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Advanced nursing adminmnstraion { MNS 510]-course outline-2020

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                                                                                                     Amended September
2020 
UNIVERSITY OF ZIMBABWE
FACULTY OF MEDICINE AND HEALTH SCIENCES
DEPARTMENT  OF NURSING  SCIENCE
COURSE TITLE :        ADVANCED NURSING ADMINISTRATION (MNS 510)
CREDIT HOURS :          150 HOURS
UNITS:                               15 UNITS
LECTURER :-        MRS H. WATYOKA
COURSE DESCRIPTION
This is a Nurse Executive/Senior Nurse Manager’s course that prepares the graduate for top
nurse executive role at International, National, Central, Provincial and District Levels of health
services.  The focus of the course is on contemporary role demands on nursing management and
leadership.  Emphasis is placed on exploring knowledge and skills requirements for addressing
current development in the provision of health care including practice models, their value and
professional associations and networks.  The fit between nursing management philosophy values,
goals, tasks, strategies and operational configuration of hospitals and other health care settings is
explored.  The learner examines the current issues, theories, concepts and practical application of
management principles, leadership behaviour and decision making within the context of Primary
Health Care.
The course outline is based on the assumption that students have had an introductory course in
administration and management.  Selected topics covered in this course are those designed to
strengthen the students’ background for senior managerial roles.,
COURSE OBJECTIVES
Successful completion of the course will be manifested by the students’ ability to :-
1. Analyze the evolution of contemporary status and future directions of nursing
administration theory, research, education and practice.
1. Identify and discuss contemporary issues affecting health care and nursing and the
implications of these issues to nurse administrators at different levels.
1. Analyse the patterns of organizational design, culture and role development of
departments of nursing at various levels of health care institutions.
1. Discuss theories of management and relate these theories to the principles of nursing
management and development of an administrative framework appropriate to Zimbabwe
and the ECSA region.
1. Integrate and apply nursing administrative knowledge and skills to national, central,
provincial, levels of the health care delivery system.
2. Discuss innovations in nursing
 3. Discuss intrepreneuriaship in nursing
TOPICS
Week  1 & 2
1. Introductions and Overview of the Course.
2.        Issues and challenges in Nursing Administration\Management in Zimbabwe and
the ECSA region.  
 Epidemiological concerns\changes
 Socio- Economic concerns
 Organizational\managerial concerns.
 Developmental\Technological.
-              Discussion:- Identification of Sources of Local/Regional information.
Readings
 Marquis B. et al – Leadership and Management Functions in Nursing – Chapter 1.
 Health Strategy for Zimbabwe 1997 – 2007 – MOH & CW.
Chapters 4 & 5.
Week  3
The Preparation and Utilization of Nurse-Managers\Executives.
 Identification – who are they? Where are they?
 Approaches in the preparation\development of Nurse Managers
 Utilization – Roles and Responsibilities
 Development of Nursing specialities – At what point should nurses specialize
 Career Paths in the Nursing Professions
Readings :
 From Novice to Expert – Excellence and Power in clinical Nursing Practice – The
Dreyfus Model of Skill Acquisition applied to Nursing.
Week  4
4.   Organizational Culture and the Nurse Manager
        -        Theories of Management
-        Management and Leadership Styles
-        Implications for Practice.
Readings :-
 Marquis B. et al – Leadership Roles and Management Functions (1996).  Chapters 2 & 3.
 Marquis B. et al Management Decision Making for Nurses.  Chapters 2,3, and 4.
Organizational Culture Continued :
                -        Organisational Vision, Mission, Objectives
-        Policies and Policy Development
                
Week 5
Ethics and Ethical Issues.
 The institutional code of conduct and practice.
 The Nurses Ethical Code of Conduct – ZINA Code – ICN Code
 Ethical issues  and ethical dilemmas
 Client Advocacy and the Patient’s Charter
 Equity issues in the provision of health care.
Readings
  Chitty K.K. & Professional Nursing Concepts and Challenges. Chapter 19
 Nursing Ethics (p 397 – 408) and Margins Chapter 22.
Week 6
Practice Models in the Provision of Health Care  -  Issues for the Nurse
Administrator/ Manager/Leader
                -        Public-Private sector Organisational Structures
                -        Health Care Reforms and Decentralization
                -        Community Home Based Care
                -        Traditional Practice
                -            Community involvement – Participation - Partnerships
 Week 6
Issues in the Provision\Organization of health care services :-
 Practice Models – Professionalization of nursing practice
 Staffing  patterns – Determining Staff requirements
 Task allocation versus patient allocation
 Community – based care – Determining resource requirements
Readings
 Cormack, D et al – Criteria for Evaluating the clinical and practical utility of models use
by nurses (1992)
 Journal of Advanced Nursing
 Capers C.F. et al – Using Models of Guide Nursing (1991)
 Practices Issues in Nursing Administration
 Roper, N. et al – A model of Nursing based on a Model of Living.
 Week  7
Quality and Standards of Care
 Scope of Nursing Practice – Issues and concerns.
 Indicators of the quality of care – Development and utilization
 Quality Assurance Programme – Quality Improvement
 The Role of the Regulatory bodies – The Health Professions Council
 The new Nursing Council of Zimbabwe – Its role and development
 Issues in In-Service and Continuing Education
 Discuss innovation issues to change the image of nursing.
 Discuss entrepreneurship in order to view nursing profession as a business and
come up with some businesses that can be done locally.

Readings
 Decker, P. et al – Quality Improvement in Health Care. Chapter 7.
 In Role Transition to Patient Care Management (1998)
 McCloskey, J. and Grace, H.K. – Current Issues in Nursing.  Chapter 33,34, 35 – 36. 
Third and Forth Edition, Mosby Co.
REVISION
   
REFERENCES
1. Marquis B.L. and Huston J.C. Leadership Roles and Management Functions in Nursing –
Theory and Application (1996) Lippincott, Philadelphia.
 1. Swansburg, R.C. Management and Leadership for Nurse Managers (1990). Jones and
Barlett Publishers, Boston.
1. Gillies, D.A. (1994). Nursing Management A System & Approach. (3r Ed) Philadelphia,
W.B. Saunders.
1. Marquis B.L. and Huston J.C. – Management Decision Making for Nurses.  124 Case
Studies (1998).  Lippincott, Philadelphia.
RECOMMENDED TEXTS AND JOURNALS
1. Bandman E. et al.  Critical  Thinking in Nursing (1988).  Chapter I – Use of Critical
Thinking in Nursing.  Appleton & Lange, Connecticut, California.
1. Benner, P. From Novice to Expert – Excellence and Power in Clinical Nursing Practice.
(1984).  The Dreyfus Model of skill Acquisition Applied to Nursing – Addison Wesley
Publishing Co. Nursing Division, Menlo Park, California.
1. Capers, C.F. – Using Nursing Models to Guide Nursing Practice – Key Questions – In
Ward J.M. et al – Issues in Nursing Administration (1991) Mosby Year Book, St Louis.
1. Chitty K.K. Professional Nursing Concepts and Challenges (1998).  Chapt. 19
Nursing Ethics (Pages 397 – 408) W.B. Saunders Co. Philadelphia.
1. Chitty K.K. Professional Nursing Concepts and challenges (1998) Chapt. 6
Defining Profession (Pages 129 – 137)  W.B. Saunders Co. Philadelphia
1. Cormack D. and Reynolds W. – Criteria for Evaluating the clinical and practical utility of
models used by nurses – Journal of Advanced Nursing (1992). Volume 17 Pages 1472 –
1478.
1. Decker P.J. and Strader M.K. – Quality Improvement in Healthcare – Chapter. 7
In Role Transition to Patient Care Management. (1998) Appleton & Lange, Norwalk
Connecticut.
1. McCloskey J. et al – Current Issues in Nursing (1990)  Quality Assurance – Chapters 33,
34, 35, Third Edition. C.V. Mosby Co.
1. Ministry of Health and Child Welfare (1999). National Health Strategy for Zimbabwe –
1997 – 2007.
1. Roper N. & Logan W. et al – The Elements of Nursing – A Model for Nursing Based on
a Model of Living. (1996) Churchill Livingstone.
11.        Janice, Rider Ellis Celia Love Harley (2007). 7th Ed. Nursing in Today’s World :  
Challenges issues and trends : Lippincott : Philadelphia. Genesis 35 : 6 – 8.
12.        Critic length of stay, types of services, ownership, contribution to health.
13.        Patricia's Yoder-Wise. Leading and Managing in Nursing 3rd Ed.
        http://www. Mosby.com/merlin/yoder-wise
EVALUATION
1a)        Active participation in discussion, on a regular basis based on the students’
        experience and evidence of having reviewed available literature on the topic being
discussed.  The Nurse Manager is expected to demonstrate critical thinking and higher
level knowledge in the discussions as well as written assignments and end of
course tests 25%.
 
b)        Each student will select one topic in which she\he will lead the class discussion. 
The student will submit a summary paper highlighting the major issues\challenges and
possible strategies to address the issues raised.
2.        Final Examination  - 2 hours
3 out of 5 questions end of year – 75% + 25%
Total  = 100%