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Understanding and Designing Organizat

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Moises Tovanche

on 15 October 2012

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Transcript of Understanding and Designing Organizat

Moises Tovanche & Juan Villagomez Understanding and Designing Organizational Structures Introduction The term organization has multiple meanings. Regardless of how the term is used, learning to determine how an organization accomplishes its work, how to operate productively within an organization, and how to influence organizational processes is essential to a successful professional nursing practice. Objectives Vision statements are
future oriented, purposeful statements designed to identify the desired future of an organization. Vision A statement that articulates the values and beliefs held about the nature of the work required to accomplish the mission.
It states the beliefs as to how the mission or purpose will be achieved. Philosophy Analyze the relationships among mission, vision, and philosophy statements and organizational structure. Analyze factors that influence the design of an organizational structure. Compare and contrast the major types of organizational structures. Evaluate the forces that are necessitating reengineering of organizational systems
Hospital's missions are primarily treatment-oriented. Mission The mission statement defines the organization's reason or purpose for being. The mission should be the guiding framework for decision making. It identifies the organization's customers and the types of services offered. (e.g. home care) It should be reviewed and updated routinely by professional nurses providing care. e.g. this unit's purpose is to provide high-quality nursing care for neurosurgical patients during the acute phase of their illness that facilitates their progression to the rehabilitation phase. Typically brief, consisting of only one or two phrases or sentences. e.g. to be the premier neurosurgical nursing unit in the state. e.g. We believe it is the right of the patients to make informed choices concerning their treatment.
e.g. We believe nursing practice must support and be supported by activities in practice, education, research, and management. Bureaucracy Organizational Culture Organizational culture is the reflection of the norms or traditions of the organization and is exemplified by behaviors that illustrate values and beliefs.
e.g. celebrations of promotions, professional performance, retirements, day-to-day experience, etc.
Organizational culture can be effective and promote success and positive outcomes, or it can be ineffective and result in disharmony. Factors Influencing Organizational Development chaos theory (complexity, nonlinear, quantum).
spider or starfish organizations.
competition for patients.
changes made within the organization. Characteristics of Organizational Structures Complexity
Division of labor
Hierarchical levels
Geographic dispersion
Centralization Referred to the centralization of authority in administrative bureaus or government departments.

Is an administrative concept imbedded in how organizations are structured. Organizational characteristics:

Labor specialization
Formalization Line Functions are those that involve direct responsibility for accomplishing the objectives of a nursing department, service, or unit.

Staff Functions are those that assist in line position accomplishing the primary objectives. Functional Structures Arrange departments and specialty.
This approach to organizational structure is common in healthcare organizations.
Departments providing similar functions report to a common manager or executive. Service-Line Structures The functions necessary to produce a specific service or product are brought together into an integrated organizational unit under the control of a single manager or executive. Matrix Structures Are complex and designed to reflect both functions and service in an integrated organization structure.
The manager of a unit responsible for a service reports to both a functional manager and a service or product line manager. Flat Structures
Is the delegation of decision making to the professionals doing the work.
Less formalized Shared Governance
Goes beyond participatory management through the creation of organizational structures that facilitate nursing staff more autonomy to govern their practice. Conclusion
Know the mission, vision, and philosophy of your organization and work unit.
Identify the expected lines of communication as presented and the formal organizational chart.
Analyze actual workplace for opportunities to streamline decision making Questions ? ? ? ? ? ? ? ? ? Summary The mission, vision, and philosophy of the organization determine how nursing care is delivered in a healthcare organization.
Changes occurring in the organization's mission affect both the culture of the workplace and the philosophies regarding the work required to accomplish the mission.
Actualizing new missions and philosophies requires re-engineered organizational structures that place decision-making authority and responsibility where care is delivered.
Matrix organizations usually have two persons responsible for the work, and therefore it is important to know to whom you are responsible for what.
For a shared-governance structure to function effectively, the professionals providing the care must put mechanisms in place to promote decision making about patient care.
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