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With accelerating changes in the healthcare environment, the nursing management

is moving beyond its capabilities in multiple areas and demands the nurses to be a
true leader. It is to develop and sustain the healthcare leadership and management
with advance roles and specifications.


Management in the healthcare means to assure the healthcare business to run

effectively through better planning, coordination, implementation and evaluation of
every aspect of the entire process of the healthcare delivery. Healthcare
management provides direction and leadership (Roberts et al., 2016). Healthcare
management is termed as the profession wherein direction and leadership is
provided towards the organization for the better delivery of the personal health
services and also service the units, divisions, departments and services in
healthcare organizations.

Healthcare management in nursing field is of high priority where nurses provides

direction and leadership to the organizations and its people for the delivery of the
personal health services. Characteristics of a healthcare manager are widening and
calculative. Effective communication and interpersonal skills are a must for a nurse
manager to understand and make other understand properly without any confusion.
Great leadership skills are expected in healthcare manager for the making of great
changes (Finkelman, 2015). The manager needs to be well organized for better
coordination and involvement of people around. The manager has to be passionate
about the healthcare and the medicine field to be always ready to work for patients
and their well being (Nygren Zotterman et al., 2015). Other important characteristics
that are a must to become a better manager include honesty and commitment;
thinking equally about small and big issues; good decision maker; flexible and
adapting, independent and critical thinking; and ability to motivate and inspire others
(Roberts et al., 2016). Healthcare nursing managers gets appointed to the authority
positions wherein they involve in shaping the organization through appropriate
decision making process which are related with the development and recruitment of
staff, service additions, service reductions, technology acquisition, and spending and
allocation of the fiscal resources (Finkelman, 2015).

The factors that act as barriers for being a healthcare manager in nursing field are
lack of nursing involvement and experience in healthcare and nursing profession and
decisions; lack of knowledge, skills and support of healthcare policies, management
and education (Chukmaitov et al., 2015); lack of enabling structures to involve
nurses in healthcare management activities; public perception of the nurse
stereotypes within media; lack of opportunities for advancement; and lack of
resources available at right time (Cha et al., 2015). There is an imperative barrier to
this healthcare manager through the shortage of the internal resources towards
leading the change initiatives. But, this can be controlled through enlisting outside
assisting in driving first projects or to get training as well as monitoring in complete
conjunction with the projects that are capable in producing immediate outcomes
(Finkelman, 2015). The ineffective communication present between the healthcare
professionals actually costs the healthcare centres about $12.4 billion on annual
basis that average as $2.2 million per hospital across the world. The incremented
length of stay for every patient is termed as the loss that is directly associated
towards the poor communication as well as patient safety (Roberts et al., 2016).

The role of the manager in healthcare environment certainly for a nurse to be a

leader is to foster the environment providing qualitative and necessary healthcare
with maximum benefits. They usually keep up with all the required and relevant
health care standards, policies, laws, and technology representing the organization
(Roberts et al., 2016). In certain cases, the manager also takes the responsibility of
interviewing, firing and hiring the healthcare staff with the role of determining the
salaries, assigning work schedules and training the staff. They play a key role of a
motivator and an inspiration for the colleagues and juniors with strong leadership
skills for their advancement (Nygren Zotterman et al., 2015). The healthcare
managers as nurse managers also indulge in subordinating administrative staff.
They also indulge in handling finances like calculating, creating and issuing budgets
and patient bills. Healthcare nursing managers are also focused over assuring the
patient to receive accurate, effective and timely services as possible (Finkelman,

It is a must to have and lead an effective healthcare management system and

environment. This means to improve the health quality consistently with satisfied,
committed, motivated and happy healthcare staff (Chukmaitov et al., 2015). An
effective management is plausible with the aspect of leading the environment with
positive examples making the vision clear and consistent; building stronger
healthcare teams complementing each other; encouraging participation with the
creation of a culture that is secured and inclusive for the staff (Roberts et al., 2016);
challenging the conventional thinking with great push and pull factors; measuring
every healthcare protocol and aspect at regular intervals; and being accountable for
every action, response and outcome leading to better performances playing positive
role models (Cha et al., 2015).


It is quite evident that nurses are becoming true healthcare leaders and indulging in
health management procedures and fulfilling the roles of health manager. This is
helping nurses in fulfilling their roles more effectively and keeping all the nursing
health professionals in cue and work as a team.

Cha, H., Birger, J., & Cha, A. N. (2015). U.S. Patent No. 8,935,753. Washington, DC:
U.S. Patent and Trademark Office.

Chukmaitov, A., Harless, D. W., Bazzoli, G. J., Carretta, H. J., & Siangphoe, U.
(2015). Delivery system characteristics and their association with quality and costs of
care: Implications for accountable care organizations. Health care management
review, 40(2), 92-103.

Finkelman, A. (2015). Leadership and Management in Nursing: Core Competencies

for Quality Care. Prentice Hall.

Nygren Zotterman, A., Skär, L., Olsson, M., & Söderberg, S. (2015). District nurses'
views on quality of primary healthcare encounters. Scandinavian journal of caring
sciences, 29(3), 418-425.

Roberts, J. P., Fisher, T. R., Trowbridge, M. J., & Bent, C. (2016, January). A design
thinking framework for healthcare management and innovation. In Healthcare.