COLLEGE OF HEALTH SCEINCE, SCHOOL OF

NURSING AND MIDWIFERY

COURSE TITLE: NURSING LEADERSHIP AND
MANAGEMENT
PROJECT WORK AT TIKUR ANBESSA SPECIALIZED
HOSPITAL PEDATRICS WARD

BY AHN,MRH AND PEDATRICS TRACK STUDENTS

11/11/2024 OCT,2024 1
 Outline
 Introduction
 Backgrounds
 Organizational intent
 Methods
 Situational analysis
 Problem identification and prioritizations
 Statement of the problem
 Significance
 Objectives
 SWOT analysis
 Action plan
 Solution
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
 Objectives
 At the end of this project we are able to;
 Define background of TASH
 Analysis the situation and state the gaps
 Solve and Direct solution for the problems

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TASH

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 Introduction
Nursing is the profession dedicated to the care of
individuals, families, and communities, focusing
on promoting health, preventing illness, and
providing holistic support during illness and
recovery.

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 Nursing process
The nursing process is a systematic, five-step
approach used by nurses to provide effective
patient care.
It is a systematic problem solving approach to
client care.
It is a serious of planned steps and actions directed
toward meeting the need.
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11/11/2024 7
 cont…

Nursing service is the process composed of the set

of interrelated social and technical functional
activities occurring within a formal organizational
setting to accomplish predetermined objectives
through utilization of human and other resources.

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Nursing service administration refers to the
management and organization of nursing services
within healthcare settings.
It involves planning, directing, coordinating, and
evaluating nursing staff and resources to ensure
high-quality patient care.

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 cont…

 This includes overseeing staffing, budgeting, policy

development, and compliance with regulations, as
well as fostering a supportive environment for both
patients and nursing personnel.
 The goal is to enhance the efficiency and
effectiveness of nursing services while promoting
optimal patient outcomes.

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Background of Black Lion (Tikur
Anbessa) Specialized Hospital :
Black Lion (Tikur Anbessa) Specialized Hospital,
School of Medicine, College of Health Sciences,
and Addis Ababa University is the largest referral
hospital in Ethiopia.
It was established in 1964 E.C during the regime of
Emperor Haile Selassie.
In this year the hospital became the only site for
training Medical Doctors
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11/11/2024 12
 Cont…

 In 1998, the TASH, the largest referral hospital in

the country, with 700 beds, was transferred to the

School by the Federal Ministry of Health, and it
has since become a University teaching hospital.
The Tikur Anbessa Specialized Hospital is now the
main teaching hospital for both clinical and
preclinical training of most disciplines

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 cont…

The TASH has 200 doctors, 379 nurses and 115

other health professionals dedicated to providing
health care services.
The various departments, faculties and residents
under specialty training in the School of Medicine
provide patient care in the hospital.

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 cont…
The hospital also has 950 permanent and contract
administrative staff to support the hospital
activities.
In addition, almost all regional and federal
hospitals in Addis Ababa are affiliated to the
School of Medicine as clinical services and
training sites.

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 cont…

The hospital provided its service competitively

with other but limited number of hospital in the
country.
 It was broadly known to give quality care
nationwide and the hospital continued to improve its
service provision by increasing the scope of services,
human and financial resource and other areas which

are essential for hospital functioning .

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 Organizational intent

Vision of the Black Lion (Tikur Anbessa) Specialized

Hospital:
 To see health service quality improvement in regional and
our country level well competitive referral hospital.

Mission of the Black Lion (Tikur Anbessa) Specialized

Hospital :
 To provide quality health serves for community based on
collaboration of national health policy, governmental and
non-governmental organization with evidence of study and
research. 11/11/2024 17
 Core value and guiding principles
Core value:
1. Community first
2. Integrity, loyalty, honesty
3. Transparency, accountability confidentiality
4. Impartiality
5. Respecting the law
6. Be role model
7. Collaboration

8. Professionalism
9. Change/Innovation
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 Guiding principles

1. Self-reliance
2. Community ownership
3. University health coverage
4. Focus to primary health care
5. Patient /client centered quality health service
6. Equity pro-poor and affordability
7. Good governance
8. Gender equity, youth focused
9. Learning intuition/ system
10. Participatory partnership
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 Nursing and midwifery service overview:

 Vision

To be among the best top 10 academic health

centers in the nation in research, medical
education and excellence in patient care, lead the
way for every time nursing practice patient care
 Mission

Provide leading-edge patient care while advancing

professional nursing practice
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 Values

Health care the college of science and tikur

anbessa specialized hospital have implemented
five values to help guide actions, behaviors and
decision making to foster a cohesive work culture
focused on patient centered care.
These values are our foundation for every person,
every patient, every time as demonstrated
through the nursing professional practice model.
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 cont…

Those are:
o Diversity: we foster a people centered
environment that is exclusive of all.
o Innovation: we embrace continual learning and
improvement to drive a positive change

o Respect: we value our patients and families,

our community, our co workers, ourselves and
the resources interested to us
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 cont…

o Compassion: we express empathy for the needs,

thoughts and feelings of those we serve and with
whom we work
o Teamwork: we cultivate and maintain meaningful
relationships to create positive outcomes
o Excellence: we are committed to achieving the
highest level of excellence in patient care,
discovery and education.

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 Methods
The project team has 20 members which all are post
graduate Adult health nursing, maternity and RH and
pediatrics nursing students.
We used different tools to obtain situational data.
The first tool was structured questionnaire for the
interview of hospital nursing management, head
midwife nurses, staff midwife nurses, patients and
cleaners.
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 cont…

The questionnaire includes human resource

management, system of nursing service delivery
model, nursing care standard, inter-professional
relationship, prevention of occupational injuries
and communication.

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 cont…

 The second tool we used was a checklist for

observational data in pediatrics wards which is
used to obtain data which can’t be effectively
retrieved from the interviews and we have also
reviewed patient chart.

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 cont…

 The questionnaire includes human resource

management, system of nursing service delivery
model, nursing care standard, inter-professional
relationship, prevention of occupational injuries
and communication.
 The interview was carried out by group members.

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 cont…

After the collection of the data problems were

identified and prioritized accordingly then after
performing SWOT analysis and action plan which
was designed to intervene and take corrective
measure on the prioritized problems.
The data was collected in Black Lion (Tikur
Anbessa) Specialized Hospital from October 11 -
16/2024 G C.
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 Operational definitions:

 Inadequate medical equipment:

when there is low availability of equipment

that are carry out nursing activities required
that are use full in the Pediatrics ward like
vital sign equipment (thermometer, BP cuff),
screening.
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 cont…
 Poor quality of toilet: means uncleaned and
undifferentiated room for staffs and patients, not
water facilities for hand washing.
 In adequate nurses: less number of nurses related
to patient flow to provide optimal care but the
standard is 1 nurse to 5 patients (7).

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 5. SITUATIONAL ANALYSIS
5.1. Planning

The hospital has a strategic plan which is related to nursing. The Oby-gyne
ward has a no specific plan for 2016 EC by itself but the hospital has general,
academic and clinical service annual plan the clinical service plan encompasses
nursing, midwifery and laboratory services; the plan preparation has not been
discussed with staff members despite sharing after plan has been made. The
ward planned to improve its performance by 10% from the last year. They have
planned to achieve 90% verbal and written communication about patient /client
care, 90% nursing process implementation and implementing nursing/midwifery
all shift regular round and etc... Regarding the achievement of last year plan, she
said that they have achieved all their plans more than 82.5% in all components
in the first quarter year.

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 cont…

When asked about the factors influencing plan achievement, she mentioned resource
constraint in both consumable and human resources.

The only source of financial resource for the ward is direct government budgeting.
The ward will not get any financial resource in monetary terms. The whole financial
function of the hospital is controlled by the finance department of the hospital and the
nurse manager implied that the each ward plans for its budgeting in written form and
submits to the directorate and there is no nurse involved in budgeting in budget
recruitment process but accept the centralized budgeting and when asked about why
she said it was policy we cant change it and finally expressed that there is no
adequate budgeting .

She explained that there are many supplies and equipment’s that are lacking for the
ward operation and example medical record I care format standards including online
nursing and midwifery assessment that will be making their job easier to monitor and

con CORRECTION YIFELIGAL …….

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 Organizational communication :

In the pediatric ward of TASH, the pediatrics head

nurse assigns daily duties and responsibilities for the
nurses.
The line of authority goes from the nursing service
directorate to four coordinators as shown in fig and
then to head ward nurses.
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 cont…

There are teams in the ward which are formulated

for different purposes such as health education team,
HMIS team, 1 to 5 teams.

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11/11/2024 35
Figure 1: nursing chain of command in Tikur Anbessa specialized hospital 2024

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 cont…
The current nurse to patient ratio in the ward is 1:6
which makes it difficult to implement the nursing care
delivery model chosen.
The organogram of the hospital is posted in a
nursing directorate office place at the entrance gate.

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 cont…

And also, as organization TASH, can be internally

communicated through letters and displays
However , mostly communication(information) to
each employees can be delivered (transmitted)
through their head and it can be use different ways
to facilitate its external communications .

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 cont…

The most commons are:

 letters, news, newspaper ,email, telegrams,
Facebook, celebrities( past AAU graduates’),bullet,
folder, notebooks, fact sheets, virtual meeting etc.

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 THANK YOU!!!

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