Pros And Cons Of The Organizational Model In Nursing

The main argument against the practice of delegating nursing responsibilities is that organizational structures often fail to ensure that the people receiving the delegated responsibilities are qualified to accept the delegation. Resha (2010) discussed this to some extent, but believed that the practice on the whole was worthy. However, it could be argued that by its very nature, delegation creates a discrepancy between the person performing a nursing action and the person responsible for that action. This could have negative consequences on quality of care, because if a nurse isn 't responsible for her own actions, then she may perform her role less effectively than she would if she had to take responsibility for her performance. As Reising and Allen (2007) write, delegation may be encouraged as a way to decrease costs and deal with low staffing levels, but it can also put the organization at increased risk for law suits if carried out improperly. Both aspects of this warning are instructive. First, Reising and Allen seem to suggest that delegation primarily emerges as a result of practical considerations

Caramanica, L. (2004). Shared Governance: Hartford Hospital’s Experience. The Online Journal of Issues in Nursing, Vol. 9. Retrieved from http://www.nursingworld.org/mainmenucatefories/ANAmarketplace/ANAperiodicals/OJIN/tableofcontents/volume92004/No1Jan04/HartfordHospitalsExperience.aspx

Defining shared governance is easy; it is a leadership style that allows nurses at all levels to be involved in the decision making process (Yoder-Wise, 2011). Understanding shared governance is much more complicated as it involves changing long held beliefs in hierarchical management systems. Implementing shared governance requires commitment on the part of the agency, senior management, nursing leaders and staff nurses to be successful. Utilizing shared governance improves outcomes by empowering nurses which in turn improves patient safety, decreases complications, and reduces costs.

Equating status with authority can be misleading or misconstrued by other nurses who have the same status as to the authority figure. For an organization or department to work harmoniously, timely, and chaos free, there should be a clear understanding of who is the authority figure even when the nurses have the same status. “Essentially, in the formal organization, the emphasis is on organizational positions and formal power. Through departmentalization and work division, provides a framework for defining managerial authority, responsibility, and accountability. In a well-defined formal structure, roles and functions are defined and systematically arranged, different people have differing roles, and rank and hierarchy are evident.” (Marquis

The Health Care System 's purpose is to meet the physical and mental health needs of the communities in which they serve, these systems operate using people working within heal care facilities as well as other health delivery resources. One group of individual that help with facility operations are nursing administrators. Nursing Administrators contribute in managing along with directing the nursing care delivery system. Their leadership style, characteristics, communication strategies, including the way that they negotiate as well as manage conflicts can determine the quality of the healthcare services treat the facility provide as well as help to develop a set of guidelines to standardize the type and quality of the nursing services. (Cipriano, 2011) Together the Nurse Mangers work toward the same goals along with guiding nurses in their practice and contribute to the facilities successes. (Frankel, 2011) The nursing leaders are advocates who directly affect the quality of the nursing care along with also having a positive impact on healthcare through leadership.

One mistake that new nurse leaders make is that they believe that the only way to get things accomplished, is to be direct and autocratic (Kerfoot, 2008.) The new leader’s fear of failing can influence them to take on the autocratic role to try and earn respect from their employees. However, this is not considered to be very effective among staff. When the professional nurse takes on the autocratic leadership trait and uses it on a daily basis, employees feel micromanaged. When a manager micromanages their employees they take the risk of lowering morale, and losing good workers (North, 2011.) Nurses have a lot of autonomy in their profession. They work independently and take responsibility for their actions. When they become micromanaged by their nurse leader, it takes away that autonomy and creates a work environment that is very low in morale, and can hurt the relationship between manager and employee. Often managers are experiencing a substantial amount of stress from the administration concerning budgets, deadlines, and high performance issues, but this does not justify micromanaging employees (North, 2011.) It is important to give your staff some independence; this lets them know you trust their judgment (North, 2011.) A nurse leader may also change their leadership style depending on if they are dealing with an inexperienced new graduate nurse, or an experienced veteran nurse.

Leadership and management are essential to any health care organization, balancing patient care, employees, physicians, and the organization. Nursing is founded on interpersonal relationships. As a people-oriented profession, nursing leadership styles are influenced by humanism. The mission, attitude, and behaviors of a health care organization begins with its leadership, which creates the direction and purpose of the organization. The purpose of this paper is to differentiate between leadership and management, describe views of leadership, and explain the

This research paper is on The Nurse Association of Hispanic Nurses (NAHN). I will explain the primary mission of this organization and it’s contributing factor and benefits to nursing. The impact of the organization on the community, the political stand point and supportive issues it has on nursing, the resources it provides on the web and to health professionals and the public, the choices for scholarship and continuing education, if any local chapters are located in the community and participation is allowed, my consideration of joining this organization, and advantages and disadvantages of participating in this nursing

Hess, discusses shared governance involvement with the nursing shortage that healthcare facilities are now facing. Hess focused on the purpose of shared governance, which is to give registered nurses control over their practice. This will help ensure nurse involvement in the workplace. In expressing his struggle, Hess clearly defines shared governance with the order of structures and processes involved within each organization (Hess, 2004). However, he does agree with its purpose that nursing shared governance helps with every situation a nurse may encounter in the healthcare setting. The following article further evaluates workplace advocacy in a way that relates to shared governance.

Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory” so to speak. If there were no issues to solve or hurdles to overcome the necessity of designating a leader would not seem quite as important. Nurse leaders can tackle issues that occur in their work environment using nursing theory to guide them. Nursing theory provides a framework that nurse leaders can use to implement interventions or changes to positively impact the staff they lead. This framework of the theory will set the standards for achieving the desired outcomes and is based on knowledge that is gleaned from practice and/or research.

Shared governance is a professional model for nurse management which leads to nurse autonomy, empowerment, job satisfaction and improved patient outcomes. Research show nurses want a professional, autonomous environment for practice that recognizes the value of its nurses, and allow greater control over the practice environment. Proximity to job and monetary gain was listed as less important.

The four major components of nursing leadership are decision-making ability, influencing and directing others, facilitating process and relationship building (Paul, Day, & Williams, 2016).Very closely associated with leadership is the concept of management and though many people use the two terms interchangeably, it’s very important to know that leading is one of the key functions of management; the others are planning, organizing and controlling activities to pursue

Nursing leadership is also one of the very important messages of the 2010 IOM report on nursing. The IOM calls to expand opportunities for nurses to lead. It advises that nurses need to be prepared and enabled as leaders in order to advance healthcare. One of the recommendations states that “expand opportunities for nurses to lead and diffuse collaborative improvement efforts” (IOM Report, 2010). In that regards, a research article (Sherman, 2011) points out that charge nurses on frontline of acute care setting are the

The division of nursing is in the early stages of implementing shared governance, which has resulted in a more formal staff communication through the various councils. In addition, departmental meetings and house wide town hall meetings take place. Email is the main form of daily leadership communication and is at times utilized with staff. However, accessibility has been difficult especially for the non-licensed staff. A monthly newsletter is published through a shared governance task force which includes a message from the CNO.

A roll out date with ‘super users’ available to troubleshoot and maintain staff productivity and compliance would be beneficial. The last aspect of strategic management is evaluating the effectiveness of strategies used. Huber (2014), describes “analysis needs to review four areas: strengths, weaknesses, opportunities, and threats (SWOT)” (p. 334). Through prioritization, the threats are avoided, weakness are lessened and strengths are empowered to increase patient safety with medication administration, by insuring patients receive “the right drug at the right time to the right patient” (Weston & Roberts, 2013. para. 11). Most importunately, applying shared governance or allowing decision making amongst the staff, allows leaders to inforce equality in the nursing workforce. Shared governance is an important current focus in nursing practice, as the desire for increased autonomy and accountability is encouraged with voicing of nursing opinions to assist in better quality healthcare. Huber (2014) mentions that shared governance “is a partnership between management and clinical staff. Research suggests that registered nurses who are empowered to make decisions through shared governance have higher nurse autonomy and increased confidence in decision making “ (p. 249). As discussed, positive personality qualities, use of strategic management and including the partnership of shared governance all directly facilitates a leader or mangers