Continuing Nursing Education | Health Care Skill

The global healthcare industry is undergoing a change with focus firmly on improving the quality of care. About 4.8 million people over the next 10 years need to be skilled in the healthcare and allied space to deliver quality services.

The high demand of skilled human resource in health aimed to developcompetent healthcare professionals torender quality services in par with the global standards of practices and thereby achievingthe health related sustainableDevelopment Goals. Our activities includes imparting competency based trainingto healthcare professionalsat different levels of healthcare delivery system,designing and providing simulation based training with latest technologies, developing need based instructional materials and carrying out multidisciplinary research in healthcare settings.

Sustainable Developmental Goals(SDGs)

The United Nations Sustainable Development Goals (SDGs) known as â€œTransforming our world: the 2030 Agenda for Sustainable Development are a set of 17 goals and 169 targets that all 193 UN Member States, including India have committed to achieve between 2016 and 2030. India has ranked a low 110 out of 149 nations assessed on where they stand with regard to achieving the Sustainable Development Goals. â€‰The proposed Sustainable Development Goals offer major improvements on the Millennium Development Goals (MDGs). The SDG framework addresses key systemic barriers to sustainable development such as inequality, unsustainable consumption patterns, weak institutional capacity, and environmental degradation that the MDGs neglected.

India has, over the past years, directed its development pathway to meet its priorities of employment, economic growth, health, food, water and energy security, disaster resilience and poverty alleviation. The world has made incredible advances in medicine, but despite them all, more than 6 million children still die before their fifth birthday every year, 16,000 children die each day from preventable diseases such as measles and tuberculosis. Every day hundreds of women die during pregnancy or from child-birth related complications, and, in developing regions, only 56% of births in rural areas are attended by skilled professionals.

Health has a central place in SDG, the goal is to â€œEnsure healthy lives and promote well-being for all at all ages. The new health goal is underpinned by 13 broad targets that cover a wide spectrum of WHO's work. SDG-3 entails the bold commitments to reduce preventable maternal and child deaths, end the epidemics of communicable and non-communicable disease, strengthen health systems capacity and achieve Universal Health Coverage (UHC). Several targets under other goals are also directly or indirectly linked to the health goal. The goals range from ending poverty and hunger and giving access to clean water and sanitation. While India has made progress on issues like poverty, improving literacy rates and increasing access to drinking water, there are many areas where the country is still behind.

Ensuring healthy lives and promoting the well-being 'for all at all ages' is one of the 17 Global Goals that make up the 2030 Agenda for Sustainable Development. The aim is to achieve universal health coverage, and provide access to safe and effective medicines and vaccines for all. The Sustainable Development Goals make a bold commitment to end the epidemics of AIDS, tuberculosis, malaria and other communicable diseases by 2030. Significant strides have been made in increasing life expectancy and reducing some of the common killers associated with child and maternal mortality. However, many more efforts are needed to fully eradicate a wide range of diseases and address persistent and emerging health issues.

SDG- 3 Targets for Good Health and Well-being

By 2030, reduce the global maternal mortality ratio to less than 70 per 100,000 live births.
By 2030, end preventable deaths of newborns and children under 5 years of age, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births.
By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases.
By 2030, reduce by one third premature mortality from non-communicable diseases through prevention and treatment and promote mental health and well-being.
Strengthen the prevention and treatment of substance abuse, including narcotic drug abuse and harmful use of alcohol.
By 2020, halve the number of global deaths and injuries from road traffic accidents.
By 2030, ensure universal access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes.
Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.
By 2030, substantially reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil pollution and contamination.
Strengthen the implementation of the World Health Organization Framework Convention on Tobacco Control in all countries, as appropriate.
Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all.
Substantially increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, especially in least developed countries and small island developing States
Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks.

The goals would be accomplished when we speed up this progress by global effort to eradicate disease, strengthen treatment and healthcare, and address new and emerging health issues and training more skilled healthcare providers to reach out to the diseased and those who need the timely care. It calls for innovation, and research in these areas to further enhance public policy efforts.

Water and sanitation are at the very core of sustainable development, critical to the survival of people and the planet. Goal 6 not only addresses the issues relating to drinking water, sanitation and hygiene, but also the quality and sustainability of water resources worldwide. Every year millions of people, most of the children, die from diseases associated with inadequate water supply, sanitation, and hygiene. It is estimated that by 2050, a quarter of the worldâ€™s population is likely to live in countries affected by chronic or recurring shortages of water. Two and a half billion people have gained access to improved drinking water sources since 1990, but 663 million people are still without. Between 1990 and 2015, the proportion of the global population using an improved drinking water source increased from 76-91%, however, each day, nearly 1,000 children die due to preventable water and sanitation-related diarrhea diseases.

The Sustainable Development Goals have committed the international community to expand international cooperation and capacity building on water and sanitation related activities and programs, and also to support local communities in improving water and sanitation management. Through Goal 6, the countries of the world have resolved to achieve universal access to safe drinking water and adequate sanitation and hygiene to all in the next fifteen years.

The overall proportion of Indian households with access to improved water sources increased from 68% in 1992-93 to 90.6% in 2011-12. However, in 2012, 59% of rural households and 8% of urban households did not have access to improved sanitation facilities. Almost 600 million people in India defecate in the open - the highest number in the world. Improving sanitation is a key priority of the government which has introduced several flagship programmes including the Swachh Bharat Abhiyan to clean India, the National Rural Drinking Water Programme, and Namami Gange, which aims at the conservation of the River Ganga.

Impetus Healthcare Skills has committed itself to a global effort of achieving the Sustainable Development Goals 3 & 6 which are closely related to the health of the nation. Our focus on SDG 3 & 6 are;

Strengthening Health Systems
Training of Human Resource for Health
Reduce maternal mortality ratio, Infant mortality & Under 5 Mortality
End communicable diseases like AIDS, tuberculosis, Malaria, water borne diseases and other communicable diseases
Reduce Nonâ€“ Communicable Diseases(NCD)
Promote Information, Education and Communication(IEC) on Adolescent, Reproductive and Sexual Health)
Support the research and development
Achieve universal & equitable access to safe and affordable drinking water
Promote WASH practices among school children
Promote water resource management
Capacity building of WASH practices in healthcare facilities & Schools

Simulation in Nursing

The changing healthcare delivery system has influenced nursing care delivery models globally. To meet the needs of modern healthcare industry nurses should equip themselves to deliver quality nursing care. So there is a need for skilled practitioners in nursing but such persons require specialized preparation which is not extensively available in India. We believe that practical skill sets should be developed in the Nurses by early intervention into the education process. This specifically means that the Nurses should be provided with competency based training program to impart skillsets, which are highly relevant to the industry, early during their education and skill enhancement courses for practicing nurses to bridge the gap between existing and required skills.

The use of human patient simulation as an instructional strategy can enhance patient safety and optimize outcomes, providing a means of allowing nursing students to â€œpracticeâ€ critical thinking, clinical decision making, and psychomotor skills in a safe, controlled environment, without potential risk to a live patient. The simulation training model for student nurses and nurses to overcome the challenges in nursing education and thereby integrating simulation into nursing curriculum to bridge the gap between theory and practice.

Impetus Healthcare Skills focus on imparting relevant skills to healthcare professionals to enable them to become industry- ready skilled personnel. We have identified niche segments in the healthcare sector where the need for skilling, up-skilling and re-skilling of human resources is high in terms of improving the quality of care on par with the stipulated standards of practice. As practical skills are of utmost importance now, the courses offered aim at motivating healthcare professionals to develop their knowledge and essential skills and attitudes that will guide them in executing their tasks with an excellent care in different healthcare settings.

Research

Research is a vital aspect of the healthcare services and essential for the provision of effective and safe care. Health promotion is strongly built into the concept of all national health programs with implementation envisaged through public health system, based on the principles of equitable distribution, community participation, inter-sectoral coordination and the use of appropriate technology. The current developments in nursing and midwifery are taking place in the context of growing demands for accessible and affordable high-quality care and the need for improved access to care.

The transition from Millennium Development Goals (MDG) to the Sustainable Development Goals (SDGs), stress the need of primary focus on health promotion and prevention of illness and other unhealthy conditions. Nurses have a key role to play in the Sustainable Development Goals (SDG), particularly Goal 3 & 6 related to Health & Well-Being and Clean Water & Sanitation. Given nursesâ€™ involvement with people in all sectors of care and throughout the lifespan, nurses have an important role to play in supporting public engagement in achieving the people-centeredness of health systems and programs. Nurses must have an evidence-based understanding of the significant effect that can be made through health promotion interventions and communicate this understanding to the public at large.

Nursing research encompasses a wide scope of scientific inquiry including clinical research, health systems and outcomes research, and nursing education research. Clinical research, based on biological, behavioral, and other types of investigations, provides the scientific basis for the care of individuals across the life span and that occurs in any setting where nursing care is provided. Health systems and outcomes research examine the availability, quality, and costs of healthcare services as well as ways to improve the effectiveness and appropriateness of clinical practices. Nursing education research focuses on how students learn the professional practices and discipline of nursing as well as how to improve educational methodologies to prepare nurse clinicians and scientists.

Our multidisciplinary research activities are oriented towards the development of issue-based and setting-based designs that will strongly address the existing and emerging healthcare challenges in India. We intend to translate the research findings into appropriate health promotion models that are suited to diverse settings in their endeavors to bridge the practice gap and contribute to the improvement of national health indicators.

We aim to disseminate scientific knowledge through high quality theoretical or empirical research articles for teaching, learning and reference purposes at free of cost. Our focus is to increase research publications, to offer quality research articles to the nursing professionals, to encourage/motivate new nurse scientists and to act as a link in incorporating research findings into practice for quality clinical services.

Evidence is an integral part of our research activities that unmistakably can guide us in our attempt to improve the manner in which our services are delivered. We are constantly strengthening the Monitoring and Evaluation of our projects with the highly capable experts of our Research & Development team. Our projects are monitored on the 'Quality Improvement' aspects through well-defined indicators periodically and thus their inbuilt worth is established beyond doubt.

Development of Instructional Materials

Curriculum Development Process(CDP)

The development of an effective curriculum is a multi-step, ongoing and cyclical process. The process progresses from evaluating the existing program, to designing an improved program to implementing a new program and back to evaluating the revised program. Our Curriculum development process includes design, development, implementation and evaluation of curricula that are appropriate and relevant to the needs of the healthcare professionals incorporating trends and innovation. We are proficient in designing the curriculum and creating competency based instructional material for basic nursing courses, advanced nursing courses, and emergency nursing courses. The competency based curriculum encompasses the core concepts and desired learning outcomes. The framed out curriculum ensures that healthcare professionals receives integrated coherent learning experience that contribute towards cognitive and psychomotor development.

Development of Instructional Materials(IM) for CBT

Competency Based Training(CBT) approach is one of our preferred modes of training where emphasis is laid on the acquisition of competence in the delivery of quality care. The structured approach of training programs will help participants to impart the right mix of knowledge and skill depending on the nature of the task, specified. The emphasis of the competency based training program is laid on "Performing" rather than on just "Knowing".

Analysis: Analysis of the target audience, and of training needs
Design: Design of training, its objectives, sequencing of tasks
Development: Development of instructional materials, that are consistent with the design requirements

Developing an instructional material is an important part in designing a formal training program. A formal training manual ensures consistency in the presentation of the training program. Another major advantage is that all the training information on skills, processes, and other information necessary to perform the tasks is together in one place. The instructional material will be developed in such a way that it is easy to read and has easy to follow content and instructions with an attractive design and use illustrations to enhance understanding.

Participant Manual
It serve as a reference guide for the participants. It contains practical skill steps to perform hands on and related theoretical content with objectives and outcomes

Instructor Manual
It guide the instructors to deliver the training in a standardized manner. It includes training objectives, session plan, resources, method of training, training content, guidelines for conducting the session, participant role, learning activity and method of evaluation

PowerPoint(PPT)
It is the part of the instructor manual which assist instructors to deliver the training in an effective and consistent way. It consists of sessions, objectives, summarized content, simulation scenarios, videos, graphics and illustrations

Competency Assessment
It is used as an evaluation instrument to assess the participants' level of knowledge and skill during on the job training or clinical practice. It comprises of recommended clinical practice and competency evaluation tool which guides the instructor to evaluate the participant as per the expected standards

We have developed instructional materials for National Instructional Media Institute (NIMI) under Modular Employable Skills for Short Term Courses in Medical and Nursing Sector. It includes instructional materials for Nursing, Dental, Physiotherapy, Optician, Optometrist, Yoga, Naturopathy, Occupational Therapy, Laboratory technician, Dialysis technician, Radiology and CSSD. The Instructional material includes tasks, sequencing, practical skills, related theory and assessment activities to evaluate learning. Implementation of courses using the skill based instructional materials will make the candidate industry ready by developing the required practical skills, cognitive skills and problem solving skills.

We have also developed skill based training modules for Maternal and Newborn skills for training nurses working in district and sub district hospitals, Government of Bihar. The instructional materials includes Participant manual, Trainer manual, PPT, clinical log book and competency evaluation related to Maternal and Newborn skills. The capacity building training for nurses using these training modules have resulted in quality healthcare outcomes.

Our Activities

Sustainable Developmental Goals(SDGs)

Simulation in Nursing

Research

Development of Instructional Materials

Curriculum Development Process(CDP)

Development of Instructional Materials(IM) for CBT

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