[Effectiveness in nursing care].

Systematic nursing care quality assurance is a good tool for nurse managers to make the invisible work more visible. It also helps nurses to clarify their individual plans and goals according to the strategic plan of the unit. Modern management theories emphasize in using human resources, creativity and participation of the employees. Leadership skills are very important for the nurse managers. The reform of subsidy system in finnish health care system started a new era. Health care services are now formulated as products which consist of certain procedures with certain price. Nursing care services are one of these procedures. Patient classification systems (MONITOR) are helpful in defining the price of nursing care services. Quality assurance methods can be very helpful in defining effectivity criteria in nursing care.