ADVANCE NURSING

PRACTICE

Placement:- Ist Year

Hours of instruction
Theory :- 150 hrs
Practical :- 200 hrs
Total :- 350 hrs

Course Description
The course is designed to develop an understanding of concepts and constructs of theoretical basis of
advance nursing practice and critically
analyze 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. Identify the scope of nursing research.
12. Use computer in patient care delivery system and nursing practice.
13. Appreciate importance of self-development and professional advancement.

h CONTENT
Uni r Assigned Teacher Teaching Learning Evaluation
t s Activities
I 10 Nursing as a Profession • Lecture cum Quiz, tests
History of development of nursing
□ discussion ( Term)
profession, characteristics, criteria of the • Seminar / Assignment /
profession, perspective of nursing profession- Presentations term paper
national, global • Project Presentation
Code of ethics(INC), code of professional
□ • Classroom Project
conduct(INC), autonomy and accountability, exercise work
assertiveness, visibility of nurses, legal • Journal club
considerations,
Role of regulatory bodies
□

Professional organizations and unions-

□

self defense, individual and collective

bargaining
Educational preparations, continuing
□

education, career opportunities, professional

advancement & role and scope of nursing
education.
Role of research, leadership and management.
□

Quality assurance in nursing (INC).

□
 □
Futuristic nursing.
II 5 Health care delivery • • Lecture cum Quiz, tests
□
Health care environment, economics, discussion ( Term)
constraints, planning process, policies, • Seminar / Assignment /
political process vis a vis nursing Presentations term paper
profession. • Project Presentation
□
Health care delivery system- national, state, • Classroom 
district and local level. exercise Project
□
Major stakeholders in the health care • Journal club work
system- Government, non-govt, Industry and
other professionals.
□
Patterns of nursing care delivery in India.
□
Health care delivery concerns, national
health and family welfare programs, inter-
sectoral coordination, role of nongovernmental
agencies.
□ Information, education and communication (IEC).
□ Tele-medicine.
III 10 Genetics • • Lecture cum Quiz, tests
Review of cellular division, mutation and law
□ discussion ( Term)
of inheritance, human genome project ,The • Seminar / Assignment
Genomic era. Presentations / term paper
Basic concepts of Genes, Chromosomes & DNA.
□
• Project Presentatio
Approaches to common genetic disorders.
□
• Classroom exercise n
Genetic testing – basis of genetic diagnosis,
□ • Journal club 
Pre symptomatic and predisposition testing, Projec
Prenatal diagnosis & screening, Ethical, legal
& psychosocial issues in genetic testing. t
Genetic counseling.
□
work
 □
Practical application of genetics in nursing.
IV 10 Epidemiology • • Lecture cum Quiz, tests
□
Scope, epidemiological approach and methods, discussion ( Term)
□
Morbidity, mortality, • Seminar / Assignment
□
Concepts of causation of diseases and their Presentations / term paper
screening, • Project Presentatio
□
Application of epidemiology in health care delivery, • Classroom exercise n
Health • Journal club 
survelliance and health informatics Projec
□
Role of nurse
t
work
V 20 Bio-Psycho social pathology • • Lecture cum Quiz, tests
□
Pathophysiology and Psychodynamics of discussion ( Term)
disease causation • Seminar / Assignment
□
Life processes, homeostatic mechanism, Presentations / term paper
biological and psycho-social dynamics in causation • Project Presentatio
of disease, life style • Classroom exercise n
□
Common problems: Oxygen insufficiency, fluid 
• Journal club
and electrolyte imbalance, nutritional problems, Projec
hemorrhage and shock, altered body temperature,
t
unconsciousness, sleep pattern and its
disturbances, pain, sensory deprivation. work
□
Treatment aspects: pharmacological and pre- post
operative care aspects,
 □
Cardio pulmonary resuscitation.
□
End of life Care
□
Infection prevention (including HIV) and standard
safety measures, bio-medical waste management.
□
Role of nurse- Evidence based nursing practice;
Best practices
□
Innovations in nursing
VI 20 Philosophy and Theories of Nursing □ □
Lecture cum Quiz, tests
□
Values, Conceptual models, approaches. discussion ( Term)
□
Nursing theories: Nightingale’s, Hendersons’s, □
Seminar / Assignment
Roger’s, Peplau’s, Abdella’s, Lewine’s, Orem’s, Presentations / term paper
Johnson’s, King’s, Neuman’s, Roy’s, Watson parsce, □
Project Presentatio
etc and their applications, □
Classroom n
□
Health belief models, communication and exercise 
management, etc □
Journal club Projec
□
Concept of Self health.
□
Evidence based practice model. t
work
VII 10 Nursing process approach • • Quiz, tests
□
Health Assessment- illness status of patients/clients • Lecture cum ( Term)
discussion Assignment
(Individuals, family, community), Identification of
health illness problems, health behaviors, signs and • Seminar / / term paper
symptoms of clients. Presentations Presentatio
□
Methods of collection, analysis and utilization of • Project n
data relevant to nursing process. • Classroom 
□
Formulation of nursing care plans, health goals, exercise
Projec
implementation, modification and evaluation of care. • Journal club
t
work
 (Conception through preschool, School age through
adolescence, Young & middle adult, and Older adult)
□
Sexuality and sexual health.
□
Stress and adaptation, crisis and its intervention,
□
Coping with loss, death and grieving,
□
Principles and techniques of Counseling.
□

VIII 30 □ □
Lecture cum Quiz, tests
Psychological aspects and Human relations discussion ( Term)
□
Human behavior, Life processes & □
Seminar / Assignment
growth and development, Presentations / term paper
personality development, defense mechanisms, □
Project Presentation
□
Communication, interpersonal relationships, □
Classroom Project
individual and group, group dynamics, and exercise work
organizational behavior, □
Journal club
Basic human needs, Growth and development,
(Conception through preschool, School age through
adolescence, Young & middle adult, and Older adult)
□
Sexuality and sexual health.
□
Stress and adaptation, crisis and its intervention,
□
Coping with loss, death and grieving,
Principles and techniques of Counseling.
IX 10 Nursing practice □ □
Lecture cum Quiz, tests
Framework, scope and trends.
□ discussion ( Term)
Alternative modalities of care, alternative
□ □
Seminar / Assignment
systems of health and complimentary therapies. Presentations / term paper
Extended and expanded role of the nurse, in
□ □
Project Presentation
promotive, preventive, curative and restorative health □
Classroom Project
care delivery system in community and institutions. exercise work
Health promotion and primary health care.
□ □
Journal club
Independent practice issues,- Independent
□

nurse- midwifery
practitioner.
Collaboration issues and models-within and
□

outside nursing.
Models of Prevention,
□

Family nursing, Home nursing,

□

Gender sensitive issues and women empowerment.

□

Disaster nursing.
□

Geriatric considerations in nursing.

□

Evidence based nursing practice- Best practices

□

Trans-cultural nursing.
X 25 Computer applications for patient care delivery □ □
Lecture cum Quiz, tests
system and discussion ( Term)
nursing practice □
Seminar / Assignment
□
Use of computers in teaching, learning, research Presentations / term paper
and nursing practice. □
Project Presentation
□
Windows, MS office: Word, Excel, Power Point, □
Classroom 
□
Internet, literature search, exercise
□
Statistical packages, Projec
□
Hospital management information system: software’s. □
Journal club t
work
Practical
Clinical posting in the following areas:
• Specialty area- in-patient unit - 2 weeks
• Community health center/PHC - 2 weeks
• Emergency/ICU - 2 weeks

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)