Discussion – Organizational Structures in Nursing

Discussion – Organizational Structures in Nursing

Description

Examining the organizational chart has given me an important new perspective on our healthcare system as the recently appointed nursing manager of the Eskenazi Hospital’s Acuity Adaptable (AA) unit in Indianapolis. Because Eskenazi Hospital uses a matrix organizational structure, the AA unit, which provides both progressive and medical-surgical care, can be flexible and adaptable. This arrangement demonstrates our dedication to providing thorough treatment and adaptability to meet different patient requirements. With its clear channels of communication and collaboration, the organizational chart highlights the value of cooperation and coordination between the various healthcare experts working in the unit.

Chain of Command Used and the People I Report to and those who Report to me

The Acuity Adaptable (AA) unit at Eskenazi Hospital has a clear chain of command that facilitates effective communication and decision-making. I answer directly to the Director of Nursing, who is in charge of the entire nursing department, in my capacity as the nurse manager. To guarantee the smooth integration of nursing and medical care, It is necessary to work closely with the Unit Medical Director (Stamy et al., 2021). As part of my job, I manage a group of certified practical nurses, registered nurses, and nursing assistants while promoting a cooperative and encouraging work atmosphere. Under my direction, these front-line healthcare providers collaborate well to deliver patient-centred, high-quality care in the fast-paced environment of the AA unit.

How the Chain of Command is Used to Implement Change

The Acuity Adaptable (AA) unit of Eskenazi Hospital’s chain of command provides an essential framework for successfully executing change. Communication follows the established channels when evaluating organizational changes or putting new procedures into place, guaranteeing that decisions are conveyed precisely and consistently. In my capacity as nurse manager, I work in tandem with the director of nursing and the unit medical director to suggest and deliberate modifications, drawing upon their assistance and knowledge. When a change is approved, I inform my nursing team of the changes and stress the significance of their contribution to the effective implementation. They then exchange any difficulties or criticism, establishing a feedback loop that enables modifications as necessary. This structured approach to change management through the chain of command promotes a streamlined and organized process, enhancing the unit’s adaptability and responsiveness to evolving healthcare needs.

Leadership Structure Used in the Organization

Eskenazi Hospital’s organizational chart reflects a hierarchical leadership structure where authority and decision-making are clearly delineated. With decisions frequently cascading from top leadership to frontline staff, this hierarchical structure can have an impact on the implementation of change by guaranteeing a methodical and regulated process. The several approval stages in this structure may impede the implementation of changes even if they offer responsibility and clarity. The organization’s structure does not specifically state how shared governance for nursing is to be used. When nurses come up with ideas for process enhancements together, they usually present them to the unit manager, who is their direct supervisor (Saab et al., 2020). Further, in order to facilitate communication and give thought to suggested modifications within the existing chain of command, the unit manager serves as a liaison between the nursing staff and higher-level leadership.

Explain why Understanding this Information is Important to your Success

It is critical to my success as a nurse manager to comprehend the leadership dynamics, organizational structure, and chain of command at the Acuity Adaptable (AA) unit of Eskenazi Hospital. With this foundational understanding, I can engage with important decision-makers like the Unit Medical Director and the Director of Nursing, as well as traverse the established hierarchy. It makes sure that modifications are implemented in a methodical manner, expediting the procedure through defined routes and promoting effective acceptance within the medical facility. Furthermore, by being aware of the leadership structure, I can encourage a team-oriented work atmosphere that enables my group of healthcare professionals to participate in patient-centred care projects and process improvements.

References

Saab, M. M., Kilty, C., Meehan, E., Goodwin, J., Connaire, S., Buckley, C., Walsh, A., O’Mahony, J., McCarthy, V. J. C., & Horgan, A. (2020). Peer group clinical supervision: Qualitative perspectives from nurse supervisees, managers, and supervisors. Collegian, 28(4), 359–368. https://doi.org/10.1016/j.colegn.2020.11.004

Stamy, C. D., Schwartz, C. C., Han, L. P., & Schwinn, D. A. (2021). Community and Academic Physicians Working Together in Integrated Health Care Systems. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(5), 951–960. https://doi.org/10.1016/j.mayocpiqo.2021.06.008

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Discussion – Organizational Structures in Nursing

In this writing assignment, you will complete a paper addressing an issue from the perspective of the nurse manager on a unit.

Step 1 Review your unit’s and/or facility’s organizational chart.
You have been promoted to nurse manager of your unit. You realize that to function effectively, you must have a better understanding of your organization’s structure and, specifically, the chain of command.

Find and analyze the organizational chart of the healthcare organization you are currently working for or for one that you have encountered in your nursing experience.

Step 2 In a two-page (500-word) paper, address the following points:

Give a brief description of the organization of the healthcare structure used in your facility.
Describe the chain of command used in your organization and identify the people you report to and those who report to you.
Consider the following and discuss how the chain of command is used to implement change.
Based on the organization chart, what leadership structure is used in the organization—hierarchical or flat? How does this affect implementing change?
Does this organization use a shared governance model for nursing?
When nurses have an idea for changing a process and they make a decision as a group, where do they go with their suggestions? (the director? the unit manager?)
Explain why understanding this information is important to your success.
Write your paper using APA format.

Step 3 Save and submit your assignment.

When you have completed your assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor.