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years from now how do we see our department?

How do
we say we are leveling up our nursing care?
MANAGEMENT (Henri Fayol) 5. Subordination of individual interests to the general
interests
● To manage is to forecast and plan, to organize, to This indicates a company should work unitedly towards
command, to coordinate, and to control. the interest of a company rather than personal interest.
● To foresee and provide means examining the future and You should not base actions solely on your interest but
drawing up the plan to action. that of the whole organization.
● To organize means building up the dual structure, 6. Remuneration
material and human, of the undertaking. A monetary or non-monetary incentive to motivate the
● To command means binding together, unifying and workers of the company. As a nurse manager you have
harmonizing all activity and effort. to look into how your nurses are doing. Kay di na iyo hira
● To control means seeing that everything occurs in makaka duty kun waray na hira kinakaon, kun waray
conformity with established rules and expressed na hira parasahi. You need to step up for your nurses.
demand. 7. Centralization
- It is a dynamic process of getting things done by others There is one person who makes decisions but it cannot
with the aim of achieving a common goal effectively and be pure centralization. A good administration has to have
efficiently both centralization and decentralization. Even if the one
in command is the chief of hospital (Central), but when it
MANAGING comes to nursing service the nurse manager is the one
in charge of the nurses. You do things on your own
● Managing is the art of doing. (decentralization) but still under the hospital policy.
● It is accomplishing the goals of the group through 8. Scalar Chain (line of authority)
effective and efficient use of resources. Fayol on this principle highlights that the hierarchy steps
● Management is the body of organized knowledge should be from the top to the lowest. This is necessary
underlying the art. so that every employee knows their immediate senior.
● Manager creates and maintains an internal environment Kanino ako na report? Hino it akon kakaistoryahon kun
in an enterprise in which individuals work together as a mayada ako reklamo?
group. 9. Order
● Nursing Management is the process of performing the A company should maintain a well-defined work order to
functions of planning, organizing, staffing, leading have a favourable work culture. You have an order on
(directing), and controlling (evaluating) the activities of how you go about things. Hino it na manage hini? Hino
the nursing enterprise and departmental subunits to an in charge hini?
maintain best practices and organization when providing 10. Equity
care to patients. All employees should be treated equally and respectfully.
It’s the responsibility of a manager that no employees
UNIVERSAL PRINCIPLES OF MANAGEMENT (Henri Fayol) face discrimination.
11. Stability of Tenure of personnel
1. Division of Work An employee delivers the best if they feel secure in their
There should be a segregation of work among members, job. You need to have an impact to the psyche of the
and you do a task over and over again until you get personnel.
skilled at it. Continue to do what you need to do so you 12. Initiative
can develop the skill. The management should support and encourage the
2. Authority employees to take initiatives in an organization. Have the
In management dire tanan leader nan dire tanan initiative to ask.
follower. There has to be authority. And when we talk 13. Esprit de corps
about authority, there also has to be responsibility. Camaraderie, team spirit, one goal. Example: team
3. Unity of Command building to uplift and get to know each other
There has to be one person who calls the shot, and the
rest just delegated and followed up.
4. Unity of Direction
What is it that you want to achieve? Whoever is engaged
in the same activity should have a unified goal. Two

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psychology and anthropology for the study of
APPROACH TO MANAGEMENT human behavior.
1. Scientific Management Approach ● The pioneers Gantt and Munsterberg believed
● Frederick Winslow Taylor (1865-1915) that since managing is getting done with and
● He was first to recognize and emphasize the through people, the study of management
need for adopting a scientific approach to the must be centered around people and their
task of management. interpersonal relations
● Landmarks: ● Much was centered on motivation, individual
○ Concepts of standard time drives, group relations, leadership, group
○ Standard output dynamics.
○ Standard cost ● Great contributors include Abraham Maslow,
○ Standardization of production Frederick Herzberg, Victor Vroom, McGregor,
process Lawler, Sayles, Tannenbaum
○ Change in attitude of management 5. Quantitative or Mathematical Approach
and workers to bring about mutuality ● Stands for using all pertinent scientific tools for
of interest. providing quantitative basis for managerial
● Supported and developed by Henry L. Gantt, decisions.
Frank Gilberth, etc ● The abiding belief is that management
2. Management Process or Administrative Management problems can be expressed in terms of
Approach mathematical symbols and relationships.
● "Traditional or Universalist". It believes that ● The basic approach is the construction of a
management principles is applicable to all model because it is through this device that the
group activities problem is expressed in its basic relationships
● It regards management as a universal process, in terms of selected objectives.
regardless of the type of enterprise. ● Linear programming, critical path method,
● The advocates perceived management as a Programme Evaluation, Review Technique,
process of planning, organizing, commanding Games theory, breakeven analysis, Queueing
and controlling. Theory have gained popularity for solving
● W.G. Scott " It aims to analyze the process to managerial problems. This helps managers in
establish a conceptual framework for it, to improving decisions by analyzing the various
identify principles underlying it, and to build a alternatives in a scientific manner
theory of management from them. ● This is most helpful in solving physical
● Henri Fayol is the Father of this school. problems such as inventory and production
3. Human Relations Approach control. But cannot be a substitute for
● The landmark here is the recognition of the knowledge , training or understanding human
importance of the human element in the behavior
organization. 6. Systems Approach
● Elton Mayo conducted Hawthorne ● The Father of this school of thought is Chester
Experiments and investigated the myriad I. Barnard
effects of informal relationships, social cliques, ● This approach is based on the generalization
patterns of communication and patterns of that an organization is a system and its
informal leadership. components are interrelated and
● This resulted to a trend which was phrased as interdependent.
" being nice to people" which later turned to " ● The system is described to compose of
the human relation movement” elements or subsystems that are related and
● This approach resulted to: dependent on each other.
○ Social and psychological factors in ● Another basic feature is that attention is paid
determining workers productivity and towards the overall effectiveness of the system
satisfaction rather than the effectiveness of subsystems or
○ It puts stress on interpersonal departments.
relations & individual psychology. ● Stresses communication and decision
4. Behavioral Science Approach processes throughout the organization. It
● Utilizes methods and techniques of social follows an open system approach. This means
sciences such as psychology, sociology, social it can adjust with the environment

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7. Contingency Approach
● The latest to management approach, also Theories of Management
known as Situational Approach
1.Systems Theory
● Underlying Idea:
○ The internal functioning of ❖ By Ludwig von Bertalanffy (A Biologist)
organizations must be consistent Premise:
with the demand of technology and ❖ A system is composed of interacting elements that are
external environment and the needs affected by the environment. Because of the interaction,
of its members. the systems as a whole can evolve (develop new
○ The application of management properties) and self-regulate (correct itself)
principles and practices must be
If we talk about systems theory, remember 3 things:
contingent upon existing 1. Entropy - the principle of a system to run down and die
circumstances. 2. Synergy - working together, the parts can produce
○ The environment variables are something greater
independent and management 3. Subsystem - A whole can make more subsystems.
variables (process, quantitative, Nursing organization is one system, the 7-3 shift has
behavioral, system tools) their own system. That’s why it is important to talk with
each other about how you can best move forward. The
○ Every Manager has to apply the challenge is to finish the task in 8 hours. Don’t endorse
various approaches of management something which you can control.
according to the demands of the .
situation. 2. The Principles of Administrative Management
8. Operational Approach
● Koontz and O'Donell have advocated this ❖ By Henri Fayol (1841 - 1925) Engineer and Miner
approach, managerial appraisal ❖ Developed his principles of administrative management as a
● Underlying Idea: top down approach to examining business.
○ There is a central core of knowledge ❖ He put himself in the manager’s shoes and imagined what
about managing which exists in situations they might encounter when dealing with their team
management such as line and staff,
patterns of departmentation, span of Six Responsibilities
management and various managerial 1. Organize
control techniques. You have to be able to organize. You have to be
○ Management involves designing and mindful of the bigger goal of the organization
maintaining a working environment 2. Command
where individuals or people working As a nurse manager you know how to stir the boat,
in groups achieve their objectives. kun tikain kita, what is next.
○ Mgt. needs a strategic plan, proper 3. Control
coordination of activities, direction, It includes you trying to be sure that there is a
as well as reasonable control of the budget, the policies of the hospital are being
decision- making process. followed, even your own system in your own nurses’
○ Manager therefore should be station has to be respected and followed. We are
equipped with managerial skills. interdependent kinahanglan ma coordinate ka even if
9. Empirical Approach it’s a different system. You have to be able to connect
● According to this approach, management is the with the different departments. Lay out things with
study of the experiences of managers. them and how you are gonna work it out.
● Underlying Idea: 4. Coordinate
○ The knowledge based on You are to coordinate with the medtechs, doctors and
experiences of successful managers other health care professionals for the sake han
can be applied in solving problems in patients
the future 5. Plan
○ Analysis of past experiences A struggle in the hospital is that the manager does
○ Case method of study and research not know how to plan. waray la and will accept what it
○ Develop analytical and is. At the end of the day as a Nurse you are to exert
problem-solving skills all effort to ensure that you are giving the best care.
6. Forecast

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Nurses are trained to anticipate so you have to 2. Theory Y - Employees are motivated, responsible, and
forecast ano pa it matatabo. want to take ownership of their work.
- Managers here include their employees in the
3. Bureaucratic Management decision-making process and encourage creativity
in all levels
❖ By Max Weber (1864 -1920) In here you believe as a nurse manager that your
❖ His was a sociological Approach employees are motivated so you trust them. You
❖ This is structuring the business in a hierarchical manner with see their capabilities.
clear rule and role 6. Human Relations Theory
you are observing bureaucracy now diba. Dire ka pwede mag
diretso ha boss maagi ka anay in different levels. You have to ❖ By Elton Mayo (1880 - 1949), Psychologist
learn the loops and you should respect how it is done in the He said, good or bad attention will merit a positive effect. He
hospital. concluded that attention impacts an employee’s performance
❖ The ideal Bureaucratic System is based on: because it made them valuable.
- Clear division of labor ❖ He was tasked with improving productivity among dissatisfied
- Separation of the owners personal and organization employees
assets Premise:
- Hierarchical chain of command ❖ Changed environmental conditions - good or bad resulted in a
- Accurate record keeping positive effect.
- Hiring and promotion based on qualifications and ❖ Concluded that attention impacts employees performance
performance, not personal relationships because is made them valuable
- Consistent regulations ❖ Human relations theory states employees are more motivated
by social factors such as personal attention or being part of a
4. Scientific Management group - than environmental factors such as money and working
conditions.
❖ By Frederick Taylor (1859 -1915)
❖ Conducted controlled experiments to optimized worker 7. Classical Management
productivity ❖ Predicated in the idea that employees have only physical
❖ Formed belief that the scientific method and not judgement or needs. Money satisfy the need, it is therefore focused on the
discretion is the best determinant of efficiency in the workplace economics of organizing workers
❖ Promotes: ❖ Advocates Seven Key Principles:
- Standardization 1. Profit maximization
- Specialization 2. Labor specialization
- Assignment based in ability 3. Centralized Leadership
- Extensive training and supervision 4. Streamlined Operations
❖ This management theory attempts to find the optimal way to 5. Emphasis on Productivity
complete a given task often at the expense of the employees 6. Single-person or select few decision making
humanity 7. Priority to the bottom line
❖ What 21st Century Managers can use:
5. Theories X & Y - Clear managerial structure
❖ By Douglas McGregor (1906 - 1964) a social psychologist - Division of labor
❖ He published a book THE HUMAN SIDE OF THE - Clear definition of employee roles
ENTERPRISE
❖ 2 Management Style 8. Contingency Management
1. Theory X - Employees are apathetic or dislike their
work ❖ By Fred Fiedler (1950 - 1960)
- Managers here are authoritarian and will ❖ There is no one management approach that suits every
micromanage everything because they don’t trust their situation or every organization
employees ❖ Three General Variables determine business management
If this is your belief you become an authoritarian so structures:
nasugo ka nga tanan, “dire dapat sugad hine”, you - The size of the organization
dictate everything and you micromanage. You believe - The technology employed
that your nurses are not capable of doing what you - The leadership at all levels of Business
have told them to do.

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9. Modern Management ❖ you need to consider both internal factors like people,
time and cast, and external factors like competitors
❖ Embrace the idea that people are complex. Their needs vary all policies and general business environment
the time. They possess a range of talents and skills that the
2. Organizing
business can develop through on-the-job training and other ❖ Putting plan into action
programs. ❖ establish a system of authority or hierarchy on the
❖ Management Theory Emphasizes: context of your organizational structure
- Using Mathematical technique to analyze and ❖ Determine the task needed to be complete to achieve
understand the relationship between managers and your goal before assigning them to your staff
employees
3. Staffing
- That employees don’t work for money alone. Instead,
❖ Assigning task based on each members KSA
they work for happiness, satisfaction, and a desired ❖ This may involve incentives, training, development of
lifestyle. compensation for the success of this step
- Mathematical techniques such as statistical, cost,
revenue or … analysis may be used by the management 4. Directing
to make rational decisions unaffected by emotions. ❖ This is supervising your teams progress through open
channel communication
❖ Getting regular updates to stay on top of things
10. Quantitative Management ❖ Give and get feedbacks, to address any problem areas
❖ Give autonomy to each member of the team
❖ Be a leader to navigate conflict and motivate your
❖ An offshoot of modern management Theory developed during employees to take initiative
world war. Bought together experts from scientific disciplines to ❖ Ensure progress report
address staffing,materials, logistics, and systems issues for the
US Military. 5. Controlling
❖ Able to calculate risks, benefits, and drawbacks of specific ❖ This is to measure the progress of each step in the
planning stage against your organizational goals through
actions.
- Coordinating
❖ The premise here is that mathematical results should be used - Reporting
to support, not replace experience managerial judgement - Budgeting
-
11. Organization as a Learning System Theory
❖ also called Holistic Management Theory Ten Management Roles by Minstzberg
❖ it starts with an idea that business is a system built on a
succession of subsystems Interpersonal
❖ For business to work efficiently and smoothly, each
subsystem must also work efficiently and smoothly. 1. Figurehead
❖ Managers in this theory are responsible for coordinating the Meaning you represent the department and you represent your
cooperation necessary to ensure the larger “organism” to team.
continue to function successfully 2. Leader
❖ Learning and change are major components in this theory, it You are a leader so you need to speak up. You have to initiate
is encouraged and made available to everyone. some changes in your department to ensure that your
❖ the emphasis in this theory is teamwork, participation, management or care is still impacting the community and the
information, sharing, and individual empowerment patient you are serving.
3. Liaison
Management Process You have to act as a liaison officer so kun ano it mga reklamo ha
ubos kinahinglan iyakan mo that’s why there are lots of employees
Luther Gulick is Henri Fayol’s successor who further defines the nga na fufrustrate kay damo na an ira gin yakan kan maam wa la
management process from 5 to 7 in the acronym of POSDCORB hi maam pakialam or if the manager is fearful or waray self-esteem
or low confidence level dire na mayakan so when time comes to
Seven Process of Management face the management the manager cannot speak and becomes
rattled and the nurses under you will be affected kay there is no
1. Planning improvement.
❖ sets the pace for all subsequent steps in the
management process Informational
❖ Develop roadmaps for the future with predefined steps to
accomplish organizational goals 1. Monitor
❖ Evaluate methods and strategies to determine how you’ll You have to monitor dire la pwede ada ka la haim aircon na
progress towards your goal kwarto. You should be able to know what is happening in your area
that is why it is important for a nursing manager to do her rounds.

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2. Disseminator 5. Specify weigh, interrelate, and accomplish multiple
3. Spokesperson goals simultaneously.
That’s why when you are already a head nurse they will call upon 6. Abandon obsolete principles of standardization,
you to speak. You are expected to speak kasama iton as a leader. centralization, specialization, and concentration.
7. Share authority and power through decentralization
Decisional with participatory management, employee
involvement, and quality-of-work life programs.
1. Entrepreneur 8. Establish and use a matrix organization with task
You have to ensure that na profit it organization. forces with project teams and project leaders.
2. Disturbance handler 9. Set the stage for clinical nursing practice.
You have to ensure that if there is disturbance you handle it. 10. Promote application of theory of nursing within
3. Resource allocator nursing care delivery system
A manager should be wise in allocating the resources. 11. Advise nursing educators on content of nursing
4. Negotiator administration programs
You have to negotiate on behalf of your patient and for in behalf of 12. Set depth and breath of nursing research programs
your nurses, especially in salary and privileges that are needed 13. Anticipate future of healthcare and nursing
because it helps in the morale of the nurses. 14. Manage strategic planning
15. Serve as mentors, role models, and preceptors to
lower-level managers, graduate students, and
Operational Nurses Manager others
16. Recognize and use authority and power potential
1. Financial Management
2. Ability to match moral choices related to human
needs, moral principles for behavior, and individual
feelings in making decisions Management Styles of Filipinos
3. Recognition and advocacy at patient’s right
4. Active and assertive effort to share power within the Filipino Management styles derive from the dominant features of
organization, including shared power for nursing Filipino culture. Familism dominates Filipino Behavior whether at
practitioners home, in the community, or at work. (Jocano, 1997)
5. Ability to communicate and to promote effective
communication among nursing staff and others; 3 Filipino Management Styles
presentation skills
6. Knowledge of internal factors related to purpose, task, 1. Familism
people, technology and structure A lot of us manages organization like a family so it natatabo dire ka
7. Knowledge of external factors related to economy, nasaway kay bangin mahurt bangin hiya mabido
political pressures, legal aspects, sociocultural 2. Personalism
characteristics, and technology. Bisan man objective na an pag correct dire kay gin personal so
8. Ability to study situations and use management waray na nagasihay gin yaknan mo la nga kinahinglan mo ada
concepts and techniques, analyze them, make baguhon ito, so what happened na pepersonalize niya that is why I
correct diagnosis of problems and tie the process always believe that as a manager learn to coach instead of saying
together as decisions. do this 123.. ask them because coaching is facilitating so tell
9. Ability to provide staff development. them “what can you do better hini na steps” so you allow them to
10. Ability to provide a climate in which nurses clearly think that’s why coaching is better than telling them what to do kay
perceive that they are pursuing meaningful and personalism kita na mga filipino.
worthwhile goals through their individual efforts. 3. Emotionalism
11. Ability to effect change through an orderly process. Madali mabido. The decision is based on emotion and so it
becomes a problem. Nagiging chaotic kay it emotion it na rule.

3 Filipino Management Style (Franco, 1986)


Executive Nurse Managers
1. Management-by-kayod: realist manager is wielded by autocrat
1. Apply financial management principles to costing and “Trabaho la ini trabaho ini may sweldo ini so dapat sunda ini tanan”
pricing nursing care and convey knowledge to the 2. Management-by-libro: idealist thinker and technocrat
nurse providing care. “By the book na person, a person who cannot stretch”
2. Coordinate the division budget. 3. Management-by-lusot: opportunist manager is willy-nilly
3. Empower lower-level nurse managers. “Waray waray la basta makalusot okay na iton”
4. Undertake corporate self-analysis of what nursing can WHAT WE NEED TO DO IS Ugnayan (movement to interrelate):
do; make assumptions about nursing. It’s Management or Reconciler- Manager, a cross of idealist and a
environment, it’s beliefs. Convey results to realist manager.
employees. So even you do things by the book and it doesn’t work out, how
can you make it how can it suit the situation so you have to really

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be thinking and mindful nga okay amo ini it hihimuon this is the
reality but this is what the book said so how do I come u with a
decision that both of this would be taken into account. Critical
thinking is here. But honestly when you have a good heart you will
be guided with a good decision.

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