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    REGULATION

    Regulation refers to the processes used to designate

    that an individual, programme, institution or product

    have met established standards set by an agent

    (governmental or non-governmental) recognised as

    qualified to carry out this task.- Styles & Affara, 1997,

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    GOALS OFREGULATION

    Define the profession and its members

    Determine the scope of practice

    Set standards of education

    Set standards of ethical and competent practice

    Establish systems of accountability

    Establish credentialing processes

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    REGULATORY BODY

    Public authority or Government agency

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    DEFINITION

    Regulatory body is the formal organization

    designated by a statute or an authorized

    governmental agency to implement the regulatory

    forms and process whereby order, consistency and

    control are brought to the profession and its practice.

    - ICN,1997

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    IMPORTANCE OFREGULATORY BODIES

    To provide quality health care service to the public.

    To support and assist professional members.

    Set and enforce standards of nursing practice.

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    Monitor and enforce standards for nursing education.

    Set the requirements for registration of nursing

    professionals.

    To exercise legal control over institution within their

    respective area.

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    NURSING REGULATORY

    MECHANISMS

    Main functions

    To protect patient or society

    To define the scope of nursing practice

    To identify the minimum level of nursing care that must

    be provided to clients

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    The regulatory bodies that define the laws

    and regulations in nursing practice by the

    nursing councils at the international, national

    and state levels

    International council of nurses

    Indian nursing council

    State nursing council

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    ACCREDITATION

    Accreditation is the process whereby an organization

    or agency recognizes a college of university of

    programme of study as having met certain

    predetermined qualifications ofstandards

    - Selden, 1962

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    A process of review and approval by which

    an institution, programme or specific

    service is granted a time-limited

    recognition of having met certain

    established standards beyond those that areminimally acceptable.

    -ICN

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    Organization or agency recognizes a college or

    university or a program of study as having met certain

    predetermined qualifications and standard

    voluntary review process of educational programs by a

    professional organization

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    PURPOSES OF ACCREDITATION

    For the maintenance of adequate administration

    requirement.

    Maintaining a uniform standard for nursing education

    and nursing service.

    Stimulation of institutional self-improvement by

    evaluation and inspection.

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    It safeguards the institution from social education and

    political pressures.

    It helps in the registration of nurses.

    It prescribes the syllabus.

    It grants recognition to school and colleges.

    It guides the school/college of nursing, according to

    recommendation and criteria.

    It also services to prepare the competent to serve the

    public.

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    FUNCTIONS OF ACCREDITATION

    It aims to protect the autonomy of various health

    service programmes.

    It preserves the quality of nursing education.

    It protects the public from ill prepared nurses.

    It protects the institutions unsound and unsafe political

    pressure.

    It helps the practitioner for the broad scope of nursing

    practice.

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    TYPES OF ACCREDITATION

    AGENCIES

    i. National accrediting agency

    ii. National professional accrediting agency

    iii. State accrediting bodies

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    NATIONAL AGENCIES

    Concerned with appraising the total activities of theinstitutions of higher learning, and with safe guarding

    the quality of liberal education, the foundation of

    professional programs in colleges and universities.

    Each agency establishes criteria for the evaluation of

    institutions in its region it reviews those institutions

    periodically, and it publishes from time to time a list of

    those agencies which it has accredited.

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    Central advisory board of education

    All India council for Elementary education

    All India council for secondary education

    University grants commission

    All India council for technical education

    National assessment and Accreditation council

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    NATIONALPROFESSIONALACCREDITING

    AGENCY

    Aim to foster research, to improve service to the

    public and the number of individuals admitted to the

    profession.

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    Medical Council of India

    Indian Nursing Council

    Dental council of India

    Pharmacy council of India

    Central council of Indian system of Medicine

    Indian nursing council, (INC) is the official accrediting

    agency for all programs of nursing, which includeDiploma (GNM), Bsc Nursing (both basic and post

    basic), Msc N /M.phil (Masters) and PhD (Doctoral

    programs in Nursing)

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    INDIAN NURSING COUNCIL

    AIMS

    To establish uniform standard of training

    throughout the state

    Prohibit training centre, which are inadequate

    Prohibit practice of nursing by non qualified

    nurses.

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    FUNCTIONS AND ROLE OF INC

    Prescribing Syllabus

    Inspection

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    NATURE OF INSPECTION BY INC

    First Inspections

    Re Inspection

    Periodic Inspections

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    STATE ACCREDITING BODIES

    A state nursing councils, which is called reciprocity,

    was possible only if uniform standards of nursing

    education were maintained.

    Providing the registration to the nurses

    Maintains a register of names of professional nurses

    All degree holding nurses also have to get the

    registration in state council.

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    LICENSURE/REGISTRATION

    Licensure is defined as the processby which an

    agency of state government grant permission to an

    individual to engage in a given profession upon

    finding that the applicant has attained the

    essential degree of competency necessary to

    perform a unique scope ofpractice(NCSBN,2004).

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    PURPOSE:-

    Licensure offers protection to the public

    It ensure minimum competency among

    professional.

    It ensures minimum standard among the

    professionals.

    It help to prevent malpractice.

    It helps to regulate the professional conduct.

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    Licensing permits a person to offer special skills and

    knowledge to the public in a particular jurisdiction

    when such practice would otherwise be unlawful. A

    particular jurisdiction or area is covered by the

    license.

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    CURRENT LICENSURE

    ACTIVITIES

    Nurses are required to apply for licensure in

    each state in which they practice

    Nurses will be responsible for following the laws

    and regulations of those states

    COMPONENTS OF NURSING

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    COMPONENTS OF NURSING

    PRACTICE ACTS

    Two essential components

    1. To protecting the health and safety of the public

    2. Protection of the title of RN

    Nursing practice act describes the requirements

    for licensure

    Registered nurse, is reserved for those meeting

    the requirements to practice nursing in the state.

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    PROCESS OF REGISTRATION

    It is the process by which individuals are assessed

    and given status on a registry attesting to

    individuals ability and current competency. Its

    purpose is to keep a continuous record of the past

    and current achievements of an individual.

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    TNMC REGISTRATION

    Process of Providing Authority to use an

    Exclusive Title to those persons to enter in the

    "State Register" Maintained under the Law of the

    State.

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    TAMILNADUCANDIDATES(PRIMARY)

    Register the Qualification in the concern State.

    Primary Registration means the candidates who

    obtain Recognized Qualification within Tamil

    Nadu and Registering the same Qualification in

    Tamil Nadu Nurses and Midwives Council as per

    the Act.

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    1) Candidates may apply in person or by Postal

    with the required documents to this Council for

    Registration

    2) Bulk Registration may be done through the

    Head of the Institution for all the Candidates

    TAMILNADU CANDIDATES (PRIMARY)

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    TAMILNADUCANDIDATES(PRIMARY)

    ADDITIONALQUALIFICATION

    Registration of Additional Qualification done by

    this Council for the Candidates who has

    Obtained Nursing Qualification after Registering

    their Basic Qualification in Tamilnadu Nursing

    Council.

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    OTHERSTATECANDIDATES(SECONDARY)

    Register the Qualification in the concern State

    where you have trained. Subsequently Registering

    the same Qualification once again in Other State

    within India where you would like to practice

    nursing/do higher education is Secondary

    Registration.

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    After surrendering your parental Registration

    Certificate at your Council and should obtain a

    NOC from the Parental Council to Registration

    in Tamilnadu to practise the profession within

    Tamilndau.

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    GENERAL INSTRUCTIONS

    (1) For Bulk Registration, along with the above

    procedure, Candidate's Colour Photo (Passport

    Size) to be submitted & write the Candidate Name

    behind the photo. One photo to be fixed in the

    Application form and Do Not Staple. And also CD

    to be submitted with Scaned Photo and it has been

    Saved in file name as Candidate Name (Photo file

    size 20 to 40 kb in .JPG format only).

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    REQUIREMENT FOR REGISTRATION M.SC.,

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    REQUIREMENT FORREGISTRATIONM.SC.,

    NURSING

    REGISTRATION PARTICULARS OF M.SC(N) - ORIGINAL CERTIFICATE

    1 Filled Application form (Application can be downloaded from Council Website

    www.tamilnadunursingcouncil.com)

    2 Xerox copy of 12th Mark Sheet (1 No.) or its Equivalent

    3 Xerox copy of Transfer of Certificate (1 No.)

    4 M.Sc(N) Provisional / Original Certificate

    5 Xerox copy M.Sc(N) Provisional / Original Certificate (1 No.)

    6 Original Certificate of Course Completion Certificate

    7 Xerox Copy of Course Completion Certificate (1 No.)

    8 Final year Mark Sheet - Original (1 no.) Xerox Copy

    9 Xerox Copy of Registered Nurse & Midwife of this Council (Each 1 No.)

    10 Rs.1000/- Demand Draft Drawn in favour of The Registrar, Tamilnadu Nurses and

    Midwives Council, Chennai Payable at Chennai Branch and also.

    11 CD to be Submitted with Scanned Photo to be saved the file name as Candidate

    Name (Photo file size 20 to 40 kb in jpg format only).

    RENEWAL OF LICENSURE

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    RENEWAL OF LICENSURE

    The process for periodic reissuing of the legal

    authority to practice.

    Renewal system in a proper way it will help to

    improve the professional competencies in nursing.

    In TNMC instructed that all the nurses renew

    their registration every 5 years for that they need

    a specific(150) credit hours.

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    JOURNALREVIEW

    The attitude of health care professionals towards

    accreditation: A systematic review of the

    literature

    Done by:- Abdullah Alkhenizan and Charles Shaw1

    Retrieved from Journal of Family Community

    Med. 2012 May-Aug; 19(2): 7480.

    Aim:- To systematically review the literature of the

    attitude of health care professionals towards

    professional accreditation.

    Study design:- This was a systematic

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    y g y

    qualitative review of the literature of the

    attitude of health care professionals towards

    accreditation. A comprehensive updated

    search of four electronic bibliographic

    databases including Medline from 1996-

    January 2011, Cinhal, from 1982-January

    2011, Embase from 1980-January 2011, and

    Health Star from 1980-January 2011 was

    done. Here included the physicians, nurses

    and allied health personnel.

    ATTITUDE OF PHYSICIANS

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    ATTITUDE OF PHYSICIANS

    In a qualitative Australian study (n = 72)

    doctors were generally unaware of accreditation and

    skeptical of it. Their concern was on how quality of

    care was to be measured. Doctors felt accountable

    within a professional framework, to themselves, the

    patient and family, their peers and to their

    profession; but not to accreditation bodies.In a cross-

    sectional questionnaire of consultant radiologists,

    87% of radiologists favored accreditation for virtual

    colonoscopy.

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    ATTITUDE OF NURSES

    In the large randomized controlled trial,the (QAP) nursesoverall perceptions of care

    (n = 1048), at the accredited hospitals

    increased significantly (59% to 61%),

    compared to the control hospitals (declinedfrom 61% to 57.In a large rigorous survey

    conducted in Lebanon (n = 1048), nurses

    perceived a significant improvement of

    results in quality in hospitals as an outcomeof accreditation.

    CONCLUSION

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    CONCLUSION

    Several studies have shown that health care

    professionals were skeptical about accreditation

    because of concerns about its impact on thequality of health care services. Concerns raised

    about the cost of accreditation programs by

    health care professionals especially in developing

    countries were consistent. Healthcare

    professionals (especially physicians) have to be

    educated on the potential benefits of

    accreditation. It is also necessary to conduct a

    rigorous, independent evaluation of the cost-

    benefit analysis of accreditation of healthservices.

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    THEORYAPPLICATION

    BIBLIORAPHY

    1 BT B th N i d i i t ti 2nd d 403 04 N D lhi J b th

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    1. BT Basavanthappa. Nursing administration. 2ndedn.pp 403-04 New Delhi: Jaypee brothers;

    2009.

    2. Zerwekh,Claborn(1997).Nursing Today , Transition and trends. Pennsylvaniya. WB Saunders.

    3. Kornig Blais, Hayes, Kozier, Erb (2006). Professional Nursing Practice Concepts and

    Perspective. Newjersey. Pearson education.

    4. Kumara(2011). A Textbook of management of nursing service and education. Jalandharcity.

    Vikas company.

    5. Indian Nursing council act-1947. www.indiannursingcouncil.com

    6.

    Accreditation in India. www.eduworld.in

    7. Baskara E (2013) Textbook of nursing education EMMESS medical publishers pp 483-494

    8. Neeraja KP (2008) Textbook of nursing education Jaypee brothers medical publishers New

    Delhi pp 40- 41

    9. www.tamilnadunursingcouncil.com/registration_particulars.html

    10.www.ncbi.nlm.nih.gov/pubmed/17091000

    11.www.aacn.nche.edu/ccne-accrediation/standards-amended-2013,pdf

    12.Schober M, Affara F, International Council of Nurses: Advanced Nursing Practice,Wiley

    Publishers,pp:216

    13.

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3410183/

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