, DNS, NS must have courses in management and administration before promotion . Nurses working in specialty areas must have courses in specialities promotion . Opportunities for clinical specialties like administrative post are considered for improving quality nursing services . 1/29/2025 Jane Jose 34

35. Cont.. The committee recommends that gazetted ranks be allowed for nurses working as ward sister and above ( minimum Class 2 gazette ). Similarly the post of health supervisor ( female ) is allowed gazetted rank and district public health nurse be given the status equal to district medical or health officers . 1/29/2025 Jane Jose 35

36. Organization of nursing services Position and status of nursing personnel working in their directorates need upgradation and expansion . Enable nurses to participate in policy making Andrew decision making . All nursing components should be under the control of nursing personnel at all levels . At every le vel adequate provision of budget should be made for development of nursing profession 1/29/2025 Jane Jose 36

37. CONCLUSION It was observed that nurses are not involved in making policies that govern their status and practice . By understanding the contribution of Bajaj committee and high power committees nursing administrators can better appreciate the historical context of the profession and work towards further improving the quality of nursing care in India . 1/29/2025 Jane Jose 37

38. 1/29/2025 Jane Jose 38