By: Ailine Sanger & Verina Wardoyo

Introduction to Speakers

FrancesBorn on…..

Graduated her….

She has been a staff nurse……

At present, she is pursuing Master of Science in Nursing major in Medical Surgical Nursing at Adventist University of the Philippines.

Jhon Patrick Bermudes

Born on…..

Graduated his BS Nursing….

Board passer….

He has been a staff nurse……

He is now pursuing his Master degree in Nursing at Adventist University of the Philippines.

Yunus ElonBorn on January, 30th 1980 at

Toraja, Sulawesi Selatan, IndonesiaGraduated 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 rolesTypically report to a superior in nursing: director, chief nursing officer, or vice president of nursingResponsible for functions of the unit:- Staffing, employee satisfaction- Safety and quality- Customer satisfaction- Budgeting   

Why Are Nurse ManagersSo Important?1, 2, 3, 4

Nurse managers lead the care efforts on their unitsNurse managers benefit patient safety and quality through their leadershipNurse managers support nursing staff in preventing patient harm

The Nurse Manager’s Dual RolesNurse 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

ManagementIt is the process of working with people

to achieve a common goal.

Nursing ManagementIs 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 all management like planning, organizing, staffing, directing and controlling.

Leadership and Management

Are intertwined concepts,

Are different,

Difficult to discuss one without the other .

Management vs. Leadership

Management LeadershipMotto Do ing th ings r igh t Do ing the r igh t

th ingsChallenge Cont inu i ty Change

Focus St ruc tu res & Procedu res

Pu rposes

Time Frame Presen t (he re & now) Fu tu re

Methods Schedu les S t ra teg ies

Question Who, wha t , when , where , how

Why

Outcomes Des t ina t ion (goa l ) J ou rney

Focus on Per fo rmance Poten t i a l s

Human Relationship

Cont ro l Trus t

Manager Leader1. Appointed2. Power and authority

vested by organization3. Relates with people

according to their roles4. 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 not be appointed by choice

*stand up without telling

2. Power vested by group3. Relates with people

personally4. Inspire

According to Marquis and Huston (2006), leadership and management skills have a symbiotic or synergistic relationship.

For managers and leaders to function at their greatest potential, the two must be integrated.

E very nurse is a leader and a manger at some level, and the nursing role requires leadership and management skills.

The Management Process

Henry Fayol-1925, an engineer. He identified management

functions. Fayol’s five functions of

managers are:1. Planning2. Organizing,3. Staffing4. Directing, and 5. Controlling.Although these functions

appear to be independent, they are really interactive and make up the management process.

The Management ProcessPlanning

Organizing

StaffingDirecting

Controlling

Planning (what is to be done)

Planning includes everything that has to do with determining:

Mission/philosophyGoals/objectivesPolicies/rulesProceduresScheduled changesFiscal/budget action

Organizing (how it is to be done)Organizing provides the structure required to

execute the plan. Organizing includes everything needed to:

Carry out plansAssign the duties and activities to specific positions and people to provide client careGroup activities to meet goalsDelegate authorityEstablish horizontal and vertical authority-responsibility relationshipsWork within the system

StaffingStaffing involves selecting the right

person to execute each planned task. Staffing transforms a plan into action.

It includes everything that has to do with:

RecruitingInterviewingHiringOrientationStaff development

Directing (who is to do it)Directing includes everything needed to:

MotivateManage conflictDelegateCommunicateCollaborate

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; enhancing motivation by creating a willingness in others to work toward specific objectives; communicating or establishing an 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:Performance appraisalsFiscal accountabilityQuality controlLegal and ethical issuesProfessional and collegial control

Control mechanisms help keep the team on course by removing obstacles whenever possible or by finding a new course if the present one is not working. Control systems help identify who isn’t performing or who is functioning at a very low level of performance.

The process of controlling involves:Establishing standards for

measuring work performance Measuring performance and

comparing it with standardsIdentifying the reasons for the

discrepancy between standards and performance

Taking corrective action to ensure that goals are attained.

Qualities & Roles of Managers and Levels of

Management

In every organization, the work of management is divided into levels of responsibility.

Generally, three levels of management are used in nursing: front line, middle, and upper.

Levels of Management

TOPMIDDLE

Firstline: First level:Frontliner

sOperational Level,

Non-managerial Level

1. First Line or Front-Line Management

Who: Unit Manager, client care coordinator, team leader,

Headnurse, Charge nurse—different entity, limited authority a

subordinate of headnurse.

Roles:Managing and supervise a particular unit.

Connecting link between staff nurses and the higher management

Management function closely identified with the actual delivery of client care

They also plan daily activities of the staff nurses.

Assisting staff members in decision making.

Important responsibilities of this manager:Role modelling, mentoring, and education.

According to Masters (2005), In many organizations, every registered nurse is considered a first-level manager.

All nurses in every situation must manage themselves and those under their care.

2. Middle Level

Who: Supervisor, division heads/

department head.

Roles:Manage nursing care and services with 2 or more units

Managing the staffPrepare budgetWorking schedulesWrite and implement policies Carry out goals set by the managementAssist front –line managers with decision making and problem solving

Facilitate cooperation and collaboration between department

The major responsibility of these managers is

to serve a liaison between top and front-line managers.

3. Top Level ManagementWho: Top Manager, Nurse Executive Level, Chief

Nurse, Medical Director.Roles:

Liaison between the community, the organization, and the nursing work force.

Concerned at overall planningSetting up of objectivesScheduling programsEstablishment of PoliciesBudget Proposal Mentoring and career development of other nurse

managers.

Roles: Liaison between the community, the organization, and the nursing work force.

Concerned at overall planningSetting up of objectivesScheduling programsEstablishment of PoliciesBudget Proposal Mentoring and career development of other nurse managers.

The major responsibility of this administrator includes

establishing goals and strategic plans for the entire division of

nursing to achieve the organization’s mission.

How to be a Nurse Manager(Qualifications)

Qualification #1Graduate 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 #2Gain 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 #3Get 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 how to work well with others.

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.Staff management,

recruitment and retention

Uncooperative Staff/ Attitude Problem.

100% responsibility without 100% authority

Budget and financial management

Self-development

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/project type

roles, or proceed to higher level

management positions.

The end

May God Bless

you.....