Question

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Case Study

Jan Hartman has interviewed for a nurse manager position on an oncology unit at a teaching hospital in Kansas City, Missouri. She enjoys empowering her employees and is looking for an organization that has a decentralized organizational structure. During her interview, Nurse Hartman notices that the clinical nurses take problems to the charge nurse, the nurse manager frequently contacts the director of nursing, and the physicians go directly to the charge nurse for information. Nurse Hartman reviews a copy of the organizational chart and notices that it has several levels of hierarchy.

1. Is the organizational structure that Nurse Hartman is evaluating decentralized or centralized? What evidence do you see to support your answer? How common do you think this structure is in the health care setting?
2. In the end, Nurse Hartman chooses to accept this position upon learning that the hospital is launching an internal campaign to decrease adverse events and medical errors by developing a risk reduction and safety program. Nurse Hartman is eager to contribute to this effort. What might such a campaign involve? What is the potential for extending this effort beyond this single teaching hospital?

Answer 1

1. Answer: A centralized organization means whatever decision is made by the higher authority only. The lower person in the hierarchy is not involved in the decision making.  

Decentralization means while taking a decision, the lower level staff also involved in taking the decision.

For this organization, they are following centralization base on the situation. Because in this situation the nurse is not able to solve the problem alone there is a need to take permission from the in-charge, nurse manager, and director. The director will make a decision. This centralized organization are mostly followed in several hierarchies of the level organization. This is very common is bigger health care organizations. The nurses are not involved in taking decisions for the organization.

2. Answer: For this campaign, it will involve education and law formation to stop the malpractice. In education going to discuss the cause, sources of malpractice. it is intensional or non-intensional have to find out. Provided how to prevent from malpractice. The only way to extend beyond the training hospital is though education regarding of the sources, prevention through mass media