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In Partial Fulfillment of the Course Requirement in NCM107A

Submitted to: Sheva Suam, RN Clinical Instructor

Submitted by: Judeah G. Salangsang BSN 4I

June 19, 2012



Within the 40-minute report, the students will be able to: a. Define nursing management; b. Define nursing administration; c. Differentiate nursing management and nursing administration; d. Enumerate the different levels of management in nursing; e. Give the meaning of each level of management in nursing; f. Cite the functions of each level of management in nursing; and g. Answer the quiz with no difficulty



Nursing management Nursing management is a branch of the nursing field which focuses on managing nurses and patient care standards. An effective nursing management program is critical for most facilities which use nurses, such as hospitals, clinics, and residential care facilities. People in this field often have both nursing and management experience, and they have typically received special training to prepare them for employment as managers and supervisors. People in the field of nursing management can supervise nurses and nursing programs in a variety of ways. Some supervise entire facilities, delegating duties to individual departmental supervisors. When a manager looks after the nursing staff at an entire hospital, issues like consistency, standardized procedures, transfer protocols, and cooperation are often an important part of the job. Individual supervisors handle specific departments, such as radiology or the intensive care unit. These nursing managers are responsible for maintaining staff in their departments, assigning nurses to specific cases, and overseeing patient care to ensure that it remains at a high standard. They may also be involved in the creation of nursing plans for specific patients, coordinating the efforts of the nursing team to keep everyone abreast of developments in the patient's condition and medical care.

Who needs nursing management?

According to Roussel,, all types of health care organizations need nursing management, including nursing homes, hospitals, assisted living facilities, residential care programs, home health care agencies, ambulatory care centers, student infirmaries, and many others. Even the nurse working with one client and family needs management knowledge and skills to help people work together to accomplish a


common goal. A primary nurse working with several clients must prioritize care, with the goal of assisting them to improved health, healing, or sometimes, a peaceful death.

Nursing administration Nursing administration refers to the management and direction of nurses or a nursing department. The supervisor in charge of these duties is a type of registered nurse (RN) called a nursing administrator. In some instances, alternate terms such as head nurse, nursing manager and health services manager are used. (Chiedozie, A., 2011)

According to Dr. Mary Ferguson-Pare, nurse administrators must have corporate savvy and excellent communication and organizational skills. They must understand and inhabit organizational structures, roles and cultures with ease. Their effectiveness depends on their comfort with power, paradox and organizational politics. Nurse administrators require strong management skills: major foci of nursing administration include thorough assessments and analyses of context and systems issues, as well as the development of strategies, goals, objectives and plans, including budgets, human resource plans and interventions for the management of change. Leaders in nursing administration are also experts in leading the practice of nursing within the work environment.

Management levels of nursing There are three management levels of nursing. These are:

First level management

Also known as a first-line manager.

In the hospital setting, the first-level

manager is usually the head nurse, nurse manager, or an assistant. In other settings, such as an ambulatory care clinic or a home health care agency, a first level manager


may be referred to as a coordinator. The first-level manager represents staff to upper administration, and vice versa. First level managers’ functions include:   supervising the work of non-managerial personnel and the day-to-day activities of a specific work unit or units. responsible for clinical nursing practice, patient care delivery, use of human, fiscal, and other resources, personnel development; compliance with regulatory and professional standards; fostering interdisciplinary, collaborative relationships, and strategic planning (AONE, 1992).   motivating the staff to achieve the organization's goals Nurse managers have 24-hour accountability for the management of a unit's or area's within a health care organization.

Middle level management

Middle level managers are those who act as liaison between upper management and first level managers. Middle managers are also called as a supervisor, director, or assistant or associate director of nursing. A graduate education is often required for this position. Middle managers’ functions include:      Supervising a number of first-level managers usually within related specialties or in a given geographic area; Act as liaison between upper management and first level managers Monitor and become responsible for the people and activities within departments they supervise; and 24-hour responsibility for their defined area. They also train new nurse recruits on how to handle patients and administer medication.


Upper level management

Also known as executive-level managements, refers to top executives (administrators) such as vice president for nursing or chief nurse executive, to whom middle managers report. Executive-level managers’ functions include:     Establishing organizational goals and strategic plans for the entire division of nursing Integrating work units to achieve the organization mission Buffering the effects of external environment on nurses within the organization Assuming system wide administrative roles as directors of education, informatics, and quality.

References      

Swonsburg, Russel and Swonsburg.


Introductory Management and 6 th

Leadership for Nurses. Jones and Bartlett Publisher. Boston, USA. Tomey, A.M. (2000). Guide to Nursing Management and Leadership.

edition. Mosby, Inc. St. Louis Nursing management. Retrieved from Retrieved on June 2012. Nursing manager. Retrieved from Retrieved on June 2012. Ferguson-Pare, M. (2011). Nursing Leadersip. Retrieved from Retrieved on June 2012. Chiedozie, A. (2011). Nursing Administration Information. Retrieved from Retrieved on June 2012