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Chapter 7 Nursing Service Final

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42 views22 pages

Chapter 7 Nursing Service Final

Revised Ehsi

Uploaded by

Ibsa Abdo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Chapter : 7

Nursing Care Service Management


September 2023
Outline
• Learning Objectives
• Introduction
• Operational standards
• Implementation guidance
• Summary
Learning Objective

At the end of this presentation the participant will able to:


• Explain concepts and principles of nursing service
organization and management
• Describe the role of nursing workforce in improving
patient outcome
• Explain nursing care operational standards
• Describe implementation of nursing standard (Nursing
process)
• Identify principles of nursing ethics and code of condcut
1. Introduction

Nursing is a profession that ensures the successful


implementation of interventions that:
• Welcome and nurture life,
• Promotes or restores health,
• Enables the means to improve the quality of life ,
• Dignified and peace full death
1. Introduction...(2)

Nursing encompasses autonomous and collaborative care


of
• Individuals of all age,
• Families,
• Groups and communities,
• Sick or well and in all settings.
1. Introduction...(3)

• Nursing staff work closely with their own team and with
other health professionals, making sure patients’ care
and treatment is coordinated.
2. Operational Standards
1.The hospital has established nursing care service management
structure and job description including reporting relationships.

2.The hospital has a nursing workforce plan and sets


standardized nurse to patient ratio in each service area.

3.The hospital has written Protocol describing the responsibilities


of nurses for implementing nursing process.
2. Operational standards...(2)
4.All admitted and emergency patients/clients have a nursing
process that describes holistic nursing cares.

5.All hospital nurses comply with the professional code of


conduct and ethics which governs their professional practice.

6.The hospital has established guidelines for verbal and


written communication about patient/client care to work as
independent, inter dependent and collaborative team work.
2. Operational standards...(3)

7.The hospital has standardized procedures and practice


for the safe and proper administration of medications by
nurses or designated clinical staff.
8.The hospital has conducted regular nursing care practice
audit and the findings are linked with QI projects.
9.The hospital has implemented nursing shift regular
handover and rounds.
2. Operational standards...(4)

10.The hospital has a centralized nursing station set-up in


each ward with adequate space, equipment and
consumables.

11.The hospital established skill lab and regular need


based capacity building program for nursing staffs.
3. Implementation Guidance
Nursing management structure and job description
including reporting relationships.
• Nursing Director (matron) is a member of the SMT and
responsible for the overall function of nursing activities in
the hospital.

• Nursing Director is functionally accountable to the


Medical Director.
3. Implementation guidance...(2)

• The head nurses are responsible for the administrative


and nursing functions in the specific Ward/Unit.

• Head nurses are accountable to their respective


department head functionally and to the nursing director
adminstratively
3. Implementation guidance...(3)
Nursing Workforce Plan
• Inappropriate distribution of available staff adversely affects the
quality of patient care.
• Nurse to patient ratios for each service area should be established
• The nursing workfoce plan should consider
 to fill gaps durring annual leave, sick leave, maternity/paternity
leave
• Nurses may delegate tasks and responsibilities to junior nurses,
student nurses or parallel position
3. Implementation guidance...(4)

Nursing Process and it’s components


The nursing process involves (ADPIE)
• Nursing Assessment,
• Nursing Diagnosis,
• Nursing Planning,
• Nursing Implementation and
• Nursing Evaluation.
3. Implementation guidance...(5)

Nursing Ethics
The International council of nurse’s code of ethics is
grouped into four distinct areas.
• Promote health,
• Prevent illness,
• Restore health, and
• Alleviate suffering.
3. Implementation guidance...(6)

Principle of Nursing Ethics


• Respect the Autonomy
• Beneficence and none maleficence
• Justice
• Privacy and
• Confidentiality
3. Implementation guidance...(7)

Communication and Documentation


• Written communication
• Verbal communication (accepted in emergency
situation)
3. Implementation guidance...(8)

Patient Education
• Nurses should give health education for all patients,
also incorporate family members and other caregivers
• Educate on hospital environment and there role and
responsiblities
• It will improve the family and staff relationship
3. Implementation guidance...(9)

Medication Management
Patient medication should stored centrally or
at bedside locked with cabinet
Accept complete medication information
including
 Date and time
 Full name of the medication
 Route, Dosage &Concentration
 Time, frequency and duration
 Physician Signature
3. Implementation guidance...(10)

Nursing care practice audit


• It should be part of the overall hospital quality
improvement project.
• Regular nursing care audit is critical for
improvement
4. Summary
• Nursing encompasses autonomous and collaborative
care of individuals of all ages, families, groups and
communities, sick or well and in all settings.

• Nursing includes the promotion of health, prevention of


illness, and the care of ill, disabled and dying people.
Thank You!

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