Question

Application of leadership knowledge and skills is a standard expectation for nurse managers and other leaders. The American Organization of Nurse Executives has delineated competencies as a minimum standard of practice for nurse/managers. However, managers must be clear about business skills, and how the skills are used in ‘real world’ nurse management. Construct a written argument reporting “Business Skills” as an important competency for nurse managers within inpatient settings.
Describe an example of nurse manager application of business skills within an intensive care unit (ICU) or intermediate care (IMC).

Answer 1

Argument reporting “Business Skills” as an important competency for nurse managers within inpatient settings.

This descriptive study reflects on the evershifting sands of the nurse manager role.An instrument developed by the investigator for determining important nurse manager competencies was validated using an expert panel of American Organization of Nurse Executive (AONE) Nurse Manager Fellows.Findings suggest the highest self-reported nurse manager competency ratings included effective communication, retention strategies, effective discipline and decisionmaking. In contrast, the lowest self-reported nurse manager competencies included nursing theory, case management and the research process.

T.he roles of the nurse manager as managing the business, leadership, and leader development.This captures competencies:-

-In the areas of communication and relationship management

-knowledge of the health care environment

- professionalism

- business skills and principles

Managing the business includes:-

- financial management

- human resource management

- performance improvement

- foundational thinking

-technology and strategic planning

The leadership component includes human resource leadership, relationship management, and diversity. Lastly, leader development includes personal accountability and career planning

Nurse Manager Role

-Nurse managers are accountable to upper-level administration for implementation of the philosophy, goals, and standards of the hospital organization at the unit-level. These pivotal individuals are responsible for overseeing units of people handling the daily operations of a unit or service line.

-These nurse administrators may be assigned titles such as nurse manager, clinical coordinator, nursing supervisor, or patient care director. They serve as the conduits between nurses and executive management, representing and advocating for their staff.

The nursing manager will perform the following:-

-Ensure that care is delivered with respect for individuals’ rights and preferences.

-Participate in nursing organizational policy formulation and decision-making involving staff.

- Accept organizational accountability for services provided to recipients.

- Evaluate the quality and appropriateness of health care.

-Coordinate nursing care with other healthcare disciplines, and assist in integrating services across the continuum of health care.

- Participate in the recruitment, selection, and retention of personnel, including staff representative of the population diversity

-Assess the impact of, and plan strategies to address such issues as:

1. Ethnic, cultural and diversity changes in the population.
2. Political and social influences.
3. Financial and economic issues.
4. The aging of society and demographic trends.
5. Ethical issues related to health care.
6. Assume responsibility for staffing and scheduling personnel. Assignments reflect appropriate utilization of personnel, considering scope of practice, competencies, patient/client/resident needs, and complexity of care.
7. Ensure appropriate orientation, education, credentialing, and continuing professional development for personnel.
8. Provide guidance for and supervision of personnel accountable to the nurse manager.
9. Evaluate performance of personnel.
10. Develop, implement, monitor, and be accountable for the budget for the defined area(s) of responsibility.
11. Ensure evidence-based practice by participating in and involving the nursing staff in evaluative research activities.
12. Provide or facilitate educational experiences for nursing and other students.
13. Ensure shared accountability for professional practice.
14. Advocate for a work environment that minimizes work-related illness and injurys

An example of an allocation of nurses amongst the ICU and IMC. The nurse-to-patient ratio–i.e. the maximum number of patients a nurse can treat at once–in the ICU is rI = 1 and in the IMC it is rS = 3. There are N = 8 nurses who are allocated to BI = 6 ICU beds and BS = 6 IMC beds.

For example, 27.3% of Critical Care Unit Manager resumes contained Patient Care as a skill. Let's find out what skills a Critical Care Unit Manager actually needs in order to be successful in the workplace.

ICU MANAGER BUSINESS SKILLS

1. Patient Care

Critical Care Unit Manager jobs:

1. Conducted patient care conferences, BI-monthly unit meetings, and quarterly multidisciplinary unit meetings.
2. Serve the staff to provide compassionate but firm oversight and guidance to ensure excellence in patient care.
3. In addition to a working director and provided direct patient care when needed

2. ICU

Critical Care Unit Manager jobs:

1. Developed new curriculum for preceptor programs.
2. Identify staffing and scheduling issues in the ICU including 11.4 FTE overage of nurses and overuse of PTO/vacation.
3. Impacted budget by decreasing salary cost by over $50,000/month for over 6 months in ICU unit alone.
4. Managed staff and budget for a 47-bed Telemetry floor, 8-bed MICU, and 10-bed SICU units
5. ssisted in the development of the New Grad Preceptor program in the ICU.
6. Develop accurate position controls for the ICU, CVICU, and SDU.
7. Implemented APACHE based prognostic system for evaluation of ICU patients.
8. Provide direct patient care in NICU and PICU.
9. Managed all the ICU's for Respiratory Care.
10. Handled all ICU quality assurance matters.
11. Developed clinical pathways for open heart, interventional cardiology, and ICU patient care.
12. Managed the ICU and stepdown units.
13. Manage and oversee employees for ICU, CCU, PICU and IMC.Schedule employees and manage staffing each.Perform employee evaluations.

Nursing Manager Tasks

1. Manage staffing and patient flow while insuring care and regulatory standards
2. .Implement programs for staff development
3. .Develop systems to improve and support patient care.

Top 10 Soft Skills Needed In Health Care

1. Empathy

2. Communication skill

3. team work

4. stress management

5. positive attitude

6. flexibility

7. team management

8. confidence

9. respective attitude

10. work ethic