critical care nursing

1. Welcome
Prof. Dr. Ram Sharan Mehta
Head, Medical-Surgical Nursing department
1
M. Sc. Nursing Orientation Programme
Dr. RS Mehta, MSND, CON, BPKIHS

2. • The objective of education is not
shape citizens to use of society,
but to produce citizens able to
shape a better society.
2Prof. Dr. RS Mehta, CON, BPKIHS

3. SHORT HISTORY OF BPKIHS

4. February 15, 1991:
The then PM of India Shri Chandra Shekhar offered
Govt. of India's support for establishing a medical
college in Nepal.

5. History
• January 18, 1993: Nepalese Parliament passed
an Act for establishing BPKIHS as an
autonomous health institution.
• July 16, 1993: BPKIHS took over the
management of 150 bedded former Eastern
Regional Hospital.
• Oct. 1994: MBBS 1ST batch started with 30
students
5

6. October 19, 1994:
The then Prime Minister Shri. Girija Prasad Koirala
inaugurated MBBS Program and laid the foundation
stone of 350 bedded hospital and academic complex.

7. Sept. 9, 1999:
The then PM Mr. Krishna Prasad Bhattarai inaugurated the
BPKIHS Teaching Hospital Complex in the presence of
Minister of External Affairs from GOI, Mr. Jaswant Singh

8. BPKIHS
• BPKIHS has a vision of a self-governing, self-
reliant international Health Sciences
University attracting students and teachers
from all over the world to its constantly
innovative educational programs.
• BPKIHS established on Jan 18, 1993 and
subsequently upgraded as an autonomous
Health Sciences University on Oct 28, 1998.
Dr. RS Mehta, MSND, CON, BPKIHS 8

9. Features of BPKIHS
• Autonomous Health Science University
• Established with Indian support
• 700 Acres of Land
• Residential university
• Teaching district concept
• Community oriented
• ± 850 bedded tertiary care hospital
• International collaborations
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10. Overview of College of Nursing
• B. Sc. Nursing Started : 1996 1st Time in Nepal
• Certificate Nursing Started: 1999 (Phase out
in 2015)
• M. Sc. Nursing Started: 2008
• B. N Started: 2012 (Phase out in 2014)
• Plan to start PhD
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11. Departments: There are five departments in
College of Nursing
• Medical–Surgical Nursing: Prof. Dr. RS Mehta
• Mental Health Nursing: Prof. S. Lama
• Community Health Nursing: Prof. A. Badhu
• Maternal Health Nursing: Ms. N.Pokhrel
• Child Health Nursing: Mr. B.K. Karn
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12. M. Sc. Nursing Programme
• Started in 2008
• 2008 = 2
• 2009 = 4
• 2010= 3
• 2011= 7
• 2012 = 15
• 2013 = 17
• 2014 = 14
• 2015 = 19
• 2016 = 21
• 2017 = 22?
• 2018 = 21?
• 2019 = 26
12Dr. RS Mehta, MSND, CON, BPKIHS

13. Curriculum Development Workshop in M. Sc.
Nursing Programme at BPKIHS
• From 24th to 27th Nov. 2003
 Experts from India and Nepal
Experts from IOM
Experts from NNC
Experts from National Institute of Nursing
Education( PGI)
Experts from National Institute of Mental Health
and Neuro Science, Bangalore (NIMHANS)
Experts from CMCH Ludhiyana
13Dr. RS Mehta, MSND, CON, BPKIHS

14. M Sc Nursing Curriculum Development workshop at BPKIHS, 2003 14Dr. RS Mehta, MSND, CON, BPKIHS

15. Keeping abreast with the overall philosophy of BPKIHS,
the faculty of college of nursing, BPKIHS believes that:
• Nursing profession is an integral part of the
health care delivery system.
• Advances in scientific technology in the field of
health have a direct bearing on nursing;
therefore, nursing education has to keep abreast
with the latest knowledge and technology.
• Nurses need to be prepared to meet the
changing health needs of the country.
PHILOSOPHY
15Dr. RS Mehta, MSND, CON, BPKIHS

16. • Nurses need to have human relation skills to work effectively
as members of health care team in dealing with individuals and
groups in a variety of settings.
• Learning is a life-long process.
• Conscientiousness and commitment are the essential aspects
of the helping and caring profession of nursing.
• Nursing education needs to be community-oriented, practice-
based and student-centered, focusing on self-directed
learning.
• Nurses should strive continuously to add to the body of
scientific knowledge.
16Dr. RS Mehta, MSND, CON, BPKIHS

17. Goal
The M. Sc. Nursing programme aims at preparing
its graduates to be a teacher with advanced skills
in selected specialties, who can function
independently or as a member of the health team
in providing preventive, promotive, curative
and rehabilitative care for physical mental social
and spiritual well being of the patients. The course
enables them to take leadership in the field of
nursing and conduct research in different
settings.
17Dr. RS Mehta, MSND, CON, BPKIHS

18. Objectives
On the completion of three years M. Sc. Nursing Programme, the
graduate will be able to:
• Utilize related concepts, theories and advanced skills in caring for
the patients in the area of selected specialties.
• Carry out research project independently.
• Discuss the current issues and trends in nursing.
• Contribute towards development of nursing profession.
• Take initiative for personal/professional development for self and
others.
18Dr. RS Mehta, MSND, CON, BPKIHS

19. • Demonstrate leadership and management skills.
• Demonstrate the ability to collaborate and coordinate within
and outside the organization.
• Take responsibilities for self-directed learning.
• Demonstrate awareness that learning is a life-long process.
• Demonstrate ability to apply skills in critical thinking and
problem solving.
• Act as a change agent to bring quality in health care.
• Demonstrate appreciation for cultural beliefs that
patients/clients have towards their health problems and health
care pattern.
• Demonstrate ability to participate in national health issues in
the country.
19Dr. RS Mehta, MSND, CON, BPKIHS

20. Why M. Sc. Nursing Programme was started for
3 years: Rationale:
1. College of Nursing proposed for 2 years M. Sc.
Nursing only in the beginning.
2. All the faculty of College of Nursing and expert
from NNC, TU, IOM Nursing campus and
nursing expert from AIIMS, PGI, CMC, RAK
recommended for 2 years MSN Programme
only.
3. There was no 2 years PG. programme at BPKIHS
at that time.
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21. 4. For uniformity in the entire PG programme,
present authorities have enforced to start 3
years M. Sc. Nursing programme at College of
Nursing.
5. Finally, the CON, accommodate the time plan of
prepared 2 years curriculum in to 3 years by
increasing the duration of clinical posting in
specialty subjects only.
6. The authorities and numbers of academic
committee suggest that, you should review the
M. Sc. Nursing programme, when one batch will
pass out and analyze, whether 3 years is ideal or
2 years is ideal.
Dr. RS Mehta, MSND, CON, BPKIHS 21

22. Rationale for proposed two years M. Sc.
Nursing Programme:
1. Nationally and internationally the M. Sc nursing
programme is of only Two Years.
2. The Nepal nursing council has also approved
for 2 years programme only
3. The minimum requirements set by NNC, INC and
other regulatory bodies can be met within 2
years.
Dr. RS Mehta, MSND, CON, BPKIHS 22

23. 4. At present in BPKIHS there is 2 years PG programme,
MPH in school of public health and community
medicine.
5. Based upon the feedback of passed out students,
exiting students, and faculties of college of Nursing 2
years M. Sc. Nursing programme will be ideal.
6. All the theory hours and clinical hours expect
specialty clinical hours will same in 2 years M. Sc.
Nursing programme. The specialty clinical hour’s ratio
will be more that NNC requirement i.e. 1:3 is required
but 1:4 will be there. The details are depicted in
separate sheet for proposed theory and practical
hours.
Dr. RS Mehta, MSND, CON, BPKIHS 23

24. Rationale for proposed two years M. Sc. Nursing Programme…
7. The quality of the students will not be
compromised.
8. If duration of M. Sc. Nursing course will be of 2
years more eligible and component applicant
will be there, which will increase the quality of
the programme.
9. Two years M. Sc. Nursing programme at BPKIHS
will give the similarity Result of M. Sc. Nursing in
Nepal, India and abroad.
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25. Organized by:
College of Nursing
B. P. Koirala Institute of Heath Sciences
M. Sc. Nursing Curriculum
Revision Workshop:
1-2 November, 2015
Supported by: BPKIHS 25Dr. RS Mehta, MSND, CON, BPKIHS

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28. Hour Calculation of M. Sc. Nursing Curriculum: both Existing and Proposed
28Dr. RS Mehta, MSND, CON, BPKIHS
SN Subjects
Existing Curriculum Proposed Curriculum
1st Year 2nd Year 3rd Year
Total
1st Year 2nd Year
Total
TH PR TH PR TH PR TH PR TH PR
1
Nursing Concepts
Principles and Practices 120 300 420 120 300 200 320
2 Educational sciences 150 300 450 150 200 450
3
Nursing Research &
Biostatistics 150 100 200 450 150 100 200 450
4
Health Management and
Leadership 50 300 100 450 50 100 200 350
5 Specialty - I 100 400 100 800 1400 150 850 1000
6
Specialty - II
100 1100 1200 150 850 1000
7 Thesis & Viva
8 Computer Sciences 30 100 130 30
Grand Total
4500 650 1150 250 1550 3600
Note: Specialty practical hours: 2300-1400 = 600 hrs deficit only, even the ration of TH:PR = 1:5.7 (standard TH:PR ratio is 1:3)

29. Comparative Data of Allocated Hours of Theory and
Practical subjects of M.Sc. Nursing Programme with
revised Two years hours
SN Subjects
BPKIHS
(TH/PR)
TU, IOM
(TH/PR)
INC
(TH/PR)
AIIMS
(TH/PR)
PU
(TH/PR)
1
Nursing Concepts Principles and
Practices 120/200 100/ 150/50 150/250 150/50
2 Educational sciences 150/300 75/ 200/100 150/150 235/100
3 Nursing Research & Biostatistics 150/ 200/ 150/ 150/
4
Health Management and
Leadership 150/200 75/ 200/100 150/200 195/100
5 Specialty – I & II 300/1700 300/1450 200/550 300/1400 310/550
6 Thesis & Viva /300 /450 /300 /300 /300
7 Computer Sciences 30
Total TH/PR 900/2700 750/1900 900/1100 750/2300 1080/1100
Grand Total 3600 2650 2000 3450 2280
Dr. RS Mehta, MSND, CON, BPKIHS 29

30. Teaching and Learning Methods
• Lecture and discussion, presentation,
seminars, field trip, written assignment,
projects, LIF, etc.
Evaluation System
• Practical, Periodical test, assignment
• Nursing care plans, Projects
• Viva voce, Dissertation
• Internal and external examination
30Dr. RS Mehta, MSND, CON, BPKIHS

31. learning style
• Each person perceives, processes,
stores and retrieves material in a
unique way that is individual to
their preference and style.
31Prof. Dr. RS Mehta, CON, BPKIHS

32. LEARNING PYRAMID WORKSHEET
Lecture
Reading
Audio-visual
Demonstration
Group Discussion
Practice by doing / teach others
Immediate use of learning
5%
10%
20%
30%
50%
75%
90%
32Prof. Dr. RS Mehta, CON, BPKIHS

33. • Nothing is more dangerous
than an idea when it’s the
only one you have.
– Emile
R S Mehta, MSND, CON, BPKIHS 33

34. Information Related to:
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1. SIS
2. Departments
3. Clinical posting
4. Role of coordinator
5. Role of HoDs
6. Role of Chief
7. Assessment Plan
8. Final examination plan
9. Examination system
10.Dress code
11.Journal Club
12.Extra curricular Activities
13.Leave policy
14.Information during absent
15.Use of resources
16.Biostatistics classless
17.CNE
18.Information system
19.Self-learning
20.Log books
21.Assignments
22.Self discipline
VISIT: www.slideshare.net/rsmehta

35. Skills and Strategies for Effective Learning
What do you think about these two ways to cut a tree?
One man is working hard, but isn't making progress. The
other is working smart, and is getting results!
35Dr. RS Mehta, MSND, CON, BPKIHS

36. • The wind may blow from any
direction, in which, you go
depends on how you set the
sails.
36Dr. RS Mehta, MSND, CON, BPKIHS

37. Managing change:
• Reasonable man adapts himself to
world; the unreasonable one persists
in trying to adapt others to himself.
- Peter F Druker
History of Dinosaurs?
37Dr. RS Mehta, MSND, CON, BPKIHS

38. QNS Training: organized by MSN
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39. RMT 3-7 March 2013
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41. EBP workshop organized by M.Sc.
Nursing Students 1-2 Nov. 2015
Dr. RS Mehta, MSND, CON, BPKIHS 41

42. College of Nursing, BPKIHS, Clips

43. EBP workshop organized by M.Sc.
Nursing Students 1-2 Nov. 2015
Dr. RS Mehta, MSND, CON, BPKIHS 43

44. A word of advice

45. How Far Can You Go?
Depends up on you………
45Dr. RS Mehta, MSND, CON, BPKIHS
THANK YOU & WISH YOU ALL THE BEST