Nursing Foundations

Preamble

The basic principles and practices of nursing as taught in educational programs for nurses. In a course on the fundamentals of nursing, the student attends classes and gives care to selected patients. A fundamentals of nursing course emphasizes the importance of the fundamental needs of humans as well as competence in basic skills as prerequisites to providing comprehensive nursing care. Fundamentals of nursing provides a solid foundation in critical thinking, evidence-based practice, nursing theory, and safe clinical care in all settings. This course will introduce fundamentals of nursing care for selected health problems including the activities of daily living and variations of such activities across the lifespan.

Goals

The primary goal of the subject is to train nursing students with basic procedures that they are required to practice in the patient bedside in order to give effective and efficient care to the patient. The area of care is not only restricted to the hospital setting but instead can be extended to nursing homes and all kinds of health care agencies.

Objectives

  • To integrate and apply knowledge from nursing science and evidence based practice to health care needs of an individual with simple acute health problems
  • To integrate biological, physiological and pharmacological sciences with nursing the patient with an acute illness

To identify relevant activities of daily living for a patient with a selected health problem

  • To articulate considerations of varying needs of patients who are ill across the lifespan
  • To identify nutritional requirements for a patient with an acute illness
  • To identify and explain diagnostic tests relevant to selected health problems
  • To identify and describe pharmacokinetics for selected health problems

Duration

One year program (full time experientalrotationsin various aspects of professional practice in the field)

Eligibility

  1. Educational requirement: is the passing of Higher Secondary school certificate examination (12 years course) with science or senior school certificate examination (10+2), pre-degree examination (10+2)

or

Any other exam equivalent to 12 years schooling from a recognized board or university with science (Physics, Chemistry, Biology) and English with minimum of 45% aggregate marks (PCBE)

  1. Age 17 years on or before 31st December of the year of the admission.
  2. Students shall be physically and mentally fit.
  3. Possess good moral character as certified by principal of the institute college last attended.

Career opportunities

Nurses work in all types of settings where there is a need for health care in communities, cities, and rural areas locally and globally, such as hospitals, community agencies, ambulatory care offices, home care settings, nursing homes, occupational settings, schools, public health clinics, veterans organizations, and government agencies.

Nursing work involves a broad range of health care activities, from health promotion and administration to palliation, across a broad array of health care delivery settings from acute care to long-term care, rehabilitation and community-based settings.

Core department

Medical Surgical Nursing Department, Faculty of Nursing, SGT University, Gurugram, Haryana

Teaching strategies

The curriculum is based on both clinical and public health sectors of the society. Themajor focus is on individuals rather than population aggregates. students are prepared to participate in a multidisciplinary approach to planning, implementing and evaluating programs and services for client health and safety.

It is assumed that there will be approximately 915 in the 1 year period of this course subject. Of which, theory teaching will be for 265 hours and practical will be for 650 hours. Out of the practical hours, 200 hours will be allotted for lab training of the student and 450 hours will be allotted in the hospital and health care setting where the student will be taking care of actual sick patients

The students will be exposed to practical demonstration in various fields of clinical setting including general wards, ICUs, CSSD, casualty and OPDs.

Subject distribution:

The subject will be for 1 year duration. The topics covered under theory training are as follows

Unit Topic Hours
1. Introduction 10
2. Nursing as a profession 16
3. Hospital Admission and Discharge 4
4. Communication and Nurse Patient Relationship 10
5. The nursing process 15
6. Documentation and reporting 4
7. Vital signs 15
8. Health assessment 30
9. Machinery, equipment and linen 5
10. Meeting needs of the patient 60
11. Infection control in clinical setting 20
12. Administration of medications 40
13. Meeting needs of perioperative patients 10
14. Meeting special needs of patient 15
15. Care of terminally ill patient 5
16. Professional nursing concepts and practices 6
  TOTAL 265

 

Clinical Training

The students will be exposed to practical demonstrations in various departments for above purposes. Clinical training comprises of 650 hours (200 Lab+ 450 Clinical). A student must complete 100% of attendance notified in each of the practical areas before award of degree.

  • Apply knowledge from physical, biological and behavioural sciences, medicine including

alternative systems and nursing in providing nursing care to individuals, families and

communities.

  • Demonstrate understanding of life styles and other factors, which affect health of individualsand groups.
  • Provide nursing care based on steps of nursing process in collaboration with individualsand groups.
  • Demonstrate critical thinking skill in making decisions in all situations in order to providequality care.
  • Utilize the latest trends and technology in providing health care.
  • Provide promotive, preventive and restorative health services in line with the National Health Policies and Programmes.
  • Practice within the frame work of code of ethics and professional conduct, and acceptablestandards of practice within the legal boundaries.
  • Communicate effectively with individuals and groups, and members of the health team inorder to promote effective inter personal relationship and team work.
  • Demonstrate skills in teaching to individuals and groups in clinical and community healthsettings.
  • Participate effectively as members of the health team in health care delivery system.

 

Department Hours/department Total hours per year Assignments
Demonstration Laboratory Practice Hours 200 •        Lab practice

•        Simulated exercise on CPR manikin

General, Medical and Surgical Hours 450
1.     Male Medicine Ward 45 •        Practice in Unit or Hospital

•        Nursing process records of patient

1.     Simulated: 1

2.     Actual: 1

•        Role plays in simulated situations in communications techniques: 1

•        Health talk: 1

•        Writing nurses’ notes and present patient report of 2-3 assigned patients

•        Measure vital signs of assigned patients.

•        Observation study: 2

o  CSSD:1

o  Infection control department:1

 

2.     Female Medicine Ward 45
3.     Male Surgery Ward 45
4.     Female Surgery Ward 45
5.     Male Ortho Ward 45
6.     Female Ortho Ward 45
7.     OBG ward 45
8.     CSSD/ Micro Lab 45
9.     Male Pulmonary 45
10.  Female Pulmonary 45
TOTAL HOURS 915

 

The theory training will be primarily from cognitive domain while practical training will be from cognitive, psychomotor and affective domain.

Referneces

Syllabus books

  1. Potter p. a., Perry, A. G., Fundamentals of Nursing, Mosby publishers, 9th
  2. Anuradha, A Textbook of Fundamental of Nursing, Vijayam publication, 1st edition, 2015
  3. Swearingen, P.L., All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity and Psychiatric-Mental Health (All in One Care Planning Resource), Elsevier Health Publisher, 4th
  4. Doenges, M.E., Moorhouse, M.F., Murr, A.C., Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales, F.A. Davis Company, 14th edition
  5. Taylor, C., Lillis, C., Lynn, C., Fundamentals of Nursing (Fundamentals of Nursing: The Art & Science of Nursing Care, Lippincott Williams and Wilkins publisher, 8th edition
  6. Lynn, P., Taylor’s Clinical Nursing Skills: A Nursing Process Approach, Lippincott Williams and Wilkins Publisher, 4th Revised edition
  7. NANDA International, Nursing Diagnoses 2015-17: Definitions and Classification, Wiley-Blackwell Publications, 10 edition.
  8. Treas, L.S., Wilkinson, J.M., Basic Nursing Concepts,Skills& Reasoning, F A Davis publisher, 1 edition, 2014
  9. Jarvis, Physical Examination and Health Assessment, Elsevier Health publisher, 7 edition (15 February 2015)
  10. Ackley, Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, Elsevier Health publisher, 11 edition (2016)
  11. Perry, Clinical Nursing Skills and Techniques, Elsevier Health Publisher, 8 edition (14 February 2013)

Scheme of examination: According to Indian Nursing Council

Nursing Foundations subjectwill consist of 3 sessional examination and 1 final examination. Minimum Pass marks for all other subjects shall be 50% in each of the Theory and Practical papers separately. Minimum pass marks shall be 40% for English only. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each subject for appearing for examination.

Eligibility (for appearing in the examination)

  1. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical of each subject for appearing for examination.

2     A candidate must have 100% attendance in each of the practical areas before award of degree.

Assessment:-

The student assessment will consist of 2 parts.

(1) Internal assessment

(2) external assessment.

The total of internal assessment marks and external assessment marks will be considered while doing the final assessment of the student.

 

External Internal

 

Total
75 25 100

 

Sub. Code Subject                                            Assessment
Hours Internal External Total
BBN03 Nursing Foundations 3 25 75 100

 

Internal Evaluation: –

The internal evaluation categories will be divided as follows.

 

Internal

 

 

Class Test Average Marks Assignment Pre University Exam Total Average Attendance Extra  Curriculum Activity & Discipline Grand Total

 

Final Average Marks
i Ii iii Average
50 50 50 20 20 10 75 125 20 2.5 2.5 25 25

 

External Evaluation: –

Question paper setting: –

As a routine, Question paper shall consist of 3 part:

  1. Long Essay :

Question paper shall consist of 3 Question out of which 2 long answer questions are compulsory. Each long answer question might be further divided into 2- 3 parts. Eg: communication process, Nurse patient relationship, Health Care settings.

Applied questions may be asked.  Student is required to anticipate the patient’s requirements and has to answer the questions appropriately. No negative markings will be given.

  1. Short Essay :

Question paper shall consist of 8 Question out of which 7 Short essays are compulsory. Each question will consist of 5 marks each. The questions will be theory based and direct. No applied questions will be asked and no negative markings will be given.

  1. Short Answers:

Question paper shall consist of 10 Questions. They can be MCQs, Fill In the blanks, define, true and false and single response type questions. Student shall be required to answer every Question. No negative markings will be given.

A candidate has to pass in theory and practical exam separately in both internal and external of each paper. If a candidate fails in either theory or practical paper he/she has to re-appear for both the papers (Theory and practical).

Admission 2017