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
