TRAINED NURSES ASSOCIATION OF INDIA

1. welcome

2. Scientific paper presentation

3. Perception of nursing
personnel regarding
significance,
challenges and
prospects of TNAI

4. Introduction
TheTrainedNursesAssociationofIndia(TNAI)istheone
andonlynationalprofessionalorganizationofnurses
accreditedbyGovernmentofIndia.
TNAIisplacedinthehistoryofnursingasithastaken
stepstoinitiateuniversityleveleducationinnursing.
ItisthevoiceofnursesinIndia.
TNAI–Goals
toupholdthedignityandhonourofthenursingprofession
topromoteteamspirit
torepresenttheproblems/concerns

5. Intheyear2012,29411professionals
(16732-GNM,12679–BSc(N))wereenrolledas
registerednursesinKerala
Manyofthemarenotenrollingasmembersin
TNAI,
eventhough,itisthenationalprofessional
organisationofNurses
Thoughenrolled,mostofthemarenotactiveinthe
association
Background of the study

6. Need and significance of the study
Todaynursesareunderpaid,
Forcedtoworkinunhealthyconditionsandadverse
environment,
Nomedicalaid
Thecostoflivingisincreasingdaybyday
Neitherthegovernmentnortheassociationispaving
muchefforttoimprovethestatus
Majorityofthemaleaswellasfemalenursesare
leavingtheProfession.

7. Statement of the problem
Astudytoidentifytheperception
ofnursingpersonnelregarding
significance,prospectsandchallenges
ofTNAIinselectedHospitals,Schools
andCollegesofNursing,Kottayamand
Pathanamthittadistrict.

8. 1.Toassesstheparticipationofnursingpersonnel
inTNAI
2.Toidentifytheperceptionofnursingpersonnel
regardingsignificanceofTNAI
3.Toassesstheexpectationsofnursingpersonnel
regardingTNAI
4.Toidentifythenurses’awarenessregarding
challengesfacedbyTNAI
Objectives

9. 1)ProspectsandsignificanceofTNAIis
accuratelyperceivedbynursing
personnel.
2)TNAIfacesvariouschallengesinthe
fieldofNursing.
Assumptions

10. TNAI:TrainedNursesAssociationofIndia
istheonlynationalprofessionalorganization
ofnursesinINDIA.
Perception:Inthisstudy,perceptionrefers
tothewayinwhichTNAIitssignificance,
prospectsandchallengesisunderstoodand
interpretedbynursingpersonnelasmeasured
byastructuredquestionnaire.
Operational definitions

11. Significance:ReferstotheimportanceofTNAI
amongnursingpersonnel.
Prospects:Referstotheexpectationsofnursing
personnelaboutTNAI.
Challenges:MeanstheproblemsfacedbyTNAI
incarryingoutitsresponsibilities.
Nursingpersonnel:Nursingpersonnelinclude
registerednursesworkinginHospitals,Schools
andCollegesofNursing.
Operational definitions Contd.

12. TheTNAIestablishedintheyear1908,hadits
beginningsasAssociationofNursing
SuperintendentsofIndia.
ComposedofninehumbleEuropeannurses,
employedmostlyasadministratorsinthehospitals.
Thissmallbandofvisionarywomenwith
pioneeringspiritsawtheneedtodevelopnursingas
aprofessionandalsoprovidedaforumwhere
professionalnursescouldmeetandplantoachieve
theirgoals.
Review of Literature

13. Researchapproach:Quantitativenon-
experimentalresearchapproach
Researchdesign:Descriptivesurvey
Setting:Thestudywasconductedattwelve
selectedHospitals,SchoolsandCollegesof
NursingofKottayamandPathanamthitta
district.
Research Methodology

15. Population:Nursingpersonnelworkingin
selectedHospitals,SchoolsandCollegesof
Nursing.
Sampleandsamplingtechnique:
Sample:240nursingpersonnel
Hospitalnurses:108/240
Nurseeducators:132/240
Samplingtechnique:Purposivesampling
Inclusioncriteria:
Nursingpersonnelwhoarewillingtoparticipate.

16. Tools and technique
Tool:StructuredQuestionnaire
SectionI:Socio-personaldatasheet
SectionII:Assessmentoftheparticipationofnursing
personnelinTNAIactivities.(12items)
SectionIII:AssessmentofsignificanceofTNAIamong
nursingpersonnel.(13items)
SectionIV:IdentificationofthechallengesfacedbyTNAI.
(6items)
SectionV:Assessmentoftheprospects/expectationsofTNAI
(8items)

17. Pilotstudywasconductedamong25
nursesaftergettingadministrativesanction.
Pilotstudyhelpedinmodifyingcertain
itemsinthetoolandthestudywasfound
feasible.
Datawascollectedfrom22-10-2013to
24-10-2013
Pilot study
Data collection process

18. Analysis & interpretation
Section 1 –Sample Characteristics
Table 1
Frequency Distribution and percentage of nursing
personnel based on their age
(n = 240)
Sample Characteristics f %
Age (in years)21 –30 141 58.8
31 –40 36 15.0
41 –50 43 17.9
51 –60 20 8.3
Table 1 reveals that 58.8% of nursing personnel belonged to the age
group 21 –30 years.

19. Table 2
FrequencyDistributionandpercentageofnursingpersonnelbasedontheir
qualification.
(n = 240)
Sample Characteristics f %
QualificationGNM 78 32.5
BSc (N) 70 29.2
MSc (N) 81 33.8
M Phil 6 2.5
Ph D 5 2.1
From table 2 it is evident that 33.8 % of the nursing personnel are having post
graduate level education.

20. Table 3
Frequency Distribution and percentage of nursing personnel based on their
designation and employment agency.
(n = 240)
Sample Characteristics f %
Designation Nurse Educator 132 55.0
Nursing Superintendent7 2.9
Head Nurse 12 5.0
Staff Nurse 89 37.1
Employment Agency Government 107 44.6
Semi –government 32 13.3
Private 101 42.1
Table 3 shows that 55 % of the nursing personnel were nurse educators and
44.6 % were from government sector.

21. Table 4
Frequency Distribution and percentage of nursing personnel based on
their years of professional experience
(n = 240)
Sample Characteristics f %
Professional experience (in years)< 5 118 49.2
6 –10 30 12.5
11 –15 25 10.4
16 –20 23 9.6
> 20 44 18.3
Table 4 shows that 49.2 % of the study participants were having
professional experience of 5 years or less.

22. Section 2 –This section deals with participation of nursing personnel in TNAI
activities
Table 5
Frequency distribution and percentage of nursing personnel based on their
membership in TNAI
(n = 240)
Sample Characteristics f %
Nursing personnel having TNAI Membership 143 59.6
Nursing personnel not having TNAI Membership97 40.4
Table 5 shows that majority of nursing personnel (59.6 %) have membership
in TNAI.

23. Table 6
Frequency Distribution and percentage of nursing personnel based on
functional TNAI unit in their institutions
(n = 12)
Sample Characteristics f %
Institutions having TNAI unit 6 50 %
Institutions not having TNAI unit 6 50 %
Table 6 shows that 50 % of the institutions are having TNAI unit.

24. Table 7
Frequency Distribution and percentage of nursing personnel based on their
participation in TNAI
(n = 240)
Participation in TNAI f %
Participation in TNAI meeting 79 32.9
Subscription of The Nursing Journal of India48 20.0
Access the web site of TNAI 25 10.4
Attendance in professional conference
of TNAI 81 33.8
Participation in workshop of TNAI 89 37.1
Delegation for participation in activities 102 42.5
From Table 7, it is evident that only 20% subscribe the Nursing Journal of
India.

25. Section 3 –Perception regarding Significance of TNAI among Nursing personnel
Table 8
Frequency Distribution and percentage of nursing personnel based on their
perception regarding significance of TNAI (n = 240)
Significance of TNAI f %
Strives to raise the standard of nursing education 145 60.4
Establishes code of ethical conduct for practitioners133 55.4
Conducts research activities 145 60.4
Conducts CNE programmes regularly 149 62.1
Recommends legislation and speak for nurses 89 37.1
Promotes feeling of belongingness among nurses 144 60.0
Provides educational scholarship for its members 131 54.6
Keep a continuous watch on the salaries and working-
conditions of nurses and recommend for action 61 25.4
Stands for nurses working in government sector 61 25.4
Stands for nurses working in private sector 67 27.9
Confers railway concession to its members 79 32.9
Takes initiative in resolving issues related to
nursing practice and education 80 33.3
Membership in TNAI is essential 176 73.3
Table 8 shows that only 33.3% agree that TNAI takes initiative in resolving issues related to
nursing practice and education. Majority (73.3%) feel membership in TNAI is essential.

26. Section 4 –This section deals with the challenges faced by TNAI
Table 9
Frequency Distribution and percentage of nursing personnel based on their
awareness regarding challenges faced by TNAI
(n = 240)
Challenges faced by TNAI f %
Lack of motivated and dedicated leaders 181 75.4
Lack of cooperation among TNAI members 188 78.3
Inadequate political support for the organization190 79.2
Inadequate representation in the government 195 81.3
Emergence of new organizations among nurses 142 59.2
Lack of collective bargaining for the members183 76.3
Table 9 depicts that inadequate representation `of TNAI in the government
(81.3%) is the major challenge faced by TNAI. Also it lacks motivated &
dedicated leaders(75.4%), there is inadequate political support(79.2%) & lack
of collective bargaining(76.3%).

27. Section 5 –Prospects / Expectations from TNAI
Table 10
Frequency Distribution and percentage of nursing personnel based on their
awareness regarding the Prospects / Expectations from TNAI
(n = 240)
Prospects / Expectations from TNAI f %
Create more public awareness 214 89.2
Regulate the staffing pattern as per the prescribed norms205 85.4
Create more job opportunities for nurses in the country192 80.0
Influence the government to formulate policies 199 82.9
Supports families of nurses who are
victims of occupational injuries 193 80.4
Recommend for implementing pension scheme
for nurses working in private sector 193 80.4
opportunities & facilities for nurses with 198 82.5
More than 80% of the sample population are of the opinion that TNAI have better
prospects & members expect more from the organisation.

28. Majorityisnotsatisfiedwiththepresent
levelfunctioningofTNAI.
Are you satisfied with the functions of TNAI
at unit level 128 53.3
at zonal level 125 52.1
at state level 113 47.1
at national level 117 48.8

29. Summary and discussion
Findings
Majority(58.8%)ofnursingpersonnelbelongtotheagegroup21–30years.
Majorityofnursingpersonnel94.2%werefemales.
Most(33.8%)ofthenursingpersonnelarehavingpostgraduateleveleducation.
Majority(55%)
ofthenursingpersonnelwerenurseeducatorsand37.1%werestaffnurses.
Fortyfourpercentageofthenursingpersonnelwerefromgovernmentsector
and42.1%werefromprivatesector.Most(49.2%)ofthestudyparticipants
werehavingprofessionalexperienceof5yearsorless.
Majorityofnursingpersonnel(59.6%)havemembershipinTNAI.Fiftypercent
oftheinstitutionsarehavingTNAIunit.Only20%subscribetheNursing
JournalofIndia.

30. Majority(73.3%)feelTNAImembershipisessentialasitistheonly
nationalprofessionalorganization,tohavecollectivebargainingand
unityamongnurses.
Inadequaterepresentationinthegovernment(81.3%)isthemajor
challengefacedbyTNAI,followedbyinadequatepoliticalsupport
fortheorganization(79.2%).
Majority(89.3%)ofthenursingpersonnelopinedthatcreating
morepublicawarenessaboutnursingprofessionandthe
organizationisthemajorprospect/expectationfromTNAI.Majority
isnotsatisfiedwiththepresentlevelfunctioningofTNAI.

31. Discussion
Majority(59%)ofnursingpersonnelsuggestedthatTNAI
muststrengthenitsorganizationalpatternfrombaseto
top,shouldstandfortherightsofitsmembers,inpursuing
morejobopportunitiesandbetterpaymentdeals,Createa
senseofconfidencetoitsmembers,Activelyinvolvein
solvingtheproblemsofnurses,Standasabackbonefor
nurses.Improvethestandardsofnursingpractice/nursing
education/nursingresearch.Afeelingshouldbegenerated
byTNAIthroughitsactivitiesthatitistheretosafeguard
thefutureofitsmembers.

32. Limitations
Thestudywaslimitedtotwelveselected
hospitalsandnursingcolleges.
Randomizationwasnotdoneduetolimited
samplesandtimeconstraints.
Studywasconfinedtoparticulargeographic
locations,whichobviouslyimposeslimitsto
generalization.

33. Implications
Nursing practice
Byidentifyingthesignificance,nursescan
activelytakepartinTNAIactivitiesin
ordertocreateafeelingofbelongingness
andtosafeguardourprofession,raiseits
standardsandstatusandprocurethebest
possibleconditionnotonlyforourselves,
butalsoforourpatients.

34. Similarstudiescanbereplicatedonalargescale.
Anindepthstudycanbeconductedtofindout
howthenursesareappointed,salaryfixationin
Govtandprivatesector,otherwelfare
facilities,howmanyarejoblessandwhytheyare
leavingtheprofession.
Acomparativestudycanbeconductedtoidentify
thesignificance,challengesandprospectsof
TNAIamongnursingpersonnelingovernment
andprivatesector.
Recommendations

35. Thank You…