NURSING DEPARTMENT (DEFINITION) - HEYLIMAR

The Nursing Department is an integral part of a medical and health institution.

or assistance, which provides efficient, effective, and timely nursing service to the patient,
family and community.

It is the organizational structure that has the responsibility for management of

nursing at all levels of care provided to the user. It integrates with everything
nursing staff, professional and auxiliary.

It is a source of information and training for health professionals; it is the area where
the actions of the health team are integrated, culminating in a projection of the
institution towards the users.

Collaborates with the medical and hospital administration in the direction of the hospital,
determines and directs its own functions, works together with other departments
from the hospital to improve the quality of comprehensive care for users.

METHODOLOGICAL INSTRUMENTS TO ORGANIZE A UNIT

The organization's system of the institution defines that of its departments. Thus
the linear model is the most commonly used in the nursing department.

Head of Nursing Area: It is the most relevant position in the department of

nursing performs personnel management functions.

Assistant nurse, teaching, care, and administrative: They are usually located at the same
level that the Area Chief, with a coordination line between both positions and with dependency
directly from the teaching section or, failing that, from the deputy director.

Teaching attaché: Responsible for coordinating the teaching activities of the department, and
It also performs functions of advising, training, teaching, and research.

Assistant nurse: Responsible for direct care in nursing procedures.

regarding the diagnoses and treatment

Administrative assistant: It constitutes the link between the boss and the health system.
The supervising and coordinating staff: They depend directly on the area management.
their activities are focused on supervising the staff, coordinating and distributing
service professional, they are assigned functions, activities and patients according to the
work system used. They are responsible for the direct care of the patient.

Specialist nurse, who provides specialized care.

The general nurse, in its various categories, depends on supervision. They are responsible for
from direct patient care

VISION: DEFINITION AND ELABORATION.

Defining the vision is the starting point for the development of an organization, for
To lead the nursing department, it is necessary to have a vision and set goals.
congruent with that vision.

The vision defines the goals we aim to achieve in the future. These goals
they must be realistic and achievable

The purpose of the vision is to guide, control, and encourage the organization or to
individual to reach the desired state.

The vision answers questions such as:

What do we want to become?

What kind of service do we want to create?

What kind of leadership do we want to have in the sector?

Which audiences do we want to reach?

Example:

To be a nursing department recognized as a leader in care.

integral nurse who dedicates himself to users, through the generation of evidence
scientific practices that support nursing at the institutional and provincial level.
 MISSION: DEFINITION AND ELABORATION - YHOANDRA

The mission is an important element of strategic planning because it is to

from this, the detailed objectives will be formulated that will guide the
company or organization

For O.C. Ferrel and Geoffrey Hirt, the mission of an organization is its overall purpose.

E. Franklin, this statement serves the organization as a guide or framework for

to guide their actions and link the desired with the possible.

Emilio Diez, the mission or purpose is the set of fundamental reasons for the
existence of the company. Does it answer the question of why the company exists?

The mission is the overall purpose or reason for being of the company.

It presents a proactive approach to change, promoting creativity and innovation.

It should be described clearly, briefly, and concisely. It focuses on the present, on the
today, in which, how and why things are done.

Answer the following questions:

What are we?

What do we do?

Who else can do what we do?

Who are our clients?

Where are we going?

Example:

To be a nursing department that provides nursing services

based on the science of human care, to offer to users, to their families and to
the community comprehensive care under a holistic concept. Emphasizing the strategy
of prevention, assistance, and restoration of health. All of this supported by training.
specialized academic, in a process of teaching-assistance integration in service, the
work in a multidisciplinary team and in ethical principles of respect, equity and
responsibility.

STANDARDS: DEFINITION, TYPES.

Standards are criteria for professional practice. They represent a measure

descriptive, specific, and explanatory of what Emergency Nursing should be and
Emergencies. Recognized measure of comparison for quantitative and qualitative value and
they can to be employees for the members of
the profession at all levels, providing a framework for the achievement of care for
quality.

Additionally they provide a reference a

other health team professionals, institutions, and regulatory bodies of what be
waiting for the emergency nursing profession. The standards increase the
responsibility of the profession to the public through articulation, support and
the protection of patients' rights.

Types.

Emergency nurses: Includes the assessment, diagnosis, and treatment of

the perceived problems, real or potential, sudden or urgent, physical or psychosocial
which are primarily episodic or acute. These may require minimal care or the
vital resuscitation, the education of the patient and their relatives, the appropriate counseling and
the consent of the legal implications.

Urgent care environment: A scenario in which a patient requires

intervention of the people who provide emergency care.

Emergency patients: People of all ages with problems

diagnosed, undiagnosed or erroneously diagnosed with variable complexity.
These individuals require precise intervention due to their psychosocial and physiological state.
rapidly changing that can pose a threat.

Standards are necessary for things to work more easily.

They provide a way to solve a problem. They allow two o
more people work cooperatively in some way. Unification of criteria
Standardization of processes Improves the quality of health services.

FUNCTIONS OF THE NURSING DEPARTMENT:

Provide comprehensive nursing services to the patient, family, and community in the
promotion, prevention, recovery, and rehabilitation of health.
- Develop training courses aimed at nursing staff according to
the institutional policy of human resources training.
Promote and carry out scientific research development in the area of
nursing.
Carry out and develop teaching in service.
Establish and keep updated the technical standards and procedures of the
activities of its competition.
The other functions assigned to him by the Management inherent to his position.
The Nursing Department is in charge of a Nursing Professional.
Board, configuration in Nursing Services Administration and with
department head category that has the authority and responsibility of
plan, execute, supervise, evaluate, and control the activities of the personnel under your
to charge and implement the relevant directives and provisions, as well as to comply and enforce

fulfill the functions of your Department.

STAFF ESTIMATION

The estimation of personnel is an administrative act and as such, it aims to measure whether the

the amount of nursing human resources assigned to a service is sufficient or not with
relation to the demand it has. It is important to highlight that this estimate of
personal is focused on the study of the assigned area or place of occupation and time of
nursing

STANDARDS FOR NURSING STAFF ESTIMATION

The standard is based on the following criteria:

a) Type of establishment
b) Number of beds by specialty

c) Levels of medical care

d) Types of patients to attend to (based on their physical condition)

e) Complexity of the programs and activities

f) Projection of the programs

g) Work schedules

h) Work agreements

Teaching

j) Personnel training levels

CARE DELIVERY SYSTEMS:

The provision of nursing care is the set of activities and services

professionals that the nurse makes available to users with the aim of providing support
help or teach those actions that the patient would carry out by himself if he had the
strength or the skills necessary for the recovery of lost health or to facilitate the
maintenance of the same

This prediction must be adjusted to what patients demand from the nurse.
through the development of necessary professional competencies that enable the service
nursing professional adjusts to the needs and requirements of the users

Traditionally, four organizational systems are considered.

provision of care:

FUNCTIONAL SYSTEM.

It is that system of providing care that focuses and organizes around

the more technical aspects of the development of the nursing profession. Nurses are
they are organized according to their skill level and expertise when it comes to carrying out such tasks.
Rather than focusing on the excellence of care, it would focus on the excellence of technique.
 The foundation of this care provision system lies in the increase
from the care assistance load.

In this context, the caregiver supervisor plays a special role as an authority.

responsible for the organization, decision and assignment of tasks.

CASE SYSTEM OR BY PATIENT - GABRIELA

From the perspective of the nurse manager of care and professional provision
the same, care is provided based on the needs of the patient himself and
under the perspective that the nurse will put in the patient's hands the tools that will
facilitate self-healing.

One must observe in this mode of organization in the provision of care the
They carry out tasks in which there is no direct contact with the patient.

In this model, there is also room in its full application for the different levels.
of expertise among nurses where less experienced nurses consult
expert nurses in providing that type of care.

SYSTEM IN TEAM.

Through leadership and coordination, care provision is carried out.

patient-centered, trying to respond in this way to the care needs of
patients reducing the variability and fragmentation of the same in observation of
the changes that occur in the environment.

Leadership focuses on the ability of each team member to give

response and satisfaction to the detected care needs and in the recognition
of a coordinating and driving figure in the provision of care
 PRIMARY CARE SYSTEM.

It is the organizational structure that allows the nurse to be responsible for the
patient care from their arrival at a hospital to their return to their environment
of habitual life, under an educational approach, of team provision, researcher and
innovative.

The reference nurse who becomes responsible for a series of patients

having to respond to everything related to health care, education,
family and environment.

It is possible that this care provision system is the one that encompasses all the
Essence of nursing through the consideration of the patient as a whole.

It is true that to carry out the complete implementation of this model of

the provision requires a redesign of the organization as it goes beyond mere
nurse-patient attention and assignment.

Therefore, the planning of care and its continuity becomes especially relevant.
establishment in all spheres of the nurse/patient relationship, and something that begins to
becoming increasingly important in our healthcare centers due to its influence on the
sustainability of the system planning by nurses as the axis and links of
Union of the patient's discharge during their hospital processes.

This model is one in which the nurse plays a significant role due to the ability to
making decentralized decisions under participatory and autonomous management.

At the level of competence, this model requires us to consider the development of four
competencies that allow the nurse to provide and manage care.

Responsibility
Autonomy
Coordination
Globality