NURSING MANAGEMENT
Is the process of working through staff
members to be able to provide comprehensive
care to the patient
This includes planning, organizing, directing
and controlling
The task of the nurse manager is to plan,
organize, direct and control available financial,
material, and human resources in order to
provide effective, economic care to groups of
patients
PLANNING
PLANNING Is deciding in advance what to
do, how to do a particular task, when to
do it, and who is to do it.
Is predetermining a course of action in
order to arrive at a desired results. It is
the continuous process of assessing,
establishing goals and objectives and
implementing and evaluating them,
which is subject to change as new facts
are known
COMPONENTS OF
PLANNING :
COMPONENTS OF PLANNING PLANNING:
PREDETERMINED ACTION
WHO IS TO DO IT: -professional, nonprofessional
HOW TO DO IT: -technique, principles
WHAT TO DO: -nursing activities
PRINCIPLES OF PLANNING
1. Planning is always based and focused on the vision,
mission, philosophy, and clearly defined objectives of the
organization.
2. Planning is a continuous process.
3. Planning should be pervasive within the entire
organization covering the various departments, services
and the various levels of management to provide
maximal cooperation and harmony.
4. Planning utilizes all available resources.
5. Planning must be precise in its scope and
nature.
6. Planning should be time bounded.
7. Projected plans must be documented for
proper dissemination to all concerned for
implementation and implementation as to
the extent of its achievement.
PLANNING
It leads to success in the achievements of
goals and objectives
It provides meaning to work
It provides for the effective use of available
personnel and facilities
It helps nurses cope with crises and problems
calmly and efficiently
It is cost effective
It is based on past and future activities
It reduces the element of change
It is necessary for effective control
Characteristics of a GOOD
PLAN
It should have a clearly worded objectives,
including results and methods for
evaluation
Be guided by policies and/or procedures
affecting the planned action
Indicate priorities
Develop actions that are flexible and
realistic in terms of available personnel,
equipment, facilities and time
Develop a logical sequence of activities
Select the most practical methods for
achieving each objective
TYPES OF PLANNING
1. STRATEGIC OR LONG-RANGE PLANNING
what are the right things to do
- usually extending 3 to 5 years into the
future.
2. OPERATIONAL OR SHORT-RANGE PLANNING
how does one do things right
- deals with day to day maintenance activities.
3. CONTINUOUS OR ROLLING PLANS
- similar to operating plans, involves mapping
out the day-to-day activities.
ELEMENTS OF PLANNING
Forecasting or Estimate the future
Set Objectives/Goals and Determine Results
Desired
Develop and Schedule Strategies,
Programs/Projects/Activities; Set the Time
Frame
Prepare the Budget and Allocation of
Resources
Establish Policies Procedures and Standards
Elements of Planning
-Forecast or Estimate the Future Forecasting is looking into the future
Refers to estimation of time series, cross
sectional or longitudinal data
In making forecast, the planner should
consider 3 things:
1. Agency
2. Community affected
3. Goals of care
Forecast must be supported by facts,
reasonable estimates and accurate reflection
of policies and plans
Elements of Planning Set
Objectives/Goals and Determine Results
Desired
GOALS are broad statements of intent derived
from the purposes of the organization
Is a desired aim or condition toward which one is
willing to work
Individual goals- are personal goals; based on ones
desired in life
Group goals- may refer also to organizational goals
although on a smaller scale
Organizational goals- management goals of an
organization that are established to justify its
existence
Short term goals and long term goals
Objectives
The objectives of the Nursing Department is congruent
to its vision as well as to the 11 key areas of
responsibilities to nursing practice
To observe ethical principles and standards that govern
nursing practice . ( ethico -moral-legal responsibilities)
To establish well coordinated referral system for the
continuity of patients/ clients care. (communication)
To assure the application of acceptable performance of
functions, duties, and responsibilities of every position in
the nursing department. (safe & quality nursing care,
management of resources)
To encourage its nursing personnel to participate in
nursing research for improving nursing care. ( research)
To utilize media for information campaign to intensify
health education program. (health education)
ELEMENTS OF PLANNING MISSION OR PURPOSE
- The mission statement outlines the agencys
reason for existing ( whether hospital or health care),
who the target clients are ( the poor, the needy, the
middle or upper class), and what services will be
provided ( in-patient, out-patient, emergency).
- reason for the existence of the organization
(Nursing service exist to promote and maintain health)
Vision
The Board of Nursing under the guidance of the
Almighty, with its unquestionable integrity and
commitment, envisions itself to be the ultimate
authority in regulating the nursing profession in
the
Philippines
and
to
lead
nursing
development to its highest level of excellence.
Mission
The BON shall unwaveringly pursue the advancement
of nursing development in the country by:
1. providing leadership, information, options,
scenarios and lobby efforts to targeted decision
makers and stakeholders
2. ensuring adherence to professional, ethical and
legal standards as mandated by existing regulatory
laws
3. unifying the nursing sector through good
governance
4. fostering linkages with the domestic and
international stakeholders
ELEMENTS OF PLANNINGPHILOSOPHY
Philosophy is the sense of purpose of the
organization
and
the
reason
behind
its
structure and goals.
Philosophy states the beliefs that influence
nursing practice and beliefs about health care.
POLICIES
Policies in general, they are guidelines to
help in the safe and efficient achievement of
organizational objectives
PROCEDURES
Procedures are specific directions form
implementing written policies
Develop and Schedule Strategies,
Programs/Projects/Activities; Set the Time Frame
Strategy is the techniques, methods, or procedure by
which the overall plan of the higher management
achieve desired objectives.
Programs are activities put together to facilitate
attainment of some desired goals.
Time Management is a technique for allocation of
ones time through the setting of goals, assigning
priorities, identifying and eliminating time wastes and
use of managerial techniques to reach goal s
efficiently
Principles of Time Management
1. Planning for contingencies-planning anticipates the
problem that will arise from actions without
thought
2. Listing of task-task to be accomplished should be
done in sequence which are prioritized according
to importance
3. Inventory
4. Sequencing
5. Setting and keeping deadlines- and adhering to
deadline is an excellent exercise in self discipline
6. Deciding on how time will be spent
Time Saving Techniques, Devices and Methods to Better Use of
Time
1. Conduct an inventory of your activities.
2. Set goals and objectives and write them down.
3. With the use of calendars, executive planners, logs or journals,
write what you expect to accomplish yearly, monthly, weekly or
daily.
4. Break down large projects into smaller parts.
5. Devote a few minutes at the beginning of each day for planning.
6. Organize your work space so it is functional.
7. Close your door when you need to concentrate.
8. Learn to delegate.
9. In a meeting, define the purpose clearly before starting.
[Link] or return phone calls during specified time.
11. Develop effective decision-making skills.
12. Take rest breaks and make good use of your spare time.
Multitasking
Trying to get more things done in less time
Examples: answering phone calls while driving,
sending e-mails while in the meeting
DEVELOPING AND SCHEDULING PROGRAMS
Programs are predetermined, developed and
targeted within a time frame to reach the set
goals and objectives.
The Planning Formula
WHAT
WHEN
WHERE
HOW
WHO
WHY
CAN
PREPARING THE BUDGET
1.
A budget is the annual operating plan, a financial
road map and plan which serves as an estimate for
future costs and a plan for utilization of manpower,
material and other resources to cover capital projects
in the operating programs.
2.
A nursing budget is a plan for allocation of resources
based on preconceived needs for a proposed series of
programs to deliver patient care during one fiscal year.
3.
A hospital budget is a financial plan to meet future
service expectations.
Factors in BUDGET
planning
Type of patient, length of stay in the hospital
and acuteness of illness
Size of hospital and bed occupancy
Physical lay out of the hospital, size and plan of
the wards, units, nurses station, treatment
rooms, etc
Personnel policies
Salaries paid to various type of nursing personnel
including OT pay or shift differential
Extent of VL, SL, holidays
Provision for staff development programs
Grouping of patients such as those in specialized
areas
Standards of nursing care: kind and amount of care
to be given as it affects the number of hours of
bedside care
The method of performing nursing care whether
simple or complex; the method of documentation
Proportion of nursing care provided by the
professional nurses and those given by nonprofessionals
Amount and quality of supervision available and
provided; the efficiency of job description and job
classification
Method of patient assignment whether
functional, case, team or primary
Amount and kind of labor-saving devices and
equipments
Amount of centralized service provided:sterile
supply, central o2 supply, linen supply
Nursing service requirements of the ancillary
departments: clinics, admitting office, ER
Reports required by administration whether
simple or complex
Affiliation of nursing students or medical
students
