The document discusses the nursing service structure and education system in Pakistan. It begins by defining key terms like service and structure. It then outlines the history of nursing directorate in Punjab, describing the establishment and roles of organizations like the Pakistan Nursing Council and Directorate General of Nursing. The functions of nursing services are explained, including administration, education, and roles at various facilities. Current nursing education programs and positions in Pakistan and future directions are presented. In conclusion, expert opinions are suggested on improving nursing education models and creating new roles to advance the profession.

1. Bahadur Ali
MScN Student
Year lI Semester llI
DUHS karachi
Cell# +923012668673
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2. Objectives
 At the end of my presentation the learners will be able to;
 Define Service Structure
 Describe History of Nursing Directorate
 Explore Functions of Nursing Services
 Discuss Staff Position of Nursing Officers
 Future Nursing
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3. Service Structure
 Service :
 the action of helping or doing work for someone.
 Structure:
 the arrangement of and relations between the parts or elements of
something complex.
 construct or arrange according to a plan; give a pattern or
organization to.
 Service Structure:
The grade and value range descriptors group generic functions under the
categories of: policy and projects, administrative and corporate support,
operational service delivery and technical/specialist roles.
(https://www.google.com.pk/online dic)
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4. Pakistan Nursing Council
The PNC is an autonomous, regulatory body constituted
under the Pakistan Nursing Council Act (1952, 1973) and
empowered to register (license) Nurses, Midwives, Lady
Health Visitors (LHVs) and Nursing Auxiliaries to
practice in Pakistan. PNC was established in 1948.
(http://www.pnc.org.pk/)
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5. PNC Nursing positions
Charge Nurse (BPS14)
Head Nurse (BPS 16)
Nursing Supervisor (BPS 17)
Nursing Instructor (BPS 17)
Assistant Nursing Instructor (BPS 17)
Clinical Nursing Instructor (BPS 17)
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Note: PNC yet not updated the cadre in documents although it has been upgraded

6. PNC EDUCATION SERVICE STRUCTURE
FOR POST GRADUATE INSTITUTES
Dean//Director of nursing education/ Principle
 PhD in Nursing
 5 year of experience in relevant field of teaching and clinical experience
Registered with PNC
Faculty
Professor:
 PhD in Nursing, 3 year of experience in relevant field of teaching and
clinical experience Registered with PNC
Associate Professor Preferably PhD
 5 year of clinical/teaching experience or MSN with 10 year relevant field of
teaching and clinical experience Registered with PNC
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7. Cont…….
Assistant Professor
 MSN with 2 year clinical/ teaching experience or
 Post RN BSN with 5 year post degree teaching experience
 Registered with PNC
Senior Instructor
 Post RN BSN with 3 year clinical/ teaching experience or
 BSN with 10 year of clinical/teaching experience
 Registered with PNC
Instructor
 Post RN with 2 year of clinical/ teaching or
 BSN with 5 year clinical experience
 Registered with PNC
Adjunct/Visiting faculty
 Non nursing subject teacher (part time)
(http://www.pnc.org.pk/Rules_for_Establishment_of_New_Nursing_Institutions_.htm)
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8. Directorate General of Nursing
(Punjab)
 History of Nursing Directorate
 Functions of Nursing Services
 Nursing Education
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9. History of Nursing Directorate
(Punjab)
 Before establishment of Directorate Nursing Services and
Education were under the control of secretary Health , and
Medical Superintendent of the concerned hospital. The
highest post in Nursing Services was Deputy Secretary
Nursing at Secretariat Level.
 Before 1986 no posts of BS-19 to BS-20 were exist.
 In 1986 the following posts were created:
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
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10. Cont…..
 3 Posts of BS-20
Director General Nursing, Punjab Chief Nursing
Superintendents/Principals School of Nursing
 9 Posts of BS-19
Principals SON in Teaching Hospitals
 21 Posts of BS-18
Head Quarter, Principal, NS, & ADNS at Divisional Level
 79 Posts of BS-17
Nursing Instructor, Clinical Nursing Instructor were created
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
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11. Cont…..
 The other posts of all cadre has been created time to time.
 After establishment of Directorate General Nursing, the
post of Deputy Secretary Nursing at Secretariat level was
demolished, now no Nursing representative is there to
support Nursing Cadre.
 Directorate of Nursing is functioning since, 1988 in order
to bring the Nursing Services at other professions of the
Health Department, the honorable Governor accorded
approval to the creation of Directorate General Nursing in
1st July, 1986 at the Provincial Headquarter along with the
following Nursing Officers:-
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12. Cont…..
 Director General Nursing, 1 (BS-20)
 Deputy Director Nursing, 1 (BS-19)
 Assistant Directors Nursing (Headquarter) 2 (BS-18)
 Assistant Directors Nursing (District level) 10 (BS-18)
 But unfortunately out of 8 Posts of Assistant Director
Nursing BPS-18 (Divisional Level) only 4 Posts are
existing and others are demolished / occupied by others
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13. Functions of Nursing Services
 Nursing Services
 Nursing Education
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14. Nursing Services
 Administrative control of entire Nursing cadres.
 Preparation of promotion cases of BPS-16, BPS-17 & BPS-18.
 Disciplinary cases like show cause, warning, major penalty,
minor penalty, enquiry proceeding & exonerate enquiry.
 All category of leave upto 89 days except Ex-Pakistan leave /
Study Leave, medical leave.
 NOC Routed though Health Department to Ministry of Health,
Islamabad.
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
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15. Staff Position of Nursing Officers/ Officials of
Directorate General of Nursing
Sr
No
Name of Post BPS Sanction
1 D.G Nursing 20 1
2 Dy. D. Nursing 19 1
3 Assistant Dir Nursing 18 2
4 Supporting Staff 1 to 16 38
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(http://health.punjab.gov.pk/?q=directorate_general_nursing)

16. Detail of Nursing Officers Working In
Various Institutions at Clinical Side
Sr no Posts BPS
1 Charge Nurse 16
2 Head Nurse 17
3 Dy. Nursing Supdt 17
4 Nursing Supdt 18
5 Nursing Supervisor 18
6 Assistant Dir Nursing 18
7 Deputy Chief N S 19
8 Deputy Dir 19
9 D.G Nursing 20
5/7/2015 16(http://health.punjab.gov.pk/?q=directorate_general_nursing)

17. Detail of Nursing Officers Working In
Venous Institutions at Education Side
Sr no Posts BPS
1 Asst. Nursing Ins 17
2 Clinical N I 17
3 Nursing I 17
4 S N I 18
5 Vice Principal 18
6 Principal 18
7 Principal 19
8 Principal 20
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(http://health.punjab.gov.pk/?q=directorate_general_nursing)

18. Staff Position of Nursing Examination
Board.
Sr no Posts BPS
1 Controller 18
2 Assistant C 17
3 Administrative off 17
4 Support Staff 1 to 12
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(http://health.punjab.gov.pk/?q=directorate_general_nursing)

19. NURSING SERVICE STRUCTRE
(JPMC)
Chief Nursing Superintendent (BPS20)
deputy CNS (BPS 19)
Nursing Supdt (BPS 18)
Assistant NS (BPS 17)
Nursing Instructor (BPS 18)
Head Nurse (BPS 17 )
Staff Nurse/ Charge Nurse (BPS16)
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20. NURSING SERVICE STRUCTRE EDUCATION
(JPMC)
Principal
Vice Principal
Nursing Instructor
Clinical Nursing Instructor
Assistant Nursing Instructor
Assistant Clinical Nursing Instructor
Supporting Staff
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21. Leave status JPMC
 Total leave in JPMC are 48 (Annual )
 20 Casual leave
 No Emergency leave
 No Sick leave
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22. PRIVATE INSTITUTIONS
Every private institute has its own policy of Nursing Service
Structure
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23. Current Education in Pakistan
 Diploma in General Nursing
 Diploma in Pupil Midwifery
 Diploma in Nurse Midwifery
 Licensed Practical Nurse
 Post RN BSN
 Bachelors of Science in Nursing
 Masters of Science in Nursing
 Doctorate in Nursing ? (AKU)
 Many Specialties
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24. Nursing Education Hierarchy
Global View
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29. 5/7/2015 29

30. Future of Nursing

31. Key Messages:
 Nurses should practice to the full extent of their education and
training,
 Nurses should achieve higher levels of education through an
improved education system that promotes seamless academic
progression,
 Nurses should be full partners with physicians and other health care
professionals in redesigning health care
 Effective workforce planning and policy making require better data
collection and an improved information infrastructure.
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32. Future of Nursing
Key Recommendations:
• Remove scope of practice barriers.
• Expand opportunities for nurses to lead and diffuse collaborative
improvement efforts.
• Implement nurse residency programs.
• Ensure that nurses engage in life long learning.
• Prepare and enable nurses to lead change and advance health.
• Build an infrastructure for the collection and analysis of inter professional
health care workforce data.

33. Increase the Number of Nurses with
Baccalaureate, Master, Doctorate Degree in Nursing
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34. New Models of Nursing Education Are
Needed

35. New Models of Nursing Education can
Create New positions
 Nurse Consultant
 Nurse Researcher
 Nurse practitioner
 And many more
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37. Expert suggestions
By !
 Mr Mahmood Ahmad
 Mr Sabir Hussain
 Sumaira Yasmin
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38. References
1. Retrieved from https://www.google.com.pk/?gws_rd=ssl#q=service+means
(07/10/2015)
2. Retrieved from http://health.punjab.gov.pk/?q=directorate_general_nursing
(07/10/2015)
3. Retrieved from: http ://www.pnc.org.pk/PNC_Acts_-_Regulation.htm (07/10/2015)
4. Retrieved from:
https://www.google.com.pk/search?q=professional+services+structure+of+nursing+in
+pakistan&biw=1280&bih=656&source=lnms&tbm=isch&sa=X&ei= (07/10/2015)
5. Retrieved from:
https://www.google.com.pk/search?q=professional+services+structure+of+nursing+in
+pakistan&biw=1280&bih=656&source=lnms&tbm=isch&sa=X&ei=#tbm=isch&q=
DOW+UNIVERSITY+NURSING(07/01/2015
6. Retrieved from:
https://www.google.com.pk/search?q=professional+services+structure+of+nursing+in
+pakistan(07/01/2015)
7. Retrieved from:
http://www.pnc.org.pk/Rules_for_Establishment_of_New_Nursing_Institutions_.htm
(07/01/2015)
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