Management of nursing service


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Deepa Merin Kuriakose
Govt.College of Nursing
Kottayam, Kerala, India

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Management of nursing service

  2. 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.
  3. 3. DEFINITION Administration is the direction, coordination and control of many persons to achieve some purpose or objective. (L.D.White) Herbert.A.Simon points out, In its broadest sense, administration can be defined the activities of groups cooperating to accomplish common goal. Administration has to do with getting things done; with the accomplishment of defined objectives – Luther Gullick General administration when applied to nursing service is nursing service administration.
  4. 4. PHILOSOPHY OF NURSING SERVICE IN HOSPITAL The department of nursing service of hospital recognizes and appreciates the object of the hospital & acknowledge that the primary purpose of nursing is to provide the highest quality of nursing care service that is possible in assisting the patient with meeting his daily living needs wherever he is located along the health-illness continuum.
  5. 5. In brief, nursing department of the hospital is to administer high-quality, cost-effective care to patients & families, provide health promotion programmes to all people, maintain a supportive environment for education of the professional nurses & promote career development of nursing employees with following beliefs.
  6. 6. It believes that life & health are primary goods of the nursing service division of the hospital It believes that each person is unique & has intrinsic worth, so is deserving of respect, without regard to such individual characteristics as sex, age, colour, nationality, religious conviction & socio-economic status. It believes that illness, injury & its significance are perceived by the individual as a threat to autonomy, independence, identity & existence. It believes that the experiences associated with normal maturation do not prepare a person for the adaptations needed to cope with illness & illness care. It believes that nursing consists of providing or assisting a patient to perform those functions that he or she would perform independently ,if better informed or more able.
  7. 7. It believes that persons drawn to nursing have concern for others welfare, a belief in personal efficiency & desire to actively engage fate. It believes that nursing interventions are most effective when they are directed toward the patient’s health goals, based on research evidence, individualized to meet the patient’s needs and circumstances & coordinated with care by other health team members. It believes that high quality of nursing care can best be provided by a mixture of professional and non professional personnel who are organized into self directed work teams. It believes that to ensure continuous improvement of nursing care quality, the role of professional nurse must include responsibility of nursing research and nursing education, as well as for patient and family care. It believes that when jobs for nursing personnel are designed to ensure employee autonomy and self-actualization, patient care quality, patient satisfaction and employee satisfaction are maximized.
  8. 8. OBJECTIVES OF NURSING SERVICE IN HOSPITAL It includes Management of Nursing Care & Services Education, Training and Staff Development Programmes Nursing Research & Community Health Programmes
  9. 9. CATEGORIES OF NURSING PERSONNEL IN HOSPITAL In government setup, the categories of nursing personnel include Nursing Officer Nursing Superintendent Grade I Grade II Head Nurse Staff Nurse
  10. 10. ORGANIZATION OF NURSING SERVICE UNIT IN HOSPITAL Nursing service refers to the coordinating responsibility of the nurse who, in addition to giving nursing care, also works with members of allied disciplines such as dietetics, medico-social service, pharmacy & various others in providing a comprehensive programme of patient care. In a hospital , many variable factors influence the number of nurses needed in a ward in order to render high quality of nursing care.
  11. 11. The factors include The type of service, ie; medical, surgical, obstetrics & gynaecology, pediatrics etc. The acuteness of the service & the rate of turn over of patients according to the degree or period of illness. The experience of the nurses who are to give the patient care. The number of non-nurses who involved in the patient care, the quality of their work, their stability in service. The amount and quality of teaching which proceeds the assignment of personnel to the service as well as that gives as in-service preparation. The amount & quality of supervision & ward teaching. The method of appointment of the medical staff. Affiliation of the hospital with medical college / nursing colleges / school.
  12. 12. The plan of the ward – floor plan. The physical facilities. The amount, type & location of equipment & supplies. The number of hours in the working week of nurses & other ward personnel & the flexibility in hours. The morale of the worker Methods of performing nursing procedures. The time required for hospital routines, ie; record keeping and reporting. The method of assignment. The standards of nursing care. Good ward-management.
  13. 13. FACTORS INFLUENCING WARD MANAGEMENT Ward Management is one of the pre requisites for good nursing care. There are many factors involved in good ward management, which the nurse manager need to understand thoroughly for the good management of the ward.
  14. 14. Knowledge of the ward Planning the schedule of the ward Starting the work on time Preventing interruptions Establishment of ward routines Use of democratic method in establishing ward policy Orientation of new personnel Orientation of hospital Orientation of ward Maintenance of suitable environment Providing supplies and equipments in a hospital
  15. 15. Clear cut specific orders for medical therapy and nursing Record keeping Reporting Maintenance of high morale among all members of the staff Establishment of good working relationship Delegating responsibility Assigning duties and responsibility Time planning Good teaching Good Supervision
  16. 16. MODES OF NURSING CARE / PATTERNS OF NURSING CARE A pattern of nursing care is that system used for the delivery of nursing care to patient / clients. The method selected for assignment of nursing staff to patients directly relates to the staffing pattern adopted by the health facility. In nursing service 4 basic patterns exist. Case Method / Total Patient Care Functional Nursing Team Nursing Primary Care
  18. 18. CHIEF, NURSING SERVICE OR NURSING SUPERINTENDENT AS ADMINISTRATOR Planning for An organization of nursing service which provides for effective functioning of all nursing service personnel. Appropriate numbers & categories of personnel to meet nursing needs. Promotion of the personal & professional growth of all nursing service employees. Directing by Utilizing sound personnel management practices in administering the nursing service.
  19. 19. Controlling by Planning budgetary requests for nursing service and participating in planning for supplies and equipments which affects nursing service programmes Establishing channels of communication and means for reporting nursing service activities Coordinating by Interrelating nursing service activities with all other hospital services Evaluating by Conducting continuous review and analysis of nursing service programmes
  20. 20. HEAD NURSE AS ADMINISTRATOR The administrative responsibilities of a head nurse are primarily concerned with activities which ensure good patient care & make the ward run smoothly. They include the planning of patient care & responsibility for clear, complete, up to date orders which lessen mistakes, & for well organized reports between all groups so that patients are safeguarded, time is saved & nervous tension is kept to a minimum. Another administrative function of head nurse is to delegate duties and responsibilities according to the qualification & abilities.
  21. 21. ROLE OF STAFF NURSE IN NURSING SERVICE ADMINISTRATION Planning for Individualized nursing care to patients Directing by Supervising the nursing care given to the patients assigned to her team. Promote the development and self realization of team members.
  22. 22. Controlling by Serving as a leader of the nursing care team. Serving as a member of the nursing care team. Appropriately utilizing supplies and equipments. Maintaining effective communication. Coordinating by Interrelating patient care activities with the administration of the unit nursing service, the total nursing service and other hospital services. Evaluating by Participating in the appraisal of the effectiveness of the administration of nursing service.
  23. 23. 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.
  24. 24. Thank You Deepa Merin Kuriakose, 3rd Semester MSc Nursing Govt. College Of Nursing, Kottayam