ROLES AND FUNCTIONS OF NURSES MANAGER IN

CONTROLLING
Presentation outline
• Introduction
• Control system
• Types of Control
• Control process
• Role of nurse manager in controlling
• Objectives of the presentation
At the end of the session you should able to:-
 Describe the control system & the process
 Discuss about the types of control systems
 Discuss the major roles of nurses manager in controlling &
practice them as a nurse manager
 Controlling
• A process of monitoring performance and taking action to ensure
desired results
• Comparing result with predetermined standards of performance
and taking corrective action
Checking whether right things happen, in the right ways, and at
the right time.
• Checking whether overall directions of individuals and groups are
consistent with short- and long-range plans.
Helps maintain compliance with essential organizational rules
and policies.
 Controlling
• Managers monitor and regulate how efficiently and effectively an
organization and its members are performing the activities necessary to
achieve organizational goals

• Managers must monitor and evaluate:

 Input against out put
 Accuracy of units of inputs and outputs measurements
 Quality
 Employees responsiveness to customers
 Customer satisfaction
 Control system
 Control systems

• Target -setting, monitoring, evaluation and feedback

systems that provide managers with information about
whether the organization’s strategy and structure are
working efficiently and effectively
 A good control system should
• Be flexible so managers can respond as needed.
• Provide accurate and timely information about the
organization
• Strategic and results oriented
• Understandable
• Encourage self-control
• Positive in nature
• Fair and objective
 Types of control system

Control system varies by :

1. Stage of work
2. Person or group who perform it

3. Method

Role &function of nurse manager in controllin

g
Types of control by stage of work

Role &function of nurse manager in controlling

 • Used to anticipate problems before
they arise during input stage

• Prevent problems occurring during

the conversion process

Feed forward • Sometimes called the Preliminary

controls
Controls
• It make sure that proper directions
are set and that the right resources
are available to accomplish them.

Role &function of nurse manager in controlling

 Allows managers Focus on what
to correct happens during
problems as they the work process.
arise

Concurrent
Controls Give managers steering controls,
immediate they monitor
feedback on how ongoing
efficiently inputs operations and
are being activities to make
transformed into sure that things
outputs are being done
correctly

Role &function of nurse manager in controlling

 • Used to provide information at the
output stage about customers’
reactions to goods and services so
that corrective action can be taken if
necessary

Feedback • Sometimes called Post action

Controls controls, it take place after an action
is completed.

• It focus on end results, as opposed to

inputs and activities.
Role &function of nurse manager in controlling
Types of control by stage of work
.
 • Rely on people to
Internal exercise self-control
over their own
Controls behavior.

Types of control
by persons/group
who perform

• Through personal
External supervision and the use
Controls of formal
administrative systems.
Role &function of nurse manager in controlling
 Control system by method

Bureaucratic Control
– Control through a system of rules and
standard operating procedures

Clan Control
– The control exerted on individuals and
groups in an organization by shared
values, norms, standards of behavior,
and expectations.
Role &function of nurse manager in controlling
Steps In Control Process

Role &function of nurse manager in controlling

Four steps in the control process
 Step1 .Establish Objectives and Standards
Performance objectives are defined and the standards for measuring them
are set
Two types
1. Output standards
• Measure performance results in terms of quantity, quality, cost, or time
2. Input standards
• Measure effort in terms of amount of work expended in task
performance
• Step 2 — Measuring Actual Performance
• Measurements must be accurate enough to spot deviations or variances
between what really occurs and what is most desired
• Must identify significant differences between actual results and original plan
• Effective control requires measurement
 Step 3.Comparing Results with Objectives and Standards

• The comparison of actual performance with desired performance

establishes the need for action.

Managers evaluate whether and to what extent performance

deviates from the standards of performance chosen in step 1
 Step 5. Taking Corrective Action
• Taking any action necessary to correct or
improve things.

• Evaluate result and initiate corrective

action if the standard is not being
achieved

• If managers decide that the level of

performance is unacceptable, they must try
to change the way work activities are
performed to solve the problem

Role &function of nurse manager in controlling

 Standard

Generally accepted rule, models, pattern, measures……

Role &function of nurse manager in controlling

 Nursing Standards

• Statements that describe a level of

care or nursing performance by
which the quality of nursing
practice can be judged.

Role &function of nurse manager in controlling

 1. Standards of Care statement of a
competent level of clinical nursing
Standards of practice, such as identifying problems
Nursing
Administration and planning & taking action to correct
them

2. Standards of Performance
statement of competent role activities,
such as collaboration & quality of care

Role &function of nurse manager in controlling

 There are 20 statements
of standards that reflect
Operational the Federal MOH plan for
standards of
Nursing Care
hospital which should
be fully implement to
Practice
ensure proper nursing
care

Role &function of nurse manager in controlling

Operational
standards of
Nursing Care
Practice

Role &function of nurse manager in controllin

g
 Roles & Functions of nurse manager in
Controlling
1. Establishes clear-cut 2. Selects & uses
measurable standards of care &
determines the most process, outcome &
appropriate method for structure audits as
measure whether those
standards have been met. quality control

3. Gathers data 4. Determines

discrepancies between
from appropriate performance & standards
Role &function of nurse manager in controlling
 Roles & Functions of nurse manager in
Controlling….

5. Uses quality findings 6. Educates self about

for performance review, state & accrediting
rewards, & development regulations that
of employees define quality

7. Participates in
“benchmarking”
efforts and “best Role &function of nurse manager in controlling
 2. What information
1.Identify standards & would objectively
expected outcomes measure these
standards/outcomes?

3. Determine how &

where to collect the
information

5. Compare information
4. Gather information
to standards/outcomes

Role &function of nurse manager

QUALITY OF CARE
in controlling

6. Make a judgment about

 Nursing Audits

• Is an examination, verification or an accounting of

predetermined indicators

• Three forms
1. Structure audit

2. Process audit

3. Outcomes audit

Role &function of nurse manager in controlling

 • Focus on the setting in which
care takes place like physical
facilities, equipment's, care
Structure audit givers, organization policies,
procedures & medical records

• Measured by checklist

Role &function of nurse manager in controlling

 Process audit
Imple Is
ments
indica
task
tors orie
for nted
meas
uring
nursin
g care
to
1 deter
mine
wheth
er
nursin
g
stand
ards
are
met
or not

Role &function of nurse manager in controlling

 Outcomes audit

Evalua May
tes
nursin
eith
g er
perfor be
manc conc
e in
terms urre
1 nt or
of
establ retro
ishing
client
spec
out tive
come
criteri
a

Role &function of nurse manager in controlling

 CONTROL TECHNIQUES

•Cover issues like pt care nursing

Nursing round practice & unit management

Nursing operating •Policies which become standard for

instructions evaluation as well as controlling technique

•Depict a series of events essential to the

Gantt charts completion of a project or programme

Role &function of nurse manager in controlling

 Critical control points & millstones
– Specific points in master evaluation
plan at which the nurse judges whether
the objectives are being met,
qualitatively & quantitatively.

CONTROL Bench marking

– Technique in which an organization
TECHNIQUES.... seeks out the best practice so as to
improve its performance.

– It is point of reference in measuring

quality.

Role &function of nurse manager in controlling

Role &function of nurse manager in controlling