Professional Documents
Culture Documents
Administration
Introduction to
management
Agencies classification according to length of
: stay
Provide services to patients who are
suffering from acute conditions that
Short-stay facilities-1 .usually require <24 hours of care
Take place in a hospital or in short-stay #
.centers
Include patients staying >24 hours but
Traditional acute care-2 .<30 days
.Take place in the hospital #
Include those agencies that offering
services to patients with major
rehabilitation needs chronic diseases,
Long term care-3 functional losses or mental illness. The
average length of stay extends from
.several months to years
Governmental-1
: The governmental hospitals are owned by
organizations .The ministry of Health-1
.The university-2
.Military personnel-3
.Health insurance organization-4
.Health care organization-5
N.B
.Sometimes the 2 terms are used interchangeably #
: Management positions
Held by persons who carry the responsibility for the
Top level .(overall operation of the organization (e.g., director
Held by persons to whom authority is delegated by
Middle level .(individuals in the top level positions (e.g., supervisor
Held by persons who direct the operation of 1 unit
First level .(within a department (e.g., head nurse
: Elements of management process
.Planning-1
.Organizing-2
.Assembling resources-3
.Directing-4
.Controlling-5
Planning
: Definition
Is the process of deciding in advance what should be done, how,
.when, where and by whom it will be done
: Standing plans-2
Are predetermined courses of action developed for repeated
.situations
Is a general plan of action that has been formalized
Policy(1) by the administrative authority to guide members in
.the hospital on how to act in specific situations
Is a series of steps in chronological sequence of
required action that describe in details the exact
Procedure(2) manner in which certain activities must be
.accomplished
Is a comprehensive, standing-use plan for achieving
specific organizational objectives; it establishes the
Programs(3) principal steps required to reach the goal. It sets the
sequence and timing for implementing the steps and
.it identifies those responsible for doing the work
Are single-purpose statement specifically state
Rules(4) action that must or must not be taken in a given
.(situation (e.g., no smoking allowed in patient rooms
Are guidelines of actions that only apply to
department and developed by middle and first levels
Regulations(5) position in the organizations (e.g., rotation shift of
.(the professional nurses at ICU
Is a statement which indicates when an activity is to
Routine(6) be performed (e.g., temperature of all patients must
.(be taken daily at 6 a.m
: Planning tools
: (Purpose (mission-1
.Is the reason for existence
: Philosophy-2
Is a statement of beliefs, values, attitudes, principles and concepts #
that provides personnel with a common and consistent sense of
.action
.Is conceptual framework of the hospital #
: Purposes
.Provides the basic beliefs, values and principles-1
.Tells personnel how they should act-2
Explains why personnel should direct their energies towards the-3
.achievement of the specific objectives
Nursing department philosophy base their nursing practice on the
: following beliefs
.Life and health are primary goods-1
Each person is unique and has intrinsic worth, so is deserving of-2
respect, without regard to such individual characteristics as sex,
.color, nationality, religious conviction and socioeconomic status
High-quality nursing care can best be provided by a mixture of-3
professional and non professional personnel who are organized into
.self-directed work teams
To ensure continuous improvement of nursing care quality, the role-4
of the professional nurse must include responsibility for nursing
.research and nursing education as well as patient and family care
Nursing interventions are most effective when they are directed-5
.toward the patient's health goals based on research evidence
: Goal-3
Is a general statement for giving direction for what the organization
.seeks to accomplish
: Objective-4
Is a specific measurable action indicating what is to be done by an
.individual employee
: Types
.General-1
.Specific-2
.Short-term-3
.Long-term-4
: Characteristics
.Flexible-1
.Realistic-2
.Specific-3
.Measurable-4
.Operational-5
.Observable-6
: Policy-5
Is a general plan of action that has been formalized by the
administrative authority to guide members in the hospital on how to
.act in specific situations
: Purposes
.Provide information for decision-making-1
.Promote efficiency, safety and consistency in accomplishing tasks-2
.Aid in solving recurrent problems-3
.Create standard-operating procedures among organizational units-4
.Guide in performance evaluation-5
: Sources
.Philosophy of the organization and its desired objectives-1
.Top level management-2
.Middle level management-3
.(Externally imposed policy (such as government control-4
: Types
.Personnel policies-1
.(Departmental policies (regulations-2
.Financial policies-3
Departmental policies
Personnel policies Financial policies
((regulations
Are concerned with all Are specific personnel Are concerned with all
the hospital personnel policies that are the hospital finance
: and include applied only to a : and include
Personnel # specific department or Sources of capital #
employment policies individual positions .budget
(e.g., hiring new (e.g., nursing service Uses of capital #
employees, .(policies manual .budget
termination of present Protection of #
employees and Nursing service .capital budget
.(retirement department policies Distribution of #
Arrangement of # : manual .earnings
work (e.g., hours of Describe the-1
work, vacations, structure, function
holidays, sick leaves and organization of
.(and absence the nursing
Employees services # .department
(e.g., health care Identify current-2
programs, social and departmental
recreational activities, administrative and
safety programs and clinical nursing
.(reward practice, policies and
Training policy # procedures that are
(e.g., purpose of applicable to nursing
training, type of .department
training needed, time Duty hours and its-3
and place for .rotation
conduction training Reporting on and off-4
and administration and .duty
scheduling of the .Type of uniforms-5
.(training program .Staff education-6
Identify current-7
: Advantages hospital and medical
Useful in the-1 staff policies and
orientation of the procedures related
.employees .specifically to nursing
Save time for the-2
employees as well as
.administrators
Provide employees-3
with information that
help them to give good
service and to remain
.with the organization
Give employees a-4
sense of security and
.individual worth
Give employees pride-5
in and loyalty to the
.organization
: Procedures-6
Is a series of steps in chronological sequence of required action that
describe in details the exact manner in which certain activities must
.be accomplished
: It include the following #
.Statement of objective(1)
.Determination of who is going to perform the activity(2)
.Supplies and equipment required(3)
.Methods of communication(4)
.Criteria for performance(5)
: Advantages
Written procedures promote efficiency, safety and consistency in-1
.accomplishing tasks
: Rules-7
Are single-purpose statement specifically state action that must or
must not be taken in a given situation (e.g., no smoking allowed in
.(patient rooms
: Regulations-8
Are guidelines of actions that only apply to department and developed
by middle and first levels position in the organizations (e.g., rotation
.(shift of the professional nurses at ICU
: Routine-9
Is a statement which indicates when an activity is to be performed
.((e.g., temperature of all patients must be taken daily at 6 a.m
: Standard-10
Is a descriptive statement of a desired level of performance against
which the quality of structure, process and outcome can be judged. It
.must be observable, achievable and measurable
: Types of standards
Standard of care : is an authoritative statement that describes a-1
competent level of clinical nursing practice demonstrated through
assessment, diagnosis, outcome identification, planning,
.implementation and evaluation
Standard of professional performance : is an authoritative-2
statement that describes a competent level of behavior in the
professional role, including activities related to quality of care,
performance appraisal, education, collegiality, ethics, collaboration,
.research and resources utilization
: Purpose of standards
.Improve the quality of nursing care-1
.Decrease the cost of nursing care-2
.Provide a basis for determining nursing negligence-3
: Approaches of standards
Structure : involve the setup of the organization, philosophy, goals-1
and objectives, structure of the organization, facilities and equipment,
.qualification of employees
Process : involve the activities concerned with the delivery of-2
.patient care. They measure nursing actions or lack of actions
Outcome : they reflect effectiveness and results rather than the-3
.process of giving care
: Characteristics of standards
.Clear-1
.Concise-2
.Written-3
.Worded in terms of actions-4
.Realistic-5
.Specific-6
: Criteria-11
Are predetermined measurable elements that will indicate if the
.standard is met and to what extent it was met
: Budget-12
Is a statement of expected results of a detailed plan expressed in
numerical measurable terms, typically financial accounts in some
.future period
Organizing
: Importance of organizing
.Focus on objectives and facilitate the attaining of objectives-1
.Arrangement of positions and jobs within the hierarchy-2
.Define clearly responsibilities and line of authority of all levels-3
.Creating relationships that will minimize friction-4
: Organizational chart
Is a diagram shows the different positions and departments and the
.relationships among them
: It is used to show #
.The informal organizational relationships(1)
.Areas of responsibility(2)
.Persons to whom one is accountable(3)
.Channels of communication(4)
: Parity principle-1
Is the quality of being equal or equivalent. Personnel must have equal
.amount of authority and responsibility
: Unity of command-2
Each employee should have only one boss. Employees who receive
orders from several people tend to get confused and aggravated. As
.a result, they tend to do poor work
: Chain of command-3
In an organization, authority progresses like the links one a chain.
Along this chain of command, authority flows from one level of
management to the next, from the top of the organization to the
.bottom
: Centralization and decentralization-4
Centralization : is a system of management in which all decisions #
.are made by top level manager
Decentralization : is a system of management in which a great deal #
of decision-making authority rest at lower level manager, where the
.work is performed
: Delegation of authority-5
Delegation(1)
Is the process of assigning work from a top organizational level to a #
lower one or from superior to subordinate and giving that person the
.authority to accomplish them
Is the process of downward flow of authority from top level in the #
.organization to lower level
Authority(2)
Is the right to take final decisions, to act or to command action of
.others. It moves in downward direction
: Types of relationship
Line relation : refers to levels of hierarchy, superior-subordinate-1
relationships and provides the framework for the organization. The
superior has the right to give orders and demand accountability. It is
."called "Direct Operative Authority
Staff relation : it has no command, personnel in the staff relation-2
have only the right to advise, assist, support line authority in the
.performance of their duties
Responsibility(3)
.Is the obligation involved when one accepts an assignment #
Responsibility can't be delegated, it may be continued or it may be #
.terminated with the accomplishment of a single action
Accountability(4)
The subordinates must be held answerable to properly carry out #
.their duties, it moves in an upward direction
: Division of work-7
.Is dividing large activities to be distributed among several people
At lower level of health care organizations, there are nurses and #
.technical trained people who provide patient care
At the middle levels are supervisors who are involved in a day-to- #
.day operations of units
At the upper levels are the administrative staffs that look at the #
.organizations as a whole
: Advantages
Allow an employee to master a task with a maximum skill, a-1
.minimum time and effort
: Disadvantages
Creates many different, narrow jobs which need effective-1
.managerial coordination
Human problems have been created from division of work, faigue-2
and stress which lead to less quantity and quality of work, increased
.absenteeism and higher turnover
: Departmentation-8
.Is the process of grouping activities into administrative units
: Job analysis-1
Is the process of objectively determining the specific duties,
responsibilities and working conditions associated with a specific job,
as well as the personal skills and qualifications required to perform
.that job satisfactorily
: Job description-2
Is a written statement of the duties, responsibilities and
organizational relationships that are required of the employee in a
.given job
: Job specification-3
It is derived from job analysis and job description. It is the personal
qualifications, skills, physical and mental demands required for
.effective job performance
: It answers the following questions #
?What human traits and experience are necessary to do this job -
?What kind of person to recruit for and qualifications needed -
?What qualities that person should be tested for -
: Job evaluation-4
Is a systemic method of appraising the worth of each job in relation
.to all other jobs in the same organization