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Nursing Service
Administration
Bivin JB
Dept of Psychiatric Nursing
Nursing Service
Nursing service is the part of the total health
organization which aims at satisfying the
nursing needs of the patients/community.
Nursing service
administration Nursing service administration is a complex of
elements in interaction and is organized to
achieve the excellence in nursing care
services.
Definition
• Nursing services are the
part of the total health
organization which aim
to provide prevention of
disease and promotion
of health.• WHO expert committee
Objectives
Management of nursing service and care
Initiate a set of human relationships at all
levels of nursing personnel.
Establish adequate staffing pattern.
Develop and implement proper
communication system.
Develop and initiate proper evaluation and
periodic monitoring system.
Continues…
Proper job description for nursing personnel.
Assist hospital authorities for effective personnel management.
Share nursing information system with other discipline.
Formulate and interpret nursing service policies.
Assist hospital authorities for preparation of budget.
Participate in inter departmental programs and other programs.
Continues…
Education training and staff
developments
Encourage a stimulating environment in
which the personnel have opportunities to
be creating innovators.
Develop and initiate orientation and
training programs.
Create an atmosphere that conducive to
give proper learning experiences for
students.
Continues…
Assist in the development of a sound,
constructive program of leadership in
nursing.
Initiate programs to improve the practice of
nursing in keeping with advances in the
relative areas and disciplines affecting the
quality of nursing.
Continues…
Research
Participate in identifying the areas of
research.
Participate in the compilation of data and
research.
Provide conducive environment for
research.
Continues…
Community health program
Participate in community health programs,
associated with hospital.
Interpret the roles and responsibilities in
community health programs.
Participate in extramural health programs
of the hospital and other related
organizations.
Functions
To assist the individual patient in
performance of those activities
contributing to his health or recovery.
To help and encourage the patient to carry
out the therapeutic plan initiated by the
physician.
To assist other members of the team to
plan & carry out the total program of care
Essential elements
1. A written statement of the purpose & objectives
2. A plan of organization
3. Policy & administrative manuals
4. Nursing practice manuals
5. Nursing service budget
6. A master staff planning
7. Plans of appraisal of nursing
8. Nursing service administrative meetings
9. Advisory committees
Continues…
10.Adequate facilities, supplies & equipments
11.Written job descriptions & job specifications
12.Personnel records
13.In-service education of nursing personnel
14.Meeting with personnel from other
departments
Factors influencing patient
care The type of service
The acuteness of the service & the rate of turnover of patients
The experience of the nurse
The number of non-nurses
The amount & quality of teaching.
The amount & quality of supervision and ward teaching.
The method of appointment of the medical staff.
The plan of ward floor plan.
The physical facilities.
Continues…
The amount, type & location of equipments & supplies.
The number of working hours
The morale of the worker.
Methods of performing nursing procedures.
The time required for hospital routines
The method of assignment.
The standards of nursing care.
Good ward management.
Organization of nursing
servicesChief nursing officer (CNO)
Nursing Supdt (NS)- Gr I
Nursing Supdt. (NS)- Gr II
Deputy (Asst.) NS
Head Nurse (Each ward)
Staff Nurse
Student Nurses
Nursing orderly
Human Resource
Management
(HRM)
Objectives of HRM
• Primary objective: Motivate the employees to contribute their maximum towards achieving organizational goal.
• Secondary objectives:1. To get the required number of employees and to
train them
2. Create good organizational relations at all levels of employees
3. Provide fair wages
4. Ensure the employees maximum contribution towards the organizational goals.
Functions of HRM
1. Creating and promoting human resources related policies
2. Determining the human resources need
3. Educating managers regarding HRM policies, strategies & approaches
4. Conducting & utilizing the research related to HRM
5. Establish conducive organizational climate, teamwork & mutual respect
6. Recruitment, selection, placement & replacement
7. Designing, directing, & evaluating HR development
Continues…
8. Designing and development of communication system
9. Maintaining acceptable staff welfare program
10. Staff counseling
11. Establishing regular staff appraisal
12.Occupational safety measures
13. Promoting staff morale motivation
14.Redeeming, recovering and reinstating guilty employees
Steps in HRM
Recruitment Selection Job analysis
Training and development
Retaining Demotion
Class Presentation
• Recruitment Vs Selection- Ms. Sruthi S
Kumar
Group Discussion
• Role of Nurse Manager in HRM & HRD
Job description
• It refers to the duties and responsibilities
of a specific job and the characteristics of
the individual needed to perform it
successfully.
• Elements included are:
– Job title
– Department
– Job grade
– List of duties & responsibilities
Purposes of Job description
Job analysis & classification
Recruitment
Delegation of responsibilities
Staff development
Staff appraisal
Staff discipline
Guidelines for writing Job
Description1. Allocate a title that distinctly imply the nature
of job
2. A description with a summary of the essential requirement
3. Enlist the duties in logical sequence concentrating on the major activities and the proportion of time involved
4. Use standard formats
5. Write in clear, concise manner
6. Review periodically
Class Presentations
1. Job description of Nurse Manager-Ms. Annmary Tomy
2. Job description of Nursing supdt-Ms. ChippyPaulose
3. Job description of Ast. Nursing supdt-Ms. Binu C Varghese
4. Job description of Head Nurse-Ms. AnuAlias
5. Job description of Staff Nurse-Ms. BinithaThomas
Role of Nurse
Administrator
In General
Ward Management
• Organizes, directs and supervises the nursing services
• Coordinates assignments of staff.
• Establishes the general pattern of delegation of responsibilities and authority.
• Formulates standing orders for the nursing care.
• Ensures appropriate allocation of duties and responsibilities to all nursing staff
• Formulates nursing policies to ensure quality patient care and adequate attention at all times.
• Responsible for efficient functioning of the nursing staff.
• Evaluates the personal performance of the nursing staff.
Continues…
Discipline
• Ensure that a standard of discipline of nursing staff is high at all times.
• Maintain good order and discipline in wards / departments.
• Makes daily rounds of the hospital wards / departments and also seriously ill patients.
• Brings immediately to the notice of the authority all matters concerning neglect of duty, insubordination either by nursing staff, patients or visitors or any un-towards incident.
Continues…
Public Relations
• Promotes and maintains harmonious and effective relationship with the various administrative departments of the hospital and related community agencies.
• Maintain cordial relationships with the patients and their families.
Office duties
• Scrutinizes the reports and returns and submits in accordance with existing orders.
Continues…
Confidential Reports
• Initiates the confidential reports of nursing staff on due dates.
• Responsible for the nursing budget.
Education
• Carries out in-service training for all categories of nursing staff and paramedical personnel and keeps the records of such trainings.
• Conduct various update courses based on the needs.
• Encourages the personnel to participate in the continuing education program.
Continues…
Staff Welfare
• Responsible for health and welfare of nursing staff.
• Ensures annual and periodical health examination and maintenance of health records.
Conferences
• Responsible for organizing and conducting staff meeting of the nursing staff once in three months.
• Holds conference in nursing care problems and discuss policies as regards to working conditions, working hrs and other facilities.
Continues…
Supervision
• Supervises nursing care given to the patients and all nursing activities within the nursing unit.
• Supervises the work of all paramedical staff of the hospital.
Records and Reports
• Maintains various records such as duty roster nursing staff, day off book, personal bio-data, leave plan, staff conference book, courses file etc.
Problems & Challenges
♠ Lack of adequate
training.
♠ Problem of personnel
management.
♠ Inadequate number of
nursing staff.
♠ Shortage of trained
manpower.
♠ Poor role model.
♠ No research scope.
♠ Professional
risk/hazards.
♠ No autonomy in
nursing activities.
♠ Lack of motivation.
♠ No involvement in
planning.
Thank You..
