Nursing Management Organizing Flashcards

1
Q

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.

A

Organizing

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2
Q

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.

A

Organizational chart

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3
Q

individual or sub-unit responsible for a given task.

A

Division of work

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4
Q

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

A

Chain of command

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5
Q

clusters of work groups differentiated from one another.

A

Types of work segments

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6
Q

indicating hierarchical relationships.

A

Levels of management

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7
Q

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

A

Case method

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8
Q

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

A

Functional method

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9
Q

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

A

Team method

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10
Q

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.

A

Primary nursing

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11
Q

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

A

Primary nursing

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12
Q

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

A

Setting-up the Organizational Structure

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13
Q
  • 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.

A

Informal Organizational structure

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14
Q
  • 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.
A

Formal Organizational Structure

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15
Q

– 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.
A

Line Organization / Bureaucratic/ Pyramidal

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16
Q

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.
A

Staff Organization

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17
Q

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.
A

Functional Organization

18
Q

Major Forms of Organizational Structure ( Patterns )

A
  1. Centralized/Pyramidal or tall structure
  2. Decentralized/Participatory or Flat Structure
  3. Matrix System
19
Q
  • 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.

A

Centralized

20
Q
  • 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.

A

Decentralized

21
Q

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.

A

Matrix

22
Q

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

A

Organizational chart

23
Q

major characteristics of organizational charts
with task/workload per boxes

A

Division of work

24
Q

Major characteristics of organization line indicates authority

A

Chain of command

25
Q

Major characteristics of organization indicated as per labels or description

A

Type of worked performed

26
Q

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

A

Grouping of work segment

27
Q

Major characteristics of organization indicates individual and entire management hierarchy

A

Levels of management

28
Q

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.

A

Unity of command

29
Q

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

A

Scalar principle

30
Q

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

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

A

Homogeneous Assignment or Departmentation

31
Q

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.

A

Span of control

32
Q

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.

A

Exception Principle

33
Q
  • 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.

A

Organizational culture

34
Q

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
A

External force

35
Q

– 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
A

Internal force

36
Q
  • 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.
A

Staffing

37
Q

STEPS IN STAFFING

A
  1. Determine the number and types of personnel needed
  2. Recruit personnel
  3. Interview
  4. Induct or orient personnel
  5. Job Offer
38
Q

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).

A

Law- RA 5901

39
Q

Patient classification system

A

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

40
Q

Types of formal organizational structure

A

Line Organization /Bureaucratic/Pyramidal
Staff organization
Functional organization