Professionalism Unit I in Nursing

By:
Mr. Snehal Johnson
Associate Professor
Community Health Nursing

Professionalism is the skill, good judgement and polite
behaviour that are expected from a person who is
trained to do a job well.
Professionalism is commonly understood as an
individual’s adherence to a set of standards, code of
conduct or collection of qualities that characterize
accepted practise within a particular area of activity.

 Knowledge
 Accountability
 Respect
 Competence
 Ethics
 Appearance
 Integrity
 Control of emotions
 Confidence
 Honesty
 Time management
 Effective communication
 Being organized

 Knowledge :- Professionalism involves gaining up-to-date
knowledge, which is often highly specialized. Its also
important to put the knowledge into action. Being
professional means feeling confident.
 Accountability :- Professionalism involves accountability
of the professionals for their actions all times. It involves
being reliable & setting high standards. It also means being
organised, and holding on self accountable for the thought,
words and actions.
 Respect :- Professionalism means being a role model for
politeness and good manner to everyone, not just for those
who need to impress, but respect other people by taking
their needs into account and helping to uphold their rights.

 Competence :- Professionals strive to become expert in
their field, which sets them apart from the rest of the
people. This involves continuing education by taking
courses, attending seminars and attaining any related
professional designation.
 Ethics :- Professionalism involves adherence to a strict
code of ethics. Even if the organization doesn't have a
written code, professionals must display ethical behaviour
at all times.
 Appearance :- A professional must be neat in appearance.
They should follow the dress code of their organization. If
there is not any dress code special attention to appearance
should be paid when meeting with client. There should be
appropriateness in outward appearance, such as dress,
personal grooming and body language.

 Integrity :- Integrity means professional people are reliable and
true to their word. It also stop them compromising their values,
even if that means taking a harder road. Integrity is bound up
with being honest to oneself , and to the people communicating.
 Control of Emotions :- professionals should be able to manage
their emotions under pressure. This is also known as emotional
intelligence. Professionalism means keep the emotions in check,
but as the same time the same time it also involves expressing
the feelings, in order to have meaningful conversation or to stand
up for what one does believe in.
 Confidence :- Professionalism pushes the person to take on new
challenges and make the professional confident about when he is
doing at present and always eager to do it better and achieve
more.

 Honesty :-Honesty is the best policy and the value of honesty
should not be understated. It is one of the most important traits in
any profession. Honesty plays a crucial role in both our personal
and professional lives. So, always be honest with the work.
 Time Management :- Another important characteristic of the
professionalism is that all the professionals should know the
importance of time management. Time plays a significant role.
To be a good professional, one should know how to manage the
time. It increases the productivity of work as well as helps to
maintain good relationship with the colleagues.
 Effective Communication :- Effective communication is one of
the most important points of the professionalism. Being a
professional, on should have good communication skills.
Professionals must have good reading, writing and speaking skill
Listening is also an important part of communication and being a
professional, one should not only speak but also listen to others.

 Being Organized :- Things get lost and a lot of time is
wasted when things are not in an organized manner. It
is very important to be organized and keep the work
area clean. This will help in doing the work smoothly.

Concept of Professionalism in Nursing
In nursing, professionalism reflects the act of providing
quality patient care while honouring the values of
respect, advocacy, and responsibility. Professionalism
also extends to a nurse's ability to communicate clearly
and self-reflect on behaviours and actions, always
striving for both professional and personal
development.

 Cognitive :The cognitive type of professionalism
focuses on the ability to continually learn about
professional conduct and apply this growing base of
knowledge in work settings. Ultimately, nurses who
practice this skill should develop the key tools they
need to prioritize and make decisions effectively.
 Attitudinal : The attitudinal dimension of nursing
professionalism involves the attitudes and ideas that
guide nurses as they perform their job duties and
advance through their careers. Ideally, the attitudes of
Burses should align with practical standards and the
broader goals of their organizations.

 Psychomotor: The psychomotor aspect of
professionalism in nursing promotes the idea that as
professionals gain experience, they can do more than
build their clinical skills. They can sharpen their
management skills and better understand the inherent
obligations and commitments involved in the practice
of nursing.
Nurses may apply these principles of professional
conduct to become better leaders, guide actions using
value judgments, and establish self-directed
commitments to provide the highest level of patient
care.

Attributes of Professionalism
Professionalism fosters the development of many admirable soft skills.
Nurses may learn these skills through their life and work experience,
and develop them over the course of their careers Common attributes
of professionalism are:
Conflict resolution: This involves a professional's ability to solve a
problem. It requires the nurse to consider the needs of everyone
involved in the conflict, while communicating possible solutions with
respect.
Ethical thinking: This skill enables nurses to make value-based
judgments that align with professional standards and moral codes,
prioritizing the needs of patients and colleagues ahead of their own.
Adaptability: This demonstrates the capacity to combine new
information with education, experience and professional guidelines to
re-evaluate a situation and make changes that lead to more effective
solutions.

Leadership: leadership is founded on excellent
communication skills, attention to detail, respect, and
resourcefulness. Professionals commonly build
leadership skills as they move on to more senior roles,
in which they can guide others to provide higher levels
of care.
Collaboration: This is the key to professionalism.
Working with others and being able to communicate
and cooperate is crucial to developing an efficient work
environment that places patient needs at the forefront.

Indicators of Professionalism in Nursing
In nursing, professionalism is judged based on personal
behaviours, appearance, presentation, and so on. There
are various indicators of professionalism that include
positive attitude, compassionate patient interactions
professional responsibility, teamwork and integrity, etc.
Main indicators of professionalism are as follows:
Positive Attitude :The first and most obvious indicator
of professionalism in nursing is a positive attitude. As
nurses are the backbone of health care system, they
must work to maintain a positive environment and
communication in all areas and at all times.

Communication and interactions : Nurses are the
primary point of contact for every patient, who comes
to hospital. Therefore, it is paramount that every nurses
capable of interacting positively and productively with
each patient. They must treat the patients with the
utmost dignity in every circumstance interactions of the
nurses with patients should always convey compassion.
The feelings of the clients must be respected, even if
the nurses do not agree with their choices.
Kindness : Approaching others with patience and respect
for their perspective enables constructive criticism and
stronger collaboration. Treat others as one's like to be
treated.

Professional Responsibility : A key indicator of
professionalism in any career is the appropriate handling of
responsibility. In health care where people's well-being and
lives are in the hands of health professionals,
professionalism in nursing i utmost important. A nurse has
to care for patients, monitor their vital signs using delicate
equipment and handle medication. She must take this very
seriously at all times, by demonstrating an awareness of the
consequences of a mistake and how to prevent them from
occurring.
Self-Discipline : Professionalism in nursing also involves
self-discipline. Whilst nurses are to an extent under the
jurisdiction of their seniors, they must be self-motivated by
keeping their duties on top. Self-discipline is essential in
ensuring high standards of patient care.

Readiness to Learn : Another element of professionalism in
nursing is the willingness to learn and develop. In any field
of health care, education doesn't end after completing the
degree course. She must be interested in actively keeping
up-to-date with the latest medical research and nursing best
practice.
Teamwork : Teamwork is central to any health care career.
It's essential for nurses to maintain collaborative and
cooperative relationships with everyone from fellow nurses
to doctors and consultants. Regardless of the personal
feelings toward a colleague, they must put patients' well-
being first and work closely and effectively with each team
member. This involves effective communication, taking the
time to help others, and showing moral supp and solidarity
with co-workers.

Integrity : Every nurse must maintain complete integrity
throughout her career, Nurses must know when to
compromise in conflicts, and when to stand up for their
beliefs. They must be able to advocate for their patients
and consult the appropriate people if they have any
concerns within the workplace. However, they must
also be self-aware and willing to assess where
improvements can be made.
Honesty : Another indicator of professionalism involves
honesty. Nurses must be able to honestly explain to
patients their diagnosis, prognosis and treatment, no
matter how hard it is. Nurses also need to be humble
enough to admit if they have made a mistake and put in
the necessary steps to remedy the situation.

Unbiased Approach : Nurses must have a good sense of
ethics, and be able to treat every patient equally,
regardless of their age, race, genders, condition or
socio-economic background.
Work Ethics : Nurses must follow professional ethics at
work place. Working with children, youth and families
is one of the most rewarding and at the same time
challenging endeavors. It requires dedication,
commitment, problem- solving skills, and a willingness
to learn, change, and is flexible in order to address the
multiple and often complex needs of various
individuals.

Personal Identity versus Professional Identity
The terms, profession, professional, professional identity,
and professionalism are quoted many times in nursing and
medical field that are often used interchangeably. According
to the American philosopher Mortimer J. Adler, a
professional is a man or woman who does skilled work to
achieve a useful social goal. In other words, the essential
characteristic of a profession is the dedication of its
members to the service they perform.
Similarly, Burke states that identities are the meanings that
individuals hold for themselves that defines who they are
According to Bruke there are four types of identities. These
include :

1. Social identity: These identities have bases in being
members of groups or some organizations.
2. Role identity: It is based upon performing certain roles or
work in the society like social worker.
3. Personal identity: It is based upon certain biological
entities or qualities of an individual.
4. Professional identity: Professional identity is defined as
"the attitudes, values, knowledge, beliefs and skills
shared with others with in a professional group”.
In simple words professional identity is the degree to
which an individual identifies with his or her
professional group.

Preservation of Self-Integrity
Self-integrity is about being true to the values that one's stand for in
life. It is shown through the actions of the individual. The individual
may claim to have a set of values or beliefs, but if they are not reflected
in his actions, then he/she lacks self-integrity. In simple words,
integrity is doing the right thing when no one is watching and even
when the choice isn't easy Integrity is staying true to self and to own
words, even when one has to face with serious consequences for the
choices that he is making. Self-integrity is not based on external
commitments to those around a person rather it is commitment to self.
Threats to Integrity in Nursing
Ethical standards exist in every profession. Integrity is a key element
that every profession considers appropriate for ethical behavior Any
patient undergoing any type of treatment would not like to choose a
physician, nurse or any health care professionals who are lacking in
integrity.

Deceiving Patients & Withholding Information
Health professionals are expected to always tell the truth to their
patients simply because it is the right thing to do. Trust is an essential
element in the nurse-patient relationship and health professionals
should never engage in such behavior that undermines trust. For
example, doctors should do their best to explain treatment procedures
to their patients and make to help patients understand their nature and
purpose. Taking such measures help to minimize the risk of unpleasant
experiences for patients, which can lead to a sense of betrayal.
Similarly, confidentiality is of utmost importance to maintain the
relationship between nurses and their patients. In health care
profession, deception is a matter of concern as ethically health
professionals should not intentionally deceive their patients.
The American Medical Association states: “A physician shall be honest
in all professional interactions, and strive to report physicians
engaging in fraud or deception, to appropriate entities”.
People define deception in different ways. For some doctors,
withholding dismal facts about a terminal prognosis is not deception as
they think that it will keep the patient's morale high. On the other hand,
others will disagree and call this deceptive.

Falsifying Records
Falsifying documents is the act of intentionally
changing or modifying information on a document with
the intention of misleading a person or an institution.
Maintaining the accuracy of medical records is the duty
of all nurses. Records of medical care and events
should be created in an accurate and timely manner
while a patient is in a hospital and completed at the
time of discharge. Falsifying a medical record is a
crime punishable by a fine or even jail time.
The following are the examples of falsifying or
tempering the medical records in nursing profession:

 Documenting medications that weren't given.
 Noting that a patient ate a full meal when he/she didn't have
it.
 Filling in someone else' omissions.
 Signing someone else' name.
 Recording care not given.
 Fabricating data.
 Destroying or hiding records or parts of records Removing
a diagnostic report.
 Inserting information without standard documentation
Rewriting or destroying the record.
 Omitting significant facts.
 Creating records for nonexistent patients or staff.
 Failing to record important details or events.

Patient care today is more complicated than ever due to
increasingly chronic conditions such as diabetes, cancer,
arthritis, and Alzheimer's or kidney disease. Because these
illnesses are complex, there is a need for specialized care,
which has resulted in a multidisciplinary approach to
treating patients.
Medical teams are made up of different members like
nurses, physicians and other health care professionals. It is
important that they clearly and effectively communicate
with one another to build strong work relationships, share
resources and solve problems. Health care team members
focus on patient centered care by doing the following:

 Cooperating with one another.
 Exchanging information.
 Integrating electronic medical records.
 Providing timely informed consent.
 Health care teams have a common purpose to provide
safe, optimal patient care with successful outcomes
through communication and collaboration.

Importance of Communication in the Team Work
Teams that consist of nurses, physicians and other staff can
reduce morbidity rates while increasing patient and health
care worker satisfaction. By working cohesively in an
effective manner, health care teams can accomplish the
following goals :
 When teams coordinate care, they decrease the level of
stress among patients.
 Teamwork may reduce the number of issues related to burn
out in nurses. As team members, nurses are not the sole
providers of care, so they do not carry the entire
responsibility for a patient's health. They have the support
of their teammates to help them make decisions.

 Enhance patient safety.
 Improve clinical performance.
 Cut down on medical errors.
 Ease patient concerns about treatments and procedures.
 Raise efficiency and lower health care costs.

Nurses advocate for health promotion, educate patients and
the public on the prevention of illness and injury, provide
care and assist in cure, participate in rehabilitation, and
provide support. No other health care professional has such
a broad and far-reaching role as the nurses do.
Therapeutic Nurse-Patient Relationship
At the core of nursing is the therapeutic nurse-client
relationship Nurses establish and maintain this attitudes and
behaviors. The five key components of the therapeutic
nurse client relationship are professional intimacy, power,
empathy, respect and trust.

Professional Intimacy : This may involve psychological, spiritual and social
elements that are identified in the plan of care.
Power : The nurse-client relationship is one of unequal power. This power
imbalance arises from the nurse having more authority and influence in the
health care system, specialized knowledge, access to privileged information,
and the ability to advocate for the client and the client's significant other. If a
nurse misuses the power in the relationship, it is considered abuse.
Empathy : It refers to expressing an understanding of what the health care
experience means from the client's perspective. It includes validating and
resonating with the meaning of that experience.
Respect : It is the recognition of the inherent dignity, worth and uniqueness of
every individual, regardless of the client's socio-economic status and personal
attributes, and the nature of the client's health problem.
Trust : It is critical in the nurse-client relationship because the client is in a
vulnerable position. At the beginning of a relationship, trust is fragile so it's
especially important to keep promises to a client. It's difficult to re-establish
trust once it has been breached.

Relationship with Society
A mutually beneficial relationship exists between nursing and
society. The profession of nursing grew out of a need within
society and continues to evolve based on the needs of society.
Because nursing has a responsibility to society, the interest of the
profession must be perceived as serving the interests of society.
Nurses help the society in the following ways:
 Nurses help families to learn become healthy by helping them
understand the range of emotional physical, mental and cultural
experiences they encounter during health and illness.
 Nurses help people and their families cope with illness, deal with
it, and if necessary live with it, so that other parts of their lives
can continue.
 Nurses do more than care for individuals. They have always been
at the forefront of change in health care and public health.

Professional conduct refers to the manners which guide
the nurses how to behave professionally. The code of
professional conduct for nurses is a set of expected
standards of a country.
Profession of nursing has a commitment that is shared
with other health care professions to ensure efficient
and high quality provision of health services.

Ethical Principles for Nurses in India
Care Without Discrimination
 Nurses must provide care to their clients without
consideration of caste, creed, religion, culture, ethnic
gender, socioeconomic, political status, personal
attributes, or any other grounds.
 While caring the patients, nurses must consider the
personal beliefs, values and cultural sensitivities of the
patients.
 Nurses should develop and promote trustworthy
relationship with their clients.

Respect the Rights of Individuals
 Nurses should respect individuals' right to make decisions about
their health status.
 Nurses must give adequate and accurate information to the client
to enable them to take right decision.
 Nurses should respect the decisions made by individuals
regarding their care.
 Nurses must advocate for protecting the vulnerable individuals.
 Nurse must respect the right to privacy of the personal
information and must maintain confidentiality of privileged
information except in life-threatening situations.
 Nurses must take informed consent while sharing information
quality assurance or legal reasons.
 Special precautions must be taken to limit the access of all
personal records written and computerized to authorize persons
only.

Render Quality Nursing Care
 In order to provide quality nursing care, nurses must
upgrade themselves through continuing education and
utilize all opportunities for self-development.
 Nursing care must be provided only by registered
(professional) nurse.
 Nurses must strive to maintain quality nursing care and
uphold the standards of care.
 Nurses should value the importance of research as a
mean of development of nursing profession and
participates in nursing research adhering to ethical
principles.

Adhere to Practice within the Framework of Ethical,
Professional and Legal Boundaries Laid by Professional
Organization
 Nurses must follow the code of ethics and code of
professional conduct for nurses in India developed by
Indian Nursing Council.
 Nurses must also be familiar with relevant laws and
practices in accordance with the law of the state or province
in which they are practicing.
Harmonious Relationship with the Health Care Team
 Nurse must cooperate, coordinate and collaborate with the
members of the health team to meet the needs of society.
 They must appreciate the team efforts in rendering care.

Policies, rules and regulation are fundamental for
consistency across an institution for both staff and
consumers. They guide the institution, influencing and
determining all major decisions and actions, and reduce
liability risks.
Policies and procedures should be widely accessible and
cover all activities carried out by the institution. Policies,
rules and regulation are the first things an institute should
establish in order to operate effectively Policies are rules,
guidelines and principles that communicate an
organization's culture, values and philosophies.

Policies include :
 Employer entitlement and what they can expect from
the organization.
 What the organization expects from their employees.
 What consumers and the community can expect from
the organization.

To be identified as a profession, a discipline must meet
criteria that include having established standards practice
and regulation of the practice. In the profession of nursing,
regulation is an important component in ensuring safe and
competent practice. Confidence is supported when nurses
thoroughly understand and comply with all regulations and
standards.
As nursing practice has a significant impact on health care
delivery, patient safety and patient outcome regulation of
the profession and individual nursing practice all are
necessary. The practice of nursing regulated at the state
level through administrative rules (laws) and civil
procedures.

Licensure is one meth of validating knowledge and
competence. Individual states license and regulate the
profession through their nursing boards, while the
National Council of Nursing (Indian Nursing Council)
works to create uniformity and consistency in nursing
practice and standards.
Issues related to regulations, standards and compliance
with nurse practice act and scope of practise are not
always well understood by nurses and sometimes they
do not gain the expected level of knowledge
compliance and value. Policies and procedures provide
guidance, standardization and consistency in practises,
and failure to comply places the nurse, patient and
institution at risk.

Meaning of etiquette: Etiquettes are the set of rules or
customs that control accepted behaviour in particular social
groups or social institutions, for instance using the words
"Please" and "Thank you" while communication with
others.
Introduction round:
A nurse must introduce herself in a confident voice. Stand
up, lean forward, and make eye contact, while delivering
any services to the patient.
Professional etiquettes toward patient Telling the name to
the people one regularly interacts with sharing a little about
herself helps to make trustworthy and stronger
relationships.

Avoid controversial topics:
To avoid inadvertently offending someone, stay away
from controversial topics such as religion and politics.
When talking with a patient, remember that nurses are
the caregiver not the decision makers.
Observe body language:
When making conversation, don't forget that nonverbal
communication is also equally important. Stand tall
with shoulders back and chin up, avoid slouching and
keep your hands out of your pockets. Use a sincere
smile to convey warmth and friendliness. Look at the
eyes of the person you are talking with to show your
interest.

Emphasize positive work environment:
Be polite and courteous to the health care team as well as
the patients and their families in spite of the stressful
situation. When one shows respect for others and makes
others feel valued, they contribute to effective
communication and team building. Nothing inspires
confidence and warm feelings more quickly than a positive
attitude.
Follow proper dress code:
The dress code of the nurses should not be too casual and
they must be properly dressed up. Nurses should make sure
that uniform, lab coat, scrubs, and shoes are clean and dress
is according to hospital policy. Clothes should neither be
too tight or too short and if hair is long, it should be tied up
properly. The name tag of the nurse should be visible and
readable.

Make a professional image:
The nurses must maintain and exercise professional
etiquettes and it must be a part of every day practise.
Proper written communication:
Although the majority of the daily interactions occur
face-to-face, but if it is to be done in writing, it is
essential that nurses maintain a professional tone in her
communication. Poorly written communication may
demonstrate lack of professionalism and seriousness
toward job.

Grooming is the combination of style and discipline. It is to
project an image of an institution culture and ethics to the
clients or consumers. It also enhances the personality of
employee, character of an organization and value of the
institution. Proper grooming and professional appearance
are important to gain respect in the workplace. The way one
looks and carries oneself creates an impression on the
people and one work alongside.
The following are the main points for maintaining
professional grooming:
 Personal hygiene
 Uniform & Dress Code

Professional boundaries are the legal, ethical and
organizational frameworks that protect both clients and
employees, or workers, from physical and emotional
harm, and help to maintain a safe working environment
Professional boundaries are the limits to the
relationship between someone in a professional role
and the person in his/her care, the borders that mark the
edges between a professional relationship and a
personal relationship. They are like the riverbanks to
the river, allowing work to take place, in a defined
space.

Importance of Professional Boundaries:
 Provides safety for both the worker and the client.
 Reduces client/worker anxiety as rules and roles are
clear.
 Increases well-being of the worker.
 Provides a therapeutic environment underpinned by
mutual respect.

Maintaining professional boundaries is always the
nurse's responsibility Trust, respect, professional
intimacy, empathy and power are the five components
inherent to the nurse patient relationship. When a nurse
suspects that he/she is involved in a situation that
crosses the boundaries of the therapeutic nurse client
relationship, the nurse needs to take action to maintain
or restore the professional boundaries. The primary
concern is always for the safety and well-being of the
patient.

Nurses manage the boundaries of the
therapeutic relationship through :
 Self-reflection.
 Establishing and following a comprehensive plan of care.
 Meeting personal needs (for example, social support, companionship,
approval) outside of the therapeutic nurse patient relationship.
 Explaining and discussing the meaning of confidentiality with the patient.
 Being sensitive to the context in which care is provided (for example, in a
patient's home, outside a traditional environment).
 Achieving a clear understanding with the patient about the duration and
termination of the relationship.
 Helping clients to understand when their requests are beyond the limits of
the therapeutic relationship.
 Seeking support and guidance from professional leaders when nurse has
concerns relating to boundaries in therapeutic relationships.
 Recognizing variables such as the care setting, community influences, the
needs of the person and the nature of care or therapy they require.

Indian Nursing Council
Indian Nursing Council is a national regulatory body
for nurses and nursing education in India autonomous
body under the Government of India, Ministry of
Health and Family Welfare, constituted by the Central
Government under section 3(1) of the Indian Nursing
Council Act, 1947 of Indian parliament.
According to the Act, the main function of the council
is to provide uniformity to nursing education.

Roles/Functions of Indian Nursing Council
 To establish and monitor uniform standards of nursing for nurse
midwives, auxiliary nurse midwives and health visitors' education
by doing inspection of the institutions.
 To recognize the qualification(s) for the purpose of registration and
employment in India and abroad.
 To prescribe minimum standards of education and training n various
nursing programs and also to prescribe the syllabus and regulations
for nursing programs under Section 16 of the Indian Nursing
Council Act, 1947.
 Power to withdraw the recognition of qualification under Section 14
of the Indian Nursing Council Act, 1947 in case the institution fails
to maintain its standards under Section 14(1) (b) of the Act when an
institution recognized by a State Council for the training of nurses
midwives, Auxiliary Nurse Midwives or health visitors does not
satisfy the requirements of the Council.
 To recognize Degree/Diploma/Certificate awarded by Foreign
Universities.

 To recognize Degree/Diploma/Certificate awarded by
Foreign Universities.
 To give approval for registration of Indian and Foreign
Nurses possessing foreign qualification under Section
11(2)(a) of the Indian Nursing Council Act, 1947. To
maintain Indian Nurses Register (record in the form of
NUID no) for registration of nursing personnel.
 To advise the State Nursing Councils, Examining Boards,
State Governments and Central Government in various
important items regarding nursing education in the country.
To promote research in nursing.
 To prescribe code of ethics and professional conduct.
 To regulate the policies of training of nursing programs in
the field of nursing to improve the quality of nursing
education.

Services of Indian Nursing Council
 To attend all matters relating to recognition of nursing
qualification awarded by different university. The Council stripes
to deal such matters on priority basis so that the decision in these
matters are taken at the earliest and conveyed to the concerned
authority.
 To deal with all matters relating to accord suitability and annual
renewal of suitability of a large number of nursing educational
institutions all over India. The Council has made this work
completely online without any personnel interaction which is a
big boon to the institutions that can get the work done without
need for any travel to INC office with bulky documents.
 A large number of candidates approach INC to verify the
credential of their qualification which is also an online process
done on priority basis. It is the process by which services can be
accessed. As indicated above, the suitability renewal as well as
verification of the qualification is online process. The
institutions/candidates can access the services using their Login
ID and password and as such the information will be known
only to the concerned and not third party.

Mission and Vision of State Nursing Council
 To bring a quality in health care system through proper
practices of nurses in the state.
 To improve the quality of nursing education and health
care.
 To enable the nurses ANM/FHW. Midwives, Female
Health Assistants to provide care to the patients by safe
practices.

Functions of State Nursing Council
 To register Nurses, Midwives, Auxiliary Nurses
Midwives/Female Health Worker, Lady Health
Visitors/Health Supervisors.
 To maintain database of the persons practicing as Nurse,
Auxiliary Nurse Midwives, Female Health Workers, Lady
Health Visitors.
 To monitor the issues and appeals of aggrieved persons
related to recognition, affiliation and registration To
conduct inspection and licensing of nursing institution in
the state.
 To conduct timely examination of GNM and ANM courses.
Foreign verification: To issue Good Standing certification
to the candidates who have applied for various foreign
countries. .
 The Good Standing Certificate/Verification is only issued to
those candidates who are registered with the respective state
Registration Council.
 To issue Diploma Certificate after passing examination.

The Trained Nurses Association of India (TNAI) is a
National organization of nurse professionals a different
at levels . It was established in 1908 and was initially
known as the Association of Nursing Superintendents.
The Government of India has recognized TNAI as a
service organization in 1950. A similar recognition by
all the State Governments has been an asset to the
promotion of its objectives Foundation stone for TNAI
Headquarters was Inaugurated by Indira Gandhi and
laid by Dr S Radhakrishnan.

Objectives
 To uphold every way the dignity and honor of the nursing
profession.
 To promote a sense of spirit among all nurses.
 To advance professional, educational, economic and general
welfare of nurses.
Functions
 To announce standards of Nursing Education and
implement these through appropriate channels.
 To establish standards and qualifications for nursing
practice.
 To announce standards of Nursing Service and implement
these through appropriate channels.
 To establish a code of ethical conduct for practitioners.
 To stimulate and promote research designed to enhance the
knowledge for evidence-based nursing practice.

 To promote legislation and to speak for Nurses in regard to
legislative action.
 To promote and protect the economic welfare of Nurses.
 To provide professional counseling and placement service
for Nurses.
 To provide for the continuing professional development of
practitioners.
 To represent Nurses and serve as their spokesperson with
allied national and international organizations,
governmental and other bodies and the public.
 To serve as the official representative of the Nurses of India
as a member of the International Council of Nurses.
 To promote the general health and welfare of the public
through the Association programs, relationships, and
activities, e.g, Disaster Management.
 To render care as per the changing needs of society.

Major Activities of TNAI
Publications
The TNAI brings out a monthly journal. The Nursing
Journal of India which was founded in 1910 as its
official organ. This is the main link between the
members of the Association, the Headquarters and State
Branches on all important matters. The Association also
brings out books on nursing practices and nursing
education.

Rapport with the Government of India
 Government recognition as service association.
 Assurance of the railway concession: Since 1991, Railway
is granted concession to the TNAI members and the
association was authorized to issue certificates to members
for getting 25% concessions in second classes.
 Affiliation with government committees and councils:
TNAI is involved in all governmental endeavors in the field
of nursing and given the opportunity to put across its points
of view on all matters of consequence (Bhore Committee,
Central Council of Health). Affiliation with other
organizations: TNAI is affiliated with all governmental and
nongovernmental National and International organizations.

Collaboration in Research Activities
Some of the major activities related to research are:
 HIV/AIDS project in collaboration with the American
Nurses Association (1994).UNICEF Reproductive Child
Health project on "Strengthening System support to ANMs
and Health Supervisors, Females' capabilities for
implementing Safe Motherhood Practices in the
Reproductive Child Health Program." (2001).
 Feasibility study in collaboration with European
Commission on improving health care for motherhood
services of independent private practice by unemployed and
under-employed ANN India (2002).
 TNAI/Swedish International Development Corporation
Agency/Indian Institute of Management, Ahemdabad
project on improving midwifery and emergency obstetric
services in India (2005).

The Student Nurses Association (SNA) is an associate
organization of The Trained Nurses Association of India
and is a nationwide organization. It was established in 1929
at the time of the Annual Conference of the Trained Nurses
Association of India (TNAI).
Each nursing institute has its own SNA . It is remarkable
that the growth of SNA Units has been persistent ever since
it started. The SNA and TNAI used to have combined
annual conference, but due to the increase in the number of
delegates, it was felt in 1960 to hold separate conferences
for the student Nurses. Since 1961, the student nurses are
having separate binnial conferences. These are held
alternately with TNAI Conferences.
The students are being given more and more responsibility to
manage their affairs both at the State and National levels.

Composition
The General Committee consists of the President of TNAI,
Vice president. Treasurer of TNAI, SNA Advisor,
Secretaries of SNA State Branches. Secretary General,
TNAI.
Membership is opened to all students nurses of basic
programs. On completion of their training, students are
eligible for full membership in TNAI.
Objectives
 To help students to uphold the dignity and ideals of the
profession for which they are qualifying.
 To promote a corporate spirit among students for common
good.
 To furnish Nurses in training with advice in their courses of
study leading up to professional qualification.

 To encourage leadership ability and help students gain
wide knowledge of the Nursing profession in its
different branches and aspects.
 To increase the students social contacts and general
knowledge in order help them take their place in the
world when they have finished there training.
 To encourage both professional and recreational
meetings games sports.
 To provide special section in the Nursing Journal of
India for the benefit of the students.
 To encourage students to compete for prizes in the
various competitions and also to attend national &
regional conferences.

The Nurses League of the Christian Medical Association of
India was founded in 1930. It was affiliated to the TNAI in
1936 and promotes membership in this organization.
Objectives
 To promote cooperation and encouragement among
Christian nurses.
 To promote efficiency in nursing education and service.
 To secure the highest standards possible in Christian
nursing education through the Christian schools of nursing.
 To consider the special work and problems of Christian
nurses, wherever employed.

Activities
 Activities include national and area conferences and
retreats for its members.
 Development of leadership abilities is encouraged by
participation in these meetings.
 Each meeting also allows for sharing of problems
common to the Christian nurse.
 Provides expert professional advice.
 Provides scholarships for advanced study.
 Provides financial assistance for professional meetings
and seminars.

The International Council of Nurses (ICN) is a
federation of more than 130 National Nurses
Associations(NNAs), representing more than 27
million nurses worldwide.
It was founded in 1899 and is the world's first and
widest reaching international organization for health
professionals. It is operated by nurses and leading
nurses internationally. It is headquartered in Geneva,
Switzerland.

ICN Mission
To represent nursing worldwide, advance the nursing
profession, promote the wellbeing of nurses, and advocate
for health in all policies.
ICN Vision
The global community recognizes, supports, and invests in
nurses and nursing to lead and deliver health for all.
ICN Objectives
 To promote the development of the strong national nurses'
association.
 To assist national nurses association to improve the
standards of nursing education and practice.
 To assist national nurses association to improve the status of
nurses within their countries..To serve as the authoritative
voice for nurses and nursing internationally.

Governing Body
The governing body of the ICN is the Council of National
Representatives, which is made up of the ICN honorary officers and the
presidents of the national member associations.
ICN Functions
The ICN has published the Code for Nurses.
 Position nurses as pivotal to achieving good health and well-being of
individuals and populations.
 Contribute evidence and expertise to the development of effective
human resources for health planning and policies, including scaling up
of a qualified nursing workforce supported by a healthy work/practice
environment.
 Strengthen the impact of nursing at the WHO, World Health Assembly
(WHA), United Nations (UN)World Bank (WB), International Labor
Organization (11.0), and Organization for Economic Cooperation and
Development (OECD). Build collaborative interprofessional and
intersectoral relationships and advance joint activities with key global
organizations.
 Reinforce the importance of strong linkages with national, regional and
international nursing and nursing organizations.

 Building positive relationships internationally helps
position ICN, nurses and nursing for now and the future.
 ICN works to ensure quality nursing care for all, make
sound health policies globally and the advancement of
nursing knowledge.
 It makes the policy statement on health and social issues.
 It also maintains and improves the status of nurses and
standard of nursing around the world.
 The council works to improve the nursing education and
practice by publishing the guidelines for National Nurses
Association.
 The ICN publishes the International Nursing Review and
the News Letter, which give the news of the ICN and the
National Member Association.

Professionalism Unit I in Nursing

Professionalism Unit I in Nursing

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