May 2010                                           VOL. Cl No. 5

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Workshop on Nursing Administration and Supervision for
Effective Patient Care – A Report
(Management Skills in Nursing: Series-XXIII)

It is universally acknowledged that better supervision and efficacious nursing administration can

Dr Dileep Marlankar, Chairperson, Centre for Mgmt of Health Sciences delivering inaugural address
improve the level of patient care in institutional or community setting. With this background, the Trained Nurses Association of India (TNAI) organised an 8-day workshop on “Nursing Administration and Supervision for Effective Patient Care” at its headquarters, New Delhi during 3-10 February 2010. This workshop was attended by 26 govt/public/private sector participants from 11 States/ UTs viz. Andhra Pradesh, Assam, Delhi, Haryana, Jharkhand, Karnataka, Madhya Pradesh, Maharashtra, Tamil Nadu, Uttarakhand and Uttar Pradesh.
The broad objective of the workshop was to update and strengthen the managerial skills of nurse professionals working at various levels and to enable them to render effective patient care.

The Objectives of the workshop were to:

identify the modern nursing management techniques.

describe various styles and qualities of a nurse leader/manager.

recognise the significance of human relations in nursing management.

appreciate the applicability of performance appraisal for nurses.

promote human resource development in different areas of nursing practice.

appraise nurse professionals on gender issues and its management.

apply the knowledge of principles of nursing management and administration in effective patient care.

Mrs. Sheila Seda, Secretary-General, TNAI welcomed the gathering and introduced the Chief Guest, Guest of Honor, special invitees and participants. Mrs Evelyn P Kannan, Assistant Secretary- General TNAI presented a brief introduction to the TNAI Continuing Education Programme.

Inaugurating the workshop, Dr Dileep Mavlankar, the Chief Guest, Chairperson, Centre for Management of Health Sciences, IIM Ahmedabad, appreciated TNAI initiative in organising the workshop on one of the most relevant issue today. He cited the monumental contribution of Florence Nightingale so well known for compassion. Despite scant resources and no help, she improved the plight of the hospital and the health services through her managerial acumen. She was a good advocate and social reformer. That’s what we need today, Dr Mavlankar said. He added, Fredrick W Tayler “father of scientific management”, in the late 1800s identified three factors (i)

Mrs Johncy Johnson, Secy Nurses League, CMAI, Guest of Honour at Inaugural session
right people (ii) right training right measure and (iii) right pay to improve the organisational productivity. According to Elton Mayo and his associates, when management paid special attention to the workers, productivity was likely to increase, regardless of the environmental working condition. However, Mayo recommended more employee participation in decision making. Every manager must know how to manage men, materials and money. Human resource management is essential and we need to generate positive response from the consumers. Management is all about decision making, monitoring the outcome of the decision-making, he added. As a manager we need to use our head for thinking, hands to implement, and heart to convince the worker and leave the positive image. Inaugural ses-
sion concluded with vote of thanks by Mrs Evelyn P Kannan.

Mrs Jancy Johnson, Secretary, Nurses League of CMAI was the Guest of Honour. She said that all nurses are leaders and need to be in forefront in taking decision, planning and implementing the care besides active involvement in issues related to healthcare. “The largest contribution to health care is from the nurses’ she added. Since human beings go on evolving and technologies change every day, so we need to keep updating our information and knowledge. More than monetary compensation, conducive environment is what provides them greater satisfaction in effective patient care.


Participants of the Workshop with SG, TNAI and others in middle row
Participants were paired to know each others’ strengthens and achievements in personal and professional lives, with unique experience of exploring their own untapped potential. This created a positive ambience for the participants.

The participants were briefed about the expectations, objectives and norms of the workshop and pretest was given to them. The following sessions of the workshop were taken by various resource persons by adopting different training methods. Participatory approach was used in most of the sessions.

Concepts and Principles of Modern Nursing Management - Mrs Thankam Gomez, Nursing Superintendent, Fortis Hospital, Vasant Kunj, New Delhi.

Techniques and Types of Nursing Supervision - Mrs Lucy Patrick Simon, 409-Type-II, Mirdard Lane, Maulana Azad Medical College Campus, New Delhi.

Stress management - BK Saroj, C-9/9575, Vasant Kunj, New Delhi.

System of Nursing Care for Organising Patient Care - Mrs OK Kathuria, Former Faculty, RAK College of Nursing, New Delhi.

Total Quality Management for Effective Patient Care - Ms AT Kora, Nursing Superintendent, St Stephen’s Hospital, Delhi.

Information Technology and Health - Dr Vijay Rai, Chief Medical Officer, Directorate of Health Services, Delhi Government.

Role of Nurse Administrators/ Educators in Planning, Policy Making and Implementation at Various Levels - Mrs Rajeet Kaur, Lecturer, College of Nursing, Lady Hardinge Medical College, Delhi.

Importance of Human Relations in Nursing - Dr (Mrs) Bimla Kapoor, Director, SOHS, IGNOU, New Delhi.

Behavioural Change Communication for Effective Patient Care - Mrs Laxmi, Lecturer, SOHS, IGNOU, New Delhi.

Factors Influencing Effective Leadership, Leadership Styles and Characteristics of an Efficient Nurse Leader - Mrs Rita Sapra, Principal, School of Nursing, Sir Ganga Ram Hosp. New Delhi.

Transactional Analysis - Ms Raminder Kalra, Sr. Lecturer, RAK College of Nursing, Delhi.

Group Dynamics in Nursing (Conflict Management, Collective Bargaining and Problem Solving Approach) - Dr (Miss) Ameeta Handa, MCH (GP) from University of Dublin.

Human Resource Development (Staff Development) in Nursing - Dr Neerja Sood, Lecturer, SOHS, IGNOU, New Delhi

Performance Appraisal and Different Techniques of Performance Appraisal - Mrs Annie Kumar, Lecturer, College of Nursing, Lady Hardinge Medical College, New Delhi.

Ethical and Legal Issues related to Nursing Management including the Acts applicable to Hospitals and Nursing Homes - Prof (Mrs.) Usha Malik, Principal, LBB CON Batra Hospital &

Mr Mathew Cherian, Director, Helpage India delivering valedictory address
Research Centre, New Delhi.

Hospital Waste Management and Infection Control Measures in Hospitals - Dr Ann Mathew, Senior Specialist Paediatric, Mrs. Susheela Dayadan and Ms Renju Radha Krishnan, Infection Control Nurses, St Stephen’s Hospital, Delhi.

Empowerment of Women and Gender Issues related to Nursing and their Management - Dr Rajni Bagga, Reader, Dept of Mgt NIHFW, New Delhi

Integrated Nursing Care model : A Coordinated Collaboration of Nursing Education Research and Services - Mr. Rakesh Sharma, Nsg Suptdt; Mr Rajesh Kumar Sharma, Lecturer; Mr Dipti Y Sorte, Asso Prof, Himalayan College of Nsg HIJH University, Dehradun.
The participants were made aware of the functioning of TNAI, activities, projects under taken CIN/ECH projects, future plans through these projects. They were motivated to become the members of the Association.

The participants were taken to St Stephen Hospital on 6 February 2010. After a brief introduction about the organisational set up of the hospital and the Nursing Service administration by Dr Grace Cherian, Dy Director and Ms AT Kora respectively, of St. Stephen Hospital, the participants were taken around different Departments of the hospital where the waste disposal processes were shown to them.

During the valedictory session, Mr Mathew Cherian, Director, Helpage India, was the chief guest and Ms AT Kora, the Nursing Superintendent, St Stephen’s Hospital the Guest of Honor. Mrs Sheila Seda welcomed and introduced the Chief Guest, Guest of Honour and others. Mrs Evelyn P Kannan gave the resume of the workshop. This was followed by address of Mr Cherian who emphasised the need for effective monitoring of nursing administration through optimum use of available diagnostic and other facilities.

The video presentation of the entire workshop proceedings which was highly relished by the participants. All praises for the impressive presentation went to Mr Rakesh Sharma, Nursing Superintendent, Mr Rajesh Kumar Sharma, Lecturer and Mr Dipti Yasghwantrao Sorte, Associate Professor in Himalayan College of Nursing, HIHT University, Dehradun (Uttarakhand). On behalf of the participants, Mrs Angeline , CMC, Vellore, gave the remarks regarding the workshop. The reflections on the workshop from the participants were very positive who described all the sessions as highly informative and interactive. They said, the learning has never been so joyful. They were also optimistic that the tree of individual strength and achievements of the participants would grow stronger day by day. TNAI provided homely atmosphere, the resource persons are excellent, accommodation was comfortable. They developed better understanding of concepts of networking and empowerment. The participants promised that bringing out their best, they will put it in practice what they have learnt for effective patient care.


Ms AT Kora, Nsg Suptdt, St Stephens, Guest of Honour at Valedictory session
Ms AT Kora said that to be an effective manager, one must be approachable to one’s staff and patients as they need our help. The role of nurse manager has expanded. She said, the staff should not be scared of you. She advised, be accountable for your own work, be a mentor and a role model for your own staff. Mr Cherian briefed about Helpage India and its activities, which he said had same mandate as TNAI. He emphasised that we should be more sensitive to the human needs, and more humane for the patients. Certificates were given to the participants by the Chief Guest and Guest of Honour. The participants donated Rs. 8200/- towards CIN/ECH fund. The valedictory session concluded with vote of thanks by Mrs Evelyn P Kannan.

Mrs Evelyn P Kannan
Assistant-Secretary-General, TNAI

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