Nursing Management Organizing

Question 1

involves establishing a formal structure that provides the coordination of resources to accomplish objectives, establish policies and procedures, and determine procedures and descriptions. It is the process of establishing formal authority.
Refers to a body of persons, method, policies, and procedures arranged in a systematic process through delegation of functions and responsibilities for the accomplishment of purpose.

Answer 1

Organizing

Question 2

It is a line drawing that shows how the parts of an organization are linked. It depicts the formal organizational relationships, areas of responsibility, persons to whom, one is accountable, and channels of communication.

Answer 2

Organizational chart

Question 3

individual or sub-unit responsible for a given task.

Answer 3

Division of work

Question 4

lines indicating who reports to whom, and by what authority.

Answer 4

Chain of command

Question 5

clusters of work groups differentiated from one another.

Answer 5

Types of work segments

Question 6

indicating hierarchical relationships.

Answer 6

Levels of management

Question 7

one nurse performs all services for the patient.
- common for PDNs, special care units, ISOLATION

Answer 7

Case method

Question 8

task-oriented in which a particular nursing function is assigned to each worker

Answer 8

Functional method

Question 9

decentralized system of care - Patient-centered care
- Team conference/planning

Every team member should have some knowledge of the patient’s condition, including problems and suggestions

Answer 9

Team method

Question 10

RN is responsible for the total care of a small group of patients from admission to discharge.
The 24-hour responsibility of evaluating patient care is placed on the registered nurse. The secondary or the associate nurse execute the nursing care plan during the afternoon and night shifts and during the days when the primary nurse is off-duty.

Answer 10

Primary nursing

Question 11

Assigned with a relatively small case load (4-8 patient)

d. The one-on-one relationship of “my patient my nurse from admission to discharge”

e. Care is based on patient’s needs and patient’s problem
Accountable for 24/7

Answer 11

Primary nursing

Question 12

the creation of an organization system compatible with the philosophy, conceptual framework, goals of the organization provides the means for accomplishment of purpose.

Answer 12

Setting-up the Organizational Structure

Question 13

• Comprises personal and social relationship that do not appear on the organizational chart
• it has its own channel of communication, which may disseminate information more broadly and rapidly than the formal communication system.

The best way to correct an invalid rumor is for the manager to provide accurate information.

Answer 13

Informal Organizational structure

Question 14

• It is the official arrangement of position or working relationship that will coordinate efforts of workers of diverse interests and abilities.
• It describe position, task, responsibilities, and relationships among people in their positions in the different department in the organization and presented in diagrammatic form called organizational chart.

Answer 14

Formal Organizational Structure

Question 15

– oldest simplest and most direct type

• each position has general authority over lower positions in the hierarchy
• connects position and task of each level (above or below level) or

(Superior-subordinate relationship)

• related to direct achievement of organizational objectives.

Answer 15

Line Organization / Bureaucratic/ Pyramidal

Question 16

purely advisory to the line structure with no authority to place recommendations into action.

• provides advisory functions to line supervisors and executives, offers suggestion to aid and not to criticize.
• they function through influence for they do not have authority to accept, use, modify, or reject plans
• they make the line more effective but organization can function without staff authority, staff assistant, administrative assistant.

Answer 16

Staff Organization

Question 17

permits a specialist to aid line positions within a limited and clearly defined scope authority.

• It decreases the line manager’s problem because it permits orders to flow directly to lower levels without attention to routine technical problems by the line positions.

Answer 17

Functional Organization

Question 18

Major Forms of Organizational Structure ( Patterns )

Answer 18

1. Centralized/Pyramidal or tall structure
2. Decentralized/Participatory or Flat Structure
3. Matrix System

Question 19

• control emanates from top to down.
  • most common in hospital
  • emphasis is concentrated on traditional nursing

ADVANTAGES:

can be highly cost-effective.
It makes management easier.
DISADVANTAGES:

• As the organization becomes large and more complex, the hierarchal arrangement can prove cumbersome. (slow moving)

The arrangement does not readily adapt to change. And decisions to be made by higher managers.

Answer 19

Centralized

Question 20

• This is a system whereby the large structure is broken down into smaller units and authority is delegated to those closer to the majority of workers.

The top management still retains ultimate responsibility for the operations of the various hospital departments but planning and implementation for each department is carried out by the department head who functions autonomously

ADVANTAGES:

Reflect their interest and have a voice in decision making.
Improve quality of care through 24 hours continuity.
Increase communication departmentally and interdepartmentally.
Problem solved with greater imagination and creativity.
DISADVANTAGES:

The initial cost in developing managers and staff training
Communication breakdown

Effective communication cannot occur with the face exchange of information among all of the concerned parties.

Problem with the role clarification can also occur.

Answer 20

Decentralized

Question 21

the benefits of centralized and decentralized control are used.

It provides for both hierarchal

coordination in a separate department as well as lateral coordination across department.

Design to focus on both products & function
It has both vertical & horizontal chain of command.
ADVANTAGES:

The management can apply specialized skills to solve a problem.
Interdisciplinary cooperation is encouraged.
DISADVANTAGES:

All members must possess good interpersonal skills to receive orders from two different bosses.

Answer 21

Matrix

Question 22

It is the graphic representative of the organizing process.
It shows reporting relationships and communication channels
are sometimes referred to as schemas.

Answer 22

Organizational chart

Question 23

major characteristics of organizational charts
with task/workload per boxes

Answer 23

Division of work

Question 24

Major characteristics of organization line indicates authority

Answer 24

Chain of command

Question 25

Major characteristics of organization indicated as per labels or description

Answer 25

Type of worked performed

Question 26

Major characteristics of organization clustered as per work groups, departments or units

Answer 26

Grouping of work segment

Question 27

Major characteristics of organization indicates individual and entire management hierarchy

Answer 27

Levels of management

Question 28

although employees may interact with many different employees in the performance of their duties, they should be responsible to only one superior.

This is to avoid confusion, overlapping of duties, and misunderstanding.

Answer 28

Unity of command

Question 29

authority and responsibility should flow in clear unbroken lines from the highest executive to the lowest.

Proper definition and delegation of authority and responsibility facilitates the accomplishment of work

Answer 29

Scalar principle

Question 30

workers performing similar assignments are grouped together for a common purpose.

Departmentation specializes activities, simplifies the administrator’s work and maintains effective control.

Answer 30

Homogeneous Assignment or Departmentation

Question 31

the number of workers that a supervisor can effectively manage should be limited, depending upon the pace and pattern of the working area. If the workers are highly skilled, and working near each other, the number of workers may be increased.

At the top level of the structure a 1:6 ratio of the supervisor-workers is common,

while at the base of the organization a 1:10 ratio is common.

Answer 31

Span of control

Question 32

recurring decisions should be handled in a routine manner by lower-level managers whereas problems involving unusual matters should be referred to higher levels.

This will enable subordinates to learn how to make decision at their own level.

Answer 32

Exception Principle

Question 33

• It is the sum total of an organization’s beliefs, norms, values, philosophies, traditions, and ‘sacred cows’. It is a social system that is a subsystem of the total organization.

It has artifacts, perspectives, values, assumptions, symbols, language, and behaviors that have been effective.

Answer 33

Organizational culture

Question 34

are those happening outside the organization that influence the organization as a whole or the top administrators.

Ex. 1. Population explosion – additional maternity ward

  2. Economic force – training and education

Answer 34

External force

Question 35

– are those that originate primarily from inside operations or are the result of external force

Ex. 1 . Decrease no. of RN and increase no. of Nursing Aide

  2. Productivity need- 1:4 ~ 1:6  N ~ P ratio

Answer 35

Internal force

Question 36

• It is the process of determining and providing the acceptable number and mix of nursing personnel to produce a desired level of care to meet the patient’s demand of care.
• It’s purpose is to provide each nursing unit with appropriate and acceptable number of each category of workers.

Answer 36

Staffing

Question 37

STEPS IN STAFFING

Answer 37

1. Determine the number and types of personnel needed
2. Recruit personnel
3. Interview
4. Induct or orient personnel
5. Job Offer

Question 38

Expected hours of work per annum of each employee. This is influenced by the 40Hrs Week
(Employees working in 100 bed capacity & above will work only 40 hrs./week).

Answer 38

Law- RA 5901

Question 39

Patient classification system

Answer 39

Self-care or Minimal care patients
Intermediate or moderate care patients
Total care patients
Intensive care patients

Question 40

Types of formal organizational structure

Answer 40

Line Organization /Bureaucratic/Pyramidal
Staff organization
Functional organization