Exam #1: Organization Structure Flashcards
1
Q
Organization Structure
A
- Communication
- Authority
- Formal Relationships
2
Q
Chain of command
A
Formal paths of communication and authority
3
Q
Unity of command
A
Reporting to one person
4
Q
Span of control
A
The number of direct reports
5
Q
Organizational Chart Position/Levels
A
- Board of Directors
- Advisory committee
- CEO/President
- Executive Leadership (CFO, COO, CNO)
- Directors (Senior Managers) -> Assistant Director of Nursing
- First-level Managers (Managers, Charge Nurses)
- Nurses, LPN’s, CAN’s, unit secretaries
6
Q
Board of Directors
A
Responsible for direction of where the organization is going.
7
Q
Advisory committee
A
- Group of people who have something to contribute to help move organization in a direction.
- They have no power/authority but will make suggestions.
8
Q
CEO/President
A
- Top of the organization.
- They answer to board of directors.
9
Q
Executive Leadership: CNO
A
- Responsible for nursing department.
- Their job is to have a vision for the nursing department.
- Their thinking is big, asks “how do we move forward”.
- The person who is ultimately responsible for implementing guidelines.
10
Q
Executive Leadership: COO are responsible for
A
- Housekeeping staff
- Axillary staff
- Maintenance
- Etc.
11
Q
Directors (Senior Managers)
A
- Have more than 1 unit under their belt.
- Help get a little more specific with what their department needs to do and then share that with managers to implement on each separate floor.
12
Q
First-Level Managers: Managers
A
- Get direction from directors of what is to happen on their unit.
- All gives information to the directors about what they need to do their job.
13
Q
Charge Nurse
A
Day-to-day working of the unit, more working on the floor
14
Q
Shared Governance
A
- Gives nurses control over their own practice, allows for shared decision making at a faculty level
- Ex: if the Director of ICU wants to get new IV pumps, the nurses on the floor are best for input on what kind of IV pumps to get
- Ex: All policies and procedures of nursing school are a result of faculty not just the dean.
15
Q
Advantages of Shared Governance
A
- More accountability
- More control over work environment
- Improves job satisfaction
- Decreases turnover rate
- Improves recruitment abilities
- Nurses become more fiscally responsible
16
Q
Disadvantages of Shared Governance
A
decisions not congruent across all units
17
Q
Organizational Culture
A
How the unit carries out care; shared beliefs
18
Q
Organizational Climate
A
How the employees perceive an organization; individual and vary among employees.
19
Q
Magnet Status
A
- Developed by American Credentialing Center (ANCC)
- Recognition for hospitals w/ well qualified nurse executives and an organizational structure that emphasizes open, participatory management
- Improved patient outcomes and higher staff nurse satisfaction -> more access to professional development
- Lengthy process, Awarded for 4 years
- Not available in Nevada
20
Q
How to qualify for Magnet Status
A
- Hospital must submit an application and undergo a multiday onsite evaluation
- Presence of ALL 14 Forces of Magnetism (basically a perfect hospital)
- Lengthy process, takes years to form, and requires a lot of money
21
Q
Managerial levels/roles
A
- Upper Level (Executive Leadership): CEO, COO, VP of Nursing, DON
- Middle Level (Senior Managers): directors, supervisors, assistant DON
- First Level: charge nurses, head nurse, nurse manager
22
Q
Upper Level Management
A
- Look at the organization as a whole including external forces
- Most communication is top down although some upward
- Focus on strategic planning
- Ex: budgeting for each department, achieving magnet status, long term goals
23
Q
Middle Level Management
A
- Roles in several things, such as overseeing departments, budgeting within departments
- Looking at everything in more broad of a view.
- Ex: replacing new vents and getting new hospital beds for the department
24
Q
First Level Management
A
- Focus on day to day activities
- Long and short term planning
- Lots of communication up and down
- Looks at more specifics
- Ex: inventory, performance improvement activity
25
Patient Care Delivery Model: Total Patient Care
-Complete care for a group of patients
-1 nurse assigned to a group of patients
Ex: ICU
26
Patient Care Delivery Model: Functional
-Tasks are assigned
-1 nurse assigned to give meds, another nurse assigned to do vitals, etc.
Ex: Psychiatric setting (mental health charge), med surg nurse
27
Patient Care Delivery Model: Team Nursing
- Lead nurse uses a group of workers to provide care
- RN, LPN, CNA all work together
- CAN be responsible for ambulating, documenting I&O, bed bath, under stable and normal conditions.
28
Patient Care Delivery Model: Primary Nursing
- Nurse has 24 hr responsibility for each patient
| - Nurse sleeps at hospital
29
Committees
- Have a defined purpose
| - Functions: advisory, communication, problem solving, improve services
30
Standing orders
- Always going to exist
| - Ex. Pharmacy, therapeutics
31
Ad how
-We want to do something and gather a group together to get this task done. -Once task is accomplished, there is no more group.
32
Stakeholders
- Individuals or groups who have interests in what the organization does. -They may or may not have power or influence
- Internal v external
- Ex: As a student of the SON, I am an internal stakeholder for the SON.
