Nursing Management &

Leadership
‫ﻻ أﺑﻴﺢ وﻻ اﺣﻠﻞ ﻣﻦ ﻳﺴﺘﻐﻞ ﻣﻠﻔﻲ ﻣﺎدﻳﺎ‬

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Leadership Theories

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Delegation
What is delegation? What tasks can NOT Always follow the
Delegation is assigning task to be delegated by the 5 Rights of Nursing
someone or getting work done RN?
through others. Delegation
Unstable PT’s
Right task.
The nurse who delegates is Nursing care plan
accountable for the task; the “ADPIE” Right circumstance.
person who assumes
"Assessment, Diagnosis, Planning,
responsibility for the task is also
Interventions, Evaluation" Right person.
accountable.

Always assign patients who are Do NOT delegate what you Right supervision.
predictable (stable), NOT fresh "EAT"
post-opt patients, doesn’t require Evaluate Right direction and
invasive procedures at the Assess communication
bedside, a new admission, or (Inclu. Admission vitals)
requires discharge teaching. Teach
(Initial Teaching/Education)

TIA
Teach
IV’s
Note: delegate the right task to
Assessment
the right delegatee. Be familiar
with the experience of the

SNLE_NURSING delegatees, their scopes of

practice, their job descriptions.
 The “most common” LPN UAP
duties each position Licensed practice nurse Unlicensed assistive
can perform personnel
‫ﻣﻼﺣﻈﻪ ﻫﺬه ﻟﻴﺴﺖ ﻗﺎﺋﻤﻪ ﻛﺎﻣﻠﻪ‬ Performs routine procedures
(ostomy care, catheter insertion, wound care, Vitals (on stable pt’s)
RN check blood glucose, obtaining EKG etc.)

ADL’s
Registered Nurse Chronic & Stable patient (Cleaning, bathing, ambulating, oral care,
(w/ predictable outcomes) toileting, positioning change)
Ex: COPD
Nursing care plan’s
Feeding
(NOT with aspiration risk)
Critical patients
Does NOT develop NCP's
unstable, unpredictable, post-op
patients 1-3 days, IVs drips, patient’s with I&O’s (expect IV)
,new diagnoses Can “Reinforce” teaching
(RN responsible for initial
Gives all type of medications teaching) Does NOT give medications or
including IV and blood perform invasive procedures
products Give medications (not IV meds) (enemas, Foley catheters etc.)

Doesn’t give blood transfusions or

Responsible for teaching blood products
NOTE
(discharge teaching, new
Option’s asking to: show, explain,
medications etc.) Performs all the duties of UAP monitor, teah, check, assess &
demonstrate are
Perform all the duties of an LPN OUT OF SCOPE of UAP
and UAP
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Organizational Structure
‫اﻟﻬﻴﻜﻞ اﻟﺘﻨﻈﻴﻤﻲ‬

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 Organization
‫اﻟﻤﻨﻈﻤﻪ ﻋﺒﺎره ﻋﻦ ﻣﺠﻤﻮﻋﻪ ﻣﻦ‬
Principles of organizing
‫اﻻﺷﺨﺎص اﻟﺬﻳﻦ ﻳﻌﻤﻠﻮن ﻣﻌﺎ ﻓﻲ‬
‫اﻃﺎر ﻫﻴﻜﻞ ﻣﺤﺪد ﻟﺘﺤﻘﻴﻖ ﻧﺘﺎﺋﺞ‬ Span of control Unity of Direction
‫ﻣﺤﺪده‬ ‫ﻣﺪى اﻟﺴﻴﻄﺮه‬ ‫وﺣﺪة اﻹﺗﺠﺎه‬

-The number of people directly reporting to

What is organizing? any manager.
Teams with the same objectives
-Should be working under the direction
-A wide span of control indicates that many
of one manager, using one plan.
people are reporting to a manager (flat)
-A narrow span of control indicates that only
few people are reporting to the manager Departmentalization
(tall)

SNLE_NURSING Dividing the organization into

departments or units with individuals
Chain of command who are specialized in a given area
‫ﺳﻠﺴﻠﺔ اﻷواﻣﺮ‬ such as laboratory, quality , infection
control and so, on.
Is a formal line of authority and
communication from top to down.
Specialization

Unity of command The whole work of the agency should

‫وﺣﺪة اﻟﻘﻴﺎده‬ be divided among the subordinates
Each person should perform a single
It indicates that one person has one boss. leading function.
states that, each person in the
organization should take orders and
reports only to one person.
Organizational What Organizational Organization chart
chart shows? dose NOT show
chart ‫اﻳﺶ اﻻﺷﻴﺎء اﻟﻠﻲ اﺷﻮﻓﻬﺎ ﻓﻲ اﻟﻬﻴﻜﻞ‬ ‫اﻳﺶ اﻻﺷﻴﺎء اﻟﻠﻲ ﻣﺎاﺷﻮﻓﻬﺎ ﻓﻲ اﻟﻬﻴﻜﻞ‬
‫اﻟﺘﻨﻈﻴﻤﻲ؟‬ ‫اﻟﺘﻨﻈﻴﻤﻲ ؟‬

-The formal organizational 1. Social relationships among

relationships. members ‘Informal organizational
relationship’
-Levels of management.
2.Degree of responsibility and
-Chain of command: authority of individuals
lines of formal authority , responsibility
and accountability. 3. Degree of decentralization that
exists
-Persons to whom one is
responsible and accountable / 4. Position status or importance
to whom report.
5. Little information about the
-Channels of communication. managerial style adopted

-Division of work.

SNLE_NURSING -Staff positions.

-Span of control:
The number of persons reporting to a
supervisor.
 "Flat or
Types organizational
Decentralized"
chart -This structure goes from top
to bottom; Vertical chart
"Tall or Centralized"
-Has many levels of
management.

-Has Many levels of

communications; due to
vertical nature.
-Has few management levels.

-Narrow span of control

-Has Few levels of
;responsible for only a few
communication;
subordinates.
-Wide span of control
-Focus on chain of command,
;responsible for many
unity of command and span of
subordinates.
control.
-Focus on empowering
employees rather than
Advantages / Disadvantages? adhering to the chain of
command.

SNLE_NURSING Advantages / Disadvantages?

Tall VS Flat organization

 Centralized Decentralization
organizations
‫اﻟﻤﺸﺎرﻛﻪ ﻓﻲ اﺗﺨﺎذ اﻟﻘﺮار‬
decision ‫اﻟﻔﺮق ﻓﻲ ال‬ Delegation of authority to
making Systematically retaining
the lower levels.
power & authority in the
‫"اﺗﺨﺎذ اﻟﻘﺮار" ﺑﻴﻦ اﻟـ‬ hands of higher level
Decentralization is
centralization & managers.
tendency to disperse
decentralization decision making authority
Centralized means that the
structure in an organized structure.
power to make decision is
concentrated at the top of
Is the degree to which
organization and flows
decision making is
down.
diffused throughout the
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Effective in emergency
situations
‫ﻓﻌﺎل ﻓﻲ اﻟﺤﺎﻻت اﻟﻄﺎرﺋﻪ ﻷﻧﻮ ﻻ ﻳﻮﺟﺪ وﻗﺖ‬
‫ﻟﻠﺘﺸﺎور ﻓﻲ اﺗﺨﺎذ اﻟﻘﺮار‬
Organizational
Communication

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 Downward Lateral (Horizontal)
Communication communication
Organizational
Organizational
Communication
Communication
Communication Channels:
Downward Is between department or personnel on
the same level of hierarchy.
Upward Purpose: To give orders, instructions,
advice or assign responsibilities.
Lateral "Horizontal" Example: Job description sheet,
Diagonal
performance appraisal interview.
Diagonal Communication
Upward
Communication

SNLE_NURSING Individual or department that are not

on the same level of the hierarchy.

Diagonal communication refers to

communication between managers
and workers located in different
Example: Reports functional divisions
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Staffing
Different patient care Team nursing Methods used to
RNs supervise a team of auxiliary
supplement staff when
delivery systems nursing staff
needed
Case method
Assignment of each patient to a Borrowing Method
nurse for total patient care while Borrowing staff from units that
nurse is on duty. have the most to help those who
have too little number of the staff.
Functional nursing
Hierarchical division of work so that Floating Staff
each nurse perform one task for Primary nursing A pool of nurses who are
group pf patients under supervision RN provides total patient care to permanent workers but do not
of RN. a few patients for 24 hrs belong to any special care unit.
throughout patient’s Are used to fill while the patient
hospitalization. care activities or absence among
the unit staff increase.
RN develops care plan and
associate nurses follow it when On call Staff
the RN is off duty. Filled with fixed staff who receive
extra pay for being on call whether
or not they are called

Other methods used for supplementary

staff??

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Five styles of
responding to
conflict
Directing
Cooperating
Avoiding
Harmonizing
Compromising

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