Nursing binds human society with a bond of care and affection. Nursing is a calling to care, which offers an oasis of poignant stories and pool of challenges. The scope of nursing practice has expanded and extended to different settings other than hospital only. Nurses deal with the most precious thing in this wide world-the human life. 1Nurses are often the linchpin component across a wide continuum of care. A nurse's professional skills and training contribute significantly to successful patient outcomes in a variety of care settings--from acute and tertiary care to prevention and wellness programs.2 Their smiling face and compassionate touch and care provides great satisfaction to the patient.Despite of urbanization and globalization in India, the healthcare system in the country continues to face formidable changes. The healthcare system has become increasingly detached from the curative aspect and more focusing on the satisfaction of material needs and enlarging the profit-earning aspects. This has led to unaffordability of the curative care to many common people due to the present framework of the healthcare system in the country. Subsequently the healthcare system is being plagued with various problems. The solution is to delve deeper into the roots of the problems and explore possible solutions to curb them.Nurses play an integral role in the healthcare industry, providing care to the patients and carrying out leadership roles in hospitals, health systems and other organizations. Although nursing profession can be very rewarding but it is equally challenging and it entails a huge level of dedication and commitment. Nurses needs to be focused on not only the patient needs but also on the management of system of care. This often creates unfortunate hassles irrespective of how hard the nurse's works towards patient care. They are coordinators and custodians of patient care. This entails lot of managerial skills where they need to possess apart from technical skills Reduced workforce and lack of quality care leads to overburdened workforce which further leads to higher morbidity and mortality. It is of paramount importance that all people everywhere should have access to a skilled, motivated and supportive nursing care within a robust healthcare system. The importance of nurses in healthcare should be underlined for attempting to create a better task force for better quality care for all.However, there are certain challenges which the Nurses in the present healthcare system face. These challenges arise due to issues at the organizational, state and national level. It is of utmost importance to first recognize and understand each and every possible challenges faced by the nurses in order to deal with them efficiently. Not just recognize and understand them but also find solutions to mitigate them.In India, the healthcare system is undergoing a radical change and there are unmet health targets. The change is due to the change in demographics, advancement in medical technology, profit earning mentality, immigra...

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A retrospective study to assess the indications of cesarean section (C-section) using Modified Cesarean Indication Classification System (CICS) among health facilities in selected areas of New Delhi was conducted. C-section is one of the commonly performed surgical procedures in obstetric and is certainly one of the oldest operations in surgery. Recently, there has been a dramatic rise in the C-section rate (CSR) worldwide as primary cesarean deliveries contributed most to the overall CSR. The main aim of the study was to find out the number of C-sections and the indications based on absolute and non-absolute indications by using modified cesarean indication classification system. As the nursing perspective about the hospital birth, nurses are the major and central part for the management of labor and delivery units. Even nurses are the ones who are largely responsible for the mothers in their antenatal, intranatal and postnatal period. Nurses are the administrators and decision makers and can assess the outcome of second stage of labor, and they can assess for indications of C-section. A retrospective survey was done for collecting data. The data was collected from the medical records of mothers who had undergone C-section between January and September 2017 in four health facilities of New Delhi. The findings of the present study revealed that the average rate of C-section among four health facilities was 20.9%. Among the absolute indications, obstructed labor ranked first and maternal distress ranked the least, and among the non-absolute indications, fetal compromise ranked first and Rhesus incompatibility ranked the least. The most commonly recorded indications from across all the four health facilities were obstructed labor, severe preeclampsia/eclampsia, malpresentation, previous cesarean delivery, and fetal compromise. Regarding mortality after C-section, in health facility A, out of 1451 mothers who underwent C-section, 3.51% died after C-section; in health facility B 1 , out of 1310 mothers, 3.37% died after C-section; in health facility B 2 , out of 178 mothers who underwent C-section, the mortality was 3.37%; and in health facility C, out of 426 mothers, the mortality was 3.05. Regarding morbidity due to C-section, in health facility A, out of 1451 mothers who underwent C-section, 8 mothers developed morbidity due to C-section. Out of the 3365 C-sections assessed, 27 women had undergone C-section without taking consent. The study results suggested that increased standardization in indicator terminology is needed to enable meaningful monitoring and comparison of trends using an indication system. Nearly all files included in this review had a recorded indication; however, many indications were difficult to categorize because of the limited information included. Analysis of this data was also complex because of the varying terminologies across settings. Periodic reviews (quarterly/annually) of cesarean indications should be a core component of quality improvement efforts in safe motherhood. Strategies sho...

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The important aspect of nursing education is to impart clinical skills to student nurses to ensure patient safety. It is a challenge for the nursing educators/teachers to develop innovative methods for teaching clinical skills to student nurses in order to ensure competency at the bedside. Clinical environment remains an important aspect in the development of students' competence, confidence and contentment of their expected learning outcomes.The major challenge in nursing education is to equip the students in performing the procedures skilfully with confidence. Healthcare is always changing, hence nursing teachers have a great role to update themselves with the current nursing practices and impart the same in a comprehensive manner to the students. In order to effectively teach student nurses, teachers must have command over the current clinical facets and must master their teaching methodology. There are various ways to develop skills, out of which demonstration and return demonstration holds a key place.