Leadership and Management in Nursing (Nursing): Course Outline

On completion of this course, learners will be able to:

1. Discuss the structures and functions of organizations.
2. Assess various management systems within, and related to, the health care system by utilizing various organizational theories.
3. Integrate various theories in relation to leadership, management, problem solving and decision making, motivation, managing change and, conflict management.
4. Describe implementation of an effective human resource management in nursing e.g. performance / annual appraisal, work load management, and other related issues.
5. Identify different mechanisms for managing resources and monitoring effective utilization of resources among health care professionals.
6. Demonstrate effective communication and interpersonal relationship
7. Discuss the application of the assertive behaviour.
8. Describe the Quality Management System and its application to create an environment conducive to the provision of cost effective quality nursing care.
9. Describe the contribution of Information Technology to efficiency and effectiveness of nursing.

Management /Organizational Theories, Structure and Culture

In this unit the learners will explore the history of management theories and its implication in Health Care Organizations, different organizational structures and it implication.

1. At the end of this unit the learners will be able to:
2. Discuss various theories of management.
3. Discuss different terminologies related to management
4. Identify different types of health care organizations.
5. Identify various types of organizational structures
6. Differentiate between formal and informal structure within the organization.
7. Define staff and line relationship
8. Describe the importance of organizational structure
9. Describe different levels of management.
10. Describe redesigning and restructuring in the organization

Management Functions and Their Application to Nursing Strategic Planning.

In this unit learners will have opportunities to discuss the managerial functions associated with administration and how these are applied to management of nursing in various settings.

At the end of this unit the learners will be able to:

1. Discuss various strategies managers use to coordinate material and human resources and for the accomplishment of organizational goals.
2. Analyze the functions of a nurse manager in relation to:
   • planning
   • controlling
   • organizing
   • directing
   • evaluating
3. Discuss the attributes of an effective manager.
4. Discuss some selected management processes commonly used by nurses in their managerial role.
5. Discuss how a nurse manager monitors the functioning of his/her area of administration.
6. Understand the concepts of strategic planning.

Leadership Theories and Styles

Learners will be able to understand different Leadership theories and styles which managers use in different situations.

At the end of this unit the learners will be able to:

1. Understand different Leadership theories.
2. Discuss the styles of Leadership.
3. Describe the different types of power used by a leader.
4. Differentiate between the roles of manager & leader.
5. Discuss ways to become a effective leader

Problem Solving and Decision Making

In this unit, learners will study the process of decision making and its importance. They will be introduced to the different types of decision making, models of decision making including the ethical decision making model.

At the end of this unit the learners will be able to:

1. Define the terms decision making and problem solving.
2. Discuss the importance of critical thinking in decision making
3. State the importance of decision making and problem solving
4. Identify the types of decision making
5. Describe the models used for decision making
6. Describe the application of the models to a given situation
7. Describe the problem solving process and its application to clinical and administrative situations.

Change Management

In this unit, learners will be able to learn about the concepts of change, resistance to change and strategies to deal with resistance and its application to management situation.

At the end of this unit the learners will be able to:

1. Define change.
2. Discuss categories and types of change.
3. Understand different change theories.
4. Integrate any of the change theories in given situation Lewin’s theory and steps of change in a ward situation.
5. Learn about the techniques for dealing with resistance.
6. Learn about the skills that a change agent should possess.

POWER AND POLITICS NURSING

In this unit learners will get an opportunity to understand that how power and political actions influence the environment in which we live.

At the end of this unit the learners will be able to:

1. Define politics, power, and policy.
2. Discuss the different sources of power.
3. Describe reasons why nurses should know the political strategies.
4. Describe ways how power can be used constructively for professional purposes.

Communication in Management

In this unit, the process and principles of effective communication will be reviewed. The concept of organizational communication will be introduced including the formal and informal channels of communication. Learners  will appreciate the importance of assertiveness and apply it when negotiating and collaborating with different population at different levels to accomplish professional goals. They will also learn the process of conflict resolution.

At the end of this unit the learners will be able to:

1. Review the basic principles of communication.
2. Describe   the   importance    of   formal   and   informal   channels    of communication in organizations.
3. Discuss concepts of organizational and interpersonal communication.
4. Describe the different direction of communication
5. Describe the mode of communication.
6. Describe the factors influencing communication.
7. Discuss the role of communication in leadership.

Negotiation and Collaboration:

Learners will be able to learn about how to apply communication skills while talking to different population and to negotiate with them at different levels for the accomplishment of professional organizational goals.

At the end of this unit the learners will be able to:

1. Discuss negotiation skills.
2. Apply negotiation and collaborations skills while dealing with different population.
3. Describe collective bargaining.

Conflict Resolution & Management

1. Define conflict.
2. Discuss the positive and negative aspects of conflict.
3. Explain causes of conflict.
4. Explain different types of conflict.
5. Describe different techniques of conflict resolution.

Resource Management Financial Management

In this unit the learners will be provided with an understanding of budgeting concepts, terminology, utilization and monitoring of human and other resources determining the efficiency and the effectiveness of a nursing department in operation.

At the end of this unit the learners will be able to:

1. Describe the purpose of budgets.
2. Differentiate and manage different types of budget.
3. Discuss the importance of budget for nurses.
4. Apply specific terminology of budget.
5. Discuss goals setting to establish budget.
6. Discuss the elements of preparing, controlling and monitoring budget.
7. Determine the efficiency of selected budget.

Describe the applications of budgeting in their specific institution

Human Resource Management

1. Staffing and scheduling
2. Staff development

In this unit the learners will be introduced to the basic concept of Human Resource Management which will include recruitment, hiring process,

staffing and scheduling and different strategies to manage staff and their retention and development.

At the end of this unit the learners will be able to:

1. Define Human Resource management,
2. Discuss the different strategies for staff management.
3. Describe the recruitment process.
4. Discuss staffing and scheduling
5. Discuss the importance of staff retention and staff development.
6. Discuss the importance of delegation.

Work Load Management

a.       Models for Nursing Care Delivery System

“Success or failure in business depends on whether people work together effectively in teams.”

In this unit learners will be able to gain knowledge regarding efficiency, productivity and effectiveness in nursing care and will be able to discuss different nursing care models and will be able to compare these models with the patient care areas of the Hospital.

At the end of this unit the learners will be able to:

1. Define Work load management.
2. Discuss different patient care processes, input, though put and output.
3. Define efficiency. , productivity and effectiveness.
4. Discuss the different types of Nursing Care Models.
5. Differentiate the advantages and disadvantages of each model.
6. Discuss application of these models in patient care areas of the hospital.

A.  MOTIVATIONAL THEORIES

B. PERFORMANCE APPRAISAL,

C. MANAGING HALLENGING PERSONNEL

In this unit Learners will develop an understanding of motivational theories and will be able to describe the evaluation process as it is relate to self and others. They will also gain knowledge regarding the process of counseling, while dealing with different challenging / difficult personnel.

At the end of this unit the learners will be able to:

1. Discuss different motivational theories.
2. Define the term Performance Appraisal.
3. Discuss the different evaluation philosophies.
4. State the purpose of performance appraisal.
5. Describe the process of performance appraisal.
6. Describe the components, methods and types of evaluation.
7. Discuss the potential problems and strategies to reduce them.
8. Discuss counseling and the types.
9. Describe the process of counseling and its importance to performance appraisal and managing with challenging / difficult personnel.

Quality Management System

In this unit, learners will be introduced to the concept of Quality Management System (QMS), Accreditation of institutions and Risk Management. Learners will also discuss its implementation in hospital setting. The role of the nurse manager will be explored in respect to QMS.

At the end of this unit the learners will be able to:

1. Discuss the historical elements fostering implementation of quality management system.
2. Discuss the relationship between Total Quality Improvement (TQI), Total Quality Management (TQM), and Quality Management System (QMS).
3. Describe the characteristics and process of quality management system.
4. Define performance improvement standards.
5. Identify the role of the nurse manager in the quality management process.
6. Discuss Nursing role in risk management.
7. Delineate the type of risk involve in health care setting.
8. Discuss key behaviors for handling customers’ complaints.
9. Analyze the Plan Do Check & Action (PDCA) cycle

Accreditation for Institutions

Learners will be given an introduction to accreditation its types  and process with the specific focus on the ISO 9000 –2000 and Joint Commission International Accreditation (JCIA).

At the end of this unit the learners will be able to:

1. Describe the historical back ground of the accreditation of institution.
2. Define Accreditation.
3. Discuss the importance of accreditation in growth of the institutions.
4. Differentiate between ISO 9000 and JCIA.
5. Discuss its implementation of these standards hospitals/organization.

Hospital Management System (HMS)

In this unit, learners will be introduced to the concept of Hospital Management System (HMS), and be familiar with the different systems of Information Technology that are used with in the health care environment.

At the end of this unit the learners will be able to:

1. Define Management Information System (MIS)
2. Discuss different Information system used in hospital setting.
3. Describe different obstacles with Nursing Information System (NIS).
4. Describe  the  role  of  a  nurse  manager  in  application  of          this technology.
5. Discuss ethical consideration in NIS.
6. Discuss Nursing Informatics and its implication in nursing profession.
7. Describe the contribution of Information technology to efficiency and effectiveness of nursing.