Nursing Services

ALL INDIA INSTITUTE OF MEDICAL SCIENCES STAFFING HOSPITAL NURSING SERVICES IN DIFFERENT UNIT INTRODUCTION:Nursing profession is considered a caring profession to begin with, it was an art and a vocation. Now it is considered a scientific profession nursing care is defined as the care of the patient with regard to nursing needs, with he ever increasing dimension of medical sciences quantitatively and qualitatively6 nursing care is becoming more and more complex with its management services. Nursing Services:Nursing service is the part of the total health organization which aims at satisfying the nursing needs of the patients/community. In nursing services, the nurse works with the members of allied disciples such as dietetics, medical social service, pharmacy etc. in supplying a comprehensive program of patient care in the hospital. Definition of Nursing Services:WHO expert committee on nursing defines the nursing services as the part of the total health organization which aims to satisfy major objective of the nursing services is to provide prevention of disease and promotion of health. ORGANISATION OF NURSING SERVICES:CHIEF NURSING OFFICER | NURSING SUPDT | DY. NURSING SUPDT. | ASSTT. NURSING SUPDT. | WARD SISTER-CLINICAL SUPERVISOR | STAFF NUIRSE ---- STUDENT NURSE OBJECTIVE OF NURSING IN WARD:• • • • • • • •

Maximum comfort and happiness by way of pleasant surroundings. Qualitative/comprehensive care to the patient. Care based on the patient’s needs. Accurate assessment of illness. Adequate material resources at all times. Health education to the patient and attendants. Managerial skills as and when required. Privacy at all levels.

EFFECTIVE NURSING:An effective nursing is always based on nursing process which is an organized and systematic approach to nursing care, that prioritizes patient assessment and management. Entire nursing process consists of four phases:• ASSESSMENT- not only initial but integral ongoing component of the whole nursing process. • PLANNIG AND IMPLEMENTATION- in this the nurse formulates and implements the care. • EVALUATION- decides whether the action taken has met the identified needs or not. This is the final step of care. Also, review of the whole care plan. Without this no quality care or comprehensive care is possible to provide. FACTORS TO BE CONSIDERED IN PLANNING HOSPITAL NURSING SERVICES:• Number and type of patient. • Number of beds and type of ward. • The services required. • Procedures/techniques necessary for care. • Number and type of personal needed to perform care effectively. • Physical facilities. • Provisional of equipment and supplies. S.I.U NORMS:• 1 Nursing sister for 3:6 staff nurses. • 1 ANS for 4:5 nursing sisters. • 1 DNS for 7:5 ANS. • 1 Nursing supdt for 250-500 beds. • 1 CNO for 500 or more beds. PROBLEMS AND CHALLENGES FACED BY THE NURSING ADMINISTRATOR:Lack of adequate training. Problem of personnel management. Inadequate number of nursing staff. Shortage of trained manpower. Lack of motivation. No involvement in planning. No career mobility. Poor role model. Non-nursing activities. No research scope. No proper aurthority. Professional risk/hazards. No autonomy in nursing activities.

CONSTRAINS AND BARRIERS IN NURSING SERVICES ADMINISTRATION:Planning of nursing manpower. Management and development. Staff development. Development/awards. Nursing legislation. Trained nurse managers. Diversification in nursing profession. Leadership inadequacy. Lack of strength, weakness, opportunity and threat. Lack of awareness to meet social, economic and technical changes in the society and consumer protection act. Lack of communication. Nursing care audit. DAY TO DAY PROBLEM IN NURSING SERVICES:Shortage of nurses. Lack of motivation. Negative attitude. Lack of training. Lack of team approach. Inactive participation of programs. Lack of I.P.R. Less involvement in patients care by the nursing supervisors. Lack of supervision. FORSEEN FOR BETTER NURSING SERVICE ADMINISTRATION IN THE NEXT MILLENIUM:Accountability. Autonomy of professional activities. Awareness of C.P.A. Independent nursing practices. Renewal of licenses based on education and examination. Specialty nursing Nursing care audit. Qualitative nursing care. Separate nursing budget. Diploma in nursing management. Nursing research .