Management in Nursing

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SAMI BOUCHABTI / 190512109

T.R.
ISTANBUL GELISIM UNIVERSITY
FACULTY OF HEALTH SCIENCES
DEPARTMENT OF NURSING
COURSE OF NURSING MANAGEMENT
PRACTICE FORM

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T.R.
ISTANBUL GELISIM UNIVERSITY
FACULTY OF HEALTH SCIENCES DEPARTMENT OF NURSING
COURSE OF NURSING MANAGEMENT PRACTICE FORM

STUDENT NAME SURNAME: SAMI BOUCHABTI DATE:18/04/2022

 We write the name of the institution to which the institution is affiliated


(University, Foundation, Legal Personality, etc.).

 Add a copy of the history of the institution to your report.

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 We write the mission / vision of the institution.

VISION :
Taking into account the expectations and needs of our society on health, in accordance with
scientific rules. and to provide quality health services at the highest level, with the principle of
continuous improvement in quality in our country. To be one of the leading educational
institutions and hospitals providing health services.

MISSION :
In order to provide health services to our patients at international standards, to closely follow
the innovations and technological developments, to ensure that our physicians, nurses and all
our staff get educated. our staff and patients to work for his well-being and happiness.

 We write the purpose and objectives of the institution.

We ensure the satisfaction and happiness of our patients with modern education in accordance with
scientific and ethical rules.

To take it to the highest level by providing the health service.

To provide safe health services to our patients by using all available facilities.

In addition to the elite purity institutions that provide quality health services in our province, there are
public and private institutions in our country.

and to cooperate with health institutions affiliated with universities.

To follow the developments in science and technology closely, to put innovations into service as soon as
possible and to be an advanced training center in every subject we serve.

To provide a safe working environment and conditions for all our employees.

We maximize the satisfaction and motivation of our employees within the framework of laws and
regulations.

level up

Our employees, whom we see as the most valuable factor affecting service quality,

by providing continuous training and supporting the quality studies of our institution in this regard.

provide contributions.

To develop interdepartmental communication and team spirit by providing social opportunities to our
employees.

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 Add an example of the organization's organizational schema and job descriptions to
the file.

 Add the file of the institution's croquette.

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 Write Nursing Services Mission / Vision, Goals.

MISSION :
TO PROTECT, IMPROVE AND MAINTAIN THE HEALTH OF THE INDIVIDUAL,
FAMILY AND SOCIETY BY USING SCIENCE AND TECHNOLOGY IN THE
PROFESSION OF NURSING; TO PROVIDE NURSING SERVICES ACCORDING TO
INTERNATIONAL STANDARDS BY KEEPING PATIENT/EMPLOYEE
SATISFACTION AT THE FOREIGHT.
VISION :
TO PROVIDE THE BEST HEALTH SERVICE BY FACING THE PRACTICE,
TRAINING, RESEARCH, CONSULTING AND LEADERSHIP ROLES, LEADING THE
PROFESSIONAL DEVELOPMENT IN NURSING SERVICES.

 Write and evaluate the management philosophy of the Nursing Services.

Nursing services management process is the provision of manpower and financial resources
and the economic use of the processes of protecting the health of the individual, making it
valuable, and treating it when it deteriorates, through the nursing services personnel.
Organizational Philosophy is its explicit and implied view of itself and what it is. Generally it
is expressed in mission statements. The philosophy is directly linked to and rooted in the
organizations cultural beliefs and values. Philosophy depicts the desired nature of the
relationships between health service organizations and its customers, employees and external
constituents. It is a set of beliefs that determines how organizational purposes are achieved
and that s Gerves as the foundation for agency objectives, policies and procedures.

 Add the Organization Chart of Nursing Services to your file.

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 Identify the staff who are affiliated with the Nursing Services at the institution
(Assistant Healthcare Personnel, Cleaning Personnel, Porter, etc.).

clinical assistants – take care of ward housekeeping


patient services assistants – bring meals and drinks
porters – take care of patient lifting and transport
volunteers – help with fundraising and ward visits
ward clerks – staff the ward reception desks.
dietitians;Occupational therapists; pharmacists; physiotherapists
podiatrists
speech pathologists.
Cleaning Personnel.

 The quality of the nurses who are affiliated to the Nursing Services are written (such
as the schools they graduate, health vocational high school, undergraduate, associate
degree).

Registered nurses : university nursing bachelor degree


porters : High School Diploma
cleaning staff : High School Diploma

 We write the service form of the institution (lying, outpatient).

The hospital provide inpatient care and outpatient care

• Identify the departments served in the institution (Intensive care, surgery, internal medicine,
etc.).

Gynecologic Oncology ; Blood Center ; Pediatrics Clinic ; Radiation oncology ;Robotic


Walking Intensive care ;Kidney Transplant ; Child Allergy ; Pediatric Surgery ;Pediatric
Endocrinology ;Pediatric Infectious Diseases ; Child Gast. Hepatology and Nutrition Pediatric
Cardiology ;Pediatric Metabolic Diseases ;Pediatric Nephrology ;Child Neurology ;Child
Psychia ; Child Radiology ; Pediatric Urology ;Pediatric Intensive Care Interventional
radiology Neurosurgery, Gastroenterology, Thoracic Surgery, Gynecology and Obstetrics,
Cardiovascular Surgery, Hematology, Dental Diseases and Treatment, Skin and Venereal
Diseases, General Surgery, Internal Medicine, Pediatrics, Physical Medicine and
Rehabilitation

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 Write the total number of beds of the institution.

The hospital contain 400 beds

 Write the Institution's Service Quality Policy and add the relevant brochure file if it is
available.

We ensure the satisfaction and happiness of our patients with modern education in accordance with scientific and
ethical rules. to maximize health services. To provide safe health services to our patients by using all available
facilities.
To cooperate with public, private and university-affiliated health institutions in our country, as well as with
distinguished health institutions that provide quality health services in our province
For the continuous development and evaluation of our health and education services, Collaborating with
organizations.
To provide services to patients who apply to other public and private health institutions by creating protocols
within the framework of Laws and Legislation, as well as our patients receiving service from our hospital with
our laboratory and imaging services, with high technological investments and effective capacity utilization. To
follow the developments in science and technology closely, to put innovations into service as soon as possible
and to be an advanced training center in every subject we serve. Well-qualified specialist physicians and health
personnel equipped with modern knowledge in their field To train and to create an environment for the
development of training teams for this and to support them continuously. To use the available resources of our
hospital efficiently while providing health services to our patients.
To provide a safe working environment and conditions for all our employees. To maximize the satisfaction and
motivation of our employees within the framework of laws and regulations.
To ensure the continuous training of our employees, whom we see as the most valuable factor affecting the
service quality, and to contribute actively to the quality work of our institution by supporting them in this regard.
To improve interdepartmental communication and team spirit by providing social opportunities to our
employees.
o support the quality culture in our institution by working in mutual cooperation and trust with our suppliers
To comply with the requirements of the Quality Management System, to increase the effectiveness of health
service quality standards and to improve them continuously

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 We write the Organization Career Planning System.

Our main goal throughout our group is to support and evaluate our high-performing employees, who
are trained and specialized within our own organization, for vacant managerial positions.
In this context, our employees who meet the appropriate criteria can be candidates for a higher
position, a different department or a different hospital.
Performance Evaluation
In our institution, the Performance Evaluation System is made on the basis of criteria determined
according to the job and responsibilities of our employees throughout the institution. Our current
system, which is currently being renewed, is in the transition phase to the "Target and Competency"-
based performance evaluation process and continues with the creation of competence pools for all our
positions.
Sending Individual Suggestions and Requests
Thanks to the special forms created on our intranet system used throughout our group, all of our
employees can send their requests and job-related suggestions, either named or anonymous, to our
Human Resources and Organizational Development department. These communications are evaluated
by the relevant committee and reported to our senior management. Our employees whose proposals
are accepted are rewarded.

 Write the Institution's Performance Evaluation System and indicate how often it is
evaluated.

The principal methods of measuring hospital performance are regulatory inspection, public
satisfaction surveys, third-party assessment, and statistical indicators,
And they done it twice a year.

 Write the general turnover rate of the institution.

the general turnover rate of the institution is 19.5%.

 Write the turnover rate of the nursing services

turnover rate of the nursing services is 17%

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 If you have written the Patient Satisfaction Policy, insert the brochure or the relevant
procedure file.

We consider all kinds of needs, expectations and rights of our patients at every step of the service we
provide.
Our basic principle in our Patient Satisfaction Policy; the needs and expectations of our patients; in
accordance with health, safety and information confidentiality; is to provide superior patient experience and
patient satisfaction by meeting continuously and on time.
Our business processes and activities; in our general business principles and our essence; is founded on our
values of honesty, moral integrity, professional ethics and respect for human beings.
Patient suggestions and complaints are managed within the framework of these values and are evaluated in
a fair, impartial and legal manner with a patient satisfaction-oriented perspective.
We provide our patients with clear and precise information about their medical processes.
We turn the feedback and complaints we receive into value-creating opportunities to improve ourselves.
We aim to continuously increase patient satisfaction by constantly improving our medical and
administrative systems

 Employee Satisfaction Policy If you have an article, add the brochure or the
corresponding procedure file.

To ensure the protection of the material and moral rights of the employees,
Ensuring continuous professional and personal development of employees by increasing their
knowledge and skills,
To create equality of opportunity among employees,
To increase personnel satisfaction by taking into account the suggestions and expectations of the
employees,
Organizing social and cultural activities to improve the communication of employees,
It is committed to constantly updating and improving our employee satisfaction policy in line with the
needs of our employees, customers and our company.

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 We write the Employee Education Policy. If yes, add the relevant procedure file.

To provide quality, principled education and service in the health services we specialize in, in line with the
legislation of the Ministry of Health, in the light of science and ethical values, adopting patient and employee
satisfaction as a priority,
To implement the standardized specialization training program in accordance with the Curriculum Formation
and Standard Setting System of the Board of Specialization in Medicine (TUKMOS) and the Turkish
Ophthalmology Association (TOD) curriculum
To contribute to medical science with scientific studies and educational activities.
To train physicians equipped with knowledge and skills, in accordance with ethical rules, under the conditions
required by the age.
To prepare the in-service training plans of the institution for each academic year and to provide quality health
services to all employees (for physicians, nurses and all our personnel) with in-service training support, by
adhering to the principles of deontology.
To follow the developments in science and technology closely, to put innovations into service as soon as
possible and to be an advanced training center in every subject we serve.

 We write the Institution's Patient Informing Education Policy. If yes, add the relevant
procedure file.

Our hospital have been emphasized nurse's responsibilities in patient education and also it has
been explained in all laws and regulations. The nurse must fulfill patient education by
scientific and systematic approach through teaching-learning process. This process consists of
assessment, diagnosis, planning, implementation, evaluation and documentation stages so as
to identify learning needs. This stage interacts with each other. Patient and his/her family's
participation to education process is main element in patient education. The nurse takes charge
of being adviser and source person in education process. To reach the desired goal in
education, the nurse must perform all the stages of process by conscious efforts.

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 What is the Problem Solving Method for Corporate / Unit Problems? Please specify.

Observe
Clarify the Problem
This is a critical step. You need to recognize the correct problem and be sure it is completely understood by all.
It helps to state the problem by developing a “problem statement” in terms of what, where, when, and the
significance. You also need to “lay eyes” on the situation, ensuring you have first-hand observation. This will
then help in drafting a flowchart that diagrams the steps of the process. Lastly, you need to conduct surveys and
interviews, talking with the “customer” or end user who determines the value of the process under review.
Orient
Set Improvement Targets
Where do you want to be? Determine your desired outcome for the practice. Be sure to look at both strategic and
tactical targets. Strategic targets are visions of what your practice strives to become. Tactical targets define the
performance level necessary to make your strategic vision a reality. Remember to keep your tactical targets
challenging but achievable.
the cause of the problem, ask what caused the problem (continue to ask “why?”).
Decide
Select Solutions
When selecting solutions, consider both quality and practicality. Be sure to also gain acceptance (or “buy in”)
from those that must implement the solutions. Some key factors to consider when analyzing solutions include
effectiveness, feasibility, and impact. When developing your action plan, be sure that you have created a clear
and detailed plan that everyone can understand. Most importantly, build consensus with others by involving all
of your team appropriately to cultivate a sense of ownership in the solution and in its success. Effective
communications can be a deciding element as to whether the plan succeeds.
Act
See the Plan Through
Collect data according to the action plan. Remember the old adage, “You can’t manage what you can’t
measure.” You may need to implement a contingency plan as conditions change and you need to keep the project
on focus. Continue to provide required training during this step as well.?

 Write the number of beds for your application.

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The number of bed in my department is 5 patient beds

 Add your section's croquette to your file.

 Write the number of nurses in your department.

The number of nurses in my department is 2 Nurses

 Write the nature of the nurses in your department (Master, bachelor, associate).

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One nurse have bachelor degree and the the other nurse have associate
degree.

 Describe and describe the method by which you calculate the norm staffing according
to the division you are in (by number of beds, level of patient dependency, etc.).

Step 1: Number of rooms multiplied by number of hours per day multiplied by number
of days per week = total hours to be staffed per week.
8 x 8 x 5 = 320
2 x 3 x 5 = 30
1 x 13 x 7 = 91
1 x 11 x 2 = 22
463 total hours per week
• Step 2: Total hours per week multiplied by number of people per room = total working
hours per week.
463 x 2.5 = 1,157.5 total hours per week
• Step 3: Total working hours/week divided by 40 hours worked/week = basic FTE.
1,157.5/ 40 = 28.9 basic FTEs
• Step 4: Calculate benefit relief per employee.
Average vacation hours/year = 100
Holiday hours/year = 56
Available sick hours/year = 96
15-minute break x 260 days/60 minutes = 65
45-minute lunch x 260 days/60 minutes = 195
512 hours of benefit relief
• * Step 5: Basic FTE multiplied by benefit hours/FTE/year divided by 2,080 hours =
relief FREE.
28.9 x 512 hours / 2,080 = 7.1 relief FTEs

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• * Step 6: Basic FTE added to relief THE = total minimum direct care staff.
28.9 + 7.1 = 36 FTEs

 Create a monthly work list in the section you are in and add the file.

 If you have a description of the regulations that pertain to the Institution and Nursing
Services, add the relevant documentation file.

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 Describe the organizational principles by taking into consideration the organization
and the current operation of the Nursing Services.

PURPOSE OF THE AIM UNION:


It is a profession that adopts the basic principle that the main purpose of life is to
produce and therefore an optimal level of physical, mental and social
infrastructure is required to allow production, and based on this principle, it is a
profession that provides nursing care in all environments served for the
protection and development of health and the recovery of the sick individual.

CONTROL UNION PRIMARY:


It means that each subordinate is subordinate to only one superior and takes
orders from him. Such a principle aims to ensure a certain order in the
continuation of activities and to prevent problems such as conflict of authority.

PRINCIPLES OF MANAGEMENT AREA UNION:


Management principles include: team spirit, division of labour and a focus on
results.
Management has five main functions: planning, organising, leading,
coordinating and control.
In healthcare management there are three managerial levels: top-level, middle-
level and frontline managers.

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BUSINESS SECTION AND SPECIALIZATION PRINCIPLES:

the whole work of a concern should be divided among the subordinates on the
basis of qualifications, abilities and skills

DEFINITION OF THE OFFICES:

The principle of definition of tasks puts in a certain framework how tasks will be
performed and how relationships will be with different tasks

THE HIERARCHY PRINCIPLE:

The hierarchy principle suggests that when individuals fail to reach social
goals and they continue to pursue them, their first tendency is to alter
lower level elements of message plan hierarchies concerned with speech
rate and vocal intensity rather than higher level elements related to the
structure and sequencing of message content.

AUTHORITY LEVEL PRINCIPLE:


The principle that decision-making should remain at the level at which authority
is delegated. The managers delegate authority to subordinates but have the
temptation to make decisions for them.

THE PRINCIPLE OF AUTHORITY MIGRATION:


Migration of authority is the transfer of authority to others in making decisions
and using organizational resources and the transfer of a certain authority by
the upper management level to a management level located at the lower level

POWER AND RESPONSIBILITY PRIMARY:


Equivalence of authority and responsibility is one of the main principles that
protect integrity in the work of the organization. However, as in the authority, he
is also responsible for the responsibility, just as he has all the authority of the
position he holds in his upper hand. That is why responsibility is an integral
part of the transfer of authority.

PRINCIPLES OF RESPONSIBILITY:
The principle of responsibility implies that individuals can act autonomously
but their actions should be linked to societal needs and all should have
responsibility to the society in which they live.

BALANCE PRIMARY:
Balance, which is one of the basic principles of design, means harmonizing the
visual weights of objects, colors, textures and spaces and giving the
composition a harmonious appearance. In design, it's all about achieving visual
and psychological balance using different elements

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SIMPLE AND INTEGRITY PRIMARY:

simplicity and clarity as a principle of management is that the organizational


structure is simple and understandable.

FLEXIBILITY FIRST:
The flexibility principle states that an accounting information system should be
able to adapt to changes in the company based on its needs, operations, and
management.

REORGANIZATION PRIMARY:
The principle of reorganization: Organizations should be flexible enough to meet
the needs of renewal in changing conditions. Frederick W. Taylor, worried about
the irregular environments far from rationality in the enterprises where he worked,
sought effective solutions to this problem and developed Scientific Management
Principles.

 Compare the nursing service management in your unit with the effective nursing
service management criteria.

MAINTENANCE IS PATIENT CENTER? WHAT IS PATIENT CARE CRITERIA?


Providing care that is respectful of, and responsive to, individual patient
preferences, needs and values, and ensuring that patient values guide all
clinical decisions

NURSING GROUP’S POTENTIAL (TIME, ENERGY, ETC) CAN BE USABLE


FOR PATIENT CARE?
teamwork skills are essential for providing quality health care. When all clinical
and nonclinical staff collaborate effectively, health care teams can improve
patient outcomes, prevent medical errors, improve efficiency and increase
patient satisfaction.

NURSING SERVICES ARE SUPPORTED BY GROUP SUPPORT SERVICES?


Yes nursing service is supported with Food and nutritional services ;Environmental
services ; Clinical equipment services ; Facilities management ; Patient transport ;
Laundry and linen ;Central supply/materials management ; Security

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IS THERE CONTINUITY AND IMMUNITY IN NURSING SERVICES?
Yes theren is continuity of care, and consistency in nursing personnel.

HAVE DEFINED DEFINITIONS OF THE EMPLOYEES IN NURSING


SERVICES? IF YOU HAVE ADDED TO FILE?
clinical assistants – take care of ward housekeeping.
patient services assistants – bring meals and drinks.
porters – take care of patient lifting and transport.
volunteers – help with fundraising and ward visits.
ward clerks – staff the ward reception desks.

THE SATISFACTION/BUSINESS SATISFACTION OF THE HOSPITALS AND


EMPLOYEE IS ASSESSED ORGANIZED MEASURED AND IMPROVED
IMPROVEMENTS?
YES JOB SATISFACTION OF PATIENTS AND EMPLOYEES ARE REGULARLY
MEASURED AND EVALUATED AND THE NECESSARY IMPROVEMENTS ARE MADE

IS THE POLICY AND PROCEDURES RELATED TO THE WORKS PROVIDED?


WERE THEY DEVELOPED?
YES THE POLICIES AND PROCEDURES BEEN DEVELOPED

 Explain the communication methods within the organization.

Internal communication
Professional collaboration via numerous communication channels such as video, email
or live chat. Employee training modules such as decision-making courses or two-way
reviews. Messaging around an organization's mission. Interpersonal communications
between management and employees

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 Are there regular managerial meetings at the institution? If so, indicate what it is and
how often it is done.

Yes there managerial meetings at the institution;


Having a meeting every week increases the chance of catching practice
management problems at an early stage. The meetings should include everyone
involved in major processes, from the clerical to clinical. An agenda should be
prepared to help keep the meeting on track.

 Are there any committees established in the institution and in Nursing Services? If so,
what are the committees and how often they are collected.

Yes there is committees in the hospital


Residency education ;Quality of care ;Ethics ;Medical
students ;Hospital support services;Laboratory services;Risk
management

 Are there trainings provided by the Institution and Nursing Services to employees? If
so, explain which groups are given which trainings.

Yes the hospital provides training to employees


Orientation training, onboarding training, technical skills training, soft skills
training, product/service training, compliance training, franchise training, and
managerial/leadership training

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 What are the methods that nursing services use to make decisions about employees?
Please specify.

Command decision-making. Collaborative decision-making. Consensus-based


decision-making. Vote decision-making. Delegation of decision-making.

 Indicate how and at what frequency the supervision of the nursing services is carried
out in the institution.

When the supervision is supportive, it intends to observe the health care actions
And the frequency is six times per year

 Write a list of the problems you perceive with your five senses in your unit. Select one
of these problems with your nurse who is responsible for specifying the reasons.
Analyze the problem you have chosen according to the fish follicle technique shown
below

• We write which leadership qualities the responsible nurse has in your unit. What leadership
qualities did you exhibit if you were the responsible nurse in your unit? Please specify.

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My responsible nurse have a lot of leadership qualities and these some of them
Compassion and empathy ;Integrity;Critical thinking;Dedication to
excellence;Communication;Collaboration and team building;Mentorship and
teaching;Delegation;Technology proficiency;Open-mindedness.

 Has there been any significant change in the institution recently? Please explain.
(What is the reason for change? What kind of change was it?) Who started the change?

Technological advancements contribute to a shift in hospital patient-centered healthcare system;

Change is a common experience in complex health care systems. Staff, patients and visitors come
and go.

T.R.

ISTANBUL GELISIM UNIVERSITY


FACULTY OF HEALTH SCIENCES DEPARTMENT OF NURSING
COURSE OF NURSING MANAGEMENT SKILL LIST

SKILL LIST YES NO EXPLANATION DATE SIGNATURE


Be able to act as an active member of □ □
the health care team
Ability to act within the framework □ □
of ethical rules
Demonstrate effective leadership □ □
behavior
Manage nursing services □ □

Ability to transfer authority □ □

To be able to define institution □ □


(history, mission, vision, etc.)
To be able to learn the □ □
communication steps in the
institution and to behave
appropriately
Use time effectively □ □

Observing problems in the □ □


organization
Being able to produce effective □ □
solutions for problems
Provide and manage patient care □ □
organization

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Observing and evaluating the □ □
management skills of employees
Be able to create a seizure Schedule □ □

Can create an organization chart □ □

To be able to learn and interpret the □ □


quality policy of the institution
Being able to take precautions for □ □
patient safety goals
Observing the change process in the □ □
institution
Follow patient registration system □ □

Identify nonconformities in the □ □


employee safety process
Reporting managerial activities □ □

Being able to make quick decisions □ □


and organize in emergency situations
Taking responsibilities and fulfilling □ □
duties

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T.R. ISTANBUL GELISIM UNIVERSITY FACULTY OF HEALTH SCIENCES DEPARTMENT OF NURSING
COURSE OF NURSING MANAGEMENT PRACTICE EVALUATION FORM

EVALUATION CRITERIA STUDENT'S NAME AND SURNAME


1. PROFESSIONAL BEHAVIORS (25 P)
Continue to practice and adhere to working hours 10
Personal appearance and uniform style 3
Motivation and duty responsibilities 3
Attitude towards criticism 3
Use time effectively 3
Do not realize the incompleteness, try to correct the mistakes 3
2.PERSONAL RELATIONS (15 P)
Establishing a healthy and reassuring relationship with the 4
patient / healthy individual and family
Acting as an active member of the health team 4
Show effective leadership behavior 4
Establishing a respectful and collaborative relationship with 3
friends
3. LEARNING SKILLS OF MANAGEMENT
PROCEDURES OF SERVICE AND NURSING SERVICES
(60 P)
Managing nursing services 4
Mission / vision of institutions and nursing services 4
Objectives and objectives of the institution 4
Organizational chart of institution and nursing services 3
Number and quality of nursing services and nursing staff 3
Departments served in the institution 3
Total number of beds for the institution 3
The turnover rate of institutions and nursing services 3
Institutional education policy 3

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Institutional service quality policy 3
Institutional career planning process 3
Institution patient / employee satisfaction policy 3
Internal communication methods 3
Problem solving methods in the institution and in the 3
department
Institutional performance evaluation system 3
Institutional patient safety process 4
Preparing other data to be delivered by appending to the 4
application form
To be willing to learn at all stages of the implementation 4
process, to take counseling from the instructor when necessary
and to fulfill the responsibility to deliver the report on time
TOTAL 100

NAME SURNAME OF THE INSTRUCTOR: SIGNATURE: DATE:

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