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Nurse Managers Development Program

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Nurse Managers Development Program HASNAH E. BANJAR PhD, MSN, BSN Nursing Department College of Applied Medical Sciences King AbdulAziz University – PowerPoint PPT presentation

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Title: 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

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,
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

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.

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.

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

7
Nursing in Saudi Arabia
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
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

10
Regulation of Nursing Profession in Saudi Arabia
  • Standards of practice
  • Nursing code of ethics
  • Review of job descriptions
  • Registration
  • Licensure

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

12
The need for developing Saudi Nurse Managers
  • Studies and reports
  • Saudiization
  • Early premature promotion to management
    position (MOH)
  • Lack of criteria for promotion

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).

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)

15
A Model of a Nurse Managers Job Stress
  • JOB STRESSORS
  • Workload
  • Patient care
  • Staff management
  • Role conflict
  • Organization

Perceived Stress level
JOB SATISFACTION
General Health
Coping
Demographic characteristics
16
Study methodology
  • Setting
  • MOH and other governmental hospitals in Jeddah
    (N11)
  • Sample
  • 117 FLNMs working in inpatient care units
  • Data collection method
  • Self-administered questionnaire

17
Distribution of Respondents by Education Level
Total n 115
18
Distribution of Respondents by Nationality
Total n 117
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.

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.

21
Coping methods
  • Non-Saudi FLNMs, who were older and more
    experienced tended to use more direct coping when
    faced with stressful situations.

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.

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

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.

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)

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)

27
Nurse Managers Education, Development and Training
Post- Qualification
Pre- Qualification
Master N Programs
Baccalaureate N Program
Advanced Diploma
Associate Diploma in Nursing
On- Job training Role Transition
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).

29
Post- Qualification
  • The transition period
  • An advanced diploma program.
  • A Master program

30
Transition to management position
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.

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.

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)

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

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.

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.

37
Thank you
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