Nursing management

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Nursing management consists of the performance of the leadership functions of governance and decision-making within organizations employing nurses. It includes processes common to all management like planning, organizing, staffing, directing and controlling. It is common for registered nurses to seek additional education to earn a Master of Science in Nursing or Doctor of Nursing Practice to prepare for leadership roles within nursing. Management positions increasingly require candidates to hold an advanced degree in nursing.

Contents

Roles

Head of the nursing staff

The chief nurse, in other words the person in charge of nursing in a hospital and the head of the nursing staff, is called nursing officer in UK English, [1] and head nurse or director of nursing in US English, [2] [3] and matron or nursing superintendent in Indian English. [4]

The chief nurse is a registered nurse who supervises the care of all the patients at a health care facility. The chief nurse is the senior nursing management position in an organization and often holds executive titles like chief nursing officer (CNO), chief nurse executive, or vice-president of nursing. They typically report to the CEO or COO.

The chief nurse serves as "the head of the general staff of the hospital" and is obeyed by his/her subordinate nurses. [5] Traditionally, chief nurses were called matrons and wore a dark-blue dress that was usually darker than that of her subordinates, who were also known as sisters, in addition to a white-starched hat. [6] As such, matrons usually "provide strong leadership and act as a link between Board-level nurses and clinical practice." [7] In military hospitals of the United States, matrons were "charged with the responsibility of making twice daily rounds to supervise the [common] nurses' duty performance." [8]

The American Organization of Nurse Executives is a professional association for directors of nursing.

Service directors

Many large healthcare organizations also have service directors. These directors have oversight of a particular service within the facility or system (surgical services, women's services, emergency services, critical care services, etc.). Often these directors are over managers of those service lines.

Nurse manager

The nurse manager is the nurse with management responsibilities of a nursing unit. They typically report to a service director. They have primary responsibilities for staffing, budgeting, and day-to-day operations of the unit, bed site teaching, complaint investigations & conducting educational programs at unit base.

Charge nurse

The charge nurse is the nurse, usually assigned for a shift, who is responsible for the immediate functioning of the unit. The charge nurse is responsible for making sure nursing care is delivered safely and that all the patients on the unit are receiving adequate care. They are typically the frontline management in most nursing units. Some charge nurses are permanent members of the nursing management team and are called shift supervisors. The term for a female charge nurse was traditionally a nursing sister (or just sister), and this term is still commonly used in some countries (such as the United Kingdom and some Commonwealth countries). Some patients address a sister by Sister followed by her given name, for example, Sister Patricia.

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Nurse education consists of the theoretical and practical training provided to nurses with the purpose to prepare them for their duties as nursing care professionals. This education is provided to student nurses by experienced nurses and other medical professionals who have qualified or experienced for educational tasks, traditionally in a type of professional school known as a nursing school or college of nursing. Most countries offer nurse education courses that can be relevant to general nursing or to specialized areas including mental health nursing, pediatric nursing, and post-operative nursing. Nurse education also provides post-qualification courses in specialist subjects within nursing.

Team nursing is a system of integrated care that was developed in 1950s directed by Eleanor Lambertson at Teachers College, Columbia University in New York, NY. Because the functional method received criticism, a new system of nursing was devised to improve patient satisfaction. “Care through others” became the hallmark of team nursing. It was developed in an effort to decrease the problems associated with the functional model of nursing care. Many people felt that, despite a continued shortage of professional nursing staff, a patient care delivery model had to be developed that reduced the fragmented care that accompanies functional nursing.

<span class="mw-page-title-main">Royal National Orthopaedic Hospital</span> Hospital in London, England

The Royal National Orthopaedic Hospital (RNOH) is a specialist orthopaedic hospital located in Stanmore in the London Borough of Harrow, run by the Royal National Orthopaedic Hospital NHS Trust. It provides the most comprehensive range of neuro-musculoskeletal health care in the UK, including acute spinal injury, complex bone tumour treatment, orthopaedic medicine and specialist rehabilitation for chronic back pain. The RNOH is a major teaching centre and around 20% of orthopaedic surgeons in the UK receive training there.

<span class="mw-page-title-main">Matron</span> Senior nurse in a hospital

Matron is the job title of a very senior or the chief nurse in a hospital in several countries, including the United Kingdom, and other Commonwealth countries and former colonies.

<span class="mw-page-title-main">City Hospital, Birmingham</span> Hospital in England

City Hospital was a major hospital located in Birmingham, England, operated by the Sandwell and West Birmingham Hospitals NHS Trust. It provided an extensive range of general and specialist hospital services. It is located in the Winson Green area of the west of the city.

Nursing in the United Kingdom is the largest health care profession in the country. It has evolved from assisting doctors to encompass a variety of professional roles. Over 700,000 nurses practice, working in settings such as hospitals, health centres, nursing homes, hospices, communities, military, prisons, and academia. Most are employed by the National Health Service (NHS).

Primary nursing is a system of nursing care delivery that emphasizes continuity of care and responsibility acceptance by having one registered nurse (RN), often teamed with a licensed practical nurse (LPN) and/or nursing assistant (NA), who together provide complete care for a group of patients throughout their stay in a hospital unit or department. While the patient is on the nurses' unit, the primary nurse accepts responsibility for administering some and coordinating all aspects of the patient's nursing care, with the support of other members of the nursing staff. This results in the nurse having greater insight into the patient's condition, both medical and emotional.

<span class="mw-page-title-main">Queen Alexandra's Royal Naval Nursing Service</span> Military unit

Queen Alexandra's Royal Naval Nursing Service (QARNNS) is the nursing branch of the British Royal Navy. The Service unit works alongside the Royal Navy Medical Branch.

<span class="mw-page-title-main">Flight nurse</span> Specialist in rescue/evacuation patient care

A flight nurse is a registered nurse specializing in the field of providing comprehensive pre-hospital, emergency critical care, and hospital care to a vast scope of patients. The care of these patients is generally provided during aeromedical evacuation or rescue operations aboard helicopters, propeller aircraft, or jet aircraft. On board a rescue aircraft, is a flight nurse, accompanied by flight medics and respiratory practitioners, as well as the option of a flight physician for comprehensive emergency and critical transport teams. The inclusion of a flight physician is more common in pediatric and neonatal transport teams. A critical care flight nurse must be able to deal with all age groups with broad critical emergencies. With no physicians on site, the nurses scope of practice is expanded. The critical care experience is transferred over to a flight nurse with impacting factors such as altitude and changes in pressure, gravitational forces, and weather. Some patients may experience exacerbations because of factors related to the cabin environment, including hypoxia, limited mobility, gas expansion, and the risk of injury related to turbulence. Resources for definitive care are limited. Aeromedical evacuation crews coordinate with other organizations to plan for the safe and timely care and evacuation of patients. Crews must be prepared for patients with trauma and mental health illnesses.

<span class="mw-page-title-main">Eva Luckes</span> Matron of The London Hospital (1854–1919)

Eva Charlotte Ellis Luckes was matron of the London Hospital from 1880 to 1919.

Caroline Keer, was a British military nurse and nursing administrator, who served in Natal during the Second Boer War. She was matron-in-chief of Queen Alexandra's Royal Army Nursing Corps between 1906 and 1910.

<span class="mw-page-title-main">Utah State Hospital</span> Hospital in Utah, United States

The Utah State Hospital (USH) is a mental hospital located in eastern Provo, Utah. The current superintendent is Dallas Earnshaw.

<span class="mw-page-title-main">Lincoln County Hospital</span> Hospital in Lincolnshire, England

Lincoln County Hospital is a large district general hospital on the eastern edge of north-east Lincoln, England. It is the largest hospital in Lincolnshire, and offers the most comprehensive services, in Lincolnshire. It is managed by the United Lincolnshire Hospitals NHS Trust.

Occupational health nursing is a specialty nursing practice that provides for and delivers health and safety programs and services to workers, worker populations, and community groups. The practice focuses on promotion, maintenance and restoration of health, prevention of illness and injury, and protection from work‐related and environmental hazards. Occupational health nurses (OHNs) aim to combine knowledge of health and business to balance safe and healthful work environments and a "healthy" bottom line.

A healthcare technician is a health professional that provides care to patients. Healthcare technicians' primary position is to assist medical staff complete tasks around their assigned unit or clinic's and accommodate patient needs. Healthcare technicians are typically found in specialty clinics, intensive care, emergency departments, or laboratory collection facilities. Technicians will perform basic cardiology reports such as, electrocardiograms and will have basic understanding of bodily function. The technician is an integral member of the unit-based healthcare team, they contribute to the continuity of care by decreasing fragmentation through decentralization of selected diagnostic and therapeutic treatment modalities.

Marie Schuber Manthey is an American nurse, author, and entrepreneur. She is recognized as one of the originators of Primary Nursing, an innovative system of nursing care delivery.

Rosalie Dreyer was a Swiss-born naturalised British nurse and administrator. Immigrating to England at the age of eighteen, she trained as a nurse in London and worked her way through the ranks to become matron, principal matron and chief matron-in-charge of the Nursing Service of the London County Council. Dreyer was a pioneer in the development of Britain's public-funded nursing service.

<span class="mw-page-title-main">Dorothy Bannon</span> English nurse

Dorothy Bannon, CBE was a pioneering British nurse who as Chief Matron-in-Charge of the Hospital and School Nursing Service of the London County Council. She was instrumental in the development of Britain's public-funded nursing service.

<span class="mw-page-title-main">Ethel Tracy Richardson</span> (1877–1942) nursing sister and army matron-in-chief

Ethel Tracy Richardson, was an Australian nursing sister, army matron-in-chief, and honorary major who served during the First World War. She was the first person to become Matron-in-chief on the staff of the director general of medical services at Army Headquarters, Melbourne.

The Salmon Report (1966) or the Salmon Report on Senior Nursing Staff Structure was the report of a committee established to bring standardisation in structure and pay for senior hospital nurses in England and Scotland. The report recommended changes to how nurses jobs were categorised in hospitals and management training for nurses.

References

  1. "Nursing officer". Archived from the original on September 16, 2018.
  2. "head nurse". CollinsDictionary.com . HarperCollins.
  3. "The World's Fastest Dictionary : Vocabulary.com". www.vocabulary.com.
  4. Agarwal, Arun K. (21 June 2007). Standard Operating Procedures For Hospitals In India. Atlantic Publishers. p. 245. ISBN   9788126907762. Nursing Superintendent/Matron The Matron will be responsible to the MS for the administrative and technical aspects of nursing in the hospital. Her charter of duties will include the following: ( 1 ) Administration of nurses, their accommodations and messing, viz. equitable distribution and economic utilization of nursing staff, maintenance of duty roster, turnout and discipline; supervision ...
  5. Archer, Francis B. (1967-10-20). The Gambia Colony And Protectorate: An Official Handbook. Psychology Press. p. 296. ISBN   9780714611396 . Retrieved 26 February 2013. I. The staff of European nurses shall consist of a matron or senior nurse, and such other nurses as may from time to time be appointed. II. The matron shall be the head of the general staff of the hospital, and shall be responsible for the discipline of the institution to the medical officer. III. The other nurses shall obey the orders of the matron or senior nurse, and perform whatever duties she may detail them for in addition to their duties as prescribed by the senior medical officer.
  6. Fatchett, Anita (2012-04-17). Social Policy for Nurses. Polity. p. 222. ISBN   9780745649207 . Retrieved 26 February 2013. The matrons of the past had a very distinctive uniform, usually a dark-blue dress, in a slightly darker hue than that of her direct subordinate (the sisters). She also wore an elaborate, white-starched hat.
  7. Lees, Liz (2007). Nurse Facilitated Hospital Discharge. M&K Update Ltd. p. 80. ISBN   9781907830129 . Retrieved 26 February 2013. There is a clear expectation that matrons will provide strong leadership and act as a link between Board-level nurses and clinical practice. Nurses at Board level have a responsibility to ensure that nursing meets Trust objectives.
  8. Sarnecky, Mary T. (1999). History of the United States Army Nurse Corps. University of Pennsylvania Press. p. 3. ISBN   9780812235029 . Retrieved 26 February 2013. The larger military hospitals ideally had a nursing staff that consisted of a matron or head nurse and a number of "common" nurses. The matron was charged with the responsibility of making twice daily rounds to supervise the nurses' duty performance.

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