This document summarizes key issues related to independent nursing and midwifery practice. It discusses nurse practitioners, who have graduate nursing education and provide comprehensive patient assessments. It also outlines areas of independent nursing practice like consultancy and various medical specialties. Responsibilities of independent nurses are described, including documentation and emergency procedures. Independent midwifery practice is also covered, defining midwives and outlining standards of care and challenges faced by midwives in India, such as gaining recognition as independent practitioners and developing educational programs.
With having many challenges surrounding the nurse midwives in India, she still delivers good obstetrician care and can bringing good health of mother and child. can decrease ratio of LSCS. looking for many established centers/clinics/hospitals/birthing centers which runs by midwives independently in India
Patterns of nursing care delivery in indiaRaksha Yadav
This presentation provides information about the various patterns or systems of nursing care delivery these methods includes case method, functional nursing, team nursing, modular nursing, primary nursing and case management.
it explain about definition of supervisior, faculty and dual position. role of faculty and supervisior and characteristics of faculty and supervisior. different hospital who started concept of dual position. advantages and disadvantages of dual position.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
“Clinical rotation plan is the statement, which explains the order of the clinical posting of various groups of nursing students belonging to different classes in relevant clinical areas and community health settings as per the requirements laid down by the statutory bodies.”
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
With having many challenges surrounding the nurse midwives in India, she still delivers good obstetrician care and can bringing good health of mother and child. can decrease ratio of LSCS. looking for many established centers/clinics/hospitals/birthing centers which runs by midwives independently in India
Patterns of nursing care delivery in indiaRaksha Yadav
This presentation provides information about the various patterns or systems of nursing care delivery these methods includes case method, functional nursing, team nursing, modular nursing, primary nursing and case management.
it explain about definition of supervisior, faculty and dual position. role of faculty and supervisior and characteristics of faculty and supervisior. different hospital who started concept of dual position. advantages and disadvantages of dual position.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
“Clinical rotation plan is the statement, which explains the order of the clinical posting of various groups of nursing students belonging to different classes in relevant clinical areas and community health settings as per the requirements laid down by the statutory bodies.”
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
INDEPENDENT PRACTICE ISSUES.pdf,At the end of the class students will be able to :
Describe independent nurse Practitioner.
Describe the philosophy and historical development of independent nurse Practitioner .
Explain the basic requirements of independent nurse midwifery practitioner.
List down the role of independent nurse midwifery practitioner.
Explain the issues in independent nurse practice.
Explain the need for establishment of a continuing nursing education system.
LEGAL AND ETHICAL ASPECTS IN MIDWIFERY.pptx - Copy.pptxchikondindalama42
In this Document there was Legal and Ethical principles used in Midwifery's, Without them it might be difficult fo workers to follow rules so it is is like the it is guide which contains rules for midwives.
(May 29th, 2024) Advancements in Intravital Microscopy- Insights for Preclini...Scintica Instrumentation
Intravital microscopy (IVM) is a powerful tool utilized to study cellular behavior over time and space in vivo. Much of our understanding of cell biology has been accomplished using various in vitro and ex vivo methods; however, these studies do not necessarily reflect the natural dynamics of biological processes. Unlike traditional cell culture or fixed tissue imaging, IVM allows for the ultra-fast high-resolution imaging of cellular processes over time and space and were studied in its natural environment. Real-time visualization of biological processes in the context of an intact organism helps maintain physiological relevance and provide insights into the progression of disease, response to treatments or developmental processes.
In this webinar we give an overview of advanced applications of the IVM system in preclinical research. IVIM technology is a provider of all-in-one intravital microscopy systems and solutions optimized for in vivo imaging of live animal models at sub-micron resolution. The system’s unique features and user-friendly software enables researchers to probe fast dynamic biological processes such as immune cell tracking, cell-cell interaction as well as vascularization and tumor metastasis with exceptional detail. This webinar will also give an overview of IVM being utilized in drug development, offering a view into the intricate interaction between drugs/nanoparticles and tissues in vivo and allows for the evaluation of therapeutic intervention in a variety of tissues and organs. This interdisciplinary collaboration continues to drive the advancements of novel therapeutic strategies.
Nutraceutical market, scope and growth: Herbal drug technologyLokesh Patil
As consumer awareness of health and wellness rises, the nutraceutical market—which includes goods like functional meals, drinks, and dietary supplements that provide health advantages beyond basic nutrition—is growing significantly. As healthcare expenses rise, the population ages, and people want natural and preventative health solutions more and more, this industry is increasing quickly. Further driving market expansion are product formulation innovations and the use of cutting-edge technology for customized nutrition. With its worldwide reach, the nutraceutical industry is expected to keep growing and provide significant chances for research and investment in a number of categories, including vitamins, minerals, probiotics, and herbal supplements.
Introduction:
RNA interference (RNAi) or Post-Transcriptional Gene Silencing (PTGS) is an important biological process for modulating eukaryotic gene expression.
It is highly conserved process of posttranscriptional gene silencing by which double stranded RNA (dsRNA) causes sequence-specific degradation of mRNA sequences.
dsRNA-induced gene silencing (RNAi) is reported in a wide range of eukaryotes ranging from worms, insects, mammals and plants.
This process mediates resistance to both endogenous parasitic and exogenous pathogenic nucleic acids, and regulates the expression of protein-coding genes.
What are small ncRNAs?
micro RNA (miRNA)
short interfering RNA (siRNA)
Properties of small non-coding RNA:
Involved in silencing mRNA transcripts.
Called “small” because they are usually only about 21-24 nucleotides long.
Synthesized by first cutting up longer precursor sequences (like the 61nt one that Lee discovered).
Silence an mRNA by base pairing with some sequence on the mRNA.
Discovery of siRNA?
The first small RNA:
In 1993 Rosalind Lee (Victor Ambros lab) was studying a non- coding gene in C. elegans, lin-4, that was involved in silencing of another gene, lin-14, at the appropriate time in the
development of the worm C. elegans.
Two small transcripts of lin-4 (22nt and 61nt) were found to be complementary to a sequence in the 3' UTR of lin-14.
Because lin-4 encoded no protein, she deduced that it must be these transcripts that are causing the silencing by RNA-RNA interactions.
Types of RNAi ( non coding RNA)
MiRNA
Length (23-25 nt)
Trans acting
Binds with target MRNA in mismatch
Translation inhibition
Si RNA
Length 21 nt.
Cis acting
Bind with target Mrna in perfect complementary sequence
Piwi-RNA
Length ; 25 to 36 nt.
Expressed in Germ Cells
Regulates trnasposomes activity
MECHANISM OF RNAI:
First the double-stranded RNA teams up with a protein complex named Dicer, which cuts the long RNA into short pieces.
Then another protein complex called RISC (RNA-induced silencing complex) discards one of the two RNA strands.
The RISC-docked, single-stranded RNA then pairs with the homologous mRNA and destroys it.
THE RISC COMPLEX:
RISC is large(>500kD) RNA multi- protein Binding complex which triggers MRNA degradation in response to MRNA
Unwinding of double stranded Si RNA by ATP independent Helicase
Active component of RISC is Ago proteins( ENDONUCLEASE) which cleave target MRNA.
DICER: endonuclease (RNase Family III)
Argonaute: Central Component of the RNA-Induced Silencing Complex (RISC)
One strand of the dsRNA produced by Dicer is retained in the RISC complex in association with Argonaute
ARGONAUTE PROTEIN :
1.PAZ(PIWI/Argonaute/ Zwille)- Recognition of target MRNA
2.PIWI (p-element induced wimpy Testis)- breaks Phosphodiester bond of mRNA.)RNAse H activity.
MiRNA:
The Double-stranded RNAs are naturally produced in eukaryotic cells during development, and they have a key role in regulating gene expression .
Professional air quality monitoring systems provide immediate, on-site data for analysis, compliance, and decision-making.
Monitor common gases, weather parameters, particulates.
Observation of Io’s Resurfacing via Plume Deposition Using Ground-based Adapt...Sérgio Sacani
Since volcanic activity was first discovered on Io from Voyager images in 1979, changes
on Io’s surface have been monitored from both spacecraft and ground-based telescopes.
Here, we present the highest spatial resolution images of Io ever obtained from a groundbased telescope. These images, acquired by the SHARK-VIS instrument on the Large
Binocular Telescope, show evidence of a major resurfacing event on Io’s trailing hemisphere. When compared to the most recent spacecraft images, the SHARK-VIS images
show that a plume deposit from a powerful eruption at Pillan Patera has covered part
of the long-lived Pele plume deposit. Although this type of resurfacing event may be common on Io, few have been detected due to the rarity of spacecraft visits and the previously low spatial resolution available from Earth-based telescopes. The SHARK-VIS instrument ushers in a new era of high resolution imaging of Io’s surface using adaptive
optics at visible wavelengths.
3. Outlines
Independent practice
issues
• Introduction
• Definition of
independent
practitioners
• Key issues
• Areas of independent
nursing practice
• Responsibility of
independent nursing
practitioner
Independent nurse
midwifery practitioner
• Introduction
• Definition of midwife
• Independent midwifery
practice packages.
• Standards for midwifery
practices.
• Challenges for Indian
midwives.
5. Definition
• NURSE PRACTIONERS
Nurse practitioners (NPs) are registered
nurses who have graduate level nursing
preparation as a nurse practitioner at the
master’s or doctoral level and perform
comprehensive assessments and promote
health and the prevention of illness and injury.
6. KEY ISSUES TO CONSIDER -
PROFESSIONAL ISSUES
1. Conflict of interest
2. Endorsement
3. Advertising
4. Fees
5. Informed consent
8. AREAS OF INDEPENDENT NURSING
PRACTICE
• CONSULTANCY
• GERIATRIC NURSING
• MEDICAL SURGICAL NURSING PRACTICE
• PAEDIATRIC NURSING
• PSYCHIATRIC NURSING
• Women Health Nursing
• School Health Nursing
9. RESPONSIBILITY OF A INDEPENDENT
NURSE PRACTIONER
• UNIVERSAL PRECAUTION
• UNACCEPTABLE PRACTICES
14. Independent midwifery practice
package
• Access to a midwife 24 hours a day, 7 days a
week.
• Provide women centered care antenatal,
intrapartum and postnatal midwifery care.
• Antenatal care in privacy.
15. • Continuity of care through the labour.
• Postnatal care up to 6 weeks.
• Knowledgeable breastfeeding support.
16. Standards for midwifery practice
STANDARD I
• Midwifery care is provided by qualified
practitioners
17. STANDARD II
• Midwifery care occurs in a safe environment
within the context of the family, community,
and a system of health care.
18. STANDARD III
• Midwifery care supports individual rights and
self-determination within boundaries of
safety
19. STANDARD IV
• Midwifery care is comprised of knowledge,
skills, and judgments that foster the delivery
of safe, satisfying, and culturally competent
care.
20. STANDARD V
• Midwifery care is based upon knowledge,
skills, and judgments which are reflected in
written practice guidelines and are used to
guide the scope of midwifery care and
services provided to clients.
22. STANDARD VII
• Midwifery care is evaluated according to an
established program for quality management
that includes a plan to identify and resolve
problems.
23. STANDARD VIII
• Midwifery practice may be expanded beyond
the ACNM core competencies to incorporate
new procedures that improve care for
women and their families.
25. Practice challenges
• Midwives should be recognized as independent
practitioners with the rights and responsibilities
regarding scope of practice. Authority and
accountability that all independent by share.
• Health organization should use to allow quality
and standard based midwifery care.
• Midwife should ensure case consultation,
collaboration and referral provided to a woman
without interruption and for overall benefits.
26. Challenges for law regulation
• State regulators should enact laws which are
based on entry to practice standards on
successful completion of midwifery educational
programme.
• Health care system should develop privileging
and credentializing mechanisms for midwives
that are consistent with professional standards,
recognize established process that permits
midwives to build upon competencies within
their statutory scope of practice.
27. Educational challenge
• Direct entry midwife programme to create a
new category of professional midwife.
• The midwifery profession should identify,
develop and implement mechanism to recruit
midwives who reflect Indian population with
their competencies.
• It is needed to develop categories of midwives
as per their expertise in their midwifery.
28. Challenges for research activities
• It is required to continually grow and evolve in
order to provide evidence based midwifery
practice which will help to practice
independently.
• Analysis of midwifery practice in view of
consumers or women who receive care.
29. Challenges for policy makers
• Some of the most pressing issue regarding
midwifery go beyond the current scope of
regulatory bodies, professional associations,
educators and practitioners.
• Policy makers are to be convinced for the
importance of independent practice.
• Research efforts have found the midwifery
makes a positive contribution to the health of
the women and babies.
30.
31. References
• Basher P. Shabeer, Khan Yasheen S. “A concise text book of advanced nursing
practice”, EMMESS Medical Publishers, first edition 2012, page no. 694-698.
• Kozier B, Erb G, Barman A, Synder AJ. Fundaments of Nursing, concepts, process
and practice, edition 7 2001.
• Potter Perry;S, fundaments of nursing by Jackie crisp, patricia ann potter, 2nd
edition, Annegriffin perry page no. 143-155.
• World Health Organization (2001) Health and human rights publication series,
WHO press, geneva available: www.who.int accessed 19 march 2008.
• A.A.C. Title 9, Chapter 10, Article 8: Hospices; Inpatient Hospice Services. (2003).
Arizona
• AAFP. (2008). Guidelines on the Supervision of Certified Nurse Midwives, Nurse
Practitioners and Physician Assistants. Retrieved March 5, 2009, from American
Academy of Family
• PhysiciansPolicyandAdvocacy:http://www.aafp.org/online/en/home/policy/policie
s/n/nonphysicianproviders.html American Association of Colleges of Nursing.
(2004). AACN Position Statement on the Practice
• www.Wikipedia .com
• www.scribd.com
• currentnursing.com
• www.google.com