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Nursing the Sector: Angels needed

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Nursing the Sector: Angels needed

Edited By Urmila Rao | Updated on Aug 27, 2013 10:10 AM IST

FAST FACT
Qualification: BSc Nursing. 4-year degree programme, General Nursing & Midwifery course (3.5 years).
For further education: MSc, MPhil, PhD.
Visithttp://www.indiannursingcouncil.org/types-nursing-programs.asp
Colleges: Raj Kumari Amrit Kaur College of Nursing, Delhi, AllMS, Safdarjung Hospital, St. Stephens Hospital (Delhi), Bharati Vidyapeeth’s College of Nursing (Pune), National Institute of Mental Health and Neurosciences ( Bangalore), N.I.N.E PGIMER, (Chandigarh) CMC,(Vellore). See the list of INC recognised colleges @ www.indiannursingcouncil.org/Recognized-Nursing-Institution.asp

Nursing the Sector: Angels needed
Nursing the Sector: Angels needed
Taking-stock
Photos: Rohit Gautam
TAKING STOCK: Nurse examining their patients' files before resuming their work schedules at Max HealthCare, Saket, New Delhi


Nurse Linsy S Lazar has taken a break from her work for a few months. The 27-year-old, a new mother, is enjoying motherhood, but is also missing her job. What she misses most is the gratifying experience that she carried back home everyday.

saravjeet-kaur
“Stringent screening test of candidates, surprise audits of colleges, de-recognition of bad institutions, focus on quality rather than quantity is the need of the hour”

Ms Saravjeet kaur,
Director, Nursing, Max
Healthcare

Saravjeet Kaur too, just like Linsy, was a passionate nurse. “The satisfaction is more than any appreciation letter,” she says. Now Director Nursing, Max Healthcare, pan-India, Kaur was in the army for 25 years, nursing soldiers and officers back to health. In ’76 it was unusual for a Punjabi girl to choose nursing as profession, reminisces Kaur, a decision that annoyed her granny very much. But the smile of convalescing patients brought a young Saravjeet so much joy, that the thought of quitting never occurred to her. Post-army, she continues to work in the private sector.

Some youngsters gravitate towards this profession to serve the sick and needy, some for ready job prospects. Nursing is one sector where no one remains unemployed. Healthcare industry is expanding fast and is facing acute shortage of quality nurses. “In two years, Delhi has got seven new hospitals,” says Dr. B.K. Baluja, executive director, Primus Super Specialty Hospital. “But doctors and nurses have not expanded in that ratio,” he adds. Now male nurses are also successfully charting out a career in the field predominantly led by “sisters.”

Nurses play a significant role in the healthcare industry. Articulating their role, Dr. Baluja says, “They are one of the pillars of healthcare, at par with doctors.”

If you too feel nursing is a right career choice for you, go ahead but be aware of a few hiccups that might come your way.

Nursing Education: The Wellness Chart
Hailing from Kerala, Linsy is a quintessential ‘Keralite’ nurse; amiable, soft-spoken, humble and accommodating, just like several other Malayali counterparts of hers who dot Delhi -NCR hospitals.

Linsy is now employed with a government hospital, GTB in Delhi. She is an efficient worker and is praised for her quality delivery. But when she was a student with  a private nursing Institute in Greater Noida, she remembers how she and her classmates had to struggle with limited infrastructure facilities and clinical exposure. Frustrated, many of her batch-mates dropped out. “We were the first batch of students in the nursing programme,” she says.

linsy
NURSE LINSY S LAZER, 27, Working at GTB Hospital, Delhi

Some colleges give their students good exposure and training and they stand out as performers from day one. However, those who lack in the first innings learn on the job and work their way up for a bright stint. Linsy belongs to the second category of learners.

But the truth of the matter is that a majority of the colleges lack adequate lab facilities. “Most private colleges don’t give sufficient clinical exposure, even though they claim it,” says Dr. Baluja. He advises students to choose colleges that have collaboration with reputed hospitals for practical knowledge.

A lot needs to be done in nursing education. Government institutions are running courses that were adopted somewhere in the 1970s. Many sub-standard colleges are operating as well. Indian Nursing Council (INC) has been unable to prevent their operations. Even in some recognised colleges, the quality is not strictly monitored. But the INC has no full-time inspectors for evaluation and so it has to make do with just ad-hoc inspectors.

Rising fees is another big dampener for potential students. In 2005, Linsy paid a total of Rs. 6 lakhs, sans hostel accommodation, for her 4-year BSc degree. Currently, fees of a typical private provider stand close to Rs. 10 lakhs for a 4-year degree course. This is excluding hostel fee, which amounts to approximately Rs. 60,000 per year. MSc Nursing is tagged at Rs. 1.5 lakhs to Rs. 2 lakhs as tuition fee per annum. One grey area in the education is the capitation fee. The ongoing rates are anywhere between Rs. 50,000-80,000 for Delhi-NCR region, say sources.

The entry level salaries, however, are low. It hovers in the range of Rs. 12,000 -18,000 per month in a big private hospital for those with a BSc degree. But overall also, nurses’ salaries are not at par with the labour they put in. In government sector, salaries, guided by Pay Commissions, are comparatively better than that of private hospitals.

Registration is a must to practise as a nurse. It usually takes a candidate one to six months to obtain primary registration. When nurses move from one state to another, they have to get registered with the respective State Nursing Council (SNC). “However, this process is a time consuming affair,” says Hemant Kumar Saini, Lecturer, University College of Nursing Baba Farid University of Health Sciences. “But for doctors, the same process is smooth,” says Dr. Baluja. That is because Medical Council of India provides the registration facility unlike the Nursing Council.

sheila-seda
“There is a need for a separate Nursing Directorate with independent powers under the Ministry of Health and Family Welfare, to improve the structure and management of nursing”

Ms Sheila Seda
Secretary-
General, Trained Nurses Association of India

Pulse Monitoring: Daily Basis
In day-to-day operations, the challenges vary. A major grouse of nurses is that they are not allowed to take any decisions. They are only supposed to assist medical personnel in executing nursing functions. Ms. Kaur, heading a force of 2,500 nurses pan-Max Hospital, agrees and hopes that this scenario changes soon.

Many nurses also complain of doctors being rude to them. Ms. Sheila Seda, secretary general, Trained Nurses Association of India (TNAI), assess the issue objectively. She says that this situation surfaces from the knowledge and skill mismatch of a doctor-nurse. “If a cardiologist is given a non-specialised nurse in cardiology, how would she know about the patient’s post-operative care?” she asks. She sees a clear need for nurses to get trained in specific areas. But right now, whatever little domain-training exists is not only insufficient but is marred by limitations. For instance, a nurse who is domain-trained is not sure whether she/he will be employed in her specialised area by a hospital. Besides, there is also no recognition in terms of posts and incentives whereas an MBBS doctor, who has a specialised degree gets paid more. “So why not nurses too?” questions Ms. Seda.
 
Emergency Case: Urgent Solution Needed
While functional areas have their setbacks, at policy level too, nursing sector suffers from a host of ailments. A major issue is the nurse-to-patient ratio. INC prescribes one nurse for every five patients in a non-teaching hospital. For teaching hospital, the ratio is 1:3. “However, the need is of one nurse per patient,” emphasises Ms Seda of TNAI, a 100-year-old organisation working as a link between the nurses and policy makers. She reasons, patients in ICU, or in specialised departments like operation theatre or in labour room, require one-on-one care. Besides, there are patients to be attended to in emergencies and OPD, so 1:3 ratio is an inadequate allocation especially when nurses’ leave reserve are factored in too. Right now, nurses are overburdened. “Abroad, there are three nurses per doctor but situation here is somewhat reverse,” says Jaiwanti P Dhaulta, former secretary general, TNAI.

The industry suffers from high attrition rate. “It ranges from 25-28 percent,” says Dr. Baluja, which is a cause of worry, he adds. Migration is a double whammy. A lot of nursing practitioners pack their bags to Gulf countries, especially to Saudi Arabia and Muscat. The other two preferred destinations are Canada and Ireland. Poor pay packages and inconsiderate treatment are two prime reasons. “To combat migration, salaries must be improved and better treatment must be meted out to over-worked nurses,” says Ms Kaur.

 
 
 
 “Indian Nursing Council is a statutory body to manage education. It does work in areas of structure and management of nursing ”  
 
 
 

The System: Needs Nursing Back to Health
The nursing sector currently needs several remedial measures to function properly. In order to revitalise the sector, government formed a High Power Committee on Nursing and Nursing Profession. But the Committee’s report with proposed recommendations is still in the back burner 23 years later. The report entails a host of reform measures ranging from nursing manpower requirements to education, higher education, training, infrastructure, organisational set up at Central, State and district levels and much more.

TNAI, also an affiliate of International Council of Nurses, feels government needs to wake up to the needs of the nursing community fast. She adds, “The post of nursing advisor at Government is vacant since last June.”A slackened approach towards reform is extremely disheartening. 

A snail’s pace of change is clearly hurting the industry. It’s time to bring nursing out of the ICU. 
 

 

DONNING THE UNIFORM
Gaining Entry: State level tests are conducted by state universities. For example Rajiv Gandhi University of Health Sciences, Karnataka, Baba Farid University of Health Sciences, Punjab etc. A few other colleges too conduct tests. For example, AIIMS, NINE-PGIMER, AFMC ,CMC etc
Number of Seats: 40 or more, provided institutions have infrastructure & clinical facilities.
Specialty Areas: Medical surgical nursing (cardio-vascular, nephro-urological, orthopedic, critical care, neurological paediatrics (child health nursing), obstetrical/gynaecological nursing, psychiatric nursing , community health  nursing
Registration: Registration with respective State Nursing Councils (SNC) is a must to practice. The candidate has to apply for registration in respective SNC’s like Punjab, Karnataka etc. The SNC’s assign a dedicated number to its each applicant called RN/RM (Registered Nurse/ Registered Midwife), after which a candidate can  start practising as a nurse. Nurses now have to get their registration renewed after five years.

 

hemant-kumar-saini


Hemant Kumar Saini

Lecturer, University College of Nursing
Baba Farid University of Health Sciences.

“Private colleges lack basic facilities”

Q: How can a potential nursing student check the authenticity of a nursing college?
A: The students can visit the Indian Nursing Council website to see the institutions in the country that have permission to run a particular course. http://www.indiannursingcouncil.org/Recognized-Nursing-Institution.asp

Q: How would you rate teaching standards?
A: Some of the government institutions are doing an excellent job, they have extraordinary facilities like AIIMS, RAK, NIMHANS , JIPMAR, NINE-PGIMER etc. Also, some of the private institutions are up to the mark like KLE’S Belgaum and CMC Vellore.

There is an acute shortage of nursing faculty across the country. Male nurses are not accepted well in the nursing fraternity as the profession is feminine in nature and dominated by women everywhere. But introduction of male nurses has brought tremendous changes in the functional ability of nursing profession as a whole because males are more easily able to bear the pressure from the much hyped lobby of doctors.

Q: How can a nurse, willing to go abroad ensure she/he is not falling into fraudulent hands?
A: Students should not take short-cuts and must do their due diligence. They must directly enquire from college/hospital on the necessary documents needed to practise in their country. Students can also use technology to their advantage. Facebook, Twitter etc have nurses’ communities and one can use these platforms to cross-check the overseas college’s/recruiter’s credentials.

 

Riju-Raju


Riju Raju
, 23
ICU Staff Nurse,
Kohinoor Hospital, Mumbai

“Each day is exciting and thrilling”

Q: Why did you choose nursing as a career?
A: At first, I wanted to make a career in the medical field, but due to my financial condition, I could not afford doing MBBS, so nursing was the next option. Moreover, I wanted a job with readily available placement opportunities with a decent salary, and nursing fulfilled this criteria. Last but not the least, I wanted to take care of the sick and lend a helping hand to my society and people around me.
 
Q: Did the college from where you studied prepare you well for work?
A: I graduated from Mahatma Gandhi Missions College of Nursing, Kamothe, Navi Mumbai. Being a charitable mission hospital, our hospital didn’t have latest medical infrastructure, but still my college was able to guide me in understanding different equipment which were not available in our hospital. During my bond period I had a good exposure to a variety of disease conditions and their treatment modalities. 

Q:  How is your typical day like?
A: When I get to work, the first thing I do is to check our ward inventory, and then take up my patient care assignment. Being in ICU, it is really stressful as each patient is critical and I need to keep my senses on guard to look out for any minute changes in the patient’s condition. One small mistake can turn fatal. While I do have my patient assignment, I am also part of the (ICU) team. So, if any new admission takes place or if a patient’s condition worsens I need to help my colleague. I need to be on my toes each and every second. After an eight hour of run, when I get home, I am literally exhausted but there is a feeling of satisfaction. With this feeling, I have a peaceful sleep.  

Q: Any interesting experience you would like to share?
A: Actually every day is interesting as I learn something new each day. But memorable moments are those when severely ill patients get well, and while going back, they thank me and bless me. Their words wash away all my tensions, tiredness and energise me. These are moments that charge me up for another new day of caring.

 

Select list of colleges offering courses in Nursing
Institute 
Course
Website
AFMC College of Nursing, Pune
BSc (Nursing)
http://afmc.nic.in
Amrita College of Nursing, Kochi
BSc, MSc (Nursing), GNM
http://aims.amrita.edu
Bharati Vidyapeeth’s College of Nursing, Pune
BSc, MSc (Nursing)
http://conpune.bharatividyapeeth.edu/default.aspx
BIMR Nursing College, Gwalior
BSc (Nursing)
http://bimr.in/index.php
BM Birla Heart Research Centre, Kolkata
BSc, MSc (Nursing)
www.birlaheart.org/College_of_Nursing/academic.htm
College of Nursing, All India Institute of Medical Sciences, New Delhi
BSc (Nursing)
www.aiims.edu
College of Nursing, Bombay Hospital, Mumbai
BSc, MSc (Nursing), GNM
www.bombayhospital.com
College of Nursing, CMC, Ludhiana
BSc, MSc (Nursing)
www.cmcludhiana.org/nursing.htm
College of Nursing, Indore
BSc, MSc (Nursing)
www.choithram.org/misc/nurse.htm
College of Nursing, Safdarjung Hospital, New Delhi
BSc, MSc (Nursing)
www.vmmc-sjh.nic.in
Combined (PG) Institute of Medical Science & Research, Dehradun
BSc, MSc (Nursing)
www.cimsrdoon.com
Kasturba Gandhi College of Nursing, Pondicherry
BSc, MSc (Nursing)
www.sbvuniversity.com/wwwroot/kashome.htm
KG College of Nursing, Coimbatore
BSc, MSc (Nursing), GNM
www.kghospital.com/healthscience/course.html
KLE Society’s Institute of Nursing Sciences, Belgaum
BSc, MSc (Nursing), P.B. BSc, PhD
www.nursing.kleuniversity.edu.in
Maharishi Markandeshwar College of Nursing, Ambala
BSc, MSc (Nursing)
http://mmumullana.org
Manipal College of Nursing, Manipal
BSc, MSc (Nursing), P.B. BSc
www.manipal.edu/INSTITUTIONS/NURSING
National Institute of Mental Health and Neurosciences, Bangalore
BSc, MSc (Nursing)
www.nimhans.kar.nic.in
National Institute of Nursing Education, Chandigarh
BSc, MSc (Nursing)
http://pgimer.nic.in
North Eastern Indira Gandhi Regional Institute of Medical
Health & Sciences, Shillong
BSc, MSc (Nursing)
www.neigrihms.nic.in
Regional College of Nursing, Guwahati
BSc, MSc (Nursing)
http://rcnguwahati.ac.in
Course Duration: BSc (N): 4 yrs, MSc (N): 2 yrs, GNM: 3   yrs, P.B. BSc: 2 yrs, PhD: 3 yrs

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The word “choreography" actually comes from Greek words that mean “dance writing." Individuals who opt for a career as a choreographer create and direct original dances, in addition to developing interpretations of existing dances. A Choreographer dances and utilises his or her creativity in other aspects of dance performance. For example, he or she may work with the music director to select music or collaborate with other famous choreographers to enhance such performance elements as lighting, costume and set design.

2 Jobs Available
Social Media Manager

A career as social media manager involves implementing the company’s or brand’s marketing plan across all social media channels. Social media managers help in building or improving a brand’s or a company’s website traffic, build brand awareness, create and implement marketing and brand strategy. Social media managers are key to important social communication as well.

2 Jobs Available
Photographer

Photography is considered both a science and an art, an artistic means of expression in which the camera replaces the pen. In a career as a photographer, an individual is hired to capture the moments of public and private events, such as press conferences or weddings, or may also work inside a studio, where people go to get their picture clicked. Photography is divided into many streams each generating numerous career opportunities in photography. With the boom in advertising, media, and the fashion industry, photography has emerged as a lucrative and thrilling career option for many Indian youths.

2 Jobs Available
Producer

An individual who is pursuing a career as a producer is responsible for managing the business aspects of production. They are involved in each aspect of production from its inception to deception. Famous movie producers review the script, recommend changes and visualise the story. 

They are responsible for overseeing the finance involved in the project and distributing the film for broadcasting on various platforms. A career as a producer is quite fulfilling as well as exhaustive in terms of playing different roles in order for a production to be successful. Famous movie producers are responsible for hiring creative and technical personnel on contract basis.

2 Jobs Available
Copy Writer

In a career as a copywriter, one has to consult with the client and understand the brief well. A career as a copywriter has a lot to offer to deserving candidates. Several new mediums of advertising are opening therefore making it a lucrative career choice. Students can pursue various copywriter courses such as Journalism, Advertising, Marketing Management. Here, we have discussed how to become a freelance copywriter, copywriter career path, how to become a copywriter in India, and copywriting career outlook. 

5 Jobs Available
Vlogger

In a career as a vlogger, one generally works for himself or herself. However, once an individual has gained viewership there are several brands and companies that approach them for paid collaboration. It is one of those fields where an individual can earn well while following his or her passion. 

Ever since internet costs got reduced the viewership for these types of content has increased on a large scale. Therefore, a career as a vlogger has a lot to offer. If you want to know more about the Vlogger eligibility, roles and responsibilities then continue reading the article. 

3 Jobs Available
Publisher

For publishing books, newspapers, magazines and digital material, editorial and commercial strategies are set by publishers. Individuals in publishing career paths make choices about the markets their businesses will reach and the type of content that their audience will be served. Individuals in book publisher careers collaborate with editorial staff, designers, authors, and freelance contributors who develop and manage the creation of content.

3 Jobs Available
Journalist

Careers in journalism are filled with excitement as well as responsibilities. One cannot afford to miss out on the details. As it is the small details that provide insights into a story. Depending on those insights a journalist goes about writing a news article. A journalism career can be stressful at times but if you are someone who is passionate about it then it is the right choice for you. If you want to know more about the media field and journalist career then continue reading this article.

3 Jobs Available
Editor

Individuals in the editor career path is an unsung hero of the news industry who polishes the language of the news stories provided by stringers, reporters, copywriters and content writers and also news agencies. Individuals who opt for a career as an editor make it more persuasive, concise and clear for readers. In this article, we will discuss the details of the editor's career path such as how to become an editor in India, editor salary in India and editor skills and qualities.

3 Jobs Available
Reporter

Individuals who opt for a career as a reporter may often be at work on national holidays and festivities. He or she pitches various story ideas and covers news stories in risky situations. Students can pursue a BMC (Bachelor of Mass Communication), B.M.M. (Bachelor of Mass Media), or MAJMC (MA in Journalism and Mass Communication) to become a reporter. While we sit at home reporters travel to locations to collect information that carries a news value.  

2 Jobs Available
Corporate Executive

Are you searching for a Corporate Executive job description? A Corporate Executive role comes with administrative duties. He or she provides support to the leadership of the organisation. A Corporate Executive fulfils the business purpose and ensures its financial stability. In this article, we are going to discuss how to become corporate executive.

2 Jobs Available
Multimedia Specialist

A multimedia specialist is a media professional who creates, audio, videos, graphic image files, computer animations for multimedia applications. He or she is responsible for planning, producing, and maintaining websites and applications. 

2 Jobs Available
Welding Engineer

Welding Engineer Job Description: A Welding Engineer work involves managing welding projects and supervising welding teams. He or she is responsible for reviewing welding procedures, processes and documentation. A career as Welding Engineer involves conducting failure analyses and causes on welding issues. 

5 Jobs Available
QA Manager
4 Jobs Available
Quality Controller

A quality controller plays a crucial role in an organisation. He or she is responsible for performing quality checks on manufactured products. He or she identifies the defects in a product and rejects the product. 

A quality controller records detailed information about products with defects and sends it to the supervisor or plant manager to take necessary actions to improve the production process.

3 Jobs Available
Production Manager
3 Jobs Available
Product Manager

A Product Manager is a professional responsible for product planning and marketing. He or she manages the product throughout the Product Life Cycle, gathering and prioritising the product. A product manager job description includes defining the product vision and working closely with team members of other departments to deliver winning products.  

3 Jobs Available
QA Lead

A QA Lead is in charge of the QA Team. The role of QA Lead comes with the responsibility of assessing services and products in order to determine that he or she meets the quality standards. He or she develops, implements and manages test plans. 

2 Jobs Available
Structural Engineer

A Structural Engineer designs buildings, bridges, and other related structures. He or she analyzes the structures and makes sure the structures are strong enough to be used by the people. A career as a Structural Engineer requires working in the construction process. It comes under the civil engineering discipline. A Structure Engineer creates structural models with the help of computer-aided design software. 

2 Jobs Available
Process Development Engineer

The Process Development Engineers design, implement, manufacture, mine, and other production systems using technical knowledge and expertise in the industry. They use computer modeling software to test technologies and machinery. An individual who is opting career as Process Development Engineer is responsible for developing cost-effective and efficient processes. They also monitor the production process and ensure it functions smoothly and efficiently.

2 Jobs Available
QA Manager
4 Jobs Available
AWS Solution Architect

An AWS Solution Architect is someone who specializes in developing and implementing cloud computing systems. He or she has a good understanding of the various aspects of cloud computing and can confidently deploy and manage their systems. He or she troubleshoots the issues and evaluates the risk from the third party. 

4 Jobs Available
Azure Administrator

An Azure Administrator is a professional responsible for implementing, monitoring, and maintaining Azure Solutions. He or she manages cloud infrastructure service instances and various cloud servers as well as sets up public and private cloud systems. 

4 Jobs Available
Computer Programmer

Careers in computer programming primarily refer to the systematic act of writing code and moreover include wider computer science areas. The word 'programmer' or 'coder' has entered into practice with the growing number of newly self-taught tech enthusiasts. Computer programming careers involve the use of designs created by software developers and engineers and transforming them into commands that can be implemented by computers. These commands result in regular usage of social media sites, word-processing applications and browsers.

3 Jobs Available
Product Manager

A Product Manager is a professional responsible for product planning and marketing. He or she manages the product throughout the Product Life Cycle, gathering and prioritising the product. A product manager job description includes defining the product vision and working closely with team members of other departments to deliver winning products.  

3 Jobs Available
Information Security Manager

Individuals in the information security manager career path involves in overseeing and controlling all aspects of computer security. The IT security manager job description includes planning and carrying out security measures to protect the business data and information from corruption, theft, unauthorised access, and deliberate attack 

3 Jobs Available
ITSM Manager
3 Jobs Available
Automation Test Engineer

An Automation Test Engineer job involves executing automated test scripts. He or she identifies the project’s problems and troubleshoots them. The role involves documenting the defect using management tools. He or she works with the application team in order to resolve any issues arising during the testing process. 

2 Jobs Available
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