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05 std HB 2010_2011


									The Aga Khan University School of Nursing                 1

                           School of Nursing

                         MScN Programme

                         Student Handbook

                                            2010 - 2011

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                               2


“Today is the beginning, the birth of a new medical institution in Pakistan. The Aga
Khan School of Nursing ... And I hope, this day will also be the dawn of a new
dimension for the profession of nursing in Pakistan”.

                                                            His Highness The Aga Khan
                                                    Inauguration of the School of Nursing
                                                                        February 16, 1981

A.        Background

The School of Nursing started in 1983 as the first academic unit of the Aga Khan
University. It offers four different programs in nursing, including a 3-year diploma
(RN), a 2-year post RN Bachelors of Science in Nursing (BScN), a 4-year BScN, and a
two-year Masters of Science in Nursing (MScN) program.

The 3-year diploma program qualifies students to take the licensure exams of the Sindh
Nurses Examination Board (SNEB). These examinations enable diploma graduates to
practice as qualified registered nurses in Pakistan. To date, 1,776 students have
graduated with a diploma (RN) from the Aga Khan University School of Nursing

The 2-year post RN BScN started in 1988. To date, 465 students have graduated with a
BScN degree from AKU-SON.

In 1997 the school started a 4-year BScN Degree Programme leading to eligibility for
licensure as a registered nurse and simultaneous award of a BScN Degree. So far, 165
students have graduated from this AKU-SON program.

Our reputation has grown internationally as graduates of these various programmes
have successfully completed undergraduate and graduate studies in nursing, and
related fields in institutions abroad.

Finally, in October 2001 the 2-year MScN program began to prepare advance practice
nurses who are able to use advanced knowledge and skills from a theoretical and
research base, for application to patient/client care situations. To date, 33 students have
graduated from the MScN Program.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                               3

B.        Philosophy

“Let us pray that we shall develop a guiding light, a light to be added to those many
others which seek to illuminate the path to a better life for Pakistan, for the peoples of
the Ummah and of the Third World."
                                                               His Highness the Aga Khan
                                          Charter Ceremony of the Aga Khan University
                                                                              March 16, 1983

We believe:

    People are individuals of innate worth and dignity. They have spiritual, biological,
     social and psychological needs, and have the right to pursue the highest level of
     health and quality of life achievable for themselves and their communities.

    People influence and are influenced by their environment. The environment is
     composed of factors which dynamically attract the individual. Society is made up of
     communities in which people are closely connected through similar interests and
     needs. Communities generally share similar institutions, values, beliefs and morals,
     but may have diverse and complex health care needs. The family, which is the basic
     structure within a community, provides psychological and material support to assist
     its members to live within the society.

    Health describes the human condition on a continuum from wellness to illness. This
     continuum is reflected in the extent to which individuals, families and communities
     are able to recognise and meet their needs, thus contributing to an acceptable quality
     of life. Pursuit of universally accessible health care is an essential right. Primary
     Health Care forms an integral part of a country‟s health care system. It acts as a
     nucleus, and enhances the overall social and economic development of the country.

    Learning is a life-long process in which knowledge is pursued in an atmosphere of
     support, guidance, free inquiry and expression. The faculty is committed to
     assisting students to develop skills in problem-solving and critical thinking, and to
     design appropriate interventions in response to present and emerging needs of
     people, institutions and communities. The university is dedicated to enhancing
     respect for the nursing profession and raising the standards of nursing practice in
     the region.

    Nursing integrates concepts from bio-psychosocial sciences to provide an essential
     service to people. The pursuit of knowledge and the tradition of rendering care and
     comfort to the sick, foster the blending of traditional values with modern technology
     and functional requirements. Nursing is committed to promoting and maintaining
     the integrity of the individual, preventing illness and assisting those who are ill to

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                              4

     regain the highest level of health possible.

    Nurses synthesise information from many sources and integrate it into practice,
     teaching, supervision, consultation and research.

    People are individuals of innate worth and dignity. They have spiritual, biological,
     social and psychological needs, and have the right to pursue the highest level of
     health and quality of life achievable for themselves and their communities. People's
     commitment to Islam helps them to develop a code of ethics, which directs their
     attitudes and activities toward others.

C.        Goals

Consistent with our philosophy, the major goals of the School of Nursing are to:

1.        Educate nurses to provide exemplary nursing care appropriate to the health
          needs of the urban and rural populations in hospitals and communities.
2.        Provide leadership in nursing education, practice, administration and research.
3.        Graduate nurses who are capable of pursuing higher education at institutions of
          learning throughout the world.
4.        Provide opportunities of continuing education to meet the needs of nurses,
          institutions and communities in Pakistan.


A.     Overview of the Graduate Programme
This graduate program will prepare nurses with advanced knowledge and skills to
develop and facilitate innovative practical solutions to complex health problems, in
urban, as well as rural areas, throughout Pakistan and other developing countries.

B.     Graduate Programme Objectives
The graduate studies in nursing program will prepare graduates who, in their practice
of nursing, are able to meet the following objectives. These objectives address the six
domains of practice for advanced practice nurses.

     I. Managing client health/illness status
      Demonstrate advanced role preparation in caring for populations, by applying
         theory and research to complex health problems.
      Demonstrate competency for ensuring the continuity of care for individuals,
         families and communities.
      Demonstrate cultural competence in a variety of practice settings.
      Demonstrate the ability to promote health and prevent illness of individuals,
         families and communities.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                   5

     II. Monitoring and ensuring the quality of health care practices
      Critically evaluate knowledge received from theories, concepts and principles,
         from nursing, humanities and sciences, in order to establish standards for
         advanced nursing practice.
      Formulate and evaluate standards for individuals, families and communities
         with limited resources (financial, human and material).

     III. Managing and negotiating health care delivery systems
      Influence policies, while managing the care of individuals, families and
         communities, within the existing health care system.

     IV. Professional role
      Contribute to nursing knowledge throughout the region by conducting and
        utilizing research. Engage in professional activities that benefit the profession
        and the community.

     V. Teaching/coaching function
      Demonstrate effectiveness as a teacher, using individual and group models to
        promote learning.

     VI. Collaborating/consulting role
      Collaborate with individuals and groups to analyze their health needs, and
        explore options for addressing their health needs.
      Initiate the development of leadership and collaboration skills, related to social,
        political, and ethical issues, to enhance health care throughout the region.

C.     Timelines
Full-time students may be able to complete course work and thesis in 2-years (see
potential 2-year timeline below). Students who are enrolled part-time in the programme
will develop individualized timelines in consultation with the Director, MScN
Programme and/or co-ordinator of the MScN Programme.

Student Handbook
Amendments: Sept 2010
    The Aga Khan University School of Nursing                                                                   6

                                                      Aga Khan University
                                                         School of Nursing
                                                         MScN curriculum
                                         Potential 2- year Timeline for Full-time Students

TERM I                          Course #        Credits hours        Course name
October-December                NU 541          3 credits            Theoretical Basis of Nursing
                                *NU     /       3 credits            Fundamentals of Biostatistics
                                CHS 592
                                EN 511          2 credits         Academic Writing
                                **EL               3 credits      Elective
                                                         Total Credits = 11
TERM II                         NU 593          4 credits         Nursing Research [Qualitative & Quantitative]
January -April                  NU 542          3 credits         Ethics in Health Care
                                NU 551          3 credits         Leadership & Management in Nursing Practice
                                                         Total Credits = 10
TEM III                         NU 561          4 credits         Educational Design & Administration
April -July                     NU              5 credits         Pathophysiology/ Pharmacology for Advanced Practice
                                NU697           3 credits           Thesis I [Proposal Development]
                                EN 512          2 credits          Scholarly Writing (Thesis Tutorial)
                                                          Total Credits = 14
TERM IV                         NU 644           3 credits         Advanced Health Assessment
October-December                NU 645           3 credits         Advanced Theoretical Concepts in Clinical Care
                                NU 671            3 credits        Advanced Theoretical Concepts in Public/ Community
                                                                   Health Nursing
                                NU 594           1 credits         Research Seminar
                                                          Total Credits = 10
TERM V                          NU              8 credits          Advanced Specialty Practicum in:
January -April                  646/NU                                  1. NU 552 Leadership & Management
                                672                                     2. NU 562 Education
                                                                        3. NU 646/672 Clinical / Community
                                **EL            3 credits          Elective
                                                          Total Credits = 11
TERM VI                         NU 697          4 credits          Thesis II
April -July
                                                            Total Credits = 4
TERM VII                        NU 697          4 credits             Thesis III EN -
July – September
Total Credits =4                ***EN 512       --                   Scholarly Writing (Thesis Tutorial)
                                                               64 Credits
Program Credits - 64
* Course offered with the Medical college- CHS department of AKU
** Electives could be taken anytime during the two-year programme. Number would be
assigned depending upon the course chosen for the electives.
*** EN 5612 in the last term is related to the same course in term III with no additional credits in the last term.
The MSc.N team is working on program re-structuring once finalize the above is subjected to change

    Student Handbook
    Amendments: Sept 2010
The Aga Khan University School of Nursing                                                             7

Salient features for curriculum:

    There will be an option of taking NU 646/NU 672 in Pakistan or abroad in the field
     of speciality area. Students will have a clinical preceptor, as well as a faculty
     member assigned for these courses.

    Electives (6 credits) can be taken from the graduate programs of the AKU i.e. IED,
     Medical college-CHS, or any other accredited institutions with the notification of
     students‟ advisors and final approval from Graduate Nursing Committee (GNC).
     However, if student plans to take their clinical practicum outside Karachi (e.g.,
     abroad), the student is responsible to search for options in their field of interest and
     coordinate with the MScN coordinator/Director for final approval.

    Master‟s thesis writing is the major component of MScN curriculum.


A.                  Grading System

Effective October 1, 2009, the following grading scheme is applicable to all AKU
graduate programmes.

                   Letter Grade             Percentage Equivalent          Grade Point*
                        A+                         95 – 100                      4.0
                         A                          90 – 94                      4.0
                        A-                          85 -89                       3.7
                        B+                          80 – 84                      3.3
                         B                          75 – 79                      3.0
                        B-                          70 – 74                      2.7
                        C+                          65 – 69                      2.3
                         C                          60 – 69                      2.0
                        C-                          55 – 59                     1.7**
                         F                           < 55                        0.0
                         P                           Pass                  Not applicable
                         I                       Incomplete                Not applicable
                        IP                       In Progress               Not applicable
                        W                        Withdrawn                 Not applicable
                        AU                          Audit                  Not applicable
                        AG                    Aegrotat Standing            Not applicable
          Failure (F), Pass (P), Incomplete (I), In Progress (IP), Withdrawn (W), Audit (AU), and Aegrotat
          Standing (AG).
          *The rounding-off principle will apply where applicable.
          **required only for transitory Grade Point Average (GPA) for internal computation.
    Minimum passing grade for any Graduate Course is 60% or a letter grade “C”.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                                 8

     Students who do not obtain a passing grade may be given one opportunity to raise
     their grade (i.e. re-sit examination, resubmission or completion of additional
     acceptable work to get the passing grade). The GNC will determine the nature of the
     additional work/assignment. The student will be allowed only one attempt to raise
     their grade to a passing level. If the student still does not pass, he/she will be asked
     to repeat the course.

    Students appearing in a re-sit examination or resubmitting an assignment will be
     eligible for a maximum of „C‟ Grade and in repeating any course will be eligible for
     a maximum of „B‟ Grade.

    In cases where a student is required to repeat a course both attempts at the course
     will be recorded on the student‟s transcript; however, the new score will replace the
     previous score in the calculation of Grade point Averages (GPA).

    The credits allocated for each course will be considered while calculating the GPA.

                                                                                              Credit Weight x
              Course                   Credits         Letter Grade         Grade Point
                                                                                               Grade Point
                  1                      3.0                B+                  3.3                  9.9
                  2                      4.0                A                   4.0                 16.0
                  3                      2.0                C+                  2.3                  4.6
                                 Total credits = 9.0                                            Sum = 30.5

                                                  GPA =    Sum of (credits x grade point)
                                                          Total number of credits attempted

                                                       = 30.5
                                                 GPA = 3.4*
          * Rounding principle is applied. (30.5 / 9 = 3.3888)

    An overall GPA of 2.5 is required to graduate from all Graduate Programs at AKU.
     The students may be allowed to continue their studies with an aggregate GPA below
     2.5 for a maximum of two consecutive terms.

    A student who receives three “C-”s or an “F” will be referred to the GNC of the
     AKU-SON and may be disqualified from the program.

    An incomplete (“I”) grade is assigned only in the case of students who, for illness, or
     circumstances beyond their control, have missed a major assignment. Students must
     obtain approval from the program director, who will report the matter to the GNC.
     If an “I” grade is not made up within six weeks‟ time of the completion of the
     course, an “F” grade will be assigned.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                       9

    Unofficial grade reports are issued following the end of each term by the office of
     the Director. All grades scored on the courses and the thesis is submitted to the AKU
     Board of Graduate Studies (BGS) at the end of Year II of the program for record
     keeping. Official transcripts are available from the Office of the Registrar.

B.        Pass with Distinction

          Distinction will be granted to students who complete their degree meeting all of
          the following criteria:

                      85% (or greater) in all course work;
                      a minimum of three individual courses with grades of “A” (or greater);
                      no “C” grades; and
                      no repeat or re-sit courses

          Graduation with distinction is announced at Convocation.

C.        Academic Policies

All university academic policies are applicable to a students at AKU, below is teh list of
polices which can be accessed on internet through following link
               Academic Regalia for AKU Students
               Assessment Involving Near Relatives and Colleagues
               Assessment of Student Learning Outcomes
               Credit Framework
               External Examiners

               General Guidelines for PhD and Masters Theses/ Dissertation at AKU

               Graduate Grading Scale and System for GPA Calculation at AKU
               Qualifications Framework
               Research Misconduct
               Student Code of Conduct and Disciplinary Procedures
               Teaching and Learning
               Thesis Grading Policy at AKU
               Transcript of Student Records

           In addition the attached policies as appendix I & II are also applicable to all
           MSc. N students

                      Internal policy for Repeating the course
                      Policy on auditing the course

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                10


The AKU-SON has classrooms, two auditoriums, tutorial rooms, a nursing skills
laboratory, a science laboratory and a self-access centre. Moreover, there are student
and faculty/staff lounges and offices for administration, faculty, staff & students.

A.        The Faculty of Health Sciences Library

All library rules must be followed. The students can access reserved books and articles.
500 medical and nursing journals, reference books, government documents,
newspapers, and WHO publications, as well as several CDROM based databases. For
details on rules and regulations please contact the librarian on ext. 4480.

Search Facility:
       CD-ROM Literature Search Facility
       The library has several databases for example:
                        CINAHL                        1982 – to date
                        MEDLINE                       1966 – to date
                        ERIC                          1982 – to date
                        HEALTHSTAR                    1985 – to date
                        CANCERLIT                     1991 – to date
                        SERLINE                       1997
                        BIOETHICSLINE                 1973 – to date
                        COCHRANE DATA BASE
                        POPLINE                       (FREE ONLINE)
                        EXTRA MED                     (FREE ONLINE)
A requisition form available at the Health Sciences Library must be filled out and
countersigned by the faculty/Programme Director. Self-service for CD-ROM searches is
available through the LRC computers. Students can also get access to online journals
through the Intranet.

B.        CHS Library

A wide selection of books, project reports, audio visuals, charts and other reference
materials related to Community Health are available.

C.         AV Centre

The Centre has equipment, duplicating, and recording sections. The equipment section
lends out tape recorders, televisions, video recorders, slide projectors, overhead
projectors and multimedia, for the students' use at the centre. In addition, imported
software on different subjects related to Medicine and Nursing are available.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                   11

D.        Learning Resource Centre

This centre has several computers, television, and sound slide shows available, and is
open Monday to Friday from 8:00am – 10:00 pm. For details, please contact Mr. Hamza
Akram at ext 4451. Self service for CD-ROM searches is available through the learning
resource centre computers.

E.        Nursing Skills Lab

This is a practical resource which allows students to master nursing skills using audio-
visual aids, equipment, and models in simulated patient care situations. It has a
number of posters, tapes, and other audio visual aids to enhance individual and class
study. A set of reference books required for the Masters Programme will also be placed
in the skills lab. For details, please contact Ms. Dorothy Lyall at ext. 5410/5467.

F.        Self-Access Centre (SAC)

The Self-Access Centre (SAC) offers a variety of resources to develop English language
skills. These include computers with English skill building software, tape recorders,
tapes, tailor-made worksheets, Reader's Club for extensive reading, and videos.
Students may work in the centre independently. Please contact Mr. Karim Haider at ext.
4471 for further details

G.        Computer Facility at AKU-SON

AKU-SON provides reading, discussion and computer facility area for the MScN
students in Rufayda building first floor, adjacent to Skills Lab. Email account and free
internet hours are available through Mr. Karim Haider at ext. 4471

H.       International Office

Please contact the Office of the Registrar if international office services are required.

I.        Hostel

The Aga Khan University hostels provide furnished non air-conditioned, single room
accommodation to students and faculty. Since space is limited, priority is given to
students who are not residents of Karachi. Those who seek accommodation must write
a request, addressed to the Manager - AKU Residences, and submit it to the Hostel

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                             12

J.        Food Service

Students can use the cafeteria, the Professional Dining Hall, and the CHC cafeteria for
meals and refreshments. A Tuck shop is housed in the Rufayda building of the School
of Nursing, which is open from 9:00 am until 4:30 pm, on working days.

K.        Financial Assistance

Students should contact Iqbal Sadruddin Hassan (Phone 92 21 99244230, Ext #302) in
the Finance Office if they require financial assistance information.

L.      University Book Shop

Course texts can be purchased from the AKU Bookshop. The Bookshop, near the
hospital pharmacy, provides a variety of resources, such as reference and recommended
books, national and international newspapers, magazines, stationery and various other
items. Photocopying facility is available at the University Book Shop.

M.        Supplies

Students may purchase printing paper and cartridge from the administration of AKU-
SON from Mr. Qadir at ext. 5405.

N.        Telephone

A telephone is available in the MScN student lounge for internal calls only. Telephones
in the secretarial areas are not available for students‟ use or for leaving messages.
External telephones are placed in courtyard 300 and 400, in the hostel office. Telecards
are also available at the reception.

O.        Student Mailboxes

Each student is assigned a mailbox. Any student caught tampering with and/or
removing materials from other students' mailboxes without authorisation will be
subject to immediate expulsion from the AKU-SON.

P.        Sports Facilities

The AKU Sports and Rehabilitation centre provides recreation facilities for students.
This includes Gymnasium, an Olympic size swimming pool, two tennis/squash courts,
a football field, an outdoor volleyball court, and a lush green sports ground with three
cricket playing grounds. A state-of-the-art weight training room and an aerobics room
are also available for use by the members.

Q.        Counselling Services

A part-time counsellor is available to students for counselling sessions. Appointments

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing   13

can be made by calling Ext. 5429.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                     14

                                                                                     Appendix ----

                                            Student Health Services

The Student Health Service at Aga Khan University Hospital (AKUH) ensures that students,
during their educational period at the institution, have access to adequate routine medical care
and prompt medical aid in emergencies. For this purpose, facilities are available at the
Community Health Centre (CHC), the Emergency Room and other departments of the hospital.
Student Health Physicians and Student Health Nurses provide clinical care and coordinate
routine student health activities at the CHC.

Facilities available to students under the Student Health Plan include:
        • Care of day to day problems
        • Prompt attention in emergencies
        • Psychological counseling
        • Hospitalization in the General Ward on a 15% shared basis

The Student Health Service is supported by a mandatory subscription from the students. There is
a separate charge for the physical examination and immunization. Those students who are unable
to pay the required charges may seek financial assistance.

A Student Health Advisory Committee oversees the activities of the Student Health Services and
recommends appropriate policies and guidelines. The Committee includes members from the
medical and nursing faculty, representatives from the Student Affairs’ office, and medical and
nursing student representatives.

Please note that the following aspects of care are not included in the Student Health Plan:
       • Pre-existing medical condition that may be identified during physical examination and
         later during the academic programme. However, if any emergency arise necessitating
         urgent care of a pre-existing condition, it will be taken care of by the university.
       • Eye glasses, and routine eye examination and refraction for fitting eye glasses
       • Dental care
       • Chronic renal hemodialysis
       • Rehabilitation care, prostheses
       • Sub-specialty care not available at AKUH
       • Immunization
       • Pregnancy and related emergencies
       • Oncology related treatment

Physical Examination
It is mandatory for all students to have a complete physical examination, including laboratory
tests, at AKU before the commencement of their studies at AKU-SON. The charges for the
initial physical examination carried out at AKUH are revised annually. This cost is to be borne
by the student.

Student Handbook
Amendments: Sept 2010
The Aga Khan University School of Nursing                                                          15

Required Laboratory Investigations:
      • Hb, HCT
      • Chest X-ray
      • Urinalysis

In the interest of their own safety and health, all students are required to have the following
immunizations done before entry to AKU-SON:
        • BCG- if Mantoux Test is negative
        • Tetanus and Diphtheria booster dose
        • Oral/injectable Polio booster dose
        • Measles, Mumps, Rubella (MMR) vaccination
        • Hepatitis B vaccination

Please note that all immunizations are given at AKUH only and at the student's own cost.

How to seek medical help at the Community Health Centre (CHC):
Medical attention can be sought at the Community Health Centre where CHC doctors and the
student health physician are available for consultation. The CHC functions between 0830-
1630hours Monday to Saturday. The Emergency Room gives coverage overnight and on
Sundays for emergencies.

In order to expedite the work process and to cut down the waiting time at the CHC, all students
are expected to follow the guidelines mentioned below:
       • Students who need to go to the CHC should notify the housemother/ faculty during
         office hours who will fill a CHC requisition form.

          • Students should go to the registration counter at the CHC and present their
            addressograph card and their student identity card for registration.

          • Contact the Student Health Nurse at CHC who will make necessary arrangements.

          • Collect prescription, medical leave certificate and investigation slips before leaving the

          • The physician will make the appropriate referral and also decide whether the student
            should be permitted to go home or stay in the hostel. The sick leave certificate should
            be shown to the Housemother and the Year Coordinator.

Student Handbook
Amendments: Sept 2010

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