The document discusses nursing standards and their role in evaluating and improving nursing care quality. It notes that standards provide guidelines for nursing performance and competencies. Standards are developed by nursing organizations to guide practice and are used to assess care quality by comparing actual performance. The document also outlines the roles and functions of regulatory bodies like the Indian Nursing Council in establishing standards, accrediting nursing programs, and ensuring uniform standards are maintained across states.

3. Standards are defined as’’ authoritative
statements that describe a common level of
care by which the quality of practice can be
determined or measured”(Hubes-1996)
Standards are professionally developed
expressions of a range of acceptable
variations from a norm of criterion.(Avedis
Donabedian)

4.  All standards of practice that provide a guide
to the knowledge , skills ,judgement and
attitudes that are needed to practise safely .
They reflect a desired and an achievable level
of performance against which actual
performance can be compared . The main
purpose is to promote , guide and direct
professional nursing practice.(registered
nurses association of BC (2003) and the
college of nurses of Ontario (2002)

5.  Explicit standards are defined as specific
criteria for care . For example if a patient x
presents with a condition A ,did the nurse
undertake the following ? it gives the list of
expected activities.
 Implicit standards are defined as” usual and
customary practice “ . Assessors recognize
good care when it concurs with their own
clinical knowledge . Implicit standards can
also be written .

6.  Setting standards is the first step in
structuring evaluation system.
 Standards give direction and provide guide
lines for the performance of nursing staff.
 Standards provide a baseline for evaluating
quality of nursing care.

7.  Standards help to improve the quality of
nursing care , increase the effectiveness of
care and improve efficiency.
 Standards may help in documentation of
nursing care provided.
 Standards may help to determine the degree
to which standards of nursing care are being
maintained and take necessary action in time.

8.  Standards help supervisors to guide nursing staff
to improve their performance .
 Standards help to improve the basis for decision
making.
 Standards may help to justify the demands for
fund allocation.
 Standards help to clarify nurses area of
accountability.

9.  Standards help to define clearly different
levels of care.

10.  Outlines what the profession expects of its
members.
 Promotes , guides and directs professional
nursing practice – important for employers
and clients.
 Provides nurses a framework for developing
competencies .

11.  Aids in developing a better understanding
and respect for the various complimentary
role that nurses have.

12.  1. Improve the quality of nursing care,
 2. Decrease the cost of nursing, and
 3. Determine nursing negligence.

13.  Trained nurses association of india
 licencing bodies – INC
 Govt .units –State registration council
 Institutions
 Departments
 Patient care units
 Individual

14.  Helps in the initiation of university level of
education .
 Passing of the INC act .
 Deputation of Indian nurses abroad for post
basic education.
 TNAI started the” nursing journal of india.”
 Organizing of continuing education programs.

15.  The INC act was passed on dec 31, 1947.
 The council was constituted in 1948.
 Was set up to set standards and regulate nursing
education of all types in the country
 To prescribe minimum requirements for
qualifying for a particular course in nursing .
 Advisory role in the state nursing council.

16.  To inspect and accredit schools of nursing in their
state.
 To conduct the exam.
 To prescribe rules of conduct.
 To maintain registers of nurses , midwives , ANMs ,
health visitors in the state.
 Is an autonomous body.
 Do not have the power to prescribe the syllabus for
the courses.

17.  Non university programme
basic ANM, GNM,
post certificate diploma
 university level programme
basic programe
post basic (regular )
post basic (IGNOU)
 Advanced MSc nursing.
 M.Phil
 Ph.D

19.  Accreditation refers to a voluntary review
process of educational programs by a
professional organization .
 Accrediting is the process whereby an
organization or an agency recognizes a
college or a university or a program of study
as having met certain predetermined
qualifications and standards.

20.  Carried out by a voluntary organization.
 These are advisory in nature.
 They do not have the legal power to control
institutions of higher education.

21.  Maintenance of adequate admission
standards.
 Maintenance of minimum academic
standards.
 Stimulation of institutional self
improvements.

22.  Protection of institutions of higher education
against educationally and socially harmful
pressures.
 Accreditation is vital to the welfare of
institutions of higher education.
 Graduates find it difficult to obtain state
licensure to practice.

23.  National accrediting agency
 National professional accrediting agency
 State accrediting bodies

24.  Central advisory board of education.
 All India council for elementary education.
 All India council for secondary education
 University grants commission.
 All India council for technical education
 National assessment and accreditation council

25.  Medical council of India
 Indian nursing council
 Pharmacy council of India
 Dental council of India
 Central council of Indian system of medicine

26.  To establish and monitor a uniform standard
of nursing education for nurses , midwife ,
ANM, health visitors by doing inspection of
the institutions .
 To recognize the qualifications under sec (2)
(4)of the Indian nursing council act ,1947 for
the purpose of registration and employment
in India and abroad.

27.  To give approval for the registration of Indian
and foreign nurses possessing foreign
qualifications under sec 11(2) (a) of the Indian
nursing council act 1947.
 To prescribe the syllabus and regulation
for nursing programs.

28.  Power to withdraw recognition of
qualification under section 14 of the
act in case the institution fails to
maintain its standards under
section14(1) (b) that an institution
recognized by a state council for the
training of nurses , midwives , ANMs
or health visitors does not satisfy the
requirements of the council.

29.  To advise the state nursing councils ,
examining boards, state governments and
central governments on various important
items regarding nursing education in the
country .
 INC is the official accrediting agency for all
programs of nursing which include GNM,
BSc. nursing , basic and post basic, MSc,
MPhil ,PHd.

30. president
vicepresident
secretary
assistant secretary
office staff

31.  Executive committee of the council to deliberate
on issues related to maintenance of standards of
nursing program.
 The nursing education committee - This
committee is constituted to deliberate on issues
concerned mainly with nursing education and
policy matters.
 Equivalence committee- To deliberate on issues
of recognition of foreign qualifications which is
essential for the purpose of registration under
section 11 (2)(a) of the nursing council act 1947.

32.  Administration and governance
 Faculty
 Finances and budget
 Students
 Curriculum and resources
 Criteria or standards are established in each
area; programs under review prepare reports
; then show how the school or college meet
each criterion.

33.  The executive committee may appoint a
number of inspectors ie 2.
 The INC on receipt of the proposal from an
institution to start a nursing program will
undertake first inspection to assess the
suitability with regard to physical structure ,
clinical faculty and teaching faculty in order
to give permission to start the program.

34.  After receipt of the permission to start the
nursing program from the INC , the
institution shall obtain the approval from the
state nursing council and examination
board/university.
 INC will conduct inspections every year till the
first batch completes the program.
Permission will be given year by year till the
first batch completes the program.

35.  Inspectors appointed under this section shall
report to the executive committee on the
suitability of the institution for the purpose of
training and on the adequacy of the training .
 The executive committee shall forward a copy
of such a report to the authority or institution
concerned and shall also forward copies to
the central government and to the state in
which the authority or institution is situated.

36.  That the courses of study and training , or the
standards of proficiency of the candidates at the
examinations are not in conformity with the
regulations made under this act. They fall short
of the standards or
 That an institution recognized by a state council
for the training of nurses , midwives does not
satisfy the requirements of the council . The
council may send to the state in which the
institution is situated a statement with an
intimation of the period within which the
authority or the institution may submit its
explanation to the state government.

37.  On receipt of the explanation or on expiry of
the period , the state government shall make
its recommendations to the council .
 All declarations under section 10 or section
14 shall be made by resolution passed at a
meeting of the council called for the
declarations purpose and shall forth with be
published in the official gazette.

38.  To maintain the same standard of nursing
throughout the state.
 To conduct examination of the nurses.
 To provide registration/licence to qualified
nurses.
 To maintain the list of qualified nurses as the
council follows block renewal every 5 years.

39.  To conduct periodic inspections of nursing
schools .
 To give scholarship and rewards to teachers and
students.
 To prepare and publish books for nurses .
 To conduct workshop for nursing teachers .
 To prescribe a code of ethics for the nurses.

40.  Basavanthapa BT , ‘Nursing education,’ 1st
edition pp567-573
 Neerja KP ‘textbook of nursing education ‘ 1st
edition
 www.google .com
 www.current nursing.com
 www.indiannursingcouncil.com
 Sridhar srilatha ‘quality assurance in nursing’
Indian journal of nursing and midwifery
volume 1, number 2, september 1998