MANAGEMENT OF NURSING SERVICE & EDUCATION

Total hours: Theory: 90 Hrs

(Class 60 + Lab 30 hrs)
Course Description:
This course is designed to enable students to acquire in-depth understanding of management of
hospital services, management of nursing services and nursing educational programmes. This is also
designed to enable students to acquire understanding of the professional responsibilities, prospects
and contribution to the growth of the Nursing profession.

Specific objectives: At the end of the course student will be able to

1. Understand the principles and functions of management
2. Understand the elements and process of management
3. Appreciate the management of nursing services in the hospital and community.
4. Apply the concepts, theories and techniques of organizational behaviour and human relations.
5. Develop skills in planning and organizing in service education
6. Understand the management of nursing educational institutions.
7. Describe the ethical and legal responsibilities of a professional nurse
8. Understand the various opportunities for professional advancement.

Time Teaching Assessment

Unit (Hrs) Objectives Content Learning methods
Th. Pr. activities
I (4)  Explain the Introduction to Management in  Lecture  Short
principles Nursing Discussion answers
1 and  History, Definition, concepts  Explain
1 functions of and theories using
1 managemen  Functions of management organizatio
1 t  Principles of management n chart
 Role of nurse as a manager and
her qualities
II (6) Describe Management Process  Lecture  Essay
elements and  Planning, mission, philosophy, Discussion type
process of objectives, operational plan  Simulated  Short
1 management  Staffing: Philosophy, staffing Exercises answers
study, norms, activities, patient  Case
classification system, scheduling studies
1  Human resource management,
recruiting, selecting,
deployment, retaining,
promoting, superannuation.
1
 Budgeting: Concept, principles,
types, cost benefit analysis audit
1
 Material management:
equipment and supplies
1  Directing process (Leading)
 Controlling: Quality
1 management
 Program Evaluation
Review Technique (PERT),
Bench marking, Activity Plan
(Gantt Chart)
Unit Time Teaching Assessment
(Hrs) Objectives Content Learning methods
Th. Pr. activities
III (8) 5 To understand Hospital Organization  Lecture  Essay type
1 the modern  Definition, types and functions Discussion  Short
concepts, of hospital  Preparation answers
1 components  Governing body- Hospital of  MCQ
and changing administration organizatio
1 trends in  Control & line of authority n chart of
2 hospital
 Hospital statistics including hospital
organization
hospital utilization indices
1
 Role of hospital in
2 comprehensive health care
 Development of new
management practices:
Marketing of Hospitals,
Specialty Hospitals
IV (8) 20 Describe the Management of nursing services  Lecture  Essay type
management in the hospital Discussion  Short
1 of nursing  Planning Demonstra answers
services in the  Hospital & patient care units tion  Assessmen
hospital and including ward management Case t of
community  Emergency and disaster studies problem
management  Supervised solving
 Human resource practice in exercises
1 management ward-  Assessmen
 Recruiting, selecting, writing t of the
deployment, retaining, indents, assignment
promoting, superannuation preparing s
 Categories of nursing rotation  Performanc
personnel including job plan and e
description of all levels duty evaluation
 Patients/ population roaster, by ward
classification system ward sister with
 Patients/ population supervisio rating scale
1 assignment and nursing n
care responsibilities  Assignme
 Staff development and nt on
welfare programmes duties and
1  Budgeting: Proposal, responsibi
projecting requirements for lities of
staff, equipments and ward sister
supplies for  Writing
 Hospital and patient care report
units  Preparing
 Emergency and disaster diet sheets
1 management
 Material management:
Procurement, inventory
control, auditing and
maintenance in
 Hospital and patient care
units
 Emergency and disaster
management
 Time Teaching
Assessment
Unit (Hrs) Objectives Content Learning
methods
Th. Pr. activities
2  Directing & Leading: delegation,
participatory management
 Assignments, rotations,
delegations
 Supervision & guidance
 Implement standards, policies,
procedures and practices
 Staff development & welfare
1  Maintenance of discipline
 Controlling/ Evaluation
 Nursing rounds/ visits,
Nursing protocols, Manuals
 Quality assurance model,
documentation
 Records and reports
 Performance appraisal
V (5)  Describe Organizational behavior and  Lecture  Essay
the human relations Discussion type
1 concepts,  Concepts and theories of  Role plays  Short
theories organizational behaviors  Group answers
and  Review of channels of games  Assessmen
techniqu communication  Self t of
1 es of  Leadership styles, Power, types problem
assessmen
 Organiza  Review of motivation: concepts t solving
tional and theories  Case
1 behavior
1  Group dynamics discussion
and
 Techniques of:  Practice
human
 Communication and session
relations
 Interpersonal relationships
1  Human relations
 Public relations in context of
nursing
 Relations with professional
associations and employee union
 Collective bargaining
VI (5) 5 Participate In-service education  Lecture  Essay
1 in planning  Nature & scope of in-service Discussion type
and education program  Plan and  Short
1 organizing  Organization of in-service conduct answers
in-service education an  Assess
1 education  Principles of adult learning education the
1 program
 Planning for in-service education al session planning
program, techniques, methods, for in- and
and evaluation of staff education service conduct
program nursing of
1 personnel
 Preparation of report education
al session
 VII (10) Describe Management of Nursing  Lecture  Essay
management educational institutions Discussion type
1 of Nursing  Establishment of nursing  Role plays  Short
educational educational institution – INC  Counselin answers
institutions norms and guidelines g session

Unit Time Objectives Content Teaching Assessment

(Hrs) Learning methods
Th. Pr. activities
 Co-ordination with  Group
 Regulatory bodies exercises
 Accreditation
 Affiliation – Philosophy/
Objectives, Organization
 Structure
1  Committees
 Physical facilities
 College / School
 Hostel – Students
 Selection
 Admission procedures
 Guidance and counseling
 Maintaining discipline-
Faculty and staff
 Selection
1  Recruitment
 Job description
 Placement
 Performance appraisal
 Development and welfare
1  Budgeting
1  Equipments and supplies: audio
visual equipments, laboratory
equipments, books, journals etc.
3
 Curriculum: Planning,
Implementation and Evaluation
1  Clinical facilities
 Transport facilities
1  Institutional Records, and
reports – Administrative,
Faculty, Staff and Students.
VIII (10) 1) Describe the Nursing as a Profession  Lecture  Short
4 ethical and  Nursing as a Profession Discussion answers
legal  Philosophy; nursing practice  Case  Assessme
responsibilitie  Aims and Objectives discussion nt of
s of a  Characteristics of a  Panel critical
professional professional nurse discussion incidents
nurse  Regulatory bodies; INC, SNC  Role plays
Acts:- Constitution, functions
 Critical
2) Explain the  Current trends and issues in
Nursing incidents
Nursing
 Visit to
1 practice  Professional ethics
standards INC/
 Code of ethics; INC, ICN
SNRCs
 Code of professional conduct;
INC, ICN.
 Time Teaching Assessme
Unit (Hrs) Objectives Content Learning nt
Th. Pr. activities methods
2  Practice standards for nursing;
1 INC
2  Consumer Protection Act
 Legal aspects in Nursing
 Legal terms related to practice;
Registration and licensing
 Legal terms related to Nursing
practice; Breach and penalties
 Malpractice and Negligence
IX (4) Explain various Professional Advancement  Lecture  Short
1 opportunities  Continuing education Discussion answer
for professional  Career opportunities  Review/ s
1 advancement  Collective bargaining Presentatio
 Membership with Professional n of
1 published
Organizations; National and
International articles
 Participation in research activities  Group
1 work on
 Publications; Journals, Newspaper
etc. maintenanc
e of
bulletin
board

REFERENCES: (Bibliography)

1. TNAI. Nursing Administration and Management, 1st edn, Academic Press: New Delhi, 2000.
2. Shakharkar, B M. Principles of Hospital Administration and Planning, Jaypee Brothers:
Banglore, 1998.
3. Pai, Pragna. Effective Hospital Management, 1st edn,The National Book Depot: Mumbai,
2002.
4. Srinivasan, A [Link] a Modern Hospital, 1st edn, Sage Publications: New Delhi, 2002.
5. Basavanthappa, B T. Nursing Administration, 1st edn, J P Brothers Medical Publishers: New
Delhi, 2000.
6. Goel, s & Kumar, R. Hospital Administration and Management, 1st edn, Deep and Deep
Publications: New Delhi, 2000.
7. Park K. Park’s Textbook of Preventive and Social Medicine, 17th edn, M/S Banarsidas
Bhanot Publishers: Jabalpur, 2003.
8. Russels, C S. Management & Leadership for Nurse Managers, 3rd edn, Jones Bartlett
Publishers: London, 2002.
9. Francis, E M & Desouza, Mario. Hospital Administration, 3rd edn, Jaypee Brothers Medical
Publishers: New Delhi, 2000.
10. Goddard, H A. Principles of Administration applied to Nursing Practice, WHO: Geneva,
1966.
11. Hersey, P. ,Blanchard, H K & Johnson, E D. Management of Organizational Behavior,
Pearson Education Indian Branch: New Delhi, 2002.
12. Barret, Jean. Ward Management and Teaching, 2nd edn, English Book Society: New Delhi,
1967.
 Evaluation
Internal assessment

Theory: Maximum marks 25

Midterm 50
Prefinal 75

Total marks 125

Out of 15

Assignment:
Seminar 100
Ward management 25
Diet sheet 25
Clinical evaluation 100

Total marks 250

Out of 10

External assessment
University examination
Theory Marks 75

Examination Sec - A Sec - B Total Duration

Marks allotted
Mid term 30 20 50 2 hours
Pre-final 40 35 75 3 hours
Final 40 35 75 3 hours
 ASSIGNMENT FORMAT FOR GROUP SEMINAR

1. Introduction to the topic

2. Concept, Definition
3. History
4. Subject matter
5. Application in nursing field
6. Summary
7. Conclusion
8. References

EVALUATION CRITERIA

Subject :
Topic : Date:
Name of the student : Time:
Group : Total Marks: 100
Marks allotted:

S No Criteria 1 2 3 4 5 Remarks
I Subject Matter
1. Introduction
2. Organization of Content
3. Presentation of topic
4. Relevant examples
5. Relevant statistical data
6. Group participation
7. Control of group
8. Conclusion
II A V Aids
9. Appropriate to topic
10. Self Explanatory
11. Useful
12. Attractive
13. Planning and preparation
14. Use of appropriate technology
III Physical facilities
15. Environment
16. Classroom preparation
17. Classroom management
IV Personal Qualities
18. Voice and clarity
19. Mannerism
20. References
 Guidelines for Ward Management Report
1. Introduction
 Name of the ward
 Duration of experience with dates
 Objective of ward administration experience

2. Organization chart of the ward

 Draw the organization chart of the ward and hospital depicting staff position along with
communication channels and hierarchical lines

3. Ward lay out and physical facilities of the ward

 Describe the ward lay out and physical facilities available and compare it with the
standards of an ideal ward
4. Reports and Records
 Describe the various reports and records maintained in the ward
 Study these documents critically for completeness, accuracy and relevance and give your
suggestions and recommendations.
5. Procedures & Policies
 Study the policies and procedures and critically evaluate them
 Indenting drugs, stores, supplies & describe them briefly
 Admission & discharge and transfer
 Visitors
 Outpass, absconding
 Critically ill patient, Death
 Treatments
 Emergency care
 SOP for Anaphylaxis, HIV infections, Needle stick injuries, Hospital waste management
 Security of the ward
 Fire drills
 Preparation of diet sheet
6. Classify the various types of drugs, stores, supplies and equipments in the ward
Study the procedure for maintenance, store and supplies
7. Enlist the suggestions and recommendations
8. Conclusion

EVALUATION CRITERIA

1. Comprehensive 5
2. Clear & Relevant 5
3. Critical analysis 5
4. Suggestions & Recommendations 5
5. Conclusion 5

Total 25
 GUIDELINES FOR ASSIGNMENTS: DIET SHEET

1. Diet sheet

a) Daily basis

 Study the different types of hospital diets & their dietary allowances and
write a brief report
 Notes the prescribed diet for each patient
 Records in diet sheet

b) Give references and illustrations (Figure, graph and picture)

c) Conclusion (Highlight learning achieved)

EVALUATION CRITERIA

1. Clarity and comprehensiveness 5

2. Accuracy of diet sheet 5
3. Preparation of diet sheet 5
4. Reference & Illustration 5
5. Conclusion 5

Total: 25
 BASIC B Sc NURSING

LAB EVALUATION : WARD ADMINISTRATION

Total Marks : 100

Student’s Name: Placement:

S No Criteria 4 3 2 1
I Professional Appearance
1. Is well groomed & neat uniform
2. Is able to maintain good poise
II KNOWLEDGE
3. Has knowledge regarding nursing responsibilities in
a. Organization & planning in days work
b. Meeting emergency needs
c. Providing comprehensive patient care
d. Indenting, maintaining & dispensing of drugs
e. Holding of inventories and care of equipments
4. Has knowledge of various records related to patient care.
5. Has knowledge of communication process
III PRACTICE
6. Is able to communicate effectively with different health
team members
7. Is able to coordinate with healthy member
8. Is able to plan & conduct clinical teaching programmes
9. Is able to conduct incidental teaching at the bed side
10. Is able to render nursing according to identified nursing
needs & problems
IV LEADERSHIP
11. Is able to inspire confidence and has patience in dealing
at all times
12. Is enthusiastic and approachable
13. Is willing to accept consequences of decision and action
14. Is able to accept leadership roles voluntarily
15. Co-operative and maintains good IPR
16. Avails opportunities for personal & professional growth
17. Practices democratic approach in all dealings
V RECORDING, REPORTING AND EVALUATING
18. Able to record & report all relevant facts accurately
19. Evaluate objectively
TOTAL

GRADING: KEY:

1. A+ : 80% & above 4 - Always

2. A : 70 – 79% 3 – Most often
3. B : 60 – 69% 2 – Occasionally
4. C : 50 – 59% 1 – Seldom
5. D : Below 49%
 MARKS OBTAINED

Pen picture of student

Signature of student Signature of clinical supervisor

Signature of Coordinator

Signature of Principal
 GUIDELINES FOR LAB / PRACTICAL EXPERIENCE

 Admission and discharge and transfer of patients

 Assignment of duties in ward
 Preparation of duty roaster
 Supervision of nursing care
 Indenting of drugs, stores and supplies
 Maintenance of dangerous drugs – Indenting, Storing, Accounting, Recording
 Diet – Maintenance of diet sheet
 Inventories - Expendable and non-expendable
 Repair and replacements
 Ward report – Written and Oral reports
 Supervision and guidance of paramedical staff and domestic staff

Evaluation formats for Nursing service Administration and Education

1. Duties and responsibilities of ward sister 25 mark

2. Planning and implementation of an in service education programme 25 mark
3. Performance appraisal preparation of format 25mark

Assessment of group assignment

Sr. Particulars Total

Objectives 02
1) Contents
 Adequacy 3
 Organization 3
 Relevance 3
 Illustration 2
2) Presentation
 Clarity 2
 Appropriate use of AV aids 3
 Group Participation 3
3) Conclusion and summary 2
4) Reference 2
Total 25