Nursing Management - Concepts And Principles Of Management

Learning Outcomes Define management Explain the aims of management Explain the management roles of a manager State the different levels of manager State the characteristics of manager Manage Able to do something Able to complete some task as instructed or self directed Manager 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 Management The art of getting things done The technique of getting goal achieved The way a person runs the organization Management 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. Purpose of management Increasing the ability of subordinates and peers to accept change Developing a team spirit and increased morale.

Furthering the professional development of the personnel. Types of management 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 Functional approach 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 firstlevel 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 firstlevel 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

Characteristic of a manager 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 Questions Are you a manager? Which level are you?