Management and
leadership in nursing
Introduction
unit “1”
• Nursing profession’s first priority is
competent and safe Pt. care.
• *Nurse manager assures the best possible
environment for providing high-quality Pt
care..
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Nurses in most health care setting today
hold great responsibility to ensure that pts
receive the health care that they need to
lead active, productive lives.
• To provide high quality nursing services, it is
essential to provide well- qualified nursing
leadership
• key leadership position is the first-line
nursing manager .
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• Several key issues will influence and
create change in the delivery of health
care :
- 1-economics of health care
- 2-competitive nature of the industry
- 3-shortages of professional health care
personnel.
- 4-focus on quality outcomes.
• We have unstable situation that requires
change to occur rapidly .
• This change demands flexibility,
intelligence, and new leadership expertise
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• manager must have a good understanding
of nursing costs (financial skills)
• cost effectiveness of nursing care need
continued study to ensure the pt
outcomes & economically
• increased intensity of care caused by
shorter hospital stays & aging of the
population .
• To improve care it require the institutions
to focus on consumer satisfaction in
addition to the quality of clinical outcome
.
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• nurses are the largest group of health
care professionals & pts often judge the
quality of care by the quality of their
services.
• 1st line manager ensure pt’s expectations
of care are met.
• accomplished by surveys, focus groups .
• Our hospitals is managed by industrial
models of management.
• Professional nurses must be given
accountability and authority for pt care.
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Definition of management :
art of getting things done through people ” .
both art and a science ” .
work that involves the guidance or direction of
a group of people toward organizational goals
or objective’s.
interpersonal and technical aspects, through
which the objectives of an organization being
managed .
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“ Management process :
(Achieving organizational objectives
through:
planning.
Organizing.
staffing
Directing.
controlling
(For human and physical resources and
technology )
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" Management:
The process of getting work done
through others done properly, on time,
and within budget, including the
deployment of the resources to
accomplish organizational ends "
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MANAGEMENT FUNCTIONS
1- PLANNING: All other functions are
dependent on it Data are gathered and analyzed
• manager must predict what is future needs &
set objectives .
• Priorities must be set .
• The strategies sequenced in a time frame .
• Planning of policies and procedures .
• Budgets are used in planning .
• Planning is the basis for time management,
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organizing
The personnel can implement the plans
with efficiency and effectiveness,:
Establish of organizational structure .
• Relationships are delineated.
• Job analysis: (positions , qualifications .etc)
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STAFFING
STAFFING: recruiting, selecting,
orienting developing personnel to
accomplish the goals of the organization.
• determining assignment systems , case
method, functional, team, primary nursing.
• schedules to meet the needs of the
clients, personnel, and institution.
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DIRECTION
(Direct personnel and activities to
accomplish the goals of the organization.
Motivating and leading personnel .
Knowledge of one’s leadership style .
To get work done by others .
tasks require good communication skills
and assertive behavior
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CONTROLLING
(Ensures progress toward objectives
according to plan and involves setting
standards, measuring performance against
those standards . (reporting results & take
corrective actions)
* Comparing results with predetermined
standards of performance
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LEVELS OF MANAGEMENT:
Top managers: Responsible for overall
operations.
Middle managers: coordinate nursing
activities of several units.
First line managers: (supervisors, or
head nurses.) directly responsible for the
actual production of nursing services.
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MANAGER NEEDS THREE TYPES OF
SKLLS
1) Technical skills: Involve methods,
procedures, techniques & knowledge of
work being performed.
2) Human relations skills, ability to
motivate and lead others and to manage
conflict.
3) Conceptual skills require analytical
thinking and being able to perceive trends
of the organization.
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The end
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