Nursing Management

Posted by Sanco Irianto A, S.Kep.Ns | Posted in | Posted on 3/01/2010

  • Able to do something 
  • Able to complete some task as instructed or self directed
  • A person who is in charge of getting something done
  • A person who is in charge of an area of the work force
  • Carries out managerial roles
  • The art of getting things done
  • The technique of getting goal achieved
  • The way a person runs the organization
A process both interpersonal and technical aspects through which the objectives of an organization (or part of it) are accomplished efficiently and effectively by using human, physical, financial, and technological resources

Purpose of management
Accomplishing the goals of the organizations.
Maintaining the quality of service/care within the financial limitations of the organization.
Encouraging the motivation of the employees and the clients in the area
Increasing the ability of subordinates and peers to accept change
Developing a team spirit and increased morale.
Furthering the professional development of the personnel.

Scientific management
Focuses on determining the most efficient methods to achieve greater output and productivity
Functional approach various function such as planning, organizing, staffing, leading and controlling

Scientific management
Analyze the tasks – find the best way to perform the work
Recruit the employee best suited to perform the job
Instruct the worker in the best way to perform the job

Functional approach
Planning : setting down a course of action
Organizing : designing a structure, tasks and authority clearly defined
Commanding : directing subordinates in what to do
Coordinating : pulling the organizational elements together toward common objectives
Controlling : ascertaining that plans are carried out

Characteristic of management
First level management
Also known as a first-line manager
Is responsible for supervising the work of non­-managerial personnel and the day-to-day activities of a specific work unit or units.
First level management
The manager is responsible for clinical nursing practice, patient care delivery, use of human, fiscal, and other resources, personnel development; compliance with regulatory and professional standards; fostering interdisciplinary, collaborative relationships, and strategic planning (AONE, 1992).
First level management
primary responsibility for motivating the staff to achieve the organization's goals
the first-level manager represents staff to upper administration, and vice versa.
Nurse managers have 24-hour accountability for the management of a unit's or area's within a health care organization.
First level management
In the hospital setting, the first-level manager is usually the head nurse, nurse manager, or an assistant.
In other settings, such as an ambulatory care clinic or a home health care agency, a first-level manager may be referred to as a coordinator.

Middle level management
Supervises a number of first­-level managers
Usually within related specialties or in a given geographic area.
Are responsible for the people and activities within the departments they supervise, and they too have 24-hour responsibility for their defined area.
Middle level management
Typically, middle­ level managers act as a liaison between upper manage­ment and first-level managers.
A middle manager may referred to as a supervisor, director, or assistant or associate director of nursing.
Graduate education often required for this position.

Upper level management
Or executive-level management, refers to top executives (administrators) such as the vice president for nursing or chief nurse executive, to whom middle managers report.
Upper level management
Is primarily responsible for establishing organizational goals and strategic plans for the entire division of nursing, integrating work units to achieve the organization's mission, and buffering the effects of the external environment on nurses within the organization.
Upper level management
Some chief nurse executives have responsibilities for other departments, such as the respiratory therapy, house­keeping, or dietary departments.
Nurses also are assuming system wide administrative roles as directors of education, informatics, and quality (Krejci, 1999).

Characteristic of a manager
  • Provides clear direction.
  • Encourages open communication.
  • Coaches and supports people.
  • Provides objective recognition.
  • Establishes ongoing controls.
  • Right people – right job
  • Impact of decision making
  • Fiscal
  • Problem
  • Encourage innovation and ideas
  • Integrity
  • Selects the right people to staff the organization.
  • Understands the financial implications of decisions.
  • Encourages innovation and new ideas
  • Gives subordinate clear-cut decisions when they're needed.
  • Consistently demonstrates a high level of integrity

Functions of management
  • Planning
  • Organizing
  • Staffing and motivation
  • Coordinating
  • Delegating and Directing
  • Budgeting
  • Controlling

Are you a manager? Which level are you?

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