La Consolacion University Philippines

(formerly University of Regina Carmeli)

Graduate School Department



STRATEGIC PLANNING for the NURSING SERVICE,
ORGANIZATIONAL POLICIES & STANDARD PROCEDURES

I. I N T R O D U C T I O N
Planning is defined as the first function of the management
process which permeates into the other functions it serves as an
anchor where the other functions of management such as
organizing, directing, and controlling are dependent (Venzon,
2006).
Importance of Planning: (Douglass, 1986)
Leads to achievement of goals and objectives
Gives meaning to work
Provides for effective use of available resources and
facilities
Cost effective
Characteristics of a good Plan:
Precise
Evidence-based
Set on priorities
Flexible
Logical
Practical
Organization-wide
Scope of Planning
Top management
o Composed of nursing directors, chief nurses and
their assistants
o Set the over-all goals and policies of an
organization; their responsibility covers over-all
management of the organizations nursing
service
Middle management
o Composed of nursing supervisors
o Direct the activities to actually implement the
broad operating policies; formulation of policies,
etc. for intermediate level for on-going projects
and activities is done in coordination with top
mgt. and those in the lower level
Lower level (first-level) management
o Composed of head nurses or senior nurses (+
charge nurses)
o Do the daily and weekly plans for administration
of direct patient care
Types of Planning
Operational planning
o A detailed work plan for a coming year.
o Focus: Sustaining the course of action and
ensuring the employees ability to perform the
designated tasks.
Strategic planning
o Carried out 3-5 years. (more than 1 year)
o Systematic process that emphasizes
assessment of the environment both internally
and externally.
o
II. STRATEGIC PLANNING PROCESS
1. Assessment of the Environment
It is the first step of any planning process. The managers
must assess the environment: External- includes the competition
for services in the community, take a look at the market and
identifying customers, economic factors, political, educational,
social and technological factors. Internal- Patient care standards,
financial resources, human resources, research capabilities and
staff development.

2. The Planning Hierarchy: Elements (Marquis, 2000)


MISSION STATEMENT
Identify why the organization exists. They encapsulate the
overriding purpose of the organization.
It should be generally simple so that it can easily be identified
and remember. Must be concise. NOTE: Who the target clients are
and what services will be provided.
It addresses its position regarding ethics, principles, and
standards of practice.


VISION STATEMENT
Sees, Envisions; identify the future of the organization,
and accompanies the mission statement. It is an imagination/
dream.
Examples:
DOH: Health is a basic Human right. A
continuous set of services must be provided to assure the
enjoyment of this right especially the poor.

PHILOSPHY
It describes the vision. It is the statement of Beliefs and
values that direct ones life or ones practice.
Example: from Quirino Memorial Medical Center The
medical Center is guided by the ff beliefs:
1. The hospital is committed to assume a vital role in health
promotion, disease prevention, curative, rehab and primary
healthcare in partnership with public health counterparts, the
clients, families, and communities.

. GOAL SETTING
Aims; broadly stated; defines the ends. Be departmental,
division, individual level; can be Short term or Long term goal.
2 types: Operational Goals- are the statements that indicate
future directions in unit/ departmental level. It is more specific
statements of the organizations vision. Example: Medicine Unit:
a.) Increase nursing visibility within the medical center and the
community. b.) Assure cost containment at the unit level. Strategic
goals- are institutional goals often written by executives or upper
level administrative members who oversee the organizations
activities & are able to conduct environmental assessment.
Example: 1.) Optimize the resources of the medical center. 2.)
Emphasize clinical excellence.

. OBJECTIVES
Specific than your goals, task Oriented, and done by
individual/ Unit.
They are stated in terms of results to be achieved and more
concrete.
Example: (from QMMC)
Mission
Philosophy
Goals
Objectives
Policies
Procedures
Rules and regulations
Example:
The mission of DOH, in partnership with the people to
ensure equity, quality and access to health care by:

>> making services available
>> arousing community awareness
>> mobilizing resources
>> promoting means to better health

General Objectives: to provide the best possible health care
services to its clients in a high quality setting conducive to attaining
its vision as a center of wellness and a standard medical center.
Specific Objectives: 1.) to provide a dynamic and innovative
setting for clinical experiences of post graduate trainees, medical,
nursing, and allied health affiliated students, and for continuing
staff development, training and research.

Nursing Service part of the total health organization which
aims at satisfying the nursing need of the patient, community. The
nurse works with members of allied disciples such as dietetics,
medical and social services in planning comprehensive program of
the patient and patient care in the hospital. According to World
Health Organization part of the total health organization which
satisfy nursing objectives to provide prevention of disease and
promotion of health.

Vision and Mission of Nursing Service:
The mission statement tells the reason for existence of
nursing service as defined by the nursing staff and in
relation to service being provided in community of clients.

Philosophy of Nursing Service and Nursing Service
Administration:
Sets out values, concepts and beliefs that pertain to
nursing administration and nursing practice within an
institution or organization.
They are abstract and contain value statement about as
professional as it obtains to competence on nursing
workers and about the setting in human being as clients,
patients and workers
Example: from QMMC: The Nursing division strongly
believes that:
1. Its philosophy and objectives are congruent to the
vision, mission, philosophy and objectives of QMMC.
2. the most important asset of an institution is its staff. To
provide the best quality nursing care

Objectives of Nursing Service:
Objectives are developed in collaboration with nursing
personnel who will assist them.
The major areas included in objectives are use of all
resources, social responsibility, staffing, and requisition of
supplies, planning education program, innovation,
marketing and personnel preferences.
Example: from QMMC: The Specific objectives of the Nursing
service of the QMMC: (and there comes the objectives setting
for a specific nursing unit).

III. NURSING STANDARDS

Standards are desirable sets of conditions and performance
that ensures quality nursing service. Provide professionally
desirable norms against which the departments performance can
be measured. Although some institutions develop their own
standards of Nursing Practice, the Standards of Nursing Practice
and Nursing Service Admin formulated by a joint of committee of
the ANSAP and PNA which was first printed in 1981, is a good
reference.







Who sets the Standards:
1. Professional Organization (PNA)
2. Licensing Body (PRC)
3. Clinical Practice guidelines (OHNAP, ANSAP, ORNAP)

IV. NURSING POLICY
Guidelines; It is a governing plan to achieve our goals and
objectives; and are boundaries/ guidelines for decision making and
behavior within which personnel can act. Three General Areas In
Nursing That Require Policy Formulation:


Nursing Service Policy Manual is an example of a departmental
polices, reflecting the policy of the hospital. Examples:
1. Accidents: Care, Reporting, Precautions to prevent occurrence.
2. Admissions: Receiving, Consent, Notifying Doctor, Care of
Patients
3. Consent: Informed consent taken by/from whom,& shared
decision-making.
4. Death: Notification, Care and Identification, Belongings,
Certificate
5. Doctors Order: Written, Verbal, Telephone
6. Nursing Care: Administration and Prep of Meds, Charting,
Safety Devices

V. NURSING PROCEDURES

Step by step activities. Procedures are specific directions
for implementing specific policies. They are plans that establish
customary or acceptable ways of accomplishing a specific task
and delineate a sequence of steps of required action. Nursing
Procedure manuals should be available in each unit to familiarize
nurses with the common nursing procedures utilized in the unit.
Format of the manual includes: definition, purpose, materials
needed, proper requisitioning of supplies, proper disposal of used
equipments, legal implications, expected responsibilities of the
nurse and the patient, and proper documentation.
Examples of content: Bed making, Insertion of Foley
Catheter, Administration of Blood, I and O, Oral Hygiene,
Administration of Medicines, Admission and discharging a patient.

VII. R E F E R E N C E S
Venzon, Lydia M. and Jennifer M.V. Nagtalon (2006). Nursing
Management Towards Quality Care (3
rd
ed.).
Patronis Jones, Rebecca (2007) Nursing Leadership and
Management: Theories, Process and Pracrice.

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