Internship Textbook for General Nursing and Midwifery I Clement
INDEX
A
Active agencies 19
Activities in simulation 65
Activities of
Ford foundation 257
Rockefeller foundation 257
Administration believes in
cost-effectiveness 182
delegation of responsibility and authority 182
effective communication 183
execution and control of work plans 182
flexibility in certain situation 183
human relations and good morale 183
Advantages of
aims of education 10
delegation 194
demonstration method 37
field trips 41
interviews 148
laboratory method 35
micro-teaching 365
nursing
care plan 85, 342
case study 82
rounds 75
questionnaires 146
role play 63
seminar 45
simulation 66
three-dimensional aids 105
workshop 53
Agencies of
education 19
United States 255
Aims of
education 10
interview 147
laboratory 32
organization 190
Annual plans (1966-69) 319
Anova 174
Areas of nursing research 158
Assessment of
head to toe of major body systems 328
duties 378
Assignments 351
Attitude scale 149
Autocratic style 226
B
Basic
biometrics 327
economic terms 294
nursing principles 237
principles of micro-teaching 362
Bedside nursing hours 377
Benefits of audit 267
Bivariate descriptive statistics 152
Blood pressure 326
Brain storming 351
Branches of philosophy 17
Budget 203, 205
C
Cardiovascular system 328
Career roles of nurse 342
Cartoon 104
Case
incident technique 350
method 350, 378, 384
presentation 76
Central nervous system 328
Centralization vs decentralization 193
Characteristics of
audit 267
central tendency 167
chi-square test 174
community school 23
demonstration 36
economics 278
explorative research 138
good teaching aids 93
health care services in market 308
hypothesis 173
micro-teaching 361
normal curve 172
nursing
process 334
research 130
peer group 24
planning 187
qualitative research 139
role play 62
standards 264
true experiments 138
Chi-square test 174
Classification of
hospitals 210
standards 265
teaching aids 95
Code of ethics 243
Colombo plan 257
Comic strips 113
Commercial banks 313
Common
barriers in utilization 157
errors of interpretation 157
legal issues 246
student's problem 86, 342
Communication of nursing research reports 157
Community
as educational agency 26, 27
school 23
Compartment of planning 187
Competitive equilibrium in five health markets 306
Components of
critical thinking 336
health information system 161
in-service education 261
nursing care plan 341
process recording 59
simulation 65
Concept of
demand 302
economic growth and economic development 289
economics 279
Cone of experience 96
Constructing care plan 83, 340
Cooperative
for American relief everywhere 256
movement in India 317
sector 316
vs authoritarian supervision 201
Cost of health care 298
Criteria for
applying ‘t’ test 173
applying chi-square test 175
good
case study 81
process recording 60
seminar 44
profession 238
Critical thinking in
nursing practice 332
patient care management 335
Critical thinking
skills and subskills 336
through nursing practice 336
Criticism of lecture method 31
D
Data collection process 144
DCM recommendations 250
Definitions of
nursing
conferences 262
research 130
statistics 162
vital statistics 164
Delegation 194
Demand and supply
in health care 302
sides of health care market 308
Demerits 385, 387, 388
Demerits of
process recording 61
symposium 47
Democratic style 227
Dental Council of India (DCI) 250
Descriptive
research 137
statistics 151
study 137
Developing patient care plans 84, 341
Dioramas 114
Disadvantages of
demonstration method 37
interviews 148
laboratory method 35
nursing
care plan 86
rounds 75
questionnaires 147
role playing 64
seminar 45
simulation 66
workshop 53
Discussion techniques for
larger groups 353
small group 353
Domains of care plan 341
Dramatization 86
E
Economic planning 318
Economics as
art 280
normative science 285
positive science 285
science 281
Economist in today's environment 283
Education in ancient India 2
Educational
media 91
role of state 25
Eighth-five-year plan (1992-97) 321
Eleventh-five-year plan (2007-12) 322
Eliciting specific information 346
Emergency fund (UNICEF) 253
Essentials of good
project 348
questionnaire 51
Ethical issues in nursing 243
Ethics of nursing 244
Exhibits 113
Expenditure method 312
Experimental research 138
Explorative research 137
F
Factors affecting demand 303
Factors influencing
cost of production 299
demand 303
role play 63
ward management 380
Factors of effective supervision 198
Female reproductive system 330
Field trip 38, 41
Fifth-five-year plan (1974-79) 320
First-five-year plan (1951-1956) 318
Five ‘r's of micro-teaching 363
Flannel board 102
Flash cards 101
Flip charts 111
Focus of health economics 287
Food and Agriculture Organization (FAO) 255
Ford foundation 257
Fourth-five-year plan (1969-74) 320
Functions of
family 20
hospital 209
Indian Red Cross 250
laboratory teaching method 33
Medical Council of India (MCI) 249
statistics 163
supervision in directing 198
television 109
UNICEF 253
WHO 251
World Bank 258
G
Gastrointestinal system 329
Genesis of modern teaching and its pioneers 3
Gobi strategy by UNICEF 253
Governing body 247
H
Health care
demand 304
markets 305
Health
contribution to India 252
information system 160
planning in India and National Health Policy 293
plans in India 318
problems of India 290
status of India 289
Henri Fayol principles of administration or management 183
I
Importance of
budget 204
descriptive research 137
health 288
historical research 136
nursing research 131
planning 187
records 217
research in nursing 158
sampling 178
television 108
ward teaching 67
Important features of
law of demand 302
research approach 135
Important
steps in good demonstration 37
values of proper use of audiovisual aids 92
Income method 311
Indian national commission for cooperation with UNESCO 254
Indian Red Cross 250
Input-output model 309
Integumentary system 330
International code of nursing ethics 244
International council (INC) of nursing 247
Introduction to
economics 277
education 1
health economics 286
nursing research 129
L
Laboratory
in nursing education 34
method 32
Laissez-Faire style 227
Law and nurse 246
Leadership
positions 344
styles 226
Legal issues in nursing 245
Levels of measurements 143, 151
M
Macroeconomics 274, 282
Magenetic chalkboard 113
Male reproductive system 330
Meaning of
cost 298
economics 277
education 1
nursing rounds 73
patient assignment 69
philosophy 17
structured self-report 48
symposium 45
Measures of
central tendency 151, 167
dispersion or variability or scatterness 169
Medical Council of India 249
Meeting of council 250
Membership of TNAI 249
Merits of
process recording 61
project method 348
symposium 47
Methods of
clinical evaluation 355
estimating correlation 175
estimating national income in India 312
measuring national income 311
obtaining vital statistics 164
planning 189
recruitments 270
research report presentation 157
sampling 178
supervision 200
teaching 29
Microeconomics 273, 282
Micro-teaching 360
Mock-ups 107
Modes of
organizing patient care/nursing care delivery system 384
vital statistics presentation 165
Moulage 107
Multivariate statistical procedures 153
Musculoskeletal system 331
N
Narasimham Committee 315
National income 310
National policy on continuing education 260
Nature of
experimental approach 138
historical research 136
organization 191
population 141
staffing function 202
Ninth-five-year plan (1997-2002) 322
Nurse's responsibility in record keeping 221, 269
Nursing
audit 256, 266
auditor 267
care
plan 339
standards in ward management 376
education 41
ethics 243
homes 343
management 235
philosophy 16
process 334
research and nurse 157
rounds 73, 74
science 238
standards 264
O
Objectives of
care India 256
conducting nursing research 131
FAO 255
field trip 38
health information system 161
hospital 208
interpretation 156
laboratory method 32
nursing audit 267
patient assignment 69
personnel management 232
seminar 43
supervision 197
Observation methods 148
Occupational health or industrial nurses 344
Organization
and management of nursing service unit 378
of field trip 39
Organizational structure 251
P
Parametric and nonparametric statistical tests 152
Participation style 227
Passive agencies 19
Patient assignments 69
Phases in case presentation 76
Phases of
micro-teaching 365
process recording 59
Philosophy of
administration 181
nursing and nursing education 16
Population and samples 140
Positive and normative economics 282
Practical guidelines for clinical practice 325
Preparation for nursing conferences 263
Primary
health care and its elements 292
nursing 388
Principles of
administration 183
budget 204
delegation 194
education and teachinglearning process 11
lecture method 30
maintaining record 268
organization 192
patient assignment 70
planning 186
puppets 106
record 218
supervision 199
symposium 46
teaching 11
ward teaching 67
workshop 53
Problems/defects in clinical evaluation 360
Professional
and health organizations 247
equities 239
ethics 243
Progressive patient/client care 387
Properties of
median 168
regression coefficient 176
Psychological tests 149
Psychosocial system 331
Public sector banks 313
Pulse 326
Puppets 105
Purposes of
budget 203
charts 99
field trip 38
laboratory 32
lecture method 29
nursing rounds 73
record 217, 268
report 220
role play 62
seminar 43
standards 264
workshop 52
Q
Qualitative
analysis process 154
data management and organization 155
research 139
Qualities of speaker 44
Quantitative analysis 151
Questionnaire method 51
Questionnaires 146
R
Records for effective supervision 267
Regional organizations of UNICEF 253
Reproductive system 330
Research
approach 135
process 132
related activities in nursing 158
Resources of care plan 83, 340
Respiratory
system 329
rate 327
Responsibilities of
head nurse 214, 376
teacher in field trip 40
Restrictions of regression 176
Rockefeller foundation 256
Role of
members in seminar 45
nurse
in research 132, 159
manager in staff development 225
statistical study 179
State and Central Governments in financing 322
S
Scientific vs intuitive supervision 201
Scope of
economics 280
hospital 209
Second-five-year plan (1956-61) 319
Seminar 42
Seventh-five-year plan (1985-90) 321
Sixth-five-year plan (1980-85) 320
Skewness and kurtosis 172
Skill required for conducting conference 263
Sources of
cartoon 104
case data 81
health
finance 313
information 161
nursing care standards 265
Span of control 192
Specimens 114
Steps for calculating anova 174
Steps in
budgeting 206
clinical evaluation 354
computing SD 170
control process 195
developing questionnaire 50
nursing case study 81
preparation and presentation of seminar 43
process recording 59
research process 133
scientific method 238
simulation 65
Strategy of micro-teaching 362
Supervision of nursing procedures 269
Supply of health care 304
Symposium 45, 46
T
‘t’ test 173
Technical vs creative supervision 201
Techniques of
laboratory method 33
supervision 201
symposium 47
Techniques to conduct seminar 44
Tenth-five-year plan (2002-2007) 322
Terminology in economics 273
Tests of sound measurements 178
Third-five-year plan (1961-66) 319
Trained Nurses Association of India (TNAI) 248
Trends in modern education and teaching 5
Types of
auditing 267
blackboards 97
case study 82
charts 99
clinical evaluation 354
control system 196
correlation 175
cost 299
demonstration 36
diagrams and charts 166
experimental approach 139
field trips 39
graphs 100
hypothesis 173
important vital statistics 165
interviews 147
law 246
nursing
audit 357
conferences 262
observation procedures 148
patient assignment 70
planning 188
population 140
puppets 105
qualitative research 140
question 146
record 218
regression 176
report 220
research approaches 135
sampling method 141
simulation 64
staff development program 224
statistics 163
supervision 200
tabulation 165
television programs 108
ward rounds 73
ward teaching program 67
U
UNESCO activities 254
UNICEF in India 253
United Nations Development Program (UNDP) 255
United Nations Educational Scientific and Cultural Organization (UNESCO) 254
United States Agency for International Development (USAID) 254
Unity of command 193
Urinary system 329
Uses of
averages or measures of central tendency 167
chi-square test 174
health information 161
lecture method 30
normal distribution and curve 172
nursing conference 263
process recording 58
role play in nursing 63
simulation 66
standard deviation 171
statistics 163
symposium 47
vital statistics 164
V
Variability 152
Video tape recorder (VCR) 110
Vital statistics 164
W
Ward
class 350
clinics 350
teaching program 349
WHO expert committee criteria 161
Working methods of workshop 53
World Bank 257
World Health Organization (WHO) 251
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1Internship Textbook for General Nursing and Midwifery
2Internship Textbook for General Nursing and Midwifery
I Clement MA (Sociology), MA (Child Care and Education) MSc (Nursing), MPhil (Education) Principal VSS College of Nursing, Bengaluru Karnataka, India
3
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, Phone: +91-11-43574357, Fax: +91-11-43574314
Registered Office
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Internship Textbook for General Nursing and Midwifery
© 2010, Jaypee Brothers Medical Publishers (P) Ltd.
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2010
9788184489439
Typeset at JPBMP typesetting unit
Printed at Rajkamal
4PREFACE
Internship is a period of 26 weeks/6 months conducted after successfully completing the 3 years of general nursing course. This period fills the gap that is created during the 3 years, obviously there is slight lack of theoretical knowledge with lag in research, trends and issues, hospital administration and management including health economics care taught in internship which really help each general nursing student to withstand in growing technology and manage this work setup.
This book is enriched with subjects as per INC standards and will definitely fulfill the need of internship student since all the subjects are filled up in one nutshell.
This text includes:
Section 1: Educational Methods and Media for Teaching in Practice of Nursing (Chapters 1-3).
Section 2: Nursing Research (Chapters 4-11).
Section 3: Administration and Ward Management (Chapters 12-21).
Section 4: Professional Trends and Adjustments (Chapters 22-26)
Section 5: Health Economics (Chapters 27-35)
Annexure: Practical Guidelines for Clinical Practice.
Each chapter is drafted in simple, easy English. Students can easily dig on and prepare themselves for their internal exams and score well. This internship period not only nourishes them with practical exposure, but also the theory added in this period really prepares them, moulds them in such a way that creates a knowledge skill which helps them to tackle problems faced as soon they enter the job.
Career opportunities in local and abroad are wide and they prefer general nurses fortified with this kind of knowledge so that they can be a good educator, researcher, administrator, manager, finally a highly qualified professional nurse with knowledge of health economics.
I wish all the best for all the teachers, especially students who go through this book.
I Clement
5ACKNOWLEDGMENTS
I am thankful to the Lord Almighty, who always strengthens me and showers blessings on me to complete my task in time.
My heartfelt thanks to Shri V Sommanna, MLA, Chairman of VSS group of institutions, for his constant support and encouragement.
My sincere thanks to my guide and guru BT Basavanthappa, who is a great philosopher, international leader in nursing, a wonderful person who showers fatherly love, who helps me to discover the world of knowledge.
I am thankful to our Board of Directors of VSS Group of Institutions, Dr BS Arun and Dr Naveen, for their support and encouragement.
I am grateful and extend my thanks to Dr Aswathnarayan MLA, Chairman of Padmashree Group of Institutions, for his support and encouragement.
I owe my heartiest gratitude to the Teachers, Educators, Guides and Students for their help, support, and encouragement given to me to achieve this level.
I convey my sincere thanks to my beloved wife Mrs Nisha Clement, MSc (N), for her continuous and constant support and encouragement in each step of my life, also I take this opportunity to thank my little ones Cibin, Cynthia and Cavin.
It is my honor and privilege to thank my parents Mr Irudthyanathan, and Arokiamary, my sisters Elizabeth Rani, Mary Saraswathi, Glory, my brothers, Amalan and Felix for their support in the form of finance, their powerful prayers and encouraging words to complete the task.
This is the time that I should thank my thick friend Mr Regi T Kurien (New York) and family, who was with me in my dark times and my hurdle days. I thank him for his love and affection and constant support.
My sincere thanks to Shri Jitendar P Vij (Chairman and Managing Director), Mr Tarun Duneja (Director-Publishing), Mr KK Raman (Production Manager), Mr Akhilesh Kumar Dubey, Mrs Uma Adhikari, Mr V Venugopal (Manager, Bengaluru Branch), Mr H Vasudev (Author coordinator, Bengaluru Branch) and all staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, in bringing out this excellent quality textbook.
16GUIDELINES
Internship is a period of supervised training required for qualifying for a profession. It follows a specific number of academic credits.
 
 
General Objectives
Upon completion of the internship period the student shall be able to:
  1. Demonstrate skills in the discharge of professional responsibilities independently and effectively.
  2. Demonstrate beginning skills in teaching patients/client's in health care setting in an effective manner.
  3. Demonstrate beginning skills in administration and management of nursing units, health clinics and health centers.
  4. Assist/participate in research activities of the institution/organization in various health care setting.
  5. Identify and appreciate the needs for continuing and in-service education in practice of nursing.
 
Details of Internship Period
Total duration: 26 weeks/6 months.
Vacation: 1 week
Examination: 1 week
For the remaining 24 weeks students will be posted in different clinical areas and also undergo formal class room instruction.
Total no of hours of each day: 8 hours
Hours per week: 48 hours
Total hours of internship period: 1152 hours
Total hours of theory instruction: 190 hours.
Total hours of clinical posting: 1152-190=962 hours.
Students shall attend one hour class daily and 7 hours for clinical experience or one day for theory and five days for clinical experience shall be planned by institutes as per their suitability which shall come to 40 hours per week clinical and 8 hours for theory.
 
Break-up of Clinical Experience
  1. Medical surgical nursing: 3 weeks
  2. Surgical nursing: 3 weeks
  3. Pediatric nursing: 3 weeks
  4. Psychiatric nursing: 3 weeks
  5. Community health nursing: 4 weeks
  6. Midwifery: 4 weeks.
  7. Student's area of interest: 2 weeks.
  8. Two weeks of night clinical experiences is to be given during this period with night supervisor.
Total: 24 hours17
 
Scheme of Evaluation-internship Period (School Exam)
Theory examination
Subject
Assessment of six months
School examination
Total marks
1. Educational methods and media for teaching in practice of nursing and research in nursing
50
50
100
2. Professional trends and adjustment, administration and ward management and health economics
50
50
100
Total
100
100
200
 
Practical Evaluation: School Assessment
  1. Medical and surgical nursing: 20 marks
  2. Pediatric nursing: 20 marks.
  3. Community health nursing: 20 marks.
  4. Midwifery: 20 marks.
Total: 100 marks.
Practical examination at the end of the six month is to be conducted by the school at its own level to assess clinical skills, ward management and professional trends. Marks are to be submitted to the council for addition in the overall result.
Diploma by the council / board will be issued only after successful completion of the internship.
 
Importance of Internship
The Career Center Staff want to ensure students become the employees of choice upon completing their university experience. Internship and Co-op experiences allow students to have an avenue to Explore career options while increasing their skill proficiency and gaining valuable career-related Experience with professionals in their industry of choice. During this experience, students engage on a daily basis the bridging of the classroom experience with the workplace.
  1. Acquire new skills and apply those learned in the classroom
  2. Explore potential career interests
  3. Develop professional work habits and improve human relations skills
  4. Gain practical, on-the-job, career-related experience prior to graduation
  5. Improve permanent employment opportunities
  6. Help defray the costs of education
  7. Secure college credit in positions approved by faculty
  8. Assists in the recruitment and retention of students
  9. Builds a positive relationship between the institution and local businesses
  10. Improves access to state-of-the-art equipment and technology by using the workplace as a laboratory extension of the classroom
  11. Helps to keep college curriculum up-to-date with changes in industry through constant input from the employment sector
    18
 
Benefits of Internships
Internship resources are provided by Career Connections to reveal viable career paths through hands-on learning experiences in a variety of areas of interest. Completing internships during college allows students to explore and experiment while gaining professional experience and exposure. Additionally, interning helps participants develop essential skills and build the confidence to secure a first job or graduate school opportunity.
 
Some of the Obvious Advantages an Internship Offers
  1. Learn more about a chosen field.
  2. Apply classroom theory to real work situations.
  3. Become more knowledgeable about general work functions in particular fields.
  4. Identify and/or test interests and talents.
  5. Investigate organizational cultures.
  6. Learn career-related skills.
  7. Identify transferable skills.
  8. Strengthen written and oral skills.
  9. See if a selected career path is one you truly wish to travel.
  10. Find out what it's like to work in a business environment.
  11. Enhance and strengthen your resume.
  12. Make contacts to gain future employment.
  13. Bridge between college and work.
  14. Stimulate new interest in academic course work and frequently develop an interdisciplinary perspective.
  15. Gain an increased awareness of skills, attributes, personal qualities and values.