1. Nurse Managers Development Program
HASNAH E. BANJAR
PhD, MSN, BSN
Nursing Department
College of Applied Medical Sciences
King AbdulAziz University
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

2. The status of nursing in the Gulf region
A study in ( ) by the GCC nursing technical committee, to establish a database of the nursing profession in the Gulf region (GCC, 1996)
Executive Office of the Ministries of Health of
Gulf Countries Council GCC,
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

3. Key issues (GCC report,1996)
Shortage of national nurses
Lack of information system
Absence of standards, rules and regulations for nursing practice
Absence of standards for staff and manpower assessment
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

4. Key issues (GCC report,1996)
Multiple and varying levels of nursing personnel (national and international)
Diverse differences in the nurses educational and training backgrounds
Discrepancies in salary from one health institution to another.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

5. Key issues (GCC report,1996)
lack of effective leadership in nursing departments
lack of participation of nursing leadership in decision-making and health policies
The effect of nursing leadership on the quality of nursing services.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

6. Current Status of Nursing in GCC
Increased collaboration among gulf countries
Ongoing programs to encourage national nurses
Standardized nursing educational
Programs (BSN)
Regulation of nursing practice
Increased national nurse leaders
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

7. Nursing in Saudi Arabia
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

8. Nursing Education Programs in Saudi Arabia
MOED
MOH
Doctoral Degree
Master degree in Nursing
(Baccalaureate degree)
4 years + 1 year internship
Associate Diploma in Nursing
In Intermediate Health Colleges
(3 years + 6months internship))
Graduation from General High school
(12 grade)
Diploma in Nursing
(3 years)
Graduation after 9 grade
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

9. Regulation of Nursing Profession in Saudi Arabia
(October, 2002) the Scientific Nursing Board
in the Saudi Council for Health Specialties –
to develop policies and regulations of nursing profession on a national level.
The 5th GCC nursing conference, Riyadh (2002)
“Revising Nursing Education & Practice through Professional Regulation”
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

10. Regulation of Nursing Profession in Saudi Arabia
Standards of practice
Nursing code of ethics
Review of job descriptions
Registration
Licensure
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

11. Regulation of Nursing Profession in Saudi Arabia
(2003) Regional Nursing Departments in each Health Directorate at MOH
Three major departments:
Nursing Services & Quality management
Continuous education & training
Planning, policies and research in nursing
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

12. The need for developing Saudi Nurse Managers
Studies and reports
Saudiization
Early ‘premature’ promotion to management position (MOH)
Lack of criteria for promotion
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

13. Nursing Management in Saudi Arabia
A Kingdom-wide management training programs for nursing directors were recommended, due to weak management of nursing services at most MOH hospitals (Henry, 1994).
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

14. Nursing Management in Saudi Arabia
A qualitative study of Saudi nurse leaders identified early promotion as a ‘stressful’ and ‘challenging’ experience, which they were not prepared for, but coped with (Lovering, 1996)
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

15. A Model of a Nurse Manager’s Job Stress
JOB STRESSORS
Workload
Patient care
Staff management
Role conflict
Organization
Perceived
Stress level
JOB
SATISFACTION
General
Health
Coping
Demographic
characteristics
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

16. The fourth Arabian Gulf Medical Association Conference, March 2005
Study methodology
Setting
MOH and other governmental hospitals in Jeddah (N=11)
Sample
117 FLNMs working in inpatient care units
Data collection method
Self-administered questionnaire
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

17. Distribution of Respondents by Education Level
Total n = 115
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

18. Distribution of Respondents by Nationality
Total n = 117
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

19. Self- reported general health
The younger , less experienced FLNMs, who perceived their job as mainly patient care oriented; reported more symptoms and experienced less emotional well-being than other FLNMs.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

20. The fourth Arabian Gulf Medical Association Conference, March 2005
Job Stressors
The Saudi FLNMs perceived workload and staff management stressors as more stressful
The Saudi FLNMs experienced stress symptoms more frequently and thus appeared to be more emotionally distressed.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

21. The fourth Arabian Gulf Medical Association Conference, March 2005
Coping methods
Non-Saudi FLNMs, who were older and more experienced tended to use more direct coping when faced with stressful situations.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

22. Implications To Nursing Administration And Nursing Education
Reviewing the policies of FLNMs’ selection, placement and promotion
Supporting the transition of FLNMs to management positions especially of
Saudi nurses,
Orientation, management training and development programs.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

23. Implications To Nursing Education
Nursing curriculum
Early and gradual exposure to ward management
Integration of theoretical and clinical aspects
Content (e.g. team building, budgeting, stress management and coping)
Mentoring
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

24. ICN position statement 2000
(International Council of Nursing ICN )
“ICN expects nurses to contribute to health policy locally, nationally and internationally through management and leadership roles and through professional nursing associations.”
“Educational preparation for management will vary according to the roles and career paths of nurse managers. “
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

25. Preparation of Nurse Managers
The preparation of nurses for management and policy should enable them to assume roles as either managers of nursing services or education, or as managers of health care services, or in health policy. (ICN, 2000)
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

26. Preparation of Nurse Managers
It is recognized that leadership development is a critical component of management development, as well as being a major priority for nursing generally. (ICN, 2000)
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

27. Nurse Managers Education, Development and Training
Pre- Qualification
Post- Qualification
Master N Programs
Baccalaureate N Program
Advanced Diploma
Associate Diploma
in Nursing
On- Job training
Role Transition
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

28. Pre-qualifications (The Baccalaureate Nursing program)
A management course
(4 credit hours of theory and clinical)
Basic concepts in management and leadership in nursing.
The clinical experience
The health care system, nursing management levels, management styles, management functions and ward management
(FLNMs, team leaders and charge nurses).
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

29. The fourth Arabian Gulf Medical Association Conference, March 2005
Post- Qualification
The transition period
An advanced diploma program.
A Master program
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

30. Transition to management position
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

31. Transition to management position
Staff nurses with potential leadership abilities, followed up and directed to management development program.
Role socialization by practicing as charge nurse or team leader (at least 2-3 years).
May act up as assistant head nurse for one year or more.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

32. Nurse manager orientation program
A structured program ( month )
for newly appointed nurse managers
It involves several approaches such as: clarifying job expectations, mentoring, action learning, frequent feedback and peer support in addition to lectures and workshops.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

33. Nurse manager orientation program
1. Immediate (1- 2 weeks )
upon entering the system.
2. Short- term ( weeks )
3. Long-term (3 month – 1 year)
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

34. Advanced Diploma In Nursing Management
By the Saudi Council for Health Specialties.
It is recommended for nurses – who are unable to pursue graduate studies
Training ( not less than one year).
It consists of three semesters, each will last 20 study weeks.
The clinical by working three 12 hours shifts for three days per week
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

35. The Master Nursing Program
Ideally, the formal program in nursing administration is offered at the graduate level.
The curriculum can be divided into the following components:
-The core courses
-Courses in nursing administration
-Administrative practicum.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

36. In-service & continuing education activities
A survey of need assessment
A series of lectures, workshops, study days, or specifically-designed management development programs
Within a comprehensive program of all management levels
Topics e.g. decision making & problem solving, delegation and time management.
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005

37. The fourth Arabian Gulf Medical Association Conference, March 2005
Thank you
H.Banjar
The fourth Arabian Gulf Medical Association Conference, March 2005