NURSING MANAGEMENT

NURSING MANAGEMENT
choosing the right person and giving them the appropriate task for the purpose of
achieving their goal/objective in achieving total care
Frederick Taylors Scientific Management Theory
Elements
o choosing the appropriate person (TAO)
o choosing the appropriate team
o choosing the appropriate training
o choosing the appropriate tools
Human Relations theory
the be a good manager, there should be a good interpersonal relationship between the
leader and follower
Douglas Mc Gregors Motivational theory
Theory X
o Negative workers
o negligence, inefficient, ineffective workers
Theory Y
o Positive workers
o diligent, effective, efficient worker
theory X should be given focus because they are prone to negligence and malpractice.
Max Webers Bureaucratic/ authoritarian Theory
whoever is on the top would perform the management function
centralized
Elton Maytos Behavioral Theory
overtime pay, rest day, day off
provide physical needs of the workers
Hawthornes Effect
o If workers knows they are observed they become more efficient
Henry Fayols Principle of Management
Unity of Command one leader, one command
Unity of Direction one group should always have one goal
Remuneration of Personnel patient first policy
Esprit de corps team spirit
Command responsibility/Respondeat Superior let the superior answer the fault of
his subordinates even harm or death
Balance between centralization and decentralization
Security tenure
Delegation of responsibility
Proper Compensation of workers

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RA 7305 (Magna Carta Law) salary grade 50 P13,000/month

Overtime pay additional of 25%/hr
Night Differential additional of 10%/hr
Legal holiday x 2
Philhealth - Benefit of worker both related and non-related work (aesthetic,
dental and cosmetics are not included)
Maternity leave 60days leave is NSD, 78days if CS only to first 4 pregnancy
only to legitimate spouse
Paternity leave 7day/1week leave
Senior Citizens Act 20% discount

5 steps in Management Process

Planning stage
o looking ahead of time.
o Formulating future goals/objective
o Types of plan
Standard/Operational Plan (NCP)
plans for everyday or ordinary activities
Strategic/Contingency Plan
plan used during sudden or acute crisis
Long-range/future Plan
plans which you cant evaluated immediately.
Usually last months or yrs.
Used for chronic pt which requires longer period of care.
o Stages of Planning Process
Mission present reason when established your organization
Vision - statement of your future purpose of your future organization
Philosophy set of values and beliefs of your organization
Goal general statement of your purpose
Objectives more specific statement of your purpose
Policies set of rules and regulations in your organization
Procedures
Budgeting proper allocation of your resources
o 3 types
Personnel
Compensation for salaries of workers
Operational
everyday use of equipment and facilities
(gloves, water, electricity)
Capital
long term use equipment (MRI, CT Scan,
hospital beds, hospital buildings)
Organizing
o 4 stages
Organize your team RN Subordinates
Duties of the RN
Only assessment can perform the nurse

Only the nurse can perform HT

Only the nurse should explain the procedure to the patient
Preparation, administration, treatment of drugs to the patient
The nurse can only perform evaluation
The nurse can only do judgment
Delegate Task
They can only delegate to subordinates the Routinary task
(standard, unchanging procedure) eg. monitoring of I&O, bathing,
ambulating, toileting, shampooing, transporting, feeding, clothing,
wiping
Stable patient - predictable outcome (eg. postmortem care with
direct supervision of the nurse only)
Supervision need guidance
Staff Schedule/ Staffing
Schedules (How many hours)
o Traditional 8hrs a day/40hrs/wk
o Ten hour shift/4 days a week
o Baylor plan it consist of two shifting nurses
traditional mon-fri 8hrs
2nd shift 12hr shift during weekends
o Part-time work fewer working hours per day and may
choose the day or work. Less than 8hrs job
o On call during shortage of nurses/staff but increase in
the number of patients.
Methods of Nursing care Delivery
Different Methods
o Primary 24hrs a day
Primary nurse is the only nurse who is responsible
to make a care plan of the patient from the moment
of admission till the moment of discharge. (eg.
private duty nurse or special nurse)
o Functional Method
DOH format/government hospitals
Assign nurse :
Duty/task
One nurse, one task
Highly recommended during a period of
shortage of nurses and budget
poorest method of delivery because communication
is hindered
o Case Method/Case Nursing
provide total care within your shift. Used in ICU
department
C Case Method
T total care to the patient
O one is to one ratio
Directing/Delegation stage

a job or a task is done or performed by another perform for you

What you cannot delegate:
you cannot delegate total control of the procedure
you cant delegate discipline of subordinates or staff members.
Confidential task
Technical task
Medical task performing surgical procedure is done by the doc not the
nurse
Coordination/Collaboration
o the nurse needs to collaborate to other members of the health care team.
o Multi-interdisciplinary approach to be able to provide holistic approach to the
patient.
o Types of Collaboration
Interpersonal/Intradepartmental
One patient, one unit.
Collaboration between one nurse to another healthcare team in
one unit/department
Eg. MI patient - nurse, dietary, specialized in cardio
Interdepartmental
4 units in one hospital.
Coordination of the patients care between 2-more
units/departments but still under one same hospital or institution
Eg. patient due for appendectomy is transferred to the OR
Inter Agency/Institutional
Coordination of patients care between 2 or more hospitals/health
care institution for the benefit of the patient
Eg. lying in due for C/S and was transferred to a hospital
Evaluation/Controlling
o stage wherein you determine whether or not your plans for your patient is met or
achieved
o Methods of evaluating staff performance
Checklist
it is being evaluated higher than you. (eg. nurse
manager/supervisor or head nurse)
Nursing rounds
it is being evaluated higher than you. (eg. Nurse
manager/supervisor or head nurse)
Psychiatric ward is not done by nursing rounds
Peer review
same rank or level is being evaluated you
poor method
Performance appraisal
the patient evaluates you
best method in evaluation
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