Tuesday, October 3, 2023

What is the Management and leadership of the nurse in health services

The function of a manager in health services consists of carrying out various activities such as planning, organising, directing, and controlling financial, human, and material resources to attend, with the best possible efficiency, is oriented towards the person, the client, his family, the nursing staff, the interdisciplinary teams. Management is a human and social process based on interpersonal influence, leadership, motivation, participation, communication and collaboration.

The professional practice of nursing includes granting individualised care, the intervention of a nurse as a therapeutic resource and the integration of specific skills. It requires intellectual resources and intuition to make decisions and carry out thoughtful and thoughtful actions that respond to the patient’s particular needs. Person. It is also necessary for the nurse to work interdependently, allowing the collaboration of the hospital staff.

Leadership is also mentioned, which is understood as the ability of a person to inspire trust and recognition of the group for the responsibility exercised. It can be affirmed that the nurse exercises leadership when she consolidates the integration of all the parties involved in the health care process, whether a team of nurses or interdisciplinary.


The administration is a process of planning, organising, directing, and controlling all the resources that belong to an organisation to achieve the proposed objectives.

Management refers to a set of actions that allows the performance of any activity. That is, they are carried out to resolve a situation. A good organisation must be carried out following the activities to be carried out by the nursing staff, which are focused mainly on the needs of each patient to offer quality care. The nurse who practices direct patient care is responsible for them by delegating some activities to other auxiliary workers, resulting in effective and efficient work. This care ranges from the most straightforward practice to the most sophisticated techniques. It is responsible for most of the consideration received directly by a user in hospital and primary care.

On the other hand, they play several roles simultaneously in the current health institution: subordinates, superiors, representatives of the service or the company and in three conditions, they demonstrate different degrees and aspects of responsibility, which require knowledge, skills and abilities varied. Nurses who occupy management positions must comply with specific rules, meet the goals of the organisation and the nursing division, maintain the quality of user care for pre-existing conditions, enhance the motivation of service workers, increase the capabilities of colleagues and subordinates, develop a spirit of teamwork and high work morale, respond to the needs of change of the organisation and staff, promoting them when necessary.

Each one of the health personnel that works in the service area must be aware of the extent to which it is their responsibility, both as auxiliary nurses and general nurses; in the same way, they must adopt a general orientation from nursing thinking in which The standards of action, the norms and the care process have a basis, for that the theories and models are used primarily for the elaboration of said process, to be able to identify a real problem or risk.

Another of the tasks of managers is to develop standards for the staff and also for carrying out the care process and protocols, to help to organise the work of nurses uniformly, in the same way, to set a guideline for that other workers follow what is indicated and offer quality work to the user. Once drafted, they must be disseminated for their knowledge and acceptance by all the personnel related to their compliance. The normalising group must keep working on observing the follow-up of the norm or standard and, if necessary, on its revision or reformulation. The manager defines the appropriate resources for the benefit established as ideal, both materials and human resources and cost reduction with the maintenance of an adequate service. With personnel, the nursing manager must attend to several aspects. Among them is the provision of proper personnel for the care processes designed and the tasks to be performed, creating a favourable work environment and ensuring the quality of care. In the same way, it defends the rights of users, which will be respected depending on their values, beliefs, confidentiality, etc.

In the same way, he mentions that the different authors point out that those who confer on the Management of the entity to coordinate the entire administrative process since this stage is characterised by the capacity for communication and motivation that permeates the leadership of the director to ensure that those who have direct competence in the provision of services or the development of a product do not do so.

It is not feasible to measure health spending and incorporate equity criteria from the particularity of each centre or institution due to the specific significance of the concept of equity itself, which requires being able to compare health inequalities and, therefore, it is necessary to have a general vision and of context.

As an innovative system that is increasingly present in the health system, clinical Management will require an increasing decentralisation of nursing services, modifying the current management structures towards shared responsibility in the direction of processes and decision-making. Decision-making of nurses in the essential elements of care leadership and the knowledge and instruments of the administration and Management of nursing services.

Regardless of the formalisation, the repercussions on the individual who performs the work are the same: behavioural control is exercised.

Work processes are normalised when their content is specified, that is, programmed. The most limited and least qualified positions require a high degree of formalisation.

A rigid standardisation of work processes can only be implemented in companies where work is routine, simple and repetitive.


To provide quality nursing care, it is necessary to have an order at all times, considering the needs of patients. Nursing administration meets all the requirements to carry out excellent care, providing essential upkeep. In this case, nursing, the managerial staff is the link between the users and the system, so that the skill and degree of success with which they fulfil their functions will directly determine the achievements and the degree of fulfilment of the objectives of the organisation—the one it represents. The only purpose sought is dignified care, with respect, which must be provided to patients to improve their health or contribute to maintaining their health.

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