A Summary and Analysis of Nurse Manager Interview
Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation,
and health care financing.
1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview
question by question)
2. Perceptions related to impact on health policy on decision. Perceptions relate to impact of regulatory agencies on decision making. Perceptions
related to impact of health care financing on decision making.
3. Analysis of the interview supported by the literature.
Summary and Analysis of Nurse Manager Interview
The quality of services offered in healthcare facilities is determined not only by the nurse managers’ competence but also by other external factors beyond the practitioners’ control. Nurse Managers supervise the novice nurses in the care of patients. They thus need to be competent in human resource management aspects and other social skills that would foster positive relationships with their juniors. Nurse Managers also take part in their nurses’ care since this is their primary role in the medical profession. The nurse manager interviewed is Mr. X of one of the most extensive public healthcare facilities in the region. The nurses’ clinical decisions are determined by healthcare policies and regulations, accreditation requirements, and the financing of the healthcare sector.
Role of the Interviewed Nurse Manager
There are several roles played by Mr. X, as reported during the interview. First, he is involved in the care of clients visiting the hospital. The interviewee reported that he takes part in patients’ care, where she assesses, diagnoses, and treats them. His role is thus aligned with the arguments of Moore, Sublett, and Leahy (2016), who state that the registered nurses’ primary responsibility is to treat patients and ensure that their desired level of wellness is realized. The nurse manager reported that besides taking care of patients within the facility also visits homes to check on the progress of the patients placed on home-based care programs. He also reported that he works with communities empowering them on sound health practices they should adopt to realize their desired state of health. Thus, patient care is one of his primary responsibilities.
Additionally, the nurse manager interviewed reported that he is involved in managerial duties. He reported that he is the head of the nursing department and, therefore, involved in staffing, appraisal, and deployment of nurses in different facility sections. He also reported that he manages the home-based nursing division of the facility, where she assigns the juniors nurses to care for the patients based on the home care programs. His managerial duties align with Gunawan et al.’s (2018)’s assertion that registered nurses are involved in administrative duties where they head nursing divisions and supervise their juniors at care settings. The interviewee’s role is also aligned with that of the nurses in the emergency department (ED) where I work. I have noted that some nurses in the ED work in home-based care settings. Thus, the nurse manager interviewed roles are not pinned only on care for patients and overseeing the facility’s activities.
Lastly, the interviewed nurse manager reported that he performs administrative roles in the healthcare facility. Nurse Managers are mid-level administrators in healthcare facilities. They are involved in the design of budgets, policies, and clinical procedures in their respective departments (Moore et al., 2016). These roles are also performed by the nurse practitioners in the EM where I work. They also develop performance appraisal protocols aimed at assessing the performance of the practitioners. Mr. X stated that he develops yearly budgets for his department and collaborates with other managers to make policies that guide the hospital’s operations. Therefore, he oversees the operations of the care setting.
Factors Influencing the Nurse Manager’s Decision-Making Processes
Some policies guide the decisions made by the interviewee when caring for patients. The first policy is the HIPAA security rule. This policy requires healthcare facilities to ensure that their patients’ data is electronically stored and transmitted (Zhang et al., 2018). Mr. X reported that his information management decisions in the department are grounded on this policy. The aim is to ensure that clients’ data is protected from unauthorized access while ensuring that it can be timely retrieved to facilitate a fast treatment process. Another policy is justice, which requires healthcare providers to refrain from unfair and discriminatory practices when delivering health services. This policy guides the nurse managers’ clinical decisions since he ensures that he attends to each client with utmost fairness.
Additionally, the interviewee reported that the current regulations in healthcare determine his clinical decisions. The first policies are those of the American Nursing Association (ANA). The guidelines provide that the nurse practitioners need to serve patients with utmost fairness while ensuring that their services are beneficial and free from harm (McDermott-Levy, Leffers & Mayaka, 2018). Mr. X asserts that these provisions influence his clinical decisions since he is forced to use evidence-based and patient-centered approaches to ensure that his services do not harm patients under his care. His assertions are aligned with the nurses in my ED since they work in conformity to the evidence-based guidelines. The nurse manager also reported that the Joint Commission guides his decisions on Accreditation of Healthcare Organizations (JCAHO). This commission certifies the programs that each facility should offer before providing (Pileggi et al., 2019). He manages the nursing division and therefore ensures that JCAHO accredits all programs provided in this department.
The interviewee exhibited a positive perception of the current accreditation bodies in healthcare. Several accreditation bodies influence the decisions made in healthcare facilities in the US. Mr. X acknowledged the National Committee for Quality Assurance (NCQA) role in improving hospitals’ quality of services. The agency ensures that all medical staffs have the competence and certification before they are admitted into practice (Pileggi et al., 2019). The nurse manager stated that he is involved in the staffing process. His staffing decisions are thus guided by the guidelines of NCQA and therefore perform intensive screening of candidates, objective interviews, and effective placements to ensure that the selected parties meet the desired level of qualification.
Finally, the interviewee showed negative perceptions of the influence of healthcare financing in his decision making processes. Mr. X argued that healthcare funding’s financial cuts had compromised most healthcare facilities’ ability to provide comprehensive services to the clients. His arguments are supported by Gunawan et al. (2018), who opines that hospitals’ limited funds make the managers forego some essential programs such as outreach programs and health promotions that would have otherwise been beneficial to the public. Therefore, the interviewee stated that financial limitations had limited his selection of the programs that the facility should implement.