Discussion Topic Ch 5
Read Chapter 5
1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following:
a. Type of organization
b. Overall climate of the facility
c. How the organization is structured
d. Formal and informal goals and processes of the organization
2. Why is the work climate of an organization important to nurse leaders and managers?
3. What are the ways in which a nurse can enhance his or her expertise?
4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization.
5. Why is it important for staff nurses to understand the culture and real goals of the organization in which they work?
1. Describe your ideal organization. Explain each feature and why you think it is important.
2. Interview one of the staff nurses on your unit. Find out what practices within the organization help to empower the nurses. Compare this list of practices with those discussed in the textbook.
3. Recall the last time you walked into a hospital, clinic, or physician’s office for the first time. What was your first impression? Did you feel comfortable and welcome? Why or why not? If you could change the first impression this facility makes, what would you do?
4-What changes could be made at a very low cost? What changes would be expensive? Finally, discuss why it is important for a health-care facility to make a good first impression
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Organizations, Power, and Empowerment
Chapter 5
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Understanding Organizations
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Types of Health-Care Organizations
Private not-for-profit
Publicly supported
Private for-profit
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Understanding Organizational Culture
Artifact level
Espoused beliefs
Underlying assumptions
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Culture of Safety
Acknowledge mistakes.
Detect error-prone situations.
Change aspects of systems that are error-producing.
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Care Environments
Collegial relationships
Skilled nurse managers
Staff development
Quality of care
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Organizational Goals
Survival
Growth
Profit
Status
Dominance
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Organizational Structures
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Traditional
Hierarchical
Employees are ranked from top to bottom.
The number of people on the bottom is usually greater than the number on the top.
Authority resides at the top.
Power is distributed.
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The Organizational Hierarchy
Administrators
Managers
Staff nurses
Technicians (including LPNs)
Aides, housekeeping, maintenance
CEO
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Innovative
Organic structure
Emphasizes flexibility
Less centralized
Decisions are made by the individuals who will implement them.
Emphasizes autonomy
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Processes
A way to get things done within an organization
Two mechanisms
Formal
Informal
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Power
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Definition
Power is the ability to influence other people despite resistance.
Power may be actual or potential.
Power may be intended or unintended.
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Sources of Power
Authority
Reward
Expertise/control of information
Coercion
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Who Has the Power?
Managers
Clients
Assistants
Nurses
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Empowering Nurses
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What Feeling Empowered Includes
Self-determination
Meaning
Competence
Impact
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Contributors to Empowerment
Participation in decision-making autonomy
Manageable workload
Reward and recognition
Fairness
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Shared Governance
Practice councils
Unit budgeting, scheduling
Committees
Peer review
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Professional Organizations
Collegiality
Advocacy
Representation
Enhancing competence
Recognition of achievements
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Collective Bargaining
Uses the power of numbers for a common cause
Employee protection
Employee benefits
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Enhancing Expertise
Participate in team conferences.
Take advantage of CEU offerings.
Attend conferences.
Keep your reading up-to-date.
Participate in nursing research.
Observe experienced nurses and nurse leaders.
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Conclusion
Becoming and remaining empowered requires active participation.
Seek organizations whose organizational cultures are a fit with your professional goals.
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