Nursing Path

CARING is the essence of NURSING. -Jean Watson

Nursing Path

Knowing is not enough, we must APPLY. Willing is not enough, we must DO. -Bruce Lee

Nursing Path

Treat the patient as a whole, not just the hole in the patient.

Nursing Path

Success is not final. Failure is not fatal. It is the courage to continue that counts. -Winston Churchill

Nursing Path

A problem is a chance for you to do your best. -Duke Ellington

BUDGETTING

BUDGETTING

INTRODUCTION:-
                               Budget is the heart of administrative management. It served as a powerful tool of co-ordination and negatively an effective device of eliminating duplicating and wastage. Budgeting, though primarily recognized as a device for controlling, becomes a major part of the planning process in any organization.
Budget is a formal expression of policies, plans, objectives and goals laid down in advance by top level authorities of the organization as a whole in a given period of time. It involves forecast and future performance and also it contributes to control by anticipating cash needs, planning, necessary financing and establishing the standards for measuring the current performance. Lastly budgeting presents an opportunity for evaluation programmes and policies thereby identifying obsolete or unnecessary activities and giving a call for their discontinuance. It is this sense pre- audit.

MEANING:-
                       Literally the word ‘budget’ means a leather bag or sachet to carry official paper in. From that association, it came to mean those papers themselves, more particularly the paper containing the financial proposals for the year.
The word “budget” derived from the old English word “budgettee” means a sack or pouch which the chancellor of the exchequer used to take out his papers for laying before the parliament, the Government, the financial scheme for the ensuring year. Now the term budget refers to the financial papers not the sack.

ABOUT BUDGET:-
Ø  Budget is a concrete precise picture of the total operation of an enterprise in monetary terms.   HM Donovan
Ø  Budget is an operational plan, for a definite period usually a year.
Ø  Budget disciplines and streamlines administration & goes hand in hand with programme planning.
Ø  Budget is a formal expression of polices, plan, objectives and goals laid down in advance by top level authorities of the organization as a whole in a given period of time.

BUDGET------ A TOOL FOR EFFECTIVE ADMINISTRATION:-

When budget becomes really an effective tool of administrative management, the executive must have adequate power. The following principles should be followed-

Ø  Executive programme: Budget should go hand in hand with programming under the direct supervision of chief executive.

Ø  Executive responsibility: the chief executive must observe the economy in the execution of the programme.


Ø  Reporting: Budgetary process like preparation of estimates, legislative action and the budget execution must be based on full financial & operating reports coming from all levels of administration.

Ø  Multiple procedures: The method of budgeting may vary according to the nature of operation.


Ø  Flexibility in timing: should have provisions to accommodate necessary changes in the light of changing economic situation.

Ø  Two-way budget organization: Traffic between central offices & the agency offices responsible for budgeting and programming should move in two-way rather than one way street.


BUDGET-------- A TOOL FOR LEGISLATIVE CONTROL
                           The budget is the most important tool of legislature control over the public purse. Legislative control signified that no tax can be collected without its prior authorization and no expenditure incurred without its prior approval. Harold A Smith explains the principles of legislative as follows:-

Ø  Publicity: The main stages of the budget process, which includes executive recommendation legislative consideration and action & budget execution, should be made public.

Ø  Clarity: The budget should be understandable to every citizen.


Ø  Budget unity: All receipts should be recovered into one general fund for financing all expenditure.

Ø  Detailed speciation: Receipts & appropriation should be specific for to transfer the items
Ø  Prior authorization: Budget execution should stay strictly within the legislative authorization & should be checked by an auditing agency reporting to the legislature.

Ø  Accuracy: It should be accurate as possible, & there should be no padding of expenditure estimates or providing for hidden reserves by underestimating revenue.

PURPOSE OF BUDGETING:-
v  Budget supplies the mechanism for translating fiscal objective into projected monthly spending pattern.
v  Budget enhances fiscal planning & decision making.
v  Budget clearly recognizes controllable and uncontrollable cost areas.
v  Budget offers a useful format for communicating fiscal objectives.
v   Budget allows feedback of utilization of budget.
v  Budget helps to identify problem areas and facilities effective solution.
v  Budget provides means for measuring & recording financial success with the objectives of the organization.

FEATURES OF BUDGET:-

  • It should be flexible.
  • It should be synthesis of past, present & future.
  • It should be product of joint venture+ co-operation of executives/department heads at different levels of management.
  • It should be in the form of statistical standard laid down in specific numerical terms.
  • It should have support of top management throughout the period of its planning supplementation.

IMPORTANCE OF BUDGET:-
                           
                              Budget is a Numerical description of expected income & planned expenditure for an organization for a specified period of time. It is a concrete, precise, picture of the total operation of an enterprise/organization/institution in monetary term, i.e. finance.
         The following points serves the importance of budget:-

  • Budget is needed for planning for future course of action 7 to have a control over all activities in the organization.
  • Budget facilities coordinating operation of various department & sections for realizing organizational objectives.
  • Budget serves as a guide for action in the organization.
  • Budget helps one to weigh the values & to make decision when necessary on whether one is of a greater value in the programme than the other.

PRINCIPLES OF BUDGET:-
                            
                           Budget is an operational plan for a definite period, usually a year, expressed in financial terms 7 based on expected income & expenditure.
1.      Budget should provide sound financial management by focusing on requirements of the organization.
2.      Budget should focus on objectives & policies of the organization. It must flow from objectives & give realistic expression to the way of realizing such objectives.
3.      Budget should ensure the most effective use of scarce financial and non-financial resources.
4.      Budget requires that programme activities planned in advance.
5.      Budgetary process requires consistent delegation for which fixed duties & responsibilities are required to be allocated to managers at different level for framing & executing budget.
6.      Budget should include coordinating efforts of various departments establishing a frame of reference for managerial decisions, & providing a criterion for evaluating managerial performance.
7.      Setting budget targets requires an adequate checks & balance against the adoption of too high or too low estimates.
8.      Budget period must be appropriate to the nature of business or service and to the type of budget.
9.      Budget is prepared under the direction and supervision of the administrator and financial officer.
10. Budgets are to be prepared and interpreted consistently throughout the organization in the communication of planning process.
11. Budget necessitates a review of the performance of the previous year and an evaluation of its adequacy both in quality and quantity.
12. While developing a budget, the provision should be made for its flexibility.






WHO  SHOULD BE INVOLVED IN BUDGETTING?
Budgeting is a difficult and responsible job. Your organisation’s ability to do what it has planned to do and to survive financially depends on the budgeting process. Whoever does the budgeting must:
·         Understand the values, strategy and plans of the organisation or project;
·         Understand what it means to be cost effective and cost efficient
·         Understand what is involved in generating and raising funds.
To ensure you have all these understandings, it is usually a good idea to have a small budgeting team. This may only mean that one person does a draft budget which is then discussed and commented on by the team.
Where staff is competent to take full responsibility for the financial side of the organisation or project, the following would normally be involved in the budgeting process:
ü  The Finance Manager and/or Bookkeeper;
ü  The Project Manager and/or Director of the organisation or department.
Where staff  lack confidence to do the budgeting, then Board members can be brought in.
Some Boards have a Finance Committee or a Budget Sub-Committee. It is a good idea to have someone on your Board with financial skills. S/he can then help the staff with budgeting.
The budget is the business of everyone in the organisation. At the very least, senior staff should understand the budget, how it has been drawn up, why it is important, and how to monitor it.
Where an organisation has branches and/or regions, or several departments, then each branch, region or department should draw up the budget for its own work. These budgets then need to be consolidated (put together) in an overall budget for the organisation. Each branch, region or department should be able to see how its budget fits into the overall budget, and should be able to monitor its budget on a monthly basis. Financial monitoring works best when those closest to the spending take responsibility for the budget.


CLASSIFICATION OF BUDGET:-

                             Budget consist mainly three sections:-
§  Manpower budget: - includes wages and other benefits provided for regular and temporary workers.
§  Capital expenditures: - includes purchase of land, buildings and major equipments of considerable expenses and long life.
§  The operating budget: - includes the cost of supplies, minor equipment, repair and overhead expenses.
 Budgets can be classified according to Time, Function, and Flexibility.

ACCORDING TO TIME:
  1. Long Term Budget
  2. Short Term Budget
  3. Current Budget
  4. Rolling budget
ACCORDING TO FUNCTION:
  1. Sales Budget
  2.  Production Budget
  3. Cost of Production Budget
  4. Purchase Budget
  5.  Personnel budget
  6. Capital Expenditure Budget
  7. Cash Budget
  8.  Master Budget
ACCORDING TO FLEXIBILITY:
  1. Fixed Budget
  2. Flexible Budget

BUDGETTING PROCESS:-

                                   Every head of the office is required to prepare budget estimates in respect of salaries of establishment, contingent expenditure and various other expenses, rent of building etc. In hospital requirements in respect of medicines, diet equipment, hospital contingencies, surgical dressing, clothing, linen etc. are also needed to be worked out.
                                     For budget preparation will include:-
v  Forecasting: - Related to making decisions on purchase, expansion, advertising, services, working capital needs etc.
v  Accounting: - Needed to compare the budget information with actual accomplishment.
v  Lines of authority: - Budget preparation, operation and supervision need/require clearly defined lines of authority.
v  Budget committee: - Needs an organization—
·         To receive and approve all forecast, departmental budgets, periodic report showing comparison of actual and budgeted income and expenditure.
·         To request for special studies of deviations from the budget and consider revision of budget to meet changed conditions.
v  Business policies: - clearly defined business policies serve as basis for budget preparation.
v  Statistical information: - In the form of figures, i.e. estimates regarding the budget terms are essentials for budget.
v  Top level management: - support is essential to ensure successful instillation of the budget programme.
v  Period of budget; - Length of budget period (usually a year) should be specified.

STEPS IN BUDGETING; -

ü  Review the goals of the agency or hospital because these are most likely to receive funding.
ü  Review the objectives of the existing programme and written for proposal programme to ensure that achievement of these objectives.
ü  Existing programme are revised and proposal programme designed to maximum goal achievement.
ü  Manpower, capital and operating expenses are computed for each programme old and new.
ü  Alternative methods are identified for realizing designated objectives and price of each alternative is determined.
ü  Comparisons are made to determine which alternative is most cost-effective.
ü  Budget requests is developed for the preffered programme indicates alternative method for meeting the same objective, and explain why the recommended programme is preferred.
ü  Officers and supervisors to present their need for the coming year by a specified date.
ü  Review the budget appropriation and actual expenditure for the current year.
ü  Prepare the programme with new budget.
ü  Determine the percentage of salaries of personnel.
ü  Estimate the requirements for coming year from the information supplied as the expenditure for supplies, equipments and repairs to date.
ü  Prepare a summary of new needs, both personnel and material with data to support the request



BUDGET PLAN:-
                                 It is for the top, management to define the planning premises and provide procedural details. In the committee after discussion, the members have the opportunity to plan amongst themselves. A best possible plan combining the talents of the entire group thus emerges; the approach enhances communication, coordination and harmony of various operational plans and efforts.

BUDGET CONTENT: -
                              The budget consists of a master budget supported by various functional and supporting budgets. The master budget consists of:-
v  Revenue & Expenditure budget.
v  Balance sheet budget.
v  Funds flow budget.
                           The master budget is supported by functional/departmental budgets. Some of the important functional budgets are: Purchase, personel, engineering and research. The functional budgets are in two parts. Part one deal with the departmental costs. Items over which the departmental head has full control-such as material used, departmental manpower, maintenance expenditure etc. these are not specifically identified with the department such as salaries of hospital administration, general maintenance etc.Part two deal with their performance expressed in terms of numbers to the extent possible.
                     The initial draft budget contain proposal for additional manpower, equipment, space and any other resources or changes in rate structure or operating system. Then these are discussed with the top management, who after deliberating and considering all aspects either accept, reject or suggest changes to the draft budget. Once the budget is accepted, the departmental manager is committed to achieve the targets set.

BUDGET PERIOD:-
                               The budget period indicates the time span covered by a budget. It is generally one year, coinciding with the financial year, such as in construction or film industry, each job could have a separate budget to coincide with the time required to complete the assignment. These are consolidated in annual budget. Others are supplemented by long range plan, which covers 3 to 5 years period.

 PROBLEMS, DISADVANTAGES, LIMITATION OR BUDGETARY CONTROL:-

v  Inaccuracy---- Budget figures are expressed in monetary terms.
v  Personal bias---- Imperfection in human judgments.
v  Non-availability of cooperation---- Inefficient employee.
v  Rigidity
v  Results are not attainable.
v  Consistency---- The budgets are not prepared a fresh every year.
v  Time consuming process.
v  Ineffective budgetary control.
v  Discourage the initiatives.
v  More paperwork.

SOME BUDGETING ISSUES:-

  1. Budgeting price increases:- Budgets are prepared in advance. There are likely to be price increases between the time of preparation and the time when the amount is spent or received. Take this into account when you do your budgeting by estimating what the costs or value will be when the expenditure is made or the income received.
If there is likely to be an increase in costs then make sure that you also estimate for an increase in what you charge in fees for services or in sales of products.
You need to keep your calculations for your budget because some donors may be willing to provide a supplementary grant if you can show clearly that you calculations were based on a smaller rate of inflation than actually proved to be the case.
  1. The level of detail needed:- On the one hand, the less detail you give, the more flexible you are. On the other hand, leaving the budget too open makes it less useful as a management tool. This does not mean that every single thought and detail should be included in the budget line items.
One way to deal with this is to have different versions of the budget for yourselves and for donors and potential donors. The donor version would be more flexible and less detailed, and the management version so less.
  1. Contingency amounts:- A contingency amount is an amount that you put aside to deal with unforeseen events. While budgets should be informed guesses, there is still an element of “guessing” in them. The future is uncertain and organisations and projects have to survive in uncertain times. Because of this, some organisations allow for a “contingency” line item in their budgets – usually about 10% of the overall annual budget.
However, many donor agencies do not like this and refuse to fund a “contingency” line item, possibly because they believe that organisations and projects should be more accurate in their budgeting. One way to deal with this is to build contingency amounts into the major line items in your budget, allowing for an additional 10% over and above your calculations.
  1. Budgeting income generating projects:- In overall budget for the project or organisation, include the costs in the line items reflecting expenditure, and the income in line items reflecting income. However, for management purposes you will want to be able to monitor in greater detail than this, in order to establish at what stage a break-even point is reached. Bookkeeping records should be set up in such a way as to make it easy for management to access this information.
  2. Timeframes:- Organisational budgets (for the whole organisation) are usually calculated for a year at a time (based on the financial year of the organisation). This also applies to ongoing departmental budgets. Once you have an annual budget, it is best to break it down into months, for management purposes. A monthly breakdown facilitates monitoring (see the sections on budgeting for monitoring and watching your cash flow).
When you present a budget that covers several years, make sure that this budget is based on a medium-to long-term plan, and is not simply an uninformed guess.
Budgets for specific, timebound projects may be calculated for the whole life of the project. For monitoring purposes it is probably best to break this overall project budget into years (where the project runs over several years). You may then also decide to break it up into months.

RESPONSIBILITY OF NURSE ADMINISTRATOR IN BUDGET:-
Ø  Participation in planning budget.
Ø  Consult & take assistance of his/her subordinates in determining the needs of the unit for the ensuing year on the basis of information received.
Ø  Request sufficient funds to suggest a sound programme provision, expansion of programme to attract and hold qualified staff to provide for expansion of physical facilities.
Ø  The administrators have to support the budget.
Ø  She is responsible for budget & should cover the routine budget control.

ROLES:-
Ø  Is visionary in identifying or forecasting short & long term unit needs, thus inspiring proactive rather than reactive fiscal planning.
Ø  Is knowledgeable about political, social & economic factor.
Ø  Demonstrate flexibility in fiscal goals setting in a rapidly changing system.
Ø  Anticipates, recognize & creatively problems-solves budgetary constraints.
Ø  Ensures that client safety is not jeopardized by cost constraints.

FUNCTIONS:-
Ø  Identifies the importance of, & develops short & long range fiscal plan that reflects unit needs.
Ø  Articulates and documents unit needs effectively to higher administrative level.
Ø  Assess the internal and external environment of the organization in forecasting.
Ø  Demonstrate knowledge of budgeting and uses appropriate technique.
Ø  Participate in relevant fiscal planning.
Ø  Coordinates the monitoring aspects of budget control.

Likert scale

LIKERT SCALE
CHARACTERISTICS
1.     The scale contains several items.
2.     Response levels are arranged horizontally.
3.     Response levels are anchored with consecutive integers.
4.     Response levels are also anchored with verbal labels which con note
more-or-less evenly-spaced gradations.
5.     Verbal labels are bivalent and symmetrical about a neutral middle and
6.     In Likert's usage, the scale always measures attitude in terms of level of agreement/disagreement to a target statement .
Criterion 5 usually means there is an odd number of response levels. Typically the number is 5, though sometimes 7, 9, or 11 levels are used.
Common Error 1
A Likert scale is never an individual item; it is always a set of several items, with specific format features, the responses to which are added or averaged to produce an overall score or measurement.
There are two of the biggest and most common confusions people make.

First:
A single item, even if formatted exactly as one of Likert's items, is not a Likert scale.

Likert items

If features 2 through 5 above are all present, we may justifiably call them Likert items. If only 2 through 4 are present, we might call them Likert-type items instead.
How do you feel about the President's performance in domestic affairs?
 
Strongly     Somewhat                     Somewhat     Strongly
disapprove   disapprove     Neutral       approve      approve
 
   1                      2                   3                 4                  5
Example 2: A Likert item
Consider the example above. Here we meet all criteria 2 - 5. It seems fair to call this a Likert item, even though it doesn't refer to agreement/disagreement to a target statement.
The following, then, would be considered a Likert-type item.                 
How often do you go out to see a movie?
                                                                 Very
Never   Sometimes  Average    Often     often
 
  1                   2               3            4           5
Example 3: A Likert-type item
Here the response levels are not bivalent: the lower terminus is merely "Never". There is no exact opposite of "Very often". Yet the categories are reasonably interpretable as evenly spaced, especially when associated with consecutive integers in an evenly-spaced printed format. The label for level 3, "Average" clearly denotes centrality of this response category.
Common Error 2
This is not a Likert-scale, a Likert item, or a Likert-type item:
     How often do you smoke cigarettes?


  

  
        1.  Never
        2.  Once in a while
        3.  1-5 per day
        4.  More than 5 per day.

This is simply an item with ordered response levels, or an ordered-category item.
This is so even if the item is one of several that will be combined to form an aggregate scale. In this case, one simply has a summated rating scale comprised of several ordered-category variables.
The method of construction of a Likert type scale-
Researcher gathers a large number of statements which clearly indicate favourable or unfavourable attitude towards the given issue.
·         Piloting
·         Validity test
·         Content validity

Scoring and analysis

After the questionnaire is completed, each item may be analyzed separately or in some cases item responses may be summed to create a score for a group of items. Hence, Likert scales are often called summative scales .
After the Likert scale is administered to subjects, the response must be scored. Typically the responses are scored in such a way that endorsement of positively worded statements and nonendorsement of  negatively worded statements are scored higher
ADVANTAGE
-Construction is less cumbersome
-It supplies more precise and definite response towards an issue.
-Permits the revelation of several  (5) degrees of agreement or disagreement
-Has broader areas of reference as any item empirically consistent with the statement may be included. 
LIMITATIONS
-The judgment on the basis of total score , which  is estimated by calculating mean or median , is not scientific. The total score value may be same in many cases but attitude may  be different.
-No objective basis for expressing different degrees of agreement or  disagreement.


Psychiatric Nursing Profession in India

Top Mental Health Institutions
  • National Institute of Mental health and Neurisciences, Banglore
  • Central Institute of Psychiatry, Ranchi
  • Ranchi Institute of Neuropsychiatry and Allied Sciences(RINPAS)
  • Vidya Sagar Institute of Mental Health and Neurosciences, New Delhi
  • CMC Vellore, Psychiatry- Mental Health Centre
  • Institute of Psychiatry, Kilpak, Chennai
  • Institute of Mental Health, Agra
  • Institute of Mental Health and Neuroscienes (IMHANS), Calicut, Kerala
  • All India Institute of Medical Sciences, Department of Psychiatry
  • Kasturba Hospital, Department of Psychiatry, Manipal
  • Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, Assam
  • Mental Health Facilities in Kerala
    1. Govt. Mental Health Centre, Calicut, Kerala
    2. Govt. Mental Health Centre, Thrissur, Kerala
    3. Govt. Mental Health Centre, Trivandrum, Kerala
  • Institute of Human Behaviour & Allied Sciences (IHBAS)
  • Mental Health Treatment Facilities in Tamilnadu
Psychiatric Nursing Courses
  • Diploma in Psychiatric Nursing
  • Master of Science in Nursing
  • PhD in Psychiatric Nursing
  • Certificate Courses
Psychiatric Nursing Training Institutions
MSc.Nursing
  • National Institute of Mental health and Neurisciences, Banglore: Department of Nursing
  • CMC Vellore, College of Nursing
  • Manipal College of Nursing, Manipal University
  • AIIMS, New Delhi
  • Father Muller's College of Nursing, Manglore
  • Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, Assam
Diploma In Psychiatric Nursing
  • Central Institute of Psychiatry, Ranchi, Jharkhand
  • National Institute of Mental health and Neurisciences, Banglore: Department of Nursing
  • Lokpriya Gopinath Bordoloi Regional Institute of Mental Health (LGBRIMH), Tejpur, Assam.
Psychiatric Nursing Organizations
  • Indian Society for Psychiatric Nurses
  • Mental health Act, 1987
  • The Disability Network India
  • Kerala State Mental Health Authority
Organizations on Mental Health
  • Schizophrenia Research Foundation (SCARF), Chennai
  • Indian Psychiatric Society
  • Rehabilitation Council of India
  • CNS India on Depression, Epilepsy & Sleep
  • World Psychiatric Association
  • Canadian Psychiatric Society
  • American Psychiatric Association
  • National Institute of Mental Health

Theories of Intelligence

Introduction
  • Intelligence refers to:
    • “the capacity to acquire and apply knowledge.”
    •  "the capacity to reason validly about information."
  • Major theories:
    • Faculty theory
    • Two Factor Theory - Charles Spearman
    • L.L Thurstone's Theory of Intelligence
    • Howard Gardner —Multiple intelligences
    • Sternberg– Triarchic theory
    • Emotional Intelligence
    • Artificial Intelligence
Faculty Theory
  • Faculty theory is the oldest theory regarding the nature of intelligence.
  • This theory states that mind is made up of different faculties like reasoning, memory, discrimination and imagination etc.
  • These faculties are independent of each other and can be developed by vigorous exercise.
  • Faculty theory has been criticized and proved that mental faculties are not independent.
Two Factor Theory
  • Proposed by Charles Spearman (1863-1945).
  • This theory proposes that  intellectual abilities were comprised of two factors:
    • general ability  or common ability known as ‘G’ factor and
    • group of specific abilities known as ‘S’ factor.
  • This theory states that a general intelligence factor (g) underlies other, more specific aspects of intelligence.
Louis L. Turnstone's Theory
  • He explained intelligence as a person’s “pattern” of mental abilities or a cluster of abilities.
  • “Intelligence, considered as a mental trait, is the capacity to make impulses focal at their early, unfinished stage of formation.  Intelligence is therefore the capacity for abstraction, which is an inhibitory process "
  • This theory explains 7 different “primary mental abilities” which he called primary abilities:
    1. word fluency
    2. verbal comprehension
    3. spatial visualization
    4. number facility
    5. associative memory
    6. reasoning
    7. perceptual speed
Multiple Intelligence Theory- Howard Gardner
  1. Linguistic (“word smart”) 
  2. Logical-mathematical (“number smart”) 
  3. Musical (“music smart”) 
  4. Spatial (“art smart”) 
  5. Bodily-kinesthetic (“body smart) 
  6. Intrapersonal (“self smart”) 
  7. Interpersonal (“people smart”)
  8. Naturalist (“nature smart”)
Triarchic Theory (Robert Sternberg)
  1. Analytic intelligence—mental processes used in learning how to solve problems
  2. Creative intelligence—ability to deal with novel situations by drawing on existing skills and knowledge
  3. Practical intelligence—ability to adapt to the environment (street smarts
Emotional Intelligence
  • The ability to perceive, express, understand, and regulate emotions.
  • The ability to manage emotions in one’s self and in others in order to reach desired outcomes.
  • An ability to validly reason with emotions and to use emotions to enhance thought.
  • An ability to recognize the meanings of emotion and their relationships, and to reason and problem-solve on the basis of them.
Artificial intelligence (AI)
  • "the study and design of intelligent agents"
  • "the intelligence of machines"
  • Term first used by John McCarthy, in 1956.
  • It is the science and engineering of making intelligent computer machines.
References
  1. Thurstone, L. L. (1973). The Nature of Intelligence.  London:  Routledge.
  2. Sternberg R.J (1982). Handbook of Human Intelligence. New York: Cambridge University Press.
  3. Mayer, J. D., Caruso, D., & Salovey, P. (1999). Emotional intelligence meets traditional standards for an intelligence. Intelligence, 27, 267-298.

Stuart Stress Adaptation Model

Introduction
  • Stuart Stress Adaptation Model is a model of of psychiatric nursing care, which integrates biological, psychological, sociocultural, environmental, and legal-ethical aspects of patient care into a unified framework for practice.
  • The Stuart Stress Adaptation Model of health and wellness provides a consistent nursing-oriented framework (Stuart, 2009).  
Assumptions
  • "Nature is ordered as a social hierarchy from the simplest unit to the most complex and the individual is a part of family, group, community, society, and the larger biosphere."
  • "Nursing care is provided within a biological, psychological, sociocultural, environmental, and legal-ethical context."
  •  Health/illness and adaptation/maladaptation (nursing world view) are two distinct continuums. 
  • The model includes the primary, secondary, and tertiary levels of prevention by describing four discrete stages of psychiatric treatment: crisis, acute, maintenance, and health promotion.
  • Nursing care is based on the use of the nursing process and the standards of care and professional performance for psychiatric nurses.
Concepts
  • Biopsychosocial approach - a holistic perspective that integrates biological, psychological, and sociocultural aspects of care.
  • Predisposing factors -risk factors such as genetic background.
  • Precipitating stressors - stimuli that the person perceives as challenging such as life events.
  • Appraisal of stressor - an evaluation of the significance of a stressor.
  • Coping resources - options or strategies that help determine what can be done as well as what is at stake.
  • Adaptation/maladaptation -
  • Levels of Prevention
    • Primary
    • Secondary
    • Tertiary
  • Four stages of psychiatric treatment & nursing care
    • Crisis stage
    • Acute stage
    • Maintenance stage
    • Health promotion stage
Conclusion
  • Stuart Stress Adaptation Model can be used across psychiatric settings.
  • This model is based on standards of psychiatric nursing care and professional performance.
References
  1. Stuart GW. (2009). Principles and Practice of Psychiatric Nursing, 10th Edition Stuart - Mosby Elsevier, Missouri.
  2. Theorist's page http://academicdepartments.musc.edu/nursing/departments/employee/directory/faculty/stuartg.htm

Excel and research.ppt

Educational objective domains.ppt

Data analysis ppt.

Critiquing research.ppt

Types of quantitative research.ppt

Developing a conceptual framework. ppt

Developing a research proposal. ppt

Selection of research problem. ppt

Education ppt

Research Statement (Mental Health Nursing)

DISSERTATION TOPIC



1.      A Comparative study to assess the level of anxiety among pre-operative cardiac patients & their family members in a specific hospital at Coimbatore.

2.      A Study on nursing assessment of load of spouses of patients diagnosed with schizophrenia undergoing treatment at NIMHANS.

3.      A Study to assess the coping strategies among the family members of patients with HIV infection in a hospital at Chennai.

4.      A Study to assess the effect of structured teaching programme regarding mental retardation on Knowledge and Attitude among mothers of mentally retarded children in selected rural areas of Madurai.

5.      A Study to assess the level of depression among alcoholics by using beck depression inventory in the Institute of Mental Health Chennai.

6.      A Study to assess the level of depression among HIV infected patients by using beck depression inventory.

7.      A Study to assess the level of depression among women who were attending a selected Infertility Clinic.

8.      A Study to assess the level of stress among married and unmarried women nurses working in selected hospital at Chennai.

9.      A Study to assess the level of stress among nurses working in operation rooms in a specific hospital at Bhopal.

10. A Study to assess the level of stress and coping among destitute women in selected destitute homes at Chennai.

11. A Study to assess the level of well being among institutionalized and non-institutionalized elderly at Chennai.

12. A Study to assess the Quality of life of patients with HIV infection and its relationship to family support at selected hospitals in Madurai.

13. A Study to compare the Behavioural problems and family background of Juvenile delinquents with normal school children of selected institutions of South Tamil Nadu.

14. A Study to compare the level of depression among elderly men and women in old age home at Chennai.

15. A Study to determine the Knowledge and attitude of parents of psychiatric in-patients regarding mental illness in selected psychiatric centres of Madurai.

16. A Study to determine the prevalence and factors influencing anti-social behaviour among adolescents in selected arts and science colleges of Madurai.

17. A Study to evaluate the effect of informational booklet on Knowledge and anxiety level among familymembers of the patients undergoing Electro Convulsive Therapy in Government Rajaji Hospital Madurai.

18. A Study to evaluate the effectiveness of the planned teaching programme on the knowledge of tobacco and Health among Adolescents in selected Engineering college Namakkal District.

19. Assessment of mental health characteristics of late adolescent age group population.

20. Assessment of Psychosocial problems & coping strategies adopted by wives of Alcoholics at Arakkampakkam Avadi.

21. Assessment of relationship between family interaction and problems faced by neurotic clients.

22. Assessment of the Mental Health knowledge practices of multipurpose health workers & their perceived need for Community Mental Health Services in selected Primary Health centres of Villupuram District Tamilnadu.

23. Assessment of the informational needs on Schizophrenia & the level of involvement among the significant family members in the care of their Schizophrenic clients at SCARF Chennai

24. Assessment of the level of awareness on problems of drug dependence among adolescent students in selected settings at chennai.

25. Assessment of Various factors contributing to the psychological well-being of industrial workers of TI Cycles of India Ambattur Chennai.

26. Comparative study to assess the stress & coping strategies of Nurses who are working in General wards & Psychiatric wards of selected Hospitals in Tamil Nadu.

27. Comparative study of the Psychological problems among Adolescent Boys & Girls in Selected Higher Secondary Schools in Ariyalur District.

28. Comparative study on the Wellbeing among Elderly couples living in the Joint Family in a Selected Rural Area of Chennai.

29. Comparison of the Stress and Coping strategies among the parents of children with Mental Retardation in a selected setting Chennai.

30. Study on Psychosocial problems faced by elderly living in their own homes in a Selected Village in Tamilnadu.

31. Study to assess the Knowledge of school teachers regarding Mental health problems related to adjustments of adolescents & Teachers role perception in promotion of Mental Health in selected schools at Uthiramerur.

32. Study to assess the Parental attitude towards their Mentally Retarded Child attending a selected school for the Mentally Retarded Thindal.

33. Study to compare the Adjustment problems & their coping strategies of the Adolescents in home with adolescents living in orphanages in Selected areas of Madurai.

34. Study to determine the effectiveness of combined interventional strategy in reducing anxiety of patients undergoing cardiac catheterization at selected hospital in Madurai.

35. Study to determine the effectiveness of counseling in reducing the psycho social problems Experiences by HIV positive patients in selected Hospitals at Madurai.

36. Study to determine the effectiveness of structured Reminiscence Psychotherapy on the Level of Mental Health of Old Age Home Residents.

37. Study to determine the level and the influencing factors of depression between elderly People who reside in old age homes & who live in families in the selected areas of Madurai.

38. Study to determine the level of Family Burden of Family members of Schizophrenic Patients at selected Hospital in Madurai.

39. Study to determine the prevalence and Variables related with Dyslexia among School Children of selected schools in Madurai.

40. Study to evaluate a structured teaching programme on Home management of Tuberculosis in terms of knowledge & Practice among defaulters in Government Rajaji Hospital at Madurai.

Principles of education and teaching learning process ppt

Nosocomial Infection ppt