Pentagon Review - Nursing Management 2m6v5i

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

NURSING MANAGEMENT NURSING MANAGEMENT  choosing the right person and giving them the appropriate task for the purpose of achieving their goal/objective in achieving total care Frederick Taylor’s Scientific Management Theory  Elements o choosing the appropriate person (TAO) o choosing the appropriate team o choosing the appropriate training o choosing the appropriate tools Human Relations theory  the be a good manager, there should be a good interpersonal relationship between the leader and follower Douglas Mc Gregor’s Motivational theory  Theory X o Negative workers o negligence, inefficient, ineffective workers  Theory Y o Positive workers o diligent, effective, efficient worker  theory X should be given focus because they are prone to negligence and malpractice. Max Weber’s Bureaucratic/ authoritarian Theory  whoever is on the top would perform the management function  centralized Elton Mayto’s Behavioral Theory  overtime pay, rest day, day off  provide physical needs of the workers  Hawthorne’s Effect o If workers knows they are observed they become more efficient Henry Fayol’s Principle of Management  Unity of Command – one leader, one command  Unity of Direction – one group should always have one goal  Remuneration of Personnel – patient first policy  Esprit de corps – team spirit  Command responsibility/Respondeat Superior – let the superior answer the fault of his subordinates even harm or death  Balance between centralization and decentralization  Security tenure

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

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Professional Adjustment, Legal Management, Ethics & Research in Nursing

Delegation of responsibility Proper Compensation of workers o RA 7305 (Magna Carta Law) – salary grade 50 P13,000/month o Overtime pay – additional of 25%/hr o Night Differential – additional of 10%/hr o Legal holiday – x 2 o Philhealth - Benefit of worker both related and non-related work (aesthetic, dental and cosmetics are not included) o Maternity leave – 60days leave is NSD, 78days if CS only to first 4 pregnancy only to legitimate spouse o Paternity leave – 7day/1week leave o Senior Citizen’s Act – 20% discount

5 steps in Management Process  Planning stage o looking ahead of time. o Formulating future goals/objective o Types of plan  Standard/Operational Plan (N) • plans for everyday or ordinary activities  Strategic/Contingency Plan • plan used during sudden or acute crisis  Long-range/future Plan • plans which you can’t evaluated immediately. • Usually last months or yrs. • Used for chronic pt which requires longer period of care. o Stages of Planning Process  Mission – present reason when established your organization  Vision - statement of your future purpose of your future organization  Philosophy – set of values and beliefs of your organization  Goal – general statement of your purpose  Objectives – more specific statement of your purpose  Policies – set of rules and regulations in your organization  Procedures • Budgeting – proper allocation of your resources o 3 types  Personnel • Compensation for salaries of workers  Operational • everyday use of equipment and facilities (gloves, water, electricity)  Capital • long term use equipment (MRI, CT Scan, hospital beds, hospital buildings)

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon



Professional Adjustment, Legal Management, Ethics & Research in Nursing

Organizing o 4 stages  Organize your team RN Subordinates • Duties of the RN • Only assessment can perform the nurse • Only the nurse can perform HT • Only the nurse should explain the procedure to the patient • Preparation, istration, treatment of drugs to the patient • The nurse can only perform evaluation • The nurse can only do judgment  Delegate Task • They can only delegate to subordinates the Routinary task (standard, unchanging procedure) eg. monitoring of I&O, bathing, ambulating, toileting, shampooing, transporting, feeding, clothing, wiping • Stable patient - predictable outcome (eg. postmortem care with direct supervision of the nurse only) • Supervision – need guidance  Staff Schedule/ Staffing • Schedules (How many hours) o Traditional – 8hrs a day/40hrs/wk o Ten hour shift/4 days a week o Baylor plan – it consist of two shifting nurses  traditional – mon-fri 8hrs  2nd shift – 12hr shift during weekends o Part-time work – fewer working hours per day and may choose the day or work. Less than 8hrs job o On – call – during shortage of nurses/staff but increase in the number of patients.  Methods of Nursing care Delivery • Different Methods o Primary – 24hrs a day  Primary nurse is the only nurse who is responsible to make a care plan of the patient from the moment of ission till the moment of discharge. (eg. private duty nurse or special nurse) o Functional Method  DOH format/government hospitals  Assign nurse : • Duty/task • One nurse, one task • Highly recommended during a period of shortage of nurses and budget

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

poorest method of delivery because communication is hindered Case Method/Case Nursing  provide total care within your shift. Used in ICU department  C – Case Method  T – total care to the patient  O – one is to one ratio

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Directing/Delegation stage o a job or a task is done or performed by another perform for you o What you cannot delegate:  you cannot delegate total control of the procedure  you can’t delegate discipline of subordinates or staff .  Confidential task  Technical task  Medical task performing surgical procedure is done by the doc not the nurse Coordination/Collaboration o the nurse needs to collaborate to other of the health care team. o Multi-interdisciplinary approach – to be able to provide holistic approach to the patient. o Types of Collaboration  Interpersonal/Intradepartmental • One patient, one unit. • Collaboration between one nurse to another healthcare team in one unit/department • Eg. MI patient - nurse, dietary, specialized in cardio  Interdepartmental • 4 units in one hospital. • Coordination of the patients care between 2-more units/departments but still under one same hospital or institution • Eg. patient due for appendectomy is transferred to the OR  Inter Agency/Institutional • Coordination of patient’s care between 2 or more hospitals/health care institution for the benefit of the patient • Eg. lying – in due for C/S and was transferred to a hospital Evaluation/Controlling o stage wherein you determine whether or not your plans for your patient is met or achieved o Methods of evaluating staff performance  Checklist • it is being evaluated higher than you. (eg. nurse manager/supervisor or head nurse)  Nursing rounds

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006

Pentagon

Professional Adjustment, Legal Management, Ethics & Research in Nursing

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it is being evaluated higher than you. (eg. Nurse manager/supervisor or head nurse) • Psychiatric ward is not done by nursing rounds Peer review • same rank or level is being evaluated you • poor method Performance appraisal • the patient evaluates you • best method in evaluation

Jomar Anthony D. Maxion, BSN, RN

PLM College of Nursing Batch 2006