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🩺 GNM Nursing Syllabus and Practical Subjects Explained

If you are planning to make a career in nursing, the General Nursing and Midwifery (GNM) course is one of the most popular and respected choices among students in India. Every year, thousands of students after completing 12th with Science (especially PCB) opt for GNM to start their journey in the healthcare sector.

In this detailed guide, we’ll explore everything about the GNM Nursing syllabus, subjects, practical training, and internship structure, so you know exactly what to expect from this course.


📘 What is the GNM Nursing Course?

GNM (General Nursing and Midwifery) is a 3-year diploma course followed by a 6-month compulsory internship. It prepares students to become qualified nurses capable of providing care to patients in hospitals, clinics, and community health centers.

This course is regulated by the Indian Nursing Council (INC), and it focuses on both theoretical knowledge and hands-on practical training in various aspects of patient care, nursing ethics, and community health.

Duration: 3 years + 6 months internship
Level: Diploma
Eligibility: 10+2 with Science (PCB) and at least 45–50% marks
Course Type: Paramedical / Healthcare


🎯 Objectives of the GNM Nursing Course

The primary goal of the GNM course is to train students to:

  • Provide basic and advanced nursing care to patients.

  • Assist doctors and surgeons during operations.

  • Educate patients and families on disease prevention and health promotion.

  • Work efficiently in hospitals, community health programs, and maternity care centers.

  • Develop skills in communication, teamwork, and emergency response.


📚 GNM Nursing Syllabus Overview

The GNM syllabus is designed to integrate both classroom learning and hospital-based practical training. It is divided into three academic years followed by a six-month internship.

Each year, students study different subjects that build their understanding step by step — from basic nursing concepts to advanced patient care and midwifery.


🩹 First Year GNM Nursing Syllabus

The first year focuses on fundamentals of nursing, anatomy, and physiology — giving students the basic foundation they’ll need for future clinical practice.

Subject Description
Anatomy & Physiology Study of human body structure and its functioning.
Microbiology Understanding microorganisms, infections, sterilization, and hospital hygiene.
Fundamentals of Nursing Basic nursing principles, patient care techniques, and nursing ethics.
Psychology Understanding patient behavior, emotional health, and communication.
Sociology Social structure, health education, and community relationships.
First Aid Basic life-saving techniques, CPR, and emergency management.
Community Health Nursing – I Introduction to community health, public health systems, and preventive care.

🔬 First-Year Practical Training Includes:

  • Bed making and patient positioning

  • Vital signs measurement (BP, pulse, temperature)

  • Hand hygiene and infection control

  • First aid and basic emergency procedures

  • Record keeping and patient charting


🩺 Second Year GNM Nursing Syllabus

The second year introduces specialized nursing subjects and medical-surgical nursing, where students learn about diseases, treatments, and hospital procedures.

Subject Description
Medical-Surgical Nursing – I & II Study of different diseases, nursing care plans, and pre- & post-operative care.
Mental Health & Psychiatric Nursing Understanding mental disorders, counseling, and psychiatric nursing.
Child Health Nursing (Pediatric Nursing) Care of infants and children, immunization, growth & development.
Community Health Nursing – II Advanced community health, family welfare programs, and health statistics.

🔬 Second-Year Practical Training Includes:

  • Caring for pre- and post-operative patients

  • IV injection and medication administration

  • Catheterization, wound dressing, and oxygen therapy

  • Working in medical, surgical, and pediatric wards

  • Observing psychiatric patient care and counseling techniques


🤱 Third Year GNM Nursing Syllabus

The third year primarily focuses on midwifery and obstetrical nursing, preparing students for maternity care and handling childbirth cases. Students also study nursing research and management concepts.

Subject Description
Midwifery and Obstetrical Nursing Care of pregnant women, childbirth, and postnatal care.
Community Health Nursing – III Maternal and child health programs, family planning, and public health outreach.
Nursing Education & Research Basics of nursing education, research methodology, and report writing.
Professional Trends & Adjustment Legal aspects of nursing, ethics, and career development.
Nursing Administration & Ward Management Hospital management, leadership skills, and staff supervision.

🔬 Third-Year Practical Training Includes:

  • Conducting normal deliveries under supervision

  • Antenatal and postnatal care

  • Baby resuscitation and newborn care

  • Participation in community health camps

  • Preparing nursing reports and case studies


🧑‍⚕️ Internship / Practical Training (6 Months)

After completing three years of academic study, every GNM student must undergo a six-month internship in a hospital or healthcare center.

Internship Departments:

  1. Midwifery & Maternity Ward – 240 hours

  2. Community Health Nursing – 195 hours

  3. Medical-Surgical Nursing – 430 hours

  4. Child Health Nursing – 145 hours

  5. Mental Health Nursing – 95 hours

Internship Activities:

  • Rotational posting in different hospital departments

  • Case studies and patient assessment

  • Assisting in surgeries and deliveries

  • Health education and awareness programs

  • Writing nursing reports and logs

This practical exposure helps students apply classroom learning in real-world hospital settings, making them job-ready and confident nurses.


💡 Key Skills Developed During GNM Course

By the end of the GNM program, students gain the following essential nursing skills:

  • Clinical skills: Patient care, wound management, medication administration.

  • Communication skills: Interaction with patients, families, and healthcare teams.

  • Observation & documentation: Accurate record keeping and reporting.

  • Empathy & ethics: Compassionate care and professional integrity.

  • Leadership & management: Supervising junior staff and managing hospital wards.


🏥 Career Opportunities After GNM Nursing

After completing the GNM course, students can work in both government and private sectors. Some popular career options include:

Job Role Average Salary (₹/month) Where You Can Work
Staff Nurse ₹25,000 – ₹45,000 Hospitals, clinics
Community Health Nurse ₹20,000 – ₹40,000 NGOs, PHCs, CHCs
Home Care Nurse ₹25,000 – ₹35,000 Private home care
Midwife / Maternity Nurse ₹30,000 – ₹50,000 Maternity wards
Nursing Tutor (After Experience) ₹35,000 – ₹60,000 Nursing colleges

Many GNM graduates also pursue higher education, such as:

  • Post Basic B.Sc. Nursing

  • M.Sc. Nursing

  • Specialization in Critical Care or Psychiatric Nursing


🧾 GNM Course Books and Reference Materials

Some recommended textbooks and references for GNM students include:

  • Fundamentals of Nursing – Potter & Perry

  • Anatomy and Physiology – Ross & Wilson

  • Textbook of Medical-Surgical Nursing – Brunner & Suddarth

  • Community Health Nursing – Neeta Kumari

  • Midwifery and Obstetrics Nursing – D.C. Dutta

Keeping these books handy helps students during practical exams and viva sessions.


📅 GNM Course Evaluation and Examination

Each academic year includes:

  • Internal assessments (30%) – assignments, class tests, practicals

  • Final examinations (70%) – theory and practical exams by the nursing board

Students must secure at least 50% marks in both theory and practical exams separately to pass.


🌱 Final Thoughts

The GNM Nursing course is a perfect choice for students who want to start a rewarding and noble career in healthcare. The syllabus offers a balanced mix of theory, practicals, and community exposure, preparing you for real-life challenges in patient care.

By understanding the syllabus and practical subjects in detail, you can plan your study schedule better and make the most of your three years in nursing school.

Whether your goal is to work in a hospital, join a government health program, or pursue higher education in nursing — GNM gives you the solid foundation you need to grow in this field.