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5. EXCEPTION PRINCIPLE – management by exception 1. TOP – LEVEL MANAGER – lock at the organization as
and closely related to parity principle a whole, coordinating internal and external influences
-Exception Principle – managers should concentrate and generally make decisions with few guidelines or
their efforts on matters that deviates significantly structure
from the normal subordinates handles routine Primary focus – STRATEGIC
Communication Flows – top to down
6. PRINCIPLES OF CONTINUING RESPONSIBILITY
-When a manager delegates a function to a 2. MIDDLE LEVEL
subordinate, the manager’s responsibility for that -Coordinating the
function is in no way diminished. -Serves as a channel between top manager to
lower
7. CENTRALITY – workers who interact with the -Primary planning focus : combination of long
greatest number of other workers receive greatest and short – range planning
amount of work related information and become -Communication Flows : up and downward with
most powerful organization structure great centrality
8. SPECIALIZATION – perform a single leading function 3. FIRST LEVEL MANAGERS – deal with immediate
9. PRINCIPLE OF REQUISITE AUTHORITY problem, work force of the org.
-When responsibility for a particular task is - Focus : day to day needs of the org.
delegated to a subordinating subordinate must also - Primary planning focus : short range or operational
be group over sources needed for an authority planning
accomplishment - Communication : upward
- Generally relies to middle managers
ORGANIZATIONAL CONCEPT to transmit communication to top
level managers
ROLE – set of behavior and attitudes expected of a person by
those with whom he or she interacts ORGANIZATIONAL CHART
POWER – ability to influence - Picture of an organizational structure
- Help identify roles and their expectations
- Defines formal ORGANIZATIONAL STRUCTURE
Characteristics of Org. Chart - Refers the way a group is formed, its type of
1. Division of Work – each box represents the communication and its mean for channeling authority
individual sub – unit responsible for a and making decisions
given task of the organization Factors:
2. Chain of Command – lines individual who reports to 1. Presence of increasing demand and expectation from
whom and by what authority other professional groups and department
3. Type of Work to be performed – indicated labels 2. Transition in the nursing profession, new period of
or description for boxes stress
4. Grouping of Work Segments – shown by the 3. Complexity inserting numerous clinical demands
clusters of work groups (department or because of technological advancement affecting
single unit) patient care
5. Levels of Management – indicate individual and 4. Every increase requirements of governmental,
entire management hierarchy accessibility, educational, institutional and related
Hierarchy – body of person or things agencies
organized or classified pyramidically 5. Critical need for cost containment through operational
according to rank effectiveness in all areas decreasing efficiency or
nurse’s role and delivery management of patient care
BOXES – represents individual’s in an organization or 6. Seemingly more defined program toward prevention
may indicate entire department rather than core perse in health care.
VERTICAL LINES – referred to as lines of authority
and accountability 2 MAJOR TYPES
Lines of Authority – represents the responsibility
of individuals, it is defined by going downward 1. Informal Structure – unplanned; concealed (hidden)
on the chart - Generally social with blurred
Lines of Accountability – presents responsibility - Consist of unofficial personnel
to report to another person and presents - People with little or no formal status may gain
authority when moving recognition
- Demonstrated CHAIN OF COMMAND
2. Formal Structure
- Highly planned and visible
HORIZONTAL LINES – connect individual who are at
- Made publicly and provides framework for defining
the same level in the organization and have official
managerial authority
relationship
- These individuals are required to work together but
Types:
none has the authority over the others
1. Line Structure /Line Organization/ Bureaucratic
DOTTED LINES – represents communication
Organizational Design
relationships in which neither individual has direct
- The traditional employee – employee authority
authority or accountability to others.
relationship that emanates
- Authority and responsibility are clearly defined
2. Line and Staff Organization TRADITIONAL – focus on the function within organization,
- Authority in positions created to support, assist, closely following organization’s customs and
recommend and generally reduces the bureaucratic procedures.
supervisor’s informational responsibilities purely
advisory to the line structure with no authority to VERTICAL CHART OR TALL/ CENTRALIZED STRATEGY
put recommendation into actions - Depicts the chief executive of the top with lines of
- This pattern develops when a simple line is authority following the shown hierarchy
altered to provide management specialists to - Defines the relationship between and among the
support the chief executive. different levels in the org.
3. Functionalized and Staff Organization - Members are given more opportunities to participate
- Staff officers are no longer purely advisory but
with some command authority over line of HORIZONTAL CHART OR FLAT/ DECENTRALIZED
employee - The manager at the top with or wide span of control
- Levels of management is not shown in a flat chart
AD HOC DESIGN – modification of the bureaucratic - Communication in this structure is direct and simple
structure and is sometimes used as a temporarily
basis only. ORGANIZATIONAL CLIMATE
- Means of over forming the flexibility of the structure - Feeling of trust, belongingness, esteem and loyalty are
and serves as a way for professionals part of the climate; values for competence and
accomplishment are part also
MATRIX STRUCTURE – variety of line of staff of - Climate is based on the official policies and procedures
organizational structure of the organization, the behavior of the supervisors,
- Has a forming and horizontal chain of command the informal org., and the feedback provided by the
- Use a chain of command which is different in that org.
of the employee can report to one or more
managers, but one manager typically has more
authority over the employee than the other
manager
- Focus on the product and the function
PLACEMENT
-Assigning a new applicant to a position
-Proper placement foster personal growth, provide a
motivating climate and maximizes productivity
-Managers who are able to match employee’s strength to
job requirement facilitate unit functioning
Indoctrination
-Refers to the planned adjustment of an employee to the
organization and their work environment
Seek by:
a. Establish favorable employee attitudes around
the organization
b. Provide the necessary information and
education for success in the position
c. Instill a feeling of belongingness and
acceptance
3 Phases: DIRECTING
i. Induction
ii. Orientation - Is the managerial functions of guiding, motivating,
iii. Socialization leading, supervising
Supervisory Technique:
Misconception and Myths about Assertiveness Include observation of the worker while making
All behavior is either assistive or passive her rounds
To get what you want all you have to do is to be Spot checking of charts
assertive Asking the patients about care they receive
Being assertive will: Looking into the general condition of the units
- ↑odds of getting what you want Getting feedbacks from the co – worker or other
- To be assertive is to be aggressive supervisor or relatives
- Assertiveness is un feminine Asking questions discretely to find out the
- Assertive communication is wide or insensitive problems they encounter in the words drawing
Telephone Communication out suggestions from the workers for
- Rapid improvement of their work or work sit
- Allows receiver to clarify message at time it is Comments and feedbacks
received
Soft, courteous manner – taken willingly and
-Does not, however allow the receipt of non –
accepted as a challenge to improve
verbal messages for either the sender or
performance
receiver
COORDINATION - Generally used when the issue is more important to
- Enhances collaborative efforts others
- Prevents overlapping of functions, promote good
working relationship and work schedules are ACCOMODATING – one party sacrifices his or her beliefs
accomplished and targeted and wants to allow the other party to win
- Convey clearly defined policies, standards, procedures,
guidelines using proper channels of communication AVOIDANCE
- Results from a low concern for your group’s own
COLLABORATING interests coupled with a low concern for the interest of
- An assertive and cooperative means of conflict others
resolution whereby all parties set aside their original - Outcome: “lose/lose”
goals and work together to establish a communication - Strategy is generally used when the issue is trivial or
priority goal more pressing
COMPETITION
- Result from high concern for your group / own interest
with less concern for others.
- Outcome is win/lose.
- Includes most attempt at bargaining it is generally
used when basic right are stable or to set a precedent.
COMPETING
- One party pursues what it wants regardless of the
cost to others.
ACCOMODATION
- Results from a low concern of your group’s own
interests combined with a high concern for the interest
of other partners
- Outcome: “lose/win”