leadership management no. 2

8/11/2019 Leadership Management No. 2

1/30

THE NURSING MANAGEMENT

PROCESS: An Overview

Prof. Jhessie L. Abella, RN,RM, MAN


2/30

Nursing eadership and

Management

Course Descr ipt ion:This course deals with the application of the concepts, principles, theories

and methods of developing nursing leaders and managers in the hospital

and community-based settings. It also includes ethic moral/legal

aspects of health care and nursing practice and the nursesresponsibilities

for personal and professional growth.

Course Object ive:

At the end of the course, given a group of clients with varied conditions, the student

should be able to:

1. Utilize the nursing process in the care of individuals, families, population group, in hospital

and community settings.

1.1 assesses with client/s his/her/their condition/health status through interview, physical

examination and interpretation of laboratory findings

1.2 identifies actual and at-risk nursing diagnosis

1.3 plans appropriate nursing interventions with client/s and family for identified nursing

diagnosis

1.4 implements plan of care with client/s and family

1.5 evaluates the progress of the clients condition and outcomes of care;


3/30

2. Ensure a well organized and accurate documentation and

reporting system;3. Demonstrate leadership and competence in the performance of

her responsibilities as a beginning nurse practitioner in the

hospital or community setting

4. Observes bioethical principles, core values, and standards of

nursing care while practicing nursing

5. Promote personal and professional growth for self and others


4/30

Leadership and Management: An

Overview

God created man in his own image and in doing

so he was tasked to have dominion over all the

things created before Him. It was the solemn

divine decision that emphasized mans place at

the climax of ods creative work

Genesis 1:26-27)

Man is tasked to lead: to manage everything, over the earth

and so are the Nurses, who lead and manage people in their

quest for a quality kind of life.


5/30


Overview Nursing management is based on theories where

concepts are included together with methods, andprinciples. Relationship between principle could beobserved and verify to certain degree if translated in to

the art of practice of nursing management.

Concept are not fragmented thoughts, ideas andgeneral beliefs in relation to nursing management but

rather concepts that can serve as unifying ideas, thus,

forming a foundation for action or discussion. Principles are known to be those fundamentals truths,

law or doctrines wherein other beliefs or notions are

founded. Principles serve as guided to concept,

thoughts or actions in a work situation.


6/30


Overview

Nurses realize that they have to keep up with the many

changes in the health care system and its delivery of

service to the people. The Nursing Act of 99 focuses on

three changes in the efforts to improve the peoples health.

From hospital or institutional care, emphasis shiftedto community health delivery;

From emphasis on physical care, efforts are now

directed towards holistic ppro ch to the care ofindividuals, families and communities and

From being mere recipients of care, patients,

individuals, families and communities are now active

participants in health care efforts.

i t A


7/30


OverviewDefinition of Nursing Management:

The management process is universal.For nurses, knowledgeof this process assures them of the smooth functioning of the

units to attain their goal of quality care through the judicious

use of available human and material resources within specifiedperiods.

Focus on planning organizing staffing directing or leading

and controlling or evaluating

all activities of the nursing

system.

Defined as a process of coordinating actions and allocating

resourcesto achieve organization goals of the healthcare

delivery system


8/30

Harbizon and Myerz offer a classic three fold concept to

emphasize the broader scope of management. They observe

that management is:

N ECONOMIC RESOURCEmanagement is one of the

factors of production together with land, labor and capital.

SYSTEM OF UTHORITY management first develops with

top individuals determining the course of action for the rank

and file. This is followed by constitutional management which

emphasizes definite and consistent concern for policies andprocedures in dealing with the working group. The trend

toward a democratic and participative approach follows as

employees receive higher education.


9/30

N ELITE CL SSmanagement is a class and

status system. Managers have become an elite

group of brains and educations. Entrance to thisclass is based on education and knowledge. The

new managers continue to expand their horizon in

an effort to attain the ultimate in life.


10/30

Nursing management is PLANNING

Nursing management is the EFFECTIVE USE OF TIME

Nursing management is DECISION MAKING

MEETING PATIENTS NURSING CARE NEEDS is business of the nurse

managers

Nursing management is the FORMULATION and ACHIEVEMENT of SOCIAL

GOALS

Nursing management is ORGANIZING

Nursing management denotes a FUNCTION, SOCIAL POSITION OR RANK, A

DISCIPLINE AND A FIELD OF STUDY

GENERAL PRINCIPLES OF

NURSING MANAGEMENT


11/30

Nursing management denotes a FUNCTION, SOCIAL POSITION OR

RANK, A DISCIPLINE AND A FIELD OF STUDY

Organizational cultures REFLECTS VALUES AND BELIEFS

Nursing management is DIRECTING OR LEADING

A well managed division of nursing MOTIVATES EMPLOYEES TO

PERFORM SATISFACTORILY

Nursing management is EFFICIENTCOMMUNICATION

Nursing management is CONTROLLING OR EVALUATION


12/30

Role of Manager


13/30

eveloping Future Managersanagerial development programs are very useful

means of getting qualified managers. According to

Katz the necessary fundamental skills of a

manager are:

Technical Skills

Human Skills


14/30

LEVELS OF SKILLS MANAGEMENT IN NURSING

CONCEPTUALindividuals mental ability to coordinate a variety ofinterests and activities. Thinks critically and able to conceptualize

how things could be. VISIONARY

INTERPERSONALindividuals preferred ways of using language,

the degrees to which they listens, and their ways on responding toothers.

TECHNICAL- tools, procedures, and techniques that are unique to

the nurse managers specialized situation. Master of the job-viewed

as a source of help. AN EXPERT.


15/30

Top

Management

Middle

Management

First-Line

Management

Conceptual HumanTech-

nical

Conceptual

Con-

ceptual

Human

Human

Technical

Technical

Proportions of Management skills needed at

Different levels of management


16/30

Concerned with broad-based, long-

range decisions that affect the entire

organization; therefore, conceptual skillis most important at that level

Top

Management

First-Line

Management

Focuses basically on her or his group,

Therefore, the need for conceptual skill is

at a minimum

Human Skill

The need to be able to understand and

work with people is important at all levels,

but the first-line managers position placesa premium on human skill requirements

because of the great number of employee

interactions required


17/30

A nurse manager performs thesemanagement functions to deliver

health care to patients.

Nurse managers or administrators work at

all levels to put into practice the concepts,principles and theories of nursingmanagement.

They manage the organizational environmentto provide a climate optimal to provision of

nursing care by the clinical nurses.


18/30

Technical Ski l ls relates to the

proficiency in performing an activity in the

correct manner with the right technique.

Human relat ionsh ip skills pertain to

dealing with people and how to get along

with them.

Conceptual sk i l ls deals with the ability to

see individual matters as they relate to the

total picture and to develop creative waysof identifying pertinent factors, responding

to the big problems and discarding

irrelevant facts.


19/30

Another approach in developing managers is

postulated by Summer in his early work which

emphasize knowledge, attitude and abilityfactors.

Know ledge factors refer to ideas, concepts

or principles that can be expressed and areaccepted because they have logical proofs.

Att i tud e facto rs relate to those beliefs,

feelings and values that may be based onemotions and may not be subjected to

conscious verbalization.

Abi l ity factors include skills, art, judgment

Q lifi ti f N i S i


20/30

Qualification of Nursing Service

AdministratorsBe a registered nurse in the Philippines

Have at least two (2) years of experience ingeneral nursing service administrators

Possess a degree of bachelor of Science in

Nursing, with at least nine (9) units in managerialand administration course at the graduate level;

and

Be a member of good standing of the accredited

professional organization of nurseIt is provided, however, that a person occupying the position

of Chief Nurse or Director of Nursing Service shall, in addition

to the foregoing qualification, possess:


21/30

Qualification of Nursing Service Administrators

At least five (5) years of experience in a supervisory or

managerial position in nursing; and

A Masters Degree Major in Nursing

As per Memorandum Circular No. 2000-05,series of

2000 of the PRC, BON.A new trend in hospital nursing is clinical specialization. Nurses train in

aspecial field of nursing of their choice. Courses to prepare nurse

desiring

to perfect their clinical opportunities are offered in universities, usually

at the masters level. These nurses must have the experience required

before applying for a position as an expert practitioner.


22/30

Qualification of the Chairperson and Members of the Board

The Chairperson and Member of the Board shall, at the times of the

appointment, posses the following requirements.

o A natural born citizen and resident of the Philippines

o A member of a good standing of the accredited professional

organization of nurses

o A registered nurse and holder of a Master Degree in Nursing,

education or other allied medical profession conferred by a college

or university duly recognize by the government. Provided , that the

majority of the Member of the Board shall be holder of a masters

degree in nursing: Provided, further That the Chairperson shall be a

holder of a masters degree in nursing.

o Must have at least ten (10) years of continuous practice of the

profession prior to appointment. Provided, however. That the lastfive (5) years of which shall be in the Philippines.

o Must not have been convicted of any offense involving moral

turpitude.

o Membership to the Board shall represent the three areas of nursing,

namely, nursing education, nurisng service and community health.


23/30

Qualification of the Faculty and the Dean of the College of Nursing

A member of the faculty in a college of nursing teaching professional courses

must:

Be a registered Nurse in the Philippines

Have at least one 1) year of clinical nursing practice in a field of

specialization

Be a member of good standing in the accredited professional

organization of nurses and

Be a holder of a masters degree in nursing education or other alliedmedical and health sciences conferred by a college or university duly

recognized by the Government of the RP.


24/30

Qualification of the Faculty and the Dean of the College of Nursing

The career ladder in nursing education starts with a Clinical Instructors

position up to the Dean of a College of Nursing. A dean in a College of

Nursing should possess;

Masters Degree in Nursing

Must have at least five 5) years of experience in teaching and

supervision.

Those teaching in Graduate Programs for nurses must possess post-Masters

Degree or Doctoral Degree in Nursing.

Prior to promotion or holding of managerial positions, nurses who have the

potential to become administrators are asked to participate in

managerial staff development program. The organization then will have

a ready pool of managers who are academically and locally trained to

assume managerial roles.


25/30

Who Needs Nursing Management


26/30

All types of health-care organizations,

including nursing homes, hospitals, home

health-care agencies, ambulatory care

centers, student infirmaries, and many

others, need nursing management.

Even the nurse working with one client andfamily needs management knowledge and

skills to help people work together to

accomplish a common goal.

A primary nurse working with several

clients prioritizes their care to assist time to

improve health or, sometimes, peaceful

death.


27/30

THE MANAGEMENT PROCESS

CONTROLLINGassessing/regulating performance

DIRECTING

actuating efforts to accomplish goals

ORGANIZINGestablishing formal authority

PLANNINGthinking ahead, making projections to achieve

desired results


28/30


29/30

TopManagement

Middle

Management

First-LineManagement

P O D S C

P

P

O

O

D

D S

S

C

C

P - Planning

O - Organizing

Amount of Emphasis on Management Function

D - Directing

C - Controlling

S - Staffing

Universality of Management


30/30

Scenario:

A nurse

manager spent part of the day working on the budget

(Planning) , meet with the staff about changing the patient care

management delivery system from primary care to team nursing

(Organizing), altered the staffing policy to include 12- hour shifts

(staffing), held a meeting to resolve a conflict between nurses and

physicians (Directing), and gave an employee a job performance

evaluation (Controlling).

Not only would the nurse-manager be performing all phases of the

management process, but each function has a planning,

implementing, and controlling phase.

leadership management no. 2

Documents