Clinic Communal de Miniera is a small hospital located in the poor Dixinn district in Guinea Conakry. The hospital functions with seven General Physicians, three Surgeons, one Gynecologist, one Dentist and fifteen Nurses. The facility provides small admitting wards for Medical, Gynecologist (mostly maternity) and Pediatrics patients. The average patients' number per day is about forty, including acute and ambulatory patients.
Although there is a medical director...the daily work is run by the Head Nurse (HN) that is specialized (on spot) as an Emergency Nurse. Naturally, managing of all emergency patients is based on her experience, personality and the reality of the organization.
The circumstances emphasized the gaps between the managerial needs and existent reality and raised the HN function as a team leader