NURS 6053 Week 3 Discussion Essay

NURS 6053 Week 3 Discussion Essay

NURS 6053 Week 3 Discussion Essay

In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.

In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? NURS 6053 Week 3 Discussion Essay. These questions speak to the intricacies of formal and informal organizational structure and leadership.

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To prepare for NURS 6053 Week 3 Discussion Essay:

Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.

Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?

What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.

Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.

To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.

By Day 3

Post a depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. Explain the influence of formal and informal leadership on decision making within this department or unit. NURS 6053 Week 3 Discussion Essay.

It is important to note that both intentional and non-intentional errors are usually caused by different factors and are solved differently (Royal Pharmaceutical Society of Great Britain, 2005; Brand et al., 2008). Violations are committed when an individual fails to follow rules or guidelines despite being aware of them. For example, pharmacy attendants may be aware that it is prohibited to sell a certain type of medicine without the doctor’s prescription, yet they may decide to violate this rule and sell it to their customers without such prescription. Slips and lapses take place when, following a planned action, a person does something which should not take place according to the plan. For example, the plan of a pharmacist could be to prescribe drug A to the patient, but an error is committed when drug B is prescribed instead. The pharmacist could have committed such an error as a result of forgetfulness, which leads to the planned action being neglected (Institute of Medicine, 1999). When the desired goal is not achieved because the planned behavior is insufficient, then a mistake is said to have occurred.

For example, a pharmacist can prescribe an antibiotic for the treatment of skin itch, whereas the signs result from a sexually acquired infection and not bacteria. All healthcare professionals and practitioners are human beings prone to making errors since no human being is perfect. In their daily lives, humans sometimes forget to do things or do them wrong. However, in healthcare settings, these mistakes can be hazardous and have catastrophic consequences. Undeniably, it happens very rarely that personnel go to work with the intention of hurting or harming patients. Sometimes, experience and awareness prevent such events from happening, because humans become over-cautious and vigilant when they face a situation which they know is risky. NURS 6053 Week 3 Discussion Essay

The theory of human error is increasingly gaining application in healthcare settings (Reason, 2000; Bogner, 1994). The theory recognizes that pharmacists are risk averse and safety-conscious, and this is very suitable in the investigation of non-prescription medicines consultation. Factors such as suboptimal communication are cited as some of the causes of violation in the context of health settings. For example, a pharmacist could be aware that customers are supposed to be served with some crucial information during the prescription of drugs, but they decide not to serve them with such information, which results in a failure to apply the ordinarily good rule. If such a violation is committed, it is important to find out the reasons why the pharmacists decide to withhold the information. Some of the external factors which can influence the pharmacists to withhold the information include pressure from customers and time constraints (Ovretveit et al., 2002).

Synthesize and critically appraise the literature pertaining to common human factors impacting healthcare settings Different factors that influence people and their behavior have a great impact in health care settings. These include job, organizational and environmental factors as well as individual characteristics that impact on human behavior in health settings. Professionals in health care settings are daily engaged in treatment and care of patients. Essentially, the mission of these professionals is to provide high quality and safe health in the context of clinical care. However, occasionally their services exacerbate …

For the health care setting to operate effectively in achieving its goals and objectives, it requires to implement the main management concepts. NURS 6053 Week 3 Discussion Essay. These include planning, organizing, directing, and controlling.

In a setting where nurses, therapists, and other healthcare staffs are located in a central position, management is relatively simpler than where the care of patients is managed out of a central location.

However, these four functions apply irrespective of location in managing health care leaders and their staffs (Management Functions in a Health Care Facility, 2012). NURS 6053 Week 3 Discussion Essay.

The administration undertakes planning by evaluating the current operation of the institution and developing plans that focus on the future of the heath center (Huber, 2006). In our case, the administration employs strategic planning technique in planning ahead to overcome unprecedented challenges.

The management achieves this by analysis both external and internal factors affecting smooth operations. The most common approach for accomplishing this task is using the Strengths, Weaknesses, Opportunities, and Threats (SWOT) method.

This tool helps the administration to determine the most cost effective action for business (Management Functions in a Health Care Facility, 2012).

As community health service providers, we plan for emergencies by ensuring that enough staffs are available to handle urgent situations, and equipping them. Even when we are offering our services out of the health center, we prepare emergency wards within our central facility.

In addition, we gather information from the community to help in decision making. We employ SWOT analysis to determine how to overcome institutional weakness such under staffing and delays in delivery of medical supplies.

Also, we evaluate threats such as ignorance among of clients regarding appropriate health care lifestyles. There are opportunities, for instance impressive service demand, and; therefore, it is possible to charge clients an affordable fee and still remain resourceful.

Apart from planning, organizing plays unique roles in management. This function mandates the health care management to organize its resources and plan for their proper usage in advance. This is a system that helps management to determine the internal doctorial configuration (Huber, 2006).

The management does this by considering allocations for different departments. The management also performs this function at whatever time they are selecting and authorizing certain departments to handle some clear-cut roles (Huber, 2006).

I, as the health center’s administrator, implement these roles in conjunction with my assistant and other trained health professionals. NURS 6053 Week 3 Discussion Essay. My assistant reports to me, whenever necessary, on the progress of daily operations and joins in organizing and reorganizing them.

We also work together prepare duty rosters for nurses and doctors. In addition, she handles bookkeeping, staff payroll, costs and maintenance, and coordinates with heath insurers and social services.

The next function of management in health care set up is directing or leading. This management function entitles the administration to control and take charge of staffs (Huber, 2006). Directing helps the company achieve it objectives. Also, it helps the health workers to achieve their personal and career goals.

In most cases, our management supports staff to meet these goals. This we do through motivation, open communication, and employing department management techniques. Management introduces incentive programs, which help to motive staffs to worker harder.

I occasionally join trained health care officers and engage them on how to improve our services. I persistently look for better ways of motivating them.

Additionally, I work closely with all staffs. Apart from giving out instructions, I sometimes, join them in treating patients whenever there is a shortage of doctors. The supervisors get my plans and communicate them to all workers. I develop plans that are beneficial to health care staffs, patients and the community.

Such plans include economical use of fare, lab apparatus and developing constructive relationships with patients. In addition, we do hold quarterly meetings, and I use the opportunity to communicate to all health officials on corporate goals. However, I do this during impromptu meetings, as well. NURS 6053 Week 3 Discussion.

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As a final point, Control plays a significant role in health care management. A key role under this function is establishing performance standards (Stahl, 2004).

Performance problems sometimes crop in; however, we commonly resolve them by setting high standards for all departments and clearly communicating our goals to departments that have problems. NURS 6053 Week 3 Discussion.

Otherwise, if a department fails to attain set standards and it emerges that external factors have played in, then the management lowers the standards to accommodate all genuine interests. Most importantly, I endeavor to see all workers take control of the business by making decisions, but under my supervision.

I, therefore, as an aspiring leader, trained nurse, and student value to understand all functions of health care management. In so doing, I envision to be a highly skilled health care manager.

References

Huber, D. (2006). Leadership and Nursing Care Management (3rd ed.). Philadelphia: Saunders Elsevier.

Management Functions in a Health Care Facility – Yahoo! Voices – voices.yahoo.com. (2012). Yahoo! Voices – voices.yahoo.com. Web.

Stahl, M. J. (2004). Encyclopedia of Health Care Management. Thousand Oaks, Calif.: Sage Publications.