Chapter 1 Introduction to Management in Nursing Author Dr. Rohini. T
Learning Objectives Define management and nursing management Discuss the concepts of management Describe the theories of management Understand the differences between administration and management State the differences between nurse managers and administrators Discuss the functions of management Explain the principles of management Describe the role of nurse as a manager Familiarize the various levels of management Recognize the importance of manage- ment and nursing management Understand the features of management
Chapter Outline Meaning and Definitions of Management and Nursing Management Concepts of Management Theories of Management Differences between Administration and Management Differences between Nurse Managers and Administrators Functions of Management Principles of Management Role of Nurse as a Manager Levels of Management Importance of Management and Nursing Management Features of Management
Definitions of Management Management is the process of designing and maintaining an environment in which individuals, working together in groups, efficiently accomplish selected aims. The main managerial functions are planning, organizing, staffing, leading and controlling . — Harold Koontz and Heinz Weihrich , 2010
C oncepts of management The four main concepts of management are functional concept, leadership and decision-making concept, productivity concept, and universality concept.
Management Theories Management theories can be broadly classified into 1. Classical Management theories 2. Behavioural management theories 3. Modern management theories
Classical Management Theory Classical Management Theory is based on the belief that workers only have physical and economic needs and it prescribes specialization of labor. Three streams of classical management theory are Scientific management theory (Taylor), Administrative theory (Fayol) and Bureaucracy (Weber) theory.
Classical Management Theories
Behavioral M anagement T heory The behavioral management theory is often called the human relations movement because it addresses the human dimension of work. Types of behavioral management theories include Elton Mayo – Hawthorne experiments, Abraham Maslow – Need theory, and Douglas McGregor– theory X and Y.
Behavioral M anagement T heory
Modern Management Theory Three streams of modern management theories are quantitative approach, system approach, and contingency approach
Types of modern management theories
OTHER MANAGEMENT THEORIES Relationship theories or Transformational theories of management focus upon the connections formed between leaders and followers . Transformational leaders are focused on the performance of group members, but also want each person to fulfil his/her potential.
Administration Administration represents the owners of the organization while management are a group of persons, who are employees of the organization . Nurse administrators hold a variety of executive- level positions, including Director of Nursing Services, Clinical Coordinator, and Chief Nurse Executive.
Relationship of Administration to Management
Difference between Administration and Management Areas Administration Management Definition The process of creating and enforcing rules and regulations by a group of people. Systematic way of dealing with or controlling things or with people Persons Represents the owners of the organization Group of persons, who are employees of the organization, is collectively known as management Activity High level activity Functional level activity Focus Policy formulation Making the best possible utilization of the organization’s resources Policy implementation Managing people and their work Functions Legislation Have typically more defined functions Executing and governing how managers act and operate in an organization can differ person to person
Areas Administration Management Decisions Takes all important decisions of the organization Makes decision under the boundaries set by the administration Organizations Administration is found in government and military offices, clubs, hospitals, religious organizations, and all the non-profit making enterprises Management can be seen in the profit making organization like business enterprises Concerns Framing policies and setting objectives Plans and actions Role Decisive in nature Administration typically has a role in all management decisions Executive role Not all administrative decisions require the input of management Change Administrative policies or procedures however are slower to change and may remain in place for many generations of management Management style of an organization can also change with the removal or installation of a new manager
Areas Administration Management Influence Administrative functions of a business can often be guided or influenced by legislation or law How a manager chooses to guide or lead his/her team is often a function of their experience and the company culture
Nurse managers Nurse managers typically fall under the category of middle management, which can include Head nurse, Charge nurse, and Unit manager.
Difference between nurse administrators and nurse managers Nurse administrators Nurse managers Job Title and Authority Nurse administrators hold a variety of executive-level positions, including Director of Nursing Services, Clinical Coordinator, and Chief Nurse Executive. A nurse administrator plays a larger role in an organization than a nurse manager , overseeing several departments and reporting directly to a member of senior leadership such as the chief medical officer. Nurse managers typically fall under the category of middle management, which can include Head nurse, Charge nurse, and Unit manager. Nurse managers, typically supervises a single department and reports to the Director of nursing. Experience and Education Requirements Need both advanced training and extensive managerial experience. Many hold graduate degrees, such as a master of science in nursing administration. Nurse managers typically need only an undergraduate degree in nursing, though some hold graduate degrees. Many come to the role with no prior management experience.
Nurse administrators Nurse managers Responsibilities Concentrate primarily on policy and organizational operations issues. E.g., nursing shortage. Attend meetings, prepare reports, develop programs and policies. Recruiting and hiring nurses; supervise the team; mentoring and coaching; managing budget, etc. Working Unit Nurse administrators almost never deal directly with patients or family members, instead supervise middle- level managers and work with fellow members of the senior leadership team. Nurse managers primarily interact with nurses and other health-care staff who provide hands-on care to patients. They address questions, concerns, and complaints brought forth by patients or their families. They also collaborate with nurse managers of other departments. Difference between nurse administrators and nurse managers
Henry Fayol – Managerial Functions (5)
Gulick and Urwiik Gulick and Urwiik have classified management functions into seven. They coined the word ‘POD- SCORB’ to describe the functions of management
Gulick and Urwiik
Principles of Management Henri Fayol developed the 14 principles of management which help the managers to lead and function effectively.
Principles of Management (14)
Role of nurse as a manager
Levels of management
Roles and responsibilities of Top level management
1 2 3 4 Roles and responsibilities of Middle level management
Supervision Supervising and guiding their subordinates Mediators Acting as mediators by communicating the problems, suggestions, and recommendatory appeals, etc. of workers to the higher level of management, and in turn elucidating higher-level goals and objectives to workers Facilitator Arranging the necessary materials, machines, tools, and resources, etc. necessary for accomplishing organizational tasks Discipline Upholding discipline, decorum, and harmony within the workplace Roles and responsibilities of Lower level management
Importance Of Management
Importance Of Nursing Management
Features Of Management
Meaning and Definitions of Management and Nursing Management Concepts of Management Theories of Management Differences between Administration and Management Differences between Nurse Managers and Administrators Functions of Management Principles of Management Role of Nurse as a Manager Levels of Management Importance of Management and Nursing Management Features of Management Summary