Assessment

Subject: Leadership and Management (Theory)

Overview

The management and nursing processes are scientifically established and simultaneous. The management process, like the nursing process, comprises obtaining facts, diagnosing issues, designing interventions, executing or implementing strategies, and assessing outcomes. Identification of problems requires careful study and observation. During this stage of management, the client's needs and challenges are identified. Along with this, the physical resource requirements are evaluated. Patient information can be gathered through the patient's record, admission record, the patient himself, his family, friends, doctor, other health workers working, and relatives.

Both the management and nursing processes have been scientifically established and are parallel. Management, like nursing, entails gathering facts, identifying issues, designing solutions, carrying out or implementing strategies, and assessing outcomes.

Assessment

The identification of problems through comprehensive research and observation is part of the assessment process. During this phase of management, the client's needs and challenges are identified. In addition, the physical resource requirements are evaluated.

Client requirements and problems can be recognized and analyzed using a variety of techniques such as observation, interviews, and various diagnostic tests. The demands of the clients are determined by elements such as age, weight, bodily and mental condition, interest, education, medical care, individual traits, nationality, social standing, family relationships, and so on.

Information on the patient can be collected through the patient's record, admission record, the patient himself, his family, friends, doctor, other health personnel working, and relatives.

Assessment of Client’s Needs

  • Annual report information
  • Monthly statistical summaries
  • Medical personnel reports
  • Data on quality monitoring
  • Patient records
  • Interviews with patients
  • Patient polls

Staff’s Needs and Problems

Personal development of needs of staff

  • Orientation
  • In-service training
  • Inadvertent instruction
  • Clinical education
  • Supervision
  • Evaluation
  • Anecdotal evidence
  • Forms for rating
  • Self-development (personal attention) remuneration + residence + leave + direction + counseling + roster + policy

Assessment of staff’s needs and problems through gathering data

  • Interview
  • Evaluation of performance
  • Profiles of individuals
  • Attendance
  • Academic record Expertise

Staff’s Needs

  • Salary
  • Promotions regular
  • Leaves are to rule
  • Appraisal
  • Consistent support and inspiration

Knowing the staff's strengths and weaknesses aids in the assessment of problems in an organization and aids in future planning.

  • The unit's physical resources include materials, equipment, and supplies (logistic management)
  • Material or resource management: scientific approaches for planning, managing, and controlling the flow of materials from their origin to their destination.

It is concerned with the following:

  • Providing the medication.
  • Health staff requires supplies and equipment.
  • Hospital supplies.
  • In a health care context, 40% of the fund is utilized to purchase materials for the unit.
  • Checking should be used to identify the components that are required. Arranging the equipment and medications according to their expiration dates.
  • We can ensure the necessary products for the approaching months by examining the prior consumption rate.
  • By checking the fund's availability.
  • We may plan ahead of time.

Assessment of Other Resources

  • The equipment is used to provide nursing care to the patient.
  • Cleanliness
  • Ventilation
  • Lightening
  • Peaceful
  • A pleasant odor

Well Function Equipment

  • Housekeeping, laundry, sanitation, and so forth.
  • Supplies: an adequate amount should be supplied.

Factors Influencing Standard of Quality

  • Bed count in a unit.
  • Service type provided.
  • The patient's age.
  • Patient's sex.
  • Disease severity and kind
  • The cost of the item and its durability.
  • Ordering and getting fresh inventory.

Replacement Provisions

  • Daily, weekly, monthly, annual, and so on.

Social Environment

  • The patient's hobbies and interests are evaluated.
  • Diversional, recreational, and spiritual therapy is available as needed.

References

  • Pathak, Sumita and Sochana Sapkota. A Textbook of Leadership and Management. Bhotahity, Kathmandu: Vidyarthi Pustak Bhandar, 2014.
  • www.nursingprocess.org/Nursing-Process-Steps.html
  • https://www.slideshare.net/jeena.aejy/nursing-process-presentation
  • www.nursingworld.org › What is Nursing? › Tools You Need
Things to remember
  • Both the management and nursing processes have been scientifically established and are parallel.
  • Management, like nursing, entails gathering facts, identifying issues, designing solutions, carrying out or implementing strategies, and assessing outcomes.
  • The identification of problems through comprehensive research and observation is part of the assessment process.
  • During this phase of management, the client's needs and challenges are identified.
  • In addition, the physical resource requirements are evaluated.
  • Information on the patient can be collected through the patient's record, admission record, the patient himself, his family, friends, doctor, other health personnel working, and relatives.
Questions and Answers

Identification of the issues by in-depth research and observation is a component of assessment. This stage of management involves identifying the needs and issues of the client. The requirements of the physical resources are also evaluated in conjunction with this.
The requirements and issues of the client may be recognized and evaluated using a variety of techniques, including observation, interviewing, and different diagnostic tests. The needs of the clients are determined by variables like age, weight, physical condition, mental condition, interest, education, medical care, personal characteristics, nationality, social status, family ties, etc.

The patient's record, admission record, himself, his family, friends, doctor, other healthcare workers, and relatives are all sources for patient information.

  • Assessment of client’s needs:
    • Data from annual reports
    • Monthly statistical reports
    • Medical staff reports
    • Quality monitory data
    • Patient charts
    • Patient interviews
    • Patient surveys.
    • Staff’s needs and problems:
  • Personal development of needs of staffs:
    • Orientation
    • In-service education
    • Incidental teaching
    • Clinical teaching
    • Supervision
    • Evaluation
    • Anecdotal records
    • Rating forms
    • Self-development(attention to personal life) payment + residence + leave + guidance counseling +roster+policy, etc).
  • Assessment of staff’s needs and problems through gathering data:
    • Interview
    • Performance evaluation
    • Personal profiles
    • Attendance
    • Academic record
    • Level of skill
  • Staff’s needs:
    • Salary
    • Promotions regular
    • Leaves are to rule
    • Appraisal
    • Regular encouragement and motivation.
    • Knowing the staff's strengths and weaknesses aids in assessing organizational issues and aids in future planning.
  • Physical resources of the unit:
    • Material, equipment, and supplies (logistic management)
    • Material or resources management: scientific techniques concerned with planning, organizing and control of a flow of material from their initial purpose to destination.

It is concerned with:

  • Giving the medication.
  • Supplies and tools that medical staff require.
  • Hospital supplies.
  • In a healthcare context, 40% of the budget is allocated to the procurement of supplies for the unit. The necessary elements should be determined by checking. arranging the tools and medicines according to their expiration dates.
  • We can predict the needs for the upcoming months by looking at the historical consumption rate.
  • By determining whether funds are available.
  • Accordingly, we could make further plans.

Assessment of other resources:

  • Equipment: Conduct for providing nursing care to the patient.
  • Cleanliness
  • Ventilation
  • Lightening
  • Noise (peaceful)
  • Pleasant smell
  • Well function equipment:
    • House keeping service, laundry, sanitation, etc.
  • Supplies: Adequate supply should be available.

Standard of quality:

  • Factors influencing are:
    • Number of bed in a unit.
    • Type of service given.
    • Age of the patient.
    • Sex of patient.
    • Severity and type of disease
    • Cost of item
    • Durability of item
    • Period of ordering and receiving new stock.

Replacement provisions:

  • Daily, weekly, monthly, yearly, etc.

Social environment:

  • Assessment of the patient's interests and hobbies.
  • According to need, interdisciplinary, recreational, and spiritual therapy.

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