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Nursing Management

staffing
• Ability to cover the needs
of the shift
• Quality of enhance the
nursing personnel’s
knowledge, training and
experience
• Fairness to the staff Assessing a schedule
system
• Stability
• Flexibility

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Types of
scheduling
• Centralized schedule
• Decentralized schedule
• Cyclical schedule

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Schedule
Variables
• Length of scheduling period whether 2 or 4 weeks
• Shift rotation
• Week-ends off
• Holiday off
• Vacation leave
• Special days
• Scheduled events in the hospital, training programs,
or meetings
• Job categories
• Continuing professional education programs
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Developing Job description
-Job description is a statement that sets the duties
and responsibilities of a specific job.

Contents of a job description

• Identifying Data
• Job summary
• Qualification requirements
• Job relationships
• Specific and Actual functions and activities

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• For recruitments and selection of qualified
personnel
• To orient new employees to their jobs
• For job placement, transfer or dismissal

Use of job
• As an aid in evaluating the performance of an
employee
• For budgetary purposes

Description • For determining department functions and


relationships to help define the organizational
structure
• For classifying levels of nursing functions
according to skill levels required.
• To identify training needs
• As basis for staffing
• To serve as channel of communication.

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Directing
• Plan put into action
• Activities
Roles in supervision
• Delegation- transferring
• Guides
responsibility • Direct
• Updating policy • Facilitates
• Utilize the policy updates • Motivates
• supervision • teaches

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Principles of
Delegation

• Select the right person to whom the job is to be delegated


• Delegate both interesting and uninteresting tasks.
• Provide subordinates with enough time to learn
• Delegate gradually.
• Delegate in advance
• Consult before delegating
• Avoid gaps and overlaps

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What cannot be Delegated

• Overall responsibility, authority and accountability for satisfactory


completion of all activities in the unit
• Authority to sign one’s name is never delegated
• Evaluating the staff and or taking necessary corrective or
disciplinary action.
• Responsibility for maintaining morale or the opportunity to say a
few words of encouragement to the staff especially the new ones.
• Jobs that are too technical and those that involve trust and
confidence.

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Four rights of
delegation
Taks
-the right should be within the scope of the person’s practice and
consistent with the job description.

Person
-the right person should have the appropriate license or certificate,
job descriptioin.
Communication
-the right communication should be clear, concise, complete and
correct.

Feedback
-the right feedback should ask for input, get the person’s
recommended solution to the problem and recognize the persons effort
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Communication
Aspect of Delegation
Communication is the transmission of information,
opinions, and intentions between among inidividuals

• Responsibility- denotes
Purpose of communication
obligation
• Authority- the power to
1. Facilitates work
make final decisions and give
2. Increases motivation
commands
3. Effects change
• Accountability- refers to
4. Optimizes patient care
liability
5. Increases worker’s satisfaction
6. Facilitates coordination

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Lines of communication
Types of communication

• Verbal of communication
upward
• Written communication
• Non- verbal communication To supervisor

1. Personal appearance
2. Intonation of the voice horizontal nurses outward
3. Facial expression To peers and To patient,
4. Posture and gait members of family and
the health community to
5. touch team worker’s
downward family and
friends
To subordinates

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Decision Making
Decision is a course of action that is consciously chosen from available
alternatives for the purpose of achieving a desired results

Five steps in decision making

1. Definition of the problem “why the problem occur”


2. Analysis of the problem “getting to the cause of the problem”
3. Development of an alternative solution “search for an analysis
of alternatives and their possible consequences”
4. Selection of the solution
weighing of facts and exploring alternative solutions
5. Implementation and follow-up

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Major Management Functions in implementing Decisions

Planning- which entails consideration and selection of


realistic objectives, policies and procedures
Organizing- which means helping personnel
understand the decision and the procedures necessary
for implanting the decision.
Staffing- or the selection of the right person/s to carry
out the decision
Controlling the environment and the group to prevent
adverse effects.

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