Nursing management
Nursing service management (PDL) is a professional title for a managerial position in German hospitals , care facilities, outpatient services and in rehabilitation clinics .
tasks
The care service management (PDL) is usually a single, professionally qualified person who leads the care service . The PDL can also consist of a management team of several people. The PDL is responsible for administrative and organizational tasks such as B. Personnel planning, the organization of duty rosters and the control of compliance with quality standards. However, according to current jurisprudence, the overall responsibility for the treatment process lies with the doctor, as there must be no doctor-free area during treatment.
Functionally, the management of care services is assigned to middle management in many company organizations . On the one hand, it is the link between the nursing ward management and management and, on the other hand, the link between the nursing ward management and the medical director. She is authorized to issue instructions to the employees who report directly to her. These include the nursing specialists and nursing assistants, occupational therapists, physiotherapists, interns, Bufdis ( federal volunteers ) and all other employees who contribute to the nursing.
The PDL is often responsible for the entire personnel planning and control of its care area. This includes personnel requirements planning and personnel development. However, the PDL cannot independently hiring or dismissing staff everywhere; however, it is then usually significantly involved in these decisions. The nursing management is also responsible for coordinating internal training and further education measures and with external training providers, such as the (child) nursing school. In addition, it is part of their tasks to create duty rosters, service instructions and work orders for the nursing staff.
In addition to personnel management tasks, the PDL is involved in quality assurance and financial control. As part of quality assurance, she develops care concepts, implements care models and designs quality management measures. In the finance and controlling department , for example, she settles care rates with the health insurance companies. It also draws up budgets, writes annual reports and monitors the budget.
If possible, the PDL also participates in the public relations work of its institution. The area of responsibility of the PDL usually includes contacts with patients, their relatives, customers, residents, clients or employees, cooperation with other work areas of the employer and cooperation with other external service providers, e.g. pharmacies, meals on wheels , doctors and therapists.
Legal requirements for practicing the profession
The job titles care service manager or care director (m / f) are not protected by law in Germany.
Care services, in outpatient or inpatient care facilities as so-called trained nurse wear permanently responsible for the establishment, must, in accordance with § 71 Abs. 3 SGB XI either a certified professional vocational qualification as a registered nurse or health and pediatric nurses or Show geriatric nurse (m / f).
In Germany, PDL training courses were mainly offered by private educational institutions. This has largely changed due to the expansion of the relevant courses at universities of applied sciences.
A distinction is made in the non-clinical area between responsible nurse 460 hours z. B. Residential area management or senior caregiver 800 hours (care service management).
So far, Hamburg is the only federal state in which a nursing manager in the out-of-hospital area can only run a company with a senior nurse, as stipulated by the Hamburg Housing and Care Supervision.
In addition, the legislature requires a two-year full-time professional experience in the respective nursing training occupation, which must be in the last eight years before starting a PDL profession. Furthermore, only one PDL training course is recognized that includes at least 460 teaching hours.
PDL training should include the following topics:
- Quality management
- Controlling
- Risk management
- Business administration
- Employment Law
- Home law
- Social law
- Care law
- Criminal law
- Nursing science
- Human resource management
- marketing
- rhetoric
Education
As a nursing manager in a hospital, you can only pursue this activity with a degree in nursing management. Various professional associations, in particular the German Nursing Council , have been striving for a compulsory academic degree for the complex work of a nursing service manager for years.
Qualification profile
In 2001 about 50 percent of all PDL had completed further training, 16 percent had a degree. Of these 16 percent, however, not all managers were graduates of the nursing management course, but came from areas such as nursing education or business administration . The situation in the new federal states differed from that in the old federal states, as in the GDR, courses of study for the qualification of nursing staff that had existed for decades ensured a higher proportion of academically trained PDLs. No PDL was used in 6.2 percent of the hospitals examined.
Gender distribution
Most of the employees in the care sector are female. In contrast, management positions are often held by men. The male nursing staff benefited in particular from the career-hindering factors for women that are typical in women's domains , for example the time-outs due to childcare or the disproportionate proportion of women in part-time jobs.
Merit
Neither in the outpatient nor in the inpatient sector are there any clear (uniform throughout Germany) regulated guidelines on how a nursing manager is paid or grouped. This is due on the one hand to the different companies and their cost rates, on the other hand to different existing or non-existing collective agreements, as well as various factors that influence the classification (size of the company, area of responsibility and hierarchical structure in the company, number of subordinate employees, type of qualification or further training or studies, duration of professional experience, etc.).
literature
- Barbara E. Gertz: The Nursing Service Management: A Guide for Practical Management. Hans Huber, 2002, ISBN 3-456-83809-3 .
- Fee schedule for TV-L, Appendix A for TV-L
- Simone Pies, Alexa A. Becker: Citizenship, Professional and Legal Studies: Compact presentation of the subject areas taking into account the training and examination regulations for nursing professions. Elsevier, Urban & Fischer Verlag, 2004, ISBN 3-437-26156-8 .
- Thorsten Siefarth: Labor, service and professional law in the care company. For employees and managers. Quidditas, Petershausen 2013, ISBN 978-3-944589-00-8 . (Two volumes)
Individual evidence
- ↑ pflegedienstleitung.de
- ↑ deutsche-dekubitusliga.de
- ↑ Ute Bader, Frank Haastert: The professional and qualification profile of the nursing services in Berlin, Brandenburg and Baden-Württemberg. Diploma thesis at the University of Applied Sciences Osnabrück - Department of Economics. Grin-Verlag, 2007, ISBN 978-3-638-71593-5 .
- ↑ Manfred Borutta, Christiane Giesler: Career trajectories of women and men in care for the elderly, a social-psychological and systems-theoretical analysis. DUV, 2006, ISBN 3-8350-6029-5 , pp. 167-168.