Learning Outcomes

Define management
Explain the aims of management
Explain the management roles of a manager
State the different levels of manager
State the characteristics of manager

Manage
Able to do something

Able to complete some task as instructed or self directed

Manager
A person who is in charge of getting something done
A person who is in charge of an area of the work force
Carries out managerial roles

Management
The art of getting things done

The technique of getting goal achieved

The way a person runs the organization

Management

A process both interpersonal and technical aspects through which the objectives of an
organization (or part of it) are accomplished efficiently and effectively by using human,
physical, financial, and technological resources

Purpose of management
Accomplishing the goals of the organizations.
Maintaining the quality of service/ care within the financial limitations of the
organization.
Encouraging the motivation of the employees and the clients in the area.

Purpose of management
Increasing the ability of subordinates and peers to accept change
Developing a team spirit
and increased morale.
Furthering the professional development of the personnel.

Types of management
Scientific management

Focuses on determining the most efficient methods to achieve greater output and
productivity

Functional approach Various function such as planning, organizing, staffing, leading and
controlling
Scientific management
Analyze the tasks – find the best way to perform the work
Recruit the employee best suited to perform the job
Instruct the worker in the best way to perform the job

Functional approach
Planning: setting down a course of action
Organizing: designing a structure, tasks and authority clearly defined
Commanding: directing subordinates in what to do

Functional approach
Coordinating: pulling the organizational elements together toward common objectives
Controlling: ascertaining that plans are carried out

Characteristic of management
First level management
Also known as a first-line manager
Is responsible for supervising the work of non-managerial personnel and the day-to-day
activities of a specific work unit or units.

First level management

The manager is responsible for clinical nursing practice, patient care delivery, use of
human, fiscal, and other resources, personnel development; compliance with regulatory
and professional standards; fostering interdisciplinary, collaborative relationships, and
strategic planning (AONE, 1992).

First level management

primary responsibility for motivating the staff to achieve the organization's goals
the first-level manager represents staff to upper administration, and vice versa.
Nurse managers have 24-hour accountability for the management of a unit's or area's
within a health care organization.

First level management

In the hospital setting, the first-level manager is usually the head nurse, nurse manager, or
an assistant.
In other settings, such as an ambulatory care clinic or a home health care agency, a first-
level manager may be referred to as a coordinator.

Middle level management

supervises a number of first-level managers
usually within related specialties or in a given geographic area.
are responsible for the people and activities within the departments they supervise, and
they too have 24-hour responsibility for their defined area.

Middle level management

Typically, middle level managers act as a liaison between upper management and first-
level managers.
A middle manager may referred to as a supervisor, director, or assistant or associate
director of nursing.
Graduate education often required for this position.

Upper level management

or executive-level management, refers to top executives (administrators) such as the vice
president for nursing or chief nurse executive, to whom middle managers report.

Upper level management

Is primarily responsible for establishing organizational goals and strategic plans for the
entire division of nursing, integrating work units to achieve the organization's mission,
and buffering the effects of the external environment on nurses within the organization.

Upper level management

Some chief nurse executives have responsibilities for other departments, such as the
respiratory therapy, housekeeping, or dietary departments.
Nurses also are assuming system wide administrative roles as directors of education,
informatics, and quality (Krejci, 1999).

Characteristic of a manager
Provides clear direction.
Encourages open communication.
Coaches and supports people.
Provides objective recognition.
Establishes ongoing controls.
Right people – right job
Impact of decision making
Fiscal
Problem
Encourage innovation and ideas
Integrity
Characteristic of a manager
Selects the right people to staff the organization.
Understands the financial implications of decisions.
Encourages innovation and new ideas
Gives subordinate clear-cut decisions when they're needed.
Consistently demonstrates a high level of integrity.

Functions of management
Planning
Organizing
Staffing and motivation
Coordinating
Delegating and Directing
Budgeting
Controlling

Questions
Are you a manager?

Which level are you?