COURSE PLAN

On
ADVANCE NURSING PRACTICE

By – Manaswi Debbarma
Tutor of TCN
Subject co-ordinator
 COURSE PLAN
SUB:- ADVANCE NURSING PRACTICE
Placement :- 1st semester [Link]. Nursing Hours of distribution:-
Theory hours Practical hours
Prescribed – 150 hours Prescribed – 200 hours
Planned – 160 hours Planned – 210 hours

Aims:-
The nursing students will be able to develop an understanding of concepts and constructs of theoretical basis of advance nursing practice and critically analyse
different theories of nursing and other disciplines.
Objectives:-
At the end of the course the students will be able to:
1. Appreciate and analyze the development of nursing as a profession.
2. Describe ethical, legal, political and economic aspects of health care delivery and nursing practice.
3. Explain bio- psycho- social dynamics of health, life style and health care delivery system.
4. Discuss concepts, principles, theories, models, approaches relevant to nursing and their application.
5. Describe scope of nursing practice.
6. Provide holistic and competent nursing care following nursing process approach.
7. Identify latest trends in nursing and the basis of advance nursing practice.
8. Perform extended and expanded role of nurse.
9. Describe alternative modalities of nursing care.
10. Describe the concept of quality control in nursing.
11. Use computer in patient care delivery system and nursing practice.
12. Appreciate importance of self development and professional advancement.
Methods of Teaching
• Lecture cum discussion
• Seminar
• Case Presentations
• Exposure to scientific conferences
• Field visits
• Assignment

Activities

• Prepare Case studies with nursing process approach and theoretical basis

• Presentation of comparative picture of theories

• Family case- work using model of prevention

• Annotated bibliography

• Report of field visits (5)

Practical related :-

1. Applying nursing process while providing care to the patients .

2. Documenting the care provided
 3. Practicing universal precaution
4. Practicing the specific procedures related to advance nursing practice .

Each students shall be posted in the following area for advanced practical nursing :-
Area in the hospital Area in community Area for filed visit
Emergency unit Madhupur community primary health centre Tripura nursing council
ICU Dukli sub centre DDRC
Medicine ward ( male and female ) Old age home
Surgical ward ( male and female ) Pollution board

Methods of evaluation :
• Tests
• Presentation
• Seminar
• Written assignments
Units Hours Content Practical topic Name of the
Prescribed Planned teachers
I 10 11 Nursing as a Profession
Mrs. Mousumi
1) History of development of nursing profession, characteristics, criteria of the
Debnath
profession, perspective of nursing profession-national, global
2) Code of ethics(INC), code of professional conduct(INC), autonomy and
accountability, assertiveness, visibility of nurses, legal considerations,
3) Role of regulatory bodies
4) Professional organizations and unions-self defence, individual and collective
bargaining
5) Educational preparations, continuing education, career opportunities,
professional advancement & role and scope of nursing education.
6) Role of research, leadership and management.
7) Quality assurance in nursing (INC).
8) Futuristic nursing.

II 5 8 Health care delivery

Mrs. Lenna
1) Health care environment, economics, constraints, planning process, policies,
Debbarma
political process vis a vis nursing profession.
2) Health care delivery system- national, state, district and local level.
3) Major stakeholders in the health care system-Government, non-govt.
Industry and other professionals.
4) Patterns of nursing care delivery in India.
5) Health care delivery concerns, national health and family welfare programs,
inter-sectoral coordination, role of nongovernmental agencies.
 6) Information, education and communication (IEC).
7) Tele-medicine.

Genetics
1) Review of cellular division, mutation and law of inheritance, human genome
project ,The Genomic era. Mrs. Sikha Deb
III 10 10 Principal of TCN
2) Basic concepts of Genes, Chromosomes & DNA.
3) Approaches to common genetic disorders.
4) Genetic testing – basis of genetic diagnosis, Pre symptomatic and
predisposition testing, Prenatal diagnosis & screening, Ethical, legal &
psychosocial issues in genetic testing.
5) Genetic counselling.
6) Practical application of genetics in nursing.
Epidemiology
1) Scope, epidemiological approach and methods,
Mrs. Alaka Saha
IV 10 10 2) Morbidity, mortality,
3) Concepts of causation of diseases and their screening,
4) Application of epidemiology in health care delivery, Health surveillance and
health informatics
5) Role of nurse

Bio-Psycho social pathology

1) Pathophysiology and Psychodynamics of disease causation
2) Life processes, homeostatic mechanism, biological and psycho-social Mrs. Debi
V 20 20 Chakraborty
dynamics in causation of disease, life style CPR, TPN,
3) Common problems: Oxygen insufficiency, fluid and electrolyte imbalance, Hemodynamic And
 nutritional problems, hemorrhage ]and shock, altered body temperature, monitoring, Mrs. Avanti Gopan
External teacher .
unconsciousness, sleep pattern and its disturbances, pain, sensory Endotrcheal
deprivation. Treatment aspects: pharmacological and pre- post operative intubation,
care aspects, Tracheostoma,
4) Cardio pulmonary resuscitation. mechanical
5) End of life Care ventilation,
6) Infection prevention (including HIV) and standard safety measures, bio- Pacemaker,
medical waste management. Hemodialysis,
7) Role of nurse- Evidence based nursing practice; Best practices Peritonial
8) Innovations in nursing dialysis, LP,

Philosophy and Theories of Nursing

1) Values, Conceptual models, approaches.
VI 20 20 2) Nursing theories: Nightingale’s, Hendersons’s, Roger’s, Peplau’s, Abdella’s, Mrs. Debi
Chakraborty
Lewine’s, Orem’s, Johnson’s, King’s, Neuman’s, Roy’s, Watson parsce, etc And
and their applications, Miss. Manaswi
Debbarma
3) Health belief models, communication and management, etc
4) Concept of Self health.
5) Evidence based practice model.

Nursing process approach

1) Health Assessment- illness status of patients/clients (Individuals, family,
VII 10 12 community), Identification of health illness problems, health behaviours, Mrs. Debi
Chakraborty
signs and symptoms of clients.
2) Methods of collection, analysis and utilization of data relevant to nursing
process. Formulation of nursing care plans, health goals, implementation,
modification and evaluation of care.

Psychological aspects and Human relations

1) Human behaviour, Life processes & growth and development, personality
VIII 30 30 development, defence mechanisms,
Mrs. Sushruti
2) Communication, interpersonal relationships, individual and group, group Chakraborty
dynamics, and organizational behaviour, External teacher

3) Basic human needs, Growth and development, (Conception through

preschool, School age through adolescence, Young & middle adult, and
Older adult)
4) Sexuality and sexual health.
5) Stress and adaptation, crisis and its intervention,
6) Coping with loss, death and grieving,
7) Principles and techniques of Counselling.

Nursing practice
1) Framework, scope and trends.
IX 10 14 2) Alternative modalities of care, alternative systems of health and Mrs. Debi
complimentary therapies. Chakraborty

3) Extended and expanded role of the nurse, in promotive, preventive, curative And
and restorative health care delivery system in community and institutions.
Mrs. Lenna
 4) Health promotion and primary health care. Debbarma
5) Independent practice issues,- Independent nurse-midwifery practitioner.
6) Collaboration issues and models-within and outside nursing.
7) Models of Prevention,
8) Family nursing, Home nursing,
9) Gender sensitive issues and women empowerment.
10) Disaster nursing.
11) Geriatric considerations in nursing.
12) Evidence based nursing practice- Best practices
13) Trans-cultural nursing.

Computer applications for patient care delivery system and nursing practice
1) Use of computers in teaching, learning, research and nursing practice.
2) Windows, MS office: Word, Excel, Power Point, Mr. Prasenjit Deb
X 25 25
3) Internet, literature search,
4) Statistical packages,
5) Hospital management information system, software’s.