Nursing Service

Administration
Bivin JB
Dept of Psychiatric
Nursing
 Nursing Service
Nursing service is the part of the total health
organization which aims at satisfying the
nursing needs of the patients/community.
Nursing service
administration
Nursing service administration is a complex of
elements in interaction and is organized to
achieve the excellence in nursing care services.
 Definition
• Nursing services are the
part of the total health
organization which aim to
provide prevention of
disease and promotion of
health.
• WHO expert committee
 Objectives
Management of nursing service and care
 Initiate a set of human relationships at all
levels of nursing personnel.
 Establish adequate staffing pattern.
 Develop and implement proper
communication system.
 Develop and initiate proper evaluation and
periodic monitoring system.
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 Proper job description for nursing personnel.
 Assist hospital authorities for effective
personnel management.
 Share nursing information system with other
discipline.
 Formulate and interpret nursing service
policies.
 Assist hospital authorities for preparation of
budget.
 Participate in inter departmental programs
and other programs.
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Education training and staff
developments
 Encourage a stimulating environment in
which the personnel have opportunities to be
creating innovators.
 Develop and initiate orientation and
training programs.
 Create an atmosphere that conducive to
give proper learning experiences for
students.
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 Assist in the development of a sound,
constructive program of leadership in
nursing.
 Initiate programs to improve the practice of
nursing in keeping with advances in the
relative areas and disciplines affecting the
quality of nursing.
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Research
 Participate in identifying the areas of
research.
 Participate in the compilation of data and
research.
 Provide conducive environment for
research.
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Community health program
 Participate in community health programs,
associated with hospital.
 Interpret the roles and responsibilities in
community health programs.
 Participate in extramural health programs of
the hospital and other related organizations.
 Functions
 To assist the individual patient in
performance of those activities
contributing to his health or recovery.
 To help and encourage the patient to carry out
the therapeutic plan initiated by the
physician.
 To assist other members of the team to plan
& carry out the total program of care
 Essential elements
1. A written statement of the purpose & objectives
2. A plan of organization
3. Policy & administrative manuals
4. Nursing practice manuals
5. Nursing service budget
6. A master staff planning
7. Plans of appraisal of nursing
8. Nursing service administrative meetings
9. Advisory committees
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10.Adequate facilities, supplies & equipments
11.Written job descriptions & job specifications
12.Personnel records
13.In-service education of nursing personnel
14.Meeting with personnel from other
departments
 Factors influencing patient
care
 The type of service
 The acuteness of the service & the rate of turnover of
patients
 The experience of the nurse
 The number of non-nurses
 The amount & quality of teaching.
 The amount & quality of supervision and ward
teaching.
 The method of appointment of the medical staff.
 The plan of ward floor plan.
 The physical facilities.
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 The amount, type & location of equipments &
supplies.
 The number of working hours
 The morale of the worker.
 Methods of performing nursing procedures.
 The time required for hospital routines
 The method of assignment.
 The standards of nursing care.
 Good ward management.
Organization of nursing
services
Chief nursing officer (CNO)

Nursing Supdt (NS)- Gr I

Nursing Supdt. (NS)- Gr II

Deputy (Asst.) NS

Head Nurse (Each ward)

Staff
Nurse
Student
Nursing orderly
Nurses
Human Resource
Management
(HRM)
 Objectives of HRM
• Primary objective: Motivate the employees to
contribute their maximum towards achieving
organizational goal.
• Secondary objectives:
1. To get the required number of employees and to
train them
2. Create good organizational relations at all levels of
employees
3. Provide fair wages
4. Ensure the employees maximum contribution
towards the organizational goals.
 Functions of HRM
1. Creating and promoting human resources related
policies
2. Determining the human resources need
3. Educating managers regarding HRM policies,
strategies & approaches
4. Conducting & utilizing the research related to
HRM
5. Establish conducive organizational climate,
teamwork & mutual respect
6. Recruitment, selection, placement &
replacement
7. Designing, directing, & evaluating HR
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8. Designing and development of
communication system
9. Maintaining acceptable staff welfare
program
10. Staff counseling
11.Establishing regular staff appraisal
12.Occupational safety measures
13. Promoting staff morale motivation
14.Redeeming, recovering and reinstating
guilty employees
 Steps in HRM

Recruitment Selection Job analysis

Training and
Demotion Retaining
development
 Class Presentation
• Recruitment Vs Selection- Ms. Sruthi S
Kumar
Group Discussion
• Role of Nurse Manager in HRM & HRD
 Job description
• It refers to the duties and responsibilities of
a specific job and the characteristics of the
individual needed to perform it successfully.
• Elements included are:
– Job title
– Department
– Job grade
– List of duties & responsibilities
 Purposes of Job description
 Job analysis & classification
 Recruitment
 Delegation of responsibilities
 Staff development
 Staff appraisal
 Staff discipline
 Guidelines for writing Job
Description
1. Allocate a title that distinctly imply the nature
of job
2. A description with a summary of the
essential requirement
3. Enlist the duties in logical sequence
concentrating on the major activities and the
proportion of time involved
4. Use standard formats
5. Write in clear, concise manner
6. Review periodically
 Class Presentations
1. Job description of Nurse Manager-Ms.
Annmary Tomy
2. Job description of Nursing supdt-Ms. Chippy
Paulose
3. Job description of Ast. Nursing supdt-Ms.
Binu C Varghese
4. Job description of Head Nurse-Ms. Anu
Alias
5. Job description of Staff Nurse-Ms. Binitha
Thomas
Role of Nurse

Administrator
In General
Ward Management
• Organizes, directs and supervises the nursing
services
• Coordinates assignments of staff.
• Establishes the general pattern of delegation of
responsibilities and authority.
• Formulates standing orders for the nursing care.
• Ensures appropriate allocation of duties and
responsibilities to all nursing staff
• Formulates nursing policies to ensure quality patient
care and adequate attention at all times.
• Responsible for efficient functioning of the nursing
staff.
• Evaluates the personal performance of the nursing
staff.
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Discipline
• Ensure that a standard of discipline of
nursing staff is high at all times.
• Maintain good order and discipline in wards /
departments.
• Makes daily rounds of the hospital wards /
departments and also seriously ill patients.
• Brings immediately to the notice of the
authority all matters concerning neglect of
duty, insubordination either by nursing staff,
patients or visitors or any un-towards incident.
 Continues…
Public Relations
• Promotes and maintains harmonious and
effective relationship with the various
administrative departments of the hospital
and related community agencies.
• Maintain cordial relationships with the
patients and their families.
Office duties
• Scrutinizes the reports and returns and submits
in accordance with existing orders.
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Confidential Reports
• Initiates the confidential reports of nursing staff on
due dates.
• Responsible for the nursing budget.
Education
• Carries out in-service training for all categories of
nursing staff and paramedical personnel and keeps
the records of such trainings.
• Conduct various update courses based on the
needs.
• Encourages the personnel to participate in the
continuing education program.
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Staff Welfare
• Responsible for health and welfare of nursing
staff.
• Ensures annual and periodical health examination and
maintenance of health records.
Conferences
• Responsible for organizing and conducting staff
meeting of the nursing staff once in three months.
• Holds conference in nursing care problems and
discuss policies as regards to working conditions,
working hrs and other facilities.
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Supervision
• Supervises nursing care given to the patients and
all nursing activities within the nursing unit.
• Supervises the work of all paramedical staff of
the hospital.
Records and Reports
• Maintains various records such as duty roster
nursing staff, day off book, personal bio-data,
leave plan, staff conference book, courses file
etc.
 Problems & Challenges
♠ Lack of adequate ♠ Poor role model.
training. ♠ No research scope.
♠ Problem of ♠ Professional
personnel risk/hazards.
management.
♠ Inadequate number of ♠ No autonomy in
nursing staff. nursing activities.
♠ Lack of motivation.
♠ Shortage of
trained manpower. ♠ No involvement in
planning.
Thank You..