LEADERSHIP & MANAGEMENT

IN

NURSING
 OBJECTIVES
At the end of the discussion the students will be
able to:

• Have a comprehensive understanding of the

concepts of leadership and management in
nursing.

• Explain what is a profession, identify its

criteria, describe a professional nurse
including their qualifications and abilities,
and explain the Bachelor of Science in
Nursing (BSN) curriculum.

• Explain license and registration, list the

requirements for registration and licensure
examination, familiarize the Oath of
Professional Nurse, identify grounds for
revocation or suspension of a license, and
gain an understanding of the concepts of due
process in relation to nursing practice.
 OBJECTIVES continuation:

• Understand the regulatory authority for

nursing, the qualifications for nursing board
membership, and the powers and duties of
the board.

• Enumerate the various fields of nursing,

analyze the advantages and disadvantages
associated with each field, and list the
qualifications required for each specific field
of nursing.

• Identify the factors to consider when

selecting a field of nursing, demonstrate an
understanding of important tips for
successful interviews, and effectively create
your own application and resignation letters
for nursing positions.
ELEMENTS OF MANAGEMENTS

PLANNING

CONTROLLING ORGANIZING

COORDINATING DIRECTING
 FUNCTIONS OF MANAGEMENTS

PLANNING ORGANIZING DIRECTING COORDINATING CONTROLLING

• Examining • Providing • Commanding • Unifying & • Verifying that

Future Resources Harmonizing everything
and building occurs in
structure to accordance
carry out the with plans,
activities of instructions,
the established
organization principles and
expressed
command
MANAGEMENT LEADERSHIP

Process of getting Process of

things done influencing
through people others
MANAGER LEADER

Doing things Doing RIGHT

right. things

Power: Power:
Legitimate Influence

Focus: Focus:
Structure People

Relies on Relies on
Control TRUST
 NURSING MANAGEMENT
Levels of Management: • The PROCESS of working through human and
Policy Makers / physical, technical resource to provide CARE,
Strategic CURE, and COMFORT to patients/clients.
Planners:
Chief Nurse • A relationship of inputs and outputs in which
the workers, physical resource and
Nurse Managers / technology are merged to bring about
Supervisors ORGANIZATIONAL GOALS for DELIVERY of
QUALITY NURSING CARE.
Direct Implementation:
Head Nurse
• Performing functions of GOVERNANCE and
DECISION-MAKING within organizations
employing NURSES.

First Line: Staff Nurses

Direct Bedside Care

Eras of Leadership Theories:
•Leaders are born not made
Great man Theory •Some are born great, some achieve greatness, and some have greatness thrust upon them
•Asserts that people are born to lead whereas others are born to be led.

Trait Theory •It assume that some people have certain characteristics (Charisma) or personality traits that
makes them better leaders than others.

(1900 – 1940) •Argue that leadership skills can be developed, and are not necessarily inborn.

Behavioral Theory •They reflect the introduction to a new era which concerned with human relations.
•A major breakthrough occurred when Lewin and White and Lippit isolated common
(1940 – 1980) leadership styles called authoritarian, democratic and laissez-faire

Contingency Theory •These focus on particular variable related to the environment that might determined best
suited for the situation according to these theory no leadership style is best in all situation.
Situational theories propose that leader choose the best course if action based upon
(1950 – 1980) situational variables.

Interactional Theory •Leadership behavior is generally determined by the relationship between the leader’s
personality and the specific situation.
•Schein was developed a model of human as complex beings whose working environment was
(1970 – Present) an open system to which they responded.

•Based on the principles of the social exchange theory, in which an individual would expect to
Transactional Theory give and receive benefits or rewards when engaging in a social interaction
The challenge of LEADERSHIP is to
Be STRONG, but not RUDE
Be KIND, but not WEAK
Be BOLD, but not BULLY
Be THOUGHTFUL, but not LAZY
Be HUMBLE, but not TIMID
Be PROUD, but not ARROGANT
Have HUMOR, but without FOLLY.
-- Jim Rohn
 WHAT IS A PROFESSION?
5. It must have developed a scientific technique • Is an occupation or a calling requiring
which is the result of tested experience. advanced training and experience in some
specific or specialized body of knowledge
6. It must require the exercise of discretion and which provides service to society in that
judgment as to time and manner of the special field.
performance of duty.

7. It must have a group of consciousness CRITERIA OF A PROFESSION

designed to extend scientific knowledge in
technical language.
1. A profession must satisfy an indispensable
8. It must have sufficient self-impelling power to social need and must be based upon well
retain its members throughout life. It must not and socially accepted scientific principles.
be used as a mere stepping stone to other
occupations. 2. It must demand adequate pre-professional
and cultural training.
9. It must recognize its obligations to society by
insisting that its members live up to an 3. It must demand the profession of a body of
established code of ethics. specialized and systemized training.

4. It must give evidence of needed skills which

the public does not possess; that is skills which
are partly inherent and partly acquired.

5. A profession has a clear standard of 1. A profession applies its body of knowledge in
educational preparation for entry into practice.
6. A profession is distinguished by the presence
of specific culture, norms, and other values that
are common among its members.
QUALITIES OF A PROFESSION
practical services that are vital to human
welfare, and especially suited to the tradition
of seasoned practitioners shaping the skills of
newcomers to the role
2. It constantly enlarges the body of knowledge
it uses and subsequently imposes on its
members a lifelong obligation to remain current
in order to “to do no harm”.
3. A profession functions autonomously in the
formulation of professional policy and in
monitoring its practice and practitioners.
4. It utilizes in its practice a well-defined and
well-organized body of knowledge that its
phenomena of concern.

RATINGS:
1. An examinee must obtain a general
average of at least 75% with a rating of
not below 60% in any subject.
REGISTRATION OF NURSES
All nurses whose names appear at the
roster of nurses shall be automatically ir
ipso facto registered as nurses under this
Act upon its effectivity.
WHAT IS A PROFESSIONAL NURSE?
1. Has completed a basic nursing education
program
2. Licensed to practice nursing in the country.
QUALIFICATIONS FOR ADMISSION
TO PNLE (Philippine Nursing Act of 2002
Article IV Examination and registration)
1. He/She is a citizen of the Philippines, or a
citizen or subject of a country which permits
Filipino nurses to practice within its territorial
limits;
2. He/She is of good moral character.
3. He/She is a holder of a BSN from a college or
university that complies with the standards of
nursing education duly recognized by the
proper government agency.
 NON-REGISTRATION AND REGISTRATION BY RECIPROCITY
NON-ISSUANCE OF 1. A certificate of
CERTIFICATES OF registration/professional liense may be
REGISTRATION/PROFESSIONAL issued without examination to nurses
registered under the laws of a foreign
LICENSE state or country.
1. No person convicted by final judgment
2. The requirements for registration or
of any criminal offense involving moral
licensing of nurses in said country are
turpitude or any person guilty of
substantially the same as those
immoral or dishonorable conduct or
prescribed under this Act.
any person declared by the court to be
of unsound mind shall be registered
3. The laws of such state or country grant
and be issued a certificate of
the same privileges to registered
registration / professional license or a
nurses of the Philippines on the same
special / temporary permit.
basis as the subjects or citizens of such
foreign state or country.
2. The board shall furnish the applicant a
written statement setting forth the
reasons for its actions, which shall be
incorporated in the records of the
Board.
 RE-ISSUANCE OF REVOKED REVOCATION AND SUSPENSION
CERTIFICATES AND OF CERTIFICATE OF
REPLACEMENT OF LOST REGISTRATION / PROFESSIONAL
CERTIFICATES LICENSE
The Board may, after the exoiration of a 1. Unprofessional and unethical conduct.
maximum of 4 yrs from the date of
revocation of certificate, for reasons of 2. Gross incompetence or serious
equity and justice and when the cause for ignorance.
revocation has disappeared or has been
cured and corrected, upon proper 3. Malpractice or negligence in the
application therefor and the payment of practice of nursing.
the required fees, issue another copy of
the certificate of registration / 4. Use of fraud, deceit, or false statements
professional license. in obtaining a certificate of registration
/ professional license.

5. Violation of this Act, Code of Ethics for

nurse and technical standards for
nursing practice, or policies if the
Board and the Commission.