nursing management unit-i

1. LESSON PLAN ON
ORGANIZATION AND
FUNCTIONS OF NURSING
SERVICES AND
EDUCATION

2. GENERAL OBJECTIVE
The students will be able to gain in-depth knowledge regarding Organization and functions of nursing services and
education At centre/ national level
SPECIFIC OBJECTIVES
At the end of the class, the student will be able to,
 introduce the topic
 enlist the levels of organization
 narrate about the Union ministry of health and family welfare
 describe the Centre council of health
 brief out Centre family welfare council

3. S.N SPECIFIC
OBJECTIVE
TIME CONTENT TEACHERS
ROLE
STUDENTS
ROLE
AV
AIDS
EVALUATION
1.
2.
To
introduce
the topic
Student will
be able to
narrate the
organization
and
functions of
nursing
services at
central
level.
5
min
10
min
BRINGING BACK TO LIFE:
INTRODUCTION:
Organizationand functions of nursing services
and educationAt centre/national level
CENTRALLEVEL:
Organization of health care at centre level is done by
three structures these are
1) Union ministry of health and family welfare
2) Centre council of health
3) Centre family welfare council
Functions:
The functions which are performed by the
department of health and through DGHS are
given in the union list and concurrent list and
these are as under:
1. Conducting health and morbidity surveys, planning
and organizing health programmes with active
participate of state governments, co-ordination of
health care activities through central health council,
consultative committee of parliament, statutory
Teaching
Lecturing
Listening
Note
taking
Black
board
LCD What are the
3 levels under
central level?

4. bodies etc.; appraisal of health schemes and feed back
in order to maintain uniformity, norms etc.
2. Maintenance of international health relations,
administration of port health and quarantine laws..
3. Administration of central health institutions,
training colleges, laboratories and hospitals,
4. Promotion and maintenance of appropriate
standards of education in medical, nursing, dental,
pharmaceutical and ancillary health personnel
through statutory bodies.
5. Promotion of medical and public health research.
6. Establishing and maintenance of drug standards,
7. Health intelligence.
8. Central bureau of health intelligence was set up in
1961 for collection, complication, analysis and
evaluation of information.
9. Maintenance of a central medical library.
Central family welfare council
This department mainly deals with FW matters.
Secretary with supportof team members, plan co-
ordinates, evaluates and supervises the
implementations of FW programme in the state and
co-ordinates the activities and the functions of the
technical divisions of the FW department like:
-ordination and training
and sterilization division

5. 3. Student will
be able to
narrate the
organization
and
15
min
Centre councilof health
Health is a state subject. The union government has
mainly an advisory, guiding and coordinating
function. The main functions of the council are as
under:
on all matters of health like, primary health care,
medical care, nutrition, environmental health, health
education etc.
medical and public health matters
country as a whole
ion
of available grants-in-aid
Apart from Governmental actions, Nursing education
and services are organized by Indian nursing council
and other statutory bodies in national level.
AT STATE LEVEL
State ministry of health and family welfare
They have political responsibilities, responsibilities
towards their constituencies as per their political
Lecturing Listening
and note
taking
LCD Can you enlist
the functions
at state level?

6. functions of
nursing
services at
state level.
agenda, and responsibilities for administration and
management of health and family welfare services in
their state.
Health secretariat
It is the official organ of the ministry. Major function
of the secretariat include helping minister in:
 Formulation, review and modification of board
policy outlines
 Execution of policies programmes etc.
 Coordination with government of India and
other state governments
 Control for smooth and efficient functioning of
administrative machinery.
State health directorate
o Providing curative and preventive services
o Provision for controlof milk and food
sanitation
o Assumes for total responsibility for taking all
steps in the prevention of any outbreak of
communicable diseases specially during
festivals and special seasons
o Establishment and maintenance of central
laboratories for preparation of vaccines, etc
o Promotion of health education
o Collection, tabulation and publication of vital
statistics

7. 4. Student will
be able to
narrate the
organization
and
functions of
nursing
services at
district
level.
10
min
Apart from governmental actions it will be
organized by state nursing councils and
universities
Functions of university are
AT DISTRICT LEVEL
At district level health organisation is maintained by
taluks or block, their main function is, to plan and
implement community development programmes.
Panchayati raj system is a local self governing system
in rural area which work parallel to official structure
of administration. It consists of three –tier structure of
rural local self government.
 Gram sabha- it is comprised of all the adult
men and women of the village. This body
meets at least twice in a year and discusses
important issues and considers proposals
pertaining to various developmental aspects
including health matters
 Gram Panchayat-it is the executive organ of
the gram sabha. Its main function is overall
planning and development of the villages. The
Teaching Listening OHP

8. Panchayat secretary has been given powers to
function for wide areas such as maintenance of
sanitation and public health, socio economic
development of villages.
 Panchayatsamiti- it is responsible for the
block development programme. The funds for
the development activities are processed
through Panchayat samiti. The block
development officer and his/her technical staff
extend assistance and guidance to gram
Panchayats in carrying out developmental
activities in their villages.
INSTITUTIONALLEVEL –
AT HOSPITAL
Organizationof nursing services andeducation
Directorof nursing
 Nursing services must function under a senior
competent nursing administrator – variously
called as director of nursing, nursing
superintendent, principal matron, or matron-
inchief.
 She is responsible to the hospital administrator
for overall programme and activities of nursing
care of all patients in the hospital.
 Nursing programme is administered by her
through appropriate planning of services,
determining nursing policies in collaboration
with hospital management and nursing

9. procedures in collaboration with nursing staff,
giving general supervision, delegation of
responsibility, coordination of
interdepartmental nursing activities‘, and
counseling the hospital administration on
nursing problems.
She has a dual role: the first one is the
administrative responsibility towards hospital
administration, and the second one is the coordinating
of all professional activities of nursing staff with
those of medical staff.
The role of the nursing superintendent starts in a
new hospital from helping to establish the overall
goals, policies and organization, and facilities to
accomplish these goals in the most effective and
efficient manner.
The functional elements of the role of nursing
superintendent includes the following
 Formation of the aims, objectives and policies
of nursing services as an integral part of
hospital service
 Staffing based on nursing requirements in
relation to accepted standard of medical care
 Planning and directing nursing services
 Maintaining supplies and equipments
 Budgeting
 Records and reports
Nursing supervisor
Each department or clinical division, e.g. Medical,

10. surgical, obstetrical, operation theatres, outpatient
department, nurseries, etc. should have a supervisor.
As they may be more than one nursing unit in each
division or department, supervisors have a general
administrative and coordinating function within their
respective division. However, supervisors will also
have limited clinical functions
Head nurse / nursing tutor
A head nurse is assigned to a nursing unit, or ward,
or a section of department. She works under the
general direction of the supervisor of the division.
Staff nurse / clinical instructor
Staff nurses are employed at the ‗floor‘ level for
carrying out skilled bedside nursing. This is the real
work force of the hospital upon whose competency,
state of training and dedication depend the success of
the nursing department.
Student nurse
Students nurse cannot be employed on nursing duties
except under supervision of fully qualified staff
nurses.
Policies and procedures
In order that a good standard of nursing care be
maintained, the nursing superintendent should
develop written policies and procedures to serve as a
guides for nurses of the various units of the hospital.
Important topics that should be incorporated are

11. as follows
 Organization
 Status and relationship
 Responsibilities
 Staffing pattern, shift pattern
 Departmental functions
 Requisitioning of supplies
 Utilization, care and maintenance of
equipment
 Nursing procedures, coordination with
domestic services
 Handling of the patients clothing and
valuables
 Isolation technique Of hospital in nursing
services and education
 As a basic function, to assist the individual
patient in performance of those activities
contributing to his health or recovery that he
would otherwise perform unaided has had the
strength will, or knowledge.
 As an extension of the above basic function,
to help and encourage the patients to carry out
the therapeutic plan initiated by the physician
 As a member of health team, to assist other
members of the team to plan and carryout the
total programme of care functions.

12. AT COMMUNITY
PHCs (Primary Health Care)
Introduction
The PHC is the first contactpoint between the
village community and the medical officer. These are
established and maintained by the state government
under minimum needs/ basic minimum services
programme. It acts as a referral unit for six sub centre
and has 4-6 beds. A PHC covers population of 30000
in plain area and 20000 in hilly remote and tribal
area. The activities of PHC‘s involve curative,
preventive, promotive and family welfare services.
The number of PHC‘s functioning in the country is
22975.
Definition
Primary health centre is the basic structural and
functional unit of public health services for rendering
primary health care in peripheral areas.
Elements of PHC
e- Ensure safe water supply
l- Locally endemic disease control
E- Education/ expanded programme on immunization
m- Maternal and child health
e- Environmental sanitation
n- Nutritional services
t- Treatment of minor aliments
s- Schoolhealth services
Standards of PHC

13. The IPHHS for PHCs has been prepared keeping in
view the resources available with respectto
functional requirement for PHCs with minimum
standards such as-
The standards prescribed are ,
a PHC covering 20000-30000 population with six
beds on well the block level PHC are ultimately
going to be upgraded as CHC with 30 beds of
providing specialized services.
The objectives of IPHS for PHCs are:-
 To provide comprehensive primary health care
to the community through the PHC
 To achieve and maintain an acceptable
standards of quality of care
 To make the services more responsible and
sensitive to the needs of the community
Minimum requirements are:-
The assured services cover all the essentials of
preventive, promotive, curative and rehabilitative
primary health care. This implies a wider range of
services that includes
Medicalcare
counseling and appropriate referralfor couples
having infertility

14. managementof malnutrition, anemia and vitamin
A deficiency and co-ordinates with ICDS
ogramme
Major role of nurse in PHC
 Facilitative role
 Developmental role
 Clinical role
 Supportive role
Functions of PHC:
CHCS (COMMUNITYHEALTH CENTRES)
Introduction
The community health centres are established and
maintained by state government under MNP/BMS

15. programme. It has 30 indoor beds with x-ray labour
room, operation theatre, and laboratory facilities. It is
managed by four medical specialists i.e. surgeon,
physician, gynecologist and pediatrician. On 31st
march 2003, 3076 CHC were established each
covering a population of 80000 to 1.20 lakh.
Definition
Community health centres are the nonprofit
community governed health organizations that
provide primary health care, health promotion and
community development services, using them inter
disciplinary terms of health providers.
Principles:
 Innovations
 Accountability
 Collaboration
 Accessibility
 Integrity
 Environment
 Excellence
Elements
Service integration
Standards of CHC
In order to provide quality care in CHCs IPHS are
being prescribed to provide optimal expert care to the
community and achieve and maintain an acceptable
standards of quality of care. These standards would

16. help to monitor and improve the functioning of
CHCs.
CHCs has to provide the following services like
Care of routine and emergency cases in surgery
Care of routine and emergency cases in
medicine
24 hour delivery services
Essentials of emergency obstetric care.
Full range of family planning services
including laparoscopic services
Safe abortion services
New born care
Routine and emergency care of sick children
Other management of medical and accidental
conditions
All the national health programmes should be
delivered through CHCs
BLOCK BASED LEARNING:
Block based learning is a dedicated learning of one
subject at a time; focuses on more immersed learning.
For example teaching learning activity is prepared for
one topic in one unit.
Programme : M.Sc(N)
Subject : Nursing management
Unit : I
Topic : Organization and functions of nursing
services and education At centre/ national level

17. REFLECTIVE LEARNING:
1. The community health centres are established
and maintained by state government under
_______ programme.
2. A PHC covers population of _____ in plain
area and_____ in hilly remote and tribal area.
3. Panchayati raj system is a local ______ system
in rural area
4. Central family welfare council department
mainly deals with_____ matters.
5. Organization of health care at centre level is
done by______ structures
Keys:
1. MNP/BMS
2. 30000, 20000
3. self governing
4. FW
5. three

18. RESEARCH BASED LEARNING:
Health Care Delivery System: India
Ishwar Modi
First published: 21 February 2014
https://doi.org/10.1002/9781118410868.wbehibs491
Abstract
Health care in India features a universal health care
system run by the constituent states and territories of
India. After Independence, India adopted the welfare
state approach, and in pursuance of the same a large
number of public hospitals and primary health centers
(PHCs) were established all over the country. The
basic health care delivery system in India is
implemented through the PHCs and the auxiliary
nurse midwives based therein. There exists
considerable disparity in the state of health between
rural and urban areas in India. The launch of the
National Rural Health Mission attempted to bridge
this gap and aimed to provide effective health care to
India's rural population. It has also made a significant
impact on health care delivery. However, like every
rapidly developing country, India is faced with the
challenge of how to manage growth with distribution,
how to balance equity with efficiency, and how to
ensure that as parts of the Indian health care sector
enter the worldwide elite, the masses are not left
behind. In spite of health remaining one of the most

19. neglected aspects in India, it can hardly be
overemphasized that the health care delivery system
in India has made great strides in boththe public and
private sectors.
INTERACTIVE LEARNING:
Whole class is divided into 4 groups to discuss
aboutthe Organization and functions of nursing
services and education At centre/ national level
INTERNET BASED LEARNING:
I. www.bloodjournal.org
II. http://www.nature.com
III. www.researchgate.in
CONTEXTUAL LEARNING:
ASSIGNMENT: (10 M)
Write an assignment on central level organization of
nursing services.
CAPSTONE PROJECT:
Students write the words regarding state level
organization of nursing services.
SUPERVISED LEARNING:
Students divided into 3 groups 1st (central level) 2nd
(state level) 3rd (district level).

20. SUMMATIVE LEARNING:
Organization of health care at centre level is done by
three structures these are : Union ministry of health
and family welfare , Centre council of health , Centre
family welfare council. State ministry of health and
family welfare:They have political responsibilities,
responsibilities towards their constituencies as per
their political agenda, and responsibilities for
administration and management of health and family
welfare services in their state. At district level health
organisation is maintained by taluks or block, their
main function is, to plan and implement community
development programmes. Panchayati raj system is a
local self governing system in rural area which work
parallel to official structure of administration. It
consists of three –tier structure of rural local self
government.
CONCLUSION:
Let me conclude the topic Organization and functions
of nursing services and education At centre/ national
level , hope you all understood the topic, you have
any doubt clarify, Thank you.
BIBLIOGRAPHY
• Gillies D A, Nursing management: 537-551.
• Basvanthapa BT. Nursing administration. 1st edition,
Jaypee brothers medical publishers: New Delhi 2004:
327-332

21. • Introduction to management, Icfai ceter for
management research: Hydrabad 2007: 285-298
• www.wikepedia.com
• www.books.google.co.in