Abstract
A health care reform in our country is very essential as the need is greatly felt by its consumers. Along with other health care providers nurses who are an integral part are facing tremendous pressure at the grass root level to district/state level, due to various reasons, like shortage of nurses and midwives, limited competency of nurses and midwives due to too many categories of nurses and midwives with overlapping roles, ineffective clinical preparation and supervision during training, inadequate continuing education system, non-creation of posts for clinical nurse specialists etc. These challenges can be faced when effective solutions i.e., to empower nurse leaders, create posts for professional nurses at the community level and strengthen the competency of the auxiliary nursemidwife, enforce implementation of recommended norms on nurse to patient ratio etc, are executed with good support from the INC and government.
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