Way a group is formed, chains of commands, lines of communication and processes by which decisions are made.
Purpose of an organization, goals and functions
statement of philosophy
Broad conceptional view of what an organization desires to be and do
Division of Labor
breaking work into pieces or tasks, assigned to various individuals or groups
father of organizational theory
administration of instiutions through departments or subdivisions managed by sets of officials who follow an inflexible routine..
Authority to make decisions vested in a few individuals.
Decision making involves a number of people/employees
Tall or flat structure, second structure oversees the first. 2 lines of authority
Power/Right to take actions, give commands and make final decisions.
Obligated to account for ones actions and possibly others.
a visual device that shows the structure of an organization and the relationships among workers and divisions of work
Span of Control
number of people supervised by one manager
Narrow span of control
Manager responsible for small number of people, 3-51
Broad span of control
Manager responsible for larger number of people
Chain of command
aka Organizational Hierarchy
Chain of command
Path or authority and accountability from top to base.
accountability to those above but also to other departments.
channels of communication
"The methods or routes used to convey information from one person or area of the firm to others. May be downward to pass information to employees about decisions that have been made, or upwards to pass information up through the chain of command to help decision makers."
skipping a level in the chain of communication
description of the responsibilities associated with a given job
teaching functions normally associated with another position
differientiates and defines skills and performance expected of nurses in terms of advancing levels
designated plan or course of action to be taken in a specific situation
Special Unit policies
written instructions describing accepted method for performing a particular nursing activity. Described in a number of steps.
standards of care
common or acceptable level of client care or performance.
establishes how the power of authority for a decision making is structured in an organization
Shared governance model
nursing staff and management are involved in decision making.
Nurse manager role
facilitates, integrates and coordinator of the processes that support the work of the staff nurse who is empowered to control their own practice.
Pros of shared governance model
accountablility, empowerment, conflict resolution and patient advocacy.
cons of Shared governance model
Time, cost and could be it's own demise
Senior clinical staff groups are empowered to establish and maintain care standards for nursing practice on their work unit.
a hospital that demonstrates a high level of nursing care
Quality Nursing Care Processes
by ANCC. Focuses on practice and 8 structural features were identified by staff nurses as "Essentials of Magnetism".
pattern in which one nurse manages all the care a client or group of clients needs for a designated period of time. First method used.
A method of patient care that is task oriented and involves dividing the tasks to be done among staff members according to their abilities. During great Depression of 1930s
Con of Functional Nursing
no one nurse was responsible for planning of care. Lack of communication
team of nursing staff, tasks delegated by a leader based on persons needs and team members abilities, observations reported to leader
Total Patient Care
The original model of nursing care delivery, in which one RN is responsible for all aspects of one or more patients' care.
Primary Care Nursing
RN performs total patient care, individualizes care. Staffed by all RNs
Pro of Primary care Nursing
Continuity of care, autonomy and control
pts care was divided into modules and the same team of care providers consistently was assigned to a particular module
Pro of Modular Care
Continuity of care and geographical closeness of unit.
Con of Modular Care
Increased cost of stocking each unit.
Long corridors of hospitals instead of small units.
- "care pairs" an RN and LPN or CNA are paired to render care to a given amount of patients.
a nursing care pattern; a case manager (an rn) coordinates a person's care from admission through discharge and into the home setting. May not do direct care.
exchange of ideas and values for purpose of reaching mutual decison regarding a particular situation.
in a union shop this is the method used for addressing employee complains involving both contract interpretation and disciplinary actions. The employees complaint is referred to as a grievance
is NOT in violation of a contract.
negotiation between an employer and trade union
National Labor Relations Act
(FDR) A 1935 law, also known as the Wagner Act, that guarantees workers the right of collective bargaining sets down rules to protect unions and organizers, and created the National Labor Relations Board to regulate labor-managment relations. , Made sure workers were treated and payed well and not getting abused by their business. this law created the National Labor Relations Board to enforce the law and supervise shop elections
Taft Hartley act
Act that provides balance of power between union and management by designating certain union activities as unfair labor practices; also known as Labor-Management Relations Act (LMRA)
to bargain or confer wit another party to reach an agreement.
3 phases of Negotiations
first: formal exchange
second: Most attention to secondary issues
third: as deadline approaches, issues are discussed realistically.
Interest Based bargaining
form of bargaining where the parties look for common ground and attempt to satisfy mutual interests through bargaining process
Negotiations that result in wage reductions or work rule "give backs"
organization empowered by members to negotiate and enforce a contract.
Collective Action Division
Branch or part of a professional association that assumes roles and responsibilities of a union.
end of bargaining process. Agreement between 2 parties.
Unfair Labor Practice
An act, committed by either a union or an employer, that violates the National Labor Relations Act, such as failing to bargain in good faith.
Clause that states that even if workers do not join the union, they must still pay the equivalent of dues to the union.
A problem or predicament with no obvious resolution
the use of a third party, called a mediator, who encourages both sides in a dispute to continue negotiating and often makes suggestions for resolving the dispute
a person chosen to settle a dispute
process whereby a neutral party hears arguments from two opposing sides and makes a decision that both must accept
When management closes the doors to the place of work and keeps the workers from entering until an agreement is reached
workers refuse to continue to work until certain demands are met.
guarantee offered to striking employees that will be rehired after the strike as positions become available, provided they have not engaged in any unfair labor practices during the strike and the strike is lawful
high ranking person encourages a peaceful settlement
Type of picketing done to advise the public that an employer is nonunion
is a court order that prevents a party from performing a specific act.
government employees come in and run an organization
causing employees on strike to cease the strike without having reached an agreement.