understanding and designing organization structures

Question 1

organizational theory

Answer 1

systematic analysis of how organizations and their component parts act and interact

Question 2

mission statement

Answer 2

• articulates and organization’s distinct and enduring purpose
• sets the stage by defining; services to be offered, kinds of technologies, human resources

Question 3

vision statement

Answer 3

future-oriented, purposeful statements designed to identify the desired future of an organization

Question 4

philosophy

Answer 4

written statement that articulates the values and beliefs held about the nature or the work required to accomplish the mission

Question 5

factors influencing philosophy

Answer 5

• views and beliefs of management, staff, pts (done in collaboration)
• stage of professional development
• education
• technology

Question 6

organizational culture

Answer 6

reflection of the norms of the organization as exemplified through behaviours that illustrate the values and beliefs

Question 7

workplace variables

Answer 7

• collective perceptions of unit leadership
• workplace environment
• promotion of professional development
• understanding of workplace culture

Question 8

factors influencing organizational development

Answer 8

• government funding
• pts and their families
• information technology and the internet
• redesign and restructure

Question 9

chaos theory

Answer 9

• aka complexity, nonlinear, quantum theory
• best theory to explain nursing organizational development since there are constant external influences impacting nursing work
• lives and organizations are web-like; pulling on one small segment changes the web’s patterns but the whole remains

Question 10

characteristics of organizational structures

Answer 10

• division of labour and specialization; depends on who the workers are, funds and the purpose of the organization
• hierarchy; lines of authority and responsibility, respecting the lines of authority and following through with appropriate communication is crucial
• chain of command; span of control. what is each member responsible for
• centralization; location of where decisions are being made and how they are made. most organizations use committees

Question 11

bureaucracy

Answer 11

• termed by max webber during industrial revolution
• administrative concept embedded in how organizations are structured
• method to determine extent; labour specialization, centralization, formalization

Question 12

functional organizational structure

Answer 12

arranged in departments and services according to speciality

CEO > nursing services > surgery, paediatrics, medicine

Question 13

service line organizational structures

Answer 13

include all personal giving service in a specialty (ex. cardiac unit)

CEO > cardiovascular services > cardiac cath lab, CCU, chest pain evaluation centre

Question 14

matrix organizational structures

Answer 14

reflect function and service

CEO > vice president nursing services > director of nursing womens services

Question 15

flat organization structures

Answer 15

• shared governance; decision making occurs at grass roots collaboratively
• all staff is equal

Question 16

analyzing organizations

Answer 16

• scrutinize various systems
• what needs to be known; recruitment process, method of selecting individual positions, reporting relationships, information network, governance structure

Question 17

emerging fluid relationships

Answer 17

• health care services occur outside of institutional parameters, different skill sets, relationships and behavioural patterns will be required
• new technologies
• changes in government policy
• global competition