E L S E V I E R N U R S I N G COLLECTION

We express our heartfelt gratitude...

Gyandeep: Enhancing the

quality of care.

In the 21st century, nursing

as a healthcare profession

focuses on the care of

individuals, families, and

communities to enable

them to attain, maintain,

or recover optimal health

and quality of life from birth to the end of life.

And that is what we at Gyandeep will try and help

you to deliver.

Gyandeep is an initiative brought to you by Elsevier,

designed specifically to put world class information

and tools right into your hands. Thus helping you

and your community to become increasingly more

effective and productive in your work.

We will be doing so, via this regular newsletter

which will arrive on your desk every quarter. Our

aim will be to provide you with information that is

relevant, up-to-date and comprehensive so you can

ensure quality care for all, while maintaining your

profession's credentials, code of ethics, standards,

and competencies and continuing education.

At Gyandeep, we are proud to be a part of your

community and to participate in the advancement

of your field of specialisation. We would also greatly

appreciate your feedback on this first issue of

Gyandeep: Did you find it interesting and informative?

How can we improve it? What more can we add

by way of topics and subjects relevant to you?

We would like to get your opinions and inputs on

how to value-add to it, to make it more involving

and knowledgeable for you. Please email us at:

contactus@elsevier.com

Ajit K Sharma

Chief Custodian, Gyandeep

Elsevier Health Sciences, India

Communique

Issue 1: Jan, 2010

Message from the Chief Custodian Presenting Gyandeep:

Elsevier's special programme for

Principals of Nursing Colleges

At Elsevier, the world's leading publisher of science and health

information, we have absolutely no doubt that you hold the key to

the future of this country. It is your leadership that ensures the youth

of the country get the skills and knowledge they need to drive India

to achieve its full potential in the 21st century.

To help you do this, you need faculty with the right skills, facilities to

impact training, conduct research and maintain a storehouse of

knowledge in the form of a comprehensive, up-to-date library. By

delivering world-class information and innovative tools, we aim to

increase the efficiency and effectiveness of your library - and now

would like go further to help you fulfill your crucial mission.

A special programme for Principals,

Gyandeep, is designed to help you

deal with the plethora of information

you receive about printed and online

publications, and ensure that your

students and colleagues access the

most relevant sources, in the shortest

time, at the least cost.

You may have already joined the

Gyandeep initiative, but just in case

you haven't, we would really

appreciate it if you could please fill

in the Gyandeep Acceptance Form to

enable us to take your suggestions

and preferences on board. This will

ensure that we meet the needs and

requirements of the widest cross

section of teaching professionals.

It would also give us the opportunity to send you a personalised

welcome gift - our way of welcoming your institute to Gyandeep.

By sending us the filled in Acceptance Form, you would be part of

the growing ranks of healthcare professionals (Principals of Nursing

colleges) who have already been welcomed into the Gyandeep

family… 300 to date and still counting.

Please complete Gyandeep Acceptance Form

as soon as possible and fax it back to us at 011-41664558

or e-mail us at contactus@elsevier.com.

Across international boundaries…Friendship fosters learning: The importance of friendship in clinical practice

Global Round Up: Science & Health News...

An Overview

Aims of this

paper:

• To highlight the

importance of

friendship to

student nurses

whilst in

clinical practice.

• To argue that students form their

own parallel community of practice.

• To establish links between

friendships and learning.

Literature review: Peer support and

Peer learning

Wenger (1998) is of the firm opinion

that we learn through doing; she

presents four important premises

concerning learning. ''Firstly, we are

social beings and this is a central

aspect of learning. Secondly,

knowledge is linked to competence in

valued enterprises.

A Canadian study by Campbell et al.

(1994) found two major factors

influence students learning in clinical

practice: the clinical instructor and

peer support.

The notion of informal training would

seem to be entirely applicable to the

kind of learning which takes place in

clinical practice. The basis of the

friendship was mutual understanding

and awareness of each other's needs

and their experience made it difficult

for them to talk to other members of

their social world.

Thirdly, in order to gain knowledge,

participation in valued enterprise is

required. And finally, our ability to

experience the world and

engagement with it is ultimately what

learning is to produce”.

These four aspects are closely linked

together and are particularly

important when applied to the context

of learning for student nurses.

Mentors act as gatekeepers to what

the student is allowed to experience

and traditionally teaching. The

learning which takes place between

nursing students in clinical practice

could be said to be informal learning

in that there may not be any

awareness of the learning at the time

it takes place (implicit learning).

The learning may be spontaneous

and unplanned and although the

learner may be aware of it; the level

of intentionality is questionable

(reactive learning).

the responsibility of helping to relieve

patient’s pain. While nursing students

may develop a basic understanding of

what constitutes pain (anything the

patient says it is) in their training,

students may feel ill equipped when it

comes to implementing pain specific

interventions.

Conceptual theoretical empirical (C-T-E) system, developed by Fawcett is one example of a framework that may help guide nursing students in their management of pain. C-T-E is made up of three key components: (a) a conceptual model to guide practice; (b) a middle range theory (MRT) to address the area of concern; and (c) an empirical indicator to collect specific data. The benefits of using C-T-E systems include reduced staff turnover, more rapid movement from novice to expert nurse, increased patient and family satisfaction.

intensity and duration as well as

assessment of environmental,

social and cultural aspects of pain

(Bird, 2005).

In hospital settings, however, the use

of traditional pharmaceutical

measures are more common than

non-pharmaceutical measures (e.g

thermal measures, massage therapy,

aromatherapy, and meditation).

Nursing students are challenged with

Nursing patients with acute chest pain: Practice guided by the Prince Edward Island

conceptual model for nursing

As the research on pain has

expanded, best practice

standards have been established

which suggest that both

pharmaceutical and non

pharmaceutical measures should

be used to control patient’s pain

The students observed each other

performing clinical skills and gave

each other feedback in a positive

and supportive way; respondents

also reported that they depended

on each other to share

experiences, which they asserted,

helped them to learn

An Overview

Pain, a complex

phenomenon,

originates from

sensory stimuli, has

obvious motivational-

affective properties,

demands attention,

disrupts thought and behavior and

results in activity aimed to stop the

pain (Melzack, 1982). More recently,

the definition of pain has been

expanded to include it being

subjective, multifaceted and

influenced by many factors such as

personal experience and culture. For

the pain to occur, a stimulus must be

strong enough to exceed the patient’s

normal pain thresholds.

Key physiological pain assessment

factors include: location, type,

A: • Demonstration of nursing skills

• Clinical Training

• Laboratory Training

• Practical training should be under close clinical supervision

A: It's not one article or book which influence the practice, but the hands on experience which we get by attending some workshops. Unfortunately, these Credit based workshops which give weightage to practice or allow to work on patients are not held in India.

A: Achievement – To bring the institute up to the expectation of the vision of the college. Failure- Gap between principal and students, also credit based skills are not practiced here.

A: My teachers. Actually I am from the Army and we have a very good system in the Army.

A: The plans for the colleges are decided by the university and they lay down the rules which are to be followed by the teachers and the students.

Q: Are there any recent articles, books, people or conferences that have impacted your professional life?

Q: What was the biggest accomplishment/failure which you would consider a stepping stone in your career?

Q: Who is/are your role model(s)?

Q: What are your plans for the college in the next 5 - 10 years?

curriculum the right way.

A: Basically, today is the era of knowledge explosion, and we try to give independence to students to learn and encourage them to learn. We keep a check on whether the curriculum is being implemented along with the participation of faculty.

A: The biggest challenge is to see that nursing students are getting objective based learning, they should be able to deliver what they are expected to deliver. The most important goal is to inculcate professional accountability in students.

Q: What do you see as the over-riding role of a Principal in helping students develop academic, personal and ethical values?

Q: What do you find is your biggest challenge as a Principal? And what would be your most important goals?

Q: What is the vision statement of this college? And how does it fit in with your personal educational philosophy?

Q: What has been your experience with the present curriculum? How are you utilizing this experience at the college?

A: The vision statement is that the Indian Nurses standard should be at par with the Global standard, they should be technically sound, should have research and evidence based skills. My personal philosophy is relevant to this vision because my aim is to give clinical education, methodological training to the students with the involvement of the teachers.

A: I'm ok with the present curriculum but with the increasing number of colleges there is no uniformity in the standard of implementing the curriculum. I'm utilizing my experience to implement the

Q: What are the important methods and inputs that can help teachers impart excellence in education to their students?

Recommended Reading

Moroney's Surgery for Nurses 17/e-Chintamani, Elsa Sanatombi Devi

The seventeenth edition of this

popular book has incorporated the

advanced modalities of diagnosis

and treatment of surgical

conditions, while retaining the

original flavor of this book.This book promises to

encourage a nursing student to learn the science and art

of surgery in a simplified and comprehensive way.

Recommended Reading

Toohey's Medicine, 15/e-Arnold Bloom

In spite of recent changes in

nursing education, nurses still

need to know about medicine to

understand their work with

patients. It is a short textbook of

medicine written by medical experts, but read by nurses.

It has been written in consultation with nurses and covers

exactly the medical knowledge that they require.

In conversation with...

Mrs. Meera Pillai, Principal, Nitte Usha Inst of Nursing Sciences, Nitte Med. Sciences Complex, Kottekar Beeri Road, Paneer, Deralakatte, Mangalore, Karnataka

Teachers can impart

better education through

demonstration of nursing skills,

Clinical Training, Laboratory

Training and Practical training

should be under close

clinical supervision

Gyandeep Help Desk: A Contact Point

Meet Dr. Jasneet, Gyandeep - Relationship Manager

To contact us, please call Dr. Jasneet at:

011-46074929

011-41664558

contactus@elsevier.com

We would like to introduce

Dr. Jasneet, who will be your

first line of contact at Gyandeep.

Dr. Jasneet will be happy to answer

your queries, provide touch points,

help to gather relevant information

- in short, facilitate interaction between Gyandeep and

our community of professionals.

We look forward to your feedback on the healthcare

industry as well as your suggestions on what we can do

to enhance and improve Gyandeep. And as we are keen

to collaborate with your institute by helping your faculty

publish with us, we will be happy to receive articles to be

published by us.

Elsevier, a division of Reed Elsevier India Private Limited14th floor, Building No. 10B, DLF Cyber City, Phase-II, Gurgaon, Haryana, India-122002

Tel: +91-124-4774444 Fax: +91-124-4774100

E-mail: contactus@elsevier.comWebsite: www.elsevierhealthindia.com

Q: Could you tell us a little bit about yourself? Your academic highlights? Your personal philosophy vis-à-vis educating the young?

Q: Do you consider your students as being family? What is the role of discipline in your student's life?

A: I have done my specialization in Psychiatry, doing my PhD; I have retired voluntarily from Army as a Lt. Colonel in 2003. My personal philosophy is to “Do your Best”, try to bring about change and as a teacher you have to be firm and at the same time be student friendly.

A: Yes, because some students come to me for suggestions as they feel comfortable talking to me. We do have to make our students disciplined and at the same time have to be friendly

with them so that they don't feel pressurized and know that they can approach us for help.

A: I would prefer to be a mentor and there should a gap between students and the teachers which is necessary to inculcate discipline among them.

A: Yes, I do listen to the students and there are cases when students come to me for suggestions. No, the Principal's decision is not the final one. In fact, by and large, we take

Q: Would you consider yourself a mentor and friend or do you believe in keeping a certain distance between yourself and your students?

Q: Do you listen to your students? Ask for their suggestions and inputs? Or is the Principal's word the final decision on any subject?

collective decisions and we don't usually take unilateral decisions.

A: We always go by the university decision and the rules laid down by university are treated as final.

A: No, I think there should always be some scope of flexibility so that the rules can be modified and one doesn't feel suffocated.

A: This program is really useful and it has created a common platform by which the colleges can directly approach the publishers for their books and journal requirement.

Q: When any student transgresses, is he/she given a second chance to make good?

Q: Do you believe that everything in the college has to be as per the letter of the law?

Q: How did you find the program and your feedback on this?

Our Mission

To build a community of leaders who can interact & share knowledge and expertise amongst nursing professionals.

We would like to hear from you.

To enable Gyandeep to better serve your needs and

requirements, it is imperative that we get feedback from

you:

Your opinions on the subjects we feature

Your suggestions on how to keep enhancing and

improving the look and feel of every issue

Your take on new and innovative thinking and

theories in the areas of education and information

management

All these are of great importance to us, so please email

or call us at the mentioned contact points.

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To build a community of leaders

in the nursing profession.