Nurse Managers Development Program

1. Nurse Managers Development Program HASNAH E. BANJAR PhD, MSN, BSN Nursing Department College of Applied Medical Sciences King AbdulAziz University The fourth Arabian Gulf Medical Association Conference, March 2005

2. The status of nursing in the Gulf region • A study in (1993-1994) by the GCC nursing technical committee, to establish a database of the nursing profession in the Gulf region (GCC, 1996) Executive Office of the Ministries of Health of Gulf Countries Council GCC, The fourth Arabian Gulf Medical Association Conference, March 2005

3. Key issues (GCC report,1996) • Shortage of national nurses • Lack of information system • Absence of standards, rules and regulations for nursing practice • Absence of standards for staff and manpower assessment The fourth Arabian Gulf Medical Association Conference, March 2005

4. Key issues (GCC report,1996) • Multiple and varying levels of nursing personnel (national and international) • Diverse differences in the nurses educational and training backgrounds • Discrepancies in salary from one health institution to another. The fourth Arabian Gulf Medical Association Conference, March 2005

5. Key issues (GCC report,1996) • lack of effective leadership in nursing departments • lack of participation of nursing leadership in decision-making and health policies • The effect of nursing leadership on the quality of nursing services. The fourth Arabian Gulf Medical Association Conference, March 2005

6. Current Status of Nursing in GCC • Increased collaboration among gulf countries • Ongoing programs to encourage national nurses • Standardized nursing educational Programs (BSN) • Regulation of nursing practice • Increased national nurse leaders The fourth Arabian Gulf Medical Association Conference, March 2005

7. Nursing in Saudi Arabia The fourth Arabian Gulf Medical Association Conference, March 2005

8. Nursing Education Programs in Saudi Arabia MOED MOH Doctoral Degree Master degree in Nursing (Baccalaureate degree) 4 years + 1 year internship Associate Diploma in Nursing In Intermediate Health Colleges (3 years + 6months internship)) Graduation from General High school (12 grade) Diploma in Nursing (3 years) Graduation after 9 grade The fourth Arabian Gulf Medical Association Conference, March 2005

9. Regulation of Nursing Profession in Saudi Arabia • (October, 2002) the Scientific Nursing Board in the Saudi Council for Health Specialties – to develop policies and regulations of nursing profession on a national level. • The 5th GCC nursing conference, Riyadh (2002) “Revising Nursing Education & Practice through Professional Regulation” The fourth Arabian Gulf Medical Association Conference, March 2005

10. Regulation of Nursing Profession in Saudi Arabia • Standards of practice • Nursing code of ethics • Review of job descriptions • Registration • Licensure The fourth Arabian Gulf Medical Association Conference, March 2005

11. Regulation of Nursing Profession in Saudi Arabia • (2003) Regional Nursing Departments in each Health Directorate at MOH • Three major departments: • Nursing Services & Quality management • Continuous education & training • Planning, policies and research in nursing The fourth Arabian Gulf Medical Association Conference, March 2005

12. The need for developing Saudi Nurse Managers • Studies and reports • Saudiization • Early ‘premature’ promotion to management position (MOH) • Lack of criteria for promotion The fourth Arabian Gulf Medical Association Conference, March 2005

13. Nursing Management in Saudi Arabia A Kingdom-wide management training programs for nursing directors were recommended, due to weak management of nursing services at most MOH hospitals (Henry, 1994). The fourth Arabian Gulf Medical Association Conference, March 2005

14. Nursing Management in Saudi Arabia A qualitative study of Saudi nurse leaders identified early promotion as a ‘stressful’ and ‘challenging’ experience, which they were not prepared for, but coped with (Lovering, 1996) The fourth Arabian Gulf Medical Association Conference, March 2005

15. A Model of a Nurse Manager’s Job Stress • JOB STRESSORS • Workload • Patient care • Staff management • Role conflict • Organization Perceived Stress level JOB SATISFACTION General Health Coping Demographic characteristics The fourth Arabian Gulf Medical Association Conference, March 2005

16. Study methodology • Setting MOH and other governmental hospitals in Jeddah (N=11) • Sample 117 FLNMs working in inpatient care units • Data collection method Self-administered questionnaire The fourth Arabian Gulf Medical Association Conference, March 2005

17. Distribution of Respondents by Education Level Total n = 115 The fourth Arabian Gulf Medical Association Conference, March 2005

18. Distribution of Respondents by Nationality Total n = 117 The fourth Arabian Gulf Medical Association Conference, March 2005

19. Self- reported general health The younger , less experienced FLNMs, who perceived their job as mainly patient care oriented; reported more symptoms and experienced less emotional well-being than other FLNMs. The fourth Arabian Gulf Medical Association Conference, March 2005

20. Job Stressors • The Saudi FLNMs perceived workload and staff management stressors as more stressful • The Saudi FLNMs experienced stress symptoms more frequently and thus appeared to be more emotionally distressed. The fourth Arabian Gulf Medical Association Conference, March 2005

21. Coping methods Non-Saudi FLNMs, who were older and more experienced tended to use more direct coping when faced with stressful situations. The fourth Arabian Gulf Medical Association Conference, March 2005

22. Implications To Nursing Administration And Nursing Education • Reviewing the policies of FLNMs’ selection, placement and promotion • Supporting the transition of FLNMs to management positions especially of Saudi nurses, • Orientation, management training and development programs. The fourth Arabian Gulf Medical Association Conference, March 2005

23. Implications To Nursing Education • Nursing curriculum • Early and gradual exposure to ward management • Integration of theoretical and clinical aspects • Content (e.g. team building, budgeting, stress management and coping) • Mentoring The fourth Arabian Gulf Medical Association Conference, March 2005

24. ICN position statement 2000 (International Council of Nursing ICN ) “ICN expects nurses to contribute to health policy locally, nationally and internationally through management and leadership roles and through professional nursing associations.” “Educational preparation for management will vary according to the roles and career paths of nurse managers. “ The fourth Arabian Gulf Medical Association Conference, March 2005

25. Preparation of Nurse Managers The preparation of nurses for management and policy should enable them to assume roles as either managers of nursing services or education, or as managers of health care services, or in health policy. (ICN, 2000) The fourth Arabian Gulf Medical Association Conference, March 2005

26. Preparation of Nurse Managers It is recognized that leadership development is a critical component of management development, as well as being a major priority for nursing generally. (ICN, 2000) The fourth Arabian Gulf Medical Association Conference, March 2005

27. Nurse Managers Education, Development and Training Post- Qualification Pre- Qualification Master N Programs BaccalaureateN Program Advanced Diploma Associate Diploma in Nursing On- Job training Role Transition The fourth Arabian Gulf Medical Association Conference, March 2005

28. Pre-qualifications (The Baccalaureate Nursing program) • A management course (4 credit hours of theory and clinical) • Basic concepts in management and leadership in nursing. • The clinical experience The health care system, nursing management levels, management styles, management functions and ward management (FLNMs, team leaders and charge nurses). The fourth Arabian Gulf Medical Association Conference, March 2005

29. Post- Qualification • The transition period • An advanced diploma program. • A Master program The fourth Arabian Gulf Medical Association Conference, March 2005

30. Transition to management position The fourth Arabian Gulf Medical Association Conference, March 2005

31. Transition to management position • Staff nurses with potential leadership abilities, followed up and directed to management development program. • Role socialization by practicing as charge nurse or team leader (at least 2-3 years). • May act up as assistant head nurse for one year or more. The fourth Arabian Gulf Medical Association Conference, March 2005

32. Nurse manager orientation program • A structured program (15- 18 month ) for newly appointed nurse managers • It involves several approaches such as: clarifying job expectations, mentoring, action learning, frequent feedback and peer support in addition to lectures and workshops. The fourth Arabian Gulf Medical Association Conference, March 2005

33. Nurse manager orientation program 1. Immediate (1- 2 weeks ) upon entering the system. 2. Short- term ( 3- 12 weeks ) 3. Long-term (3 month – 1 year) The fourth Arabian Gulf Medical Association Conference, March 2005

34. Advanced Diploma In Nursing Management • By the Saudi Council for Health Specialties. • It is recommended for nurses – who are unable to pursue graduate studies • Training ( not less than one year). • It consists of three semesters, each will last 20 study weeks. • The clinical by working three 12 hours shifts for three days per week The fourth Arabian Gulf Medical Association Conference, March 2005

35. The Master Nursing Program • Ideally, the formal program in nursing administration is offered at the graduate level. • The curriculum can be divided into the following components: -The core courses -Courses in nursing administration -Administrative practicum. The fourth Arabian Gulf Medical Association Conference, March 2005

36. In-service & continuing education activities • A survey of need assessment • A series of lectures, workshops, study days, or specifically-designed management development programs • Within a comprehensive program of all management levels • Topics e.g. decision making & problem solving, delegation and time management. The fourth Arabian Gulf Medical Association Conference, March 2005

37. Thank you The fourth Arabian Gulf Medical Association Conference, March 2005