Concepts of Nsg Mgmt

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    The conventional definition of management is

    getting work done through people, but real

    management is developing people through work.

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    Submitted To: Submitted By:

    Mrs. Mahalakshmi, M.Sc(N) Miss. Tina Ann John

    H.O.D, Community Health Nsg II M.Sc (N)

    Goutham College of Nursing

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    ` John Mee (1963)

    ` George (1988)

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    ` A nurse manager coordinatesand manages a nursing staff.She ensures the staff under herruns effectively. The nursemanager is efficient around theclock, following all

    administrative and clinicalprocedures and policesaccording to a set of medicalguidelines. In a manner ofsuperb professionalism, thenurse manger maintains aneffective work environmentsupportive to all nurses andstaff.

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    ` Effective management of all activities.

    ` It is a process.

    ` Effective use of infrastructure & human resources.

    ` Requires quality leadership

    ` Awareness of risk.

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    ` Personnel Management

    Employment

    Retention

    Supporting

    Developing

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    ` Principle of Oneness

    ` Principle ofSpecialism &whole

    ` Principle of Hierarchy &

    regimentation` Principle of Morale

    ` Principle of Bureaucracy

    ` Principle ofSelf-Administration

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    1.

    Division

    of Work

    2. Authority,

    Responsibility,

    Accountability

    3. Discipline4. Unity of

    Command

    5. Unity ofDirection

    6. Coordination 7. RemunerationofPersonnel

    8.Centralization

    9. Scalar

    Chain of

    Command

    10.

    Order

    11.

    Equity

    12. Stability of

    Tenure of

    personnel13. Initiative

    14. Esprit de

    Corps

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    ` Classification: (MJ Clay) Detection

    Evaluation

    Improvement

    Optimisation

    Specification

    Control

    Communication

    Demonstration

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    ` Attitude Survey

    ` Activity Sampling

    ` Critical Examination

    ` Break- Even Analysis

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    ` Job Evaluation

    ` Work Measurement

    ` Performance Appraisal

    ` Cost Benefit Analysis

    ` Network Analysis

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    ` Management by

    Objectives (MBO)

    ` Management by

    Exception (MBE)

    ` Method Study

    ` Value Analysis

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    ` LinearProgramming

    ` Ergonomics

    ` Operational Research

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    Layout Planning

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    ` Cost Control

    ` Credit Control

    ` Inventory Control

    ` Production Control

    ` Budget Control

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    ` Suggestion Scheme

    ` Information Theory

    ` Management Information

    System

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    ` Programmed Learning

    ` Job Instruction

    PlanP

    resent

    Follow-Up Trial

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    ` A mission statement defines the organizations

    purpose & primary objectives.

    ` Mission & Purpose:

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    ` Key values & beliefs

    ` Distinctive Competence

    ` Desired Competitive position

    ` Competitive Strategy` Compelling goal/vision

    ` Specific Customers served & products or services

    offered

    ` Concern on satisfying multiple stakeholders.

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    ` According to Vern McGinis, mission should:

    Define what the company is Define what the company aspires to be

    Limited to exclude some ventures

    Broad enough to allow for creative growth

    Distinguish the company from all others Serve as a framework to evaluate current activities

    Stated clearly so that it is understood by all.

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    ` Structure of Mission Statement Explains the overall purpose of the organization

    Can develop a vision statement.

    Culture specific

    Consider the companys products, services, markets,values & concern for public image, priorities beforemaking the statement

    Flexibility

    Delivery of services

    Refining can also be done Should have sufficient description of the organization.

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    ` To render quality health care througheffective team work.

    ` To train health care professionals tobecome competent, humane & ethicalhealth care providers & educators&leaders.

    ` To undertake relevant biomedical & healthsystems researchers which may serve asbasis for health policies.

    ` To develop a system of referral network &serve as centre for complex health careproblems.

    ` To attain self- sufficiency in resources.

    ` To be the role model for health caredelivery in the country.

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    ` Columbia College ofNursing will provideoutcome-based healthcareeducation that is highlyvalued by diverse

    communities of students,educators & employers forits principles of life-longlearning, professionalism,academic & clinicalexcellence & socialresponsibility.

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    ` Vision statement reflects the ideal image of the

    organization in the future.

    ` They create the focal point for strategic planning &

    are time bound` with most vision statements projected for a period

    of 5-10 yrs.

    ` Gives direction.

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    ` Includes vivid description of the organization

    ` Culture-specific

    ` Time-consuming

    ` Description of strategic planning of theorganization.

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    ` The Sacred General Hospital,globally competitive,committed to the health of thepeople of all caste & creedthrough a system ofnetworking, served by

    competent, compassionate &ethical health professionalsworking as a team, shall bethe centre of excellence &leadership in health care,training & research thatcreates an impact on health

    care.

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    ` To prepare competent,

    compassionate

    healthcare professionals

    distinguished by liberal

    arts, education,evidence-based practice,

    clinical reasoning, safe-

    patient care &

    commitment to social

    justice.

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    ` Value statements define the organizations basic

    philosophy, principles & ideals. They also set the

    ethical tone for the institution. An organizations

    values are evident in the statements that definethe organization & the processes used to achieve

    its mission & vision.

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    ` It represents the core priorities in the organization,

    culture.

    ` It can be culture- specific

    ` Establish four- six core values in which theorganization believes in.

    ` Identify between preferred values & true values.

    ` Incorporate into the strategic plan for actual

    behaviour & preferred behaviour.

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    ` The philosophy defines as an explanation of the

    systems of beliefs that determine how a mission or

    a purpose is to be achieved.

    `

    An organisations philosophy states the beliefs,concepts & principles of an organization.

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    ` Components of Nursing

    Service Philosophy: Nursing/ Nursing Practice

    Patient/ Client

    Nurses

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    ` Factors influencing:

    Philosophical values & beliefs

    Environment

    Student & activities

    Health needs of society Culture & background

    Advancement in fields

    Philosophy of nursing serviceadministration.

    Goals & objectives of health caredelivery system.

    Disease pattern, healthawareness, health facilities.

    Available resources in terms ofman, money & materials.

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    ` Believes in sound nursingeducation witheducational principles

    ` Prepare nurses for first

    level positions.` Good understanding of

    scientific principles.

    ` Skills of communication

    ` Interdependence with

    allied professions.` Develop individual

    professionalism & futureof the student.

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    ` Guidelines: Must be clearly specified

    Must be set by taking into account the various factorsaffecting their achievements

    Should be consistent with the organizational mission. Should be rational & realistic rather than idealistic.

    Should be achievable

    Should start with to & followed by an action varb.

    Should be consistent over a period of time.

    Should be periodically reviewed. Should have hierarchy.

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    ` Organizational Objectives: Should have social sanction.

    May have multiple objectives. Can be changed.

    ` Nature of objectives: Have some objectives

    May be broad, specifically mentioned. Clearly defined.

    Have hierarchy

    Social sanction

    Multiple objectives Can be changed.

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    ` Functions of Objectives: To define an organization

    To provide definition & direction for an organization.

    to set standards of performance.

    To provide a basis for decentralization.

    Integrate organization, group & individual.

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    ` To synthesize from liberal arts with nursing science.` To cultivate attitude & skills necessary to think critically` To provide competent, age-appropriate, culturally sensitive care.` To collaborate effectively with health care providers & consumers` To integrate reliable evidence from multiple way of knowing to

    inform practice & make clinical judgments.` To use management & leadership skills across the continuum of

    care` To engage in ethical reasoning & actions.` To develop an identity of self & nurse` To participate in activities that contribute to lifelong personal &

    professional development.

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    ` To give highest possible quality of nursing care.` To assist the doctor in the medical care of the patient` To promote programmes of nursing education, to

    provide facilities for development of all categories ofnursing personnel.

    ` To promote & encourage nursing research studies.` To assess quality of nursing service & continuously

    build facilities & prepare personnel to improve uponthis quality.

    ` To promote participation in the allied healthorganization & supportive community activities

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    ` Summary` Conclusion

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    When you're a nurse you know that every day you will touch a life or alife will touch yours. ~Author Unknown