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Management and Quality of Nursing Services

Code: 106108
Credits: 3
2026/2027
Degree programme Type Course
Nursing OB 2

Contact lecturer

Name :
Jose Antonio Zafra Agea
Email :
joseantonio.zafra@uab.cat

Group languages

You can consult this information at the end of the document.

Prerequisites

There are no prerequisites for this subject.

Objectives

Course Description

The course Management and Quality of Nursing Services aims to provide students with the knowledge, competencies, and practical tools required to understand and perform the managerial role of the nursing profession across different healthcare settings. The course addresses the fundamental principles of clinical management, leadership, planning, organization, and evaluation of healthcare services, with a particular emphasis on quality of care, patient safety, efficient resource management, and the continuous improvement of nursing care.

In addition, the course examines the structure and organization of the Catalan and Spanish healthcare systems, different organizational models, and the major challenges currently facing healthcare organizations in the context of digital transformation, sustainability, humanization of care, and innovation. The course promotes the development of evidence-based nursing leadership, decision-making skills, and interdisciplinary collaboration, with the aim of contributing to high-quality professional practice focused on meeting the needs of individuals and communities.


General Objective

To provide students with the knowledge, skills, and competencies necessary to perform the managerial role of the nursing profession by integrating the principles of quality of care, patient safety, clinical management, leadership, and the efficient use of healthcare resources in order to deliver safe, effective, person-centred, and evidence-based nursing care.


Specific Learning Objectives

Upon successful completion of the course, students will be able to:

  • Analyze the evolution of healthcare systems and the main management theories and models applied to healthcare organizations.
  • Understand the legal and regulatory framework governing the healthcare system, as well as the rights and responsibilities of healthcare users and professionals.
  • Interpret healthcare financing models and evaluate their impact on the sustainability and management of healthcare services.
  • Compare different international healthcare system models and identify their strengths, limitations, and levels of management.
  • Describe the structure, organization, and functioning of the Spanish National Health System and the Catalan Health System.
  • Identify the role of the nurse manager and the responsibilities of the different professionals involved in the organization and management of healthcare services.
  • Analyze the main challenges of clinical management in nursing services from the perspectives of efficiency, quality, and innovation.
  • Apply the principles of quality of care, patient safety, and continuous quality improvement through the analysis of quality indicators and standards.
  • Develop leadership, teamwork, and decision-making strategies aimed at improving healthcare organizations.
  • Integrate the principles of humanized care, ethics, sustainability, and digital transformation into the management of nursing services and professional nursing practice.
  • Communicate and defend projects related to nursing services management through collaborative work and the effective use of digital tools, providing evidence-based justification for decisions made.

Learning outcomes

  • KM18 (Describe the characteristics of health systems according to the geographical context and the influence on nursing activity.) Describe the characteristics of health systems according to the geographical context and the influence on nursing activity.
  • KM20 (Identify the Sustainable Development Goals in nursing care practice.) Identify the Sustainable Development Goals in nursing care practice.
  • KM21 (Classify health information systems.) Classify health information systems.
  • SM11 (Design care organisation systems for individuals, their families or the community.) Design care organisation systems for individuals, their families or the community.
  • SM17 (Analyse demographic, epidemiological and clinical statistical data to identify factors related to the most prevalent health and care problems.) Analyse demographic, epidemiological and clinical statistical data to identify factors related to the most prevalent health and care problems.
  • SM18 (Assess the costs and efficiency of care applied to care processes, taking into account the decisions of the people who receive the care, clinical effectiveness and the principles of quality and safety, and include the principles of responsibility in the allocation of resources.) Assess the costs and efficiency of care applied to care processes, taking into account the decisions of the people who receive the care, clinical effectiveness and the principles of quality and safety, and include the principles of responsibility in the allocation of resources.

Contents

Course Content

MODULE 1. FOUNDATIONS OF NURSING MANAGEMENT AND LEADERSHIP

Topic 1. Introduction to Nursing Services Management and Professional Leadership.

Topic 2. Strategic Planning, Health Policies, and Healthcare Governance.

Topic 3. Legal Framework, Ethics, Professional Responsibility, and Nursing Deontology.

Topic 4. People Management: Team Leadership, Communication, Motivation, and Conflict Resolution.


MODULE 2. HEALTHCARE SYSTEMS AND ORGANIZATIONS

Topic 1. International Models of Healthcare Systems.

Topic 2. The Spanish National Health System and the Catalan Healthcare System.

Topic 3. Healthcare Organizations, Levels of Care, and Organizational Models.

Topic 4. Management of Human, Financial, and Material Resources in Healthcare Services.


MODULE 3. CLINICAL MANAGEMENT, QUALITY, AND INNOVATION IN NURSING SERVICES

Topic 1. Nursing Clinical Management: Organization, Care Processes, and Decision-Making.

Topic 2. Quality of Care, Patient Safety, Quality Indicators, and Continuous Quality Improvement.

Topic 3. Humanization of Care, Patient Experience, and the Sustainability of Healthcare Services.

Topic 4. Innovation, Evidence-Based Practice, Digital Transformation, Artificial Intelligence, Research, and Change Management.

Learning activities and methodology

Title Hours ECTS Learning outcomes
Seminars 4 0.16
Lectures 20.75 0.83
Self-directed study, reading articles, relevant reports, course-work submission 46.75 1.87

Teaching Methodology


The course is delivered through an active, student-centered, and participatory teaching methodology based on continuous learning, collaborative work, and the application of theoretical knowledge to real-world situations related to nursing services management. The methodology combines lectures, seminars, independent learning, and the progressive development of a group project, which serves as the guiding thread throughout the semester.

This methodological approach aims to facilitate the integration of theoretical knowledge with practical application while fostering critical thinking, evidence-based decision-making, teamwork, and the development of competencies related to healthcare management, leadership, and quality improvement.


Lectures (ET)

The theoretical component will be delivered through interactive lectures supported by audiovisual resources, digital tools, and learning materials available on the Moodle virtual learning environment. These sessions will provide the conceptual foundations of the different course modules while incorporating activities such as critical reflection, class discussions, problem-solving, and the analysis of real-life scenarios. This approach encourages active student participation and strengthens the connection between theoretical concepts and professional nursing practice.


Seminars (ES)

Seminars will be conducted in small groups and will focus on the development of an applied group project and the analysis of case studies related to nursing services management. Through case-based learning, problem-solving activities, discussion, collaborative work, and decision-making exercises, students will apply the knowledge acquired during the lectures while developing competencies in clinical management, leadership, healthcare quality improvement, and professional communication.

Throughout the semester, each group will develop a Google Sites portfolio that will serve both as a collaborative digital portfolio and as the platform for constructing the group project. This digital environment will progressively document the activities completed, learning evidence, case studies, reflections, and resources developed by the students, facilitating continuous monitoring of the learning process and promoting the integration of the different course modules.


Independent Learning

Independent learning includes studying the theoretical content, consulting the recommended bibliography, preparing for seminars, completing the activities available on the Moodle virtual learning environment, and progressively developing both the group project and the Google Sites portfolio.

The Moodle virtual learning environment will serve as the primary platform for communication with students, the distribution of teaching materials, and the submission of continuous assessment activities. Google Sites, in turn, will function as the collaborative workspace for the development, organization, and final presentation of the group project carried out throughout the course.









ssionals not only understand essential concepts but also develop skills to lead care, implement improvements in healthcare quality, and manage healthcare resources effectively.

Annotation: within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.

Assessment

Continuous assessment activities

Title Weight Hours ECTS Learning outcomes
Development of the Google Sites portfolio 20% 0.5 0.02 KM18, KM20, KM21
Written evaluation assessment through objective tests: multiple-choice questionsitems 30% 2 0.08 KM18, KM20, KM21, SM11, SM17, SM18
Development of the group project and oral defense 30% 1 0.04 KM18, KM20, KM21, SM11, SM18
Continuous assessment activities (Moodle, seminars, case study analysis, individual and group activities, quizzes, debates, and reflective learning activities). 20 0 0 KM18, KM20, KM21, SM17, SM18

ASSESSMENT

Assessment in this course is based on continuous assessment and is designed to evaluate both the acquisition of knowledge and the development of competencies related to management, leadership, quality of care, collaborative work, professional communication, and the practical application of course content.


1. Objective Written Examination (30%)

This component accounts for 30% of the final grade.

It consists of a multiple-choice examination with four response options and one correct answer, assessing the knowledge acquired throughout the different course modules.

Incorrect answers are penalized according to the following formula:

Score = Correct answers − (Incorrect answers / (n − 1))

where n is the number of response options.

A minimum grade of 5 out of 10 is required to pass this assessment.


2. Applied Project and Continuous Assessment (70%)

This component represents 70% of the final grade and includes all learning activities carried out throughout the semester.

Assessment will be based on the following activities:

ActivityWeight
Group project development and oral presentation 30%
Development of the Google Sites portfolio 20%
Continuous assessment activities (Moodle activities, seminars, case studies, individual and group assignments, quizzes, debates, and reflective activities) 20%

The following aspects, among others, will be assessed:

  • Scientific quality and academic rigor of the work.
  • Ability to apply knowledge to nursing services management scenarios.
  • Critical thinking and evidence-based justification of decisions.
  • Leadership and teamwork skills.
  • Oral and written communication skills.
  • Appropriate use of digital tools.
  • Quality of the Google Sites portfolio as a collaborative digital portfolio.
  • Active participation in continuous assessment activities.

The assessment of the group project may include an individual evaluation of each student's contribution, based on the evidence provided, the instructor's observations, and self-assessment and peer-assessment processes.

To pass this component, students must obtain:

  • A minimum grade of 5 out of 10 in the group project and its oral presentation.
  • A minimum grade of 5 out of 10 for the Google Sites portfolio.
  • A minimum grade of 5 out of 10 in the overall continuous assessment activities.

The final grade for this component will only be calculated once the minimum passing grade has been achieved in each of its constituent parts.


SINGLE ASSESSMENT

Students opting for the single assessment system must demonstrate achievement of the course learning outcomes through the following assessment activities.

1. Objective Written Examination (30%)

Completion of a multiple-choice examination with four response options and one correct answer.

Incorrect answers are penalized according to the following formula:

Score = Correct answers − (Incorrect answers / (n − 1))

where n is the number of response options.

A minimum grade of 5 out of 10 is required to pass this assessment.

2. Applied Assignment (70%)

This component represents 70% of the final grade and aims to evaluate the student's ability to integrate, apply, and communicate the knowledge and competencies developed throughout the course.

Assessment will consist of:

Activity Weight
Individual written assignment based on a nursing services management project or applied case study 40%
Oral presentation and defense of the assignment 20%
Integrated case study involving analysis, decision-making, and evidence-based justification 10%

The written assignment must integrate content from the different course modules and demonstrate the student's ability to analyze a nursing services management scenario, identify problems, propose improvement strategies, and justify decisions based on scientific evidence and current regulations.

The oral presentation and defense will assess communication skills, critical argumentation, synthesis, and the ability to respond appropriately to questions posed by the teaching staff.

The integrated case study is intended to assess the student's ability to transfer acquired knowledge to a professional context while demonstrating competencies in leadership, clinical management, quality improvement, and decision-making.

To pass this component, students must obtain a minimum grade of 5 out of 10 in each of the three assessment activities.

Students wishing to undertake single assessment must submit the corresponding application within the deadlines established by the Faculty.


FINAL GRADE

The final course grade will be calculated by combining the grades obtained in the different assessment activities.

To pass the course, students must complete all compulsory assessment activities and obtain the minimum required grade in each assessment component. Failure to achieve the minimum grade in any compulsory component will result in failure of the course.

Students who do not pass the course through continuous assessment may take a resit examination. In accordance with Article 112 ter of the Assessment Regulations of the Universitat Autònoma de Barcelona, students must previously have been assessed in activities representing at least two-thirds of the total course grade in order to be eligible for the resit.

Students who do not attend one or any of the scheduled assessment activities will receive a final grade of Not Assessable (NA).

Students are entitled to review their assessment results. The date and procedure for review will be announced through the Virtual Campus.

According to the Assessment Regulations of the Universitat Autònoma de Barcelona (Governing Council Agreement 4.4 of 17 November 2010), the final grades are classified as follows:

  • 0.0–4.9: Fail
  • 5.0–6.9: Pass
  • 7.0–8.9: Good (Merit)
  • 9.0–10.0: Excellent
  • Honours (Matrícula de Honor): May be awarded to students obtaining a grade of 9.0 or above, in accordance with University regulations.


Academic Integrity

Plagiarism, copying another person's work, or any other form of academic misconduct constitutes a serious offence and will result in an automatic fail for the course, without prejudice to any additional disciplinary measures established by the regulations of the Universitat Autònoma de Barcelona.

Students are encouraged to consult the citation guidelines and academic referencing resources available through the UAB Library to ensure the appropriate use and citation of sources.


Use of Artificial Intelligence

This course promotes the development of critical thinking, reflection, analytical skills, and independent knowledge construction as fundamental competencies in nursing education.

The use of generative artificial intelligence tools is subject to the specific instructions of the teaching staff and may not replace the intellectual work, critical analysis, or personal contribution expected from students.

For every assessment activity, students must explicitly declare whether generative artificial intelligence tools have been used during the preparation of the submitted work. Where applicable, students must specify the tool used, its purpose, and the extent to which it contributed to the final submission.

The teaching staff may review learning evidence, submitted assignments, and oral presentations to verify authorship, ensure consistency in the learning process, and uphold the principles of academic integrity.

The unauthorized or inappropriate use of artificial intelligence tools, failure to declare their use when applicable, or the submission of content generated wholly or partially by such tools as original work without the required authorization or declaration will be considered academic misconduct and will be dealt with in accordance with the current regulations of the Universitat Autònoma de Barcelona.

Bibliography

Basic Bibliography

Bibliografia bàsica

Ayuso Murillo, D. (2026). Liderazgo en la profesión enfermera: Experiencias de éxito. Madrid: Ediciones Díaz de Santos.

Disponible a:

https://www.editdiazdesantos.com/libros/ayuso-murillo-diego-liderazgo-en-la-profesion-enfermera-L30006000101.html

Ayuso Murillo, D., & Herrera Peco, I. (2017). El liderazgo en los entornos sanitarios: Formas de gestión. Madrid: Díaz de Santos.

Disponible a:

https://www.editdiazdesantos.com/wwwdat/pdf/9788490520796.pdf

Cortés Borra, A. (2021). Humanizar la gestión sanitaria. Barcelona: Herder.

Febré, N., Moncada Gómez, K., Méndez Celis, P., Badilla Morales, V., Soto Parada, P., Ivanovic, P., Reynaldos, K., & Canales, M. (2018). Calidad en enfermería: su gestión, implementación y medición. Revista Médica Clínica Las Condes, 29(3), 278-287.

González-Chordá, V., et al. (2017). Gestión de cuidados en el ámbito sociosanitario. Castelló de la Plana: Universitat Jaume I.

Disponible a:

https://repositori.uji.es/xmlui/handle/10234/167669

Maciá Soler, L. (2014). Gestión clínica. Barcelona: Elsevier España.

Marquis, B. L., & Huston, C. J. (2024). Leadership Roles and Management Functions in Nursing: Theory and Application (11th ed.). Wolters Kluwer.

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-Based Practice in Nursing & Healthcare (5th ed.). Wolters Kluwer.

Mompart García, M. P., & Durán Escribano, M. (2018). Administración y gestión. Madrid: DAE Editorial.


Supplementary Bibliography

Balderas Pedrero, M. L. (2015). Administración de los servicios de Enfermería (7.ª ed.). McGraw-Hill.

Disponible a:

https://alvarezrubenantonio.milaulas.com/pluginfile.php/150/mod_resource/content/1/LIBRO%20DE%20administraciondelosserviciosdeenfermeriafororinconmedico-141007210731-conversion-.pdf

Doltra, J., & Bertran, C. (2010). Gestió d'Infermeria. Girona: Documenta Universitaria.

López Viñas, M. L., Guzmán Sebastián, R., Tirvió Gran, C., & Busquets Bou, E. (2004). Evaluación de la calidad de la asistencia en Cataluña: modelo de acreditación. Revista de Calidad Asistencial, 19(3), 151-156.

Mompart Barcía, M. P. (2019). Innovación y gestión del cuidado. Metas de Enfermería, 22(2), 56-61.

Prieto, M. D. M., & Olmo, F. J. V. (2010). El plan de comunicación hospitalario: herramienta de gestión sanitaria. Editorial Club Universitario.

Ribera, J., Gutiérrez Fuentes, J. A., & Rosenmöller, M. (Coords.). (2006). Gestión en el sector salud. Madrid: Pearson Educación.

Rodríguez Andrés, R. (2017). Cómo diseñar planes de comunicación para organizaciones sanitarias.

Serrano Gil, A., & Tejedor Muñoz, L. (2013). Gestión de recursos humanos en Enfermería: un análisis interdisciplinar. Madrid: Díaz de Santos.

Seva-Llor, A. M., López Montesinos, M. J., Barberá Ortega, C. M., Cecagno, D., & Pina Roche, F. (2015). Report of nursing at hospital. Acta Paulista de Enfermagem, 28(2), 101-106.

Soto Fuentes, P., Reynaldos Grandón, K., Martínez Santana, D., & Jerez Yáñez, O. (2014). Competencias para la enfermera/o en el ámbito de gestión y administración: desafíos actuales de la profesión. Aquichan, 14(1), 79-99.

Vizcaya, T., de González, M. M., & Romero, R. J. G. (2017). La comunicación interna y el clima organizacional en la gestión de las instituciones sanitarias. Revista Venezolana de Salud Pública, 5(1), 39-44.


Regulations and Institutional Documents

Ley 14/1986, de 25 de abril, General de Sanidad.

https://www.boe.es/buscar/act.php?id=BOE-A-1986-10499

Ley 16/2003, de 28 de mayo, de Cohesión y Calidad del Sistema Nacional de Salud.

https://www.boe.es/buscar/act.php?id=BOE-A-2003-10715

Ley 44/2003, de 21 de noviembre, de Ordenación de las Profesiones Sanitarias.

https://www.boe.es/buscar/act.php?id=BOE-A-2003-21340

Llei 15/1990, de 9 de juliol, d'Ordenació Sanitària de Catalunya.

https://portaljuridic.gencat.cat/eli/es-ct/l/1990/07/09/15

Pla de Salut de Catalunya 2021-2025.

https://salutweb.gencat.cat/ca/el_departament/Pla-de-salut/


The bibliography may be supplemented throughout the course with high-impact scientific articles, systematic reviews, clinical practice guidelines, institutional documents, and other teaching resources selected by the teaching staff, which will be made available to students through the Moodle virtual learning environment. These readings are intended to deepen students' understanding of the course content, foster critical thinking, and promote evidence-based decision-making.

Software

Not applicable.

Course groups and languages

The information provided is provisional until November 30. After this date, you will be able to consult the language of each group through this link. To access the information, you will need to enter the course CODE

Type of teaching Group Language Semester Shift
(TE) Theory 101 Catalan/Spanish first semester morning-mixed
(SEM) Seminars 101 Catalan/Spanish first semester morning-mixed
(TE) Theory 102 Catalan/Spanish first semester morning-mixed
(SEM) Seminars 102 Catalan/Spanish first semester morning-mixed
(TE) Theory 103 Catalan/Spanish first semester afternoon
(SEM) Seminars 103 Catalan/Spanish first semester morning-mixed
(SEM) Seminars 104 Catalan/Spanish first semester morning-mixed
(SEM) Seminars 105 Catalan/Spanish first semester morning-mixed
(SEM) Seminars 106 Catalan/Spanish first semester morning-mixed
(SEM) Seminars 107 Catalan/Spanish first semester afternoon
(SEM) Seminars 108 Catalan/Spanish first semester afternoon
(SEM) Seminars 109 Catalan/Spanish first semester afternoon
(SEM) Seminars 110 Catalan/Spanish first semester afternoon