Tutorial 1 (topic 1 & 2)

1. NBBS1104 MANAGEMENT AND MEDICO LEGAL STUDIES B Tutorial 1 (topic 1 & 2)

2. Grouping …. • What is management ? • What is administration ? • What is leadership ? • What is Motivation ?

3. Topic 1: Learning Outcomes • Distinguish between management and leadership in nursing • Discuss the principles and process of management • Describe the strategic planning and SWOT analysis • Describe different types of leadership styles • Discuss the motivation theories • Describe the role and responsibilities of a nurse as team leader, team member in ward or clinic

4. Content • Introduction to management • Process of management • Management theories • Motivational theories • Leadership styles

6. a. Introduction to Management in Nursing Dr Kithsiri Edirisinghe MBBS, MSc, MD ( Medical Administration ) Master Trainer Australia

7. What is management “ Getting things done through and with people by using resourceseffectively end efficiently to achieve organizational goals.” • Peter Drucker -

8. Health Services Management • Managing Healthcare services effectively and efficiently with a view to achieve patient care standards, goals & objectives. • Health services produced by Healthcare Process

9. Health care process Input Healthcare process Output • Input - Resources • Healthcare process – Hospitals , Public Health • Out put - Healthcare services

10. Healthcare Resources • Infrastructure - Space • Men - Human Resources • Machines - Equipments • Money - Finance • Material - Supplies • Methods - Policies , Procedures , Protocols • Minutes - Schedule • Information - Health / hospital Information system (HIS)

11. Healthcare Services • Preventive - Public Health Services • Investigative services • Curative services • Rehabilitative services • Health sector Project management

12. Efficiency • More Output with the same input • Productivity

13. Effictiveness • Outcome of the production • Quality

14. Quality in Healthcare Services • Services quality • On stage players • Non medical staff & services • Technical quality • Back stage players • Medical staff & services

15. Goals and Objectives • Goals • Broad statement of achievement in future • Objectives • Milestones • SMART - Specific - Measureable - Achievable - Realistic - Timely

16. Administration • Making sure that the set of rules and regulations are adhered to by the people ! • Rules & regulations • Policies & Circulars • Protocols & Guidelines

17. Administration • Making sure that the set of • Rules and regulations are adhered by the people ! • Rules & regulations • Policies & Principles and Ethics • Protocols & Guidelines

19. Activity 01 Critically analyze the following statement : PP presentation for each group ( one topic for two groups – 10 Munities ) Gr. 01 & 08 “ Hospitals in Sri Lanka is more efficient than effective “ Gr. 02 & 07 “ Nurses are not suitable for managerial position in the hospitals in Sri Lanka “ Gr. 03 & 05 Productivity is an essential component than quality in healthcare Gr. 4 & 06 “Medical administrators are not good administrators in Sri Lankan hospitals”

20. b. Process of Management

21. Meaning and principles of management

22. Process of Management • Planning • Organizing • Staffing • Directing • Controlling of the resources Efficiently Effectively, to achieve organizational goals and objectives

23. Planning “The greatest thing in the world is not so much where we are, but in what direction we are moving” Oliver Wendell Homes

24. 1. Planning

25. Planning • From here to there ! • Preparation – forecast • Two categories in planning • Operational planning • Strategic planning • It gives the direction

26. “If you don’t know where you are going, any road will take you there.” The Koran

27. Planning • Strategic planning • Maximum consideration of the environment • Long term – 03 – 10 years • Broader details • It gives the direction • Performed by top level managers –CEO, COO • Operational planning • Minimal consideration of the environment • Short term 1-2 years • Detailed • Done by nursing managers

28. Strategic Management • Comprehensivemanagement process , • Performed by considering • the dynamic external environment , • Internal environment • organizing a comprehensive plan to achieve organizational goals & objectives .

29. The trip

30. Strategic planning process • Developing a Vision • Developing a Mission • Situational analysis • Environmental assessment • External environment • Internal environment • SWOT analysis • Strengths , Weakness , Opportunities and Threats

31. Vision • Astrategic vision concerns a organization’s future path ; the road map!! • “Where we are going”

32. Vision examples • Wyeth “Our vision is to lead the way to a healthier world” • Nike “ To bring innovation & inspiration to every athlete in the world” • IIHS “To bring innovation to the training of healthcare professional”

33. Developing Mission • The vehicle that drives the organization to the destination…. …

34. Canadian Red cross The Canadian Red Cross mission is to improve the lives of vulnerable people by mobilizing the power of humanity in Canada and around the world

35. IIHS “ We are a Healthcare training organization born to bring innovationto healthcare training at a green campus, infusing the traditional values of Healthcare professionalism, whilst adhering to international training standardsto improve the quality of lives of healthcare professionals through developing their personalities, by partnering with international organizations, to provide a total solution to the global need of healthcare professional.”

36. Key Steps in strategic planning

37. SWOT Analysis • Strengths • What are we good at? • Weaknesses • Where do we need improvement? • Opportunities • Where/What is the next big thing? • Threats • What can kill us?

38. External Environment Assessment

39. Internal Environment Assessment

40. Steeps in strategic planning

41. 2. Organizing

42. Meaning and principles of management

43. Organizing • Three sequential activities: • Work specialization • Departmentalization • Planning Delegating authority

44. A. Work Specialization

45. Work specialization • Process analysis • Job design • Job analysis • Job description • Job specification

46. B. Departmentalization

47. Organizing structures • Establishing structures to carryout activity plans • Determining the most suitable method to deliver patient care • Reporting organizational and reporting structures

48. Organizational Structures for hospitals

49. Few words • Authority • The formal right to act as a manager • Responsibility • The duty to act on the authority delegated • Power • Capacity to influence the behaviour of others

50. Organizational Structure • How human beings are distributed in an organization • Where each person is competent in the particular field to hold their positions • To achieve organization goals and objectives