1. 1. Bahadur Ali MScN Student Year lI Semester llI DUHS karachi Cell# +923012668673 5/7/2015 1
2. 2. Objectives At the end of my presentation the learners will be able to; Define Service Structure Describe History of Nursing Directorate Explore Functions of Nursing Services Discuss Staff Position of Nursing Officers Future Nursing 5/7/2015 2
3. 3. Service Structure Service : the action of helping or doing work for someone. Structure: the arrangement of and relations between the parts or elements of something complex. construct or arrange according to a plan; give a pattern or organization to. Service Structure: The grade and value range descriptors group generic functions under the categories of: policy and projects, administrative and corporate support, operational service delivery and technical/specialist roles. (https://www.google.com.pk/online dic) 5/7/2015 3
4. 4. Pakistan Nursing Council The PNC is an autonomous, regulatory body constituted under the Pakistan Nursing Council Act (1952, 1973) and empowered to register (license) Nurses, Midwives, Lady Health Visitors (LHVs) and Nursing Auxiliaries to practice in Pakistan. PNC was established in 1948. (http://www.pnc.org.pk/) 5/7/2015 4
5. 5. PNC Nursing positions Charge Nurse (BPS14) Head Nurse (BPS 16) Nursing Supervisor (BPS 17) Nursing Instructor (BPS 17) Assistant Nursing Instructor (BPS 17) Clinical Nursing Instructor (BPS 17) 5/7/2015 5 Note: PNC yet not updated the cadre in documents although it has been upgraded
6. 6. PNC EDUCATION SERVICE STRUCTURE FOR POST GRADUATE INSTITUTES Dean//Director of nursing education/ Principle PhD in Nursing 5 year of experience in relevant field of teaching and clinical experience Registered with PNC Faculty Professor: PhD in Nursing, 3 year of experience in relevant field of teaching and clinical experience Registered with PNC Associate Professor Preferably PhD 5 year of clinical/teaching experience or MSN with 10 year relevant field of teaching and clinical experience Registered with PNC 5/7/2015 6
7. 7. Cont. Assistant Professor MSN with 2 year clinical/ teaching experience or Post RN BSN with 5 year post degree teaching experience Registered with PNC Senior Instructor Post RN BSN with 3 year clinical/ teaching experience or BSN with 10 year of clinical/teaching experience Registered with PNC Instructor Post RN with 2 year of clinical/ teaching or BSN with 5 year clinical experience Registered with PNC Adjunct/Visiting faculty Non nursing subject teacher (part time) (http://www.pnc.org.pk/Rules_for_Establishment_of_New_Nursing_Institutions_.htm) 5/7/2015 7
8. 8. Directorate General of Nursing (Punjab) History of Nursing Directorate Functions of Nursing Services Nursing Education 5/7/2015 8
9. 9. History of Nursing Directorate (Punjab) Before establishment of Directorate Nursing Services and Education were under the control of secretary Health , and Medical Superintendent of the concerned hospital. The highest post in Nursing Services was Deputy Secretary Nursing at Secretariat Level. Before 1986 no posts of BS-19 to BS-20 were exist. In 1986 the following posts were created: (http://health.punjab.gov.pk/?q=directorate_general_nursing) 5/7/2015 9
10. 10. Cont.. 3 Posts of BS-20 Director General Nursing, Punjab Chief Nursing Superintendents/Principals School of Nursing 9 Posts of BS-19 Principals SON in Teaching Hospitals 21 Posts of BS-18 Head Quarter, Principal, NS, & ADNS at Divisional Level 79 Posts of BS-17 Nursing Instructor, Clinical Nursing Instructor were created (http://health.punjab.gov.pk/?q=directorate_general_nursing) 5/7/2015 10
11. 11. Cont.. The other posts of all cadre has been created time to time. After establishment of Directorate General Nursing, the post of Deputy Secretary Nursing at Secretariat level was demolished, now no Nursing representative is there to support Nursing Cadre. Directorate of Nursing is functioning since, 1988 in order to bring the Nursing Services at other professions of the Health Department, the honorable Governor accorded approval to the creation of Directorate General Nursing in 1st July, 1986 at the Provincial Headquarter along with the following Nursing Officers:- 5/7/2015 11
12. 12. Cont.. Director General Nursing, 1 (BS-20) Deputy Director Nursing, 1 (BS-19) Assistant Directors Nursing (Headquarter) 2 (BS-18) Assistant Directors Nursing (District level) 10 (BS-18) But unfortunately out of 8 Posts of Assistant Director Nursing BPS-18 (Divisional Level) only 4 Posts are existing and others are demolished / occupied by others 5/7/2015 12
13. 13. Functions of Nursing Services Nursing Services Nursing Education 5/7/2015 13
14. 14. Nursing Services Administrative control of entire Nursing cadres. Preparation of promotion cases of BPS-16, BPS-17 & BPS-18. Disciplinary cases like show cause, warning, major penalty, minor penalty, enquiry proceeding & exonerate enquiry. All category of leave upto 89 days except Ex-Pakistan leave / Study Leave, medical leave. NOC Routed though Health Department to Ministry of Health, Islamabad. (http://health.punjab.gov.pk/?q=directorate_general_nursing) 5/7/2015 14
15. 15. Staff Position of Nursing Officers/ Officials of Directorate General of Nursing Sr No Name of Post BPS Sanction 1 D.G Nursing 20 1 2 Dy. D. Nursing 19 1 3 Assistant Dir Nursing 18 2 4 Supporting Staff 1 to 16 38 5/7/2015 15 (http://health.punjab.gov.pk/?q=directorate_general_nursing)
16. 16. Detail of Nursing Officers Working In Various Institutions at Clinical Side Sr no Posts BPS 1 Charge Nurse 16 2 Head Nurse 17 3 Dy. Nursing Supdt 17 4 Nursing Supdt 18 5 Nursing Supervisor 18 6 Assistant Dir Nursing 18 7 Deputy Chief N S 19 8 Deputy Dir 19 9 D.G Nursing 20 5/7/2015 16(http://health.punjab.gov.pk/?q=directorate_general_nursing)
17. 17. Detail of Nursing Officers Working In Venous Institutions at Education Side Sr no Posts BPS 1 Asst. Nursing Ins 17 2 Clinical N I 17 3 Nursing I 17 4 S N I 18 5 Vice Principal 18 6 Principal 18 7 Principal 19 8 Principal 20 5/7/2015 17 (http://health.punjab.gov.pk/?q=directorate_general_nursing)
18. 18. Staff Position of Nursing Examination Board. Sr no Posts BPS 1 Controller 18 2 Assistant C 17 3 Administrative off 17 4 Support Staff 1 to 12 5/7/2015 18 (http://health.punjab.gov.pk/?q=directorate_general_nursing)
19. 19. NURSING SERVICE STRUCTRE (JPMC) Chief Nursing Superintendent (BPS20) deputy CNS (BPS 19) Nursing Supdt (BPS 18) Assistant NS (BPS 17) Nursing Instructor (BPS 18) Head Nurse (BPS 17 ) Staff Nurse/ Charge Nurse (BPS16) 5/7/2015 19
20. 20. NURSING SERVICE STRUCTRE EDUCATION (JPMC) Principal Vice Principal Nursing Instructor Clinical Nursing Instructor Assistant Nursing Instructor Assistant Clinical Nursing Instructor Supporting Staff 5/7/2015 20
21. 21. Leave status JPMC Total leave in JPMC are 48 (Annual ) 20 Casual leave No Emergency leave No Sick leave 5/7/2015 21
22. 22. PRIVATE INSTITUTIONS Every private institute has its own policy of Nursing Service Structure 5/7/2015 22
23. 23. Current Education in Pakistan Diploma in General Nursing Diploma in Pupil Midwifery Diploma in Nurse Midwifery Licensed Practical Nurse Post RN BSN Bachelors of Science in Nursing Masters of Science in Nursing Doctorate in Nursing ? (AKU) Many Specialties 5/7/2015 23
24. 24. Nursing Education Hierarchy Global View 5/7/2015 24
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30. 30. Future of Nursing
31. 31. Key Messages: Nurses should practice to the full extent of their education and training, Nurses should achieve higher levels of education through an improved education system that promotes seamless academic progression, Nurses should be full partners with physicians and other health care professionals in redesigning health care Effective workforce planning and policy making require better data collection and an improved information infrastructure. 5/7/2015 31
32. 32. Future of Nursing Key Recommendations: Remove scope of practice barriers. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Implement nurse residency programs. Ensure that nurses engage in life long learning. Prepare and enable nurses to lead change and advance health. Build an infrastructure for the collection and analysis of inter professional health care workforce data.
33. 33. Increase the Number of Nurses with Baccalaureate, Master, Doctorate Degree in Nursing 5/7/2015 33
34. 34. New Models of Nursing Education Are Needed
35. 35. New Models of Nursing Education can Create New positions Nurse Consultant Nurse Researcher Nurse practitioner And many more 5/7/2015 35
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37. 37. Expert suggestions By ! Mr Mahmood Ahmad Mr Sabir Hussain Sumaira Yasmin 5/7/2015 37
38. 38. References 1. Retrieved from https://www.google.com.pk/?gws_rd=ssl#q=service+means (07/10/2015) 2. Retrieved from http://health.punjab.gov.pk/?q=directorate_general_nursing (07/10/2015) 3. Retrieved from: http ://www.pnc.org.pk/PNC_Acts_-_Regulation.htm (07/10/2015) 4. Retrieved from: https://www.google.com.pk/search?q=professional+services+structure+of+nursing+in +pakistan&biw=1280&bih=656&source=lnms&tbm=isch&sa=X&ei= (07/10/2015) 5. Retrieved from: https://www.google.com.pk/search?q=professional+services+structure+of+nursing+in +pakistan&biw=1280&bih=656&source=lnms&tbm=isch&sa=X&ei=#tbm=isch&q= DOW+UNIVERSITY+NURSING(07/01/2015 6. Retrieved from: https://www.google.com.pk/search?q=professional+services+structure+of+nursing+in +pakistan(07/01/2015) 7. Retrieved from: http://www.pnc.org.pk/Rules_for_Establishment_of_New_Nursing_Institutions_.htm (07/01/2015) 5/7/2015 38
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