UHWN Director Of Nursing And Integration

University HospitalWaterford

*******PLEASE COMPLETE THE APPLICATION FORM FULLY, CV'S ARE NOT ACCEPTED********

Principal Duties and Responsibilities

The Director of Nursing and Integration will:

Leadership and Accountability

  • Promote the principle of Patient centeredness. This includes the principle that the care of the patient comes first at all times and that "healthful relationships between professionals" are core to quality service delivery.
  • Have 24/7 Nursing management responsibility for all services and must ensure
  • Hospital and Nursing governance structures are in place to support same.
  • Work as a core member of the Senior Management Team who provide an Operational Lead Role to the hospital.
  • Provide a senior management lead role to services/specialities as designated to them by the hospital CEO.
  • The post holder may be required to provide senior management on call service at weekends.
  • The Director of Nursing and Integration may deputise as required for the Hospital CEO.
  • To represent the hospital CEO and wider hospital team with all relevant stakeholders on the assigned areas of responsibility and accountability.
  • Work as a core member of the Executive Management Team supporting the delivery of high quality services to patients.
  • Provide strategic and clinical leadership and direction for nursing, integrated care and related services to ensure the delivery of effective, efficient, quality assured and patient centred care.
  • Develop a shared sense of commitment and participation among staff in the management of change, the development of the nursing, integrated care and related services and in responding to the changing health needs of patients.
  • Be responsible for strategy and policy on practice development, education and professional duties imposed by statute or determination.
  • Provide reports, both formal and informal to the hospital CEO and as appropriate regarding operational and strategic plans (for e.g. staffing reports, Risk Management reports and quality improvement plans as appropriate)
  • Provide reports both formal and informal to the Regional Director of Nursing and Integration and Midwifery, Dublin South East.
  • Work closely with the Quality, Risk & Patient Safety Manager for the Hospital and actively promote risk identification, risk management, implementation and evaluation.
  • Develop, maintain and review the nursing organisational structure within the context of overall organisational objectives and the delivery of integrated care pathways.

Strategic Planning

  • Develop policies to enable implementation of hospital strategic goals in partnership with other members of the Hospital Executive Management Team.
  • Develop key objectives for the nursing and integrated services.
  • Develop, maintain and review the nursing organisational structure in the context of overall organisational objectives.
  • Participate in the development of current and new services for patients in line with changes in demographics and the requirement of better integration in partnership with clinicians and managers across the Dublin South East area.
  • Formulate policies pertaining to the selection, introduction and development of information and other systems for the nursing and integrated care services.
  • Develop knowledge of systems used by nurses in other agencies and/or countries, including staffing, personnel, financial and patient information systems.
  • Prepare reports on nursing and integrated care services and related activities and expenditure as requested. Define objectives and identify major action plans for nursing and integrated care services.
  • Develop an annual plan for nursing and integrated care services.
  • Participate as a core member of the Executive Management Team and contribute to the preparation of plans for services.

Performance Management

  • Developing Performance Management systems are core to the role and you will be required to participate in the RHA’s Performance Programme.
  • Drive and promote a Performance Management Culture.
  • Being involved in Performance Management Systems is part of role and the Director of Nursing and Integration will be required to participate in the RHA’s Performance Management Programme.
  • Work in conjunction with the Regional Director of Nursing and Integration and Midwifery and other senior nurse managers within the RHA to contribute to the development of a Performance Management System for the nursing and profession.
  • Identify and develop Key Performance Indicators (KPIs) which are congruent with the Hospital's Service Plan targets.
  • Manage and deliver KPIs as a routine and core business objective.
  • Develop Action Plans to address non-attainment of KPI targets.

Patient Flow

  • Be responsible and accountable for a robust Patient Flow System,
  • Oversee the development and implement of operational policies, protocols and guidelines for the utilisation of beds and a systematic audit of bed usage.
  • Work in partnership with other disciplines to ensure the service levels agreed for Scheduled and Unscheduled Care are met.
  • Develop, implement and monitor an admission and discharge policy and ensure good liaison with community services.
  • Have responsibility overseeing and managing the delayed transfer of care process within the hospital.

Integrated Care

  • Co-design integrated care services for all relevant specialties and supporting services
  • Quantify the benefit of these services in terms of improved access and quality of care
  • Work collaboratively with all of the stakeholders across the hospital and primary and community services involved in the delivery of integrated care services
  • Lead on the delivery of new integrated care services
  • As integration lead maximise community engagement and partnership

Human Resource Management

  • Lead on the monitoring and reporting relating to the nursing and healthcare assistant workforce and actively promote annual workforce planning and recruitment of staff within the agreed resource.
  • Participate, as required, in the recruitment, selection and appointment of nursing and related staff.
  • Ensure the optimum and effective use of staff through efficient rostering, skill/grade mix planning, workload measurement, staff profiling and deployment.
  • Initiate the implementation of an on-going development and individual performance review process and foster a high level of morale among staff by effective motivation and communication.
  • Participate in the formulation of relevant personnel policies and procedures.
  • Monitor sickness/absence and implementation of local and national control measures at hospital level. Proactively manage persistent poor staff attendance.
  • Deal with industrial relation issues relating to nursing in consultation with Human Resources Department.
  • Promote and maintain a safe environment for staff. Develop and implement Risk Management and Health and Safety strategies in consultation with appropriate personnel.
  • Work as part of Hospital Management Team in the development of strategies to address skill-mix efficiencies and rostering.

Finance Management

  • Prepare annual financial estimates of nursing and related manpower, including education and training needs.
  • Participate as a key manager in the overall financial planning of the hospital including the assessment of priorities in pay and non-pay expenditure.
  • Ensure expenditure is controlled within budget and identify potential for efficiency saving through improved practices and innovation.
  • Delegate, as appropriate, budgetary control and implement monthly expenditure audit systems.

Education & Professional Development

  • Work in partnership with the third level institutions to support undergraduate and postgraduate education and professional development for nursing and healthcare assistant staff.
  • Ensure that appropriate in-service education programmes and ongoing learning needs are met for all assigned staff. Liaise and co-operate with appropriate third level education institutes and Centre of Nursing and Midwifery Education.
  • Monitor recent nursing research and new developments. Initiate, facilitate and take part in relevant nursing research and promote awareness of ongoing and current research into issues affecting patient care.

Quality Improvement & Quality Assurance

  • Ensure that modern standards of clinical nursing care are in operation and that regular monitoring of nursing care is undertaken through audit.
  • Lead on the implementation of the nationally agreed Nursing and Midwifery Quality Care Metrics.
  • Lead on the Quality Improvement agenda as appropriate to services and the overall nursing and integrated care agenda.
  • Foster a culture of audit and action based outcomes.
  • Develop a philosophy for nursing which reflects the hospital's commitment to the provision of a high standard of nursing care and which fulfils the expectation outlined in The Patients Charter.
  • Implement the HSE/hospital policy on complaints and patient services
  • Maintain good collaborative working relationships and communications with appropriate statutory, professional and voluntary organisations responsible for and/or participating in health care.
  • Ensure adherence to all codes and guidelines relating to professional nursing practice and behaviour.

Key Performance Criteria

  • The extent to which there is patient satisfaction with nursing care.
  • The effectiveness of financial management, in particular, ability to operate within budget.
  • The extent to which good working relationships are fostered and maintained throughout the nursing service and between nursing and other disciplines.
  • The effectiveness of performance in relation to Human Resource management and development.
  • The quality and standard of nursing care.
  • The development of integrated care pathways within the community healthcare organisations. The extent to which service plan objectives have been achieved.
  • Have a comprehensive knowledge of the Health Information and Quality Authority (HIQA) Standards as they apply to the role for example, Standards for Healthcare, National Standards for the Prevention and Control of Healthcare Associated Infections, Hygiene Standards etc and comply with associated HSE protocols for implementing and maintaining these standards as appropriate to the role.
  • To support, promote and actively participate in sustainable energy, water and waste initiatives to create a more sustainable, low carbon and efficient health service

The above Job Specification is not intended to be a comprehensive list of all duties involved and consequently, the post holder may be required to perform other duties as appropriate to the post which may be assigned to him/her from time to time and to contribute to the development of the post while in office.

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