TRAINED NURSES ASSOCIATION OF INDIA

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TRAINED NURSES ASSOCIATION OF INDIA

  1. 1. welcome
  2. 2. Scientific paper presentation
  3. 3. Perception of nursing personnel regarding significance, challenges and prospects of TNAI
  4. 4. Introduction The Trained Nurses Association of India (TNAI) is the one and only national professional organization of nurses accredited by Government of India. TNAI is placed in the history of nursing as it has taken steps to initiate university level education in nursing. It is the voice of nurses in India. TNAI –Goals to uphold the dignity and honour of the nursing profession to promote team spirit to represent the problems/concerns
  5. 5. Background of the study In the year 2012, 29411 professionals (16732 - GNM, 12679 – BSc (N)) were enrolled as registered nurses in Kerala Many of them are not enrolling as members in TNAI, eventhough, it is the national professional organisation of Nurses Though enrolled, most of them are not active in the association
  6. 6. Need and significance of the study Today nurses are underpaid, Forced to work in unhealthy conditions and adverse environment, No medical aid The cost of living is increasing day by day Neither the government nor the association is paving much effort to improve the status Majority of the male as well as female nurses are leaving the Profession.
  7. 7. Statement of the problem A study to identify the perception of nursing personnel regarding significance, prospects and challenges of TNAI in selected Hospitals, Schools and Colleges of Nursing, Kottayam and Pathanamthitta district.
  8. 8. Objectives 1.To assess the participation of nursing personnel in TNAI 2.To identify the perception of nursing personnel regarding significance of TNAI 3.To assess the expectations of nursing personnel regarding TNAI 4.To identify the nurses’ awareness regarding challenges faced by TNAI
  9. 9. Assumptions 1) Prospects and significance of TNAI is accurately perceived by nursing personnel. 2) TNAI faces various challenges in the field of Nursing.
  10. 10. Operational definitions TNAI: Trained Nurses Association of India is the only national professional organization of nurses in INDIA. Perception: In this study, perception refers to the way in which TNAI its significance, prospects and challenges is understood and interpreted by nursing personnel as measured by a structured questionnaire.
  11. 11. Significance: Refers to the importance of TNAI among nursing personnel. Prospects: Refers to the expectations of nursing personnel about TNAI. Challenges: Means the problems faced by TNAI in carrying out its responsibilities. Nursing personnel: Nursing personnel include registered nurses working in Hospitals, Schools and Colleges of Nursing. Operational definitions Contd.
  12. 12. Review of Literature The TNAI established in the year 1908, had its beginnings as Association of Nursing Superintendents of India. Composed of nine humble European nurses, employed mostly as administrators in the hospitals. This small band of visionary women with pioneering spirit saw the need to develop nursing as a profession and also provided a forum where professional nurses could meet and plan to achieve their goals.
  13. 13. Research Methodology Research approach: Quantitative experimental research approach non- Research design: Descriptive survey Setting: The study was conducted at twelve selected Hospitals, Schools and Colleges of Nursing of Kottayam and Pathanamthitta district.
  14. 14. Population: Nursing personnel working in selected Hospitals, Schools and Colleges of Nursing. Sample and sampling technique: Sample: 240 nursing personnel Hospital nurses: 108/240 Nurse educators: 132/240 Sampling technique: Purposive sampling Inclusion criteria: Nursing personnel who are willing to participate.
  15. 15. Tools and technique Tool: Structured Questionnaire Section I : Socio-personal data sheet Section II: Assessment of the participation of nursing personnel in TNAI activities.(12 items) Section III: Assessment of significance of TNAI among nursing personnel.(13 items) Section IV: Identification of the challenges faced by TNAI. (6 items) Section V: Assessment of the prospects/expectations of TNAI (8 items)
  16. 16. Pilot study Pilot study was conducted among 25 nurses after getting administrative sanction. Pilot study helped in modifying certain items in the tool and the study was found feasible. Data was collected from 22-10-2013 to 24-10-2013 Data collection process
  17. 17. Analysis & interpretation Section 1 – Sample Characteristics Table 1 Frequency Distribution and percentage of nursing personnel based on their age (n = 240) Sample Characteristics Age (in years) 21 – 30 31 – 40 41 – 50 51 – 60 f % 141 36 43 20 58.8 15.0 17.9 8.3 Table 1 reveals that 58.8% of nursing personnel belonged to the age group 21 – 30 years.
  18. 18. Table 2 Frequency Distribution and percentage of nursing personnel based on their qualification. (n = 240) Sample Characteristics f % Qualification 78 70 81 6 5 32.5 29.2 33.8 2.5 2.1 GNM BSc (N) MSc (N) M Phil Ph D From table 2 it is evident that 33.8 % of the nursing personnel are having post graduate level education.
  19. 19. Table 3 Frequency Distribution and percentage of nursing personnel based on their designation and employment agency. (n = 240) Sample Characteristics f % Designation Nurse Educator Nursing Superintendent Head Nurse Staff Nurse 132 7 12 89 55.0 2.9 5.0 37.1 Employment Agency Government Semi – government Private 107 32 101 44.6 13.3 42.1 Table 3 shows that 55 % of the nursing personnel were nurse educators and 44.6 % were from government sector.
  20. 20. Table 4 Frequency Distribution and percentage of nursing personnel based on their years of professional experience (n = 240) Sample Characteristics Professional experience (in years) f < 5 6 – 10 11 – 15 16 – 20 > 20 % 118 30 25 23 44 49.2 12.5 10.4 9.6 18.3 Table 4 shows that 49.2 % of the study participants were having professional experience of 5 years or less.
  21. 21. 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 Membership 97 40.4 Table 5 shows that majority of nursing personnel (59.6 %) have membership in TNAI.
  22. 22. 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.
  23. 23. 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 India 48 20.0 Access the web site of TNAI 25 10.4 of TNAI 81 33.8 Participation in workshop of TNAI 89 37.1 Delegation for participation in activities 102 42.5 Attendance in professional conference From Table 7, it is evident that only 20% subscribe the Nursing Journal of India.
  24. 24. 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 Strives to raise the standard of nursing education Establishes code of ethical conduct for practitioners Conducts research activities Conducts CNE programmes regularly Recommends legislation and speak for nurses Promotes feeling of belongingness among nurses Provides educational scholarship for its members Keep a continuous watch on the salaries and workingconditions of nurses and recommend for action Stands for nurses working in government sector Stands for nurses working in private sector Confers railway concession to its members Takes initiative in resolving issues related to nursing practice and education Membership in TNAI is essential f % 145 133 145 149 89 144 131 60.4 55.4 60.4 62.1 37.1 60.0 54.6 61 61 67 79 25.4 25.4 27.9 32.9 80 176 33.3 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.
  25. 25. 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 organization 190 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 members 183 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%).
  26. 26. 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 Create more public awareness Regulate the staffing pattern as per the prescribed norms Create more job opportunities for nurses in the country Influence the government to formulate policies Supports families of nurses who are victims of occupational injuries Recommend for implementing pension scheme for nurses working in private sector opportunities & facilities for nurses with f 214 205 192 199 % 89.2 85.4 80.0 82.9 193 80.4 193 198 80.4 82.5 More than 80% of the sample population are of the opinion that TNAI have better prospects & members expect more from the organisation.
  27. 27. Are you satisfied with the functions of TNAI at unit level at zonal level at state level at national level 128 125 113 117 53.3 52.1 47.1 48.8 Majority is not satisfied with the present level functioning of TNAI.
  28. 28. Summary and discussion Findings Majority(58.8%) of nursing personnel belong to the age group 21 – 30 years. Majority of nursing personnel 94.2% were females. Most( 33.8 %) of the nursing personnel are having post graduate level education. Majority (55%) of the nursing personnel were nurse educators and 37.1% were staff nurses. Forty four percentage of the nursing personnel were from government sector and 42.1% were from private sector. Most (49.2 %) of the study participants were having professional experience of 5 years or less. Majority of nursing personnel (59.6 %) have membership in TNAI. Fifty percent of the institutions are having TNAI unit. Only 20% subscribe the Nursing Journal of India.
  29. 29. Majority (73.3%) feel TNAI membership is essential as it is the only national professional organization, to have collective bargaining and unity among nurses. Inadequate representation in the government (81.3%) is the major challenge faced by TNAI, followed by inadequate political support for the organization(79.2%). Majority (89.3%) of the nursing personnel opined that creating more public awareness about nursing profession and the organization is the major prospect/expectation from TNAI. Majority is not satisfied with the present level functioning of TNAI.
  30. 30. Discussion Majority(59%) of nursing personnel suggested that TNAI must strengthen its organizational pattern from base to top, should stand for the rights of its members, in pursuing more job opportunities and better payment deals, Create a sense of confidence to its members, Actively involve in solving the problems of nurses, Stand as a backbone for nurses. Improve the standards of nursing practice/ nursing education/ nursing research. A feeling should be generated by TNAI through its activities that it is there to safeguard the future of its members.
  31. 31. Limitations The study was limited to twelve selected hospitals and nursing colleges. Randomization was not done due to limited samples and time constraints. Study was confined to particular geographic locations, which obviously imposes limits to generalization.
  32. 32. Implications Nursing practice By identifying the significance, nurses can actively take part in TNAI activities in order to create a feeling of belongingness and to safeguard our profession, raise its standards and status and procure the best possible condition not only for ourselves, but also for our patients.
  33. 33. Recommendations Similar studies can be replicated on a large scale. An indepth study can be conducted to find out how the nurses are appointed, salary fixation in Govt and private sector, other welfare facilities, how many are jobless and why they are leaving the profession. A comparative study can be conducted to identify the significance, challenges and prospects of TNAI among nursing personnel in government and private sector.
  34. 34. Thank You…

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