1. Bahadur Ali MScN Student Year lI Semester llI DUHS karachi
Cell# +923012668673 5/7/2015 1
2. Objectives At the end of my presentation the learners will
be able to; Define Service Structure Describe History of Nursing
Directorate Explore Functions of Nursing Services Discuss Staff
Position of Nursing Officers Future Nursing 5/7/2015 2
3. Service Structure Service : the action of helping or doing
work for someone. Structure: the arrangement of and relations
between the parts or elements of something complex. construct or
arrange according to a plan; give a pattern or organization to.
Service Structure: The grade and value range descriptors group
generic functions under the categories of: policy and projects,
administrative and corporate support, operational service delivery
and technical/specialist roles. (https://www.google.com.pk/online
dic) 5/7/2015 3
4. Pakistan Nursing Council The PNC is an autonomous,
regulatory body constituted under the Pakistan Nursing Council Act
(1952, 1973) and empowered to register (license) Nurses, Midwives,
Lady Health Visitors (LHVs) and Nursing Auxiliaries to practice in
Pakistan. PNC was established in 1948. (http://www.pnc.org.pk/)
5/7/2015 4
5. PNC Nursing positions Charge Nurse (BPS14) Head Nurse (BPS
16) Nursing Supervisor (BPS 17) Nursing Instructor (BPS 17)
Assistant Nursing Instructor (BPS 17) Clinical Nursing Instructor
(BPS 17) 5/7/2015 5 Note: PNC yet not updated the cadre in
documents although it has been upgraded
6. PNC EDUCATION SERVICE STRUCTURE FOR POST GRADUATE INSTITUTES
Dean//Director of nursing education/ Principle PhD in Nursing 5
year of experience in relevant field of teaching and clinical
experience Registered with PNC Faculty Professor: PhD in Nursing, 3
year of experience in relevant field of teaching and clinical
experience Registered with PNC Associate Professor Preferably PhD 5
year of clinical/teaching experience or MSN with 10 year relevant
field of teaching and clinical experience Registered with PNC
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7. Cont. Assistant Professor MSN with 2 year clinical/ teaching
experience or Post RN BSN with 5 year post degree teaching
experience Registered with PNC Senior Instructor Post RN BSN with 3
year clinical/ teaching experience or BSN with 10 year of
clinical/teaching experience Registered with PNC Instructor Post RN
with 2 year of clinical/ teaching or BSN with 5 year clinical
experience Registered with PNC Adjunct/Visiting faculty Non nursing
subject teacher (part time)
(http://www.pnc.org.pk/Rules_for_Establishment_of_New_Nursing_Institutions_.htm)
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8. Directorate General of Nursing (Punjab) History of Nursing
Directorate Functions of Nursing Services Nursing Education
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9. History of Nursing Directorate (Punjab) Before establishment
of Directorate Nursing Services and Education were under the
control of secretary Health , and Medical Superintendent of the
concerned hospital. The highest post in Nursing Services was Deputy
Secretary Nursing at Secretariat Level. Before 1986 no posts of
BS-19 to BS-20 were exist. In 1986 the following posts were
created:
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
5/7/2015 9
10. Cont.. 3 Posts of BS-20 Director General Nursing, Punjab
Chief Nursing Superintendents/Principals School of Nursing 9 Posts
of BS-19 Principals SON in Teaching Hospitals 21 Posts of BS-18
Head Quarter, Principal, NS, & ADNS at Divisional Level 79
Posts of BS-17 Nursing Instructor, Clinical Nursing Instructor were
created
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
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11. Cont.. The other posts of all cadre has been created time
to time. After establishment of Directorate General Nursing, the
post of Deputy Secretary Nursing at Secretariat level was
demolished, now no Nursing representative is there to support
Nursing Cadre. Directorate of Nursing is functioning since, 1988 in
order to bring the Nursing Services at other professions of the
Health Department, the honorable Governor accorded approval to the
creation of Directorate General Nursing in 1st July, 1986 at the
Provincial Headquarter along with the following Nursing Officers:-
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12. Cont.. Director General Nursing, 1 (BS-20) Deputy Director
Nursing, 1 (BS-19) Assistant Directors Nursing (Headquarter) 2
(BS-18) Assistant Directors Nursing (District level) 10 (BS-18) But
unfortunately out of 8 Posts of Assistant Director Nursing BPS-18
(Divisional Level) only 4 Posts are existing and others are
demolished / occupied by others 5/7/2015 12
14. Nursing Services Administrative control of entire Nursing
cadres. Preparation of promotion cases of BPS-16, BPS-17 &
BPS-18. Disciplinary cases like show cause, warning, major penalty,
minor penalty, enquiry proceeding & exonerate enquiry. All
category of leave upto 89 days except Ex-Pakistan leave / Study
Leave, medical leave. NOC Routed though Health Department to
Ministry of Health, Islamabad.
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
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15. Staff Position of Nursing Officers/ Officials of
Directorate General of Nursing Sr No Name of Post BPS Sanction 1
D.G Nursing 20 1 2 Dy. D. Nursing 19 1 3 Assistant Dir Nursing 18 2
4 Supporting Staff 1 to 16 38 5/7/2015 15
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
16. Detail of Nursing Officers Working In Various Institutions
at Clinical Side Sr no Posts BPS 1 Charge Nurse 16 2 Head Nurse 17
3 Dy. Nursing Supdt 17 4 Nursing Supdt 18 5 Nursing Supervisor 18 6
Assistant Dir Nursing 18 7 Deputy Chief N S 19 8 Deputy Dir 19 9
D.G Nursing 20 5/7/2015
16(http://health.punjab.gov.pk/?q=directorate_general_nursing)
17. Detail of Nursing Officers Working In Venous Institutions
at Education Side Sr no Posts BPS 1 Asst. Nursing Ins 17 2 Clinical
N I 17 3 Nursing I 17 4 S N I 18 5 Vice Principal 18 6 Principal 18
7 Principal 19 8 Principal 20 5/7/2015 17
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
18. Staff Position of Nursing Examination Board. Sr no Posts
BPS 1 Controller 18 2 Assistant C 17 3 Administrative off 17 4
Support Staff 1 to 12 5/7/2015 18
(http://health.punjab.gov.pk/?q=directorate_general_nursing)
20. NURSING SERVICE STRUCTRE EDUCATION (JPMC) Principal Vice
Principal Nursing Instructor Clinical Nursing Instructor Assistant
Nursing Instructor Assistant Clinical Nursing Instructor Supporting
Staff 5/7/2015 20
21. Leave status JPMC Total leave in JPMC are 48 (Annual ) 20
Casual leave No Emergency leave No Sick leave 5/7/2015 21
22. PRIVATE INSTITUTIONS Every private institute has its own
policy of Nursing Service Structure 5/7/2015 22
23. Current Education in Pakistan Diploma in General Nursing
Diploma in Pupil Midwifery Diploma in Nurse Midwifery Licensed
Practical Nurse Post RN BSN Bachelors of Science in Nursing Masters
of Science in Nursing Doctorate in Nursing ? (AKU) Many Specialties
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24. Nursing Education Hierarchy Global View 5/7/2015 24
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30. Future of Nursing
31. Key Messages: Nurses should practice to the full extent of
their education and training, Nurses should achieve higher levels
of education through an improved education system that promotes
seamless academic progression, Nurses should be full partners with
physicians and other health care professionals in redesigning
health care Effective workforce planning and policy making require
better data collection and an improved information infrastructure.
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32. Future of Nursing Key Recommendations: Remove scope of
practice barriers. Expand opportunities for nurses to lead and
diffuse collaborative improvement efforts. Implement nurse
residency programs. Ensure that nurses engage in life long
learning. Prepare and enable nurses to lead change and advance
health. Build an infrastructure for the collection and analysis of
inter professional health care workforce data.
33. Increase the Number of Nurses with Baccalaureate, Master,
Doctorate Degree in Nursing 5/7/2015 33
34. New Models of Nursing Education Are Needed
35. New Models of Nursing Education can Create New positions
Nurse Consultant Nurse Researcher Nurse practitioner And many more
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37. Expert suggestions By ! Mr Mahmood Ahmad Mr Sabir Hussain
Sumaira Yasmin 5/7/2015 37