Nursing Chapter 7 Homework Lynn M Layman E And Richard 1999

Chapter 7: Overview of Nursing Management

Learning Outcome 1

Explain the traditional management functions of planning, organizing, staffing, directing,

coordinating, and controlling.

Concepts for Lecture

1. Planning is the most basic and essential function of management, deciding in advance

what needs to be done for the day, month, year, or years ahead. Unusual events might

2. Organizing relates people and activities in order to fulfill organizational objectives. An

organization facilitates this through vertical and horizontal differentiation.

a. Vertical differentiation: establishment of a hierarchy needed to do the work of the

3. Staffing provides for adequate personnel to fulfill the organization’s objectives. Usually,

the overall plan is determined by administrators (which may be a nurse manager), but the

nurse manager monitors how successful the staffing pattern is to provide input for

4. Directing is a function that gets work done through others, and includes five specific

concepts:

a. Giving directions: Directions should be clear, concise, and consistent, and should

conform to the situational requirements; be aware of tone in different situations.

5. Coordinating is the act of assembling and synchronizing people and activities so that they

6. Controlling is the regulation of activities in accordance with plans, and is a function of all

managers at all levels. Its basic objective is to ensure that the task to be accomplished is

PowerPoint Slides

1. Traditional management functions: planning

• Most basic, essential function

• Involves analysis of situation and possible problems.

• Reasons for planning

o To focus attention on objectives

2. Traditional management functions: organizing

• Relates people and activities in order to fulfill organizational objectives through:

3. Traditional management functions: staffing

• Provides adequate personnel to fulfill the organization’s objectives.

4. Traditional management functions: directing

• Function that gets work done through others

• Five concepts of directing

o Giving directions

5. Traditional management functions: coordinating

6. Traditional management functions: controlling

• Regulation of activities in accordance with plans

• A function of all managers at all levels

Figure 7-3: A graphic depiction of the management functions

Suggestions for Classroom Activities

• Split the class up into six groups and assign each group a traditional management

Reference

• Curtain, L. (1991). Strategic planning, asking the right questions. Nursing Management,

22(1), 7–8.

Learning Outcome 2

Concepts for Lecture

1. Nursing management differs from general management in their philosophies of service; a

2. The Nursing Administration Research Project (NARP) proposed a set of priorities; the

top ten of these important research concerns address the uniqueness of nursing

management:

a. Effects of the managed care environment on patient outcomes

b. Impact of organizational change(s) on patient outcomes

c. Development of tools to measure nurse-sensitive patient outcomes

PowerPoint Slides

1. Nursing management v. general management

• The greatest difference is nursing’s philosophy of service.

• A unique approach is required due to nursing’s social responsibility.

• Nursing requires dual management:

2. Priorities for nursing management

• Proposed by the Nursing Administration Research Project (NARP)

• Address the uniqueness of nursing management:

(1) Effects of the managed care environment on patient outcomes

(2) Impact of organizational change(s) on patient outcomes

Figure 7-2: The various levels of management: top, middle, and front line

Suggestions for Classroom Activities

• As a homework assignment, have students create a Venn diagram comparing and

Reference

• Fedoruk, M. (2000). The nurse executive: Challenges for the 21st century. Journal of

Nursing Management, 8, 13–20.

Learning Outcome 3

Identify at least five key characteristics of effective nurse managers.

Concepts for Lecture

1. The nursing field is labor-intensive, and employees have a wide variety of experience and

educational backgrounds, challenging the nurse manager to create the kind of

2. Roles of effective nurse managers

a. Accomplishing the goals of the organization or nursing division

b. Maintaining the quality of patient care within the financial limitations of the

PowerPoint Slides

1. Responsibilities of the nurse manager

• Create an environment that facilitates quality nursing practice, keeping in mind:

o The nursing field is labor-intensive.

• Accurately understand:

2. Objectives of effective nurse managers:

(1) Accomplishing the goals of the organization or nursing division

(2) Maintaining the quality of patient care within the financial limitations of the

Case Study: The New Manager

Suggestions for Classroom Activities

• Have students shadow a nurse manager. Then, have a student-led discussion about the

key characteristics and responsibilities of an effective nurse manager. Encourage

Reference

• Adopted from Tannenbaum, R., and Schmidt, W. (1965). How to choose a leadership

Learning Outcome 4

Discuss the strengths and weaknesses of different systems of nursing care delivery.

Concepts for Lecture

1. The nursing care delivery systems demonstrate ways of organizing nurses’ work for the

nurse manager. All of the systems have advantages and disadvantages for quality of care,

2. The case method traces back to the earliest days of nursing. Nurses were assigned to give

total care to each client, and reported to the head nurse, their immediate superior.

3. The functional method evolved as a way to deal with multiple levels of caregivers. Care

is provided by assignment of tasks, rather than clients; each caregiver performs one

4. Team nursing was developed to deal with the influx of post–World War II workers and

the head nurse’s overextended span of control. Teams consisted of the senior professional

PowerPoint Slides

1. Systems of nursing care delivery

• Demonstrate ways a nurse manager can organize nurses’ work.

2. Case method

• Earliest method

3. Functional method

• Evolved as a way to deal with multiple levels of caregivers.

• Care was provided by assignment of tasks, rather than of clients.

• Each caregiver performed certain tasks in keeping with her education and

experience:

4. Team nursing

• Developed to deal with the influx of post–World War II workers and the head

nurse’s overextended span of control

• Teams consisted of:

o The senior professional nurse becoming the leader;

Suggestions for Classroom Activities

• Ask students to describe the pattern of patient care (team, case, primary, functional, and

so on) used in a clinical setting with which they are familiar. As group work, ask them

to evaluate the outcome in terms of patient benefits and satisfaction, and nurse

competencies and satisfaction. What pattern of patient care would be the best, given the

patient population, nursing staff competencies, and skill of the nurse manager on the

unit? Have them draw an organizational chart of the unit showing the lines of authority

and responsibility.

Learning Outcome 5

Apply the management assessment tool to a health care setting issue.

Concepts for Lecture

1. In order for a manager to manage the work and adequacy of the personnel and the

resources to provide prepared employees, the proper ratio must be assessed. Once an

PowerPoint Slides

1. Management assessment guide

• The proper ratio must be assessed so a manager can manage the work and

Table 7-3: The essential elements a manager should consider when analyzing a

management situation; these elements have been summarized in the managerial assessment

tool.

Suggestions for Classroom Activities

GENERAL CHAPTER CONSIDERATIONS

1. Have students study and learn key terms listed at the beginning of the chapter.

2. Have students complete end-of-chapter exercises either in their book or on the MyNursingKit

Web site.

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