Organizations part 1 Flashcards
Formal Structure
Emphasis is on organizational positions and formal power
- provides a framework for defining managerial authority, responsibility, and accountability
Informal structure
Focus is on employees, their relationships, and the informal power that is inherent
- grapevine communication
Define Accountability
Moral responsibility that accompanies a position
Define Responsibility
Related to job assignment and must be accompanies by enough authority to accomplish the assigned task
Define Authority
official power to act and direct the work of others
What does an organizational chart establish?
Formal lines of authority
Responsibility
Accountability
Communication
Why would use use an organizational chart?
It answers a lot of questions about authority, people’s jobs, people’s standings, contributions, and shows who to go to
Why would you not use an organizational chart?
It ignored the informal ins and outs of an organization & doesn’t directly correlate with authority.
It sometimes isn’t updated enough.
And if you have to have one, it may mean you have an confusing authority dynamic.
Centalized decision making
top levels
Decentralized decision making
Throughout organization-lowest level possible
Define organizational culture
Values and behaviors that contribute to the environment.
What is meant by “sacred cows”?
It is apart of the culture of an organization. It means its rituals and ways of going about things.
- we have to learn how to let these go sometimes
Difference between culture and climate of an organization?
The climate is how individuals perceive the organization
Explain organization climate
It is how people percieve the organization which means it isn’t alway accurate.
Sometimes people have different views as well.
Define Shared governance
What did this inspire?
When nurses at every level played a role in the decisions of nursing activity (that affect them)
Shared governance inspired magnet status - where nurses had more autonomy.
And that nurse managers becoming facilitators of the collegial model
There is still structure and rules tho
Magnet status
Decentralized structure with open management that allows for more nurse autonomy
- very evidence driven
- not easy to achieve and maintain
- better staffing ratios
What is total patient care
Oldest method of nursing where the nurse also does the work of the aid
- can be seen in hospitals and home health agencies
(the case method of assignment)
Why do we discuss the delivery of care?
Staffing issues can arise in nursing
We also want a method that is efficent
Nursing is the profession that get budget cuts
Social change can have an input
What is functional method of nursing?
Using unskilled workers who have been trained to complete tasks
- we assign based off task not patient
What is the main reason we have functional method of nursing?
Why do we use it today? What is a drawback?
WW2 - they needed people to help with basic tasks
We use it today bc it is cost effective and efficient in general
- drawback: care can be fragmented and communication gets lost
