Management and

leadership in nursing
Introduction
unit “1”
• Nursing profession’s first priority is
competent and safe Pt. care.

• *Nurse manager assures the best possible

environment for providing high-quality Pt
care..

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 Nurses in most health care setting today
hold great responsibility to ensure that pts
receive the health care that they need to
lead active, productive lives.

• To provide high quality nursing services, it is

essential to provide well- qualified nursing
leadership

• key leadership position is the first-line

nursing manager .

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• Several key issues will influence and
create change in the delivery of health
care :
- 1-economics of health care
- 2-competitive nature of the industry
- 3-shortages of professional health care
personnel.
- 4-focus on quality outcomes.

• We have unstable situation that requires

change to occur rapidly .
• This change demands flexibility,
intelligence, and new leadership expertise
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• manager must have a good understanding
of nursing costs (financial skills)

• cost effectiveness of nursing care need

continued study to ensure the pt
outcomes & economically

• increased intensity of care caused by

shorter hospital stays & aging of the
population .

• To improve care it require the institutions

to focus on consumer satisfaction in
addition to the quality of clinical outcome
.
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• nurses are the largest group of health
care professionals & pts often judge the
quality of care by the quality of their
services.

• 1st line manager ensure pt’s expectations

of care are met.
• accomplished by surveys, focus groups .

• Our hospitals is managed by industrial

models of management.
• Professional nurses must be given
accountability and authority for pt care.
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 Definition of management :
 art of getting things done through people ” .

 both art and a science ” .

 work that involves the guidance or direction of

a group of people toward organizational goals
or objective’s.

 interpersonal and technical aspects, through

which the objectives of an organization being
managed .
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 “ Management process :
(Achieving organizational objectives
through:
 planning.
 Organizing.
 staffing
 Directing.
 controlling
(For human and physical resources and
technology )
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" Management:
The process of getting work done
through others done properly, on time,
and within budget, including the
deployment of the resources to
accomplish organizational ends "

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 MANAGEMENT FUNCTIONS
 1- PLANNING: All other functions are
dependent on it Data are gathered and analyzed
• manager must predict what is future needs &
set objectives .
• Priorities must be set .
• The strategies sequenced in a time frame .
• Planning of policies and procedures .
• Budgets are used in planning .
• Planning is the basis for time management,

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 organizing
 The personnel can implement the plans
with efficiency and effectiveness,:

 Establish of organizational structure .

• Relationships are delineated.

• Job analysis: (positions , qualifications .etc)

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 STAFFING
 STAFFING: recruiting, selecting,
orienting developing personnel to
accomplish the goals of the organization.

• determining assignment systems , case

method, functional, team, primary nursing.

• schedules to meet the needs of the

clients, personnel, and institution.
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 DIRECTION
(Direct personnel and activities to
accomplish the goals of the organization.
 Motivating and leading personnel .
 Knowledge of one’s leadership style .
 To get work done by others .
 tasks require good communication skills
and assertive behavior

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 CONTROLLING
(Ensures progress toward objectives
according to plan and involves setting
standards, measuring performance against
those standards . (reporting results & take
corrective actions)

* Comparing results with predetermined

standards of performance

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LEVELS OF MANAGEMENT:
 Top managers: Responsible for overall
operations.

 Middle managers: coordinate nursing

activities of several units.

 First line managers: (supervisors, or

head nurses.) directly responsible for the
actual production of nursing services.
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MANAGER NEEDS THREE TYPES OF
SKLLS
1) Technical skills: Involve methods,
procedures, techniques & knowledge of
work being performed.
 2) Human relations skills, ability to
motivate and lead others and to manage
conflict.
 3) Conceptual skills require analytical
thinking and being able to perceive trends
of the organization.
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The end

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