Week 5 Structure, Power, Organization of Care (4 Questions) Flashcards Preview

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Flashcards in Week 5 Structure, Power, Organization of Care (4 Questions) Deck (34)
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1

Formal Structure =

= emphasis on ORGANIZATIONAL POSITIONS and FORMAL POWER

- provides framework for DEFINING MANAGERIAL AUTHORITY, responsibility, accountability

2

Informal Structure =

= focus on EMPLOYEES, their relationships, INFORMAL POWER that is inherent within those relationships

- has its own leaders and communication channel (grapevine)

3

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

4

Centralized Decision Making =

= a FEW managers at top of hierarchy make MOST decisions

5

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

6

Magnet organizations have what type of decision making?

Decentralized Decision Making

7

Top Level Managers =

= Board of Directors, Chief Exec. Officer, Administrators

8

Middle Level =

= Nursing supervisors, Department heads

9

First Level =

= team leaders, charge nurses, primary care nurses, case managers

10

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

11

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

12

Functional organization =

= organizing around SPECIALTIES (nursing is a general component)

13

Service Line organization =

= focus on functions to PRODUCE A SPECIFIC SERVICE (nursing spread out through structure of designated product line)

14

Flat organization =

= focuses on DELEGATION OF DECISION MAKING to professionals doing the work

15

Flat organizations is more ______ -> better for ____ improvement

Decentralized, quality

16

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.

17

Shared governance =

= Nurses at every level play a role in decisions that affect nursing activity throughout system

(nurse practice council)

18

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

19

Committees =

= productive if have appropriate # of members, prepared agendas, clearly outline tasks, and effective leadership

20

Too many committees =

= sign of poorly designed organizational structure

21

Beware of groupthink =

= too much conformity of group norms -> opinions/ideas lack merit

22

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

23

Referent power source =

= association with others

24

Legitimate power source =

= position

25

Coercive power source =

= fear

26

Reward power source

= ability to grant favors

27

Expert power source =

= knowledge and skill

28

Charismatic power source =

= Personal

29

Informational power source =

= need for information

30

Authority-Power Gap =

= Authority does not = Power

- right to command does NOT ensure that employees will follow orders