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,learningobjectives,whatisanursemanager?,nursemanagersembodynurseandexecutiverolestypicallyreporttoasuperiorinnursing:director,chiefnursingofficer,orvicepresidentofnursingresponsibleforfunctionsoftheunit:-staffing,employeesatisfaction-safetyandquality-customersatisfaction-budgeting,whyarenursemanagerssoimportant?1,2,3,4,nursemanagersleadthecareeffortsontheirunitsnursemanagersbenefitpatientsafetyandqualitythroughtheirleadershipnursemanagerssupportnursingstaffinpreventingpatientharm,thenursemanagersdualroles,nursemanagersweartwohats:theydeliverclinicalcareandserveasadministrativeleaders.representandsupporttheirnursingstaff(staff)-mentorandcoachnursingstaff-listentoconcernsandprovidecounsel-representtheirunitandstaffwithinthehospitaloverseeunit-basedoperations(administration)-financial-humanresources-customer-/patient-focusedcaredelivery-regulationandunit-basedprotocol,overseeunit-basedoperations,theleadershipandmanagementrolesofthenursemanager,leadership:-embodiesthevision,mission,andvaluesoftheunitwithstaff-motivatesstafftostriveforprofessionalexcellence-isasocio-adaptivecomponentmanagement:operationsfinanceandbudgetstrategicgoals-task-oriented,technicalcomponentsofjobs,thenursemanagerasamentorandcoach,responsibilitiesofthenursemanager,managinghumanresourcesmaintainingcustomerfocusmanagingfinancesensuringstandardsofcarealigningunitsinterestsandresourceswithorganizationalgoals,humanresourcemanagement4,nursemanagersleadtheiremployeesby:-hiring,firing,training,developing,andinspiringnursemanagersareresponsiblefortheactionsoftheirstaffandforeachemployeesprofessionaldevelopment,encourageprofessionaldevelopmentofstaff,customerfocus,nursemanagersareresponsibleforensuringthatcaredeliveredontheunitiscustomerfocusedsomecustomersare:-patientsandtheirfamilies-regulators-localgovernments,financialresponsibility,nursemanagersoverseeallfiscalaspectsoftheirunitnursemanagersensurethatexpensesstaywithintheunitsbudget.expensesmayinclude:-staffingcostsoperatingcostsphysicalplantcosts-equipment-supplies,standardsofcare,nursemanagersmustknowtheaccuratestandardsofclinicalcompetencyforthesafecareoftheunitspatientsnursemanagersensurethatcaredeliveryalignswiththehighestqualityofcare:-understandkeyqualityandsafetyimprovementmeasures-leadstafftrainingtoensurethesafestcareforpatients-ensurestaffaccesstonecessaryequipment,alignmentwithorganizationalgoals5,nursemanagersensurethattheunitsdailyactivitiesarealignedwithorganizationalgoals.they:-serveasthedecisionmakerwhocarriesoutplans-inspirestafftoparticipateinprojectsandinitiatives-usethe4esengage,educate,execute,andevaluateeffectivenursemanagersusemultipleformsofcommunicationtoobtainandshareinformation,frameworksthatareusefulfornursemanagers,baldridgehealthcarecriteriaforperformanceexcellenceframeworkquintstudersfivepillarsbalancedscorecardamericanorganizationofnurseexecutivesnursemanagerleadershippartnershiplearningdomainframework,thebaldridgehealthcarecriteriaforperformanceexcellenceframework6,theframeworkaddressesthekeyareasofrunningasuccessfulhealthcareorganizationleadership;strategicplanning;customerfocus;measurement,analysis,andknowledgemanagement;workforcefocus;operationsfocus;andresultsperformanceexcellencereferstoanintegratedapproachtoorganizationalperformancemanagementthatresultsin:-deliveryofever-improvingvaluetocustomersandstakeholders;contributingtoorganizationalsustainability-improvementofoverallorganizationaleffectivenessandcapabilitiesorganizationalandpersonallearning,/baldridge/publications/upload/2011_2012_health_care_criteria.pdf,quintstudersfivepillars7,balancedscorecard8,customerresultsinternalprocessesstaffandorganizationalgrowthfinancialresultsvisionandstrategy,/bscresources/aboutthebalancedscorecard/tabid/55/default.aspx,theamericanorganizationofnurseexecutivesnursemanagerleadershippartnershiplearningdomainframework9,managingthebusinesscreatingtheleaderwithinyourselfleadingthepeople,/resources/leadership%20tools/nmlpframework.shtml,measurementtactics:customer/patientfocus,nursemanagers:enablecustomer-andpatient-focusedcarebyengagingpatientsandtheirfamiliesmeasurepatientsatisfactionbyusingcustomersatisfactionsurveysadditionaltoolsinclude:focusgroupsinterviewswithpatientsandtheirfamiliessocialmedia,workalignment,quality/safety,transparencyunitdatareadilyavailableandknownbyallownershipofsafetysurveyscoresandactiontoimprovestaffinvolvementinanalyzingdefectsanddevelopingplanstoaddressharmtypicalsafetyindicatorstools,financial,operationshumanresourcestoolsprofessionalstaffingmodel,summary,nursemanagers:haveanintegralroleinunit-basedactivitiesattheirhospitalserveasleadersandmanagersfortheirunitstaffcansupporttheirunitscuspworkwithotherqualityimprovementframeworkscanmeasurethesuccessoftheircuspinterventionbyusingadditionalqualityimprovementmeasures,cusptools,backgroundqualityimprovementteaminformationformculturecheck-uptooldailygoalschecklistlearnfromdefectsformshadowinganotherprofessionaltool,/cusptoolkit,teamsteppstools,collaborationcusdescscriptfeedback,asseeninteamstepps,/teamsteppstools,references,1.instituteofmedicineofthenationalacademies.keepingpatientssafe:transformingtheworkenvironmentofn/openbook.php?isbn=0309090679.accessedjuly7,2012.2.rothschildjm,hurleyac,landrigancp,etal.recoveringfrommedicalerrors:thecriticalcarenursingsafetynet.jtcommjqualpatientsaf.2006feb;32(2):63-72.3.aikenlh,clarkesp,cheungrb,etal.hospitalnursestaffingandpatientmortality,nurseburnout,andjobdissatisfaction.jama.2002oct23-30;288(16):1987-93.,references,4.krugmanm.evidence-basedpractice:theroleofstaffdevelopment.jnursesstaffdev.2003nov-dec;19(6):27985.5.bennerpe.fromnovicet

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