Nurse Management

Nursing management is the leadership within a hospital, nursing home, out patient and in patient services, they guide the culture, quality and environment. The nurse manager is accountable 24 hours a day, for all aspects of their department, which includes but not limited to: staffing, budgets, risk management, quality of patient care and safety. The role is huge, is forever developing and changing. The expectations of the organization is demanding and often you will find yourself negotiating for better staffing and a more realistic budget. Specialties Management Article

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Nursing Management is the leadership who performs governance and decision-making within a nursing environment. Managers have the responsibility to guide staff towards achieving goals by assigning responsibilities and expectations to the right person, in the right role and the right job. Making sure excellent, high quality health care is delivered.

Ensuring that the organization goals are achieved is one of the main functions of the role, discouraging performance, which does not achieve these goals.

Management Encourages staff to work together as a team, and discourages individuals who are work to their own agenda, which can hinder organization goals.

Management is considered the art of getting things done through people. Management is the science of systematically studying individual behaviors and their approach to problem solving, time management and critical thinking within the nursing environment.

There are different levels of managements, top-level managers for example board of directors, mid level management director of nursing services, and finally front line managers who work on the floor.

Work Environment

Nurse managers organize and direct the activities of nursing units in hospitals, nursing homes and other healthcare facilities. They perform a variety of administrative activities and ensure that all nurses in their units provide high-quality care to patients.

Managers in the healthcare environment are responsible for overseeing the budget for the department or unit, this includes monthly budget review, reporting to budget meetings and providing rationale if not meeting the budget.

Staffing units or departments is one of a managers priorities, from hiring, promoting to making sure all staff are on the same page.

Nurse manages have to make sure they are up to date on all health care changes and initiatives, sharing new information with the staff as deemed necessary.

Nurse managers should be a role model, the culture and safety of any unit or department is set by the manager. Their responsibility is huge with managers have 24 hour accountability for everything within their department.

Job Requirements

  • Registered Nurse with 24-hour responsibility
  • BSN desired, MSN or MBA encouraged
  • 3-5 years experience of specialty
  • Previous leadership experience
  • Knowledge of financial, business and healthcare administration
  • Knowledge of national nursing standards, and how to apply them
  • Knowledge of budget management
  • Ability to train and improve staff
  • Knowledge of disciplinary procedures
  • Excellent communication skills, and the ability to work as part of the MDT
  • Ability to motivate
  • Change agent
  • Leadership qualities
  • Ability to monitor patient safety and ensure quality care
  • Knowledge of HR responsibility

Salary

According to national salary data on PayScale.com, clinical nurse managers earned between $62,614 and $85,759.

Nurse Managers

Specializes in Neuroscience.

When I realized that my nursing pay was less than what new nurses were making, I gave them an exact dollar amount I wanted. I was given the amount I wanted plus 9 more cents per hour.

If you're not going to take the job with the salary they are offering, then you have nothing to lose by telling them what salary would be acceptable. However, you have to be willing to not take the job if they refuse to come up, unless the experience is crucial. Weigh your options carefully.

Specializes in CMSRN, hospice.

Give it a try! I know nurses who have done this and it worked out fine. Just tell them you would love to take the position, but you need x about per hour to be able to. Definitely give them a number so they know what you're looking for and can decide.

Specializes in Nursing Professional Development.

A lot depends on the type of position it is ... and the way you ask.

If it is a staff nurse position -- or any other position where there are a lot of people doing the same job -- then you will be less likely to be successful. That's because it would be horrible for morale if people already in the position were to find out that you were making more than they are for doing the same job. How would you feel if your were more experienced and had been with the company longer and yet. were making less than a new person hired with less experience? If that's the case, it might be easier for the employer to let you go than face the anger of the those more experienced nurses. However, if yours would be a "one-of-a-kind" job with no one else to compare salaries to, it would probably be easier for them to be generous with you.

How you ask can also be important. What you want or think you need to be happy is not that important to them. They will probably be more likely to increase their offer if you base your request on evidence that you are worth it -- such as the information that their close competitors pay more for someone with your level of experience in such a job -- or that you have had some special experience and/or credentials your being paid more than their usual amount for that position, etc.

Also, you might be more likely to negotiate for something extra that is not regular salary. For example, I have gotten things like some extra time off, moving expenses, etc. So be flexible.

I counter offered, they came up some!

Specializes in Psych, Corrections, Med-Surg, Ambulatory.
On 2/24/2019 at 12:59 AM, 40isthenew30 said:

I counter offered, they came up some!

That means they want you. Did they come up enough to make this doable for you? Are they willing to make up for the lower wage by being more generous with benefits?

They came up enough to make it beneficial to make the move. I am still nervous, but ready to learn something new and meet some new people.

No way would I take a management job at the same rate of pay as a department nurse. It's not even worth it. Don't look at it as losing an opportunity...b/c it's not.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
8 hours ago, Jory said:

No way would I take a management job at the same rate of pay as a department nurse. It's not even worth it. Don't look at it as losing an opportunity...b/c it's not.

I don't think it's a management job. She was just soliciting advice from nurse managers.

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
12 hours ago, 40isthenew30 said:

I counter offered, they came up some!

This illustrates the valuable lesson that if you don't ask, the answer is always no! ? Congrats!

To ask too many questions(a good thing), to be peer trained forever (Not really an issue), and to quit in a year to do something they think they will like (where I get frustrated).

I am a psych NM so I'm always willing to give a new grad a try especially if they have psych in their background. New grads all want something "cool." I swore I'd never do psych nursing after being in psych for 10 years. When I passed my boards I went straight for medically fragile residential. Once I started psych nursing I feel like I found my soul mate.

Specializes in Surgical Specialty Clinic - Ambulatory Care.

Okay OP, note what had been said so far. They want you to have a ‘basic’ knowledge; they expect you to ask questions about things you don’t know, and to know policy and procedures. I am not a manger but, I have been a nurse for a decade and I can tell you what the problem with all these responses are.

1) ‘basic’ knowledge - You went to nursing school and learned how to answer NCLEX questions so you could get a piece of paper that says you are allowed to be a nurse. If you were not a nurse’s aid or employed in a hospital prior to graduation; you know diddly squat about ‘basic’ nursing. You know how to answer NCLEX questions which helps like a tiny little bit.

2) Ask questions about things you don’t know. Seems relatively self explanatory right? And it is; the real trouble is when you think you understand something and then never ask (‘cause like ya’ think you know it) and then find out you were doing it wrong.

3) Know policy and procedure: It will be a year before you ‘know’ the policies and procedures at your institution. Do not be crazy and try to learn them on your days off. Ask yourself, “If I mess this up will I hurt my patient?” If the answer is yes, then stop and double check yourself before you do it. If you are doing paperwork wrong; whoop de doo. Your patient will live through bad paperwork. The only paperwork that has to be right is the patient’s discharge instructions and your medication administration charting.

Finally, if at all possible do NOT take a job at a facility offering a sign on bonus because they are likely to be to short staffed to train you appropriately in the first place. Also, do not take a job that does not offer a new graduate orientation of less than 12 weeks if you can help it. Lastly, do not take a job that does not have a clinical educator for your floor if you can help it. And the clinical educator needs to just be a clinical educator...if s/he is like floor manager/clinical educator you should again be worried that this person is going to be to over loaded with other responsibilities to train you appropriately.

Specializes in Hospice, corrections, psychiatry, rehab, LTC.

From people who are fresh to the profession, I am not looking for proficiency in clinical skills. Generally speaking, students don't do enough of any one thing in clinicals to get really proficient at it. I am looking at attitude, attendance, enthusiasm, ability to get along with coworkers, willingness to ask questions (as opposed to just barging ahead and doing the wrong thing in order to appear knowledgeable), not lecturing more experienced colleagues on the "right" way to do things, willingness to adapt to the new environment...I could go on, but you get the general idea.

Clinical skills you can generally teach. Attitude, personality and fit with the current staff can usually only be tweaked if there is a mismatch. Major adjustments generally won't happen. If there is too much of a discrepancy, it probably won't work out.