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Nursing Service administration&
Leadership
Introduction to Nursing Service
Management
3/19/2024 Tamiru T. 1
Definition of nursing service administration&leadrship
Mgt
 Management is the operational part of
administration.
 It is defined as:
 It is a set of interactive processes through which
the utilization of resources results in the
accomplishment of organization objectives.
 It is a conversion mechanism.
3/19/2024 Tamiru T. 2
Mgt
 Managers influence all phases of our modern
organizations. Our society simply could not
exist as we know it today or improve its
present status without a steady stream of
managers to guide its organizations
3/19/2024 Tamiru T. 3
Definition of Administration
 We can define as:
 The process of achieving defined goals at a
defined time through the guidance,
leadership, and control of the efforts of a
group of individuals and the efficient
utilization of non-human resources bearing in
mind adequacy, speed, and economy to the
utmost possible level.
3/19/2024 Tamiru T. 4
Administration
Another definition
Administration is the art and science of
guidance, leadership, and control of the
efforts of a group of individuals towards some
common goal.
3/19/2024 Tamiru T. 5
3/19/2024 Tamiru T. 6
Process
Inputs Outputs
A systems view of management:
Human resources
Non-human resources
Conversion
mechanism Objectives
achievement
3/19/2024 Tamiru T. 7
Mgt
 It is through management that the
objectives of the health care organization are
achieved by gathering and positioning of
resources.
3/19/2024 Tamiru T. 8
Nursing service administration
 is a coordinated activity, which provides all of the
facilities rendering of nursing service to clients.
 cooperative efforts of all members of the staff,
coordinating the service with other
departments of the institution
 Nursing service administration is the marshaling
of resources to accomplish a purpose.
3/19/2024 Tamiru T. 9
Basic principles of leadership and managements
Leadership concept
 Comes first ,before
management
 Request the ability to
develop vision and goals
 Doing the right thing
 Efficiency in climbing the
ladder of success
Management concept
 Follows the vision and goals of
the leadership
 Requires the ability to plan,
organize, motivate and manage
 Doing things right
 Determining that the ladder is
leaning against the right wall
3/19/2024 Tamiru T. 10
Types of managers,
 Top levelsuch as board of directors,
Presidents and vice presidents
 Middle levelsuch as directors of nursing,
supervisory staffs and department heads
 First line/front line/ or supervisory
managementsuch as head nurses and staffs.
3/19/2024 Tamiru T. 11
managerial skill
 All health service managers engage in
 planning
 organizing
Staffing
Directing
Controlling
decision making
3/19/2024 Tamiru T. 12
Managerial roles
 Defined as the behavior or activities
associated with a management position
because of its authority and status.
Mintzberg's
 classification identifies:
- Interpersonal
-Informational and
- Decisional roles
3/19/2024 Tamiru T. 13
Interpersonal role
 The three interpersonal roles are
 Figurehead: senior managers, because they
engage in ceremonial and symbolic activities
such , making speeches at organizational
events.
3/19/2024 Tamiru T. 14
Liaison: involves formal and informal internal
and external contacts.
Influencer: includes activities inherent in the
directing function, the purpose of which is to
motivate and lead.
3/19/2024 Tamiru T. 15
Informational role
 The three informational roles of a manager
are
Monitor
Disseminator and
Spokesperson
3/19/2024 Tamiru T. 16
Decisional Roles
The four decisional roles of a manager are
o Entrepreneur
o Disturbance handler
o Resource allocator and
o Negotiator
3/19/2024 Tamiru T. 17
Function of mgt:
 Planning
 Organization
 Staffing
 Directing
 Coordinating
 Reporting
 Budgeting
 Supervising
 Evaluation
3/19/2024 Tamiru T. 18
Levels of Administration
Central
level
Intermediate
level
Local Level
Ministry of health
directorates of health
e.g. health office,
Hospital, health
care unit
3/19/2024 Tamiru T. 19
Every program must have an overall (general)
goal which confirms with that of the nations
policy, and various objectives to be achieved
according to a definite plan.
3/19/2024 Tamiru T. 20
Goals versus Objectives
 A GOAL: is a long range specified state of
accomplishment towards the activity it is directed.
Goals are not constrained by time or existing
resources.
 AN OBJECTIVE: is a measurable state of
accomplishment aimed towards the goal. The
objective should include a description of what
outcome is desired, when it is expected, and
where it will take place.
3/19/2024 Tamiru T. 21
Planning
 Planning is considered the most important
element of the administrative process. The
higher the level of administration, the more
the involvement and time devoting to
planning. A good plan is the basis of any
successful program. Sufficient time should be
given to the process of planning. More than
one plan should be available to choose from
to meet the existing plan.
3/19/2024 Tamiru T. 22
Definition of Planning
 Planning is a projected or predetermined
course of action designed to achieve a specific
goal or objective.
 Planning determines What? When? Where?
How? Why? And by whom? Things will be
done.
 It involves decision making for future events.
3/19/2024 Tamiru T. 23
Process of systemic planning
1. Establishing goals and objectives
2. Designing alternative courses of action
3. Analysing and predicting the consequences
4. Selecting the best course of action
5. Implementing the selected plan and performing periodic
evaluation to assure success of plan
3/19/2024 Tamiru T. 24
Principles of planning
 Being an intellectual activity it needs
knowledge, experience, foresight, reasoning
and the mastering of special skills and
techniques. Examples of different techniques of
planning are:
 PPBS: Planning/Programming/Budgeting system
 PERT: Performance/Evaluation/Review technique
 CPM: Critical Path Method
3/19/2024 Tamiru T. 25
 Planning is a dynamic (non-static) process
 It is a continuous circular process
Planning
Execution
(implementation)
Evaluation
 Futuristic
 Decision making process
 Dynamic
 Flexible
3/19/2024 Tamiru T. 26
 Participative planning is sharing the program
planning with other people, staff and agencies
concerned with the program.
 Participative planning have advantages and
disadvantages.
3/19/2024 Tamiru T. 27
 Planning of a program is based on:
 Needs and demands of the public
 Available resources
 Attitude of the public
3/19/2024 Tamiru T. 28
 Constraints (intervening factors) to a plan may
be social, economical or political, and they may
be related to either:
 External environment (community)
 Internal environment (the organization)
 Establishing priorities are essential in planning
(What are these priorities???)
3/19/2024 Tamiru T. 29
Organization
 Definitions:
 Organization is any collection of persons, materials,
procedures, ideas or facts arranged and ordered that
the combination of parts makes a meaningful whole
that works towards achieving organizational
objectives.
The process of organization implies to the
arrangement of human and non-human resources in
an orderly fashion to make a meaningful whole that
accomplishes organizational objectives.
3/19/2024 Tamiru T. 30
 The organizational process is classified into:
Structural organization
Functional organization
3/19/2024 Tamiru T. 31
 Principles of organization:
 Departmentation
 Acquisition of human and non-human resources
 Specialization and division of labor
 Coordination
 Authority and responsibility
 Centralization and de-centralization
 Unity of command
 Line and staff
3/19/2024 Tamiru T. 32
Staffing
 It is the process of personalizing the organization, by
hiring the right type and adequate number of workers
to each unit for the time required for the program,
through the following steps:
 Identifying the type and number of personnel
 Recruitment
 Selection and appointment
 Orientation
 Job analysis
 Job description
 Job specification
3/19/2024 Tamiru T. 33
Budgeting
 Financial administration consists of a series
activities were funds are made available for
certain people in the organization under
procedures that will ensure their efficient use.
 The main activities are:
 Budgeting
 Accounting
 Auditing
 Purchasing
3/19/2024 Tamiru T. 34
Definitions
 Budgeting:
It is the allocation of financial resources in
support for programs or projects for a special
period of time. A budget is defined as a
balanced estimate of expenditures and
receipts for a given period of time.
3/19/2024 Tamiru T. 35
 Accounting:
It is recording assembly and summarization
of financial effects of executive action. a
harmonious relationship between budget and
account is important to current comparisons,
between goals set in and accomplished.
3/19/2024 Tamiru T. 36
 Auditing:
It is the investigation and report on the
fidelity and legality of all financial
transactions.
3/19/2024 Tamiru T. 37
 Purchasing:
It is the acquisition of the property and
materials needed in administration.
3/19/2024 Tamiru T. 38
Supervision
 Supervision refers to the day-to-day
relationship between an executive and his
immediate subordinates.
 Supervision aims at satisfying both:
 Work
 Workers
3/19/2024 Tamiru T. 39
Supervision
 Motivation is defined as: an externally
induced behaviour which occurs in order to
bring about or maintain need fulfillment.
 The following conditions if present build high
levels of motivation:
Achievement
Recognition
Advancement
Working conditions
Responsibility
Organizational policy
Technical supervision
Interpersonal relations
Salary and compansations
Job security
3/19/2024 Tamiru T. 40
Supervision
 Styles of leader authority:
 Autocratic
 Consultative
 Participative
 Democratic
 Free rein
3/19/2024 Tamiru T. 41
Supervision
 Factors affecting style of supervision:
 Condition present
 Type of work
 Subordinates characteristics
 Personal characteristic of manager
3/19/2024 Tamiru T. 42
Evaluation
 Definition:
systemic collection of information about the
activities, characteristics and outcomes of
programs, personnel, and products use by
specific people to reduce uncertainties,
improve effectiveness and make decision with
regard to what those programs, personnel or
products are doing and affecting.
3/19/2024 Tamiru T. 43
Types of Evaluation
Process Outcom
e
/impact
Structure
3/19/2024 Tamiru T. 44
Types of Evaluation
Program
Implementation
Program
planning
Program
impact
Structure
evaluation
Process or
Formative evaluation
Impact or summative
Evaluation
Facilities/
Equipment/
Manpower/
organization
Performance
of staff/ way
procedures
are done
Measurable
Indicators +
Health related
impacts
3/19/2024 Tamiru T. 45
Elements of Evaluation
 Relevance
 Adequacy
 Accessibility
 Acceptability
 Effectiveness
 Efficiency
 Impact
3/19/2024 Tamiru T. 46
Steps of Evaluation
 Describe the program in terms of objectives expected.
Objectives can be either outcome or process
objectives.
 Outcome objectives: a statement of the amount of
change expected for a given health problem for a
specified population within a given time frame
 Process objectives: a statement of the amount of
change expected in the performance and utilization of
interventions that impact on the outcome.
3/19/2024 Tamiru T. 47
Thank you !
3/19/2024 Tamiru T. 48

More Related Content

1 Unit one leadership and management.pptx

  • 1. Nursing Service administration& Leadership Introduction to Nursing Service Management 3/19/2024 Tamiru T. 1
  • 2. Definition of nursing service administration&leadrship Mgt Management is the operational part of administration. It is defined as: It is a set of interactive processes through which the utilization of resources results in the accomplishment of organization objectives. It is a conversion mechanism. 3/19/2024 Tamiru T. 2
  • 3. Mgt Managers influence all phases of our modern organizations. Our society simply could not exist as we know it today or improve its present status without a steady stream of managers to guide its organizations 3/19/2024 Tamiru T. 3
  • 4. Definition of Administration We can define as: The process of achieving defined goals at a defined time through the guidance, leadership, and control of the efforts of a group of individuals and the efficient utilization of non-human resources bearing in mind adequacy, speed, and economy to the utmost possible level. 3/19/2024 Tamiru T. 4
  • 5. Administration Another definition Administration is the art and science of guidance, leadership, and control of the efforts of a group of individuals towards some common goal. 3/19/2024 Tamiru T. 5
  • 7. Process Inputs Outputs A systems view of management: Human resources Non-human resources Conversion mechanism Objectives achievement 3/19/2024 Tamiru T. 7
  • 8. Mgt It is through management that the objectives of the health care organization are achieved by gathering and positioning of resources. 3/19/2024 Tamiru T. 8
  • 9. Nursing service administration is a coordinated activity, which provides all of the facilities rendering of nursing service to clients. cooperative efforts of all members of the staff, coordinating the service with other departments of the institution Nursing service administration is the marshaling of resources to accomplish a purpose. 3/19/2024 Tamiru T. 9
  • 10. Basic principles of leadership and managements Leadership concept Comes first ,before management Request the ability to develop vision and goals Doing the right thing Efficiency in climbing the ladder of success Management concept Follows the vision and goals of the leadership Requires the ability to plan, organize, motivate and manage Doing things right Determining that the ladder is leaning against the right wall 3/19/2024 Tamiru T. 10
  • 11. Types of managers, Top levelsuch as board of directors, Presidents and vice presidents Middle levelsuch as directors of nursing, supervisory staffs and department heads First line/front line/ or supervisory managementsuch as head nurses and staffs. 3/19/2024 Tamiru T. 11
  • 12. managerial skill All health service managers engage in planning organizing Staffing Directing Controlling decision making 3/19/2024 Tamiru T. 12
  • 13. Managerial roles Defined as the behavior or activities associated with a management position because of its authority and status. Mintzberg's classification identifies: - Interpersonal -Informational and - Decisional roles 3/19/2024 Tamiru T. 13
  • 14. Interpersonal role The three interpersonal roles are Figurehead: senior managers, because they engage in ceremonial and symbolic activities such , making speeches at organizational events. 3/19/2024 Tamiru T. 14
  • 15. Liaison: involves formal and informal internal and external contacts. Influencer: includes activities inherent in the directing function, the purpose of which is to motivate and lead. 3/19/2024 Tamiru T. 15
  • 16. Informational role The three informational roles of a manager are Monitor Disseminator and Spokesperson 3/19/2024 Tamiru T. 16
  • 17. Decisional Roles The four decisional roles of a manager are o Entrepreneur o Disturbance handler o Resource allocator and o Negotiator 3/19/2024 Tamiru T. 17
  • 18. Function of mgt: Planning Organization Staffing Directing Coordinating Reporting Budgeting Supervising Evaluation 3/19/2024 Tamiru T. 18
  • 19. Levels of Administration Central level Intermediate level Local Level Ministry of health directorates of health e.g. health office, Hospital, health care unit 3/19/2024 Tamiru T. 19
  • 20. Every program must have an overall (general) goal which confirms with that of the nations policy, and various objectives to be achieved according to a definite plan. 3/19/2024 Tamiru T. 20
  • 21. Goals versus Objectives A GOAL: is a long range specified state of accomplishment towards the activity it is directed. Goals are not constrained by time or existing resources. AN OBJECTIVE: is a measurable state of accomplishment aimed towards the goal. The objective should include a description of what outcome is desired, when it is expected, and where it will take place. 3/19/2024 Tamiru T. 21
  • 22. Planning Planning is considered the most important element of the administrative process. The higher the level of administration, the more the involvement and time devoting to planning. A good plan is the basis of any successful program. Sufficient time should be given to the process of planning. More than one plan should be available to choose from to meet the existing plan. 3/19/2024 Tamiru T. 22
  • 23. Definition of Planning Planning is a projected or predetermined course of action designed to achieve a specific goal or objective. Planning determines What? When? Where? How? Why? And by whom? Things will be done. It involves decision making for future events. 3/19/2024 Tamiru T. 23
  • 24. Process of systemic planning 1. Establishing goals and objectives 2. Designing alternative courses of action 3. Analysing and predicting the consequences 4. Selecting the best course of action 5. Implementing the selected plan and performing periodic evaluation to assure success of plan 3/19/2024 Tamiru T. 24
  • 25. Principles of planning Being an intellectual activity it needs knowledge, experience, foresight, reasoning and the mastering of special skills and techniques. Examples of different techniques of planning are: PPBS: Planning/Programming/Budgeting system PERT: Performance/Evaluation/Review technique CPM: Critical Path Method 3/19/2024 Tamiru T. 25
  • 26. Planning is a dynamic (non-static) process It is a continuous circular process Planning Execution (implementation) Evaluation Futuristic Decision making process Dynamic Flexible 3/19/2024 Tamiru T. 26
  • 27. Participative planning is sharing the program planning with other people, staff and agencies concerned with the program. Participative planning have advantages and disadvantages. 3/19/2024 Tamiru T. 27
  • 28. Planning of a program is based on: Needs and demands of the public Available resources Attitude of the public 3/19/2024 Tamiru T. 28
  • 29. Constraints (intervening factors) to a plan may be social, economical or political, and they may be related to either: External environment (community) Internal environment (the organization) Establishing priorities are essential in planning (What are these priorities???) 3/19/2024 Tamiru T. 29
  • 30. Organization Definitions: Organization is any collection of persons, materials, procedures, ideas or facts arranged and ordered that the combination of parts makes a meaningful whole that works towards achieving organizational objectives. The process of organization implies to the arrangement of human and non-human resources in an orderly fashion to make a meaningful whole that accomplishes organizational objectives. 3/19/2024 Tamiru T. 30
  • 31. The organizational process is classified into: Structural organization Functional organization 3/19/2024 Tamiru T. 31
  • 32. Principles of organization: Departmentation Acquisition of human and non-human resources Specialization and division of labor Coordination Authority and responsibility Centralization and de-centralization Unity of command Line and staff 3/19/2024 Tamiru T. 32
  • 33. Staffing It is the process of personalizing the organization, by hiring the right type and adequate number of workers to each unit for the time required for the program, through the following steps: Identifying the type and number of personnel Recruitment Selection and appointment Orientation Job analysis Job description Job specification 3/19/2024 Tamiru T. 33
  • 34. Budgeting Financial administration consists of a series activities were funds are made available for certain people in the organization under procedures that will ensure their efficient use. The main activities are: Budgeting Accounting Auditing Purchasing 3/19/2024 Tamiru T. 34
  • 35. Definitions Budgeting: It is the allocation of financial resources in support for programs or projects for a special period of time. A budget is defined as a balanced estimate of expenditures and receipts for a given period of time. 3/19/2024 Tamiru T. 35
  • 36. Accounting: It is recording assembly and summarization of financial effects of executive action. a harmonious relationship between budget and account is important to current comparisons, between goals set in and accomplished. 3/19/2024 Tamiru T. 36
  • 37. Auditing: It is the investigation and report on the fidelity and legality of all financial transactions. 3/19/2024 Tamiru T. 37
  • 38. Purchasing: It is the acquisition of the property and materials needed in administration. 3/19/2024 Tamiru T. 38
  • 39. Supervision Supervision refers to the day-to-day relationship between an executive and his immediate subordinates. Supervision aims at satisfying both: Work Workers 3/19/2024 Tamiru T. 39
  • 40. Supervision Motivation is defined as: an externally induced behaviour which occurs in order to bring about or maintain need fulfillment. The following conditions if present build high levels of motivation: Achievement Recognition Advancement Working conditions Responsibility Organizational policy Technical supervision Interpersonal relations Salary and compansations Job security 3/19/2024 Tamiru T. 40
  • 41. Supervision Styles of leader authority: Autocratic Consultative Participative Democratic Free rein 3/19/2024 Tamiru T. 41
  • 42. Supervision Factors affecting style of supervision: Condition present Type of work Subordinates characteristics Personal characteristic of manager 3/19/2024 Tamiru T. 42
  • 43. Evaluation Definition: systemic collection of information about the activities, characteristics and outcomes of programs, personnel, and products use by specific people to reduce uncertainties, improve effectiveness and make decision with regard to what those programs, personnel or products are doing and affecting. 3/19/2024 Tamiru T. 43
  • 44. Types of Evaluation Process Outcom e /impact Structure 3/19/2024 Tamiru T. 44
  • 45. Types of Evaluation Program Implementation Program planning Program impact Structure evaluation Process or Formative evaluation Impact or summative Evaluation Facilities/ Equipment/ Manpower/ organization Performance of staff/ way procedures are done Measurable Indicators + Health related impacts 3/19/2024 Tamiru T. 45
  • 46. Elements of Evaluation Relevance Adequacy Accessibility Acceptability Effectiveness Efficiency Impact 3/19/2024 Tamiru T. 46
  • 47. Steps of Evaluation Describe the program in terms of objectives expected. Objectives can be either outcome or process objectives. Outcome objectives: a statement of the amount of change expected for a given health problem for a specified population within a given time frame Process objectives: a statement of the amount of change expected in the performance and utilization of interventions that impact on the outcome. 3/19/2024 Tamiru T. 47
  • 48. Thank you ! 3/19/2024 Tamiru T. 48