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

Pharmacology Quiz Series - 2

Medical-surgical Nursing Quiz Series - 2

Fundamental of Nursing Quiz Series - 2

Nursing Research Quiz Series - 2

Nursing Management Quiz Series - 2

Nursing Education Quiz Series - 1

Nursing Research Quiz Series - 1

Pharmacology Quiz Series - 1

Mental Health Nursing Quiz Series - 2

Mental Health Nursing Quiz Series -1

Nursing Management Quiz Series - 1

Medical-surgical Nursing Quiz Series - 1

Fundamental of Nursing Quiz Series - 1

Psychopharmacology

Electroconvulsive Therapy

VIVA VOCE

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   Viva voce is a Latin phrase literally meaning with living voice, but is most often translated as by word of mouth. Furthermore, viva voce is also is termed as an oral examination which consists of a dialogue between the examiner and a student where the examiner ask question and the student replies. The examiner may ask short open questions, multiple choice questions or a series of other type of questions not necessarily related to each other. 
   In nursing, viva voce is generally used to supplement the practical examination where two examiners, i.e. internal and external, ask several questions related to a particular subject matter. The viva voce might form a part of the validated assessment for a course, assessed by an oral examination. In these situations, the viva voce is a useful tool that in authenticating that the student has got enough knowledge in the subject matter.

Purposes of Viva Voce
   There are a variety of circumstances which might require the use of a viva voce and provision for these is contained in the academic and organizational regulations. There are several legitimate reasons for asking a student to attend a viva voce examination, all of which may have a different impact on the student. The main purposes of the viva voce are mentioned below:

  • To assess student's ability to communicate with another person.
  • To supplement the information obtained through other evaluation techniques.
  • To use stimulation methods like role play and telephone conversation.
  • To identify and analyse the student's presence of mind.
  • To evaluate the student's spontaneity and mannerism.
  • To acquire soundness of knowledge through various forms of question.
  • To diagnose the student's limitation and weakness and take remedial action.
Principles to Conduct Viva Voce

  • The viva should not be limited to a single topic but should cover a range of different issues to avoid the results of the viva being skewed by selecting a topic which the candidate can answer exceptionally well or about which he/she knows nothing of. All questions should be strictly relevant to the purpose of the viva.
  • Do not use long preambles to questions. Examiners should talk as little as possible during the viva.
  • The chair of the examiners must remain in charge of the session and must deal appropriately with any problem candidate or difficult situation.
  • When the last question is being asked, allow the student to complete his/her answer and end the session formally.
  • Viva voce examinations should not normally exceed 30 minutes.
  • Candidates should be examined individually.
  • Candidates should be given adequate notice of the possibility of being called to attend a viva, and this should normally not be less than 24 hours.
Advantages of a Viva Voce

  • Provide direct contact with the candidates to assess their communication, presentation skills and overall impression.
  • Provide opportunity to mitigate circumstances into accounts.
  • Provide flexibility in moving the candidates from strong to weak points.
  • Makes students formulate replies without cues, and the reaction is observed for a specific stimulus.
  • Facilitates simultaneous assessment by two or more examiners.
  • Provides an opportunity for the examiner to get feedback on the performance of the students and the university.
Disadvantages of a Viva Voce

  • Lacks standardization, objectivity and reproducibility of the result.
  • Permits favoritism and cannot be used for future references.
  • Suffers from undue influence of irrelevant factors.
  • Costly in terms of professional time.


Care of Patient on Ventilator

MANAGEMENT THEORIES

The current management practices have evolved from earlier theories. Management practices were actually a part of the governace in ancient times. Most of the current understanding of management, however is based on the classical theories of management that were introduced in 1800s during industrial age.

  1. Classical Management Theory: It is the oldest theory and is sometimes referred to as traditional management theory. The classical perspective includes three sub fields of management: scientific management, bureaucratic management and administrative management. (Wren, 1979, Daft and Marcic, 2001)
  • Scientific Management Theory: In this theory, the focus is on the goals and productivity. The organization is viewed as a machine to be run efficiently to increase production. Managers must closely supervise the work to assure maximum efficiency. Workers must have proper tools and equipments. There is a focus on training the workers to work more efficiently and performance incentives are used. Time and motion studies are the vehicle for determining how to do and organize the work in the most efficient manner.
  • Bureaucratic Management Theory: The focus of this theory is on the superior-subordinate communication transmitted from top to bottom via a clear chain of command, a hierarchy of authority and division of labor chain. This theory uses rational and impersonal management process. Here, there are explicit rules and regulations for the governing activities, focusing on exacting work processes and technical competence. There is a use of merit and skill as the basis for promotion or reward. The emphasis is given on lifetime career service and salaried managers.
  • Administrative Management Theory: Here, the focus is on the science of management and principles of an organization applicable in any setting. It identifies the need for 'POSDCORB' where P stands for planning, O for organization, S for staffing, D for directing, Co for co-ordination, R for reporting and B for budgeting. It is mainly concerned with the optimal approach for administrators to achieve economic efficiency.
2. Human Relation Management Theory: In this theory, the focus is on the empowerment of the individual worker as a source of control, motivation, and productivity in the organizations. The Hawthorne studies led to belief that human relations between workers and managers and among the workers were the main determinants of efficiency. The 
Hawthorne effect refers to the phenomenon of how being observed or studied result in a change of behavior. This theory also emphasizes on the participatory decision making which increases worker's autonomy. It also lays emphasis on the training of the employees to improve work.