Chapter 8 Understanding and Designing Organizational Structures All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.

Objectives  Analyze relationships among mission, vision, philosophy, and organizational structure.  Analyze factors that influence the design of organizational structure.  Compare and contrast types of organizational structure.  Evaluate reengineering of organizations. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.2

Organizational Theory  Systematic analysis of how organizations and their component parts act and interact All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.3

Interrelationship of Mission, Vision, and Philosophy All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.4

Types of Organizational Structures Shared governance is focused on allowing professional nurses to manage their practice. It involves the responsibility for making decisions at the patient, unit, and organizational level. In this practice model, front-line nurses are accountable for making nursing care decisions that impact their patients. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.5

Mission Statement  Sets the stage by clearly defining the intent and goal of the unit or organization. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.6

Example of Mission Statement “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. We strive to cultivate a multidisciplinary approach to the care of the neurosurgical patient and provide multiple educational opportunities for the professional development of neurosurgical nurses.” All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.7

Vision Statements  Future-oriented, purposeful statements designed to identify the desired future of an organization All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.8

Example of Vision Statement  “To be the premier neurosurgical nursing unit in the state” All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.9

Philosophy  Written statement that articulates the values and beliefs held about the nature of the work required to accomplish the mission All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.10

Factors Influencing Philosophy  Views and beliefs (management, staff, patients)  Stage of professional development  Education  Technology All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.11

Organizational Culture  The reflection of the norms or traditions of the organization as exemplified through behaviors that illustrate the values and beliefs of the organization All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.12

Characteristics of Organizational Structures  Complexity  Formalization  Centralization All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.13

Factors Influencing Organizational Development  Consumerism  Change  Competition  Legal/Regulatory All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.14

Shared Governance Structure Evolution  Phase 1: Representative staff nurses are members of clinical forums.  Phase 2: Representative staff nurses belong to committees.  Phase 3: Representative staff nurses belong to councils with authority. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.15

Types of Organizational Structures  Functional  Service line  Matrix  Flat  Shared governance All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.16

Types of Organizational Structures (Cont.) All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.17

Types of Organizational Structures (Cont.) All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.18

Types of Organizational Structures (Cont.) All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.19

Types of Organizational Structures (Cont.) All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.20

Conclusion Numerous options exist for the way in which nursing services can be organized. It is important to think about the characteristics of each type and how those fit with the way in which you wish to enact your professional career. Organizations do change; however, it is a slow and deliberate process. All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.21