recording their supervisory activities, it may be easier to establish appropriate span of control in their respective areas. Nursing in the organizational structure Given the changing landscape of health care delh·ery. PHNs ha"e to confront these questions: how should nursing (and nurses) be reflected in the overnll organizational structure? Should there be a separate nursing service or unit in tlie local hea1th d. epartmen t? Are midwi-:es included in the nursing senice? How many levels of management should there be? W'hat roles and function s should be assign~cl to PHNs? There is no s. ingle answer to each of these questions. Nurses should actively participate in configuring their organizational structure. Staffing Staffing is a bigger problem in a hospital setting because there are three shifts to be covered by nurses. In community health, it is generally an 8 to 5 service. The concern in staffing is to have an adequate number of nurses, midwives and barangay health workers for the tot::il population. Thus, there should be a continge ncy plan in times of greater need such as disasters. A major problem of LGUs is inadequacy of health personnel which is mostly due to inadequate health budget. It is a challenge for nurses to be able to convince the local decision n1akers on the need for more nurses and midwives. It is a tough job for nurses given the fact that the Nursing Act of 2002 stipulates that the entry salary for nurses in govemrnent is SG 15. Nurses should properly and adequately document their activities so that their proposal for increased staffing will be considered seriously. Time and motion studies could be done,· with the assistance of, or in coordination with universities, professional organizations, colleges of nursing, and even NGOs and people's organizations. Leading (directing) To lead n1cans "to show, mark the way, guide the course" (J. 1arriner Tomey,p. 268). Leading is the management function that gets work done through others by giving direction, supervising, leading, motivating, delegating, communicating and managing conflict. The PHN leads the midwive s so that they could deliver health sel"',ices and meet the targets for their respective baramgays. Leadership Leadership is an important component of good management. rts essence is influencing others. In an organizationa l conte>. 4:, it is "making people want to do something" (Kron, in Rakich, Longest, and O'Donovan, p. 281). PHNs exert leadership in a number of ways: coaching, counseling, evaluating, delegating and rewarding (Frunzi and Savini 1997:174). The challenge for PHNs is how to influence their subordinates (and co-workers) to pursue the goals of the organization, specifically for them to: (1) behave respectfully towards their clients; (2) provide quality service; (3) meet program and/or service targets; (4) observe cost containment measures; and, (5) observe organizational ·values such as honesty, cooperation and punctuality. To be good leaders, nurses should possess technical competence, integrity, communicatio n skills ~d knowledge of group processes. 425 