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3/4/2021 1
Seminar on
“Nursing Service Administration”
Presented by:-
Soumya Priyadarshini)
MHA/2020-22 (2nd Semester)
Human Resource Management (HA6008)
Content
 Introduction
 Definition
 Objectives
 Factors influencing patient
care
 Organization of nursing
services
 Role of Nurse Administrator
(In General)
 Problems & Challenges
 Conclusion
 References
11-05-2021
2
Introduction
 Nursing is a vital aspect of health care &
needs to be properly organized. A nurse
is in frequent contact with the patients &
hence her/his role in restoring health &
confidence of the patient is of utmost
importance, the quality of nursing care &
the management of the nursing staff,
reflect an image of the hospitals.
 Nursing service administration is a
complex of elements in interaction. It
results in output of clients whose health
is unavoidably deteriorating,
maintained,or improved through input of
personnel & material resources used in
an orderly process of nursing services.
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3
Definition
 The nursing services as the
part of the total health
organization which aims to
satisfy major objective of the
nursing services is to provide
prevention of disease and
promotion of health.
- WHO Expert
Committee
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4
Objectives
 Management of nursing service and
care:-
 Initiate a set of human relationships at all levels of
nursing personnel.
 Establish adequate staffing pattern.
 Develop and implement proper communication
system.
 Develop and initiate proper evaluation and periodic
monitoring system.
 Proper job description for nursing personnel.
 Assist hospital authorities for effective personnel
management.
 Share nursing information system with other
discipline.
 Formulate and interpret nursing service policies.
 Assist hospital authorities for preparation of budget.
 Participate in inter departmental programs and other
programs.
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5
Objectives
 Education training and staff
developments:-
 Encourage a stimulating environment in which
the personnel have opportunities to be creating
innovators.
 Develop and initiate orientation and training
programs.
 Create an atmosphere that conducive to give
proper learning experiences for students.
 Assist in the development of a
sound,constructive program of leadership in
nursing.
 Initiate programs to improve the practice of
nursing in keeping with advances in the relative
areas and disciplines affecting the quality of
nursing.
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6
Objectives
11-05-2021
7
 Research:-
 Participate in identifying the areas of
research.
 Participate in the compilation of data and
research.
 Provide conducive environment for
research.
 Community health program:-
 Participate in community health
programs,associated with hospital.
 Interpret the roles and responsibilities in
community health programs.
 Participate in extramural health programs
of the hospital and other related
organizations.
Factors influencing patient
care
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8
 The type of service
 The acuteness of the service &
the rate of turnover of patients
 The experience of the nurse
 The number of non-nurses
 The amount & quality of teaching.
 The amount & quality of
supervision and ward teaching.
 The method of appointment of the
medical staff.
 The plan of ward floor plan.
 The physical facilities.
Factors influencing patient
care
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9
 The amount, type & location of
equipments & supplies.
 The number of working hours.
 The morale of the worker.
 Methods of performing nursing
procedures.
 The time required for hospital
routines
 The method of assignment.
 The standards of nursing care.
 Good ward management.
Organization of nursing services
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10
Role of Nurse Administrator (In
General)
 Ward Management
• Organizes, directs and supervises the nursing
services.
• Coordinates assignments of staff.
• Establishes the general pattern of delegation of
responsibilities and authority.
• Formulates standing orders for the nursing care.
• Ensures appropriate allocation of duties and
responsibilities to all nursing staff.
• Formulates nursing policies to ensure quality
patient care and adequate attention at all times.
• Responsible for efficient functioning of the
nursing staff.
• Evaluates the personal performance of the
nursing staff.
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11
Role of Nurse Administrator (In
General)
 Discipline
• Ensure that a standard of discipline of
nursing staff is high at all times.
• Maintain good order and discipline in
wards/ departments.
• Makes daily rounds of the hospital wards/
departments and also seriously ill patients.
• Brings immediately to the notice of the
authority all matters concerning neglect of
duty, insubordination either by nursing staff,
patients or visitors or any un-towards
incident.
11-05-2021
12
Role of Nurse Administrator (In
General)
 Public Relations
• Promotes and maintains
harmonious and effective
relationship with the various
administrative departments of the
hospital and related community
agencies.
• Maintain cordial relationships with
the patients and their families.
 Office duties
• Scrutinizes the reports and
returns and submits in accordance
with existing orders.
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13
Role of Nurse Administrator (In
General)
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14
 Confidential Reports
• Initiates the confidential reports of nursing
staff on
due dates.
• Responsible for the nursing budget.
 Education
• Carries out in-service training for all
categories of
nursing staff and paramedical personnel
and keeps the records of such trainings.
• Conduct various update courses based on
the needs.
• Encourages the personnel to participate in
the continuing education program.
Role of Nurse Administrator (In
General)
 Staff Welfare
• Responsible for health and welfare of
nursing staff.
• Ensures annual and periodical health
examination and maintenance of health
records.
 Conferences
• Responsible for organizing and conducting
staff meeting of the nursing staff once in
three months.
• Holds conference in nursing care problems
and discuss policies as regards to working
conditions, working hrs and other facilities.
11-05-2021
15
Role of Nurse Administrator (In
General)
 Supervision
• Supervises nursing care given to
the patients and all nursing activities
within the nursing unit.
• Supervises the work of all
paramedical staff of the hospital.
 Records and Reports
• Maintains various records such as duty
roster nursing staff, day off book,
personal bio-data,leave plan, staff
conference book, courses file etc.
11-05-2021
16
Problems & Challenges
♠ Lack of adequate training.
♠ Problem of personnel
management.
♠ Inadequate number of nursing
staff.
♠ Shortage of trained manpower.
♠ Poor role model.
♠ No research scope.
♠ Professional risk/hazards.
♠ No autonomy in nursing activities.
♠ Lack of motivation.
♠ No involvement in planning.
11-05-2021
17
Conclusion
Administration is a combination of purpose
& means of achievement of that purpose.
Nursing service administration results in
out put of patient whose health is
unavoidably deteriorating, maintained or
improved through input of personnel &
material resources used in an orderly
process of nursing service. Management is
the process of getting work done through
others. Nursing management is the
process of working, through nursing
personnel to provide care, cure & comfort
to groups of patients. The nurse
managers/supervisors task is to plan,
organize, direct & control available
financial, material & human resources in
order to provide effective, economic care to
groups of patients.
11-05-2021
18
References
 https://www.nursepractiti
onerschools.com/faq/wha
t-is-a-nurse-
administrator/
 https://www.slideshare.ne
t/bivinjose/nursing-
service-administration
 https://www.aiims.edu/aii
ms/nursingservices/NUR
SING%20SERVICES.ht
m
11-05-2021
19
11-05-2021
20

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Nursing Service Administration

  • 1. 3/4/2021 1 Seminar on “Nursing Service Administration” Presented by:- Soumya Priyadarshini) MHA/2020-22 (2nd Semester) Human Resource Management (HA6008)
  • 2. Content  Introduction  Definition  Objectives  Factors influencing patient care  Organization of nursing services  Role of Nurse Administrator (In General)  Problems & Challenges  Conclusion  References 11-05-2021 2
  • 3. Introduction  Nursing is a vital aspect of health care & needs to be properly organized. A nurse is in frequent contact with the patients & hence her/his role in restoring health & confidence of the patient is of utmost importance, the quality of nursing care & the management of the nursing staff, reflect an image of the hospitals.  Nursing service administration is a complex of elements in interaction. It results in output of clients whose health is unavoidably deteriorating, maintained,or improved through input of personnel & material resources used in an orderly process of nursing services. 11-05-2021 3
  • 4. Definition  The nursing services as the part of the total health organization which aims to satisfy major objective of the nursing services is to provide prevention of disease and promotion of health. - WHO Expert Committee 11-05-2021 4
  • 5. Objectives  Management of nursing service and care:-  Initiate a set of human relationships at all levels of nursing personnel.  Establish adequate staffing pattern.  Develop and implement proper communication system.  Develop and initiate proper evaluation and periodic monitoring system.  Proper job description for nursing personnel.  Assist hospital authorities for effective personnel management.  Share nursing information system with other discipline.  Formulate and interpret nursing service policies.  Assist hospital authorities for preparation of budget.  Participate in inter departmental programs and other programs. 11-05-2021 5
  • 6. Objectives  Education training and staff developments:-  Encourage a stimulating environment in which the personnel have opportunities to be creating innovators.  Develop and initiate orientation and training programs.  Create an atmosphere that conducive to give proper learning experiences for students.  Assist in the development of a sound,constructive program of leadership in nursing.  Initiate programs to improve the practice of nursing in keeping with advances in the relative areas and disciplines affecting the quality of nursing. 11-05-2021 6
  • 7. Objectives 11-05-2021 7  Research:-  Participate in identifying the areas of research.  Participate in the compilation of data and research.  Provide conducive environment for research.  Community health program:-  Participate in community health programs,associated with hospital.  Interpret the roles and responsibilities in community health programs.  Participate in extramural health programs of the hospital and other related organizations.
  • 8. Factors influencing patient care 11-05-2021 8  The type of service  The acuteness of the service & the rate of turnover of patients  The experience of the nurse  The number of non-nurses  The amount & quality of teaching.  The amount & quality of supervision and ward teaching.  The method of appointment of the medical staff.  The plan of ward floor plan.  The physical facilities.
  • 9. Factors influencing patient care 11-05-2021 9  The amount, type & location of equipments & supplies.  The number of working hours.  The morale of the worker.  Methods of performing nursing procedures.  The time required for hospital routines  The method of assignment.  The standards of nursing care.  Good ward management.
  • 10. Organization of nursing services 11-05-2021 10
  • 11. Role of Nurse Administrator (In General)  Ward Management • Organizes, directs and supervises the nursing services. • Coordinates assignments of staff. • Establishes the general pattern of delegation of responsibilities and authority. • Formulates standing orders for the nursing care. • Ensures appropriate allocation of duties and responsibilities to all nursing staff. • Formulates nursing policies to ensure quality patient care and adequate attention at all times. • Responsible for efficient functioning of the nursing staff. • Evaluates the personal performance of the nursing staff. 11-05-2021 11
  • 12. Role of Nurse Administrator (In General)  Discipline • Ensure that a standard of discipline of nursing staff is high at all times. • Maintain good order and discipline in wards/ departments. • Makes daily rounds of the hospital wards/ departments and also seriously ill patients. • Brings immediately to the notice of the authority all matters concerning neglect of duty, insubordination either by nursing staff, patients or visitors or any un-towards incident. 11-05-2021 12
  • 13. Role of Nurse Administrator (In General)  Public Relations • Promotes and maintains harmonious and effective relationship with the various administrative departments of the hospital and related community agencies. • Maintain cordial relationships with the patients and their families.  Office duties • Scrutinizes the reports and returns and submits in accordance with existing orders. 11-05-2021 13
  • 14. Role of Nurse Administrator (In General) 11-05-2021 14  Confidential Reports • Initiates the confidential reports of nursing staff on due dates. • Responsible for the nursing budget.  Education • Carries out in-service training for all categories of nursing staff and paramedical personnel and keeps the records of such trainings. • Conduct various update courses based on the needs. • Encourages the personnel to participate in the continuing education program.
  • 15. Role of Nurse Administrator (In General)  Staff Welfare • Responsible for health and welfare of nursing staff. • Ensures annual and periodical health examination and maintenance of health records.  Conferences • Responsible for organizing and conducting staff meeting of the nursing staff once in three months. • Holds conference in nursing care problems and discuss policies as regards to working conditions, working hrs and other facilities. 11-05-2021 15
  • 16. Role of Nurse Administrator (In General)  Supervision • Supervises nursing care given to the patients and all nursing activities within the nursing unit. • Supervises the work of all paramedical staff of the hospital.  Records and Reports • Maintains various records such as duty roster nursing staff, day off book, personal bio-data,leave plan, staff conference book, courses file etc. 11-05-2021 16
  • 17. Problems & Challenges ♠ Lack of adequate training. ♠ Problem of personnel management. ♠ Inadequate number of nursing staff. ♠ Shortage of trained manpower. ♠ Poor role model. ♠ No research scope. ♠ Professional risk/hazards. ♠ No autonomy in nursing activities. ♠ Lack of motivation. ♠ No involvement in planning. 11-05-2021 17
  • 18. Conclusion Administration is a combination of purpose & means of achievement of that purpose. Nursing service administration results in out put of patient whose health is unavoidably deteriorating, maintained or improved through input of personnel & material resources used in an orderly process of nursing service. Management is the process of getting work done through others. Nursing management is the process of working, through nursing personnel to provide care, cure & comfort to groups of patients. The nurse managers/supervisors task is to plan, organize, direct & control available financial, material & human resources in order to provide effective, economic care to groups of patients. 11-05-2021 18