clinical management

1. Concepts & theories guiding
professional practice
Prepared by Ruth Christina

3. Objectives
By the end of the session the learners will be
able to;
1. Describe the importance of having a theory
for professional nursing practice.
2. Identify the scope and standards for nurse
administrators as a framework for practice.
3. Discus the linkages of theory, evidence-based
nursing, and practice.

4. Cont.…
4. Discus the use of nursing theory in managing
a clinical practice.
5. Discus the responsibility of the nurse
administrator for managing a clinical
discipline.
6. Identify five essential management practices
that promote patient safety.

6. Theory
an idea or set of ideas that is intended to
explain facts or events.

7. Nursing Theory

8. Cont.…
• Nursing Theory is defined as "a belief, policy,
or procedure proposed or followed as the
basis of action".
• Nursing theory is "an organized framework of
concepts and purposes designed to guide the
practice of nursing".

9. Cont.…
• The first nursing theories appeared in the late
1800s when a strong emphasis was placed on
nursing education.
• Nursing theories are developed to explain and
describe nursing care, guide nursing practice
and provide a foundation for clinical decision
making.

10. Importance of Theory

12. • Importance of theory for professional nursing
practice

13. Cont.…
• Serve to provide underpinnings to nursing care
in every patient encounter.
• Help nurses use critical thinking skills, analytical
skills and improve concept comprehension.
• Improve patient care, patient outcomes, and
nurse-patient communication.
• New knowledge and data are gleaned that can
influence the future of nursing practice.

14. Scope and standards
• American Association of College of Nursing &
American Nursing Association (ANA)outline
core abilities necessary for nurses in
administrative role;

15. • Ability to use management skills-enhanced
collaborative r/s, team based learning, to
advocate for patients and community
partners.
• Embrace change and innovation
• To manage resources effectively
• To negotiate and resolve conflicts
• To communicate effectively-using information
technology

16. Content for special nurse administrative education;
• Strategic management,
• Policy development,
• Financial management/cost analysis,
• Leadership,
• Organizational development,
• Business planning,
• Interdisciplinary relationships.

17. Being mentored by expert executive nurses
• Engaging in Research
• Enacting evidence based management such
as; tracking of care effectiveness, cost of care-
patient Outcome.

18. Level of Nursing Administrative
Practice
ANA conceptually divided into two levels.
• Nurse Executive
• Nurse Manager
Each with a particular focus that makes a unique
contribution to the management of health care
systems.

19. The Nurse Executive’s scope includes;
Overall management of Nursing Practice
Nursing education & Professional
Development
Nursing Research
Nursing Administration & Nursing Services

20. ‘The Nurse Executive holds the accountability to
manage with in the Context of the organization
as a WHOLE, and to transform organization
values into daily operations yielding an efficient,
effective and caring organization’.

21. Particular functions of Nurse Executive includes;
Leadership
Development
Implementation
Evaluation of programs,Protocols,Services
that are evidence based and congruent
with professional Standards.

22. • Nurse manager responsible to a nurse
executive and have more defined areas of
Nursing Services.
• Advocating and allocating for available
resources to facilitate effective,efficient,safe
and compassionate care based on standards
of practice.

23. GROUP WORK

24. Reference
Roussel,L.,(2011) Concepts & theories guiding professional
practice;Jones & Bartlett Publishers
American Association of Colleges of Nursing (AACN). (2013).
Essentials series. Retrieved
from: www.aacn.nche.edu/education-resources/essential-
series