Week 5 Structure, Power, Organization of Care (4 Questions) Flashcards
Formal Structure =
= emphasis on ORGANIZATIONAL POSITIONS and FORMAL POWER
- provides framework for DEFINING MANAGERIAL AUTHORITY, responsibility, accountability
Informal Structure =
= focus on EMPLOYEES, their relationships, INFORMAL POWER that is inherent within those relationships
- has its own leaders and communication channel (grapevine)
Complexity and Bureaucracy
- Must be clear division, of labor, a well-defined _____ of authority
- Must have _____ rules, system for dealing with work situations, and system of rules covering rights/d____ of each position
- hierarchy
- impersonal, duties
Centralized Decision Making =
= a FEW managers at top of hierarchy make MOST decisions
Decentralized Decision Making =
= power diffuse throughout organization
- problems solved by the lowest practical managerial level (problems can usually be solved at level at which they occur) - more ppl have say in decisions that are made
Magnet organizations have what type of decision making?
Decentralized Decision Making
Top Level Managers =
= Board of Directors, Chief Exec. Officer, Administrators
Middle Level =
= Nursing supervisors, Department heads
First Level =
= team leaders, charge nurses, primary care nurses, case managers
Advantage of the Organizational Chart =
= maps lines of decision making authority, helps ppl understand assignments, shows formal lines of communication, reveals how managers and new personnel fit into org, structure – understand relationships and formalized power
Disadvantage of the Organizational Chart =
= DOESN’T SHOW INFORMAL STRUCTURE AND RELATIONSHIPS that can still affect way things work, does not indicate degree of authority held by each line position; may not reflect how things actually are, can confuse authority with status
Functional organization =
= organizing around SPECIALTIES (nursing is a general component)
Service Line organization =
= focus on functions to PRODUCE A SPECIFIC SERVICE (nursing spread out through structure of designated product line)
Flat organization =
= focuses on DELEGATION OF DECISION MAKING to professionals doing the work
Flat organizations is more ______ -> better for ____ improvement
Decentralized, quality
Organizational Culture =
= values and behaviors that contribute to the unique social and psychological environment
- sum of total values, languages, past hx of sacred cows, formal and informal communication networks, rituals
- different that climate - how individuals PERCEIVE the org.
Shared governance =
= Nurses at every level play a role in decisions that affect nursing activity throughout system
(nurse practice council)
Magnet Hospitals =
= Decentralized environment with org structures that emphasize open, participatory management
- Autonomous, self-managing, self-governing climate -> allows nurses to fully practice clinical expertise, flexible staffing, adequate staffing ratios, clinical career opportunities
Committees =
= productive if have appropriate # of members, prepared agendas, clearly outline tasks, and effective leadership
Too many committees =
= sign of poorly designed organizational structure
Beware of groupthink =
= too much conformity of group norms -> opinions/ideas lack merit
Power =
= the authority and ability to get things accomplished
- capacity/potential to get others to do something they would not ordinarily do
- potential to INFLUENCE BEHAVIOR, CHANGE ATTITUDES
Referent power source =
= association with others
Legitimate power source =
= position
