Nursing administration in India faces several challenges including a shortage of nurses, low nurse-to-population ratios, and underpaid nursing staff. Current trends in nursing administration include increasing population diversity, rapid technological advances, globalization, a focus on quality care and evidence-based practices, and expanding telehealth. Nursing education must also adapt to these changes by offering more online courses and strengthening nursing research. Addressing issues like staffing, salaries, harassment, and providing continuing education can help overcome challenges in nursing administration in India.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
IN THE FIELD OF HEALTH CARE EVIDENCE BASED PRACTICE IS MOST IMPORTANT FOR MOST ACCURATE CARE AND TREATMENT.FOR THIS PURPOSE RESEARCH IS COMPULSORY.THIS PRESENTATION TELLS ABOUT THE IMPORTANCE OF RESEARCH,LEADERSHIP AND MANAGEMENT IN NURSING.
The relationship between leadership and management continue to prompt some debate, although the literature demonstrates the need for both (Trent, 2003).
leadership is viewed by some as one of managements many functions; others maintain that leadership requires more complex skills than management and that management is only one role of leadership; still others delineate between the two.
The relationship between leadership and management continue to prompt some debate, although the literature demonstrates the need for both (Trent, 2003).
leadership is viewed by some as one of managements many functions; others maintain that leadership requires more complex skills than management and that management is only one role of leadership; still others delineate between the two.
The challenges faced by nursing administrators are many and varies. An overview of such challenges will be helpful in working towards the managerial solutions.
With the objective of understanding more about the challenges that NPs face, we, at Godrej Interio, tried to understand the current work environment and work pattern of the nurses in India. To learn more, download our full paper by Godrej Interio.
With the objective of understanding more about the challenges that NPs face, we, at Godrej Interio, tried to understand the current work environment and work pattern of the nurses in India. To learn more, download our full paper by Godrej Interio.
Nurses form the single largest group of health professionals. In all care delivery settings, they have a critical role to improve care, advance health, and provide value. To get more idea, read this PDF.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. DEFINITION OF ADMINISTRATION:
"Administration is the organization & direction of human
and material resources to achieve desired ends".
-Pfiffner and Presthus.
"Administration is the direction, coordination and control of
many persons to achieve same purposes or objective
- Nigro
5. NURSING SCENARIO IN INDIA
• Many States in India face a shortage of nurses and
midwives. Most of the states have no system of re-
registration of nurses. About 13-28 lakh nurses and
6.18 lakh ANMs have been registered with the
various State Nursing Councils.
• However, only 40 percent of registered nurses in
India are in service, the said figure includes all the
nurses who have been trained since 1947
6. • Nurse to Population/Patient Ratio in India Country
Nurse to Doctor Nurses and Midwives/population
Nurses midwives/ patient India 1.5:1 1:1100 1:40.
7. VARIOUS CHALLENGES IN NURSING
ADMINISTRATION AND FACTORS TO
OVERCOME WITH THOSE
CHALLENGES
8. 1. Nursing staffing and patient care
• Overworked and underpaid nursing staff member are
demotivated and dissatisfied and have impact on patient
safety issues; patient care suffers and lack of time can
lead to poor patient nurse communication. Quality of
care also suffers.
• Stress and burnout among nursing personnel
• Violations
• Have a significant impact on nosocomial infections
• Reduce time nurses have to help other nurses.
• Difficulty in training or supervision of new nurses.
9. 2. Nursing structure at Ministry of Health and family
Welfare
• Nursing Cadre in Health care System.
• Nursing Education/Research system in India.
• Cadre in School and college of Nursing.
• Nursing faculty of all Colleges of Nursing should be
granted UGC Scales and nomenclatures.
• Cadre in Hospital Nursing Services.
10. 3. Issues related to salary structure
• Nursing Allowance (NA)
• Non-Practicing Allowance (NPA)
• Qualification allowance such as Incentives for Ph.D and
M.Phil Qualification
• House Rent Allowance, Telephone/mobile/ internet
allowance ,Conveyance Allowance, Telephone/mobile/
internet allowance etc.
Recommendations for faculities
creche facility facility during night duty ,uniformity in
employment procedure , job description, working hours
11. 4. Harassment of Nurses by others
There are some instances occurred in various
circumstances in different places, harassment of nurses
by clerical staff, it while taking their salaries and claiming
other arrears leave of their own credit and sometimes by
the administrators of the institution..
.
13. 1. Changing demographics and increasing diversity
• Increase in the diversity of the population which
affects the nature and the prevalence of illness and
disease, requiring changes in practice that reflect and
respect diverse values and beliefs.
• Disparities in morbidity, mortality, and access to care
among population sectors have increased, even as
socioeconomic and other factors have led to
increased violence and substance abuse.
• Ethnic and racial diversity of nursing institutes
creating a rich cultural environment for learning.
14. 2. The Technological Explosion
• There is reduction in distance through speedy
communication. Advances in digital technology have
increased the applications of tele-health and
telemedicine mobiles, e-line, video conferences,
bringing together patient and provider without physical
proximity.
• Nanotechnology is a new form of clinical diagnosis and
treatment, which is capable of detecting a wide range
of diseases from very minute specimens. There is
computerization for patient care management.
15. 3. Globalization of the world’s economy and society
Now there is potential for rapid disease transmission &
potential for dramatic improvements in health due to
knowledge transfer between cultures and health care
systems.
Nursing science needs to address health care issues, such as
emerging and remerging infections, that result from
globalization.
Nursing education and research must become more
internationally focused to disseminate information and
benefit from the multicultural experience.
16. 4. Quality assurance in Nursing care
• Public knows their rights, human rights, commissions ,
protection acts and process etc, are putting constant
pressures on the professionals to deliver their best.
• Professionals cannot ignore or be careless in
discharging duties especially when it concerns people
lives and health.
• Nurse managers have to ensure delivery of quality care
by practicing as per standards laid down by their
counsels and institutions.
17. 5. Decentralised approach to care Management
• This makes each and every nurse responsible and accountable
for the care of assigned patients.
• patients satisfaction, quality care and smooth functioning of
the units.
• It focuses on problem solving on the spot with the joint
participation of the supervisee and supervisor.
18. 6. continuing Nursing education
• It has become essential to keep up with the changing needs of
patient care.
• Nurses have to continuously update themselves with new and
innovative approaches in patient care management.
• For this they should enable themselves with workshops,
seminars, short term training programmes, attend conferences,
make use of library, subscribe and read periodicals and books.
• Discussion on bedside and supportive supervision helps to keep
abreast with newer techniques and information.
19. 7. Evidence based Practice
• There has been a significant Advancement in Nursing Science
and Research.
• Most studies concern health behaviors, symptom.
• There is lack in focus on the scholarship and science of nursing as
top priorities.
• Doctorally prepared nursing professionals are not being
produced in large enough numbers to meet the growing need.
• There is need for enhanced mentorship for new researchers to
strengthen skills and capacity to conduct meaningful nursing
research.
20. 8. Nursing audits
• Regular nursing audits promotes
ensures quality of care provided to the
the clients and upliftment of standards
of nursing care.
21. 9. Collective bargaining
• Collective bargaining is the uniting of the employees for
the purpose of increasing their ability to influence their
employer and to improve the working conditions.
• Collective bargaining is based on the principle that there
is greater strength in large numbers.
22. 10. Case management, disease management, and
tele health care expand:
• There is a demand to manage the care from a
distance, being more people at home and in
remote areas with chronic diseases and
complicated treatment regimens, through the
use of telephones, television monitors, and
telecommunication.
•
23. • Nursing education go online
• Various courses of nursing education will go online
in future.
• Wellness centers, Holistic and Alternative therapies
• There is a great focus on promoting health and
triggering the body’s natural healing powers through
holistic and alternative therapies (e.g exercise,
massage, acupuncture etc.)
24. CONCLUSION
• Nursing sisters are not adequately prepared and
oriented to carry out their role. Hospital
Administrators and Nursing administrators need
to organize orientation programmes and
inservice education programmes to orient and
update nursing sisters on management
techniques. Nursing sisters should utilize every
opportunity to empower them as a responsible
and accountable leader of her team in the ward
to provide quality health care to the patients.
26. conclusion
• Rapid change in the nursing and health care delivery
environment has created an irresolvable dilemma for the
nursing services.These changes include a major
reconfiguration of the health care delivery system,
unprecedented technological advances, and enormous
changes in the expectations of the
• health care consumer. Enormous advances in the use of
technology have been incorporated into the delivery of
health care services.
• With acceptance of the World Wide Web, many health care
organizations implemented mechanisms for using this
technology to enhance access to health care services
• and to provide more efficient care to those whose access to
the traditional system is limited by distance and other factors.
27. Bibliography
1. BT Basavanthappa Textbook of Nursing Services and Education, Jaypee
Brothers and Medical Publishers Private limited New Delhi First edition-2011.
2. Joginder Vati Principles and practice of Nursing Management and
Administration for Bsc and Msc Nursing Jaypee Brothers and Medical
Publishers Private limited New Delhi First edition-2013.
3. Clement I Management of nursing services and education , Elseiver
publishers.
4.https://nursingon.blogspot.in/2015/06/current-trentds-and-issues-in-
nursing.html.
5.http://nursingreviewers.forumotion.net/t205-man205-trends-issues-in-
nursing-administration
6.online.stmary.edu/msn/resources/trends-in-nursing.
7.ners.unair.ac.id/materikuliah/Rapport%20traduction%20ENG%20mars%200
6.pd
8. www.nursingcenter.com/journalarticle?Article_ID=532283
