NU 410 :

Department

Faculty of Nursing

Academic Program

Bachelor in Science in Nursing

Type

Compulsory

Credits

02

Prerequisite

Overview

This course prepares the students to assume their nursing leadership and management roles with focus on their interactions with the health care team members in the hospital/work setting. Moreover, It familiarizes the students with management theories, organizational behavior theories and leadership styles that are relevant to the practice of nursing management.

Intended learning outcomes

Knowledge and understanding:

1. Explain the differences between Nursing Management and Nursing Leadership

2. Describe selected styles of leadership of management and leadership

3. Identify the elements of the management process and their applications at the different nursing managerial levels.

4. Describe three common types of organizational structures

5. Describe the management concepts of authority, accountability, planning, organizing, leading and delegating, and controlling I

6. Discuss the competencies needed to be an effective nurse-manager accountability, planning, organizing, leading and

7. Compare and contrast the following nursing delivery models: total patient care, the functional method, team nursing, and primary nursing.

Mental skills:

1- Compare and contrast management, organizational and leadership theories including motivation and their applications in professional nursing practice.

2- Compare and contrast the benefits and limitations of the different models of nursing care delivery with respect to employers, nurses and clients.

3- Identify and begin to use innovative approaches to problem solving, staff direction and providing feedback including criticism and praise.

4- Rank nursing priorities of a group of clients for a specified time period

5- Describe the principles of time management and work organization.

Scientific and professional skills:

1- Collaborate with interdisciplinary team members to create change and attain goals.

2- Use concepts of effective communication to foster working relationships and manage a variety of nursing situations.

3- Apply conflict management strategies in nursing practice.

4- Apply change of shift report and scheduling principles in nursing practice.

General skills

1- Use critical thinking, decision-making theories, and priority setting in the management of nursing situations.

2- Utilize leadership/management skills in the delivery of caring, competent, legal and ethical nursing care to individuals and groups in a variety of settings.

3- Describe selected models of care delivery, and compare and contrast the benefits and limitations of each.

4- Describe the principles of time management and work organization.

Teaching and learning methods

· Lecture /discussion .

· Group Dynamics

· Participative Discussion (Recitation)

Methods of assessments

• Midterm exam 40%.

• Final exam 60%.

Course Outline

1. PART ONE: LEADERSHIP

1.1 Define Terms

1.2 Leadership

1.2 Management

1.3 leading vs. managing

2. Theories of Leadership

2.1 Evolution of Leadership theories

2.2 contemporary theories

PART TWO: NURSING MANAGEMENT

1. Nurses as managers responsible for

1.1 Planning

1.2 Organizing

1.3 Directing/delegating

1.4 Controlling resources used in delivery of client care

2. Resources used in delivery of client care

2.1 Equipment and materials

2.2 Technology

2.3 Finances

2.4 Environment

2.5 Personnel

3. Management Roles

3.1 Planning

3.2 Organizing

Process of coordinating work to be done

3.3 Leading

Power is essential component of leading

Power is the ability and authority to influence others

Based on honor, respect, loyalty, and commitment

3.3.1.1 Delegating

3.3..2 Five “rights” of delegation

Ø Right task

Ø Rights circumstances

Ø Right person

Ø Right direction and communication

Ø Right supervision and evaluation

Important aspect in Delegating

Ø Determine what is required, then identify help

Ø Development of the potential of nursing and support personnel

Ø Delegated individuals must be supervised and evaluated

Ø Provide ongoing feedback about performance

3. 4. Controlling

Ø Method to ensure that behaviors and performances are consistent with expectations developed in planning process

Ø Should be done with employees, not to employees

Ø Shared governance and team building help make control easier

4. Three levels of management

1. First level

2. Middle level

3. Upper level

Ø Dependent on the type of organization

Management competencies described by Organization of Nurse Executives

Ø Communication and relationship building

Ø Knowledge of healthcare environment

Ø Leadership skills

Ø Professionalism

Ø Business skills

Pathway to Excellence Program

Ø Program of American Nurses Credentialing Center, launched in 2009

Ø Recognizes healthcare organizations and long-term-care facilities for having positive practice environments

Ø Standards unique to long-term-care environment have been developed

NURSING DELIVERY MODELS

1 Total patient care

Ø Case method

Ø Earliest model of nursing care

Ø Private-duty nurses

Ø Client-centered

Ø Client has consistent contact with one nurse during shift

2 Team nursing

Ø Individualized nursing care given to clients by a nursing team led by a professional nurse

Ø Members include RNs, LPNs, nursing assistants

Ø Responsible for coordinated nursing during a shift

Ø Emphasizes humanistic values and individualized client care at a personal level

Ø Nurse leader motivates employees

3. Primary nursing

Ø Primary nursing

Ø A system in which one nurse is responsible for total care of a number of clients 24 hours a day, seven days a week

Ø Provides comprehensive, individualized, and consistent care

Ø Associates provide care, but the primary nurse plans and coordinates care

CASE MANAGEMENT :

Defined as:

Ø A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy to meet individual’s and family’s comprehensive health needs to promote quality, cost-effective outcomes

Ø Case managers assist clients through complex healthcare system

CASE MANAGEMENT: PIONEERED AT THE NEW ENGLAND MEDICAL CENTER

Ø Used in Insurance-based program

Ø Employer-based health programs

Ø Workers’ compensation

Ø Maternal-child health

Ø Mental health

Ø Hospital-based practicease Management

DIFFERENTIATED PRACTICE

Ø Differentiates nurses by level of education, expected clinical skills or competencies, job descriptions, pay scales, and participation in decision making

Ø Can improve client care and contribute to client safety

Ø Allows for the effective and efficient use of resources

Ø Nurses participate in decision making at all levels of the organization

Ø Employees will be more committed to an organization’s goals if they have input

Ø Promotes involvement, investment, participation, sharing of power, interdependence, cooperation, horizontal relationships, autonomy, and accountability

DIFFERENTIATE BETWEEN THE ROLES AND FUNCTIONS OF MENTORS AND PRECEPTORS.

MENTOR

Wise and trusted adviser who guides others on particular journey

Provides support, challenge, and vision

Three phases

Invitational

Questioning

Transitional

Ø Process can promote professional growth of both mentor and mentee

Discuss the benefits of professional networking.

Shared Governance

Ø Professional network consists of people that nurses may call on for assistance, support of ideas, and guidance

o Networking builds linkages with people

o Long-term process for building relationships

o Requires time, commitment, and follow-through

BENEFITS OF PROFESSIONAL NETWORKING

OPPORTUNITIES INCLUDE

1. Active membership in professional organizations

2. Continuing education and university classes

3. Socializing with professional colleagues

4. Keeping in touch with former professors and nursing associates.