INSTITUTE OF PSYCHIATRY

Nursing Bulletin

1stWORKSHOP
On
THEME
Nursing: A Voice to lead-Achieving the
Sustainable Development Goals
On
Date- 9thMay, 2017

Organized by
Psychiatric Nursing Education Department
Central Institute of Psychiatry
Kanke,Ranchi.-834006 Jharkhand

PROGRAMME SCHEDULE
DATE: 9th MAY, 2017
09.00 AM REGISTRATION

09.30 AM ARRIVAL OF THE CHIEF GUEST PROF. D. RAM DIRECTOR ,CIP

RANCHI

09.35 AM DIGNITARIES TAKING THEIR SEATS ON THE DAIS

09.40 AM FELICITATION OF THE DIGNITARIES ON THE DAIS BY

PRESENTATION OF BOUQUETS
09.45 AM WELCOME SONG BY THE NURSING STUDENTS

09.50 AM WELCOME SPEECH BY THE ASSOC. PROF. SUMITA S.

MASIH,CIP

10.00 AM LIGHTING OF THE INAUGURAL LAMP

10.05 AM RELEASE OF SOUVENIR OF 1stWORKSHOP 2017

10.10 AM SPEECH BY GUEST OF HONOUR DR. BASUDEV DAS, A.O.CIP

RANCHI

10.20 AM SPEECH BY CHIEF GUEST PROF. D. RAM DIRECTOR ,CIP

RANCHI

10.25 AM HONOURING CHIEF GUEST & GUEST OF HONOUR

10.30 AM VOTE OF THANKS BY MR. A. SRINIVASAN

10.35 AM HIGH TEA

Theme
Nursing: A voice to lead Achieving the
Sustainable Development Goals
1stWORKSHOP
Date: 9th May, 2017
TIMING TOPICS SPEAKERS
CHAIRPERSON MR. NUMOL KACHHO PRINCIPAL SHINE CON RANCHI
MRS. MAMTA KUJUR PROFESSOR ,RIMS CON,RANCHI

10.40 AM THE SUSTAINABLE DEVELOPMENT Dr Aniruddha Mukherjee

TO GOAL Asst. Prof. of Psychiatry CIP, Ranchi
11.10 AM
11.10 AM A VOICE TO LEAD AS A MsSakshiRai
TO INDIVIDUALS & PROFESSION Asst. Prof. of Clinical Psychology
11.40AM CIP, Ranchi
11.40 AM A VOICE TO LEAD AS A MEMBER OF Ms Mittu M. Varghese
TO MULTI -DISPLINARY TEAM Asst. Prof. of Psychiatric Social Work
12.10 PM CIP, Ranchi
12.10 PM NURSES ROLE IN ACHIEVING THE Mr A. Srinivasan
TO SUSTAINABLE DEVELOPMENT GOAL M.Phil., M.Sc.in Psychiatric
12.40. PM NursingCIP, Ranchi
12.40. PM DISCUSSION
TO
01.00. PM
01.00 PM LUNCH AT CIP
TO
02.00. PM
02.00. PM COMPETITION
TO
03.00. PM
03.00. PM VALEDICTORY SESSION
TO
04.00. PM

MESSAGE

From the Chief Patrons Desk

It is pleasure to know that the Psychiatric Nursing Education Department is
organizing the one day workshop on the occasion of International Nurses Day
which is being held on 9th May, 2017 at Central Institute of Psychiatry,
Kanke Ranchi, and Jharkhand. The Theme of the workshop programme is
Nursing: A Voice To Lead Achieving The Sustainable Development
Goals, which is quite relevant considering the ever growing and nurses respond to
the all health needs of the people in all setting throughout of the lifespan. Their
roles are critical in achieving global mandates such as universal coverage of health
and the sustainable development goals.
Nursing encompass the promotion of health, prevention of illness and care of
physically ill, mentally ill and disabled people of all age in all health care and
other community setting.
I hope this one day workshop programme would definitely be a beneficial thing to
all health professional or more specifically in nursing department. I am sure
scientific deliberation in workshop and all competition would be an enriching
experience.
I wish a very successful workshop programme.

Dr. D. Ram
Chief Patron
Workshop Programme
Central Institute of Psychiatry
Kanke, Ranchi, Jharkhand.

FORWARDING MESSAGE..

Dr Aniruddha Mukherjee
Asst. Prof. of Psychiatry CIP, Ranchi

It gives me immense pleasure to welcome you all to the Workshop on Sustainable

Development Goals (SDGs) organized by the Department of Nursing, CIP, Ranchi.
Nurses play an integral role in the healthcare system. Demographic developments and
planned reorientation towards healthcare, the responsibility of nurses are evolving. The
SDGs adopted by the United Nations in 2015 covers a broad range of sustainable
development issues for the world such as ending poverty, hunger, improving health and
education, combating climate changes, etc. These ambitious and aspirational SDGs call for
significant rethinking in development processes across the world.
This workshop would try to explore the various roles the nursing community could play in
the implementation of these SDGs.
I hope you find this exercise enriching and fruitful.

FORWARDING MESSAGE..

From the Chairpersons Desk

It give me immense pleasure and pride to write this message for the souvenir as the
chairperson of the organizing committee of the workshop which is being held on 9th May,
2017 at Central Institute of Psychiatry, Kanke Ranchi, and Jharkhand. This
programme was planned to commemorate the international nurses day (12th May), which
was announced by the international council of nurses.It is celebrated around the world every
May 12 the anniversary of Florence nightingales birth.
The Theme of the workshop programme is Nursing: A Voice to Lead Achieving the
Sustainable Development Goals, for raise awareness both amongst the nursing profession
and the general population and policy makers of what the SDGs are and to give to all the
chance to contribute at their own level and recognise the efforts they already make every day
to achieve these goals. People want, need and are seeking not simply health care, but
humanised health care. The wealth of our nations depends on the health of our populations,
and the health of our populations depends on nursing. The Central Institute of
Psychiatry, Kanke Ranchi, has been performing commendable role in fostering as well as
promoting the nursing discipline since its inception and this year happens to be the
centenary year of the great institute. Therefore, organize such a programme in this institute
indeed a matter of great pleasure and satisfaction to all of us who are involved in workshop.
Thetopics of invited lectures have been planned very skilfully.Participants of the
programme will definitely be benefitted by the deliberationof distinguished speakers selected
for the workshop programme. Iam very much sure this programme is going create significant
impact on the field of nursing.
Mrs Sumita S. Masih
Organizing chairperson
Associate Professor
Psychiatric nursing Education Department
CIP, Kanke, Ranchi, Jharkhand.

FORWARDING MESSAGE..

From the Organizing Secretarys Desk

The International Council of Nurses (ICN) hasselectedNurses:
AVoicetoLead,AchievingtheSustainableDevelopmentGoals asthe theme for International
Nurses Day (IND) on 12May2017.
The United Nations Sustainable Development Goals (SDGs) arean opportunity for
nurses to demonstrate how theiractionsmakeadifference andhowthey help hope decision-
makingprocesses and health care policies.
Nurses ability to effectivechangesisequally asimportant asthetechnicalability
todeliversafeandeffectivecare.Policy development is
apracticaltoolforchange,andparticipation in policymaking isa logicalextensionand
expression of the nursing professionscare and compassion.
To ensuretheachievementof theSDGsandmakehealtharealaityforbillions
ofpeopleacrosstheglobe, weneedconfident, well-informednursingleaders whounderstand
theircriticalroleandcontribution.

ThisyearsICNcampaign isdesignedto increasenursesunderstanding ofthe SDGs and

their significance, andhowmillions of nursesaroundtheworld
arealreadycontributingtoachievementoftheseglobal goals.ICN aimsto encourage nurses to
lead, toinspire others totakeont h e SDGs challenge,to informcolleagues,governments
andthepublic abouthow toleveragenursingknowledge,and tocelebratetheworkthatnursesdo
everyday toadvanceglobalhealthagendas.

(A. Srinivasan. MSc (N), MPhil (N).)

Nurses: A voice to lead Achieving the Sustainable Development

Goals
WE ALL KNOW THE FAMOUS QUOTE BY
BE THE CHANGE YOU WISH TO SEE IN THE WORLD

Nurses, through the profession they have chosen, make sacrifices

day in and day out to help others. We are often, held up as angels,
role models kind hearted, giving and caring people. So how much
more can nurse really do?
This year international nurses council has chosen the theme
Nurses: A voice to lead Achieving the Sustainable Development
Goals. Does this mean ICN wants nurses to do more work? Are
nurse really expected to go out and solve all world problem? When
the nurses are overworked, underpaid, under resource, dissatisfied
and exhausted. The answer quite simple is all the nurses are already
doing it and ICN wants to celebrate nursing achievements. Millions of
nurses around the world are already contributing to their success and
making health a reality for billions of people across the globe.
The Sustainable Development Goals were adopted by the united
nation in 2015 to replace the millennium development goals. They
contain 17 goals covering a broad range of Sustainable Development
issues for the world such as ending poverty, hunger improving health
and education etc. Health is a central place in Sustainable
Development Goals.
Ensure healthy lives and promotion wellbeing for all age and clearly
nursing has a major role to play in relation SDGs
Nurses seek to help people achieve their optimal health. Nurses go in
to the profession to improve the health of individual and population
.This is fundamental care of nursing.
This international nurses day we seek to celebrate their story in this
souvenir to inspire us for action by demonstrating how nurses can
influence their surrounding and communities to create a health in
world

Mrs Sumita S. Masih

Associate Professor
Psychiatric nursing Education Department
CIP, Kanke, Ranchi, Jharkhand.

Dr Aniruddha Mukherjee
Asst. Prof. of Psychiatry CIP, Ranchi
SUSTAINABLE DEVELOPMENT GOALS
In 2015, the 191 member United Nations agreed a new set of global goals
to eradicate poverty and achieve sustainable development. These
Sustainable Development Goals (SDGs) were build on the Millennium
Development Goals which were to be achieved by 2015. These are a
comprehensive set of 17 goals to achieve the World We Want. Broad
partnerships would be required at global and national levels to reach these
goals.As of August 2015, there were 169 proposed targets for these goals
and 304 proposed indicators to show compliance. For sustainable
development to be achieved, it is crucial to harmonize economic growth,
social inclusion, and environmental protection.Everyone needs to do their
part: governments, the private sector, civil society and individuals. Nurses
are the primary providers of healthcare to all communities in all settings.
Be the change you wish to see in the world- Mahatma Gandhi
The International Council of Nurses has chosen the theme for the year
2017 Nurses: A Voice to Lead, Achieving the Sustainable Development
Goals. Nurses, through their profession they have chosen, make sacrifices
day in and day out to help others. They are often held as angels, role
models, kind-hearted, giving and caring persons. The SDGs presents with
an opportunity to apply the knowledge they have as nurses to create a
healthier and better world.
Health-related Sustainable Development Goals TARGETS
Goal 1. End poverty in all its forms everywhere
Implement nationally appropriate social protection systems and measures
for all, including floors, and by 2030 achieve substantial coverage of the
poor and the vulnerable

By 2030, build the resilience of the poor and those in vulnerable situations
and reduce their exposure and vulnerability to climate-related extreme
events and other economic, social and environmental shocks and disasters
Goal 2. End hunger, achieve food security and improved nutrition and
promote sustainable agriculture
By 2030, end hunger and ensure access by all people, in particular the
poor and people in vulnerable situations, including infants, to safe,
nutritious and sufficient food all year round
By 2030, end all forms of malnutrition, including achieving, by 2025, the
internationally agreed targets on stunting and wasting in children less than
5 years of age, and address the nutritional needs of adolescent girls,
pregnant and lactating women and older persons
Goal 3. Ensure healthy lives and promote well-being for all at all ages
By 2030, reduce the global maternal mortality ratio to less than 70 per
100,000 live births
By 2030, end preventable deaths of newborns and children under 5 years
of age, with all countries aiming to reduce neonatal mortality to at least as
low as 12 per 1,000 live births and under-5 mortality to at least as low as 25
per 1,000 live births
By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected
tropical diseases and combat hepatitis, water-borne diseases and other
communicable diseases
By 2030, reduce by one third premature mortality from non-communicable
diseases through prevention and treatment and promote mental health and
well-being
Strengthen the prevention and treatment of substance abuse, including
narcotic drug abuse and harmful use of alcohol
By 2020, halve the number of global deaths and injuries from road traffic
accidents
By 2030, ensure universal access to sexual and reproductive health-care
services, including for family planning, information and education, and the
integration of reproductive health into national strategies and programmes
Achieve universal health coverage, including financial risk protection,
access to quality essential health-care services and access to safe,
effective, quality and affordable essential medicines and vaccines for all
By 2030, substantially reduce the number of deaths and illnesses from
hazardous chemicals and air, water and soil pollution and contamination
Strengthen the implementation of the World Health Organization
Framework Convention on Tobacco Control in all countries, as appropriate
Support the research and development of vaccines and medicines for the
communicable and non-communicable diseases
Substantially increase health financing and the recruitment, development,
training and retention of the health workforce in developing countries,
especially in least developed countries and Small Island developing states
Strengthen the capacity of all countries, in particular developing countries,
for early warning, risk reduction and management of national and global
health risks
Goal 4. Ensure inclusive and equitable quality education and promote
lifelong learning opportunities for all
By 2030 eliminate gender disparities in education and ensure equal
access to all levels of education and vocational training for the vulnerable,
including persons with disabilities, indigenous peoples and children in
vulnerable situations
Build and upgrade education facilities that are child, disability and gender
sensitive and provide safe, nonviolent, inclusive and effective learning
environments for all
Goal 5. Achieve gender equality and empower all women and girls
Eliminate all forms of violence against all women and girls in the public and
private spheres, including trafficking and sexual and other types of
exploitation
Eliminate all harmful practices, such as child, early and forced marriage
and female genital mutilation
Ensure universal access to sexual and reproductive health and
reproductive rights as agreed in accordance with the Programme of Action
of the International Conference on Population.
Goal 6. Ensure availability and sustainable management of water and
sanitation for all
By 2030, achieve universal and equitable access to safe and affordable
drinking water for all
By 2030, achieve access to adequate and equitable sanitation and hygiene
for all and end open defecation, paying special attention to the needs of
women and girls and those in vulnerable situations
Goal 7. Ensure access to affordable, reliable, sustainable and modern
energy for all
By 2030, ensure universal access to affordable, reliable and modern
energy services
Goal 8. Promote sustained, inclusive and sustainable economic
growth, full and productive employment and decent work for all
By 2030, achieve full and productive employment and decent work for all
women and men, including for young people and persons with disabilities,
and equal pay for work of equal value
Take immediate and effective measures to eradicate forced labour, end
modern slavery and human trafficking and secure the prohibition and
elimination of the worst forms of child labour, including recruitment and use
of child soldiers, and by 2025 end child labour in all its forms
Protect labour rights and promote safe and secure working environments
for all workers, including migrant workers, in particular women migrants,
and those in precarious employment
Goal 10. Reduce inequality within and among countries
By 2030, empower and promote the social, economic and political
inclusion of all, irrespective of age, sex, disability, race, ethnicity, origin,
religion or economic or other status10.7 Facilitate orderly, safe, regular and
responsible migration and mobility of people, including through the
implementation of planned and well-managed migration policies
Goal 11. Make cities and human settlements inclusive, safe, resilient
and sustainable
By 2030, ensure access for all to adequate, safe and affordable housing
and basic services and upgrade slums
By 2030, provide access to safe, affordable, accessible and sustainable
transport systems for all, improving road safety, notably by expanding
public transport, with special attention to the needs of those in vulnerable
situations, women, and children, persons with disabilities and older persons
By 2030, significantly reduce the number of deaths and the number of
people affected and substantially decrease the direct economic losses
relative to global gross domestic product caused by disasters, including
water-related disasters, with a focus on protecting the poor and people in
vulnerable situations
By 2030, provide universal access to safe, inclusive and accessible, green
and public spaces, in particular for women and children, older persons and
persons with disabilities
By 2020, substantially increase the number of cities and human
settlements adopting and implementing integrated policies and plans
towards inclusion, resource efficiency, mitigation and adaptation to climate
change, resilience to disasters, and develop and implement, in line with the
Sendai Framework for Disaster Risk Reduction 2015-2030, holistic disaster
risk management at all levels
Goal 12. Ensure sustainable consumption and production patterns
By 2020, achieve the environmentally sound management of chemicals
and all wastes throughout their life cycle, in accordance with agreed
international frameworks, and significantly reduce their release to air, water
and soil in order to minimize their adverse impacts on human health and
the environment
Goal 13. Take urgent action to combat climate change and its impacts
Improve education, awareness-raising and human and institutional
capacity on climate change mitigation, adaptation, impact reduction and
early warning
Goal 16. Promote peaceful and inclusive societies for sustainable
development, provide access to justice for all and build effective,
accountable and inclusive institutions at all levels
End abuse, exploitation, trafficking and all forms of violence against and
torture of childrenBy 2030, provide legal identity for all, including birth
registration
Goal 17. Strengthen the means of implementation and revitalize the
global partnership for sustainable development
By 2020, enhance capacity-building support to developing countries,
including for least developed countries and small island developing states,
to increase significantly the availability of high-quality, timely and reliable
data disaggregated by income, gender, age, race, ethnicity, migratory
status, disability, geographic location and other characteristics relevant in
national contexts
There are many ways in which the health and well-being of people
and populations can be enhanced and improved. Whether it be in clinical
practice, working with individuals and their families, through community
support and development programmes, national health initiative and policy,
or international commitments and agreements to improve access to and the
quality of healthcare. At every level, nurses have a significant role to play.

NURSING A VOICE TO LEAD AS A INDIVIDUALS AND PROFESSION

Wherever you are in the world it is very likely you will find that health and
meeting health needs is a significant focus of public debate and concern.
Indeed, it feels like health is always in the news. This may stem from a
number of reasons, some predictable and others less so. For some
reasons as increasing health challenges related to the ageing population; a
rise in chronic diseases and other long term conditions; growing citizen
expectations for more and better health services; and technological
progress, which continue to put an expectation of growth in funding for
health services. The 2014 Ebola disease outbreak in West Africa showed
that global action to protect health is essential; infections are able to cross
borders and travel to all corners of the globe just as people can. Natural
disasters and conflict do not respect country boundaries either and require
responses from across the world. With the growing advancement and
globalization the role of nursing is utmost important while viewing the health
care system in a broad aspect.
How can we make a difference? It is easy to feel very small. Yet the impact
of globalisation continues to grow and affect our daily lives. We are all
intimately connected and, as one of the largest workforces in the world,
nurses have to work together to understand and ensure that globalisation is
a positive force for good.
Definition of Nursing-Nursing encompasses autonomous and
collaborative care of individuals of all ages, families, groups and
communities, sick or well and in all settings. Nursing includes the promotion
of health, prevention of illness, and the care of ill, disabled and dying
people. Advocacy, promotion of a safe environment, research, participation
in shaping health policy and in patient and health systems management,
and education are also key nursing roles. (ICN 2002)
Individual vs. country in fragile health care system- The disease
specific approaches of the Millennium Development Goals (MDG) left many
countries with fragmentation in care and weak service delivery systems.
This outbreak raised many questions: How can you rapidly respond to a
lack of health care workers due to illness or even death? How can you
rapidly skill up a nurse workforce to deliver care in very different settings?
How do you rapidly get access to the right equipment? How do you
communicate to the public in an effective way? There is a clear need for
health systems that can respond to such shocks in a timely and effectively
manner while continuing to provide necessary health services.
Nurses have made significant contributions to improving child survival and
their impact is well documented (Awoonor-Williams et al 2013). Major
progress has been made in increasing access to clean water; improving
sanitation; reducing malaria, tuberculosis, and polio; and decreasing the
spread of HIV (Marmot et al 2012). Nurses have been at the forefront of
many of these gains (ICN 2013) however we must acknowledge that more
can be done.
There is now a global recognition that whatever the nature of the
challenges, staying focused on ensuring healthy lives and promoting well-
being for all at all ages is essential to sustainable development. The need
for strong and resilient health systems, able to respond to rapid change, is
at the heart of the United Nations Sustainable Development Goals (SDGs).
Why should nurses engage in health system strengthening?
We can all acknowledge that the world has never possessed such a
wide range of interventions and technologies for curing disease and
increasing life expectancy. Yet the gaps in health outcomes continue to
widen. The positive impact of existing interventions is not matched by the
power of health systems to deliver them to those in greatest need, in a
comprehensive way and on an adequate scale. The role of public health in
building and strengthening health systems and increasing their resilience is
clearly a priority for all nurses. Investing in health promotion and illness and
disease prevention can have a positive impact by potentially relieving
demands made on the health system by those in ill health as well as
contributing economically to society through healthy and productive
citizens.
As a social determinant- as a social determinants of health nursing
should be a core part of health professionals business, as it improves
clinical outcomes, and saves money and time in the longer term. But, most
persuasively, taking action to reduce health inequalities is a matter of social
justice.
The ICN Code of Ethics for Nurses clearly states nurses responsibility for
initiating and supporting action to meet the health and social needs of the
public, in particular those of vulnerable populations (ICN 2012a). The role
of the nurse as an advocate for equity and social justice
In 2007, the WHO identified strengthening health systems as a global
strategic priority. They argued that this priority was Everybodys Business
(WHO 2007). They identified six key building blocks to achieving a strong
system which are listed below:
1. Good health services are those which deliver effective, safe, quality
personal and non-personal health interventions to those that need
them, when and where needed, with minimum waste of resources.
2. A well-performing health workforce is one that works in ways that are
responsive, fair and efficient to achieve the best health outcomes
possible, given available resources and circumstances
3. A well-functioning health information system
4. equitable access to essential medical products, vaccines and
technologies
5. A good health financing system
6. Leadership and governance
A weak health system cannot be resilient to meet the above mentioned
needs. Thinking about where you work, do you see the WHO (2007) six
building blocks in action? Where do they need strengthening? What can
you do and who could help you?
The goal for successful health systems is to be able to adapt, learn and
be flexible. These three core concepts are fundamental to building and
developing resiliency.
Flexibility is characterised by an ability in the organisation to easily
modify its processes. These could relate to factors such as workforce
employment conditions or service delivery models.
Adaptability is the ability of an organisation to change or be changed in
order to fit or work better in some situation or for some purpose.
 A learning organisation is an organisation that facilitates the learning of
its members and continuously transforms itself.
Nurses at the core of resilience: Nurses make a significant
contribution to developing and maintaining resilience in health systems.
We contribute to service development; supervise and develop other
members of the team; work with and advocate for patients, their carers
and communities; and collect data and inform the development of
evidence. And so nursing and nurses can:
1. Lead and support interprofessional education (IPE) and
interprofessional collaborative practice (IPCP). Interprofessional
collaboration is an innovative solution to health systems
strengthening. IPE prepares health workers for interprofessional
collaboration and is an essential precursor to collaborative practice.
2. Advocate for a paradigm and operational shift in health care that
balances illness focused care with population health. Global agendas
and plans require a recognition that we need to be in the business of
health and not in the business of illness
3. Identify and champion global and national strategies to address
health workforce maldistribution and migration. These strategies
should be evidence-based and tailored to the local context. They
should aim to address regulation for nursing education, skill mix,
working conditions and environments, continuous professional
development, and career structures
4. 4. Strengthen and diversify primary health care. Primary health care
(PHC) creates resilience, efficiency and equity in health systems.
Strengthening PHC requires international, national, educational,
institutional, regulatory and individual support.
5. Ensure a strong nursing voice in all health and social system policy
development and planning dialogues. ICN believes that all nurses
should contribute to public policy development and planning related
to care delivery systems, health care financing, ethics in health care
and determinants of health.
6. Design and improve information infrastructures and data collection to
support health system redesign and planning. Information
infrastructures can collect information about the size, skill-mix, license
type, demographics, distribution and education of the nursing
workforce
7. Participate in research related to HRH and in health systems
research and evaluation in order to create and synthesize the best
evidence.
 8. Consider the influence of complex, ubiquitous social and gender
issues such as the determinants of health, and inequality and
inequity. HRH research indicates that systemic gender imbalances
pose a major challenge for the health workforce

Ms SakshiRai
Assistant ProfessorDepartment of Clinical Psychology
CIP, Kanke- 834006Ranchi- Jharkhand
Mob- +91-9709288946Sakshi.bhu@gmail.com

As a Leader in a multidisciplinary team

By MrsMittu M. Varghese
Asst. Prof. of Psychiatric

Social Work CIP, Ranchi

Why teamwork is an essential element of patient care
Salas defines teams as a distinguishable set of two or more people who
interact dynamically, interdependently, and adaptively towards a common
and valued goal/objective/mission, who have been each assigned specific
roles or functions to perform, and who have a limited lifespan of
membership (Salas E et al.,1992) The team is basically characterized of
Team members have specific roles and interact together to achieve a
common goal
Teams make decisions
Teams possess specialized knowledge and skills and often function
under conditions of high workloads
Teams differ from small groups in as much as they embody a collective
action arising out of task interdependency
Roles of individuals on the team are often flexible and opportunistic such as
the leadership changing depending on the required expertise or the nurse
taking on the patient education role as they are the ones that have the most
patient contact. Patient safety, in the context of a complex medical system,
recognizes that effective teamwork is essential for minimizing adverse
events caused by miscommunication with others caring for the patient and
misunderstandings of their roles and responsibilities.
Measures of effective teamwork (adapted from Mickan, 2005)
Organizational benefits, team benefits, patients& team members
How do teams form and develop?
Tuckmann identified four stages of team development: forming, storming,
norming and performing. (Tuckman BW., 1965)
What makes for a successful team?
There are many models describing effective teamwork. Extensive studies
have been conducted into health-care teams and this has led to the
development of a number of models and toolkits specific to health
care.Mickan and Rodger offer the following six simple characteristics that
underpin effective health-care teams (Mickan& Rodger, 2005)
1. Common purpose 2.Measurable goals
3.Effective leadership
4. Effective communication 5. Good cohesion 6.
Mutual respect-
Additional requirements for effective teams include:
Demonstrating individual task proficiency (both in terms of personal
technical skills and teamwork skills) ,Having task motivation ,Being
flexible ,Monitoring their own performance ,Effectively resolving and
learning from conflict&Demonstrating situation monitoring.
Leadership-Effective leadership is a key characteristic of an effective
team. Effective team leaders facilitate and coordinate the activities of other
team members
Including the patient as a member of the healthcare team is a new
concept in health care.
Traditionally the role of the patient has been more passive as being a
receiver of health care. But we know that patients bring their own skills and
knowledge about their condition and illness .Establishing eye contact with
patients, checking and confirming information and seeking additional
information can all be done in the context of a ward round. Including the
patient is a safety check to ensure the correct information and complete
information is available to everyone on the team.
Communication techniques for health-care teams
George Bernard Shaw said, The greatest problem with communication is
the illusion that it has been accomplished. Good communication skills are
at the core of patient safety and effective teamwork.
Situation Background Assessment Recommendation
Call-out-Call-out is a strategy to communicate important or critical
information that:
Informs all team members simultaneously during emergent situations;
Helps team members anticipate the next steps;
Directs responsibility to a specific individual responsible for carrying out
the task.
Check-back-This is a simple technique for ensuring information conveyed
by the sender is understood by the receiver, as intended:
Sender initiates message;
Receiver accepts message and provides feedback;
Sender double-checks, to ensure the message is understood.
Handover or handoff-Handover or handoffs are crucial times where errors
in communication can result in adverse outcomes. I pass the baton" is a
strategy to assist timely and accurate handoff.
Barriers to effective teamwork
Changing roles,Changingsettings, Medical hierarchies, Individualistic
nature of medicine-Assessing team performance.
Summary -Teamwork does not just happen. It requires an understanding
of the characteristics of successful teams, knowledge of how teams
function and ways to maintain effective team functioning.

HOW CAN YOU BE A VOICE TO LEAD?

BY Srinivasan MSc. (N), MPhil (N)

There are many ways in which the health and well-being of people
and populations can be enhanced and improved. Whether, it can be in
clinical practice, working with individuals and their families, through
community support and development programmes, national health
initiatives and policy or international commitments and agreements to
improvements to access to and the quality of health care. At every level,
nurses have a significant role to play whether delivering care, accurately
assessing needs, designing the clinical or policy response or evaluating
outcomes and effectiveness.
There are three ways you can be a voice to lead:
As an individual
As a profession
As part of a multidisciplinary team
1 A voice to lead- As an individual
Change and impact starts with you the IND theme- Nurses: A voice to
lead- does not refer only to the privilege few. Each and every nurse in this
planet has a voice and can use the voice to make a difference.
Became a leader
Nurses may not be used to viewing themselves as leaders, but it isnt
necessary to have a traditional, titled or elected position to take a lead and
bring about changes that benefit others in our local or global communities.
Nurses ability to effect changes is just as important as the technical ability
to deliver safe and effective care and they are influential at all level.
Leadership is a process not a position. Leadership is tied to social
responsibility and good citizenship, which connects to nurses profession
and ethical responsibilities to champion the human right to health. Not only
do nurses influence others in their day to day work, but they have expert
skills in the art of profession, a process that involves relationships and
negotiation.
Nurses sphere of influence as health care professionals goes beyond
the individuals, families, groups and community they work with. It extends
throughout health sector to nursing and midwifery colleagues, medical
colleagues allied colleagues and those with policy, management and fiscal
responsibilities.
Raise your voice at the policy table
The sustainable development goals are an opportunity for nurses to
influence decision making process and health care policies. Policy
development is a practical tool for development for change and when
nurses are involved, health care is safe, of a high quality, accessible and
affordable.
There are various levels in policy cycle
1. Problem identification 2. Agenda setting 3.Policy research
4.Policy options
5. Policy negotiation 6. Policy formation 7.Policy organization
8.Policy implementation
9. Policy enforcement 10.Policy accountability 11.Policy evaluation

Any nurses who working in policy champions needs support of other nurses
and in this respect, all nurses can contribute to the policy making.
2. A voice to lead- As a profession
 ICN has long believed that in nursing associations as the vehicle of
influence to achieving nursing goals. By working through national nurses
associations and bringing the profession together, we achieve solidarity in
our goals and, together, can be one voice to lead.
What NNAs do?
NNAs represent the interest of their members and advance the nursing
profession by fostering high standards of nursing practice, promoting a safe
and ethical work environment, bolstering the health and welfare of nurses.
What do CNOS or MATRONS do?
Their role is expected to provide high level expert advice, leadership and
guidelines on nursing and health policy.
3. A voice to lead- As part of a multidisciplinary team
It is equally important that nurses voices are heard as part of
multidisciplinary team of health professionals. When caring for patients,
team work and communication BETWEEN THE PROFESSION IS
ESSENTIAL IN ORDER TO PROVIDE TRUE PATIENT CENTRED
CARE. Given importance of the social determinants of health, it is clear that
professionals must also work with other disciplines-with educators, lawyers,
politicians, social workers etc. we must understand patients, families and
their economic situations. Above all, we must work with patients and form a
relationship based on mutual respect.
LEAD AND BE HEARD
Every action, no matter how small, counts. One way you can use your
voice to lead via social media networks such as Facebook, and twitter.
Used in a responsible way, the platforms can be used by nurses to
disseminate evidence based information to colleagues and the general
public, and to raise the professional profile of nursing. When nurses share
their concerns in these public spaces they are acting not only as good
citizens, but as the legitimate voice of the nursing profession.
We want change; it is up to us-each and every one of us-to be a voice to
lead others, our patients, our colleagues, our communities and our
governments to better health.
 Psychiatric Social Work and Modern Community Mental Health Programme: An
Update
Dr. DipanjanBhattacharjee, Assistant Professor,
Department of psychiatric Social Work,
Central Institute of Psychiatry,
Ranchi.

Over the years, the discipline of psychiatric social work has been emerged as an important aspect of
the multi-disciplinary team (MDT) in mental health services working at the community level. The
position of psychiatric social work in multi-disciplinary community centred mental health setting has
been strengthened after the induction of testable models and hypotheses like bio-psycho-social
perspective and vulnerability-stress diathesis model. Additionally, popularization of few ideas and
views like deinstitutionalization and transinstitutionalization had also worked positively for
psychiatric social work (Bassuk& Gerson, 1978). The parent discipline of psychiatric social work
happens to be the social work. The very idea of the discipline of social work is maximization of the
wellbeing of individuals and society or fostering the growth potentials of each individual member of
the society. The profession of social work believes that individual and societal wellbeing is
conditioned with some basic human values, e.g., presence of inclusive attitude in the society, giving
high regards to principles of social justice, human dignity and human rights. If all those things are
promoted, harnessed and protected as the indelible principles of the society, then every member of
the society can have the sense of security, belongingness and self-esteem. Those things are very
essential for overall development of individual. Psychiatric social workers are academically as well as
professionally trained to understand and assess that the mental illnesses and associated psychosocial
problems experienced by individuals and their kith and kin. Social workers do work in a wide range
of settings, both specialist and generic, within single and multidisciplinary teams, in hospitals and in
the community (Abendsternet al., 2016).Social work based interventions and treatments are given to
mentally ill people through a wide variety of settings including residential and day-care
establishments, as well as in hospitals and service usershomes. Several models and approaches were
developed in past to dispense social work services to people with chronic and debilitating mental
illnesses at community level.

Theoretically, mental disorders are thought to be the outcomes of intrinsic personal factors,
combined with familial, psychological, economic, health, educational, employment, legal or other
societal issues.All those factors and issues cumulatively function as the causal factors for developing
obstacles to people in achieving positive mental health and wellbeing. Those obstacles eventually
become as the predecessors of mental illnesses.Because, those factors pose as stressorsto affected
people and lingering of stress can lead to mental illness. Positive things which could act as deterrents
to mental illnesses like sense of well-being and satisfaction, ability to master the situation, self-
esteem and self-efficacy, subjective feeling of achievement in life and subjective feeling of being
secured and included in family as well as in society at large are negatively affected by those factors.
Psychiatric social workers aim to create as well as harness such a condition at family and larger
societal level which could ensure those positive things. Presence of those things in the societal as
well as family level can be beneficial in protecting the positive mental health of people. Psychiatric
social workers give emphasis on initiating positive changes in people as well as their overall growth
and development. Psychiatric social workers have the commitment to human rights and social
justice and they strongly advocate the rights of their clients against the discrimination, reduced
opportunities and any sort of abuse or harassment or indictment. Through therapeutic interventions
and the mobilization of services and supports, psychiatric social workers aim to increase the persons
social functioning abilities, ensuring recovery and resilience to stressors and negative events.Good
quality psychiatric social work services can transform the lives of people with mental illness into a
positive shape. Along with other professionals and activists, psychiatric social workers can ensure
long term betterment and welfare of mentally ill people by securing their basic health service needs,
social care, housing, employment and others essential human needs. Psychiatric social workers play a
central role in identifying and accessing local services which can address the needs of those people at
the early stage, also they can help them by improving the overall mental health outcomes and
reducing the risk of crisis and more costly demands on acute health services (Mueller& James,
1972).

Historical evolution of mental health service has been commenced in three distinct phases:
the rise of the asylum, the decline of the asylum and the reform of mental health services to make it
more humane (Wing & Brown, 1970; Grob, 1991; Desjarlaiset al., 1995; Thornicroft &Tansella,
1999). In the third phase, emphasis has been given on to community-based service delivery system
for people with mental illness. This community based service aims to provide dedicated mental
health services to these people at community settings close to their homes, which includeseven acute
hospital-care and long-term residential facilities at the community level (Thornicroft &Tansella,
2002).In modern public mental health, the Community Mental Health Team (CMHT) has been
provided with ample responsibilitiesto take care wide range of clinical, therapeutic and rehabilitative
tasks and functions for mentally ill people. Since the era of deinstitutionalization, CMHTs have been
widely acknowledged as the cornerstone of psychiatric or mental health service. Essential features of
ideal CMHT are: multidisciplinary membership, ideally including mental health nurses, consultant
psychiatrists, social workers, occupational therapists, psychologists and support workers; a single
point of access; and emphasis on supporting people with complex and/or severe mental health
difficulties (Abendsternet al., 2016). Since the era of deinstitutionalization, community based
multidisciplinary mental health teams have been operating as the mainstream service delivery system
in most of the countries or most countries have agreed upon the fact that ideal mental health service
can only be possible through a multidisciplinary team. Because multidisciplinary teamshave the
capacity to view the situation more holistically than a single discipline oriented system. The
multidisciplinary approach includes both health and social care staffsfor understanding as well as
meeting the complexor divergent needs of people with long-term conditions or chronic health
condition more efficiently than single disciplinary teams (Franx et al., 2008). Inclusion of myriad
professionals in the treating team can ensure more prompt and focused delivery of support via a
more holistic process (Bailey &Liyanage, 2012).Integration of several disciplines into one entity can
ensure better communication and understanding among different professionals and that will be
working positively for patients by more timely assessments when compared with single discipline
teams (Brown et al., 2003).According to Carpenter et al (2003), effectiveness of CMHT is higher
because this approach facilitates the integration of health and social care in mainstream mental
health services and at the same time CMHT can function as discrete therapeutic entity comprising
health and social care staff under single management.Social workers in CMHT function as the
interface between the society and mental health team. According to Couchman& Dawson (1995)
multi-disciplinary community mental health teams have been considered as a medium of ensuring
the co-ordination among different important human service and healthcare professionals that is
required to achieve effective community care for mentally ill people. The socio-cultural and
economic scene of modern world is indeed very complex and the demands, needs and most
importantly resources are widely varied and divergent, structural and functional frameworks of each
society are markedly different, therefore inclusion of social workers are very important to make
mental health services more suitable and convergent to diversified macro and micro social situations.

References:

- Abendstern, M., Tucker, S., Wilberforce, M., Jasper, R., Brand, C., &Challis, D. (2016). Social
Workers as Members of Community Mental Health Teams for Older People: What Is the Added
Value?British Journal of Social Work, 46 (1), 63-80.
- Bailey, D., &Liyanage, L. (2012). The role of the mental health social worker: Political pawns in
the reconfiguration of adult health and social care. British Journal of Social Work, 42 (6), 1113-1131.
- Bassuk, E.L., & Gerson, S. (1978). Deinstitutionalization and mental health services. Scientific
American, 238(2), 46-53.
- Brown, L., Tucker, C., & Domokos, T. (2003). Evaluating the impact of integrated health and
social care teams on older people living in the community. Health and Social Care in the Community,
11(2), 85-94.
- Carpenter, J., Schneider, J., Brandon, T. &Wooff, D. (2003) Working in multidisciplinary
community mental health teams: The impact on social workers and health professionals of
integrated mental health care. British Journal of Social Work, 33, 1081-1103.
- Couchman, W. & Dawson, J. (1995) Nursing and Health-Care Research: a Practical Guide.
London: Scutari Press.
- Desjarlais, R., Eisenberg, L., Good, B., et al (1995). World Mental Health. Problems and
Priorities in Low Income Countries. Oxford: University Press.
- Franx, G., Kroon, H., Grimshaw, J., Drake, R., Grol, R., &Wensing, M. (2008). Organizational
change to transfer knowledge and improve quality and outcomes of care for patients with severe
mental illness: A systematic overview of reviews. The Canadian Journal of Psychiatry, 53(5), 294-305.
- Grob, G. (1991). From Asylum to Community. Mental Health Policy in Modern America
Princeton, NJ: Princeton University Press.
- Mueller, B.J. & James, B.J. (1972). Community Mental Health Journal,8(3), 178-188.
- Thornicroft, G. &Tansella, M. (1999). The Mental Health Matrix: A Manual to Improve
Services. Cambridge: Cambridge University Press.
- Thornicroft, G. &Tansella, M. (2002). Balancing community-based and hospital-based mental
health community-based and hospital-based mental health care. World Psychiatry, 1, 84-90.
- Wing, J.K. & Brown, G. (1970). Institutionalism and Institutionalism and Schizophrenia.
Schizophrenia. Cambridge: Cambridge University Press.

Psychiatric Social Work and Modern Community Mental Health Programme: An Update
Dr. DipanjanBhattacharjee, Assistant Professor,
Department of psychiatric Social Work,
Central Institute of Psychiatry,
Ranchi.

Over the years, the discipline of psychiatric social work has been emerged as an important aspect of
the multi-disciplinary team (MDT) in mental health services working at the community level. The
position of psychiatric social work in multi-disciplinary community centred mental health setting has
been strengthened after the induction of testable models and hypotheses like bio-psycho-social
perspective and vulnerability-stress diathesis model. Additionally, popularization of few ideas and
views like deinstitutionalization and transinstitutionalization had also worked positively for
psychiatric social work (Bassuk& Gerson, 1978). The parent discipline of psychiatric social work
happens to be the social work. The very idea of the discipline of social work is maximization of the
wellbeing of individuals and society or fostering the growth potentials of each individual member of
the society. The profession of social work believes that individual and societal wellbeing is
conditioned with some basic human values, e.g., presence of inclusive attitude in the society, giving
high regards to principles of social justice, human dignity and human rights. If all those things are
promoted, harnessed and protected as the indelible principles of the society, then every member of
the society can have the sense of security, belongingness and self-esteem. Those things are very
essential for overall development of individual. Psychiatric social workers are academically as well as
professionally trained to understand and assess that the mental illnesses and associated psychosocial
problems experienced by individuals and their kith and kin. Social workers do work in a wide range
of settings, both specialist and generic, within single and multidisciplinary teams, in hospitals and in
the community (Abendsternet al., 2016).Social work based interventions and treatments are given to
mentally ill people through a wide variety of settings including residential and day-care
establishments, as well as in hospitals and service usershomes. Several models and approaches were
developed in past to dispense social work services to people with chronic and debilitating mental
illnesses at community level.

Theoretically, mental disorders are thought to be the outcomes of intrinsic personal factors,
combined with familial, psychological, economic, health, educational, employment, legal or other
societal issues.All those factors and issues cumulatively function as the causal factors for developing
obstacles to people in achieving positive mental health and wellbeing. Those obstacles eventually
become as the predecessors of mental illnesses.Because, those factors pose as stressorsto affected
people and lingering of stress can lead to mental illness. Positive things which could act as deterrents
to mental illnesses like sense of well-being and satisfaction, ability to master the situation, self-
esteem and self-efficacy, subjective feeling of achievement in life and subjective feeling of being
secured and included in family as well as in society at large are negatively affected by those factors.
Psychiatric social workers aim to create as well as harness such a condition at family and larger
societal level which could ensure those positive things. Presence of those things in the societal as
well as family level can be beneficial in protecting the positive mental health of people. Psychiatric
social workers give emphasis on initiating positive changes in people as well as their overall growth
and development. Psychiatric social workers have the commitment to human rights and social
justice and they strongly advocate the rights of their clients against the discrimination, reduced
opportunities and any sort of abuse or harassment or indictment. Through therapeutic interventions
and the mobilization of services and supports, psychiatric social workers aim to increase the persons
social functioning abilities, ensuring recovery and resilience to stressors and negative events.Good
quality psychiatric social work services can transform the lives of people with mental illness into a
positive shape. Along with other professionals and activists, psychiatric social workers can ensure
long term betterment and welfare of mentally ill people by securing their basic health service needs,
social care, housing, employment and others essential human needs. Psychiatric social workers play a
central role in identifying and accessing local services which can address the needs of those people at
the early stage, also they can help them by improving the overall mental health outcomes and
reducing the risk of crisis and more costly demands on acute health services (Mueller& James,
1972).

Historical evolution of mental health service has been commenced in three distinct phases:
the rise of the asylum, the decline of the asylum and the reform of mental health services to make it
more humane (Wing & Brown, 1970; Grob, 1991; Desjarlaiset al., 1995; Thornicroft &Tansella,
1999). In the third phase, emphasis has been given on to community-based service delivery system
for people with mental illness. This community based service aims to provide dedicated mental
health services to these people at community settings close to their homes, which includeseven acute
hospital-care and long-term residential facilities at the community level (Thornicroft &Tansella,
2002).In modern public mental health, the Community Mental Health Team (CMHT) has been
provided with ample responsibilitiesto take care wide range of clinical, therapeutic and rehabilitative
tasks and functions for mentally ill people. Since the era of deinstitutionalization, CMHTs have been
widely acknowledged as the cornerstone of psychiatric or mental health service. Essential features of
ideal CMHT are: multidisciplinary membership, ideally including mental health nurses, consultant
psychiatrists, social workers, occupational therapists, psychologists and support workers; a single
point of access; and emphasis on supporting people with complex and/or severe mental health
difficulties (Abendsternet al., 2016). Since the era of deinstitutionalization, community based
multidisciplinary mental health teams have been operating as the mainstream service delivery system
in most of the countries or most countries have agreed upon the fact that ideal mental health service
can only be possible through a multidisciplinary team. Because multidisciplinary teamshave the
capacity to view the situation more holistically than a single discipline oriented system. The
multidisciplinary approach includes both health and social care staffsfor understanding as well as
meeting the complexor divergent needs of people with long-term conditions or chronic health
condition more efficiently than single disciplinary teams (Franx et al., 2008). Inclusion of myriad
professionals in the treating team can ensure more prompt and focused delivery of support via a
more holistic process (Bailey &Liyanage, 2012).Integration of several disciplines into one entity can
ensure better communication and understanding among different professionals and that will be
working positively for patients by more timely assessments when compared with single discipline
teams (Brown et al., 2003).According to Carpenter et al (2003), effectiveness of CMHT is higher
because this approach facilitates the integration of health and social care in mainstream mental
health services and at the same time CMHT can function as discrete therapeutic entity comprising
health and social care staff under single management.Social workers in CMHT function as the
interface between the society and mental health team. According to Couchman& Dawson (1995)
multi-disciplinary community mental health teams have been considered as a medium of ensuring
the co-ordination among different important human service and healthcare professionals that is
required to achieve effective community care for mentally ill people. The socio-cultural and
economic scene of modern world is indeed very complex and the demands, needs and most
importantly resources are widely varied and divergent, structural and functional frameworks of each
society are markedly different, therefore inclusion of social workers are very important to make
mental health services more suitable and convergent to diversified macro and micro social situations.

References:

- Abendstern, M., Tucker, S., Wilberforce, M., Jasper, R., Brand, C., &Challis, D. (2016). Social
Workers as Members of Community Mental Health Teams for Older People: What Is the Added
Value?British Journal of Social Work, 46 (1), 63-80.
- Bailey, D., &Liyanage, L. (2012). The role of the mental health social worker: Political pawns in
the reconfiguration of adult health and social care. British Journal of Social Work, 42 (6), 1113-1131.
- Bassuk, E.L., & Gerson, S. (1978). Deinstitutionalization and mental health services. Scientific
American, 238(2), 46-53.
- Brown, L., Tucker, C., & Domokos, T. (2003). Evaluating the impact of integrated health and
social care teams on older people living in the community. Health and Social Care in the Community,
11(2), 85-94.
- Carpenter, J., Schneider, J., Brandon, T. &Wooff, D. (2003) Working in multidisciplinary
community mental health teams: The impact on social workers and health professionals of
integrated mental health care. British Journal of Social Work, 33, 1081-1103.
- Couchman, W. & Dawson, J. (1995) Nursing and Health-Care Research: a Practical Guide.
London: Scutari Press.
- Desjarlais, R., Eisenberg, L., Good, B., et al (1995). World Mental Health. Problems and
Priorities in Low Income Countries. Oxford: University Press.
- Franx, G., Kroon, H., Grimshaw, J., Drake, R., Grol, R., &Wensing, M. (2008). Organizational
change to transfer knowledge and improve quality and outcomes of care for patients with severe
mental illness: A systematic overview of reviews. The Canadian Journal of Psychiatry, 53(5), 294-305.
- Grob, G. (1991). From Asylum to Community. Mental Health Policy in Modern America
Princeton, NJ: Princeton University Press.
- Mueller, B.J. & James, B.J. (1972). Community Mental Health Journal,8(3), 178-188.
- Thornicroft, G. &Tansella, M. (1999). The Mental Health Matrix: A Manual to Improve
Services. Cambridge: Cambridge University Press.
- Thornicroft, G. &Tansella, M. (2002). Balancing community-based and hospital-based mental
health community-based and hospital-based mental health

Let your voice be heard!

My experiences as a nursing professional:

Mrs Jacinta Kachhap

(Ex. Matron)
Deputy Nursing Superintendent

CIP Kanke Ranchi

When I joined as a Staff Nurse in the then called Hospital for mental
diseases, the hospital environment was very beautiful. Flower gardens
were well maintained, and they had wide variety of seasonal flowers. Also,
the much shade-giving treetops came up with different coloured flowers at
different seasons, like the Eden Garden. I assumed slowly that the
sickness of the mind required a pleasant atmosphere for healing, in
addition to the giving of medication.
I found the patients little different in their behaviour and it took me a little
time to understand them. I do remember the psychiatrists and the medical
officers guiding me and teaching me how to take care of the mentally sick.
I loved my patients and did my level best towards their recovery and
rehabilitation.
In general, the ward attendants were very good and caring. They called
female patients meem, male patients sahab, and the Nursing personnel
were called meemsaab. Meals were served on trays.
I did my diploma in psychiatric nursing in the year 1989, and later attended
several in-service educations and continuing nursing education
programmes which were conducted in the institute.
In my total service periods I have worked in all the wards and have come
across several responsibilities pertaining to patients, nursing personals,
male and female ward attendants, house-keeping staff, mazdoors and
darwans. Although I have bitter and sweet memories, I remember my
career as the one which I loved and endured.
I thank God almighty to have been able to serve the sick at C.I.P to earn a
livelihood of my own. I am also thankful to the senior authorities for their
guidance and support during my service. My gratitude and regards goes
out to all concerned.

Work Experience
Mrs.ArchanaSamanta
(Ex. Matron)
Assistant Nursing Superintendent
CIP Kanke Ranchi
I was posted in the ward as ANS. it was very nice to have
workexperience in the ward. All the nurses work in the ward
as a team.Regarding patients care nurses render best
nursing care to the patients.
Nurses of CIP are very good worker. Theyare
verycooperative, helpful to the patients, guardians, staff,
officers and other internal staff of the hospital. Nurses are
well behaved courteous to their senior.

As a matron, I never facedsuch type of problemswhich could

affect my office work.Overall it was good experience during
my service period.

Date of joining at CIP with designation Assistant Nursing

Superintendent
Date ofretirement 31. 01 2014andthe duration of my nursing
service at CIP about twenty years.

GROWTH AND DEVELOPMENT OF NURSING EDUCATION AT C.I.P

KANKE, RANCHI
 Mental health problems are existing from the primitive people times
and all over the world cases have been increasing in spite of many efforts
made to treat those using different treatments in every era. It is the fact that
in every development stages nurses were working as assistants. In
shushrutas writing the qualities of nurse has been mentioned very well as
now also it is applicable. Medical science declined during 1600 B.C. which
affected greatly the nursing development and it was known as Dark ages
in nursing. Every cloud has silver lining, therefore after some ages
revolution took place. Many eminent people were born who started
renovating and showed so much interest to develop mental health
profession according to their own interest and studies. Florence nightingale
started modern nursing which influenced mental health nurses to work for
mentally, neglected patients. Linda Richard (America) became 1st
psychiatric nurse whose influence changed the scenario of all mental
health nurses of the world.
In 1918 C.I.P. was established. It was Ranchi European lunatic
Asylum. Names were changed according to the milestone in its
development and growth. Since, 1977 April it was raised to the status of an
institute and renamed as CentralInstitute of Psychiatry. Nursing staffs
consisted of seven European male attendants and five European nurses,
including a matron. In addition to the European nursing staff there were 35
male and 35 female Indian attendants. A course of lectures was given to
the Indian male and female attendants, 12 male and 8 female attendants
qualified for the certificates granted by the Red Cross society (Berkeley-
Hill, 1924) the care given by nurses were exemplary Mrs. A. Davis, Ms. M.
Hodgson, Mrs. G. Stephen received presidents award.

It is a great pleasure and privilege to share my service experience

and sweet memories of C.I.P. I was student of Diploma in Psychiatric
Nursing 1988-89 batch. We were 8 students, enjoyed working in the ward
and studying, learned much from patients and staffs. In the library very less
psychiatric nursing books were available therefore; students depended
upon teachers notes. There was no Indian text book for students. We had
very good interpersonal relationship with all categories of officers, workers,
sub-ordinates and patients. I joined C.I.P. as psychiatric nursing tutor on
23rd October 1989 and worked till 30th September 2014.
Diploma in psychiatric nursing (D.P.N) students had to remain in
the ward from 8.30am to 11.00 am then lectures were held from 11.00 am
to 1.00 pm. Regular lectures were conducted they attended common
academic programmes seminar, case conference and journal club/movie
club. Through academic programmes they learned as much as possible.
Whenever no programmes there students remained in the ward and library.
Afternoon they engaged themselves in the library or ward. Less nurses
were working in the ward therefore DPN students had to compulsorily work
till 5.00pm, helping patients for outdoor games, admission, discharge,
transfer, administrative, medicines etc. this continued for many years then
time was changed 8.30am to 4.00pm except on academic programme they
supposed to stay till it finished. Academic sessions, seminar topics, case
for case conference and journal club articles and movies were selected,
keeping in mind related to modern psychiatric problems, new treatments,
findings as well as milestones development in mental health field. During
case conference D.P.N. students presented nursing observation report by
collecting reliable information from patients, family members and ward
staffs. They themselves assessed the patient sometimes using Nosie-30
scale, nursing observation report consisted of patients identification data,
observation report, nursing diagnosis and nursing intervention. Many
students scored A+. I too learned a lot from academic programme.
Nursingteachers :- Mr. M. N. Holkar (Before my joining)
- Mrs. Mariam Kerketta (Tirkey)
- Mr.PatrasMarandi
- Mrs.Saramma Varghese
Visiting Lecturers :- Ms. A. Bage
- Ms. S. Kullu from RIMS, Bariatu
- Mrs. K. Lalitha NIMHANS, Bangalore
- Ms. Baby R. Mother Teresa Institute,
Pondicherry
- Sr. Sicily Ch. CON, Nellore, A.P.
- Mrs.ArunJyotiBaruah Tezpur, Assam
- Mr. J. M. Tssac CON Dhamtari C.G
- Mrs.TrizaJiwan CMC, Ludhiana
Lecturers from depart. Of clinical psychology :- Dr. T. R. Shukla
For many
- Dr. R. G.
Sharma, Dr.Kerswar year from
- Dr. S. E.
Hussain the begining
- Mr. S. D. Pahan
of my
- PH.D. Scholars
service
Lecturers from psychiatric social work :- Dr. A. N. Verma
- B. D. Gautam
Lecturers from psychiatry: - All senior residents and post D.P.M
students were indeed in
teaching psychiatry.
 DPN course was opened in the year 1983. It was inspected by
Ranchi University and INC New Delhi, but fully affiliated to Ranchi
University during my service 2nd time INC inspection was done but report
was not submitted to us. Later INC inspection was not done till Mrs. Sumita
S. Masih made effort, Mr. M. N. Holkar was senior tutor managed DPN
course and all nursing education programme of C.I.P including visiting
nurses. Mr. M. N. Holkar took V.R.S. from C.I.P. because Mrs.Holkar
(Matron) retired from service. In order to continue the course Mrs. Mariam
Kerketta (Tirkey) Mr.PatrasMarandi and Mrs.Saramma Varghese (Matron)
very kindly accepted to take responsibilities of nursing education section.
Later on they handed over to me. That time I was the alone lately working
in the teaching block in education section for few years; seeing the work
load of nursing education section Mrs.Jyoti Beck after qualifying as DNEA
was posted in teaching block to work with me. She was interested to teach
and before posting also spared her time from ward to teach nursing
students. She took interest to teach students by preparing lessons,
she helped in administrative and management work, as well as in
extracurricular activities of C.I.P. she was intelligent, punctual and regular
and devotee towards her service even though she suffered sometimes with
severe arthritis. In service training programme was conducted time to time
for C.I.P. nurses and ward attendants.
Conclusion: - I joyfully honor and salute my elders, the pioneers of CIP
and dedicated Persons who have helped and contributed for the
development of mental health profession. I sincerely thank all who have
helped me to grow in my profession, directly or indirectly.I wish a grand
success for the fore coming workshop, which will be held on 9th May 2017. I
congratulate Director and Mrs. Sumita S. Masih.Iam thankful to Director
CIP and Mrs. Sumita S. Masih for giving me great opportunity to attend
workshop and to share my experience of C.I.P.

Barbara BinhaXalxo
(Ex) Psychiatric Nursing
Tutor
C.I.P, Kanke, Ranchi
 Mrs
Jyoti Beck
Ex.Assistant Nursing Superintendent
CIP
Kanke Ranchi
To recollect and share the major part of life is really a golden opportunity
offered by god. I have spent 34 years of my life at Central Institute of
Psychiatry and enjoyed working for patients and also enjoyed teaching.
Trend keeps changing in nursing service and in the nursing education time
to time. I feel myself a most opportunist person to work during my service
time in the area of nursing service and in nursing education, accepting the
challenge of current trends.
In my service time the Medical Superintendent / Director under whom I
worked were Dr.Bhaskaran, Dr. S. K. Pandey ,Dr. Sridhar Sharma, Dr. S.
S. Raju, Dr. L. N. Sharma & DR. S. HaqueNizamie.The matrons under
whom I worked are Miss Marian Hodson ,Mrs.GracyStephen,Mrs.
IndumatiHolkar, Ms Asna ,Mrs. Mariam Tirkey
,Mrs.SarammaVarughese&Mrs. Lucy Marandi.

I, Mrs.Jyoti Beck got my nursing training from Holy Family Hospital Mandar,
Ranchi &Kurji Holy Family Hospital and Patna. I Joined service at Central
Institute of Psychiatry as a Staff Nurse on 7thJune 1971 at that time Medical
superintendent Dr Bhaskaran and Matron Marian Hodson and Asst. Matron
Mrs.Gracy Stephan. The name of this institution was Hospital for Mental
Diseases. The strength of nursing personnel was only 24.
Before being posted in the ward Miss Hodson had given thorough
orientation about the ward and the work pattern. She herself took care of
this she was very strict and at the sometime very loving lady and was the
perfect role model. She was punctual, hardworking and dedicated to her
service and all the nurses were kept under strict discipline. Since the setup
of mental hospital is completely different from general hospital the
orientation towards mental diseases and treatments were also provided.
Our duty pattern was off three types arranged every week by our Matron.
Two Half Days i.e. 7.00 am to 12.00 noon
Two Long Duties i.e. 7.00 am to 4.00 pm
TwoSplit Duties i.e. 7.00am-12.00 noon then again 4.00pm-7.00pm
We also had to do night duty for 15 days in turns night duty was of 12 hours
from 7.00pm to 7.00am.There were only 13 wards and each ward had an In
Charge (Head) Nurse
Two helping hands were Maudsley, TukeWard and one in Juan ward
&Morgagniward. Nurses from other wards were assigned to help in these
wards. TheNursing Station was Maudsley, Tuke ward where Handing
&Taking over took place. SickPatients were transferred to Maudsley ,Tuke
ward until they got well. After 12.00 noon one nurse was responsible to
look after 2 wards during long duty and split duty. We were strictly ordered
to maintain reports on patients in separate paper which were then attached
to patients file. There were two types of file in each ward stating daily report
and important report when loose sheet of nursing report papers wore kept,
Important report were of new cases, Disturbed cases, ECT patients,
Injection receiving patients &Special treatment as well as sick patients.
Rests were kept in daily file.
The duty nurses were responsible to write the reports before going off duty.
In night duty we had to do 15 days night duty, one nurse for male section
and one nurse for whole female section .Duty Station was Maudsley ward
in male side and Tuke ward in female section. Night nurse had to make 3
rounds with the head Jamadar or headJamadarin, i.e. soon after taking
over, after 12.00mid nightand in the morning. Her duty was also to
supervise bed tea distribution in the kitchen at 4.00 am.Night nurse had to
write night report and she was expected to finish all emergency routines
like, Absconding, suicide etc. before going off duty, thus sometime she had
to stay back till 10am or so.
Ward attendants during their shift change and in the morning used to come
and report night duty sister so that she could include important reports on
her report. During holidays one nurse in male section and one nurse in
female section were responsible to look after all the work, Earlier to this
holiday turn the long duty and split duty nurses used to manage work and
we used to get off for doing duty on holidays. Disturbed cases, criminal
cases were kept in backwards i.e. Juan ward in male section and Morgagni
ward in female section, Nurses were responsible to look after these
patients. Preparing and distributing medicines, supervising meals and
supervising cleanliness of patients and wards and to note and report the
changes in mental patients were part of nurses duty. Even if the nurses
were few the duty ran smoothly as every nurse was dutiful, punctual and
dedicated in her work, our matrons were preparing our duty schedule and
they made casual rounds to all wards.

Later many changes took place in the year 1977 the name of institution
changed into Central Institute of Psychiatry, Number of ward increased like
Child Guidance Clinic and De-addiction ward, Number of patients
increased in O.P.D as well as in patient department.
The Teaching Block started functioning regularly taking care of all types of
students like doctors, psychologists and social workers as well as D.P.N
students. Earlier in olden days in my service time only one case conference
weekly was taking place, later seminar, Journal club became the part of
teaching and learning.
Thus the number of nursing staffs also were increased and duty pattern
also got changed having sufficient number of staffs in each ward, Later
again the duty rooster was given to be made by sister-in-charge of the
ward, Night nurse also were increased to look after each ward. Earlier for
patients patient social and showing movie weekly were the only
entertainment, Later for the welfare of patients, patients library, sports
activities, occupational therapy department were made. Separate
psychosocial unit also was opened and for the welfare of students several
books were introduced in the library.
I joined this institution as a staff nurse on 7th June 1971. Obtaining
permission to CIP,I got married on 2nd January, 1973 . Promoted as a
Nursing Sister in July, 1976.In the period of Dr S. S. Raju the posts of
assistant nursing superintendent and deputy nursing superintendent were
created. In February 1994, I was promoted as Assistant Nursing
Superintendent (ANS).After this promotion on high recommendation of Dr
S. S. Raju I was sent to RajkumariAmritkaur College of Nursing,
LajpatNagar,New Delhi for the advance course in Diploma in Nursing
Education and Administration as a regular course. Had passed with
distinction in the year 1994-1995 Prior to this I had completed Diploma in
Psychiatric Nursing from CIP only and had passed with distinction. Soon
after coming from New Delhi after completing DNEA course I was
immediately posted in matrons office and worked there for quite some
time. After this I worked as ANS/In charge in several wards as well as night
supervising duty too. I was then officially posted in teaching block in
February 1999 and participated in teaching, supervising, guiding D.P.N
students, visiting nursing students, participants of continuing nursing
education programmed as well as in service education program for
nurses and ward attendants. Thus, I worked at C.I.P for total 34 years. As
staff nurse 5 years, nursing sister 18 years &I Assistant Nursing
Superintendent last 11 years. During my service time I attended two
conferences of Indian Psychiatric Society at Kanpur and Kerala and one
conference of Neurological Society of India at Jaipur and one conference
of Indian Society of Psychiatric Nursing at NIMHNS, Bangalore. Got
retired from service in October 30th 2005.
I am fully satisfied of my job and am enjoying retired life with my family and
children and grandchildren. I loved working at C.I.P and tried to give my
best to the institution. I extend my heartfelt thanks to all the personnel top
to bottom for their love, Concern and help. I wish all the best to all the
nursing personnel to give their best to their patients and senior and juniors
and prove them as an ideal model.
My Amazing experience at CIP
Mrs Sarojinikhess
Ex- ANS CIP Kanke)
I find myself fortunate enough/Blessed to spend my whole life, right
from my birth, till date
at CIP campus. Growing up in the lap of CIP. I have seen three generation
of my family working with
this institute at different designation, since CIP was in hands of Britishers.
According to me CIP has played the role of a mother for my entire
family nurturing us in different and best ways. I never thought someday,
CIP would turn into my work place too.
I joined CIP in July 1983 as a staff nurse. This hospital wasnt new for
me as I was acquainted to the entire department here since childhood. I
have spent 32 years of my life serving and taking care of mentally ill
patients. I retired on 31th January 2016. I still remember it is very clearly
earlier there were limited nursing staffs in the beginning but now, CIP
completely has flourished, there are so many nurses, we have started
using the most advance technologies, the infrastructure of the departments
has been change beautifully and admission of patients has remarkably
increased.
I have learned how to take decisions, criticism and compliments, this
are three things I wasnt so great at taking before and now I feel as though I
can apply that in many different situations. I have also learned to be open
minded, to value other peoples opinion and to consider other ideas along
with mine to end up with a great final result. Being part of CIP thought me
skills that I can use in more than just the professional area of my life. I
came to realise that being part of CIP is a lots more than just sharing
credits. When you are on a team you have to at times lead, follow and
more often than not, meat in the middle.
Ive been very happy and satisfied working with every director, nursing
supertiendent, nursing staff, officer and other staffs.
I havent lost anything here but has only gained, received various
opportunities such as DNEA (diploma in nursing education and
administration ) &DPN (diploma in psychiatric nursing course from CIP, I
got promoted from staff nurse to nursing sister, then to ANS. was posted in
different wards and afterwards in 2001 got posted in teaching block. The
experience at teaching block was amazing. I gained teaching as well as
administrative work experiences. I loved working with our respected mam
Mrs B. Binha, Mrs Jyoti Beck, Mrs Sumita S. Masih, MrsElemmaEkka etc.
Honestly, working at CIP has been a golden opportunity of my life.
Working here has got me nothing but love, respect and positive results.
I can say, I have loved CIP, love it, and going to love it forever. I
present my gratitude towards CIP, hoping for it best forever and ever. May
CIP always stays blessed and continues like a rising star.

;knxkj lh-vkbZ-ih- 1969

tc eSa gkWLfiVy ds vanj vkbZ rks yxk fdlh ikdZ esa
vkbZ gwA ml le; M~;wVh :e vHkh dk dSaVhu gSA M~;wVh
ns[kus ds ckn duksyh okMZ esa esjk iksLVhax Fkk ogk xbZ] ogk
Jh csx vkSj Jh ekfVZu Fks gSaMvksoj ds ckn M~;wVh 'kq: 10&15
ejht yksxksa dk Blood ysuk 'kq: E.C.T. ejht dks prepair djuk 'kq: ml
le; pathology test dk dksbZ Hkh blood ward esa sister ysrh FkhA
Medicine tray esa fudkyuk breakfast ns[kuk lHkh dke 10 cts ds
Hkhrj dj ysuk Fkk D;ksafd MkWDVj 10-00 cts bed to bed round nsrs
Fks] mudk behaviour ds ckjs lcdqN sister dks crkuk iM+rk Fkk] blfy,
sisters ges'kk ejht ds ij vka[k yxk;s jgrh Fkh fd ejht D;k dj jgs gSa
dgka tk jgs gSa] [kk;s ;k ugha] fdlh ls mixing gS ;k ugha lc ckrksa
dk [;ky j[kuk iM+rk FkkA ,d ward esa 40&50 ejht gksrs Fks round
esa MkWDVj xqIrk incharge Fks galeq[k vkSj etd;y Fks ;gh dkj.k
Fkk fd round esa Hkh tks psychiatric ds dBhu ward Fks iwN fy;k
djrh Fkh vkSj sir [kq'kh&[kq'kh crykrs Fks ftlds dkj.k gesa report
crykus esa lgk;rk feyrh Fkh tSsls ejht dks Hallucination, Eeolalia ckr
djus ij irk pyrk Fkk fd ejht dks Delusion gS bl rjg QkbZy i<+ dj wards
fydky dj Sir ls iwN dj cgqr lkjs Psychiatric dk Kku feykA ckn esa
D.P.N. 'kq: gksus ij Dykl fd;sA ml le; 20&25 sisters vkSj 9 doctors
Fks blfy, Doctors dks nks okMZ ns[kuk iM+rk FkkA blls ejht dks
control dj round rd j[kuk eqf'dy iM+rk FkkA
eSaus ikdZ dk ftdj fd;k ij ugha cryk ik;s lc rjQ lqUnj Qwy]
tehu esa vkSj ij isM+ esa Hkh ejht eSnku esa ysVs Fks] [ksy jgs
Fks] ?kqe jgs Fks yx jgk Fkk ;s Hospital ugha gS] isM+ ds pyrs
xehZ esa xje dk eglwl ugha gksrk Fkk] le; feyus ij sisters Hkh 'kke
dks ejhtksa ds lax eSnku esa [ksyrs FksA ml le; geyksxk ejht ds
lkFk lkFkh tSlk jgrs Fks] okMZ ds lkeus nks flesaV csap ds tSlk
gS ogha ,d lkFk cSBdj ckrs djrs vkSj mudk eu dh ckr fudkyrs Fks
fd mudks Halluciantion gS ;k Delusion mudh ckr lqudj dHkh eq>dks
,slk yxrk Fkk ys[kd gksus ij fdrus lksj dqyw feyrk dgkuh fy[kus ds
fy,A gesyksxksa dk Sift Duty gksrk Fkk Night duty esa ,d Sister dks
gh iwjs Hospital ds lc wards dks ns[kuk iM+rk FkkA 8-00 cts ls lqcg
7-00 cts rdA Duty sister Tuke ward esa jgrh Fkh ogk ls jkr esa rhu
ckj round nsuk iM+rk FkkA 1st round 10-00 cts ls 'kq: djrs Fks ,d
lQkbZ okyh dks ysdj D;ksafd mldks jkr esa lQkbZ djuk iM+rk Fkk
vxj eSyk gS rksA Round bl izdkj Fkk 1st round: 10.00 to 12.00 AM,
2nd round: 01.00 AM to 01.30 AM, 3rd round% 04.00 to 06.00 AM.
04.00 AM esa Tea supervise ds fy, kitchen esa tkuk iM+rk Fkk
D;ksafd ejht yksxksa dks 05-00 AM esa Bed tea nsuk iM+rk FkkA
Round Tuke ward ls Morgagny Ward fQj NksVk xsV ls ikj gksdj Male
section tkrs Fks vkSj Juan ward to Maudslay ward, Kraeplin + Conolly
wards esa ij p<+dj Hkh lc ejht dks fxurh djuk iM+rk FkkA gj okMZ
esa tkdj ejht dk fxurh gj round esa fy;k tkrk FkkA tks ejht List FDS +
ABS esa jgrs Fks mudk fo'ks"k /;ku fn;k tkrk FkkA jkr esa tks ejht
ugha lksrs Fks muds fy, standard order Fkk medicine dks mudks
nsrs FksA vxj round ds ckn fdlh dk side effect gqvk ;k fit gqvk rks
fQj ls ml okMZ esa tkuk iM+rk FkkA blds lkFk [kjkc ejht dk iwjs
Hospital dk Report fy[kuk FkkA Stool Urine j[kuk iM+rk Fkk mldk
yscy fy[kdj fpidkuk iM+rk Fkk QSysfj;k ;k eysfj;k ejht dk LySM
cukuk iM+rk FkkA Week esa ejht yksxksa dks flusek fn[kk;k tkrk
Fkk Female side hall esa rks ejht yksxksa ds lkFk tkuk iM+rk FkkA
chp esa Mkek Hkh gksrk ;k vPNs ejht enjoy djrs FksA
Staff yksxksa dk Hkh general club gksrk Fkk tgka Doctors
ds family Hkh vkrs Fks] [ksy] xkuk] [kkuk lc gksrk Fkk lc yksxk
[kqc enjoy djrs FksA
10-00 cts O.T. esa tkus ds fy, ,d csy ctk;k tkrk Fkk tks
male library ds ij gS] ?kaVh lqudj vPNs ejht OT. pys tkrs fcuk fdlh
ds cksys] ml le; ds ejht dks cksyuk ugha iM+rk Fkk ml le; ukLrk
Hospital dk cuk Bread, Cake, Biscuit lc feyrk FkkA Veg + Non-veg dk
vyx ls kitchen FkkA
Doctors Vaskaran Director dHkh lc staff dks vius ?kj dinner
ds fy, cqykrs lc cgqr enjoy djrs FksA galeq[k Fks esjs wish djus ds
igys nwj ls viuk gkFk mBkdj wish djrs Fks cgqr gh libral mind FksA
Library cgqr vPnk Fkk i<+us tkrh Fkh] lHkh student tkrs vkSj 'kkar
ls i<+rs FksA Dr. Haque vkSj Madam Alka Hkh vkrs Fks] Madam
Doctor ds fy, <wa<dj books fudky nsrh Fkh ns[k dj vPNk yxrk Fkk
Nice Helping HandA
 ,d nks vPNs Female ejht Fkh mudk ?kj jkaph esa Fkk ij
social stigma ds dkj.k muds ?kj ugha fy;k tkrk Fkk mudks eSa
doctors ds permission ls jkaph ys tkrh ?kqers marketing djrs FksA
Miss Hadsun cgqr vPNh Fkh eSa muds ?kj tk;k djrh Fkh
tc mudh eka death dh rks lkjk jkr eSa ogha Fkh vkSj ppZ dk xkuk
xkrh jghA
ejht Hkh cgqr vPNs Fks dksbZ eq>s ykBh flax] dksbZ
dksfdyk dg dj ckr djrs Fks D;ksafd eSa xkrh vPNh gw psychologist
eq>s ever green djrs FksA gekjs attendance Hkh vPNs Fks ;gh dkj.k
gS fd brus lkjs dke gksrs Fks ftlesa os enn djrs Fks lc feytqy dj
djrs Fks] Hkh ward esa gh iqyko cukdj lc fey [kkrs FksA
ejht dks ckgj hospital bus esa ?kqekus 'kgj ds eSnku esa
ys tkrs Fks social worker.
bruk lc gksrs lh-vkbZ-ih- dk fu'kkuh Hkh feykA jkstk dk
fnu Fkk maudslay ward esa evening duty Fkk lc attendent pantrg esa
jkstk [kksyus x;s Fks ,d ejht vkdj eq>s chair ls mBk dj tehu esa
Mky fn;k] nwljs ejht vkdj cpk;sA blh ward esa ,d vlke dk ejht Fkk
[kkuk ds le; nok ns jgs Fks ihNs ls vkdj nkfguk xky esa ,d FkIiM+
ekjkA Morgagni ward esa nks ejht X-mass ds le; tehu esa cSBdj
dke dj jgs Fkks vkdj cky ukspus yxh] nwljs le; nwljh ejht FkIiM+
ekjhA
bl rjg lh-vkbZ-ih- esjk le; tc de sister Fks galrs&cksyrs ij
okys dh n;k ls dVk] vHkh Night duty ds ckjs lksaprs gSa rks yxrk
gS fcuk bZ'oj dh d`ik ls dqN ugha gks ldrkA vc esjk Retire dk 17
lky xqtj x;k] gkFk&ikao lyker gSA
 lh-vkbZ-ih- ds yksxksa ds fy, nqvk djrh gw lc viuk dke
bZekunkjh ls djsa D;ksafd bZ'oj mlh esa vk'kh"k nsrk gSA

vki yksxksa dh flLVj

vuqxzfgr frdhZ
 lu~ 1988 esa esjh fu;qfDr lh-vkbZ-ih- esa LVkWQ ulZ
ds in ij gqbZA loZizFke esjh M~;wVh V;wd okMZ esa nh xbZA
okMZ esa eq>s vusd ekufld :i ls ihfM+r ejhtksa dks ns[kus o le>us
dk ekSdk feykA izkjaHk esa eq>s ;gk M~;wVh djus esa eu ugha
yx jgk Fkk] ijUrq /khjs&/khjs eSa ejhtksa ls ?kqyus&feyus yxhA
muls ckrsa djuk vPNk yxus yxkA eSaus eu gh eu bZ'oj dks
/kU;okn fn;k fd vkius eq>s ,sls ejhtksa dh lsok dk volj fn;k gSA
mu fnuksa vkt dh rqyuk esa lh-vkbZ-ih- esa ulksZa dh
la[;k de FkhA jkf= esa flQZ ,d LVkWQ ulZ dh M~;wVh V~;wd
okMZ esa gksrh FkhA V~;wd okMZ dks NksM+dj efgyk vuqHkkx
ds vU; fdlh Hkh okMZ esa VsfyQksu dh lqfo/kk ugha FkhA fctyh
dh vkiwfrZ Hkh fuckZ/k :i ls ugha FkhA dHkh&dHkh ykyVsu dh
lgk;rk ls jkf= esa oksMksZ dk rhu ckj jkmaM djuk iM+rk FkkA
ph&ph >kfM+;ksa o ?kklksa ds dkj.k ;g dk;Z nq"dj izrhr gksrk
FkkA
laLFkku ds vusd okMksZa esa esjh iksfLVax gksrh jghA
ekWM~Lys okMZ esa MkW- ,l- gd ds v/khu dke djus vkSj vPNh
phtsa lh[kus dk ekSdk feykA 29-04-91 dks esjh izksUufr uflZax
flLVj esa gqbZ ,oa 06-02-99 dks eSa ,-,u-,l- cuhA bl nkSjku eSaus
dkWuksyh okMZ] V~;wd okMZ] ekWM~Lys okMZ] ,y-ih- oekZ
okMZ] dysu okMZ] Cywyj okMZ ,oa eksjxXuh okMZ esa dke fd;kA
fnukad 01-11-10 esa esjh izksUufr Mh-,u-,l- esa gqbZA Mh-,u-,l-
cuus ds ckn eSa eSVu vkWfQl esa dk;Z djus yxhA lu~ 2014 esa
eSa laLFkku dh ekr`dk eSVu cuhA izkjaHk esa eq>s yxk fd
eSa eSVu ds mkjnkf;Ro dks dSls Bhd ls fuHkk ikaxhA ysfdu
lHkh lg;ksxh deZpkfj;ksa ds lg;ksx ls eSa viuh ftEesokjh dks
Hkyh&Hkkafr iwjk djus dk iz;kl dj jgh gw vkSj mudh leL;kvksa dks
lqy>kus dh dksf'k'k djrh gwA
 igys dh lh-vkbZ-ih- esa vkt cgqr ifjoZru vk x;k gSA vkt
lHkh okMZ gj izdkj dh lqfo/kk ls ySl gSA okMksZ esa VsfyQksu
,oa ejhtksa ds ejksjatu ds fy, ,y-lh-Mh-] Vh-oh- yxs gSaA cfgjax
foHkkx esa ejhtksa dks vusd izdkj dh lsok,a nh tk jgh gS ,oa mudh
lqfo/kkvksa dk /;ku j[kk tkrk gSA lh-vkbZ-ih- dks csgrj cukus esa
iwoZ ds lHkh eSVu dk fo'ks"k lg;ksx jgk gSa muds dk;ksZa ,oa
;ksxnkuksa dks ge lnSo ;kn j[ksaxsA

dykorh nsoh
ekr`dk
;knxkj lh-vkbZ-ih- 1969
tc eSa gkWLfiVy ds vanj vkbZ rks yxk fdlh ikdZ esa
vkbZ gwA ml le; M~;wVh :e vHkh dk dSaVhu gSA M~;wVh
ns[kus ds ckn duksyh okMZ esa esjk iksLVhax Fkk ogk xbZ] ogk
Jh csx vkSj Jh ekfVZu Fks gSaMvksoj ds ckn M~;wVh 'kq: 10&15
ejht yksxksa dk Blood ysuk 'kq: E.C.T. ejht dks prepair djuk 'kq: ml
le; pathology test dk dksbZ Hkh blood ward esa sister ysrh FkhA
Medicine tray esa fudkyuk breakfast ns[kuk lHkh dke 10 cts ds
Hkhrj dj ysuk Fkk D;ksafd MkWDVj 10-00 cts bed to bed round nsrs
Fks] mudk behaviour ds ckjs lcdqN sister dks crkuk iM+rk Fkk] blfy,
sisters ges'kk ejht ds ij vka[k yxk;s jgrh Fkh fd ejht D;k dj jgs gSa
dgka tk jgs gSa] [kk;s ;k ugha] fdlh ls mixing gS ;k ugha lc ckrksa
dk [;ky j[kuk iM+rk FkkA ,d ward esa 40&50 ejht gksrs Fks round
esa MkWDVj xqIrk incharge Fks galeq[k vkSj etd;y Fks ;gh dkj.k
Fkk fd round esa Hkh tks psychiatric ds dBhu ward Fks iwN fy;k
djrh Fkh vkSj sir [kq'kh&[kq'kh crykrs Fks ftlds dkj.k gesa report
crykus esa lgk;rk feyrh Fkh tSsls ejht dks Hallucination, Eeolalia ckr
djus ij irk pyrk Fkk fd ejht dks Delusion gS bl rjg QkbZy i<+ dj wards
fydky dj Sir ls iwN dj cgqr lkjs Psychiatric dk Kku feykA ckn esa
D.P.N. 'kq: gksus ij Dykl fd;sA ml le; 20&25 sisters vkSj 9 doctors
Fks blfy, Doctors dks nks okMZ ns[kuk iM+rk FkkA blls ejht dks
control dj round rd j[kuk eqf'dy iM+rk FkkA
eSaus ikdZ dk ftdj fd;k ij ugha cryk ik;s lc rjQ lqUnj Qwy]
tehu esa vkSj ij isM+ esa Hkh ejht eSnku esa ysVs Fks] [ksy jgs
Fks] ?kqe jgs Fks yx jgk Fkk ;s Hospital ugha gS] isM+ ds pyrs
xehZ esa xje dk eglwl ugha gksrk Fkk] le; feyus ij sisters Hkh 'kke
dks ejhtksa ds lax eSnku esa [ksyrs FksA ml le; geyksxk ejht ds
lkFk lkFkh tSlk jgrs Fks] okMZ ds lkeus nks flesaV csap ds tSlk
gS ogha ,d lkFk cSBdj ckrs djrs vkSj mudk eu dh ckr fudkyrs Fks
fd mudks Halluciantion gS ;k Delusion mudh ckr lqudj dHkh eq>dks
,slk yxrk Fkk ys[kd gksus ij fdrus lksj dqyw feyrk dgkuh fy[kus ds
fy,A gesyksxksa dk Sift Duty gksrk Fkk Night duty esa ,d Sister dks
gh iwjs Hospital ds lc wards dks ns[kuk iM+rk FkkA 8-00 cts ls lqcg
7-00 cts rdA Duty sister Tuke ward esa jgrh Fkh ogk ls jkr esa rhu
ckj round nsuk iM+rk FkkA 1st round 10-00 cts ls 'kq: djrs Fks ,d
lQkbZ okyh dks ysdj D;ksafd mldks jkr esa lQkbZ djuk iM+rk Fkk
vxj eSyk gS rksA Round bl izdkj Fkk 1st round: 10.00 to 12.00 AM,
2nd round: 01.00 AM to 01.30 AM, 3rd round% 04.00 to 06.00 AM.
04.00 AM esa Tea supervise ds fy, kitchen esa tkuk iM+rk Fkk
D;ksafd ejht yksxksa dks 05-00 AM esa Bed tea nsuk iM+rk FkkA
Round Tuke ward ls Morgagny Ward fQj NksVk xsV ls ikj gksdj Male
section tkrs Fks vkSj Juan ward to Maudslay ward, Kraeplin + Conolly
wards esa ij p<+dj Hkh lc ejht dks fxurh djuk iM+rk FkkA gj okMZ
esa tkdj ejht dk fxurh gj round esa fy;k tkrk FkkA tks ejht List FDS +
ABS esa jgrs Fks mudk fo'ks"k /;ku fn;k tkrk FkkA jkr esa tks ejht
ugha lksrs Fks muds fy, standard order Fkk medicine dks mudks
nsrs FksA vxj round ds ckn fdlh dk side effect gqvk ;k fit gqvk rks
fQj ls ml okMZ esa tkuk iM+rk FkkA blds lkFk [kjkc ejht dk iwjs
Hospital dk Report fy[kuk FkkA Stool Urine j[kuk iM+rk Fkk mldk
yscy fy[kdj fpidkuk iM+rk Fkk QSysfj;k ;k eysfj;k ejht dk LySM
cukuk iM+rk FkkA Week esa ejht yksxksa dks flusek fn[kk;k tkrk
Fkk Female side hall esa rks ejht yksxksa ds lkFk tkuk iM+rk FkkA
chp esa Mkek Hkh gksrk ;k vPNs ejht enjoy djrs FksA
Staff yksxksa dk Hkh general club gksrk Fkk tgka Doctors
ds family Hkh vkrs Fks] [ksy] xkuk] [kkuk lc gksrk Fkk lc yksxk
[kqc enjoy djrs FksA
10-00 cts O.T. esa tkus ds fy, ,d csy ctk;k tkrk Fkk tks
male library ds ij gS] ?kaVh lqudj vPNs ejht OT. pys tkrs fcuk fdlh
ds cksys] ml le; ds ejht dks cksyuk ugha iM+rk Fkk ml le; ukLrk
Hospital dk cuk Bread, Cake, Biscuit lc feyrk FkkA Veg + Non-veg dk
vyx ls kitchen FkkA
Doctors Vaskaran Director dHkh lc staff dks vius ?kj dinner
ds fy, cqykrs lc cgqr enjoy djrs FksA galeq[k Fks esjs wish djus ds
igys nwj ls viuk gkFk mBkdj wish djrs Fks cgqr gh libral mind FksA
Library cgqr vPnk Fkk i<+us tkrh Fkh] lHkh student tkrs vkSj 'kkar
ls i<+rs FksA Dr. Haque vkSj Madam Alka Hkh vkrs Fks] Madam
Doctor ds fy, <wa<dj books fudky nsrh Fkh ns[k dj vPNk yxrk Fkk
Nice Helping HandA
,d nks vPNs Female ejht Fkh mudk ?kj jkaph esa Fkk ij
social stigma ds dkj.k muds ?kj ugha fy;k tkrk Fkk mudks eSa
doctors ds permission ls jkaph ys tkrh ?kqers marketing djrs FksA
Miss Hadsun cgqr vPNh Fkh eSa muds ?kj tk;k djrh Fkh
tc mudh eka death dh rks lkjk jkr eSa ogha Fkh vkSj ppZ dk xkuk
xkrh jghA
ejht Hkh cgqr vPNs Fks dksbZ eq>s ykBh flax] dksbZ
dksfdyk dg dj ckr djrs Fks D;ksafd eSa xkrh vPNh gw psychologist
eq>s ever green djrs FksA gekjs attendance Hkh vPNs Fks ;gh dkj.k
gS fd brus lkjs dke gksrs Fks ftlesa os enn djrs Fks lc feytqy dj
djrs Fks] Hkh ward esa gh iqyko cukdj lc fey [kkrs FksA
ejht dks ckgj hospital bus esa ?kqekus 'kgj ds eSnku esa
ys tkrs Fks social worker.
bruk lc gksrs lh-vkbZ-ih- dk fu'kkuh Hkh feykA jkstk dk
fnu Fkk maudslay ward esa evening duty Fkk lc attendent pantrg esa
jkstk [kksyus x;s Fks ,d ejht vkdj eq>s chair ls mBk dj tehu esa
Mky fn;k] nwljs ejht vkdj cpk;sA blh ward esa ,d vlke dk ejht Fkk
[kkuk ds le; nok ns jgs Fks ihNs ls vkdj nkfguk xky esa ,d FkIiM+
ekjkA Morgagni ward esa nks ejht X-mass ds le; tehu esa cSBdj
dke dj jgs Fkks vkdj cky ukspus yxh] nwljs le; nwljh ejht FkIiM+
ekjhA
bl rjg lh-vkbZ-ih- esjk le; tc de sister Fks galrs&cksyrs ij
okys dh n;k ls dVk] vHkh Night duty ds ckjs lksaprs gSa rks yxrk
gS fcuk bZ'oj dh d`ik ls dqN ugha gks ldrkA vc esjk Retire dk 17
lky xqtj x;k] gkFk&ikao lyker gSA
lh-vkbZ-ih- ds yksxksa ds fy, nqvk djrh gw lc viuk dke
bZekunkjh ls djsa D;ksafd bZ'oj mlh esa vk'kh"k nsrk gSA

vki yksxksa dh flLVj

vuqxzfgr frdhZ
 lu~ 1988 esa esjh fu;qfDr lh-vkbZ-ih- esa LVkWQ ulZ
ds in ij gqbZA loZizFke esjh M~;wVh V;wd okMZ esa nh xbZA
okMZ esa eq>s vusd ekufld :i ls ihfM+r ejhtksa dks ns[kus o le>us
dk ekSdk feykA izkjaHk esa eq>s ;gk M~;wVh djus esa eu ugha
yx jgk Fkk] ijUrq /khjs&/khjs eSa ejhtksa ls ?kqyus&feyus yxhA
muls ckrsa djuk vPNk yxus yxkA eSaus eu gh eu bZ'oj dks
/kU;okn fn;k fd vkius eq>s ,sls ejhtksa dh lsok dk volj fn;k gSA
mu fnuksa vkt dh rqyuk esa lh-vkbZ-ih- esa ulksZa dh
la[;k de FkhA jkf= esa flQZ ,d LVkWQ ulZ dh M~;wVh V~;wd
okMZ esa gksrh FkhA V~;wd okMZ dks NksM+dj efgyk vuqHkkx
ds vU; fdlh Hkh okMZ esa VsfyQksu dh lqfo/kk ugha FkhA fctyh
dh vkiwfrZ Hkh fuckZ/k :i ls ugha FkhA dHkh&dHkh ykyVsu dh
lgk;rk ls jkf= esa oksMksZ dk rhu ckj jkmaM djuk iM+rk FkkA
ph&ph >kfM+;ksa o ?kklksa ds dkj.k ;g dk;Z nq"dj izrhr gksrk
FkkA
laLFkku ds vusd okMksZa esa esjh iksfLVax gksrh jghA
ekWM~Lys okMZ esa MkW- ,l- gd ds v/khu dke djus vkSj vPNh
phtsa lh[kus dk ekSdk feykA 29-04-91 dks esjh izksUufr uflZax
flLVj esa gqbZ ,oa 06-02-99 dks eSa ,-,u-,l- cuhA bl nkSjku eSaus
dkWuksyh okMZ] V~;wd okMZ] ekWM~Lys okMZ] ,y-ih- oekZ
okMZ] dysu okMZ] Cywyj okMZ ,oa eksjxXuh okMZ esa dke fd;kA
fnukad 01-11-10 esa esjh izksUufr Mh-,u-,l- esa gqbZA Mh-,u-,l-
cuus ds ckn eSa eSVu vkWfQl esa dk;Z djus yxhA lu~ 2014 esa
eSa laLFkku dh ekr`dk eSVu cuhA izkjaHk esa eq>s yxk fd
eSa eSVu ds mkjnkf;Ro dks dSls Bhd ls fuHkk ikaxhA ysfdu
lHkh lg;ksxh deZpkfj;ksa ds lg;ksx ls eSa viuh ftEesokjh dks
Hkyh&Hkkafr iwjk djus dk iz;kl dj jgh gw vkSj mudh leL;kvksa dks
lqy>kus dh dksf'k'k djrh gwA
 igys dh lh-vkbZ-ih- esa vkt cgqr ifjoZru vk x;k gSA vkt
lHkh okMZ gj izdkj dh lqfo/kk ls ySl gSA okMksZ esa VsfyQksu
,oa ejhtksa ds ejksjatu ds fy, ,y-lh-Mh-] Vh-oh- yxs gSaA cfgjax
foHkkx esa ejhtksa dks vusd izdkj dh lsok,a nh tk jgh gS ,oa mudh
lqfo/kkvksa dk /;ku j[kk tkrk gSA lh-vkbZ-ih- dks csgrj cukus esa
iwoZ ds lHkh eSVu dk fo'ks"k lg;ksx jgk gSa muds dk;ksZa ,oa
;ksxnkuksa dks ge lnSo ;kn j[ksaxsA

dykorh nsoh
ekr`dk
Towards Sustainable Communities: Self Care and Management by

Nurses
Pradhan Y
Assistant Professor, Department of Psychiatric
Social Work, Central Institute of Psychiatry
Nursing profession is considered as one of the most noble and altruistic
professions. Nurses are selflessly engaged in tending to the physical and
emotional needs of patients and caregivers in fulfilling their traditional roles.
However in the midst of all this, nurses often neglect their own health and
compromise on their wellbeing Not surprisingly, evidence points out to a
high prevalence of burnout syndrome in nurses globally. Self-care for
nurses is an apt solution for this.
Nurses are vulnerable in every stage of their profession, be it as students,
trainees, early practitioners, aging nurses. Studies have found a wide range
of both personal and professional stressors. They often have to face high
job demands, low supportive relationships at work, low job control at work.
Inadvertently they may end up using inept coping mechanisms. This can
lead to poor health and impact their wellbeing. Furthermore, this might also
result in compromised quality of care for the patients who are being helped
by the nurses.
Self-care and management refers to an individual taking responsibility for
ones health. The World Health Organization defines self-care as activities
individuals, families, and communities undertake with the intention of
enhancing health, preventing disease, limiting illness, and restoring health.
According to the Buffalo University Masters in Social Work Self-Care
program, a successful self-care plan factors in six key areas: Physical,
Mental and Emotional Wellness, Spiritual Needs, Positive Relationships,
and School/Work/Life Balance (Butler, et al).
Literature points out those nurses often understand and know the
importance of self-care. However they fail to indulge in self-care activities
and management that promotes their wellbeing. Self-care for nurses not
only improves the quality of life in nurses but also enhances better
competence in nursing practice. Recently self-care programmes and
manuals are gradually being designed for specifically nurses. Some of the
common themes of self-care that are recommended involve proper diet,
physical activity and stress reduction techniques like mindfulness training,
bringing positive energy and developing self-awareness.
One of the goals that have been targeted is Goal 11: Building Sustainable
cities and Communities. Sustainable communities are built not only by
developing physical structures. Sustainable human resources and work
force are equally important in building a healthy society. Coupled with ever
increasing population our modern society today faces major challenges like
newer unknown diseases and illness, complex health needs. This has led
to a wide deficit in human resources in healthcare sector tackle the
challenges. Hence it is crucial to strengthen the existing resources so that
they may be sustainable in future and face the challenges. Only
compassion towards self can lead to compassion towards others which is
an important pre requisite for building a sustainable community of nurses
for future.

NURSING SERVICES AT CIP

A nurse is one who opens the eyes of a new born &
Gently closes the eyes of a dying man.
It is indeed a high blessing to be first and last
to witness the beginning and end of the life.

INTRODUCTION
As we all know Central Institute of Psychiatry (CIP), Ranchi is a premier
institute for mental health in India. Which has been started in 1918 and
since then it has been a pioneer in the field of psychiatry. Till independence
this hospital was meant exclusively for the treatment of European patients.
With a bed capacity of 643, it is spread over an area of 210 acres.
Currently the institute functions under the administrative control of
Directorate General of Health Services, Ministry of Health and Family
Welfare, Government of India, New Delhi, with the objectives of patient
care, manpower development and research in the field of mental health.
The unique function of the nurse is to assist the individual, sick or well, in
the performance of those activities contributing to health, its recovery, or to
a peaceful death that the client would perform unaided if he had the
necessary strength, will, or knowledge. Help the client to gain
independence as rapidly as possible.(Virginia Henderson International
Council of Nurses, 1973)
Nursing is the protection, promotion, and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering though the
diagnosis and treatment of human response, and advocacy in the care of
individuals, families, communities and populations. (ANA, 2003)Nursing
profession is considered a caring profession to begin with; it was an art and
a vocation. Now it is considered a scientific profession nursing care is
defined as the care of the patient with regard to nursing needs, with he ever
increasing dimension of medical sciences quantitatively and qualitatively
nursing care is becoming more and more complex with its management
services.
NURSING SERVICE
The Department of Nursing Service CIP Ranchi, has a rich heritage with
integration of nursing education and nursing practice, provides ensures
qualitative, quantitative, efficient and effective nursing care to the in-
patients and out-patients admitted in the Central Institute of Psychiatry.
Nursing Service is one of the largest departments of the institution that
employs over 187nursing personnel under the Associate Professor of
Psychiatric Nursing & Matron (DNS) with inpatient occupancy of 85% on
an average. Nurses are ensures timely and continuous care for the
psychiatric patients. Nursing is a dynamic, therapeutic and educative
process in meeting the all health care needs of the patient. Nursing service
is the part of the total health organization which aims at satisfying the
nursing needs of the patients / community. The Department has grown
from serving a one hundred seventy bedded hospital to a 673 bedded
tertiary care hospital over the century. The strength of the department has
been its integration of nursing service and nursing education, commitment
to maintaining standards and quality of patient care in addition to exploring
new possibilities to keep pace with changing trends in health care.
Nursing Service is the heart of the institution, which supports and provides
comprehensive patient care at the primary, secondary, and tertiary care
level within our institution.in department of nursing the various cadres of
nurses present in this institute areAssociate Professor of Psychiatric
Nursing, Matron(Deputy Nursing Superintendent), Assistant Nursing
Superintendent, Ward Sisters / Masters and Staff Nurses. The Matron
in the hospital endeavoured to provide quality nursing care, protect the
health and safety of its members and ensure that nurses and their
assistants in the hospital are compassionate, competent and ethically
sound to practice. Nursing staff works in three shifts round the clock over
24 hours in all the wards. Nurses are entrusted with the following
responsibilities in the Institute, bed side nursing care and health teaching
to patients and family members.
WARD MANAGEMENT-This includes managing ward routine, maintaining
supplies and equipment, involvement in various treatments, attending to
emergencies, maintaining personal and environmental hygiene,
maintaining records and reports, involvement in various events organized
for the patients and supervision of nurses and group D staffs.Nursing staff
is equipped with basic psychiatric observation with use of various tools
including Nursing Observational Tool for Inpatient Evaluation (NOSIE) to
assess the prevailing condition of the patient which helps the treating team
to evaluate and modify the treatment plan. Orients new nurses during the
orientation program for efficient management and supervision at the
hospital, nursing department is headed by an Associate Professor of
psychiatric Nursing
STAFF WELFARE ACTIVITIES
CNE- Continuing Nursing Education
Annual Departmental Retreats
Orients new nurses during the induction program.
Deputed for Workshops/ Conferences conducted within the country
Encouraged to participate in TNAI / NL programs
Institution provide education fees to Staffs children
Medical benefits for staff and their family members.

DEPARTMENT OF NURSING EDUCATION - CIP

Govt. of India decided to start training psychiatric nurses during 1953-

54 and started the first organized course at All India Institute of Mental
Health (presently NIMHANS) & CIP
In 19641965, the Indian Nursing Council (INC) made it a requirement
to integrate psychiatric nursing in the nursing diploma and degree
courses.
In 1967, a separate Psychiatric Nursing Committee was formed in the
Trained Nurses Association of India.
Diploma in Psychiatric Nursing is conducted in three institutions in
India.

OBJECTIVES:-Department of Nursing Education in CIP has two main

objectives

To possess a body of knowledge with the concomitant ability to use it.

 To establish and maintain helping relationship which gives the ability
to use oneself therapeutically.

PURPOSE

Allow client opportunity to set own pace in working with problems.

Nursing interventions should centre on the client as a person
Recognize your own feelings toward clients and deal with them.
Go to the client who needs help the most.
Do not allow a situation to develop or continue in which a client
becomes the focus of attention in a negative manner.
Avoid highly competitive activities that are, having one winner and a
room full of losers.
Make frequent contact with clientsit lets them know they are worth
your time and effort.
Remember to assess the physical needs of your client.
Suggesting, requesting, or asking works better than commanding.
Be honest so the client can rely on you.

TODAYS DPN IS THEORY BASED PRACTICE

Psychiatric nursing uses theories of human behaviour as its scientific

framework and requires the use of the self as its art or expression in
nursing practice.
Some of the theories applied in psychiatric nursing are

Hildegard Peplau - Theory of interpersonal relations

Psychoanalytic theory
Behaviourism
Jean Piaget: Theory of Cognitive Stages of Development
Humanistic Theories - Abraham Maslow, Carl Rogers
Existential Theories
Tidal model by Dr Phil Barker and Poppy Buchanan-Barker

Psychiatric Nursing Education section is responsible for training nurses to

obtain the one year diploma course Diploma in Psychiatric Nursing, post
basic (DPN), offer headship and guidance throughout the year in various
departments of the Institution.
This course started from 1stAugust 1983, under Ranchi University.
Diploma in Psychiatric Nursing, post basic (DPN) is recognized by Indian
Nursing Council, New Delhi, permitted for Diploma in Psychiatric Nursing
Post Basic Programme with an intake of 15(fifteen) seats for 2015-2016
academic year & renewal 2016-2017 onwards & approval of Ranchi
University/ State Nursing Council Jharkhand.
Ranchi University, Ranchi Vice Chancellor has been pleased to approve for
amendment of syllabus for diploma of psychiatric nursing post basic
course, 26thMarch 2015.
Two hundred and fourteen students are enrolled (DPN) course, out of
these 137 students from CIP and rest of the students from outside since
August 1983 to 2016-2017 batches.
There are three papers in the Post Basic Diploma in Psychiatric Nursing
Course including viva-voce. During the academic session classes are being
taken by the professors of different streams. Students are expected to
participate in Seminars, case conferences, Journal club and movie club.
There are three internal exams. Organize to the periodic assessment of
the students. Students are expected to participate in professional activities
as well as extracurricular activities during the session.

CIP provide clinical experience to various Diploma Nursing students,

Bachelor Nursing students & Master in Psychiatric Nursing students from
different school/college of nursing from all over the India. This year visiting
nurses came from various states of the country Jharkhand, Bihar,
Odisha, Chhattisgarh, Madhya Pradesh, West Bengal and Punjab. They
helped in various ward activities completed their clinical assignments,
attended lectures and participated in extra-curricular activities

FUTURISTIC CIP DEPARTMENT OF NURSING EDUCATION

Following INC regulations for DPN course

To start Master in Psychiatric Nursing course.
To conduct scientific sessions in psychiatric nursing field.

Role of Psychiatric Nurse

Introduction
Nursing is a vital aspect of health care & needs to be properly organized.
A nurse is in frequent contact with the patients & hence her/his role in restoring health &
confidence of the patient is of utmost importance, the quality of nursing care & the
management of the nursing staff, reflect an image of the hospitals.
In the health care system affect the roles of the psychiatric mental health nurse.
Psychiatric nurses have traditionally worked on inpatient psychiatric units; they have continued
to expand their role into the community.
OBJECTIVES OF NURSING SERVICE
It includes Management of Nursing Care & Services
 Education, Training and Staff Development Programs
Nursing Research & Community Health Programs
CATEGORIES OF NURSING PERSONNEL
Nursing Officer
Nursing Superintendent
Deputy Nursing Superintendent
Assistance Nursing Superintendent
Nursing sister
Staff Nurse
QUALITIES OF A PSYCHIATRIC NURSE
1. Self-Awareness
2. Self-Acceptance
3. Accepting the Patient
4. Being Sincerely Interested in Patient Care
5. Being Available
6. Empathizing with the Patient
7. Reliability
8. Professionalism
9. Accountability
10. The Ability to Think Critically

SKILLS OF A PSYCHIATRIC NURSE

Excellent observational skills to assess patients and look out for signs of tension or anxiety
Strength, stamina and physical fitness particularly if working in a hospital or secure residential
unit
Excellent communication skills for dealing with the patients and their families
The ability to stay calm and think quickly in challenging circumstances
Emotional resilience and a non-judgmental approach
Skill in decision making and time and stress management
Empathy with patients and the situation they're in
The ability to help others overcome the social stigma related to mental health
Role and responsibility of psychiatric nurse
Mental health nurses also work closely with patients who have
mental health issues. They are experts in assessing, diagnosing and
treating people with psychiatric problems. Mental health nurses work as
part of a team to provide total medical care for the patient. Some of the
common duties of a mental health nurse include:

Providing a safe therapeutic milieu

Evaluate the mental health needs of patients
Come up with treatment plans for the patient
Provide personal care to the patient
Provide care in coordination with families, doctors and other health
professionals
Working with patients or clients on the real day-to-day problems they
face
 Identifying and caring for the physical aspects of the patient's
problems
Assuming the role of social agent or parent for the patient in various
recreational, occupational, and social situations
Conducting psychotherapy
Providing leadership and clinical assistance for other nurses and
health care workers.
Caring for patients with acute conditions - building relationships and
responding to their physical and emotional needs, while delivering
effective care.
Administering patients' medications and treatments - and monitoring
results.
Dealing with the specific symptoms of mental illness, de-escalating
stressful situations and helping patients overcome challenges.
Interacting with patients' families and other care staff - offering advice
and information on patients' conditions.
Preparing and maintaining patients records, producing care plans and
risk assessments.
Organizing group therapy sessions, including social and artistic
events, aimed at promoting patients' mental recovery.

Role & Responsibility of Visiting Nursing Students Posted In CIP

 Nursing Student make a real difference in the lives of those who
suffer from mental illness.
Nursing Student helps to develop a plan care for the patient.
Nursing Student develop therapeutic communication and listening
skills.
Nursing Student improving skill of thinking and develops ability to
problem solving.
Student nurse ability collaborates in order to work effectively
within a mental health team.
Student nurse develop interviewing, assessment skill and
performing all aspects of evaluation.
To develops accurate skill for conducting history and mental status
examination of the patients.
Student nurse learn how to deal with rehabilitation of mentally ill
patient.
Student nurse improve their skills regarding electroconvulsive
therapy.
Student nurse gained knowledge about psychotherapy.
Student nurse got the knowledge of admission and discharge
procedure from the OPD.
Student nurse gained knowledge regarding psychopharmacology.
Student nurse explored in all the wards and met different kinds of
patient like Bipolar Affective Disorder, OCD, Behavioral Disorder,
Psychosis and Neurotic Disorder.
Improve their theoretical knowledge through class taken by CIP
staffs.

BENEFITS FOR THE PATIENT

Student nurse improved the lives of those who suffer from mental
illness.
Student nurse are helped patient to return their lives, jobs and
families.
Compensate empathetic people with good listening and
communication skill.
The majority of the time spend using therapeutic communication
and listening skills
To helped & understand the patient and families to mental health
and mental illness
Student nurse need to be people who enjoy interaction and
helping others through their problems.
 Student nurse able to provide patient care appropriate, effective
the treatment of health problems.
Motivate patient for early treatment and follow up.

CENTRAL INSTITUTE OF PSYCHIATR, KANKE, RANCHI

MATRON
S.NO. NAME
1 MRS ALEYAMMA BROCKLESBY DAVIS (EAPEN)

FROM TO 30.09.1955

2 MS MARIAN HODGSON

FROM 01.10.1955 TO 31.01.1977

3 MRS GRACY STEPHEN

FROM 01.02.1977 TO 30.06.1982

4 MRS J. ASNA

FROM 01.07.1982 TO 31.07.1983

5 MRS INDUMATI HOLKAR

FROM 01.08.1983 TO 31.10.1987

6 MRS SARAMMA VARGHESE

FROM 01.11.1987 TO 31.05.1992

8 MRS LUCY MARANDI

FROM 01.06.1992 TO 30.06.2000

9 MRS MARY TIGGA

FROM 01.07.2000 TO 30.11.2001

10 MRS MAGDALI KUJUR

FROM 01.12.2001 TO 30.11.2007

11 MRS JACINTA KARKETTA

FROM 01.12.2008 TO 31.10.2010

12 MRS ARCHANA SAMANTA

FROM 01.11.2010 TO 31.01.2014

 13 MRS KALAWATI DEVI

FROM 01.02.2014

CENTRAL INSTITUTE OF PSYCHIATRYKANKE, RANCHI

PSYCHIATRIC NURSING EDUCATION DEPARTMENT

Nursing Teaching faculty
S.NO. NAME
1 MR M.N. HOLKER
(NURSING TUTOR )

FROM 01.08.1983 TO31.07.1986

2 Mrs SARAMMA Varghese

(nursing SUPERTIENDENT)

FROM 01.08.1986TO31.10.1989
3. Mrs. MariamTirkey
(ans)

FROM01.08.1986 TO31.10.1989
3 MR PATRAS MARANDI
(NURSING TUTOR )

FROM 01.08.1986TO01.08.1986
4 MRS Barbara BinhaXalxo
(PSYCHIATRIC NURSING TUTOR )

FROM 23.10.1989TO30.09.2014
5 Mrs Sumita S. Masih
(Associate Professor OF
Psychiatric Nursing )CONTRACT

FROM 12.11.2010TO11.11.2012
6 Mrs Sumita S. Masih
(Associate Professor OF
Psychiatric Nursing ) PERMANENT
FROM 05.02.2014
 CENTRAL INSTITUTE OF PSYCHIATRY, KANKE, RANCHI
2017( dns&ans )

MRS KALAWATI DEVI (d n s) MRS SUSHILA mishra (d n s)

MRS ILLA RANI KUJUR MRS SHAKUNTALA KUJUR MRS ELAMMA JOSEPH EKKA

MRS SUSHILA MINZMRS SWARNBALA SURENMRS KUSUM TOPPO

MRS MARIAM KACHHAP MRS NILU TOPPO MRS SUSHMA EKKA

MRS GERALDINA EKKA MRS MANONIT KACHHAP MRS TARCILLA GURIA

MAUDSLEY WARD & JUAN WARD

S.N. NAME OF NURSING PERSONAL DESIGNATION QUALIFICATION

1 BR. PAULUS MINZ WARD INCHARGE GNM ,

2 SIS. NUTAN BARA WARD INCHARGE GNM , DPN
3 SIS MARY GORETI EKKA NURSING SISTER GNM , DPN
4 SIS MADHURI TIRKEY NURSING SISTER GNM , DPN
5 SIS NIVANTI DHAN STAFF NURSE GNM , DPN
6 SIS NEELAM SHARMA STAFF NURSE GNM ,
7 SIS MANORAMA KUMARI STAFF NURSE GNM ,
8 SIS SHANTI BACK HERANZ STAFF NURSE GNM , DPN
9 SIS ALMA LAKRA STAFF NURSE GNM , PB BSc.N
10 SIS KIRAN KUMARA II STAFF NURSE GNM , DPN
11 SIS REHANA BEGAM STAFF NURSE GNM , PB BSc.N
12 SIS MANJU ROY STAFF NURSE M.Sc. PSY. NURSING
13 BR. SHYJU M VERGESE STAFF NURSE GNM , DPN
14 SIS ROSA TOPPO STAFF NURSE GNM
15 SIS MINI SAIMAN STAFF NURSE GNM
16 BR. VIR SINGH YADAV STAFF NURSE GNM
17 SIS POONAM KUMARI STAFF NURSE GNM , DPN
18 SIS RASHMI MINZ STAFF NURSE GNM , DPN
19 SIS JYOTHI TIRKEY STAFF NURSE GNM , DPN
20 SIS PUNITA KUJUR STAFF NURSE GNM
21 SIS ANITA KUMAR III STAFF NURSE GNM
22 SIS KRIPA TIGGA STAFF NURSE GNM
23 BR. WASHIM AKHTAR STAFF NURSE GNM
 CONOLLY WARD& BHILL WARD

S.N Name of nursing personal Designation Qualification

1 SIS NIRMALA TIRKEY WARD INCHARGE GNM , DPN
2 SIS. LILY GRACE TIGGA WARD INCHARGE GNM , DPN
3 SIS. PRITI KUMARI NURSING SISTER GNM , DPN
4 SIS. JACINTA KERKETTA NURSING SISTER GNM , DPN
5 SIS. ROSE MALINI KERKETTA STAFF NURSE GNM
6 SIS. SUNITA KUMARI MAHATO STAFF NURSE GNM , DPN
7 SIS. APOLINA KULLU STAFF NURSE GNM , DPN
8 SIS. NIRMALA NILOFER STAFF NURSE GNM , DPN
9 SIS. SULTANA BEGUM STAFF NURSE GNM , DPN
10 BR. SHARAD MASIH STAFF NURSE GNM
11 SIS BISHNU PRIYA STAFF NURSE GNM , DPN
12 SIS MINOTI RAUT STAFF NURSE GNM , DPN
13 SIS TARUNA KUMARI STAFF NURSE GNM , PB BSc.N
14 SIS SHOBHA KUMARI STAFF NURSE GNM
15 SIS PADMA KACHHAP STAFF NURSE GNM
16 BR. RUPESH RAVI DAS STAFF NURSE M.Sc. COM.H. NURSIN
17 SIS BABITA KUMARI STAFF NURSE GNM
18 SIS UNA KUMARI STAFF NURSE GNM , DPN
19 SIS PARWATI KUMARI STAFF NURSE GNM
20 SIS ANJLINA XALXO STAFF NURSE GNM , DPN
21 SIS PRERNA CHOUDHRY STAFF NURSE GNM
22 SIS MANITA MAHTO STAFF NURSE GNM
 KRAEPELIN WARD &FREUD WARD

S.NO NAME OF NURSING PERSONAL DESIGNATION QUALIFICATION

1 BR. J D SANCHA Ward In charge GNM , DPN

2 SIS. PHULMANI XESS Ward In charge GNM , DPN
3 SIS ROYLEN TIRKEY NURSING SISTER GNM , DPN
4 SIS DIPTI TOPPO NURSING SISTER GNM , DPN
5 SIS KAVITA OJHA STAFF NURSE GNM
6 SIS AGNES RITA DUNGDUNG STAFF NURSE GNM , DPN
7 SIS PHULMANI TIGGA STAFF NURSE GNM
8 SIS TETRI KACHHAP STAFF NURSE GNM , DPN
9 SIS ARTI CHATURVEDI STAFF NURSE M.Sc. PSY. NURSING
10 SIS ATEN BARLA TOPPO STAFF NURSE GNM , DPN
11 SIS SINI MATHEW STAFF NURSE GNM , DPN
12 SIS MANJU DEVI STAFF NURSE GNM
13 SIS KHEDAN MEERA STAFF NURSE GNM , DPN
14 BROTHER VIJESH K V STAFF NURSE GNM
15 SIS LIBANA PATRA STAFF NURSE GNM
16 SIS SHANTA BAXLA STAFF NURSE GNM
17 SIS NILOFER PARWEEN STAFF NURSE GNM
18 SIS KANCHAN KUMARI STAFF NURSE GNM
19 SIS SABINA KHATOON STAFF NURSE GNM
20 SIS GEETA KUMARI STAFF NURSE GNM
21 SIS RINKI KUMARI PASWAN STAFF NURSE GNM , DPN
22 SIS SUFIYA SULTANA STAFF NURSE GNM
23 SIS BILASI KUMARI STAFF NURSE GNM
TUKE WARD, L P VERMA WARD & PINAL WARD

S.NO NAME OF NURSING PERSONAL DESIGNATION QUALIFICATION

1 SIS. MIRAWATI EKKA WARD IN CHARGE GNM , DPN

2 SIS. ARUNA DEVI WARD IN CHARGE GNM , DPN
3 SIS SUSHMA EKKA II WARD IN CHARGE GNM , DPN
4 SIS BASANTI TIPPO NURSING SISTER GNM , DPN
5 SIS SHANTI KESHAR NURSING SISTER GNM
6 SIS CELESTINA XESS NURSING SISTER GNM , DPN
7 SIS SNEHLATA SINHA STAFF NURSE GNM , DPN
8 SIS ANITA KUMARI II STAFF NURSE GNM , DPN
9 SIS ANITA BEBORTA STAFF NURSE GNM
10 SIS SARBILA KUMARI STAFF NURSE GNM , DPN
11 SIS SAGARIKA DAS STAFF NURSE M.Sc. PSY. NURSING
12 SIS MINATI OJHA STAFF NURSE GNM , PB BSc.N
13 SIS ELIZABETH SANGA STAFF NURSE GNM
14 SIS NOMITA KUJUR STAFF NURSE GNM , DPN
15 SIS REEMA KUJUR STAFF NURSE GNM , DPN
16 SIS ABHA RANI KUJUR STAFF NURSE GNM , DPN
17 SIS LILY GULAB XALXO STAFF NURSE GNM , DPN
18 SIS SANGEETA KUMARI STAFF NURSE GNM
19 SIS KABITA BAHALEN SANGA STAFF NURSE GNM
20 SIS SUSHILA KUMARI II STAFF NURSE GNM
21 SIS TANUSHRI HALDER STAFF NURSE GNM
22 SIS MANJU KUMARI STAFF NURSE GNM
23 SIS PRIYANKA KUMARI II STAFF NURSE GNM
24 SIS SUSHILA TANUJA MAHTO STAFF NURSE GNM
CULLEN WARD, BLEULER WARD & MORGAGNI WARD,

S.NO NAME OF NURSING PERSONAL DESIGNATION QUALIFICATION

1 SIS. SUCHITA KERKETTA WARD IN CHARGE GNM , DPN

2 SIS. EVELYAN KUJUR WARD IN CHARGE GNM , DPN
3 SIS MELANI TIRKEY WARD IN CHARGE GNM , DPN
4 SIS SARSWATI SETHI NURSING SISTER GNM , DPN
5 SIS SUSHILA LAKRA NURSING SISTER GNM , DPN
6 SIS PHILIPA LAKRA STAFF NURSE GNM , DPN
7 SIS KUMARI KIRAN STAFF NURSE GNM , DPN
8 SIS AJMINA KHATOON STAFF NURSE GNM , DPN
9 SIS PRIYANMUNA BISWAS STAFF NURSE GNM , DPN
10 SIS PRABHA KUJUR STAFF NURSE GNM
11 SIS JOSPHIN EKKA STAFF NURSE GNM , DPN
12 SIS ANITA KUMARI I STAFF NURSE GNM , DPN
13 SIS ARUNA EKKA STAFF NURSE GNM
14 SIS MINOTI RANI SAW STAFF NURSE GNM , PB BSc.N
15 SIS RASHMI KUMARI STAFF NURSE GNM , DPN
16 SIS SANDHYA RANI XAXA STAFF NURSE GNM , DPN
17 SIS PAIRIM TIGGA STAFF NURSE GNM , DPN
18 SIS BUDO BHAGAT STAFF NURSE GNM , DPN
19 SIS KUMARI MAMTA STAFF NURSE GNM
EMERGENCY, CCAP & RHC WARD

S.NO NAME OF NURSING PERSONAL DESIGNATION QUALIFICATION

1 SIS.MARY IMELDA WARD IN CHARGE GNM , DPN

2 SIS. LOVISA MINZ WARD IN CHARGE GNM , DPN
3 SIS SUCHITA TIRKEY WARD IN CHARGE GNM , DPN
4 SIS SUKRU SUKESHI NURSING SISTER GNM , DPN
5 SIS PRICILLA KULLU NURSING SISTER GNM , DPN
6 SIS PHULGENCIA KINDO NURSING SISTER GNM , DPN
7 SIS SHEELA RUNDA STAFF NURSE GNM
8 SIS OLGA PENTONI STAFF NURSE GNM , DPN
9 SIS PUSHPA MINZ STAFF NURSE GNM , DPN
10 SIS MODESTA KONGARI STAFF NURSE GNM ,DPN
11 SIS MALA SINHA STAFF NURSE GNM ,DPN
12 SIS CHANCHALA KUMARI STAFF NURSE GNM
13 SIS PRIYANKA KUMARI- I STAFF NURSE GNM
14 SIS SIBANI DAS STAFF NURSE GNM ,DPN
15 SIS JYOTHI MAMTA HORO STAFF NURSE GNM ,DPN
16 SIS ROSHNI KUMJR STAFF NURSE GNM
17 SIS MINAKSHI BARLA STAFF NURSE GNM ,DPN
18 SIS KANCHAN MINZ STAFF NURSE GNM ,DPN
19 SIS SIMON PP STAFF NURSE GNM
20 SIS MADHURI KUMARI STAFF NURSE GNM ,DPN
21 SIS SHABNAM PARWEEN STAFF NURSE GNM
22 BROTHER DEO CHANDER KAURIAR STAFF NURSE GNM
23 SIS ANITA BAGE STAFF NURSE GNM ,DPN
24 SIS SUDHA KUMAR RAVI STAFF NURSE GNM
CENTRE FOR ADDICTION PSYCHIATRY (SS RAJU WARD)

S.NO NAME OF NURSING PERSONAL DESIGNATION QUALIFICATION

1 SIS.PROMILA KERKETTA WARD IN CHARGE GNM , DPN
2 SIS. NEELAM PROMILLA WARD IN CHARGE GNM , DPN
3 SIS MARY MONIKA LAKRA WARD IN CHARGE GNM
4 SIS SHANTI TOPPO NURSING SISTER GNM , DPN
5 SIS SUSHILA KUJUR NURSING SISTER GNM , DPN
6 SIS RENU KUMARI SINHA NURSING SISTER GNM , DPN
7 SIS SULOCHANA KUMARI STAFF NURSE GNM
8 SIS MAMTA KUJUR STAFF NURSE GNM , DPN
9 SIS SUSHILA KUMARI -I STAFF NURSE GNM
10 BROTHER RANJEET KUMAR STAFF NURSE BASIC BSc.N
11 SIS POONAM TIGGA STAFF NURSE GNM
12 SIS. SAVITRI DIGWAR STAFF NURSE GNM DPN

OTHER DEPARTMENT
S.NO NAME OF NURSING PERSONAL DEPARTMENTS QUALIFICATION
1 SIS M S EKKA OPD GNM , DPN
2 SIS TARA TIRKEY OPD GNM , DPN
3 SIS MAMTA KALIA OPD GNM , PB BSc.N
4 SIS JAYANTI KUMARI OPD GNM , DPN
5. SIS ANJU RANI XALXO PSU GNM , DPN
6 SIS MARIAM EKKA KITCHEN GNM , DPN
7 BROTHER A. SRINIVASAN CCN SCIENCE DEPT. M.Sc. PSY. NURSING
8 SIS LALSA DHUSIA ECG DEPT. GNM
9 BROTHER SRIKANTA CHAKRABORTY CAT-SCAN DEPT. GNM
10 SIS NILIMA XALXO X-RAY DEPT. GNM , DPN
11 BROTHER RAJAN SHRAM LIBRARY GNM
12 BROTHER B K DUBEY LIBRARY GNM
13 BROTHER BALESHWAR SOREN PATH LAB DEPT GNM
14 SIS CICILIA TOPPO LAUNDRY GNM , DPN
15 SIS RAJNI KUJUR CANTEEN. GNM
16 SIS PHULMANI LINDA CANTEEN GNM , DPN
17 SIS SUSHILA GURIA DISPENSARY GNM , DPN
18 SIS K SATYAWATI MALE OTD GNM , DPN
19 SIS FLORANCE TOPNO FEMLE OTD DPN
20 BROTHER .NIRMALYA CHKRABORTY COMPUTER DPN
21 SIS ELEMMA EKKA TEACHING BLOCK GNM , DPN
22 SIS SHREEJA V TEACHING BLOCK BASIC BSc.N, DPN
DIPLOM IN PSYCHIATRIC NURSING STUDENTS(DPN)
S.N Name of the CIP Yea Date of Date Of Pass/
. students /Outsid r Birth Admission Fail
e
1. MRS LUCY CIP 198 24.06.194 01.08.1983 Pass
MARANDY 3 0
2 MRS MARIAM CIP 198 05.04.193 01.08.1983 Pass
TIRKEY 3 4
3 MRS SARAMMA CIP 198 04.09.193 01.08.1983 Pass/D
VERUGHESE 3 7
4. MRS.USHASHI Out 198 01.06.195 02.08.1983 Pass
BOSE side 3 4
5. MRS.EVA Out 198 05.06.195 02.08.1983 Pass
KHAKHA side 3 1
6. MRS SABITA Out 198 12.08.195 07.09.1983 Pass
CHAKARAWERT side 3 3
Y
7. SISTER GRACE Out 198 14.06.195 16.8.1983 Pass/D
S.L.C. side 3 0
8 MRS CIP 198 04.01.194 01.08.1984 Pass
ANUGRAHIT 4 0
TIRKEY
9 MR. PATRAS CIP 198 16.01.193 01.08.1984 Pass
MARANDI 4 8
10 MRS Out 198 10.08.195 01.08.1984 Pass
SNEHALATA side 4 0
SHARMA
11 MISS .BELA Out 198 05.01.195 10.09.1984 Pass/D
MITRA side 4 8
12 MRS MARY CIP 198 21.11.194 01.08.1985 Pass
TIGGA 5 1
13 MRS MAGDALI CIP 198 07.11.194 01.08.1984 Pass
KUJUR 5 7
14 MRS Out 198 16.12.194 01.08.1984 Pass
BERNADETTE side 5 6
KHALKHO
15 MRS JYOTI Out 198 29.09.194 01.08.1984 Pass
SINGH KUJUR side 5 8
16 MRS Out 198 06.05.195 19.08.1984 27.9.85Discot
NGHAKLIANI side 5 1 .
RALTE
17 MRS EMMA L. Out 198 07.04.194 30.09.1984 Pass
KULLU side 5 9
18 MRS. SUSHILA CIP 198 03.10.194 01.08.1986 Pass
HODA 6 5
19 MISS. URSULA CIP 198 31.12.193 01.08.1986 Pass
BODRA 6 9
20 MISS. Out 198 16.08.196 01.08.1986 Pass
MUDHUMITA side 6 2
 DEV
21 MRS.TERSA Out 198 07.04.195 19.08.1986 Pass
KUJUR side 6 4
22 MRS. OLIVE Out 198 06.11.194 09.09.1986 Discont.
KUJURE side 6 7
23 MISS. BIMLA Out 198 01.05.195 09.09.1986 Pass
KERKETTA side 6 7
24 MRS. JYOTHI CIP 198 03.10.194 01.08.1987 Pass/D
BECK 7 5
25 MRS. MARIUM CIP 198 06.05.194 01.08.1987 Pass/D
EKKA 7 6
26 MRS CHANDA CIP 198 28.11.195 03.10.1988 Pass
GHOSH 8 1
27 MRS JACINTA CIP 198 21.10.195 04.10.1988 Pass/D
TIRKEY 8 0
28 MRS NUTAN Out 198 25.07.195 04.10.1988 Pass
SANDIL side 8 7
29 MRS AMARLATA Out 198 10.12.195 04.10.1988 Pass
P.TOPPO side 8 4
30 MRS ANGELINA Out 198 25.12.195 04.10.1988 Pass
LUGAN side 8 6
31 MRS Out 198 12.10.195 07.10.1988 Pass
SELINAMMA side 8 2
ANTONY
32 MRS Out 198 24.08.194 07.10.1988 Pass/D
KATHRIKUTTY side 8 4
T.T.
33 MRS BINHA Out 198 08.09.195 07.10.1988 Pass/D
BARBARA side 8 4
XALXO
34 MRS SUKRO CIP 198 24.11.194 01.08.1989 Pass
DEVI 9 9
35 MRS Out 198 09.10.194 01.08.1989 Pass
PONNAMMA V. side 9 7
N.
36 MRS ELISABA Out 198 26.06.194 01.08.1989 Pass
KHALKHO Side 9 8
37 MRS C. P. Out 198 17.01.194 01.08.1989 Pass
ACHIAMMA side 9 0
38 MRS KATHERINE Out 198 09.08.194 01.08.1989 Pass
KHALKHO side 9 9
39 MRS SUDHA Out 198 18.02.194 01.08.1989 Pass
RANI DANGWAR side 9 9
40 MR. BHASKARA Out 198 15.02.196 01.08.1989 Pass
R. MATHANGI side 9 0
41 MRS MARGARET CIP 199 01.07.194 01.08.1990 Pass/ Suppl.
TIRKEY 0 6
42 MRS RAHIL CIP 199 01.10.195 01.08.1990 Pass/Suppl.
SOYMURUM 0 2
43 MR GANESH CIP 199 06.10.194 01.08.1991 Pass
 ORAM 1 2
44 MRS PYARI CIP 199 28.12.195 01.08.1991 Pass
KUJUR 1 5
45 MR. ASWINI Out 199 01.08.195 08.08.1991 Pass
KR.BEZ side 1 8
46 MRS ARUNA CIP 199 02.03.196 09.08.1991 Pass
DEVI 1 7
47 MRS INDRAWATI Out 199 06.05.195 09.09.1991 Pass
CHATURVEDI side 1 7
48 MRS ILLA RANI CIP 199 01.09.195 14.08.1991 Pass
TATI 1 7
49 MRS CIP 199 01.07.195 01.08.1992 Pass
SAKUNTALA 2 8
KUJUR
50 MRS SILVI VELU Out 199 23.05.196 01.08.1992 Pass/D
NAICKAR side 2 9
51 MRS KUSUM CIP 199 13.01.195 01.08.1992 Pass
TIGGA 2 8
52 MRS RUNU DEY Out 199 09.08.196 01.08.1992 Pass
side 2 0
53 MR NIVA KAR Out 199 11.11.195 01.08.1992 Pass
GHOSH side 2 6
54 MRS ELAMMA CIP 199 18.06.195 01.08.1992 Pass
EKKA 2 7
55 MRS ELIZABETH Out 199 10.07.195 01.08.1992 Pass
TIGGA side 2 3
56 SAROJINI CIP 199 03.01.195 02.08.1993 Pass/D
KHESS 3 6
57 NILU TOPPO CIP 199 05.01.196 02.08.1993 Pass
3 3
58 MR. AJIT. K. CIP 199 06.07.195 02.08.1993 Pass
DESHMUKH 3 1
59 GERALDINA CIP 199 19.01.196 01.08.1994 Pass
MINJ 4 0
60 PHULMANI CIP 199 06.02.195 01.08.1994 Pass/D
KHESS 4 9
61 ELIZABETH CIP 199 25.07.194 01.08.1994 Pass
XALXO 4 6
62 MARIAM CIP 199 23.07.195 01.08.1994 Pass
KACHHAP 4 8
63 SUSHILA MINZ CIP 199 12.07.195 01.08.1994 Pass
4 7
64 MANONIT CIP 199 26.04.196 01.08.1994 Pass
M.KACHHAP 4 2
65 V. MAHALAXMI Out 199 28.02.196 01.08.1994 Pass/Supp
side 4 0
66 TARCILLA CIP 199 08.01.195 01.08.1995 Pass
GURIA 5 8
67 SUCHITA KULLU CIP 199 12.10.195 01.08.1995 Pass
5 8
68 ANITA KUJUR CIP 199 02.02.195 01.08.1995 Pass
5 7
69 ROSELINE P. CIP 199 24.10.195 01.08.1995 Pass
KANDULNE 5 8
70 LILY GRACE CIP 199 04.06.196 17.08.1995 Pass
BARA 5 1
71 MARY CELLA CIP 199 06.02.196 17.08.1995 Pass
EKKA 5 0
72 PROMILA CIP 199 10.11.196 01.08.1996 Pass/D
KERKETTA 6 3
MINZ
73 SUCHITA TOPPO CIP 199 19.06.196 01.08.1996 Pass
6 1
74 MARY IMELDA CIP 199 14.02.195 01.08.1996 Pass
TIRKEY 6 9
75 MARIAM EKKA CIP 199 01.03.196 01.08.1996 Pass
6 3
76 ANANDINI Out 199 16.10.195 01.08.1996 Pass
TOPPO side 6 8
77 BASANTI TOPPO CIP 199 07.01.195 13.08.1996 Pass/Suppl
6 8
78 MIRAWATI EKKA CIP 199 20.02.196 01.08.1997 Pass
KERKETTA 7 4
79 KALAWATI DEVI CIP 199 01.08.195 01.08.1997 Pass
7 9
80 NIRMALA CIP 199 25.02.196 01.08.1997 Pass
TIRKEY 7 0
80 MR. RAJDEV. CIP 199 03.06.194 01.08.1997 Pass
THAKUR 7 8
81 MAGDALI Out 199 05.05.196 01.08.1997 Pass
KANDULNA side 7 0
82 KIRANBALA Out 199 20.08.196 01.08.1997 Pass/D
SINGH side 7 9
83 MIRAWATI EKKA CIP 199 20.02.196 01.08.1997 Pass
KERKETTA 7 4
84 MELANI TIRKEY CIP 199 08.01.196 01.08.1998 Pass
8 2
85 LOVISA MINZ CIP 199 10.10.196 01.08.1998 Pass
BECK 8 4
86 ROYLEN TIRKEY CIP 199 03.05.196 01.08.1998 Pass
8 2
87 MARY BARA CIP 199 19.12.195 02.08.1999 Pass
9 5
89 SUSHMA EKKA CIP 199 10.05.196 02.08.1999 Pass
9 4
88 SWARNBALA CIP 199 31.07.196 02.08.1999 Pass
SURIN 9 8
90 EVELYN AGNUS CIP 200 02.01.196 01.08.2000 Pass
0 7
91 NILIMA PROMILA CIP 200 16.12.196 01.08.2000 Pass
 KUJUR 0 7
92 MARY GORETTI CIP 200 09.02.196 01.08.2000 Pass/Suppl
EKKA 0 4
93 TARA TIRKEY CIP 200 19.09.196 01.08.2000 Pass
0 4
94 GOLDA CIP 200 15.06.197 01.08.2001 Pass
KARUNYA THAI 1 1
95 SUSHILA LAKRA CIP 200 13.05.196 01.08.2001 Pass
1 6
96 CELESTINA CIP 200 29.12.196 01.08.2001 Pass/Suppl
KHESS 1 4
97 SHANTI TOPPO CIP 200 03.05.196 01.08.2001 Pass
1 5
98 JOHN DAVID CIP 200 25.07.195 01.08.2001 Pass/Suppl
SANCHA 1 7
99 ANJU RANI CIP 200 04.01.196 01.08.2001 Pass
XALXO 1 4
100 NUTAN BARA CIP 200 04.01.196 01.08.2001 Pass
KACHHAP 1 8
101 HIRAMANI BARA Out 200 21.03.195 01.08.2001 fail
side 1 2
102 PREMLATA M. CIP 200 30.12.197 01.08.2001 Pass
TIRKEY 1 5
103 ANITA KHALKHO Out 200 03.12.195 01.08.2001 Pass
side 1 8
104 MARIUM TIGGA Out 200 05.03.195 01.08.2001 Pass/Suppl
side 1 9
105 MR. MINOJ P. Out 200 22.09.197 01.08.2001 Pass/Suppl
KURIAKOSE side 1 7
106 GORETI MINZ CIP 200 22.01.196 01.08.2002 Pass
2 6
107 FULGENCIA CIP 200 29.11.196 01.08.2002 Pass
KINDO 2 4
108 SUSHILA GURIA CIP 200 10.04.196 01.08.2002 Pass/D
2 6
109 SHALINI BECK Out 200 01.11.197 01.08.2002 Pass/D
side 2 6
110 FULMANI LINDA CIP 200 26.07.196 01.08.2002 Pass
2 4
111 MODESTA CIP 200 03.03.197 01.08.2002 Pass/D
KONGARI 2 0
112 KUMARI KIRAN CIP 200 06.08.196 01.08.2002 Pass/Suppl
2 9
113 NEELAM Out 200 19.09.196 01.08.2002 Pass/Suppl
FELLCOS side 2 3
114 SHWETA ROY Out 200 02.09.197 01.08.2002 Discont.
side 2 8
115 PUSHPA MINZ CIP 200 19.04.197 01.08.2002 Pass
2 0
116 PRATIMA Out 200 01.01.195 19.08.2002 Pass/D
 HANERY side 2 9
117 SREEJA V CIP 200 31.05.197 01.08.2003 Pass/D
3 3
118 SUNITA CIP 200 05.05.196 01.08.2003 Pass
KUMARA 3 9
MAHATO
119 OLGA PENTONY CIP 200 09.10.196 01.08.2003 Pass
3 9
120 PAIRIM TIGGA CIP 200 16.09.197 01.08.2003 Pass
3 1
121 K. SATYA BATI CIP 200 27.06.197 01.08.2003 Pass
3 5
122 MALA SINHA CIP 200 01.10.196 01.08.2003 Pass
3 9
123 JAYSHREE P. Out 200 23.08.197 01.08.2003 Discont.
TIRKEY side 3 6
124 ROHINI NIRJA Out 200 09.12.197 01.08.2003 Pass
TIRKEY side 3 7
125 PREETI KUMARI Out 200 21.03.198 01.08.2003 Pass
side 3 0
126 JENET GODLIBA Out 200 13.10.197 01.08.2003 Pass
TIRKEY side 3 9
127 TARUNA CIP 200 17.06.197 16.08.2003 Pass
KUMARA 3 8
128 RASHMI RANJAN Out 200 28.01.197 19.08.2003 Discont.
side 3 8
129 JACINTA CIP 200 06.03.196 02.08.2004 Pass
KERKETTA 4 5
130 PRISCILLA CIP 200 15.04.196 02.08.2004 Pass/Supp
KULLU 4 4
131 AGNUS RITA CIP 200 23.09.196 02.08.2004 Pass
DUNGDUNG 4 6
132 APOLINA KULLU CIP 200 04.08.197 02.08.2004 Pass
4 1
133 DEEPTI TOPPO CIP 200 31.12.196 02.08.2004 Pass
4 4
134 NIVANTI DHAN CIP 200 14.03.196 02.08.2004 Pass/Supp
4 6
135 ANITA KUMARI CIP 200 08.08.197 02.08.2004 Pass/Supp
4 0
136 SKUKRU CIP 200 22.02.197 02.08.2004 Pass
SUKESHI 4 7
137 D. ARTI KUMARI Out 200 05.12.197 02.08.2004 Pass
side 4 7
138 UMA ORAM Out 200 17.11.197 02.08.2004 Pass
side 4 9
139 MENU CELINA Out 200 17.04.198 02.08.2004 Pass
KISPOTTA side 4 0
140 PRATIMA LAKRA Out 200 18.08.197 02.08.2004 Pass
side 4 9
141 PHILIPA LAKRA CIP 200 29.08.196 02.05.2005 Pass
5 8
142 TITRI KACHHAP CIP 200 05.06.196 02.05.2005 Pass
5 6
143 BUDHO CIP 200 10.05.196 02.05.2005 Pass/Supp
KACHHAP 5 7
144 NILIMA XALXO CIP 200 12.11.196 02.05.2005 Pass
5 6
145 AJMINA CIP 200 30.09.197 02.05.2005 Pass
KHATOON 5 0
146 SUSHILA KUJUR CIP 200 28.05.196 02.05.2005 Pass/D
5 9
147 ANITA BAGE CIP 200 16.02.197 02.05.2005 Pass
5 7
148 CECILIA TOPPO CIP 200 01.03.196 02.05.2005 Pass
5 6
149 JAYANTI CIP 200 08.09.197 01.05.2007 Pass
KUMARI 7 0
150 ATEN BARLA CIP 200 12.05.196 01.05.2007 Pass
7 9
151 SULTANA CIP 200 21.05.197 01.05.2007 Pass
BEGUM 7 5
152 BISHNUPRIYA CIP 200 25.06.197 01.05.2007/ Pass
DAKUA 7 8 D
153 MINATI RAUT CIP 200 11.06.197 01.05.2007/ Pass
7 5 D
154 SNAHLATA CIP 200 05.12.197 01.05.2007 Pass
SINHA 7 2
155 SHYJU M CIP 200 01.06.197 01.05.2007 Pass
VARUGHESE 7 3
156 SINI METHEW CIP 200 02.05.197 01.05.2007 Pass/D
7 5
157 ANITA KUMARI 2 CIP 200 05.07.197 01.05.2007 Pass
7 1
158 SHANTI BECK CIP 200 10.10.196 01.05.2007 fail
7 9
159 SARBILA CIP 200 22.09.196 01.05.2007 fail
KUMARI 7 9
160 MADHURI OUT 200 01.01.198 NOT JOINED
KUMARI SIDE 8 1
161 PRYIAMUADA CIP 200 29.12.197 01.05.2008 Pass/Supp
BISWAS 8 4
162 NILOFER CIP 200 21.05.196 01.05.2008 Pass
NIRMALA 8 7
163 RENU KUMARA CIP 200 01.01.197 01.05.2008 Pass/Supp
SINHA 8 1
164 MANJU DEVI CIP 200 06.04.197 01.05.2008 Pass
8 0
165 KHEDAN CIP 200 01.06.197 01.05.2008 Pass
MEERADEVI 8 5
166 POONAM Out side 200 01.06.198 NOT JOINED
KUMARI 8 4
167 ALEYKUTTY OUT 200 05.03.195 01.05.2008 Pass/D
P.M.(SIS .LISA) SIDE 8 9
168 ANUBHA Out side 200 01.03.198 01.05.2008 Pass
SHALINI XALXO 8 1
169 BEENA ROBHA Out side 200 30.07.198 01.05.2008 Pass
8 0
170 ALBEMINA Out side 200 03.02.197 01.05.2008 fail
SANGME 8 7
171 PRETTY ROSE Out side 200 18.03.198 01.05.2008 PASS
THAANRK 8 0
172 RITA TECHY CH. Out side 200 01.03.197 01.05.2008 Pass
SANGMA 8 7
173 SWAPNALI Out 200 13.09.198 01.05.2009 Pass
ANKUSH side 9 1
ANGANE
174 MINATI OJHA CIP 200 10.01.197 01.05.2009 Pass
9 4
175 SARASWATI CIP 200 20.06.197 01.05.2009 Pass
SETHI 9 5
176 ALKA KACHHAP Out 200 04.07.198 01.05.2009 Pass
side 9 1
177 MR.NAUSHAD Out 200 01.03.198 01.05.2009 Pass
KHAN side 9 3
178 MR. SHAKIL Out 200 08.12.198 01.05.2009 Pass
AHMAD side 9 3
179 JASTINDER Out 201 02.02.196 01.05.2011 fail
KUAR side 1 4
180 SURESH P JOSE Out 201 10.11.198 01.05.2011 fail
side 1 4
181 SAVITRI DIGWAR Out 201 05.02.198 01.05.2011 Pass
side 1 4
182 EVA JYOTI Out 201 14.06.198 NOT JOINED
GURIA side 1 4
183 SHARILY RANI Out 201 26.06.198 01.05.2012 PASS
KUJUR side 2 1
184 JOSEPHINE CIP 201 21.10.196 01.05.2013 PASS
EKKA 3 5
185 MAMTA KUJUR CIP 201 11.09.198 01.05.2013 PASS
3 1
186 REEMA KUJUR CIP 201 05.11.197 01.05.2013 PASS
3 8
189 MINAKSHI CIP 201 08.06.198 01.05.2013 PASS
BARLA 3 2
190 ABHA RANI CIP 201 30.07.197 01.05.2013 PASS
KUJUR 3 7
191 JYOTI TIRKEY CIP 201 05.02.198 01.05.2013 PASS
3 2
192 SABA PARWEEN Out 201 18.02.198 01.05.2013 PASS
 side 3 9
193 WASIM AKHTAR Out 201 31.12.198 01.05.2013 PASS
side 3 5
194 MADHURI CIP 201 28.12.198 01.05.2014 PASS
TIRKEY 4 2
195 RASHMI MINZ CIP 201 06.06.198 01.05.2014 PASS
4 4
196 KANCHAN MINZ CIP 201 13.01.198 01.05.2014 PASS/D
4 2
197 KARUNA Out 201 05.03.198 01.05.2014 PASS
INDWAR side 4 7
198 NOMITA KUJUR CIP 201 02.011981 01.05.2014 PASS/D
4
199 ALPHA Out 201 07.05.198 01.05.2014 PASS
KERKETTA side 4 6
200 SANDHYA RANI CIP 201 10.12.198 01.05.2014 PASS/D
XAXA 4 0
201 JYOTJ MAMTA CIP 201 10.10.197 01.05.2014 PASS
KUJUR 4 9
202 RINKY KUMARA CIP 201 14.03.198 01.05.2014 PASS/D
PASWAN 4 4
203 MADHURI CIP 201 27.07.198 01.05.2014 PASS/D
KUMARI 4 1
204 PAYAL GUPTA Out 201 01.01.198 01.05.2014 PASS
side 4 7
205 LILY GULAB CIP 201 10.10.197 01.05.2014 PASS
XALXO 4 9
206 POONAM CIP 201 05.12.197 01.05.2015 PASS
KUMARI 5 7
207 PRIYANKA CIP 201 10.11.197 01.05.2015 PASS
KUMARI II 5 8
208 SHABANI DAS CIP 201 08.07.198 01.05.2015 PASS
5 1
209 RASHMI KUMARI CIP 201 23.07.198 01.05.2015 PASS
5 1
210 ANGELINA CIP 201 05.05.198 01.05.2015 PASS
XALXO 5 2
211 UNA KUMARI CIP 201 21.02.198 01.05.2015 PASS
5 0
212 SHOAIB AKHTAR Out 201 30.11.199 01.05.2016
side 6 0
213 MINOTI KUMARI Out 201 20.10.198 01.05.2016
side 6 8
214 USHA KACHHAP Out 201 02.12.199 01.05.2016
side 6 0
 DIPLOM IN PSYCHIATRIC NURSING STUDENTS
S.N YEAR NAME TOPIC

1 2011- JASTINDER KUAR TRAINING MODULE ON INSOMNIA

2012
2 2011- SURESH P JOSE TRAINING MODULE ON LEARNING
DISABILITY
2012
3 2011- SAVITRI DIGWAR TRAINING MODULE ON ROLE OF NURSE
IN INTERVIEW TECHNIQUES
2012
4 2012- SHARILY RANI
KUJUR
PILOT STUDY ON SOCIAL ADAPTIVE
FUNCTIONING IN CHILDREN WITH MANIA
2013 AND ITS NURSING INTERVENTION
5 2013- JOSEPHINE EKKA TRAINING MODULE ON ADVERSE EFFECT
OF ANTIPSYCHOTICS AND ITS
2014 MANAGEMENTS
6 2013- MAMTA KUJUR TRAINING MODULE ON THERAPEUTIC
COMMUNICATION
2014
7 2013- REEMA KUJUR TRAINING MODULE ON MANAGEMENT OF
PATIENTS WITH HIV/AIDS
2014
8 2013- MINAKSHI BARLA TRAINING MODULE ON MANAGEMENT OF
PSYCHIATRIC EMERGENCY
2014
9 2013- ABHA RANI
KUJUR
TRAINING MODULE ON ALZHEIMERS
DISEASE AND ITS MANAGEMENTS
2014
10 2013- JYOTI TIRKEY TRAINING MODULE ON ROLE OF NURSE
IN PREVENTION OF MENTAL DISORDER
2014
11 2013- SABA PARWEEN TRAINING MODULE ON ANXIETY
DISORDER IN CHILDREN AND
2014 ADOLESCENTS
12 2013- WASIM AKHTAR TRAINING MODULE ON SOMATOFORM
DISORDER AND ITS MANAGEMENTS
2014
13 2014- PAYAL GUPTA
RASHMI MINZ
EXPRESSED EMOTION AND FAMILY
BURDEN AMONG CAREGIVERS OF
2015 RINKY K. PERSON WITH EPILEPSY
PASWAN
SANDHYA RANI
XAXA
14 2014- LILY GULAB
XALXO
SIDE EFFECT OF ELECTROCONVULSIVE
THERAPY
2015 MADHURI
KUMARI
MADHURI TIRKEY
NOMITA KUJUR
15 2014- ALPHA
KERKETTA
KNOWLEDGE AND PRACTICE
REGARDING MENSTRUAL HYGIENE
2015 JYOTJ M. KUJUR
KANCHAN MINZ
KARUNA INDWAR
16 2015- POONAM KUMARI
PRIYANKA
KNOWLEDGE ATTITUDE AND
EXPERIRNCE REGARDING
2016 KUMARI ELECTROCONVULSIVE THERAPY
SHABANI DAS
RASHMI KUMARI
ANGELINA
XALXO
ANGELINA
XALXO