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Presentation of Administration of Nursing Services
Presentation of Administration of Nursing Services
Presentation of Administration of Nursing Services
INTRODUCTION TO
ADMINISTRATION
OBJECTI
Know the VE hah
There is administration
a)
EITHER as well as different
on
CONCEPT: Administration is the social science that aims to study organizations and the technique
responsible for planning, organizing, directing and controlling resources.
( human , financial , material , technological , knowledge , etc.) of an organization .
GOALS:
CHINA: They used a council meeting for each case in which an important decision had to be
made.
BABYLON: The use of the code of HAMURABI for written and testimonial control.
Confuciu
s
GREECE AND PERSIA : Socrates enunciates the universality of administration.
Plato in his book "The Republic" gives his views on the administration of public affairs and
the principle of specialization.
ROME: The Roman people influenced current society by making use of administration, even
having administrators who were in charge of it, who were called managers or agents.
CHRISTIANITY: With Christ, comes strong and determined leadership, extensive functional
organization, and efficient administration. Christian organizations (among which the
Catholic one stands out), contributed to the administration countless principles and norms
that prevail to this day.
THE INDUSTRIAL REVOLUTION: The Industrial Revolution, a process that began in
England and spread throughout the world, is characterized by the mechanization of industry
and agriculture, the application of motive power, the development of factories and the
advance in transportation and communications. Over time, the growing dominance of science
in industry and the development of new organizational forms are reflected in social changes.
Capitalism as a form of social organization is a consequence and factor for monopolies. The
Industrial Revolution determines companies.
1.3 STAGES OF ADMINISTRATION
Planning is the first piece of this puzzle, within it the following steps are followed: environmental and
internal investigation, formulation of strategies, policies and purposes, as well as actions to be executed in
the short, medium and long term.
The organization , the second file, is a set of rules, positions, behaviors that must be respected by all the
people within the company. The main function of the organization is to arrange and coordinate all available
resources such as human, material and financial.
Management is the third piece of the puzzle, within it is the execution of plans, motivation,
communication and supervision to achieve the organization's goals.
Control , the closing sheet, is the function that is responsible for evaluating the general development of a
company.
1.4 APPROACHES TO ADMINISTRATIVE THINKING
The historical context of administrative theory can be described within the following
framework of reference:
□ The classical approaches
□ Approaches to Human Behavior
□ Quantitative Approaches or management science
□ Modern Approaches
Classical Approaches focus on developing universal principles for application in
various administrative situations.
This presupposes that people at work behave in a practical manner driven above
all by their economic interests.
The three branches of the classical approach are:
• Scientific Administration.
❖ the Theory of the Administrative Process
❖ The Bureaucratic Organization
SCIENTIFIC ADMINISTRATION.
Pursues organizational efficiency through the application of science to the analysis of occupational
positions; includes careful selection and training of workers and adequate supervisory support. Taylor
applied the concept of "time and motion study."
Additionally four principles that are:
1. Develop for each job a "science" that includes rules of movement, work tools and appropriate
working conditions.
2. Select workers who have the right skills to do the job.
3. Train them to do their work and give them appropriate incentives.
4. Support them by planning their positions and preparing the ground as they move from one position
to another. Important authors in these schools of thought: Frederick W. Taylor --- The Gilbreths .
THE THEORY OF THE ADMINISTRATIVE PROCESS
It is based on attempts to document and understand the experiences of successful managers. Henri Fayol
identifies five "rules" or "duties" of administration that are very similar to the four functions of administration
(planning, organization, direction and control) so well known today: * Planning: Develop an action plan for the
future . * Organization: provide and mobilize resources to implement the plan. * Direction: Direct, select and
evaluate workers in order to achieve the best work to achieve the plan * Coordination: Deliver all efforts and
ensure that information is shared and problems are resolved. * Control: Ensure that things happen according to
plan and take necessary corrective action.
He established a certain number of principles to guide the administrative process, including the principle of the
tiered chain of command: there must be clear and continuous lines of communication from the highest to the
lowest hierarchy in the organization; the principle of unity of command: each person must receive orders from a
single boss; and the principle of unity of direction: one person should be in charge of all activities that have the
same performance objective. Mary Parker contributed to the school of administrative process and was praised
upon her death in 1933 as one of the most important women in the fields of Civic Education and Sociology. She
considered organizations as "communities where they should work in harmony and with the freedom to debate
and reconcile true conflicts and differences. Important authors in these schools of thought:
Henry Fayol -- Mary Parker Follett
THE BUREAUCRATIC ORGANIZATION
Max Weber developed his ideas in reaction to what he considered performance deficiencies in the
organizations of his time. He was concerned that people occupied positions of authority not because of
their ability to work, but because of their social position or status. For this and other reasons, he
believed that organizations largely failed to achieve their performance potential. At the core of
Weber's thought was a specific form of organization that, in his opinion, could correct the problems
just described: a Bureaucracy (a rational and efficient form of organization that is based on logic,
order and authority). legitimate. The characteristics of this bureaucratic organization are the
following: Clear division of work: Jobs are well defined and workers acquire great specialization to
perform their tasks. Clear hierarchy of authority: authority and responsibility are defined for each
position, and each of them is responsible to a higher level. · Formal rules and procedures: govern
behavior and decisions in positions, and written files are kept for a historical record. · Impersonal
nature: rules and procedures are They are applied impartially and uniformly with no one receiving
preferential treatment. · Career advancement based on merit: Workers are selected and promoted
based on their ability and performance. Important authors in these schools of thought: Max Weber
1.5 SCHOOLS OF ADMINISTRATIVE THOUGHT EMPIRICAL
SCHOOL
This thought postulates that administrative tasks should be
executed and considered in the manner suggested by recent
passing, custom or tradition. Its main representatives are
Peter F Drucker, Erners Dale and Lawrence Appley who
carried out studies based on practical experiences in which
they discarded almost all theoretical foundations. The main
disadvantage of the empirical school is that the results
obtained are sometimes mediocre since what is convenient for
a company, this school tells us that experience is the only
fundamental source of knowledge, that is, constant practice.
SCHOOL OF THE ADMINISTRATIVE PROCESS OR CLAS
Henri Fayol (1841 - Paris, 1925) began the school of administrative
process, also known as classical theory. It postulates that administration
is carried out through several stages.
Which was through the administrative principles that are: division of
labor, authority, discipline, unity of command, unity of direction,
initiative, subordination of the common good, remuneration,
centralization, scalar chain, order, equity, stability, team spirit .
FAYOL held that Administration is an abstract unit directed by rules
and authority that justifies its existence through the achievement of
objectives.
Which was applied in four stages, which are:
Planning, organization, direction and control.
SCIENTIFIC SCHOOL
Traditional or scientific administration, according to Frederick
W. Taylor in 1900, was developed from the systematic
observation of production facts, research and analysis of the
workshop operation. Although interested in specific techniques
such as: time and motion studies, production planning and
control, plant equipment distribution, salary incentives,
personnel administration and human engineering, all of them
are focused on theory. As the first framework of management
concepts, it has served managers well and provided a
foundation upon which studies can be built and improved.
SCHOOL OF HUMAN BEHAVIOR
Robert Owen (1771-1858); George Elton May (1880-1949). These authors
focus on the negative reactions of workers to Taylorism and the mediocre
results in its application as well as the principles for scientific selection.
Thus, the school of human behavior was born, also known as the school of
the same human relationships that gave greater importance to man. The
factors that influence raising the morale of workers are emotional and
social aspects such as recognition, being listened to by management, and
being part of the group of workers. The type of supervision is vital to the
difference, the point of view of the "machine man" of engineering is
replaced by that of the man who deserves treatment with justice and
dignity. Demonstrates the need to improve human relations through the
application of behavioral sciences in administration.
NEOCLASSICAL SCHOOL
1925 - 1945; tells us that with the changing economic and social
conditions in England and Europe throughout the century. XIX, the
improvement of living conditions was achieved, for this reason the
study of topics such as the value, origin and distribution of wealth
between social classes loses strength. The thinkers of the period called
neoclassical, were fundamentally concerned with utility.
Karl Marx quickly exerted a great influence not only on the labor
movement and among supporters of the social revolution, but also on a
good number of intellectuals dedicated to the research and teaching of
the “human sciences,” in particular historical studies have been
profoundly transformed after the appearance of Marxism.
As the author, we have Danzig in the year 1940, that decision
theory tries to respond to the contingencies or daily
situations of a company, institution or group of people who
work to achieve common goals using the least amount of
resources to achieve the best results. results in short and
medium term times. For this, methods from other
administrative schools are used depending on the situation
being experienced. For some authors, the decision approach
allows you to have an open mind to obtain good results in
any situation, avoiding using a more closed scheme in your
concepts.
NEO HUMAN RELATIONSHIP SCHOOL
The School of neo-human relationism by Abraham Maslow in 1950 is a theory in opposition to classical
special attention to behavior
continuation of the theory of human relations. criticizes so much
theory that pays special attention to human behavior. Bureaucracy is considered one like the theory of
human relations, because it considers that it never treated the human factor individually. Two authors who
are dedicated to deeply analyzing the importance of motivators are Abraham Maslow CO with theory
Maslow's needs tell us that they are:
Physiological needs: need to breathe, eat, dress, etc.
Security needs: health, family, income and resource security, etc.
Social needs: participation, acceptance, etc.
Recognition needs: the way you recognize staff.
Self-actualization needs: development of your potential.
SYSTEMIC SCHOOL
According to the author Churchman in 1960, he tells us
that it is a set of elements that have the same relationship
to achieve the objectives, with internal and external
elements.
His most interesting contributions within the
administrative field are the study of organizations as
open systems in which there is great interaction with the
environment.
Also the company as a system built by man, with internal
elements that work together to achieve objectives and
external ones to obtain information from the
environment or environment such as; suppliers,
customers, technology, etc.
STRUCTURALIST SCHOOL
Renate Maytnz and Amatai Etzioni year 1960. This school aims to balance the functions of the organization
by paying attention to both its structure and human resources and placing emphasis on aspects of authority
and communication.
Structuralism considers that there are four common elements in all organizations:
Authority, Communication, Behavior, Structure.
They were applied to balance functions with authority, communication,
SCHOOL OF QUALITY
Deming's ideas in 1980, collected in Deming's Fourteen Points and Seven Diseases of
Management, are as follows. Deming states that every process is variable and the
lower its variability, the higher the quality of the resulting product. In each process,
two types of variations or deviations can be generated in relation to the initially set
objective: common variations and special variations. Only by making this distinction
is it possible to achieve quality. Common variations are permanently present in any
process as a consequence of its design and operating conditions, generating a
homogeneous pattern of variability that can be predicted and, therefore, controlled.
The assignable or special variations have, for their part, a sporadic and punctual
nature, causing anomalies and perfectly defined manufacturing defects, as soon as
the cause that causes this type of defect is known and therefore it can be eliminated
by correcting the cause that caused it. generates it. The main objective of statistical
process control is to detect assignable causes of variability so that the only source of
process variability is due to common or non-assignable causes, that is, purely
random.
ORGANIZATIONAL DEVELOPMENT SCHOOL
William Ouchi refers to a new organizational philosophy that he calls Theory Z. “Theory Z” would include those North
American companies that have incorporated components of the Japanese “organizing” model. This “Z” style includes, among
other features:
- long-term employment (although not throughout life)
- training accompanied by socialization that takes into account organizational values
- intensive investment in training and coaching
- fewer differences between people and roles
- They think more about people before making process and technology changes
- They greatly privilege teamwork
- rewards take a team profile rather than an individual one
- make changes but always within the current organizational culture
- selection of personnel from within the company
- greater homogeneity
- holistic view of the organization
Not everything is especially pleasant if one wants to move from a model X or Y to a model Z. Organizational change will take a
long time and over time it is possible that a company under great changes and market demands will not be able to survive.
21st CENTURY
According to the author Peters and Waterman tells us that the 21st century is characterized by the
SCHOOL
advance of digitalization worldwide. This progress had already begun in the 1970s with the third
industrial revolution. However, at the beginning of the 21st century, digitalization experienced an
enormous change that gave rise to new data storage devices (flash memories) and a greater intensity in the
expansion of mobile telephony (started in the 1980s), among others. many features.
which has become one of the greatest international concerns; This problem has
motivated numerous protest campaigns, while, on the part of the states, measures
are proposed to achieve possible solutions, agreed at the end of the 20th century (it
was agreed on December 11, 1997, and signed between March 16 1998 and March
15, 1999 at UN Headquarters). In the field of demographic policy, globalization,
which was already discussed in the last decades of the 21st century, has intensified
significantly .
Understand the importance of the
organization and operation of the hospital
through nursing actions in health institutions
by work systems.
2.1 HOSPITAL
2.1.1 Concept: The dictionary defines hospital as:
“center for shelter and treatment of the sick.” According
to the WHO, a hospital is an “integral part of a medical
and social organization, whose mission is to provide the
population with medical and health care, both curative
and preventive.” , and whose external services radiate to
the family environment.
2.1.2 Goals:
□ Relief from human pain when it is needed most.
□ Provide comprehensive health care according to its
complexity.
□ The care is usually complemented with teaching,
research and outreach to the community.
2.1.3 Functions: prevention, cure, rehabilitation, teaching and research.
Prevention. It covers disease detection, early diagnosis, timely treatment and disease-specific
protection. Programs for health control, environmental sanitation, monitoring of child and adolescent
growth, disease control, nutrition, prevention of physical disability, health education and occupational
hygiene are included.
Healing. It consists of providing medical treatment and the provision of a healthcare service if
necessary. It basically consists of early diagnosis, timely treatment and emergency care.
Rehabilitation. It seeks to reintegrate the patient into their family and social environment, limiting as
much as possible the damage and consequences caused by their illness.
Teaching. The hospital is the ideal means of confrontation between theory and practice in the area of
health, which is why it facilitates the training of professionals in various disciplines} It includes health
education for patients, the staff themselves and, according to specific programs , projects educational
actions to the community in its areas of influence.
Investigation. It consists of developing innovative and creative thinking, based on scientific
methodology. The aim is to increase medical knowledge in the provision of quality service.
2.1.4 Hospital classification.
The most common types are:
By the number of beds small, medium and large urban,
Due to its geographical rural
location
short, long-term governmental
For the average day-stay
or private general or
Because of their dependence
specialized horizontal, vertical
For the service it provides
concentration, first, second or
Due to its construction
third assignment
Due to its area of influence
Due to its level
2.1.5 Organization and operation of the hospital.
The linear and departmental organization system is a typical model in our health institutions.
Conventionally, hospital services are grouped into three sections:
Administrative section.
Technical services section.
Medical services section.
The heads of each section are responsible to the deputy director or director. Authority flows in
descending order; Thus, department heads report to section heads.
In the linear organization there is a concentration of authority in the managers and, above all, in the
highest rank; For this reason, it is convenient that the organization system nization responds to the needs
and resources of the hospital.
2.2. NURSING DEPARTMENT.
2.2.1 Concept: The nursing department is considered the core of the hospital and is conceptualized as:
An integral part of a medical, health or care institution, which provides an efficient, effective and timely nursing
service to the patient, family and community. It is a source of information and training for health professionals; It
is the area where the actions of the medical team are integrated, which culminate in a projection of the institution
towards the users.
• The system, by having an evaluation stage, allows feedback and improvement over time.
2.6 Functions of nursing staff by categories.
Know the types of resources that are attached to the hospital
UNIT III environment and at the same time the well-founded importance
of
this in the work systems of the
nursing staff according to the
categories.
3- . GENERAL STAGES OF ADMINISTRATION
OF PERSONAL
3.1 General stages of personnel administration
In the personnel administration process there are five stages that form the heart of it. Planning, organization,
integration of work teams, in addition to management, ,
workers and their control. These stages are listed and defined below:
a) During planning, goals are created, procedures are created to achieve them; Plans and forecasts are
developed to avoid and cover possible contingencies.
b) The organization gives each employee their tasks within the company, coordinates and distributes the
areas, establishing clear limits, and delegates authority through communication channels.
c) The work team integration process analyzes: what type of people should be
hire; Recruitment and selection of personnel is carried out, employee training and project development are
established; how to encourage and evaluate workers.
d) Management ensures that the work plan and vision of the company is put into practice, keeping morale
high and resolving conflicts between employees and managers.
e) Management control allows companies to set goals such as quotas, quality tests or monitor production
levels in addition to the solution to possible contingencies.
3.2 Calculation and distribution of nursing staff
Specifically in Mexico, in some institutions of the Health Sector, the indicators
have had modifications based on the changes in the health systems, type of
users and the experience accumulated by nurse administrators who have
identified relevant aspects in the dynamic behavior of the patients. services
Percentage of staff according to level of care and academic level of nursing staff
• For second level
– 70% professional staff (40% general nurses category and 30% specialist nurses)
– 30% non-professional staff (nursing assistant)
• Per turn
–35% morning
–25% evening
– 20% nightly (for each evening)
The indicators: nurse-patient hours for special programs
will be determined based on the criterion of productivity
with quality, which considers, among other aspects,
– a) Number of patients treated per working day
– b) Control index of patients with adherence to treatment
– c) Rate of concomitant infections
– d) Hospital admissions and readmissions index
– e) Discharge rate due to improvement
Percentage of staff according to level of care and
academic level of nursing staff
• Use 6 hours of direct patient care as a constant in the
procedure formula for calculating personnel.
• To determine the nursing staff, it will be necessary to
take into account whether the services have specific
personnel for the preparation, management and control of
technological resources: cardiac or hemodynamic
monitoring devices, ventilatory support devices, and
parenteral nutrition, among others. .
SPECIALTY
Allergology
cardiology 3.0 3.4
Dermatology 3.0 3.4
Endocrinology 3.0 3.4
Hematology 4.0 4.8
infectology 4.0 4.8
Internal medicine
4.0 4.8
Nephrology
3.0 4.8
Pulmonology
3.0 3.4
Neurology
3.4 4.8
Oncology
3.4 4.0
specialty of t
o
SURGICAL SPECIALTY OF TO
Head and neck surgery 3.0 3.4
Cardiovascular surgery 4.0 4.8
General Surgery 3.4 4.0
Plastic and reconstructive surgery 3.0 3.8
Gastrosurgery 3.4 4.0
Neurosurgery 3.4 4.0
Ophthalmology 3.0 3.4
Otorhinolaryngology 3.0 3.8
Oncosurgery 4.0 4.8
Traumatology and orthopedics 4.0 4.8
proctology 3.4 4.0
Urology 3.4 4.0
Peripheral Vascular (angio) 3.4 4.0
Gynecology 3.0 3.4
Obstetrics 3.0 3.4
Perinatology 8.0 12.0
Calculation of personnel per service for 24
hours.
Calculation of foreseeable absenteeism of personnel per
service in 24 hours.
Calculation of total nursing by service in 24 hours.
Calculation of nursing staff per shift
Calculation of professional and non-professional
personnel per service in 24 hours
Calculation of medical material and equipment
CONCEPT:
It is the mathematical operation based on the
quantitative investigation of the needs of material,
equipment and instruments required to provide
medical care in hospitalization services.
FACTORS TO CONSIDER FOR
CALCULATE MATERIAL AND EQUIPMENT
1 .- Hospital capacity
2 .- Standard consumption curve (average)
3 .- Percentage of occupation
4 .- Type of hospital
5 .- Special treatments and frequency
6 .- Age and predominant sex in patients
7 .- Assigned budget
8 .- Duration of the material
9 .- Type of storage
10 .- Quality and cost of the articles
MANUALS
They are texts used as a means to coordinate, record data
and information in a systemic and organized way. It is
also the set of guidelines or instructions in order to guide
or improve the effectiveness of the tasks to be
performed.
TYPES OF MANUALS
Organization: this type of manual summarizes the management of a company in general. They
indicate the structure, functions and roles that are fulfilled in each area.
Procedures: this manual determines each of the steps that must be carried out to undertake any
activity correctly.
Welcome: its function is to briefly introduce the history of the company, from its origins to
the present. They include your objectives and the particular vision of the company. It is
customary to attach a duplicate of the internal regulations to these manuals in order to access
the rights and obligations in the workplace.
Position: They specifically determine what characteristics and responsibilities are accessed in
a specific position.