ADVANCE NURSING PRACTICE
Hours of Instruction
Theory 150 Hours
Practical 200 Hours
Total : 350 Hours
Course Description
constructs of theoretical basis of advance nursing practice and critically
analyze different theories of nursing and other disciplines.
Objectives:
At the end of the course the students will be able to:
1. Appreciate and analyze the development of nursing as a profession.
2. Describe ethical, legal, political and economic aspects of health care
delivery and nursing practice.
3. Explain bio- psycho- social dynamics of health, life style and health
care delivery system.
4. Discuss concepts, principles, theories, models, approaches relevant to
nursing and their application.
5. Describe scope of nursing practice.
6. Provide holistic and competent nursing care following nursing process
approach.
7. Identify latest trends in nursing and the basis of advance nursing
practice.
8. Perform extended and expanded role of nurse.
9. Describe alternative modalities of nursing care.
10. Describe the concept of quality control in nursing.
11. Identify the scope of nursing research.
12. Use computer in patient care delivery system and nursing practice.
13. Appreciate importance of self development and professional
advancement.
Course Content
Unit Hours Content
I 10 Nursing as a Profession
History of development of nursing profession,
characteristics, criteria of the profession, perspective of
nursing profession-national, global
Code of ethics(INC), code of professional conduct(INC),
autonomy and accountability, assertiveness, visibility of
nurses, legal considerations,
Role of regulatory bodies
Professional organizations and unions-self defense,
individual and collective bargaining
Educational preparations, continuing education, career
opportunities, professional advancement & role and scope
of nursing education.
Role of research, leadership and management.
Quality assurance in nursing (INC).
Futuristic nursing.
II 5 Health care delivery
Health care environment, economics, constraints, planning
process, policies, political process vis a vis nursing
profession.
Health care delivery system- national, state, district and
local level.
Major stakeholders in the health care system-Government,
non-govt, Industry and other professionals.
Patterns of nursing care delivery in India.
Health care delivery concerns, national health and family
welfare programs, inter-sectoral coordination, role of nongovernmental
agencies.
Information, education and communication (IEC).
Tele-medicine.
III 10 Genetics
Review of cellular division, mutation and law of inheritance,
human genome project ,The Genomic era.
Basic concepts of Genes, Chromosomes & DNA.
Approaches to common genetic disorders.
Genetic testing – basis of genetic diagnosis, Pre symptomatic
and predisposition testing, Prenatal diagnosis & screening,
Ethical, legal & psychosocial issues in genetic testing.
Genetic counseling.
Practical application of genetics in nursing.
IV 10 Epidemiology
Scope, epidemiological approach and methods,
Morbidity, mortality,
Concepts of causation of diseases and their screening,
Application of epidemiology in health care delivery, Health
survelliance and health informatics
Role of nurse
Unit Hours Content
V 20 Bio-Psycho social pathology
Pathophysiology and Psychodynamics of disease causation
Life processes, homeostatic mechanism, biological and
psycho-social dynamics in causation of disease, life style
Common problems: Oxygen insufficiency, fluid and
electrolyte imbalance, nutritional problems, hemorrhage
]and shock, altered body temperature, unconsciousness,
sleep pattern and its disturbances, pain, sensory
deprivation.
Treatment aspects: pharmacological and pre- post operative
care aspects,
Cardio pulmonary resuscitation.
End of life Care
Infection prevention (including HIV) and standard safety
measures, bio-medical waste management.
Role of nurse- Evidence based nursing practice; Best
practices
Innovations in nursing
VI 20 Philosophy and Theories of Nursing
Values, Conceptual models, approaches.
Nursing theories: Nightingale’s, Hendersons’s, Roger’s,
Peplau’s, Abdella’s, Lewine’s, Orem’s, Johnson’s, King’s,
Neuman’s, Roy’s, Watson parsce, etc and their applications,
Health belief models, communication and management, etc
Concept of Self health.
Evidence based practice model.
VIII 10 Nursing process approach
Health Assessment- illness status of patients/clients
(Individuals, family, community), Identification of healthillness
problems, health behaviors, signs and symptoms of
clients.
Methods of collection, analysis and utilization of data
relevant to nursing process.
Formulation of nursing care plans, health goals,
implementation, modification and evaluation of care.
IX 30 Psychological aspects and Human relations
Human behavior, Life processes & growth and development,
personality development, defense mechanisms,
Communication, interpersonal relationships, individual and
group, group dynamics, and organizational behavior,
Basic human needs, Growth and development, (Conception
through preschool, School age through adolescence, Young
& middle adult, and Older adult)
Sexuality and sexual health.
Stress and adaptation, crisis and its intervention,
Coping with loss, death and grieving,
Principles and techniques of Counseling.
Unit Hours Content
X 10 Nursing practice
Framework, scope and trends.
Alternative modalities of care, alternative systems of health
and complimentary therapies.
Extended and expanded role of the nurse, in promotive,
preventive, curative and restorative health care delivery
system in community and institutions.
Health promotion and primary health care.
Independent practice issues,- Independent nurse-midwifery
practitioner.
Collaboration issues and models-within and outside
nursing.
Models of Prevention,
Family nursing, Home nursing,
Gender sensitive issues and women empowerment.
Disaster nursing.
Geriatric considerations in nursing.
Evidence based nursing practice- Best practices
Trans-cultural nursing.
XI 25 Computer applications for patient care delivery system and
nursing practice
Use of computers in teaching, learning, research and
nursing practice.
Windows, MS office: Word, Excel, Power Point,
Internet, literature search,
Statistical packages,
Hospital management information system: softwares.
Practical
Clinical posting in the following areas:
• Specialty area- in-patient unit - 2 weeks
• Community health center/PHC - 2 weeks
• Emergency/ICU - 2 weeks
Activities
• Prepare Case studies with nursing process approach and theoretical
basis
• Presentation of comparative picture of theories
• Family case- work using model of prevention
• Annotated bibliography
• Report of field visits (5)
Methods of Teaching
• Lecture cum discussion
• Seminar
• Panel discussion
• Debate
• Case Presentations
• Exposure to scientific conferences
• Field visits
Methods of evaluation :
• Tests
• Presentation
• Seminar
• Written assignments
Advance nursing Procedures
Definition, Indication and nursing implications;
• CPR, TPN, Hemodynamic monitoring, Endotrcheal intubation,
Tracheostoma, mechanical ventilation, Pacemaker, Hemodialysis,
Peritonial dialysis, LP, BT Pleural and abdominal parecentasis OT
techniques, Health assessment,Triage,Pulse oxymetry
Internal Assessment
Techniques Weightage
Test- (2 tests) 50
Assignment 25
Seminar/presentation 25
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100
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