Health Care Delivery Systems
NSG 2080 - Unit 13
Organization of Health Care Delivery Systems
Organizational Structure and Function
Relationships Within Organizations
Defined by job description
Identifies to whom various individual within the organization report.
Boxes with solid lines represent communication relationships between individuals or departments
WSU/USU Nursing ORGANIZATION CHART
Channels of Communication
CHAIN OF COMMAND - organizational Hierarchy
Span of Control
NUMBER OF INDIVIDUALS ONE PERSON IS RESPONSIBLE FOR MANAGING
What is a middle managerís span of control at LRH?
What is the difference between broad and narrow span of control in nursing?
Organization Culture and Climate:
Positive and Negative Cultures
What types of organizational culture would be demoralizing to employees?
What types would encourage a sense of togetherness and purpose?
A Positive Manager
Nursing Job Descriptions
Written statements that describe the duties and functions of the various jobs within the organization.
Policies and Procedures
Policy: Designated plan or course of action for a specific situation.
Procedure: Spells out how a particular nursing activity is to be completed.
Standard of Care: Authoritative statements that describe a common or acceptable level of client care or performance:
Defines professional practice
Measured by outcomes
Nursing Care Models: Groups to Define These
Total Patient Care
Arise within the formal organization to meet the needs of the people within an organization.
Meets social needs because person viewed more as an individual
Provides for additional communication
Possible Test Questions
Which of the following best defines an organization?
A. A legal entity
B. A business group
C. A functional group
D. A formally structured group
You accept a position in a long-term care facility. During orientation, you learn that one nurse will do all the treatments, another will pass all the medications, and the nursing assistants give all baths. You recognize this form of nursing care delivery as:
A. The case method
B. Team nursing
C. Primary nursing
D. The functional method