Optimizing specialized nursing education in India for enhanced patient care quality: a nurse-patient centric approach

Ritu  Kumari; Arun  Singh Choudhary; Mohammed  Umar; Karthika  S.; Amit  Chauhan; Suhashini; Tanu Priya

doi:10.18203/2320-6012.ijrms20252792

Authors

Ritu Kumari Department of Obstetrics and Gynaecological Nursing, ANM School Neemchak Bathani, Gaya, Bihar, India
Arun Singh Choudhary Department of Community Health Nursing, F. S. College of Nursing, F. S. University, Shikohabad, U. P., India
Mohammed Umar Department of Nursing, Uttar Pradesh University of Medical Sciences, Saifai, Etawah, U.P., India
Karthika S. Department of Community Health Nursing, Parul Institute of Nursing and Research, Faculty of Nursing, Parul University, Vadodara, Gujarat, India
Amit Chauhan Department of Community Health Nursing, F. S. College of Nursing, F. S. University, Shikohabad, U. P., India
Suhashini Department of Obstetrics and Gynaecological Nursing, H.K.E.S College of Nursing, Kalaburagi, Karnataka, India
Tanu Priya Department of Obstetrics and Gynaecological Nursing, Capital Academy of Nursing, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20252792

Keywords:

India, Optimizing specialized, Nursing profession, Education, Specialized nursing education, Enhanced patient care quality, Nurse-patient centric approach, Shortage of nurses

Abstract

India’s nursing workforce is central to national health goals, yet nursing education remains largely generalist. Specialized education, emphasizing a nurse-patient centric approach, is essential to improving care quality and system efficiency. A systematic review was conducted across open-access databases (PubMed, BMJ Open and PKP) from 2015-2025 using PRISMA methodology. Studies on nursing specialization, curriculum reform, nurse-patient dynamics, and Indian policy frameworks were included. Data from 28 studies were thematically analyzed. Evidence supports that specialized nursing education improves clinical outcomes, patient satisfaction, and workforce competence. Major barriers include outdated curricula, insufficient faculty training, and fragmented regulatory oversight. The national education policy (NEP) 2020 and national nursing and midwifery commission (NNMC) bill present reform opportunities. Global models integrating clinical simulation, communication skills, and interdisciplinary learning show promising results. Optimizing specialized nursing education is crucial to addressing India’s diverse and evolving patient care demands. A patient-centered model that includes competency-based curricula, faculty development, and policy alignment can enhance both nurse performance and patient outcomes. India must prioritize infrastructure, policy reform, and academic innovation to empower its nursing cadre and improve healthcare delivery.

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References

Indian Nursing Council. Revised Syllabus and Regulations for BSc Nursing Programme. New Delhi: INC. 2010.

Sharma SK, Rani R. Challenges and Opportunities in Specialized Nursing Education in India. Int J Nurs Educ. 2021;13(2):45-50.

Ministry of Health and Family Welfare. National Health Profile of India. New Delhi: Government of India. 2022.

Gupta N, Gaur K, Sharma R. Nursing education in India: current status and challenges. J Educ Health Promot. 2019;8:109.

Patidar AB, Sharma SK, Gautam S, Aggarwal A. Future nursing education in India: challenges and prospects. Int J Nurs Educ. 2013;5(2):1-6.

Thomas J, Philip S. A study on the level of exposure to specialty areas among undergraduate nursing students in Kerala. Kerala Nurs Forum. 2020;14(1):21-6.

Blegen MA, Goode CJ, Spetz J, Vaughn T, Park SH. Nurse staffing effects on patient outcomes: safety-net and non-safety-net hospitals. Med Care. 2011;49(4):406-14. DOI: https://doi.org/10.1097/MLR.0b013e318202e129

Rajesh K, Bhatnagar S. Impact of ICU-specialized training on nursing performance and error reduction. Indian J Crit Care Med. 2018;22(3):174-80.

Mehta A, Narayan S. The impact of oncology certification on nursing care quality: a cross-sectional study. Asian Pac J Cancer Prev. 2017;18(5):1305-10.

Menon A, George S. Patient experiences of nurse-patient relationships in palliative care settings: a qualitative study. Indian J Palliat Care. 2020;26(4):487-93.

Kumar A, Sharma M, Jain S. Effects of community mental health nurse specialization on outcomes in Karnataka: a pilot study. J Nurs Health Sci. 2022;11(2):60-6. DOI: https://doi.org/10.3928/02793695-20210819-01

Dey D, Sharma V. Fragmentation in nursing education governance in India: policy implications. Indian J Public Adm. 2021;67(1):112-25.

Das A, Mehta R. Faculty development needs in nursing institutions: a nationwide survey. Int J Health Sci Res. 2019;9(10):35-42.

Srivastava S, Rathore V. Clinical training deficits in Indian nursing schools: A review. J Clin Nurs Res. 2021;10(2):101-6.

World Health Organization. State of the World's Nursing 2020: Investing in Education, Jobs and Leadership. Geneva: WHO. 2020.

George P, Mathew A. Gender discrimination and career stagnation among nurses in India: a qualitative review. Nurs Ethics. 2020;27(2):392-403.

Ministry of Education. National Education Policy 2020. New Delhi: Government of India. 2020.

Ministry of Health and Family Welfare. National Nursing and Midwifery Commission Bill 2020 (Draft). New Delhi: Government of India. 2020.

Bhatia R, Lall R. Bridge program in community health nursing: a mid-level cadre reform. Indian J Community Med. 2018;43(4):235-9. DOI: https://doi.org/10.4103/2395-2113.251433

World Health Organization-SEARO. Strengthening Nursing and Midwifery in the SEAR: 2021–2025 Strategy. New Delhi: WHO-SEARO. 2021.

Maier CB, Aiken LH. Task shifting from physicians to nurses in primary care in 39 countries: a cross-country comparative study. Eur J Public Health. 2016;26(6):927-34. DOI: https://doi.org/10.1093/eurpub/ckw098