The Role of the Nurse Administrator in Healthcare Delivery

1. The Role of the Nurse Administrator in Healthcare Delivery Cheryl Miller Ferris State University 2010

2. Purpose • Provide physicians an overview of the Nursing Administrator role in relation to patient care services, present the historical evolution of that role, and how these practices influence patient care, the healthcare environment, and healthcare organization.

3. objectives • Explain Nursing Administrator role • Promote positive working relationships • Foster collegiality and a shared vision • Promote and enhance health care practices

4. Historical Evolution • Applied Science (Galganski, 2006) • 1934 University of Chicago (Wikipedia, 2010) • 1958 Sloan program at Cornell University • 1978 Graduate program at Rush University Medical Center in Chicago • Masters Degree is standard credential in U.S. • Accrediting body: Commission on the Accreditation of Healthcare Management Education (CAHME) • Professional organizations: American Hospital Association and University Healthsystems Consortium

5. Focus of the Role • Design, manage, and facilitate excellent patient care delivery (ANA, 2009) • Key Principles: • Establishing care delivery goals • Being a champion for patient outcome measures • Advocating for nursing • Being mindful of resource allocation • Partnering with others • Utilizing evidence based data • Promoting safety and quality • Mentoring workforce • Embracing cultural diversity • Upholding code of ethics

6. Scope of Practice • Administrative nursing personnel may include: • First line manager • Mid line manager • Nurse Executive • Performance Standards (ANA, 2009) • Assessment, Issues or Trends, Outcome Identification, Planning, Implementation, Coordination, Health Promotion and Education, Consultation, Evaluation • Professional Performance Standards (ANA, 2009)) • Quality of Practice, Education, Professional Practice Evaluation, Collegiality, Collaboration, Ethics, Research, Resource Utilization, Leadership, Advocacy

7. Competencies • Education: • Graduate level degree • Doctoral degree • Experience: • Care management systems • Clinical practice guidelines • Healthcare evaluation and outcome measures • Patient safety regulations • Standards of clinical nursing practice • Measurement of patient needs, outcomes (ANA, 2009) (AACN, 2010)

8. Practice Environments • Small or large healthcare facilities • Integrated delivery systems • Corporate healthcare companies • Professional organizations • Academic settings • Research facilities • Government Agencies • Communities • Correctional Institutions • Military healthcare entities (ANA, 2009)

9. Practice Outcomes • Healthcare providers & other stakeholders • Value, ethics, environment, costs, benefits, and scientific evidence • Timely • Continuity of Care • Modifiable and Measurable

10. Summary (ANA, 2009)

11. References • American Association of College of Nursing (2010). Joint Position Statement on Nursing Administration Education. Retrieved from http://www.aacn.nche.edu/Publications/positions/nae.htm • American Nurses Association (2009). Nursing Administration: Scope and standards of practice. Silver Spring, MD: Nursesbooks.org. • Galganski, C. J. (2006, April). Mapping the literature of nursing administration. Journal of the Medical Library Association,94(2). Retrieved from http://www.ncbi.nlm.nuh.gov/pmc/articles/PMC1463030/ • Wikipedia.org (2010)