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Introduction To Nursing
Management
Dr.M.Nagarathnam
Professor & HOD
Medical Surgical Nursing
CON SVIMS

Introduction :
 Management is a general term which is described in
various ways , with significantly different meaning.
Also ,there is no globally accepted definition in
particular. Management is commonly termed as
functioning with and through the personnel ,
individually or in group, to manage the resources to
the maximum to achieve the objectives.

Definitions of management :
 Management is defined as implementing specific
functional activities that include framing strategies of
planning , systemizing the work planned , and
implementing ,supervising and directing the work
performance to achieve the goals by utilizing the
adequate manpower and other resources .
-George R.Terry

 Activity of determining the control over the activity
of personnel’s in order to achieve the expected goals
of the management .
-Stanley vane.
 Important activity of utilizing the work from all
personnel who complete the task by controlling and
supervising so as to accomplish the institutional goals.
-S.George.

Definitions of nursing management :
 Management is the process of planning,
organizing ,activating ,and controlling the
managerial functions of nursing in order to
determine and Nursing accomplish the
objectives of nursing care .
 Nursing management is the art of getting work
done through and with nursing staff by the
nurse manager .It is a cooperative effort aimed
at providing high quality care to the patient .

 Nursing management is a process of working
through nursing personnel to promote and
maintain health , and prevent illness and
suffering.
 Nursing management is performing leadership
functions of governance and decision making
within organizations employing nurses.

Concept of management :
 TRADITIONAL CONCEPT:
 “Management is the art of getting things done
through people. A manager is one who
accomplishes organizational objectives by directing
the efforts of others ’’.
- Mary porker
 MODERN CONCEPT :
 “Management is the creation and maintainence of
an internal environment in an enterprise where
individuals , working in groups , can perform
efficiently and effectively towards the attainment of
group goals ’’

Differences between management
concept and theories :
Concept
 Viewed in terms of
efficiency or
performance
 Decision oriented
view .
 Personnel oriented
view.
 Functions or
activities oriented
view.
Theories
 Management theories
are framed to learn in
depth concepts of
management process
with theoretical
support from various
disciplines.
 Theories are
developed from the
ideas and concepts of
the management that
were successful .

Functions of management :
 Luther gullick , the father of management
coined acronym POSDCORB for the
functions of management .

Planning:
 To plan is one of the basic prime functions of nursing
management.
 It involves selecting the objectives , policies ,
strategies ,and programmes for the nursing services .
 It is a decision making process since it involves
selecting from among alternatives .
 It involves deciding in advance what to do , where to
do, how to do , who is going to do, and how the
results are to be evaluated.

Organizing :
 It means developing a system .It is the process of
developing physical resources ,information
resources and human resources as per plan .
Staffing :
 It involves managing the organizational structure
through proper and effective selection , appraisal
,and development of nursing personnel .
 This process includes setting recruitment
procedures,selecting personnel , deploying them in
proper positions and organizing orientation and
other skill training programmes .

Controlling :
 It is the measuring and correcting the performance
or the activities of the staff as per expected
performance .
 For this standards are determined , actual
performance is measured .
Coordination :
 It is important to synchronize and unify individual
staff efforts for better action to achieve
organizational objectives .
 Management seeks coordination through planning,
organizing , staffing , organizing ,staffing ,
directing and controlling .

1.Unity of command :
uniform instruction should be given to the employees
by the superior ,so that the workers listen to the superiors
only to do the job , avoiding confusion and conflict among
workers .
2.Maintain strict discipline :
The manager should be well disciplined and demonstrate
good leadership, judiciously handling the workers and
rewarding them for the work well done .

3. Authority:
Managers formal authority gives them right to command
hence they must give orders to get things done .
4. Division of labour:
People can more efficiently perform their work if they
specialize more .This principle of management is also
called principle of specialization .
5. Centralization:
It is a process of delegating work and responsibilities to
the subordinate workers.in the process of decision
making increasing their role is known as
decentralization and decresing their role is known as
centralization

6. Remuneration :
There should be fair compensation for work done to
both employees and the employers.
7. Unity of direction:
Operations having the same objective within an
organization should be directed by only one manager
and one plan.
8. Subordination of individual interest to common good:
Employees interest should not be prioritized over the
interests of an organization as a whole.
9. Stability of staff :
For the efficient functioning of an organization a high
employee turnover is not beneficial .

10. Hierarchy/scalar chain :
Neat boxes and lines of an organization chart
symbolize the line of authority in an organization.The
hierarchy runs in order of rank ,from the top
management to the lowest level of the enterprise.
11. Order :
Befitting the people should be placed in the jobs or
positions most suited to them. moreover ,materials and
people should be in the right place at the right time
12. Equity :
There should be friendly and fair approach by the
managers to their subordinates.

13.Espirit de corps:
Promotion of team spirit brings the organization a feel
of unity. small factors even help to develop this spirit.
for this to happen verbal communication should take
precedence over formal , written communication
whenever possible.
14. Initiative :
Even though some mistakes might result , subordinates
should be allowed to plan and implement their works
by taking self initiative.

Qualities of a nurse manager :
 Professional knowledge
 Good physical health
 Commanding power
 Ability to understand
 Ability to judge situations
 Will power
 A sense of responsibility and willingness to
accept responsibility
 Experience and enthusiasm

Roles of a nurse manager:
1. Creating a teamwork and coordination among
members of the group.
2. Providing leadership and motivation to
individuals.
3. Maintaining a dynamic equilibrium between an
organization and its ever changing environment.
4. Being responsible for the creation , survival and
growth of the organization.
5. Improving standards through effective utilization
of human and material resources.

6. Monitoring duties and responsibilities in accordance
with the organizations vision and statement.
7. Building of team leadership.
8. Decision making within the organization.
9. Participation as a member of the research committee.
10. Setting goals and objectives for nursing services.
11. Development and implementation of nursing
services ,policies, and procedures.
12. Support and promotion of staff development and
continuing education of nursing staff.

Specific roles of a nurse manager:
 Preparing objectives: develop plans and objectives
for the designated work area.
 Patient assignment: conduct assessment of a
patients needs and initiate nursing care plans.
 Delegation of duty.
 Coordinate activities
 Programme evaluation :
Evaluate the nursing programmes and nursing care
plans.

 Evaluation of performance:
verify and evaluate nurses performance
 Record and report maintainence
 Auditing : evaluate and document the patients
progress
 Public relations: serve as a liaison between the staff
nurses and higher authority.
 Advisor: serve as an advisor to the other disciplines
 Budgeting : assess needs for personnel ,supplies,
equipment and physical facilities.
 Staff development : identify staff development and
training needs and ensure that staff nurses get the
requisite training.

Factors involved in good ward
management :
 Knowledge of the duties to be performed in the ward.
 Planned programme for the day and week.
 Establishing ward routines and delegation of
responsibility.
 Proper selection and placement of people for each
work.
 Well planned duties and time for each personnel.
 Hierarchy of authority from the highest to the lowest.
 Unity of command.
 Unity of directions.

 Prevention of interuptions.
 Clear cut doctors order and nurses order,
 Good discipline
 Orientation of new staff members to ward routine.
 Fair remuneration to work done.
 Security of jobs
 Preference given to common interest.
 Maintainence of suitable environment.

Responsibilities of a nurse
manager

 Ensuring that relevant information regarding
patients is communicated to the referring centre
and other team members.
 Participating in quality assurance initiatives.
 Overseeing the coordinatiom of the regions daily
workload-that responsibilities are allocated
appropriately and fairly, and adequate mix of skills
in order to fulfill service level agreements.
 Demonstrating knowledge of all relevant service
level agreements and ensuring that each and every
patient receives contact from nurse within the
allotted time frame.
 Providing a safe working environment.

 Participating in appointment and induction of new
staff.
 Participating in staff development.
 Attending regular business meetings with senior
clinical operations manager and regional sales
managers to review the efficiencies and
highlighting issues.

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