CHRISTIAN MEDICAL COLLEGE AND HOSPITAL

WHO Collaborating Centre for Nursing and Midwifery Development

DIRECTORS





Vathsala Sadan

Alice Sony

TERMS OF REFERENCE

Serve as a resource centre for nursing and midwifery research development.

Serve as a resource center for education and training of nursing and midwifery teachers, clinicians and managers.

Promote and support the development and implementation of innovations in nursing and midwifery education and practice.

Collect and disseminate data and evidences related to advancements in nursing, midwifery practice and education at the national (southern regions of India), regional and international levels.

This institution is a member of the
WHOCC MIDWIFERY NETWORK

ANNUAL REPORT 2019

Christian Medical College, College of Nursing, Vellore, Tamil Nadu, India

I. INTRODUCTION

The past year had been relatively eventful with definite progress, new initiatives and constant effort to continue with the previous legacy of our college. The Faculty with the dual responsibility plays an important role in improving the quality of patient care and preparing committed, competent and compassionate nursing staff and students with professional excellence. The faculty provides leadership in the management of the clinical areas, ensuring quality patient care in addition to their educational activities in the college.

I. NURSING AND MIDWIFERY EDUCATION

A total of 873 (692 Undergraduates and 181 Postgraduates) students are on roll this year Part time PhD programme is also offered under the Tamil Nadu Dr.M.G.R.Medical University and through the National Consortium for PhD in Nursing under the Indian Nursing council.Passion for teaching and a constant drive to improve the quality of education has enabled the faculty to adopt different creative methods of teaching. Problem based learning and E -learning were used. OSCE (Objective structured clinical examination) was introduced in the clinical examination this year. To strengthen the classroom teaching and to bring about sound clinical practice, the students were given opportunity to learn through simulation in the skill labs and through hands on practice in the wards and clinical areas of the hospital. The students were oriented to the primary and secondary health care systems in India through the experiences gained in Community Health Programme.

II. SCHOLARLY ACTIVITIES

The College serves as a resource centre for nursing and midwifery development and for educating and training nursing teachers in India

1. SHORT COURSES CONDUCTED

Online contact classess on Stoma Care Nursing was conducted from 5/11/18 to 10/11/18 and from 28/1/19 to 2/2/19 respectively. Online modules were prepared and uploaded in the CMC E – learning website

A short course on Research Methodology was conducted from February 25- March 1, 2019

Bioethics curriculum was formulated and would be integrated in the course for the undergraduate students.Seven Faculty have registered for an Online Bioethics course under UNESCO Bioethics Chair.

PG Diploma in Medical Law and Ethics
Seven faculty are pursuing PGDMLE Distance Education course under National Law School of India University, Bangalore.

Short course on Chemotherapy and Peritoneal dialysis are on the pipeline.

2. PREPARATION OF MODULES

OSCE online Module was created and hosted in LM Excellence platform (private firm for online learning) as an open access in the community portal as a test module. Thirty nurses/students took the course and got certified.

Disaster Nursing online module was created and has been sent to The Tamilnadu Nurses and Midwifery Council to be hosted in the website for training nurses in the country on disaster preparedness and management.

Infection control practices, Stroke modules are also prepared and kept ready for online accreditation

3. Ph.D. CONSORTIUM ACTIVITIES

PhD synopsis and proposal presentation, Pre PhD Examination, Contact classes, Seminars, Academic review and core committee meetings were carried out using video conferencing facilities.

4. JOURNAL PUBLICATION

One issue of Indian Journal of Continuing Education (IJCNE) was published from July to December 2018.

5. CAPACITY BUILDING OF NURSING PERSONNEL

MOU between the College of Nursing and Director of Health Services, Government of India, Madhya Pradesh have been initiated in March 2015 to assist in the Capacity Building of the nursing cadre in Critical Care, Oncology Nursing, Emergency and Trauma Nursing, Renal Nursing, Cardiac Critical care Nursing, OR Nursing, through developing three months short term courses. This year totally 121 staff nurses were trained in four groups (Seven, Eight, nine and tenth batch).

Capacity Building in Strengthening of Emergency and Disaster Nursing

Using WHO Disaster Management guidelines, training programmes were conducted. The CON is recognized as the Resource Centre for training nurses in emergency and disaster management by the TamilNadu Dr.M.G.R. Medical University and the Government of TamilNadu. Two day workshop was conducted and 273 students were prepared to serve as an effective workforce during disaster. Mass casuality management and disaster preparedness in service programme and workshop were conducted for nursing and midwifery workforce and other health personnel within the institution and outside respectively.

Two day training was conducted in 13 batches between August to October 2018 for 160 staff nurses and 130 Nurse Supervisors working in Government sectors on Emergency and Disaster Management under The TamilNadu Accident and Emergency Care Initiative (TAEI) programme.

Two Faculty participated in the Asia Pacific Emergency and Disaster Nursing Network (APEDNN) core group meetings and presented papers in the in the Conference held at Cambodia.

6. CONFERENCES & WORKSHOPS CONDUCTED

Three national conferences and eighteen workshops were conducted which enabled the nursing fraternity within the institution and country to update their knowledge and skills with the current advancement of the profession.
A National conference on “Hope in Distress” was conducted on 22-24 October 2019 in collaboration with the Christian medical Association Of India (CMAI) – Nurses league
.
The first ever National Perioperative Conference for Operating Room nurses on “Patient safety in Peri-Operative Setting” was conducted in Nov 2018. The Association of Perioperative Nursing in India (APNI) was first formed.

The First National Nursing Pre-Conference Workshop and Conference on Haematology nursing “HAEMATOCON 2018” was held in Oct 2018.

7. LIBRARY SERVICES

Florence Taylor Memorial Library is one of the biggest library available exclusively for nurses. It is equipped with 9633 books and 22 International, 30 Indian and CINAHL online journals. The library facility caters to Faculty and students within and outside the Institution.

8. RESEARCH

The Faculty are involved in research activities and some of them hold official posts in the professional organization and academic committees within the country. Ten Faculty and twenty seven M.Sc. Nursing student’s research proposals were screened by the College of nursing research committee. The research projects requiring ethical clearance were taken to the Institutional Review Board. Funding was provided as requested.

A Survey on Nurse Migration is undertaken by Loyola Institute of Social Science Training and Research (LISSTAR), Institute of Developing Economics (IDE_JETRO), Japan and College of Nursing, CMC Vellore. The study is conducted to explore the socio economic background of nursing students, their motivation to join nursing course, future career prospects, investigate career development of nurses and factors, processes and consequences of nurse international migration.

One faculty is the co-investigator in the study on “Comparison of intravenous and perineural dexamethasone IN Ultra-sound guided Paravertebral Block in Pediatric Patient Undergoing Open Pyeloplasty: A Prospective Double-Blinded Randomized Clinical Study.”

III. COMMUNITY HEALTH NURSING SERVICES

The Community Health Nursing services are provided in the rural, urban and tribal communities covering a total population of 4,15,617. The services includes home visits, conduction of reproductive and child health services, Morbidity clinics, Referral services and other special programmes like School Health, Mothers programme, Youth and Leaders meeting, Self Help Women Group, Mass Education programmes, Health camps and Health Exhibitions. In the secondary level Rural Hospitals the nurses also provide Maternal and child care services, conduction of deliveries and assisting in operations. The College of Nursing Community Health (CONCH) program continues to function in 24 villages comprising of a rural population of 71172 and the services are rendered purely by nurses. Regular MCH, First aid and Morbidity clinics are conducted and referral services are made possible to the tertiary level care when required.

The Occupational Health Nurse Practitioner (OHNP) assists in pre-employment and annual checkup and vaccination, health assessment, treatment and referral of staff and students of the institution. Services of Family Nurse Practitioner (FNP) include assessment, treatment, referral, health education and counseling

Several new services such as Geriatric Club, health clinics, School Toilet construction in a Government High School and Career Guidance Centre were inaugurated. Environmental Sanitation and Nutrition Education projects, School and Community Screening for Leprosy Health Camps were undertaken. 556 women working in leather factory were screened for oral cancer, breast and cervical cancers and general health.

Under the Model Village Project 194 toilets were constructed. Under Income Generation Program activities for farmers Fishery Skills and honey bee rearing training was given. Fish fingerlings, hen, cattle and honey bee-hives were distributed. Village common fund account was formed and bank account in Indian Bank, was started.
Health Exhibition “CORPORA” was conducted from 9-12 October 2018. A total of 5139 School children were educated in various aspects of health.

One of the secondary hospital received 3rd prize and a certificate of appreciation from the Department of Health and Family Welfare, Tamil Nadu for the best performance (maximum number of sterilizations) among voluntary organization on 28.02.19 from the Honorable Minister for Health and Family Welfare, Tamilnadu.

Various International and National Health Days such as safe motherhood day, breast feeding week, newborn week, World health day etc were celebrated. Health exhibition, awareness programmes, health camps were conducted. Quiz and competition conducted and prizes awarded.

IV. STUDENT ACHIEVEMENTS

Students continued bringing laurels to their Alma mater. They excelled in academics, sports and cultural. Students hailing from marginalised sections of society and aspire to go higher in their careers were offered scholarships.

    • Abraham, D., Ravindran, V., Rose, V.,& Michael, J.S. (2018). Effectiveness of chlorhexidine bath, saline bath and standard bath on bacterial colonization on the skin. Asian Journal of Pharamaceuticals and Clinical Research, 11 (10), 330-334.
    • Christopher, J., Charles, H., Dolakia, S., Sebastian, T. (2018). A study to associate relapse with attitude towards medication, explanatory models among people with schizophrenia and their care giver knowledge regarding schizophrenia. IOSR Journal of Nursing and Health Science, 4(1), 78-84. doi: 10.9790/1959-0704017884
    • Daniel, J. V., Siva, R., Ravikumar, T. S., Mohan, V. R., & Rebekah, G. (2018). Effectiveness of Community Based Mass Casualty Preparedness program among Rural Youth and their knowledge, Attitude and selected skills towards Mass Casualty Management. Indian Journal of Continuing Nursing Education, 19(2), 85-90.
    • David, D. (2019). Stress of Staff nurses working in Pediatric wards of CMC,Vellore. International journal for Applied research, 11 (ii), 44-45.
    • David, D. Obesity in Children. International Journal of Innovative Publications in Pediatric and Nursing Science. 1 (1), 15-16
    • Immanuel, S., Siva, R.,  Jasmine, S., & Yadav, B. K. (2018). Drug Adherence and Status of Blood Pressure Control among Hypertensive Patients. International Journal of Scientific Engineering and Research, 6(6), 32-35.
    • Jacob, A, R., Reka, K., George, R, E., Mathew L., Jesudoss, I. (2018). The family support among patients with Psoriasis. International Journal of Scientific Engineering and Research, 6 (11), 8-12.
    • Jacob, A.R., & Jesudoss, I. (2019). Perceived Self-Efficacy among patients with Psoriasis. International Journal of Clinical & Experimental Dermatology, 4 (1). Retrieved from https://www.opastonline.com/wp-content/uploads/2019/01/Perceived-Self-Efficacy-among-Patients-with-Psoriasis-ijced-19
    • Jadhav, S., Lee, P. & Souza, C. (2018). Effectiveness of pre haemodialysis preparatory program on improving coping among chronic kidney disease patients. Saudi Journal of Kidney Diseases and Transplantation, 29 (6), 1342-1349.
    • Jeyarani, A. (2018). De Quervain disease. Indian Journal of Continuing Nursing Education , 19 (1), 38-42.
    • Jeyarani, A. (2019). Handbook on Drug calculation for Nurses.
    • Jeyarani, A. (2019). Role of Family Nurse Practitioner in ambulatory care. Indian Journal of Family Medicine and primary care.
    • Jobin, P., Siva, R., Sudha, R., & Hema.V.H. (2018). Intersensory perception Model: Integrating the Sixth Sense in providing nursing care. Manipal Journal of Nursing and Health Sciences, 4 (1), 8-17.
    • Khaja, J., & Seetharaman, B. Effectiveness of structured teaching programme on knowledge and practice regarding Long Term Oxygen Therapy: A pre-experimental study. International Journal of Nursing Education, 10 (4), 59-63. doi: 10.5958/0974-9357.2018.00102.2
    • Manoharan, M. (2018) Morbidity pattern and the outcome of triaging children attending Pediatric Emergency Services of a Tertiary Care Hospital, S. India. IOSR Journal of Nursing and Health Science, 7 (2), 1- 7.
    • Nagarajan, P., Sadan, V., Sindhu, Masih, O., Gowri, M. S. (2018) Physical activity, functional status and quality of sleep among ambulant older adults.  International Journal of Scientific Engineering and Research, 6(12), 154-157.
    • Nirmal, I. & Lee, P. (2019).  Quality of Life of Patients with Peripheral Arterial Disease. IOSR Journal of Nursing and Health Sciences, 8 (2), 45-49.
    • Priyadharshini, J.,  Sadan, V., Prashanth., & Sebastian, T. (2018). Community Based Intervention Package on Knowledge, Attitude and Selected Skills of Home Care among Primary Care Givers of Children with Cerebral Palsy. Indian Journal of Continuing Nursing Education, 18(2), 46-50.
    • Rabindran, P., & Sadan, V. (2018). Infertility: An Emotional Roller- Coaster. Journal of Nursing Today, 6 (1), 1-8.
    • Rabindran, P., & Sadan, V. (2018). Lifestyle of women attending infertility clinic of a Tertiary Hospital in Puducherry: A pilot study. International Journal of Nursing Education, 10(4), 93-97.
    • Radhakrishnan, B., David, S., Sekar, M., Jesudoss, I., & Vijayananthan, S. (2019).  Perception regarding  End of Life Care among Staff Nurses.  International Journal  of Science and Research, 8 (1), 1815-1819. 
    • Raju,H., Lee, P., Jayaseeli,D., & Durai.S. (2018). Symptom Experience of patients with Hepatobiliary and Pancreatic cancers and Burden of Family Caregivers. International Journal of Scientific Engineering and Research, 6(6), 57-61. 
    • Rani, P.P., & Sadan, V. (2018). Video Teaching on Screening of Mental Illnesses: A Pilot Study. Indian Journal of Social Psychiatry, 34(2), 152-156. DOi: 10-4103/ijsp.ijsp_79_17. 
    • Ranjani, P., Siva, R., Helan, J., & Gowri, M. S. (2018). Morbidity Pattern and Health Seeking Behaviour of Gypsy Community. International Journal of Nursing Education, 10(3), 77-82. doi:10.5958/0974-9357.2018.00071.5 
    • Ravindran, V. (2018). Need for Paradigm shift to Transform Nursing Education. Indian Journal of Continuing Nursing Education, 19 (1), 3-4. 
    • Rebecca, G & Ravindran, V. (2018). Statistical analysis in nursing research. Indian Journal of Continuing Nursing Education, 19 (1), 62-70.  
    • Rosalind. S. E., Siva, R., Sindhu, J., & Vaishnavi. (2018). Health Status of adolescent and their perceived need for an Adolescent Health Service in a selected area of Vellore District. International Journal of Scientific Engineering and Research, 6(5), 78-82.  
    • Sadan, V.(2018). Data Collection Methods in Quantitative Research. Indian Journal of Continuing Education, 17(2), 58-63.
    • Santhosh, R. “Peritoneal Dialysis Primer- titled ” Organization of a Peritoneal Dialysis Program- The Nurse’s Role”, First Edition, Published by Biocon India Ltd, Pages 712- 721. 
    • Santosh contributed towards writing guidelines for Indian Society of Nephrology on ‘Identifying and Managing complications during Hemodialysis’ – Published in ISN guidelines  
    • Seetharaman, B., Lee, P., Zachariah, A., & Kirubakaran, R. R. (2018). Self-care intervention guidelines on reduction of anxiety among persons living with Human Immunodeficiency Virus. Journal of Medical Science and Clinical research, 6(8). doi: 10.18535/jmscr/v6i8.151 
    • Sekar, M., & David, S. (2018). Knowledge regarding  End  of Life Care among Staff Nurses. International Journal of Scientific Research, 7(5)18-20.
    • Simpson, C., Lee, P., & Lionel, J. (2018). Grief perceived by the women with late pregnancy loss and its associated factors before and after Bereavement Counseling. International Journal of Nursing & Midwifery Research, 5(4), 19-25. 
    • Siva, R., & Nagarajan, P. (2018). Disaster Management – Introduction, Community Preparedness and Response and Role of a Public Health Nurse. Indian Journal of Continuing Nursing Education, 19(2), 58-69. 
    • Suganandam, D. K. (2018). Handoff Communication: Hallmark of Nurses. Indian Journal of Continuing Nursing Education, 19(1), 12-20. 
    • Taub, J. M., Coats, H., Coats, C., Doorenbos, A., Siva, R., Sadan, V., … & Nolet, R. (2019). Palliative care delivery: descriptions of community-based services in Vellore, India, and Seattle, Washington. International Journal of Palliative Nursing, 25(1), 39-45.
    • Terina, J., Priyadarshini, J., Sadan, V. (2018) Level of stress, stressors and coping strategies among Engineering College students in Vellore District. International Journal of Scientific Engineering and Research, 6 (12), 174-176. 
    • Umesh, S. (2018). Case study: Sweet syndrome. Indian Journal of Continuing Nursing Education, 19(1), 31-37. 
    • Walton, M. & Lee, P. (2018). Resilence: A Literature Review. International Journal of Research in Medical and Basic Sciences, 4 (6).
    • Xavier, R. (2018). Pain Intensity among patients undergoing laparoscopic, scopic, and open surgeries for genio-urological disorders. Journal of Nursing Trendz, 9(3), 3-5. doi: 10.5958/2249-3190.2018.00034.
    • Workshop on “Quality and Safety in Patient Care- The Essence of Nursing” conducted on 07.07.2018.  
    • Indian Academy of Paediatric course on Paediatric  Advanced Life Support  on 27.07.2018   
    • Workshop on Quality Aspects in Nursing care conducted on 24.08.2018
    • Workshop on Pearls of Fall prevention conducted on 27.09.2018  
    • American Heart Association Course on Basic Life Support conducted on 09.10.2018  
    • The 70th National Conference of the Nurses League, Christian Medical Association of India conducted on 22.10.2018 to 24.10.2018
    • The First National Nursing Pre-conference workshop and Conference on Haematology Nursing – HAEMATOCON 2018 conducted in October 2018  
    • Online Contact classes on Stoma Care Nursing conducted between 05.11.2018 to 10.11.2018 and 28.01.2019 to 02.02.2019.  
    • The First National Perioperative  nursing conference on Improving Patient Safety in the Perioperative Setting held on 19.11.2018 to 20.11.2018
    • Workshop on Preparation of Bioethics curriculum for nurses  held between 08.11.2018 to 09.11.2018  
    • Workshop on Isolation Precautions “Challenges and changes” conducted on 05.12.2018  
    • American Heart Association Trainer  Course on Basic Life Support conducted on 11.12.2018
    • Workshop on Core Nursing competencies in Disaster Management conducted on 23.01.2019  
    • Workshop on the Essence of Communication and Documentation conducted on 07.02.2019  
    • A Short course on Research Methodology conducted on 25.02.2019 to 01.03.2019  
    • Workshop on Facility Based New Born Care conducted on 07.03.2019.
    • National Conference on “Qualitative Research Methods” in November 2019 
    • National Conference on “Universal  Health Coverage: Empowering nurses and Midwives”  by the Society of community Health Nurses India in Jan 2020
    • State level Workshop on “Breast Care” in September 2019 
    • State Level Workshop on “Updates on Nursing process” in November 2019
      State level Workshop  on Geriatric Nursing in Sept 2019 
    • State level Workshop on Updates in Newborn Care Nov 2019
      State level Workshop on Infectious Diseases in Dec 2019 
    • State level Workshop on Airway Management in March 2020
    • State Level Workshop on Safe Motherhood in March 2020 
    • Workshop on Disaster Nursing  for Students in March 2020
    • Integration of Education and Service Model
    • Midwife Led Clinic Model
    • Three Tiered Nurse Led Community Service Model
    • Biannual Journal Publication
    • Student/Faculty Exchange programmes with Universities abroad
    • Disaster response to the Asia Pacific Region
    • Faculty Students Research
    • Exposure of students to low income, most backward population of rural India
    • Revision of Nursing Text Books by faculty
    • Empowerment and capacity building of nurses and faculty from Government and private sectors
    • Best Nursing College in the country
    • Quality education and service
    • Faculty involvement professional associations of the country
    • Faculty involvement in the Policy Making and Curriculum revision of statutory bodies of the country (Nursing Councils and Universities)