CONCEPTS,PRINCIPLES,TECHNIQUES OF NURSING SERVICE ADMINISTRATION

2. CONCEPTS,PRINCIPLES,TECHNIQUES OF NURSING SERVICE ADMINISTRATION • Ms. Savitha • Assistant Professor • Yenepoya College of Nursing • Date :13/02/2019 • Peer reviewed by: • Mr.Anand S • Assistant.Professor • Community Health Nursing

3. Introduction… : Administer is derived from latin word ad+ministaire,means to care for or to look after people-to manage affairs. Administairemeans –serve,insisting administrator to regard himself as servant not that the master to look after,perform all the functions.

4. Definition-administration According to Pfiffner and Presthus- “Administration is the organisation and direction of human and material resources to achieve desired ends”.

5. The features or nature

6. OBJECTIVES OF NURSING SERVICE DEPARTMENT • To give the highest possible quality of nursing care in terms of total patient needs. • To assist the doctor in the medical care of the patient • To promote the programmes of nursing education- • To promote and encourage nursing research • To evaluate the quality of nursing service • To promote participation in the community health programmes

7. Characteristics Of A Nursing Service Dept • Written statement of purpose and objectives of nursing service • A plan of organisation • Policy and administrative manuals • Nursing practice manuals • Nursing service budget • Master staffing pattern

8. Cont… • Plan for appraisal of nursing care • Nursing service administrative meetings • Adequate facilities,supplies and equipment • Written job descriptions and job specifications • Personnel records • Personnel policies • Health services and welfare facilities • Inservice education of nursing personnel

9. PRINCIPLES OF NURSING SERVICE DEPARTMENT…

10. PRINCIPLES OF EXCELLENCE IN SERVICE Authorities believe that : • Each of our patients, regardless of circumstances, possess intrinsic value from God • each encounter with patients and families should portray compassion and concern • each patient should receive quality care that is cost effective • patient confidentiality and privacy should be preserved

11. PRINCIPLES OF EXCELLENCE IN PRACTICE….: Authorities believe That • our profession is a science and art ,the essence of which is nurturing and caring. • our primary duty is to restore and maintain the health of our patients • the nursing process is an integral part of our practice as professional nurses • nurses should collaborate with other health care team members • we should aggressively promote patient and family education

12. That we are accountable to our patients ,patients families and to each other for our professional practice • That monitoring and evaluating nursing practice is our responsibility • That we should pursue professional growth and development through education ,participation in professional organisation and support research

13. PRINCIPLES OF EXCELLENCE IN LEADERSHIP Authorities believe • we should provide a progressive environment to promote the highest quality patient care and employee satisfaction • we should encourage and support collective decision making • compassion should be characterised in our day to day personal interactions as well as being a motivating factor in management decisions.

14. we should be sensitive to individual needs and give support to encourage professional and personal development • we should possess an energy level empowers and inspires enthusiasm in others. • we should consider suggestions and criticisms as challenges for improvement • justice should be applied equitably in all employment practices

15. TECHNIQUES OF NURSING SERVICE ADMINISTRATION….. • NURSING CARE DELIVERY SYSTEMS • STAFFING SCHEDULES

16. Case Method • In this method nurses assume total responsibility for meeting all the needs of assigned patients during their time on duty. • It provides nurses with high autonomy and responsibility. • The patient care coordinator supervises and evaluates all care given on the unit.

17. Functional Method • The head nurse or the charge nurse has the complete responsibility of the client. • This implements classic scientific management principles which emphasize efficiency, division of labour, and rigid controls.

18. Team Nursing • Designed to accommodate several categories of personnel in meeting the comprehensive nursing needs of a group of clients. • Involves decentralisation of a nursing unit and professional head nurse authority in which a unit is divided into teams.

19. Primary Nursing • It involves total nursing care, directed by a nurse on a 24 hours basis as long as the client is under care. • When the primary nurse is not on duty care is provided by other junior nurses based on the care plan established by primary nurse ,so segments of care are often delegated

20. Case Management • It focuses on entire episode of illness including all settings in which client receives care. • The nurse may work across agencies,such as ambulatory clinics,acute care settings or may make visits to home or health care agencies • sometimes called second generation primary nursing/outcomes management/clinical resource management.

21. Differentiated Practice • It takes into account the competency ,education and skill level of nurses. • The aim is to match the patients needs with nursing competencies to facilitate the effective and efficient use of nursing resources

22. Collaborative Practice • It includes interaction of interdisciplinary teams favouring collaboration between nurses and physicians or other health team members.

23. STAFFING SCHEDULES

24. Centralised scheduling The functions of centralised scheduler includes • scheduling employees according to staffing policies • reallocation of staff • maintaining reports and records • maintaining communication with other departments.

25. Cont….. The responsibilities of managers includes • developing a master staffing pattern, • establishing procedures for adjustment of staff, • clarifying requirements for each job description and staff position • ,promoting ,disciplining and firing employees when appropriate.

26. Decentralised scheduling • Here nurse managers are given authority and responsibility to staff their own units • staff get personalised attention, staffing become easier and less complicated But • it can used to punish and reward • it is time consuming for managers • resources are used less efficiently • cost containment is more difficult

27. Self scheduling • Coordinated by staff nurses. • Saves manager scheduling time • Helps develop accountability and autonomy • Increases job satisfaction • Improves team spirit • Improves morale • Decreases absenteeism

28. rotating work shifts • Permanent shift • Part time staffing • Block/ cyclical scheduling • Full time staff Different working schedules… Eight-Hour shift • Weekend alternative Ten hour shift • 12-hour shifts

29. References.. • Ann Mariner Tomey. Nursing management and leadership.8th edition. Missouri:Mosby Publishers;2009 • Sr. Lucitta Mary. Nursing practice and public health administration current concepts and trends 2nd edition. New Delhi: Published by Elsevier; 2002. • Sullivan J Eleanor. Effective Leadership and Management In Nursing.4th edition.Sand Hill: Addison Wesley publishers; 1997.