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How does an organization’s mission and vision affect its governance?
Analysis of Organizational Structure
Purpose
To analyze an organization to determine whether it is a centralized or decentralized organization and to determine whether a shared governance framework is established
Directions
Select a health care organization with which you are familiar and complete the Governance Study Guide.
Governance Study Guide
1. Where is the power in the organization?
2. How much authority does each manager have?
3. Who has what decision-making responsibility?
4. How many levels of hierarchy are there in the organization?
5. Do clinical nurses make autonomous clinical decisions?
6. Are clinical nurses elected or appointed to organizational committees?
7. Do clinical nurses participate in hiring, evaluating, and scheduling decisions?
8. How are clinical nurses’ innovative ideas encouraged and received by administration?
9. How are assignments made on the nursing units?
Remember that a more decentralized structure enables clinical nurses to participate at all levels of decision making. Communication is horizontal and vertical, and innovations are encouraged.
1. Vision statements are used to describe future goals of an organisation. It is a description in words that conjures up a picture of all group members, for what all they want to accomplish together
Sample vision statement: County Hospital will be the leading center in the trauma care in the region
An organisation will never be greater than the vision that guides it.
The purpose or mission statement is a brief statement (typically no more than 3 or 4 sentences) identifiying the reason that an organisation exists. The mission statement identifies the organisation's constituency and addresses its position regarding ethics, principles and standards of practice
Sample mission statement: County hospital is a teritary care hospital that provides comprehensive, holistic care to all state residents who seek treatment.The purpose of County Hospital is to combine high-quality, holistic care with the provision of learning opportunites for students in medicine, nursing and allied health sciences. Research is encouraged to identify new trretment regimens and to promote high quality health care for generations to come.
The mission statement is of highest priority in the planning heirarchy because it influences the development of an organization's philosophy, goals, objectives, policies, procedures and rules
Governence study guide
1.The power in the organisation relies on The board of directors, mediacl and nursing staff and administrators
2.In formulating the philosophy, the unit managers incorporates knowledge of thre unit's internal and external environment and an understanding of the unit's role in meeting organizational goals. The manager understands the planning heirarchy and be able to articulate ideas both verbally and in writing. Leader-managers are innovative and creative in identifying unit purpose or goals so that philosophy not only reflects current practice but also incorporates a view of future
3.The leader-manager must be clearly skilled in determining and documenting goals and objectives
Prudent managers assess the unit's constraints and assets and determine available resources before developing goals and objectives
Although unit level managers have limited opportunity to help develop the organizational philosophy, they are active in determining, implementing and evaluating the unit philosophy
4.