A study conducted in 1991 in 119 countries
including India identified following major
Lack of nurses prepares to work in nursing
Acute storage of nurses.
Less relationship between nursing service
and nursing education.
Lack of authority in administrative structure.
Strange relationship between nurses and
other auxiliaries and also with physicians.
Lack of teamwork spirit.
Lack of resources, both material and
Managed care system
Quality indicators and accountability for outcomes.
New demands/ technology advancement.
High tech and high touch dilemma.
Community/ global perspective.
Issue related to staffing
Demand for nurses
Issues regarding malpractice in nursing
Caring patients with AIDS
Abscond of the patient
Deaths and dying
Autopsy and organ
Do not resuscitate
Documentation of all unusual
Report all unusual incidences.
Know your job description.
Follow policies and procedures as
established by your employing agency.
Keep your registration updated.
Perform procedures that you have been
taught and that are within the standard
scope of your practice.
Protect patients from injuring
Remain alert and focused.
Establish and maintain rapport with
patients and family.
Seek and clarify orders when the
patient‘s medical condition changes.
Practice safety with physician‘s verbal
Remove side rails from patient‘s bed unless
there is an order or hospital policy to do so.
Allow patients to leave the hospital or
nursing home unless there is an order or a
Accept money or gifts from patients.
Give advice that is contrary to physician
orders or the nursing care plan.
Give medical advice to friends and
Attempt to practice medicine.
Witness a patient‘s will.
Take medications that belong to
Worked as a licensed
practical/vocational nurse in a state
in which you are not licensed.
•Vati Jogindra. Principles and Practice of Nursing
Management and Admistration. 1st edition: Jaypee
Brothers Medical Publishers (P) Ltd. New Delhi; 2013. Pp
•Basavanthappa BT. Nursing Education. 2nd edition: Jaypee
Broers Medical Publishers. New Delhi; 2009.pp 809-836.
•Fraser M. Diane. Margaret A. Cooper. Myles Textbook for
Midwives. 14th ed: Churchill Livingstone New York Oxford
Philadelphia Publishers.Toronto; 2003. pp 59- 69.