This document discusses Project Evaluation and Review Technique (PERT), Gantt charts, and Management by Objectives (MBO). PERT is a project management tool used to schedule tasks, analyze time needed to complete tasks, and identify the minimum time to complete a project. Gantt charts are graphical representations of project schedules that show tasks, resources, and timelines. MBO is a comprehensive management system that integrates key activities to effectively achieve organizational objectives through goal-setting and periodic performance reviews.
NURSING MANAGEMENT AND EDUCATION
INVENTORY CONTROL AND PROCUREMENT OF HOSPITAL SUPPLIES, THEIR MAINTENANCE AND KEEPING THE STOCK UP TO DATE IS ONE OF THE BASIC DUTIES OF A NURSE. KNOWING ABOUT THE PRINCIPLES AND TECHNIQUES HELPS IN EFFECTIVE MANAGEMENT OF HOSPITAL SUPPLIES AND EQUIPMENT IN THE WARD.
This Slide is Prepare for B.Sc. Nursing Students. Which help to Understand Recruitment Process in Simple Language.
Contents:
01. Introduction
02. Definition
03. Sources of Recruitment
04. Methods of Recruitment
NURSING MANAGEMENT AND EDUCATION
INVENTORY CONTROL AND PROCUREMENT OF HOSPITAL SUPPLIES, THEIR MAINTENANCE AND KEEPING THE STOCK UP TO DATE IS ONE OF THE BASIC DUTIES OF A NURSE. KNOWING ABOUT THE PRINCIPLES AND TECHNIQUES HELPS IN EFFECTIVE MANAGEMENT OF HOSPITAL SUPPLIES AND EQUIPMENT IN THE WARD.
This Slide is Prepare for B.Sc. Nursing Students. Which help to Understand Recruitment Process in Simple Language.
Contents:
01. Introduction
02. Definition
03. Sources of Recruitment
04. Methods of Recruitment
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CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
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CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
2. Program (Project) Evaluation and
Review Technique (PERT):
• It is a project management tool used to
schedule, organize and coordinate tasks within
a project.
• It is basically a method to analyse the tasks
involved in completing a given project,
especially the time needed to complete each
task, and to identify the minimum time needed
to complete the total project.
3. Definition
PERT is a work model devised to complete the
project work in time.
It analyses the actual work time
required to complete a task.
4. PERT in NSG.
In our daily nursing routines, we sometimes fail
to understand overriding nursing administration
goals and objectives, as a result we are not
prepared to deal with the situations that arise and
also fail to anticipate situations that may have
benefited from advance thought and planning.
PERT model is used in the nursing field to
delegate the work schedule, analyse the time
required to complete a task and prepare the duty
roster for all the nurses in the hospital by calculating
the approximate time required to provide care to
each patient.
5. Components of PERT Model
Predecessor event: It is an event that precedes some
other event; it can be single or multiple.
Successor event: It is an event that immediately
follows some other event; it can have single or
multiple successor events.
Optimistic time (O): It is the minimum possible time
required to complete the task anticipating that every
event has occurred better than usually expected.
Pessimistic time (P): This means the maximum
possible time required to complete the given task,
expecting or assuming everything goes wrong except
the main catastrophes.
6. Cont....
Most likely time (M): The actual and the best time
required to complete the task assuming everything
goes in an usual way.
Expected time or the very best time (TE): The
accurate or the actual time required to complete the
task. It is the most reliable and valid time estimated
to complete a task. It can be calculated using the
following relation
TE= (O+4M+P) / 6
7. Example:
What is the expected time for this
activity?
Let :
O = 12 days
M = 18 days
P = 60
Sol : TE= (O+4M+P) / 6
12 + 4(18) + 60/6
Expected Time =24 days
8. Float time: It is the amount of time that can be
floated without causing delay in the total completion
of the work.
Critical paths: It is the longest possible and the actual
total time required to complete the full task. It is
otherwise called as total calendar time.
Lead time: This refers to the time taken by the
predecessor to complete the task. There is sufficient
time for the subsequent activities that can follow the
predecessor.
9. Lag time: This earliest time taken by the successor
event to take place, which follows the specific PERT
activity.
Slack time: This refers to the measure of the maximum
time and resources used in achieving the event. There
are three types of slack time- positive, negative and
zero slack.
Fast- tracking time: It means the time required to
complete the more critical activities at the same time.
Crash critical path: This means shortening the
duration of the critical activities.
10. PERT Chart
PERT Chart is a graphical representation of the
activities of a project, showing the sequence that
has to be performed continuously. It has the critical
path of the tasks that has to be finished in time.
This chart helps to focus only the needed activity
and omit the unwanted ones; therefore it saves
time, energy and material.
12. • The Circles mark the beginnings and ends of
Tasks to be down in the project, called Nodes.
• The Arrows are the tasks themselves.
• The Numbers after the task are the Durations
of the task.
• When a node has two or more tasks branching
from it, it means those tasks can be done
concurrently. When a node has incoming
arrows, it means the incoming task must be
completed before progress may continue to
any arrows heading away from the node.
• E.g. Task A must be completed before tasks B
or C may begin.
13. Benefits of PERT
• Enables to determine the exact date of completion of
the task
• Completion of work is possible before the specified
date
• Critical path activities specify the main impact in
completion of activities in time
• Slack time can be noted out early
• Entire project data can be organized and used for
decision making
14. cont..
• Prevents overlapping of activities, creates
better understanding of the task activities
• Helps to identify early start, late start and
the slack-time activity
• Identifies the accurate critical path visible
and clear to all.
• Helps to prevent loss of money, material and
time
• Allows the management to economically use
the resources, estimate time management
and evaluate the work done in time
15. Limitations of PERT
• Expert guidance is always needed.
• Difficult to categorize, more than 100/1000 of activity.
• Approximation of time estimate can lead to errors in
evaluation of time during work
• PERT uses distribution of probability, but the actual
distribution may be different.
• The PERT chart is usually very large and requires
several paged for printing. It also needs a special
signed paper.
• Before planning a PERT chart, one needs to do proper
planning to estimate the time frames for each activity.
16. GANTT CHART (ACTIVITY PLAN)
It is defined as a graphical device that illustrate the
tasks, machines, personnel and resources used to
complete a task.
It is always done on a calendar-oriented grid.
It is not only lists out the start and the finish data
but also summary elements of the project.
17. Components of Gantt Chart
Horizontal axis: It represents time scale expressed as
absolute time from the project start to its end.
Horizontal bar indicate time needed to do the project.
Vertical marker or vertical axis: It is used to
represent the present point in time; vertical lines are
indicated to denote progress and completion.
Broken lines: These indicate gap or slippage times
during the project schedule
Diamond symbol: It indicates rescheduled work.
19. Advantages of Gantt Chart
• Excellent tool to communicate wide population
around the world
• At a single glance, work done can be analyzed
quickly
• It is used as a reporting tool for large projects
• It gives cost, time and scope of the project
20. Disadvantages
• It cannot effortlessly display more than 30 activities
• It is valuable only for short projects
• Chart can communicate only little information at a
time
• Magnitude behind the schedule is easily mis-
communicated, since it does not represent full size
of the project
• It is not suitable for most computer displays
21. Management by Objectives (MBO)
MBO is a comprehensive managerial system that
integrates many key managerial activities in a
systematic manner, consciously directed toward the
effective and efficient achievement of
organizational objectives.
It is a result centered, non-specialist,
operational managerial process for the effective
utilization of material, physical and human
resources of the organization.
22. Objectives of MBO
• To measure and judge performance
• To related individual performance to organizational
goals
• To clarify both the job to be done and the
expectations of accomplishment
• To enhance communication between superior and
inferior.
• To stimulate the subordinates motivation
• To serve as a device for organizational control and
integration
23. Characteristics of MBO
• MBO employs several techniques but it is not merely sum total
of these technique. It is a way of thinking about management
• Periodic review of performance is an important feature of MBO
• MBO provides the stimulus for the introduction of new
techniques of management and enhances the relevance and
utility of the existing ones.
• The basic emphasis of MBO is an objectives. MBO is also
concerned with determining what these results and resources
should be. This MBO tries to match objectives and resources.
• MBO is characteristics by the participation concerned managers
in objective setting, the performance reviews, and his
performance.
• Objectives in MBO provide guidelines for appropriate systems
procedure.
24. Steps in process of MBO
• Setting of Organizational Purpose and Objectives
• Establishment of the objectives of the Supervision
• Recommending objectives for the subordinates by the
supervisors
• Setting subordinates objectives
• Periodic review of the performance of the subordinates
• Review of the performance by the superiors
• Final review of performance by the supervisors
• Performance appraisal by superiors
• Providing feedback to the top level
26. Benefits of MBO
• Better management of organization
• Clarity of objectives
• Role clarity
• Periodic feedback of performance
• Participation by managers in the management process
• Clarity in organizational action
• Personnel satisfaction
• Basis for organizational change
27. Limitations of MBO
• Time and cost
• Failure to teach MBO philosophy
• Problems in objective setting
• Emphasis on short- term objectives
• Inflexibility
• Frustration
• Conflicting objectives
28. Implication of MBO in Nursing
MBO is not only essential and useful
for business managers, but is equally
important to nursing administrators to
improve the efficiency of nursing personnel.
MBO based on Taylorist principles
can be used in nursing managerial process:
29. cont....
• It measures and judge performance
• It correlates individual performance to
organizational goals
• It clarifies the job responsibilities expected
from staff
• It fosters the increasing competence and
growth of the subordinates
• It provides a data base for estimating the
salary and promotion
• It stimulates the subordinates motivation
30. Conclusion:
PERT has been widely used in all types of management to
carry out the work efficiently. There is always a need for a
model like PERT to estimate the time limit for any work.
Gantt chart found its own importance in nursing.
These are used in nursing field to represent mortality and
morbidity rates and also a indicate duty rosters. All Nurses
must be involved in the planning process in their
organizations. The daily routine activities however often
cause nurses to devote little time to planning. Nurse
manager plays a significant role in planning process to
achieve the organizations primary goals rather than just
focusing on short term objectives and day to day operations.