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NCM119: Organizing


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Deedra Casade


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[Front]


Various factors that an ideal span of control in an organization depends on
[Back]


o nature of the job o the manager’s abilities o the employees’ maturity o the task complexity o the level in the organization at which the work occurs o geographic location

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NCM119: Organizing - Marcador

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NCM119: Organizing - Detalles

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Various factors that an ideal span of control in an organization depends on
O nature of the job o the manager’s abilities o the employees’ maturity o the task complexity o the level in the organization at which the work occurs o geographic location
Types of Organizing
Formal & Informal Structure
How are roles and functions defines in formal structure
Defined and systematically arranged, different people have differing roles, and rank and hierarchy are evident.
What did Max Weber do?
Weber saw the growth of the large-scale organization and correctly predicted that this growth required a more formalized set of procedures for administrators
Reasons for organizing
- Having a purpose to achieve - Defines our roles and functions in the organization - Coordinates activities, no duplication - Activities can be defined - Reduces confusion
Characteristics of Bureaucracy by Max Weber
Division of labor/work, Hierarchy of authority, Rules and interpersonal relationships, system of procedures, system of rules, selection of employment and promotion is based on technical competence
Represent staff positions
Dotted or borken lines
Unity of command
Chain of command
Effect of chain of command
Greatly simplifies the manager–employee relationship because the employee needs to maintain only a minimum number of relationships and accept the influence of only one person as his or her immediate supervisor.
Various factors that an ideal span of control in an organization depends on
O nature of the job o the manager’s abilities o the employees’ maturity o the task complexity o the level in the organization at which the work occurs o geographic location
Components of Organizational structure
Chain of command, Span of control, Managerial levels, Centrality, Scalar chain
Sample of top level managers
CEO, highest level nursing officer
Why does a middle manager have a large degree of centrality?
This manager receives information upward, downward and horizontally
What does line organizational design procude?
Monotony, alienate workers, and make adjusting rapidly to altered circumstances difficult
What does matrix structure produce?
Confusion and frustration
How to bridge an authority power gap?
Build a personal power base, and minimize the negative politics of the organization
Suggestions to bridge authority - power gap?
1. provide information to the organizational and unit goals 2. genuine effort to know and care for the workers 3. consider perceptions of the subordinates 4. credibility of the manager 5. empowering subordinates
Components empowerment
Professional traits, Continuing education, Effective leadership style
Building a Personal Base
A. Maintain personal energy b. Present a powerful picture to others c. Pay the entry fee d. Determine the powerful in the organization e. Learn the language and symbols of the organization f. Learn to know the organization’s priorities g. Increase professional skills and knowledge h. Maintain broad vision i. Use experts and seek counsel j. Be flexible k. Develop visibility and voice in the organization l. Learn to toot your horn m. Maintain a sense of humor n. Empower others
Modes of Organizing Patient Care/ Modalities of Nursing Care
Total Patient Care/ Case Method, Functional Method, Team Nursing, Modular Nursing, Primary Nursing/Relationship Based Nursing, Case Management
Why is it referred to as case the case method of assignment?
Patients may be assigned as cases, much like the way a duty nursing was historically carried out
What happesn in total patient care/ case method?
Assigning patient rivates is simple and direct and does not require the planning that other methods of patient care delivery require.
How does total patient care affect the nurse?
Provides nurses with high autonomy and responsibility
Advantages of total patient care
The patient theoretically receives holistic and unfragmented care during the nurse’s time on duty.
Disadvantages of total patient care
Occurs when the nurse is inadequately prepared or too inexperienced to provide total care to the patient
Examples of functional nursing tasks
Checking blood pressures, administering medication, changing linens, and bathing patients.
Advantage of functional method
- efficiency; tasks are completed quickly, with little confusion regarding responsibilities. - does allow care to be provided with a minimal number of RNs
Disadvantages of functional method
- may lead to fragmented care and the possibility of overlooking patient priority needs - may result in low job satisfaction, e some workers feel unchallenged and understimulated in their roles - may also not be cost-effective due to the need for many coordinators - Employees often focus only on their own efforts, with less interest in overall results
What Modes of Organizing Patient Care is this?
Primary Nursing/Relationship Based Nursing
What Modes of Organizing Patient Care is this?
Primary Nursing/Relationship Based Nursing
What's the nurse's role as a team leader in team nursing?
As the team leader, the nurse is responsible for knowing the condition and needs of all the patients assigned to the team and for planning individual care.
What are the duties of a team leader in team nursing?
Assisting team members, giving direct personal care to patients, teaching, and coordinating patient activities.
How many people should be in a team nursing?
A team should consist of not more than five people or it will revert to more functional lines of organization.
How is responsibility & accountability in a team nursing?
Group members are given as much autonomy as possible when performing assigned tasks, although the team shares responsibility and accountability collectively.
Disadvantages of team nursing
- are associated primarily with improper implementation rather than with the philosophy itself - can lead to blurred lines of responsibility, errors, and fragmented patient care - the team leader must be an excellent practitioner and have good communication, organizational, management, and leadership skills
How is modular nursing practiced?
- was never practiced in its purest form but was instead a combination of team and functional structure.
How are patient care units divided in modular nursing?
Typically divided into modules or districts, and assignments are based on the geographical location of patients
How does modular nursing affect nurses?
Allow the professional nurse more time for planning and coordinating team members
Advantage of modular nursing
A small team requires less communication, allowing members better use of their time for direct patient care activities
Role of nurses in primary nursing
- the primary nurse assumes 24-hour responsibility for planning the care of one or more patients from admission or the start of treatment to discharge or the treatment’s end - The primary nurse provides total direct care for that patient - When the primary nurse is not on duty, associate nurses, who follow the care plan established by the primary nurse, provide care.
Challenges in primary nursing
Include “shorter lengths of stay, increasing numbers of part-time positions, and variable shift lengths, combined with the ongoing pragmatic need to provide holistic, coordinated care to human beings”
Role of case manager
- case manager helps patients access community resources, helps patients learn about their medication regimen and treatment plan, and ensures that they have recommended tests and procedures - often manage care using critical pathways and multidisciplinary action plans (MAPs) to plan patient care
Category 1
Self care minimal care patients
Category 2
Intermediate or moderate care
Category 3
Total care patients
Category 4
Intensive care patients