By: Ailine Sanger & Verina Wardoyo
Introduction to Speakers
 Born on…..
 Graduated her….
 Shehas beena staff nurse……
 At present, she is pursuing Master of Science in
Nursing major in Medical Surgical Nursing at
Adventist University of the Philippines.
 Bornon…..
 GraduatedhisBS Nursing….
 Board passer….
 Hehasbeena staffnurse……
 HeisnowpursuinghisMasterdegree
inNursingatAdventistUniversityof
thePhilippines.
 Born on January, 30th 1980 at Toraja,
Sulawesi Selatan, Indonesia
 Graduated Diploma Nursing in 2005 from
Adventist University of Indonesia
 Graduated his BS Nursing in 2008 from
Adventist University of Indonesia
 Work Experiences
- 2005 – 2007 International SOS as
Paramedic
- 2007 -2008 Nurse Practitioner at Adventist
University Clinic.
- 2008 – 2012 Clinical Instructor at Adventist
University of Indonesia
 He is now pursuing his Master degree in
Nursing at Adventist University of the
Philippines.
DEMYSTIFYING THE ROLES OF
CLINICAL NURSE MANAGER
PATRICK, FRANCES &
ELON
NURSE MANAGER
“One person
always makes
a difference.”
John O’Leary, President,
Rising Above
Learning Objectives
Understand
the
responsibilities
of the nurse
manager
Understand
the leadership
and
management
roles of the
nurse manager
Learn about
key business
and health
care quality
improvement
frameworks
Learn about
the quality
improvement
measures
nurse
managers use
What Is a Nurse Manager?
Nurse managers embody nurse and
executive roles
Typically report to a superior in nursing:
director, chief nursing officer, or vice
president of nursing
Responsible for functions of the unit:
- Staffing, employee satisfaction
- Safety and quality
- Customer satisfaction
Why Are Nurse Managers
So Important?1, 2, 3, 4
Nurse managers lead the care
efforts on their units
Nurse managers benefit patient
safety and quality through their
leadership
Nurse managers support nursing
staff in preventing patient harm
The Nurse Manager’s Dual Roles
Nurse managers wear two hats: They deliver clinical care
and serve as administrative leaders.
Represent and support their nursing staff (staff)
- Mentor and coach nursing staff
- Listen to concerns and provide counsel
- Represent their unit and staff within the hospital
Oversee unit-based operations (administration)
- Financial
- Human resources
- Customer-/patient-focused care delivery
- Regulation and unit-based protocol
Management
 It is the process of working with people to
achieve a common goal.
Nursing Management
 Is the process of working through staff members to
be able to provide comprehensive care to the
patient.
 Is performing leadership functions of governance
and decision-making within organizations
employing nurses. It includes processes common to
allmanagement likeplanning, organizing, staffing,
directing and controlling.
Leadership
and Management
Are intertwined concepts,
Are different,
 Difficult to discuss one
without the other.
Management vs. Leadership
Manager Leader
1. Appointed
2. Powerand authority vested by
organization
3. Relates with people according to their
roles
4. Ability to influence based in formal
authority
5. Implements predetermined goals
*apply standards in order to do
things right to be able to achieve goal
1. May or may notbeappointed by
choice
*stand up without telling
2. Power vestedby group
3. Relates with people personally
4. Inspire
The Management Process
Henry Fayol-1925, an engineer.
 He identified management functions.
 Fayol’s five functions of managers are:
 Although these functions appear to be
independent, they are really interactive and
make up the management process.
Planning
Organizing
StaffingDirecting
Controlling
Planning (what is to be done)
 Planning includes everything that has to
do with determining:
Mission/philosophy
Goals/objectives
Policies/rules
Procedures
Scheduledchanges
Fiscal/budgetaction
Organizing (how it is to be done)
 Organizing provides the structure required to
execute the plan.
 Organizing includes everything needed to:
Staffing
 Staffing involves selecting the right person to
execute each planned task. Staffing transforms
a plan into action.
 It includes everything that has to do with:
Recruiting
Interviewing
Hiring
Orientation
Staff development
Directing (who is to do it)
 Directing includes everything needed to:
Motivate
Manageconflict
Delegate
Communicate
Collaborate
 The nurse manager guides the team by training, coaching,
instructing, and indicating what to do, when to do it, and how to do
it.
 Directing also includes monitoring team members to ensure high
standards of practice and efficiency.
 The function of directing includes giving orders and instructions;
supervising or overseeing people at work; enhancingmotivation by
creating a willingness in others to work toward specificobjectives;
communicating or establishingan understanding with employees
about what the plans are and how they ought to be implemented;
and influencing others.
Controlling (when and how it is done)
 Controlling includes everything related to:
Performanceappraisals
Fiscalaccountability
Quality control
Legal andethicalissues
Professionaland collegialcontrol
 Controlmechanismshelp keep theteamon course by
removing obstacles whenever possible or by findinga new
course if the present one is not working. Controlsystems
help identify who isn’t performing or who is functioningat
a very low level of performance.
The process of controlling involves:
Establishingstandards for measuringwork performance
Measuring performance and comparing it with standards
Identifyingthereasons for thediscrepancy between
standards and performance
Taking corrective action to ensure thatgoals are attained.
In every organization, the work of
management is dividedinto levels of
responsibility.
Generally,three levels of management are
used innursing: front line,middle,and upper.
1. First Line or Front-Line
Management
 Who: Unit Manager, clientcare coordinator, teamleader,
Headnurse, Charge nurse—different entity, limited
authority a subordinate of headnurse.
Roles:
Managingand supervise a particular unit.
Connectinglinkbetweenstaff nurses and the higher
management
Managementfunctionclosely identifiedwiththe actual
delivery of client care
They also plan daily activities of the staffnurses.
Assisting staff members in decision making.
Important responsibilities of
this manager:
Role modelling, mentoring,
and education.
 According to Masters (2005), In many organizations,
 Allnurses in every situationmustmanagethemselves and
those under theircare.
2. Middle Level
 Who:
Supervisor,divisionheads/ department
head.
Roles:
 The major responsibility of these
managers is
to serve a liaisonbetween top andfront-line
managers.
3. Top Level Management
 Who: Top Manager, Nurse Executive Level, Chief
Nurse, Medical Director.
 Roles:
 Liaison between the community, the organization,
and the nursing work force.
 Concerned at overall planning
 Setting up of objectives
 Scheduling programs
 Establishment of Policies
 Budget Proposal
 Mentoring and career development of other nurse
managers.
Roles:
 The major responsibility of this
administrator includes
establishinggoalsand strategicplans for the entire
divisionof nursing toachieve the organization’s
mission.
How to be a Nurse Manager
(Qualifications)
Qualification #1
 Graduate from nursing
school.
 In order to become a
nurse manager you must
first become a nurse. In
order to become a nurse
you must first earn your
RN or LPN license.
 You must complete all
undergraduate
coursework and spent at
least one term working
with patients in a
hospital setting.
Qualification #2
 Gain experience.
 Spend at least two
years working full
time in a hospital or
other health care
setting. During this
time pay close
attention to the
hospital's procedures
and practices as well
as how other nurse
managers interact
with staff members.
Qualification #3
 Get additional
education.
 In order to become a
nurse manager you
should ideally graduate
with a BSN or
bachelor's of science in
nursing degree.
 Once you have
graduated from a
college you should seek
out additional
educational credits
such as a master's
degree in the field of
nursing as well as
credits in business in
order to understand
Additional....
 Learn all aspects of the nursing business.
 As part of your nursing training you should learn
as much as possible about nursing care
including how to take care of patients and how to
work with other nurses and doctors to make sure
that patients receive the best possible health
care.
 Look for a mentor.
Seek out a mentor.
 A nursing manager
should have a role
model they can follow
and emulate.
 A good mentor will
work with you to help
you achieve your
career goals.
 A good nursing
mentor will
understand all
aspects of patient
care and work with
you to become better
at your job.
Challenges & Opportunities of
being a Nurse Manager.
Challenges of being a Nurse
Manager.
Challenges of being a Nurse
Manager.
Skills and Staffing
Shortages
Challenges of being a Nurse
Manager.
Staff Retention
Challenges of being a Nurse
Manager.
Uncooperative
Staff / Attitude
Problem.
Challenges of being a Nurse
Manager.
100%
responsibility
without 100%
authority
Challenges of being a Nurse
Manager.
Budget and
financial
management
Challenges of being a Nurse
Manager.
Self-
development
Opportunities of being a Nurse Manger
Better Salary /
Opportunities
abroad.
Opportunities of being a Nurse Manger
Strengthens
bond with co-
nurses.
Opportunities of being a Nurse
Manger
Nurse managers'
careers usually
extend into
information
management/pro
ject type roles,
or proceed to
higher level
management
positions.
 The end

Nurse manager

  • 1.
    By: Ailine Sanger& Verina Wardoyo Introduction to Speakers
  • 2.
     Born on….. Graduated her….  Shehas beena staff nurse……  At present, she is pursuing Master of Science in Nursing major in Medical Surgical Nursing at Adventist University of the Philippines.
  • 3.
     Bornon…..  GraduatedhisBSNursing….  Board passer….  Hehasbeena staffnurse……  HeisnowpursuinghisMasterdegree inNursingatAdventistUniversityof thePhilippines.
  • 4.
     Born onJanuary, 30th 1980 at Toraja, Sulawesi Selatan, Indonesia  Graduated Diploma Nursing in 2005 from Adventist University of Indonesia  Graduated his BS Nursing in 2008 from Adventist University of Indonesia  Work Experiences - 2005 – 2007 International SOS as Paramedic - 2007 -2008 Nurse Practitioner at Adventist University Clinic. - 2008 – 2012 Clinical Instructor at Adventist University of Indonesia  He is now pursuing his Master degree in Nursing at Adventist University of the Philippines.
  • 5.
    DEMYSTIFYING THE ROLESOF CLINICAL NURSE MANAGER PATRICK, FRANCES & ELON NURSE MANAGER
  • 6.
    “One person always makes adifference.” John O’Leary, President, Rising Above
  • 7.
    Learning Objectives Understand the responsibilities of thenurse manager Understand the leadership and management roles of the nurse manager Learn about key business and health care quality improvement frameworks Learn about the quality improvement measures nurse managers use
  • 8.
    What Is aNurse Manager? Nurse managers embody nurse and executive roles Typically report to a superior in nursing: director, chief nursing officer, or vice president of nursing Responsible for functions of the unit: - Staffing, employee satisfaction - Safety and quality - Customer satisfaction
  • 9.
    Why Are NurseManagers So Important?1, 2, 3, 4 Nurse managers lead the care efforts on their units Nurse managers benefit patient safety and quality through their leadership Nurse managers support nursing staff in preventing patient harm
  • 10.
    The Nurse Manager’sDual Roles Nurse managers wear two hats: They deliver clinical care and serve as administrative leaders. Represent and support their nursing staff (staff) - Mentor and coach nursing staff - Listen to concerns and provide counsel - Represent their unit and staff within the hospital Oversee unit-based operations (administration) - Financial - Human resources - Customer-/patient-focused care delivery - Regulation and unit-based protocol
  • 11.
    Management  It isthe process of working with people to achieve a common goal.
  • 12.
    Nursing Management  Isthe process of working through staff members to be able to provide comprehensive care to the patient.  Is performing leadership functions of governance and decision-making within organizations employing nurses. It includes processes common to allmanagement likeplanning, organizing, staffing, directing and controlling.
  • 13.
    Leadership and Management Are intertwinedconcepts, Are different,  Difficult to discuss one without the other.
  • 14.
  • 16.
    Manager Leader 1. Appointed 2.Powerand authority vested by organization 3. Relates with people according to their roles 4. Ability to influence based in formal authority 5. Implements predetermined goals *apply standards in order to do things right to be able to achieve goal 1. May or may notbeappointed by choice *stand up without telling 2. Power vestedby group 3. Relates with people personally 4. Inspire
  • 18.
  • 19.
    Henry Fayol-1925, anengineer.  He identified management functions.  Fayol’s five functions of managers are:  Although these functions appear to be independent, they are really interactive and make up the management process.
  • 20.
  • 21.
    Planning (what isto be done)  Planning includes everything that has to do with determining: Mission/philosophy Goals/objectives Policies/rules Procedures Scheduledchanges Fiscal/budgetaction
  • 22.
    Organizing (how itis to be done)  Organizing provides the structure required to execute the plan.  Organizing includes everything needed to:
  • 23.
    Staffing  Staffing involvesselecting the right person to execute each planned task. Staffing transforms a plan into action.  It includes everything that has to do with: Recruiting Interviewing Hiring Orientation Staff development
  • 24.
    Directing (who isto do it)  Directing includes everything needed to: Motivate Manageconflict Delegate Communicate Collaborate
  • 25.
     The nursemanager guides the team by training, coaching, instructing, and indicating what to do, when to do it, and how to do it.  Directing also includes monitoring team members to ensure high standards of practice and efficiency.  The function of directing includes giving orders and instructions; supervising or overseeing people at work; enhancingmotivation by creating a willingness in others to work toward specificobjectives; communicating or establishingan understanding with employees about what the plans are and how they ought to be implemented; and influencing others.
  • 26.
    Controlling (when andhow it is done)  Controlling includes everything related to: Performanceappraisals Fiscalaccountability Quality control Legal andethicalissues Professionaland collegialcontrol
  • 27.
     Controlmechanismshelp keeptheteamon course by removing obstacles whenever possible or by findinga new course if the present one is not working. Controlsystems help identify who isn’t performing or who is functioningat a very low level of performance.
  • 28.
    The process ofcontrolling involves: Establishingstandards for measuringwork performance Measuring performance and comparing it with standards Identifyingthereasons for thediscrepancy between standards and performance Taking corrective action to ensure thatgoals are attained.
  • 30.
    In every organization,the work of management is dividedinto levels of responsibility. Generally,three levels of management are used innursing: front line,middle,and upper.
  • 32.
    1. First Lineor Front-Line Management  Who: Unit Manager, clientcare coordinator, teamleader, Headnurse, Charge nurse—different entity, limited authority a subordinate of headnurse.
  • 33.
    Roles: Managingand supervise aparticular unit. Connectinglinkbetweenstaff nurses and the higher management Managementfunctionclosely identifiedwiththe actual delivery of client care They also plan daily activities of the staffnurses. Assisting staff members in decision making.
  • 34.
    Important responsibilities of thismanager: Role modelling, mentoring, and education.
  • 35.
     According toMasters (2005), In many organizations,  Allnurses in every situationmustmanagethemselves and those under theircare.
  • 36.
    2. Middle Level Who: Supervisor,divisionheads/ department head.
  • 37.
  • 38.
     The majorresponsibility of these managers is to serve a liaisonbetween top andfront-line managers.
  • 39.
    3. Top LevelManagement  Who: Top Manager, Nurse Executive Level, Chief Nurse, Medical Director.  Roles:  Liaison between the community, the organization, and the nursing work force.  Concerned at overall planning  Setting up of objectives  Scheduling programs  Establishment of Policies  Budget Proposal  Mentoring and career development of other nurse managers.
  • 40.
  • 41.
     The majorresponsibility of this administrator includes establishinggoalsand strategicplans for the entire divisionof nursing toachieve the organization’s mission.
  • 42.
    How to bea Nurse Manager (Qualifications)
  • 43.
    Qualification #1  Graduatefrom nursing school.  In order to become a nurse manager you must first become a nurse. In order to become a nurse you must first earn your RN or LPN license.  You must complete all undergraduate coursework and spent at least one term working with patients in a hospital setting.
  • 44.
    Qualification #2  Gainexperience.  Spend at least two years working full time in a hospital or other health care setting. During this time pay close attention to the hospital's procedures and practices as well as how other nurse managers interact with staff members.
  • 45.
    Qualification #3  Getadditional education.  In order to become a nurse manager you should ideally graduate with a BSN or bachelor's of science in nursing degree.  Once you have graduated from a college you should seek out additional educational credits such as a master's degree in the field of nursing as well as credits in business in order to understand
  • 46.
    Additional....  Learn allaspects of the nursing business.  As part of your nursing training you should learn as much as possible about nursing care including how to take care of patients and how to work with other nurses and doctors to make sure that patients receive the best possible health care.
  • 47.
     Look fora mentor. Seek out a mentor.  A nursing manager should have a role model they can follow and emulate.  A good mentor will work with you to help you achieve your career goals.  A good nursing mentor will understand all aspects of patient care and work with you to become better at your job.
  • 48.
    Challenges & Opportunitiesof being a Nurse Manager.
  • 49.
    Challenges of beinga Nurse Manager.
  • 50.
    Challenges of beinga Nurse Manager. Skills and Staffing Shortages
  • 51.
    Challenges of beinga Nurse Manager. Staff Retention
  • 52.
    Challenges of beinga Nurse Manager. Uncooperative Staff / Attitude Problem.
  • 53.
    Challenges of beinga Nurse Manager. 100% responsibility without 100% authority
  • 54.
    Challenges of beinga Nurse Manager. Budget and financial management
  • 55.
    Challenges of beinga Nurse Manager. Self- development
  • 56.
    Opportunities of beinga Nurse Manger Better Salary / Opportunities abroad.
  • 57.
    Opportunities of beinga Nurse Manger Strengthens bond with co- nurses.
  • 58.
    Opportunities of beinga Nurse Manger Nurse managers' careers usually extend into information management/pro ject type roles, or proceed to higher level management positions.
  • 59.

Editor's Notes

  • #12 Management is a problem oriented process with similarities to the nursing process.. Work together toward a common goal. Just like nursing process... And Goal must be SMARTER... Specific, Measureable, Attainable, Relevant, Time bound, Efficient, Rewarding...if not conflict may occur AND to achieve this it should be a good leader/manager
  • #15 Before we learn more about management process let us discuss about leadership and management.
  • #16 Efficiency (do things right)—ability to make the best use (maximize) available resources in the process of achieving goal Effectiveness (Do right things)—ability to chose appropriate
  • #20 For example, if planning is awry, that will affect all other management functions. If a unit is understaffed, that will affect the nurse leader’s ability to plan, organize, direct, and control. The interactive nature of management functions explains why a nurse leader must provide all five functions in a way that not only betters the organization but also motivates employees.
  • #21 Depicts the management process as a circular rather than linear continuum. The nurse manager is always working toward assuring and improving the quality of care offered.
  • #22 What is to be done
  • #33 Responsible for supervising the work of staff and the day-to-day activities of a spcified work unit or units Responsibilities include patient care delivery, planning and monitoring the use of human and material resources, maintaining codes and standards, and developing and evaluating staff. Often trouble shoots problems and assists staff members in decision making.
  • #52 The well-prepared manager learns to cope with this crucial challenge. She understands what is needed, remains resilient, and does what the patient, her staff, and the hospital need. She identifies, recruits, and retains talent for her organization, while screening out less qualified candidates. And she serves as a positive mentor, role model, and leader of her staff despite the intricacies of unanswered questions plaguing the healthcare industry and the nursing profession today.
  • #53 Nurse Managers have a challenging time creating a positive, productive, high-morale climate on their units. Nursing staff comes to its work already feeling underappreciated and negative. The Nurse Managers have to cope with these attitudes and create a positive tone.
  • #54 the new Nurse Manager may be uncomfortable or frustrated when she realizes that she has 100% responsibility for everything that happens on her unit, without 100% authority. That’s because she has to rely partially on other departments (e.g. housekeeping, food services, pharmacy, etc.) for her success. The successful seasoned manager has developed interpersonal skills, interdepartmental relationships, and the skill to apply effective influence, even lacking formal authority.
  • #55 To be successful, Nurse Managers must become adept at understanding and meeting a budget.
  • #56 The final challenge for the Nurse Manager often gets left behind given all of the immediate fires that need extinguishing on the unit. This is the challenge of ongoing self-development, career development, and improvement. Personal and professional development is both a responsibility and a right.