Chapter 6 Flashcards
Responsible for only a few subordinates.
Tall or centralized structure
There is a narrow span of control bec of the vertical nature of the structure, many levels pf communication
Tall or centralized structure
Refers to an organizational structure with few or no levels of intervention between management and staff
Flat/decentralized structure
2 Patterns of organizational structure
Tall and flat structure
5 principles of organizational design
Division of labor
Unity of command
authority and responsibility
Span of control
Contingency factors
The environment, technology, knowledge which deals with task variability/problem
Contingency factors
A formal , guided process for integrating the people, information and technology of an organization
Organizational design
Importance of organizational structure
Enhance members what their responsibilities are
Frees the manager & indiv. Workers to concentrate on their perspective roles and responsi.
Coordinates all
Pattern of orga. Structure that makes use of expertise and allow close communication between workers
Tall structure advantage
Disadvantage of tall structure
Communication from top to bottom is difficult
Workers tend to be boss oriented
Transpire most skilled indivs end up doing nothing while actual task are done by less capable
Advantage of flat structure
Lower message being distorted
Workers develop abilities and autonomy and able to see organizational as humanistic resulting to job satisfaction
Principle of shared governance produced maximum potential for professional growth
Disadvantage of flat structure
Supervisor spend less time w/ each worker & may lack expertise in variety of operations and may end up making inappropriate decision
4 types of org. Classified by nature of authority
Line
Informal
Staff
Functional
Each unit is responsi. For a given part of the organizational workload
Functional organi.
Purely advisory to the line structure with no authority to put recommendation to action
Staff organi.
Refers to horizontal relationship rather than vertical
Informal organi
Also known as bureaucracy/pyramidal
Line organi
Each position has general authority over the lower position in the hierarchy
Line
4 Types of organi. Structure
Line
Flat
Staff
Functional
Power are concentrated at the top
Line organization
Shows that each position has several authority over the lower position of heirarchy
Line organization
Refers to an organizational structure with fee or no levels of intervention between management and staff
Flat organization
Purely advisory to the line structure with no authority to place recommendations into action
Staff organi.
Permits specialist to aid line position within limited and clearly defined scope of authority
Functional organization
2 organizational relationship
Formal and informal relations
Represent by uninterrupted lines between units, showing who reports to whom
Formal relations
Represents by a broken or dotted line, where power relationships are coordinated
Informal relations
Is a line drawing that shows how the parts of an organization are linked
Organizational chart
The process of determining and providing the acceptable number & mix of personnel to produce a desired level of care to meet the pts demand
Staffing
Process of assigning competent people to fill the roles of designated for the organizational structure through recruitment, selection and development
Staffing
Factors affecting tune requirement of nursing care
Pts acuteness of illness
Degree of dependence
Communicability of ailment
Steps in staffing
- Determine the # and types of personnel needed
- Recruitment
- Interview
4 induct or orient the personnel - Job offer
4 nursing care modalities
Total care/case nursing
Functional nursing
Primary nursing
Team nursing
Once nurse is assigned to one pt for totality of care during his/her time on duty.
Total care/case nursing
Example of total care/ case nursing
Isolation nurse - nursing student
Nursing care modalities that is task oriented, particular nursing function is assigned to each nurse, time saving and workers learn with mastery
Functional nursing
Example of functional nursing
Medication Nurse- charge nurse- circulating nurse
Nurse is responsible for the total care of a small group of clients from admission to discharge
Primary nursing
The team leader assigns pts and task according to job descriptions
Team nursing
Type of staffing where decisions for all units are made by a central office or computer
Centralized staffing
Type of staffing that tends to be fairer to employees and frees manager to complete functions
Centralized staffing
Type of staffing that is most cost effective bec it maximizes use of human resources organization wide
Centralized staffing
Type of staffing where it is done at unit level frequently by unit manager
Decentralized staffing
TOS that allows person who knows the indiv unit best makes staffing decision for that unit
Decentralized staffing
TOS that allows staff to take request directly to manager, which gives them increased autonomy & felxibility
Decentralized staffing
TOS that increase the risk for employee request may be treated unequally or inconsistently and is time consuming for unit manager
Decentralized staffing
RN provides direct nursing care with assistance of aides and also provides leadership, support, instruction
Modular method
4 patient classification system
Self care/ minimal care pts
Intermediate/ moderate care
Total care pts
Intensive care units
A timetable showing planned work dats and shifts for nursing personnel
Scheduling
Republic act stating hat nurses with master degree are easily placed in position
RA9173
7 factors to consider in making a schedule
- Diff. Levels of nursing staff
- Adequate coverage for 24 hrs, 7 days a week
- Stagger vacations and holidays
- Weekends
- Long stretches of consecutive working days
- Evening and night shifts
- Floating
Assessing a scheduling system(5)
-Ability to cover the needs of the shift
-Quality to enhance the nursing personnel’s knowledge, training & experience.
-Fairness to the shift
-Stability
-Flexibility
A statement that sets the duties and responsibilities of a specific job
Job description
Content of job description
- Identify data
- Job summary
- Qualification requirements
- Job relationships
- Specific & actual functions & activites
12 types of scheduling
Centralized and decentralized
Cyclical
Length of scheduling periods whether 2 or 4 weeks
Shift rotation & weekend off
Holiday off and vacation leave
Special dats
Sched events in hospi, training progms or meetings
Job categories
Continuing professional educ( CPE) programs
Characteristics of organizational chart
Division of work
Chain of command
Type of work to be performed
Grouping of work segment
Levels of management
Pts who are critically ill and constant danger of death or serious injury
Intensive care units
Pts who are acutely ill with high level of nursing dependency
ICU
Pts are unstable conditions which requires evaluation with adjustment of therapy
ICU
Pts who are bedridden and lacks strength and mobility to do average daily living
Total care pts
Pts who need close attention & requires nurse to initiate, supervise and perform most activities and meds
Total care pts
Requires some help from nursing staff with special tx
Intermediate/ moderate care pts
Pts who are maybe ambulatory for a short periods( needa assistance)
Intermediate/ moderate care pts
Pts who require dx studies, minimal therapy, awaiting elective surgery, home environment temporarily makes discharge
Self care/minimal care pts
The formal structure, official arrangements of pos. Or working rel. that will coordinate effort of workers of diverse interest and abilities
Organizational structure
5 elements of organizing
- organizational structure
- staffing
- scheduling
- developing job description
- organizational structure
Process of establishing formal authority
Organizing
One way in w/c nursing management coordinates the various activities of the dept. or unit so that the staff can get the work done in an orderly fashion
Organizing
Means having qualified pips and right materials, info and equipment needed to deal with contingencies
Organizing
Develops job descriptions by defining the qualifications and functions of personnel
Organizing
Determines that staff needed through developing and maintaining staffing patterns and distribute them in various areas needed.
Organizing
Involves setting up the organizational structure through identification of grouping, roles and relationships
Organizing
Is the function of management after planning process
Organizing
A function in which the synchronization and combination of human, physical & financial resources takes place
Organizing
According to him organizing is a function by w/c the concern is able to define the role positions, the job related and the co-ordination bet. Authority and responsibility
Chester barnard