This document discusses trends and issues in nursing. It outlines how nursing will shift from hospitals to homes and communities, with a focus on prevention and patient outcomes. Nurses will be primary care providers for diverse services. There will also be challenges relating to ethics, costs, access, and quality of care. Globalization will bring opportunities and challenges as the work environment emphasizes cost-effectiveness and quality. The roles and responsibilities of nurses are changing as health care transitions to more community-based, evidence-based, and interdisciplinary models of care.
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
CRITICAL PATHWAY FOR NURSING ADMINISTRATION.VIKRANT KULTHE
Respected,
all Administration and Nursing Management student its very helpful for a critical planing and critical care plan for the patients those who are hospitalize. The critical pathway means a plan of care to the patients or plan for project. I hope its helpful for all student.
thanking you!!!!!!!
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
CRITICAL PATHWAY FOR NURSING ADMINISTRATION.VIKRANT KULTHE
Respected,
all Administration and Nursing Management student its very helpful for a critical planing and critical care plan for the patients those who are hospitalize. The critical pathway means a plan of care to the patients or plan for project. I hope its helpful for all student.
thanking you!!!!!!!
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
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 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
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.
Nursing Practice - Nursing Health & EnvironmentCINPSInstitute
Nursing Health & Environment" is a comprehensive blog that delves into the vital aspects of nursing, focusing specifically on the interconnectedness between nursing, health, and the environment. This blog explores the multifaceted role of nurses in promoting and maintaining the well-being of individuals, families, and communities, while also addressing the influence of the environment on health outcomes. From discussing evidence-based nursing interventions and best practices to examining the impact of environmental factors on health, this blog aims to provide valuable insights and resources for both aspiring and seasoned nurses. Whether you are seeking information on the latest advancements in nursing practice or exploring the relationship between health and the environment, this blog offers a wealth of knowledge to enhance your understanding and practice in the field of nursing.
S28 September-October 2016HASTINGS CENTER REPORTUndispu.docxWilheminaRossi174
S28 September-October 2016/HASTINGS CENTER REPORT
Undisputedly, the United States’ health care sys-
tem is in the midst of unprecedented complexi-
ty and transformation. In 2014 alone there were
well over thirty-five million admissions to hospitals in
the nation,1 indicating that there was an extraordinary
number of very sick and frail people requiring highly
skilled clinicians to manage and coordinate their com-
plex care across multiple care settings. Medical advances
give us the ability to send patients home more efficiently
than ever before and simultaneously create ethical ques-
tions about the balance of benefits and burdens associ-
ated with these advances. New treatments for cancer or
complex heart disease may prolong life until the disease
becomes irreversible while causing significant morbidity
that undermines functional status, independence, and
quality of life in ways that patients find unacceptable.
Some patients and families voice concerns about access
to treatments and about the quality and safety of the care
they or their loved ones receive.
Every day on every shift, nurses at the bedside feel
these pressures and the intense array of ethical issues that
they raise. A staggering 17.5 percent of trained nurses are
leaving their roles or the profession after less than one
year of service,2 and increasing levels of moral distress
and burnout contribute to their decisions.3 Meanwhile,
research supports the common-sense understanding that
patients and health care organizations fare better when
nurses are not harried, are supported in their work en-
vironments, and are able to practice high-quality, ethical
care.
At the same time, administrators, policy-makers, and
regulators struggle to balance commitments to patients,
families, staff members, and governing boards. Health
care organizations are compelled by laws, regulations,
and accrediting bodies to pursue externally reported
measures of effectiveness that can put their mission and
values at risk. While health care systems declare their
commitment to core ethical values, many clinicians
struggle to understand institutional priorities, budgets,
policies, and decisions seemingly inconsistent with their
values as professionals.
Increasingly clinicians find their ability to provide
compassionate care at odds with the intensifying focus
on matters such as clinical pathways aimed at standard-
izing care, cost-cutting efficiencies, electronic medical
records, and hospital policies and procedures.4 Arguably,
each of these have merit in the current system, but what
is not accounted for are the unintended consequences
of diverting attention from the core ethical values of the
professions. For example, the advent of the EMR requires
clinicians to focus on documentation rather than being
fully present during patient encounters. An emphasis on
clinical pathways increases the risk of reducing patient
symptoms and diseases to what fits a rote app.
To innovate is to put new ideas into practice or existing ideas into practice in new ways. Every nurse is an agent of change and an innovator. Every day, nurses work together to solve difficult challenges in the workplace and for their patients.
INTEGRATION OF NURSING EDUCATION INTO NURSING SERVICES.pptxrangappa
The nursing profession is faced with increasingly complex health care issues driven by technological & medical advancements, an ageing population, increased numbers of people living with chronic disease and increased costs of health care services.
Collaboration is a substantive idea repeatedly discussed in health care circles.
Though the benefits are well validated, collaboration is seldom practiced.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
1. TRENDS AND ISSUES IN NURSING
Ram Sharan Mehta, Asst. Professor
B.P. Koirala Institute of Health Sciences
Introduction: Nursing has been called the oldest of the art, and the youngest of the profession.
As such, it has gone through many stages and has been an integral part of social movements.
Nursing has been involved in the existing culture, shaped by it and yet being to develop it. The
trend analysis and future scenarios provide a basis for sound decision making through mapping
of possible futures and aiming to create preferred futures.
The future will see great advantages in prevention, diagnosis and treatment of illness and
diseases with increasing demand for heath care and health information. As large hospital are
replaced by high tech and small hospitals, health care will be provided in homes and out reach
facilities and the focus will be on provider skill, out comes and user preference and satisfaction.
Nurses will be the preferred care providers and entry points for diverse services.
On the other hand there will be challenges related to ethics, rising costs, access to care and
quality of care. Nurses will have an essential public health role and patients will become more
demanding. Healthier life styles, continuum of care, health environments and evidence based
practice will be emphasized and in the forefront of nursing agenda. Globalization will enhance
free movement, standardization, and wider opportunities and challenges. The changing work
environment will be driven by cost effectiveness and quality of care for which nursing is well
positioned.
The multifaceted components in this unfolding will be; the revolutionary advances that we
continue to witness in modern medical practice as a result of technological advances from the
fields of physics, electronics, instrumentation, chemical and material sciences. The advent of
molecular medicine, with work at the frontiers of modern biology particularly on the human
genome, and it's relevance to the generic basis of disease; the importance of recent advances
relating to the human brain the wide range of opportunities becoming available through advances
in information technology; the great importance of community and social medicine, of hygiene
and epidemiological studies in understanding and preventing disease.
Philosophy of life, elements of human nature, Religious factors, political ideologies,
socioeconomic factors, cultural factors and expiration of knowledge are the factors determining
educational aims.
Vocation, knowledge, complete living, Harmonious development, mental and emotional
development, physical development, moral development, character development, self –
realization, cultural development, ideal citizenship and education for leisure are the general aims
of education.
Progress in transportation, communication and other technological areas: e.g. automobile like
aids e. g. telephone, motion pictures, radio, television, computer email and internet services, use
2. of ultrasound, CT Scan, MRI imaging machines, electronic microscope radio active isotopes for
medical research, artificial respirator ventilator, discovery of third generation antibiotics,
findings of new drugs e.g.; vitamins, penicillin, insulin, chemotherapy and invention of other
medical supplies like cool air machine, refrigeration, air and water mattress, electric beds etc.
Nursing has a tremendous capacity to change people. The demands associated with nursing
practice require a broad knowledge base and critical thinking abilities along with competent
skills. The focus of nursing is shifting towards viewing patients as collaborative beneficiaries
rather than passive recipients of care. Nursing requires psychological, social and physical skills
and certain attitudes, which are rooted in knowledge. The demands associated with nursing
practice require a broad knowledge base for decision-making. Critical thinking abilities and
skills in the technological aspects of care.
The function of the professional nurse in the hospital is more comprehensive. She will be
actively involved in direct nursing care, health teaching, planning for care in home, rehabilitation
and service to the outpatients. She may have to teach the students also.
The world health organization (WHO) has been considering the future and predicts that by 2000
the world experiences: Major growth in the elderly population, Decline in birthrate, especially in
western countries, Increases in chronic illness, Continuing social unrest, AIDS a major problem,
Many infectious diseases under control, Mental health a key issue and Poverty continuing to
plague mach of the world.
Exposure to human ill, sick child and baby, dying patients, cancer patients, renal failure patients,
still birth etc., closer nurse patient relationship, Helplessness, Felling of incompetence in
emergency situation, Lack of support system, Lack of resources, Often high unrealistic
expectations, High technology equipments, Communication breakdown, and Heavy workload are
the causes of stress among nurses.
Nurses are responsible for public anger because: Nurses stay 24 hours with client, Nurses have to
give answers fault made by professionals of other discipline, Work load very high, Less time for
counseling and guidance to patients, Unable to explain their own role in clients care and Poor
orientation to clients and relatives
Professional judgment, Defining "Care", Information system or effective communication,
Electronic network or computer link, Problem based learning, Marketing or privatization,
Nursing standard, Nursing audit, Nursing research, Multidisciplinary health team, Independent
area of practice, Community based nursing, Holistic care approach, Specialized services
(dialysis, Psychiatric etc.), Problem based learning, Distance learning (open university system),
Self – directed learning, Continuing education, Use of advanced technology, Consumer
protection act on action, Change in uniform and dress code, Utilization of married nurses,
Specialization, Leadership of nursing in 21st century, Human relation in nursing , Disaster
management, Marketing strategies for nursing, Computer application in nursing, Space nursing ,
Nurse patient relationship and Provision for nursing consultant or specialist are the emerging
trends in Nursing.
3. Transitions taking place in health care are: Curative to Preventive approaches, Specialized
care to Primary health care, Medical diagnosis to Patient emphasis, Discipline stovepipes to
Programme stovepipes, Professional identity to Team identity, Trial and error to Evidence based
practice, Self – regulation to Questioning of professions, and Focus on quality to Focus on
costs.
In the workplace the transitions taking place are: High tech to Humanistic, Competition to
Cooperation, Need to supervise to Coaching, mentoring, and Hierarchies to Decentralized
approach.
Transitions taking place in nursing are: Continued competencies to Competencies a condition,
Hospital environment to Community environment, Quality as excellence to Quality as safe, and
Clear role to blurring roles
The Major issues in nursing education are: Selection of students: Lack of valid tool to select
proper students, Gap between theory and practice: There is vast gap between actual theory taught
in classroom and the actual practice in clinical setting, Student status: In most of institutions
students are vitalized for patient services, Nursing Competencies: To develop nursing
competencies knowledge, under standing skill and attitudes are essential factors, Under
utilization of clinical facilities in government colleges / schools, In adequate library facilities,
Poor transport facilities, Less stipend for nursing students, Poor supply of AV aids, Less
Promotional opportunities for teachers of both schools and colleges, Very few M. Sc. courses is
available, Few Ph. D. Courses in Nursing colleges, and In private Institutions: there is Lack of
qualified teachers, Hired building, Most institutes has not own hospital for clinical practice, Very
expensive, In adequate hostel facilities for students and Poor provision of library.
The Issues in nursing service are: Poor working condition, Staffing level not based on standard
norms, Inadequate quality In-service education programme, Less wages, Lacking in formal
practice guidelines, Work activities roles not well defined, Deficiencies in Team work, Lacking
advanced extended nursing practice, Professional relationship with doctors decreasing day by
day, Inadequate use of modern technologies, Inadequate availability of equipment and supplies,
Poor team spirit among colleague, Very few professional representations in higher authorities,
Poor exposure of nurses in National conferences workshop and forums, Inadequate availability
of scientific research findings, As the education raises the gap between nurses and patients also
raises, Nurses are more busy in administrative and paper works in compression to bed side care,
Nurses are not research oriented, Use of non professional manpower to deliver nursing service,
Monitoring, supervision, recording, deporting and evaluation system are poor in nursing service,
Expert senior nurses are usually not involved in planning nursing manpower in an institution,
There is not a system for scheduling planned annual leave for nurses, Lack of autonomy and
empowerment for nursing leaders, Lack of understanding of nursing professional roles and
responsibilities in general, and Gap in the latest managerial knowledge and skills among senior
nursing leaders
Common problems of nursing administration are: Poor involvement of nursing
administrators in planning and decision making in the government hospital administration, No
specific power has been assigned to nursing Incharges but she has been made Incharges of all
inventories and linen of hospital, In many institutions nursing superintendent will have no
authority to sanction leave to their subordinates, Lack of knowledge of management of nursing
4. administration among nursing administrators, Administrators most of the time depends on the
advice of clerical staff in all matters including technical aspects, Prevalence of role ambiguity
among administration administrators, Unnecessary interferences of non nursing personnel in
nursing administration, No clear cut written nursing policies and manuals, Poor job description
for various nursing cadres, Poor organized staff development programme, which includes
orientation, in-service education, continuing education etc,. Poor provision of incentives like:
awards, visits, praise, conferences etc. Inefficiency of nursing councils to maintain standards,
and inadequate efforts at higher level for implementation of separate directorate of nursing.
Less educational preparation, Refuse to accept new role, Adhere to tradition, Failure to unity
among nurses, Failure to work with consumers or public, and Failure to delivery nursing care to
meet (satisfy) public needs are the common professional limitations in Nursing Profession.
Conclusion: Transition generally occurs or takes place in each and every individual of this
world. Nurses as an individual, involved in caring profession, also faces this transition are
nothing but the passages or changes from one situation or state to another that occurs over time.
There are often wide ranges of emotions experienced during the transition process that can affect
the emotional and physical well being.
Some ways to Prepare for transition process are: Positing thinking, flexible to adjust in
various situations, organized personal life, practice healthy life style, find an ideal mentor, have
some fun and able to know what is expected to learn to rules of road early.
References
1. Celebrating nursing past claiming the future. International nurses day
1999.International council of nurses, Geneva Switzerland.
2. International nursing review 1999; 46 (1): 16 – 26
3. Jolley M, Allan P. Current issues in nursing. 1st edi. Chapman and hall; London; 1989
4. Regu M Tabish SA. Nursing education in the new millennium Journal of medical
science 2002; 4 (2): 183 – 189.
5. Deloughery Issues and trends in nursing Mosby year book, London; 1991
6. Oulton J. International trends in nursing profession development. International
nursing review 1997; 44 (2): 47 – 51
7. Shyamalamanivannan. Transition in nursing. Journal of Nepal nursing council; 2000;
9:201 - 202
8. Hemanalini BE. Emerging trends in nursing education in the third millennium
Nursing journal of India Dec. 2000; 12: 267 – 268
9. Hamer J, Wlder B. A. new curriculum for a new millennium. Nursing outlook. 2001;
49: 127 – 131.