Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

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

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

Delegation of responsibility Proper Compensation of workers o RA 7305 (Magna Carta Law) salary grade 50 P13,000/month o Overtime pay additional of 25%/hr o Night Differential additional of 10%/hr o Legal holiday x 2 o Philhealth - Benefit of worker both related and non-related work (aesthetic, dental and cosmetics are not included) o Maternity leave 60days leave is NSD, 78days if CS only to first 4 pregnancy only to legitimate spouse o Paternity leave 7day/1week leave o 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)

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

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

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

poorest method of delivery because communication is hindered 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 o a job or a task is done or performed by another perform for you o 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

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

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

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006