gment
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(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
COLLEGE OF HEALTH SCIENCES
SCHOOL OF NURSING AND MIDWIFERY
DEPARTEMENT OF NURSING
Nursing Service Administration
Middle Level Nursing Management:
Medical Ward
TITLE OF PROJECT: - ASSESSMENT OF NURSING SERVICE
ADMINISTRATION IN TIKUR ANBESA SPECIALIZED HOSPITAL 2024
1
iddle
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
,gment
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
Group members
NO NAME ID NO
1 AbigiyaTibebu UGR/3305/14
2 AmareYikeber UGR/4605/14
3 BeimnetAschenaki UGR/1723/14
4 BirukKumelachew UGR/7952/14
5 BirukSisay UGR/4570/14
6 Biruktait Daniel UGR/0818/14
7 Christian Tesfaye UGR/7027/14
8 Eden Biruk UGR/8517/14
9 FenetArega UGR/9857/14
10 FevenYenus UGR/2421/14
11 Fiker Michael UGR/3601/14
12 FresenbetFikru UGR/7589/14
13 GiftyGetachew UGR/8592/14
14 HaymanotTeka UGR/8157/14
15 HaymanotYishak UGR/8483/14
Submitted to: Dr. ZuriyashMengistu(PhD in Public Health)
Submission date: May-10-2024
2
iddle
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
,gment
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
ACKNOWLEDGEMENT
Firstly we would like to express our appreciation to our Instructor Dr. Zuriyash M for her valuable
and constructive suggestions during the development of this paper.
Our gratitude also likes to acknowledge Addis Ababa University and all participants of the study
who kindly agreed to answer the interview questions as well as all staff personnel of Tikur Anbessa
Specialized Hospital who were openly cooperative in our practice sessions especially the nursing
Director Sr. Aselefech.
3
iddle
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
,gment
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
Table of Contents
Acknowledgment
Chapter One:
1.1 Background………………......................................................................................................................5
1.2 Patient flow…………………………...........................................................................................................6
1.3 Patient demographics ……………….....................................................................................................6
1.4 Characteristic of participants …….....................................................................................................7
Chapter Two
2.1 Study area and period ……………………………………...............................................................................8
2.2 Study Population ……………………………………........................................................................................8
2.3 Sample size and sampling technique …………………………………….........................................................8
2.4 Data collecting Method ………………………………………............................................................................8
2.5 Data processing and analysis ……………………………………...................................................................... 8
2.6 Questionnaire for Middle Level Managers of Nursing Staff in TASH using SWOT Analysis………………….8
Chapter Three
Objectives ……………………........................................................................................................................... 21
3.1 General Objectives ………………………………………..................................................................................... 21
3.2 Specific Objectives ……………………………………….....................................................................................21
3.3 Establishing a tactical planning team……………………………………………………………………………………………..21
3.4 Developing a Schedule for the strategic team…………………………………………………………………………………22
Chapter Four
4.1 Situational Analysis ……………………......................................................................................................24
4.2 SWOT Analysis ……………………………………............................................................................................ 27
Chapter five
5.1 Pillars of Planning - The “MVV”……………………………………………………………………………………………………. 27
Chapter six
6.1 Gap analysis………………………………………………………………………………………………………………………………….28
6.2 Action plan…………………………………………………………………………………………………………………………………….29
6.3 Implementing action plan…………………………………………………………………………………………….……………….31
chapter seven
7.1 Discussion …………………………………………………………………………………………………………………………………….32
7.2 Conclusion and recommendation…………………………………………………………………………………………………..32
Reference…………………………………………………………………………………………………………………………………………….33
4
iddle
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level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
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(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
COLLEGE OF HEALTH SCIENCES
SCHOOL OF NURSING AND MIDWIFERY
DEPARTEMENT OF NURSING
Nursing Service Administration
Middle Level Nursing Management:
Medical Ward
TITLE OF PROJECT: - ASSESSMENT OF NURSING SERVICE
ADMINISTRATION IN TIKUR ANBESA SPECIALIZED HOSPITAL 2024
1
iddle
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
,gment
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
Group members
NO NAME ID NO
1 AbigiyaTibebu UGR/3305/14
2 AmareYikeber UGR/4605/14
3 BeimnetAschenaki UGR/1723/14
4 BirukKumelachew UGR/7952/14
5 BirukSisay UGR/4570/14
6 Biruktait Daniel UGR/0818/14
7 Christian Tesfaye UGR/7027/14
8 Eden Biruk UGR/8517/14
9 FenetArega UGR/9857/14
10 FevenYenus UGR/2421/14
11 Fiker Michael UGR/3601/14
12 FresenbetFikru UGR/7589/14
13 GiftyGetachew UGR/8592/14
14 HaymanotTeka UGR/8157/14
15 HaymanotYishak UGR/8483/14
Submitted to: Dr. ZuriyashMengistu(PhD in Public Health)
Submission date: May-10-2024
2
iddle
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
,gment
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
ACKNOWLEDGEMENT
Firstly we would like to express our appreciation to our Instructor Dr. Zuriyash M for her valuable
and constructive suggestions during the development of this paper.
Our gratitude also likes to acknowledge Addis Ababa University and all participants of the study
who kindly agreed to answer the interview questions as well as all staff personnel of Tikur Anbessa
Specialized Hospital who were openly cooperative in our practice sessions especially the nursing
Director Sr. Aselefech.
3
iddle
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
,gment
^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@))U89010/19/2026,
(2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(!))*)_~)~()@(@)
2026/10/19Middle level managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU
1:39:29 PM
Table of Contents
Acknowledgment
Chapter One:
1.1 Background………………......................................................................................................................5
1.2 Patient flow…………………………...........................................................................................................6
1.3 Patient demographics ……………….....................................................................................................6
1.4 Characteristic of participants …….....................................................................................................7
Chapter Two
2.1 Study area and period ……………………………………...............................................................................8
2.2 Study Population ……………………………………........................................................................................8
2.3 Sample size and sampling technique …………………………………….........................................................8
2.4 Data collecting Method ………………………………………............................................................................8
2.5 Data processing and analysis ……………………………………...................................................................... 8
2.6 Questionnaire for Middle Level Managers of Nursing Staff in TASH using SWOT Analysis………………….8
Chapter Three
Objectives ……………………........................................................................................................................... 21
3.1 General Objectives ………………………………………..................................................................................... 21
3.2 Specific Objectives ……………………………………….....................................................................................21
3.3 Establishing a tactical planning team……………………………………………………………………………………………..21
3.4 Developing a Schedule for the strategic team…………………………………………………………………………………22
Chapter Four
4.1 Situational Analysis ……………………......................................................................................................24
4.2 SWOT Analysis ……………………………………............................................................................................ 27
Chapter five
5.1 Pillars of Planning - The “MVV”……………………………………………………………………………………………………. 27
Chapter six
6.1 Gap analysis………………………………………………………………………………………………………………………………….28
6.2 Action plan…………………………………………………………………………………………………………………………………….29
6.3 Implementing action plan…………………………………………………………………………………………….……………….31
chapter seven
7.1 Discussion …………………………………………………………………………………………………………………………………….32
7.2 Conclusion and recommendation…………………………………………………………………………………………………..32
Reference…………………………………………………………………………………………………………………………………………….33
4
iddle
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level2026/10/19Middle
managment (2).docx(*&*@T*^#&*^&$^&^&*$^*&^@*&$@$*%*$&^+*&T@$^&$@**&$@^$*&@$^*&$@@^$@&$R^RF&V&EBD*&DBN(*OIU@R)(@+_R)R_(R@))(
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1:39:29 PM
