FUNDAMENTALS OF NURSING
Camille Urbano, RN
c. Ensuring accomplishing effective client care
TOPIC REVIEW d. Ensuring compliance with institutional, profes-
sional, regulatory, and governmental standards.
I. CONCEPTS OF LEADERSHIP AND MANAGEMENT
A. Role of Nurse as Leader/Manager
Leadership Styles
CONCEPTS ON CONTINUING PROFESSIONAL DE-
II. WHAT?
VELOPMENT
- A manager and approach of providing direction, im-
plementing plans and motivating people.
- Behavior used by leader in attempting to influence
group member and make decision regarding the mis-
Leadership sion, strategy, and operations of group activities.
1. Authoritarian (Autocratic) style
- Inspires to work together for the achievement of a 2. Democratic style
common mission and goal 3. Laissez – Faire style
- A person influences others to accomplish and ob- 4. Bureaucratic
5. Transformational
jective and directs the organization in a way that
6. Transactional
makes is more cohesive and coherent
Authoritarian
- Manages retains as much power and decision making as
possible
Leadership VS Management - Does not consult the employees, NOT ALLOWED TO GIVE
ANY INPUT
Leaders Managers -
May or may not have offi- Officially appointed Benefit: reduced stress due to increased control and faster de-
cial appointment to the cision making
position Disadvantages: increased workload to the manager – staff cre-
An achieved position An assigned position ativity, self motivation and autonomy is reduced.
Vested with power and Vested with power and
authority by the group authority by the organiza- When it is used? Untrained staff; limited time in which to make
tion a decision
An informal role A formally designated
role
Influence others toward Implement predeter- Democratic style
setting goal mined goals, policies, - Manager consult the others and the manager delegate the
rules and regulations tasks to subordinates and give them full responsibility
ROLE OF NURSE AS LEADER/MANAGER Disadvantages: the need to consult the people takes time.
THE NURSE AS A COLLABORATON
AS a LEADER Laissez – Faire
- Influences others to work together to accomplish a - All rights and power to make decisions is fully given to the
specific goal worker
- Have outstanding interpersonal skills and excellent
listeners and communicators Disadvantages: it makes the employee insecure. The manager
- Employed in a variety of positions from shift team cannot give the employee feedback.
leader to institutional president
AS a MANAGER When it is used? Used for highly skilled employee
- Responsible for managing client care
- As a manager, the nurse is responsible for;
a. Efficiency accomplishing goals of organization Bureaucratic
b. Efficiently using the organization’s resources - Is characterized by a hierarchy of authority
FUNDAMENTALS OF NURSING
Camille Urbano, RN
- A top-down approach and doesn’t involved employee participation in Upper-level (top-level) managers
management decisions - Responsible for establishing goals and devel-
- Leader tends to follow company policies oping strategic plans
- Nurse executives are registered nurses who
are responsible for the management of nurs-
ing within the organization and the practice of
Transformational nursing
- The leader is the role model who uses individualized
consideration, provides a sense of direction and en-
courage self-management Principles of Management
- Focuses on merging the motives, desires, vales and
goals of leaders and followers into a common cause 1. Authority- legitimate rigjt to direct the
work of others
2. Accountability- ability and willingness to
Transactional assume responsibility for one’s action and
- Leadership is someone who display behaviors asso- accept the consequences of one’s behav-
ciated with constructive and corrective transaction ior
- The constructive style is labeled as contingent re- 3. Responsibilty- an obligation to perform a
ward task
- The corrective style is labeled as management by ex-
ception Elements
Power- ability to do or act and results in the
EFFECTIVE LEADERSHIP achievement of desired results
Principles of effective leadership Networking- essential for the success of
nurses because it is a way to increase power
1. Vision- a mental image of possible and desirable Empowerment- interpersonal process. Occurs
future state when individuals are better able to influence
2. Influence- an informal strategy used to gain the co- what happens to them
operation of others without exercising formal au-
Skills and Competencies of Nurse Managers
thority
3. Role model- leader sets the example for other to 1. Critical thinking
follow 2. Communicating
3. Managing resources
Levels of Management 4. Enhancing Employee performance
5. Building and managing teams
First-level managers 6. Managing conflioct
- Primary responsibility is to motivate staff to 7. Managing time
achieve the organization’s goals
- Manage the work of non-managerial person-
nel and the day-to-day activities of a specific
work group
Positive Practice Environment
Middle-level managers A positive professional practice environment (PPE)
- Supervise number of first-level managers and is vital to
responsible for the activities in the depart- - Assure safety of patients and staff
ments they supervise - Improve professional staff recruitment and re-
- May be called supervisors, nurse managers, tention
or head nurse - Sustain an organization’s financial viability
- Liaisons between first-level managers and up- Healthcare is challenged to reinvent itself to be qual-
per-level managers ity driven, fiscally sound and evidence based.
FUNDAMENTALS OF NURSING
Camille Urbano, RN
PPE is a setting that support excellence and decent During this transition period, the following
work shall be observed:
A. OFWs are not covered by the CPD require-
ment
B. Newly licensed professionals shall not be
CPD covered by CPD requirement for the first
- Also known as the “lifelong learning” renewal cycle after obtaining their license
- Lifelong learning us the “ongoing, voluntary C. The various CPD Councils shall reduce the
and self-motivated” pursuit of knowledge for required CPD credit units to a minimum,
either personal or professional reasons which shall not be more than 15, as pro-
- It is important because it ensures the vided for under applicable laws
healthcare professionals to continue to be
competent in the chosen profession Proffesionals who lacked CPD units but
REPUBLIC ACT NO.10912 were able to renew through an AFFIDAVIT
Year of Renewal Required Num- Minimum Al- of Undertaking shall only comply with the
ber of CPD CUs lowed to be required number of units as amended
earned per year pursuant to this Resolution equivalent to
not more than 15 credit units.
Jan-Dec 2017 0 0
Jan- Dec 2018 15 15
Jan 2019 on- 45 45
wards
Why require CPD?
- To expand knowledge and technical compe-
tencies of nurses as stipulated on PRC Opera-
tional Guidelines
- In line with ASEAN Core Competency Stand-
ards, where there is a need to continuously
update themselves in order to meet these
challenges
- Nurses need to attend programs such as;
1. Formal learning
2. Non formal learning
3. Informal learning
4. Self-directed learning
5. Online learning activities
6. Professional work experience
- CPD programs are offered by accredited nurs-
ing organiaztions such as PHILIPPINE NURSES
ASSOCIATION (PNA), ASSOCIATION OF NURS-
ING SERVICE ADMINISTRATORS OF THE PHILIP-
PINES (ANSAP), CCNAPI AND AngNars.
CPD Amendments and Exemptions
- On February 27, 2019, PRC and CPD Councils
came up with IRR Amendments through Reso-
lution No. 2019-1146 which took effect on
March 1.
- PRC provides “transition period” for profes-
sionals to comply with the unit requirements.
