Nursing management in practice

Maftuhah PhD

The nursing management process

Plann ing

Organizi ng

Staffin g

Leading/ Directing

Controlling

Each step are interconnected and interrelated

Missio n Philoso phy

The Planning Hierarchy

Goals Objectives Procedures Rules

Budgeting

Organizi ng

Job Job Group evaluatio descripti work n on

Team building

Recruitment

Assigning

Absenteeism

Staffi ng

Selection

Patient classification

Turnover

Orientation

Scheduling

Staff development

Recruitment Proses penemuan kandidat untuk suatu posisi berdasarkan kebutuhan organisasi 1. Kriteria kandidat (skill mix need) 2. Cara rekrutmen: iklan? Absenteeism Turnover

Recruitment refers to the process of attracting, screening, selecting, and onboarding a qualified person for a job

Assigni ng

Staff development

Selection

Patient classification

Orientation

Scheduling

Recruitment

Assigning
Selection Proses pemilihan kandidat 1. Tes tulis 2. Tes wawancara 3. Tes kesehatan 4. Psiko tes

Absenteeism

Patient classification

Turnover

Orientation

Scheduling

Staff development

Recruitment

Selection

Orientation

Transition (from
student to staff nurses or adjusment to new environment)

Assi gnin g
Patient classification

Absenteeism

1. Reality shock 2. Transition shock

Turnover

Scheduling

Staff development

Assigning (assignment system for staffing)

Case method (each patient is assigned to a nurse for total patient care while that nurse is on duty) Functional nursing Modular / distric nursing Primary nursing Team nursing Case management Collaborative practice Differentiated practice (based on competency and education)
Patient classification

Absenteeism

Turnover

Staff development

Recruitment

Selection

Orientation

Scheduling

Assigning number of nursing staff

Full time equivalent (FTE = 40 hours/week) Holiday Sick leave Maternity leave Training / staff development program Patient classification Nursing staff classification
Recruitment

Absenteeism

Turnover

Staff development

Selection

Patient classification

Orientation

Scheduling

Assigning

Absenteeism

Patient classification
Total care (ICU; ICCU; HCU) Partial care (Med-sur; maternity) Independent self care
Job analysis is needed to determine patient classification due to various factors contributing the patient classification.
Scheduling

Turnover

Staff development

Recruitment

Selection

Orientation

Assigning

Absenteeism

Patient classification

Turnover

Scheduling
Recruitment

Staff development

Selection

Orientation

Centralized scheduling Decentralized scheduling Self scheduling Alternating or rotating work shifts Block or cyclical scheduling Permanent shifts 8 hours/day 12 hours /day

Recruitment

Assigning

Selection

Patient classification

Orientation

Scheduli ng

Absenteeism 1. Sick 2. Workplace violance 3. Drug abuse dll

Turnover

Staff development

Assigning Absenteeism

Recruitment

Selection

Patient classification

Orientation

Schedu ling

Turnover (intent to leave)

Job (dis)-satisfaction? Burnout? Interpersonal relationship problem?
Staff development

Recruitment

Assigning

Absenteeism

Selection

Patient classification

Turnover

Orientation

Scheduling
Staff development 1. Jenjang karir 2. Performance appraisal 3. Continuing nursing Education

TO BE CONTINUED