Decentralized Organizations and Communication
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Questions and Answers

How does a decentralized organizational structure promote decision making?

  • Assigns responsibility at the highest practical level
  • Allows problems to be solved at the level at which they occur (correct)
  • Limits communication to managers at various levels
  • Encourages decisions to be made by top-level hierarchy
  • What characteristic should a nurse-manager recognize about grapevine communication?

  • It consists of negative and subversive messages.
  • It is difficult to control or stop. (correct)
  • It always involves verbal, face-to-face communication.
  • Strong organizations have policies that prohibit it.
  • How can a nursing professional demonstrate advanced achievement of competencies?

  • Professional registered nursing licensure
  • Lateral transfer
  • Professional specialty certification (correct)
  • Transfer to a new department
  • What is the nurse-manager's best initial action for launching a career coaching program?

    <p>Observe employees to see who would most benefit from coaching. (D)</p> Signup and view all the answers

    What should be a key characteristic of a resume according to hiring practices?

    <p>It must present information in a concise and reliable manner. (B)</p> Signup and view all the answers

    Why is grapevine communication often considered unreliable?

    <p>It can change rapidly and may not reflect truth. (B)</p> Signup and view all the answers

    Which of the following best describes the aim of decentralized structures in management?

    <p>To allow local managers to handle issues directly. (B)</p> Signup and view all the answers

    What is NOT a benefit of professional specialty certification for a nursing professional?

    <p>It provides a comprehensive overview of previous employment. (B)</p> Signup and view all the answers

    Which statement best describes motivation according to Maslow's hierarchy?

    <p>Unsatisfied needs trigger behavior. (D)</p> Signup and view all the answers

    What factor is most likely to provide intrinsic motivation to an employee?

    <p>The employee's ambitious career aspirations. (D)</p> Signup and view all the answers

    When does communication have the greatest likelihood of being accurately interpreted?

    <p>More than one mode is used. (B)</p> Signup and view all the answers

    What does the external climate of communication include?

    <p>Factors like weather, timing, and authority. (D)</p> Signup and view all the answers

    What best defines organizational culture?

    <p>The unique social and psychological environment of an organization. (A)</p> Signup and view all the answers

    How is organizational climate mainly determined?

    <p>By employee perceptions of the organization. (B)</p> Signup and view all the answers

    Why is using multiple modes of communication beneficial?

    <p>It reduces misunderstandings significantly. (A)</p> Signup and view all the answers

    What is a characteristic of intrinsic motivation?

    <p>Driven by personal interest and goals. (D)</p> Signup and view all the answers

    What is a characteristic of mentorship in nursing?

    <p>Mentors voluntarily choose to take on the mentorship role (B)</p> Signup and view all the answers

    What is essential to team nursing effectiveness?

    <p>Frequent communication between team members (C)</p> Signup and view all the answers

    When a new RN transitions into practice, what should they be most aware of?

    <p>The real-world nursing environment differs from textbook examples (A)</p> Signup and view all the answers

    In the context of case management, which factor should the nurse prioritize?

    <p>Assessing each client's specific needs individually (B)</p> Signup and view all the answers

    Which of the following is NOT a component of effective team nursing?

    <p>Inclusion of clients as formal team members (D)</p> Signup and view all the answers

    What is a recommended strategy for the new RN's career development?

    <p>Find a mentor on the floor (B)</p> Signup and view all the answers

    What aspect of mentorship may create misconceptions among new RNs?

    <p>The voluntary nature of mentorship relationships (B)</p> Signup and view all the answers

    How should a case manager approach care planning?

    <p>By personalizing care to meet each client's requirements (B)</p> Signup and view all the answers

    What is the best course of action to stimulate broad participation of employees in quality control efforts?

    <p>Engage closely with the frontline staff who provide client care. (B)</p> Signup and view all the answers

    What role has the Joint Commission assumed in ensuring quality at the organizational level?

    <p>Standardizing clinical outcome data collection (C)</p> Signup and view all the answers

    What type of audit determines the outcomes from specific nursing interventions for clients?

    <p>Outcome (B)</p> Signup and view all the answers

    What is benchmarking in the context of organizational performance?

    <p>Comparing organizational performance with that of the best performing institute (B)</p> Signup and view all the answers

    Which of the following actions would NOT be part of broad employee participation in quality control?

    <p>Directing all quality control initiatives from upper management without staff input (C)</p> Signup and view all the answers

    Which of these outcomes can be determined through effective outcome audits?

    <p>Long-term clinical outcomes of treatments (B)</p> Signup and view all the answers

    How does the Joint Commission influence quality care at the organizational level?

    <p>By standardizing performance measurement systems (D)</p> Signup and view all the answers

    Which of the following best describes the purpose of a process audit?

    <p>To analyze employee adherence to established protocols (C)</p> Signup and view all the answers

    What best describes the action of allowing team members autonomy while being available for support?

    <p>Effective delegation (A)</p> Signup and view all the answers

    What should a nurse-manager prioritize when supporting the delegation of a task?

    <p>Occasionally providing learning opportunities for employees (B)</p> Signup and view all the answers

    What action should a manager take when a subordinate struggles with a delegated task?

    <p>Be available as a role model and resource (B)</p> Signup and view all the answers

    What is the most crucial consideration when choosing a person to delegate a task?

    <p>The individual's qualifications for the task (A)</p> Signup and view all the answers

    Which of the following exemplifies downward communication by a nurse-manager?

    <p>Instructing the team on new policies directly (D)</p> Signup and view all the answers

    What is an essential action for a manager to take when starting to delegate tasks?

    <p>Ask the subordinate if they feel the task is manageable (C)</p> Signup and view all the answers

    Which of the following practices can help prevent micromanagement during delegation?

    <p>Setting clear expectations and boundaries for the delegated task (A)</p> Signup and view all the answers

    How should a nurse-manager handle poor performance of a delegated task?

    <p>Provide constructive feedback and support (C)</p> Signup and view all the answers

    How does an assertive communicator ensure respect for others during communication?

    <p>By expressing thoughts directly and honestly while considering others' rights (A)</p> Signup and view all the answers

    What does the employee's signature on a performance appraisal signify?

    <p>The employee has read the appraisal information and met with the manager. (D)</p> Signup and view all the answers

    Which of the following best describes self-appraisals?

    <p>They encourage employees to evaluate their own performance thoughtfully. (A)</p> Signup and view all the answers

    What is the purpose of keeping ongoing notes on each employee's performance?

    <p>To create a comprehensive record that helps avoid the recency effect (D)</p> Signup and view all the answers

    Which statement accurately reflects the characteristics of assertive communication?

    <p>It encompasses both the rights and responsibilities of all those involved. (C)</p> Signup and view all the answers

    What is a common misconception about assertive communication?

    <p>It is synonymous with being aggressive or confrontational. (B)</p> Signup and view all the answers

    What is the best method for a manager to ensure fairness in performance appraisals?

    <p>Utilize a combination of ongoing performance notes and employee self-appraisals. (B)</p> Signup and view all the answers

    What characteristic defines the communication style of a nurse-manager known for assertiveness?

    <p>Clear and direct communication while valuing others' rights (D)</p> Signup and view all the answers

    Flashcards

    Decentralized organizational structure

    A structure where decision-making authority is distributed to lower levels of the organization.

    Grapevine communication

    Informal communication channels that are difficult to control.

    Career Coaching

    A program that helps employees improve their career goals.

    Initial action in career coaching

    Observe employees to determine who needs coaching.

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    Professional specialty certification

    Demonstrating competence and achievement in a nursing specialty by passing a test for a credential.

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    Resume Content

    A concise, easy-to-read summary of a person's skills and experience.

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    Decentralized Decision Making

    Solving issues near the point of occurrence.

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    Resume Key Points

    Concise description of critical information to grab attention.

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    Mentorship characteristic

    A voluntary role chosen by the mentor; the relationship usually lasts several years.

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    Team nursing key element

    Frequent communication between team members is crucial for effective care.

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    Case management focus

    Individual assessment of client needs is the priority.

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    Team nursing communication

    Team nursing approach relies heavily on close and continuous communication between all team members to provide comprehensive care.

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    New RN adjustment advice

    Expect the real-world experience to differ from textbook descriptions, and try to avoid confrontations.

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    RN role transition shock

    Be aware of potential signs that a transitioning RN is struggling with this change.

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    Nursing school values retention

    Be mindful if a new RN hasn't let go of their educational values – and seek help if needed.

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    Case management application

    Case management in nursing focuses on individually assessing each client's needs to deliver the best possible care plan for that client.

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    Maslow's Hierarchy Motivation

    People are motivated to satisfy needs from basic survival to complex psychological needs, progressing through levels as lower level needs are met.

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    Intrinsic Motivation

    Motivation from within the individual, stemming from internal desires (e.g., career aspirations).

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    Effective Communication Methods

    Using various communication methods (e.g., verbal, written, visual) to ensure all necessary parties receive and accurately understand the message.

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    Accurate Communication Interpretation

    Communication is most accurately interpreted when utilizing multiple communication methods.

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    Organizational Climate

    How employees perceive an organization, potentially inaccurate, varying among employees.

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    Organizational Culture

    The set of values and behaviors shaping the organization's environment, including history, communications, and rituals.

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    Unsatisfied Needs

    Unsatisfied needs create behavioral responses.

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    Best Motivation Factor for Employee

    Intrinsic motivation, such as career aspirations, is more effective than external pressures.

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    Best course of action for employee participation in Quality Control

    Engaging closely with frontline staff who provide client care is the most effective way to stimulate broad employee participation in quality control efforts.

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    Joint Commission's role in organizational quality

    The Joint Commission standardizes clinical outcome data collection to ensure quality at the organizational level.

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    Outcome audit

    An outcome audit determines the results of nursing interventions on patient outcomes.

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    Smoking cessation clinic outcome (1 year post)

    38% of participants were not smoking one year after attending the clinic.

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    Benchmarking

    Comparing an organization's performance to that of the best performing institutions.

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    Effective benchmarking results

    Effective benchmarking allows organizations to identify areas for improvement.

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    Employee involvement in standards

    Staff involvement in determining criteria and reviewing standards, and collecting data.

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    Quality control in clinics

    Quality control involves staff participation to review standards, gather data and engage with frontline staff providing client care.

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    Effective Delegation

    Giving a subordinate the responsibility and authority to complete a task, while providing support and being available if needed. This involves assessing the employee's skills, offering learning opportunities, and providing clear expectations.

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    Manager's Action for Delegation Difficulty

    When a subordinate struggles with a delegated task, the manager should first act as a resource and role model, offering guidance and support. This prioritizes the employee's learning and skill development.

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    Key Consideration for Delegation

    The most important factor for a manager when choosing someone to delegate a task is the person's qualifications and ability to complete the task successfully.

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    Downward Communication Example

    A manager providing feedback to a nurse based on a performance appraisal is an example of downward communication, where information flows from a higher level to a lower level.

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    Micromanagement

    Excessive control over a subordinate's work, hindering their autonomy and professional development.

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    Delegation Responsibility

    When delegating a task, a manager should be accountable for the task's completion even if it is assigned to someone else.

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    Learning Opportunity

    Delegation can offer employees chances to learn and grow professionally by providing opportunities for them to handle new tasks and responsibilities.

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    Delegation and Qualification

    When delegating, the manager should always consider the qualifications of the person for the specific task.

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    Assertive Communication

    Expressing yourself clearly and honestly without being aggressive or infringing on others' rights.

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    Recency Effect

    The tendency to remember recent events more vividly than older ones, which can bias performance appraisals.

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    Performance Appraisal Signature

    Indicates that an employee has reviewed their appraisal and discussed it with their manager.

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    Self-Appraisal

    An employee's evaluation of their own performance, requiring reflection and introspection.

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    Aggressive Communication

    Using harsh words, intimidation, or dominance to get your point across.

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    Avoiding Recency Effect

    Keeping ongoing notes on employee performance to ensure a balanced and fair appraisal.

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    Performance Appraisal Goals

    The employee's signature on the appraisal form signifies they've understood and accepted the goals outlined.

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    Assertive vs. Aggressive

    Assertive communication is clear and direct, while aggressive communication is forceful and hurtful.

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    Study Notes

    Decentralized Organizational Structures

    • Allow decisions to be made at the lowest practical level where the problem arises.
    • Decisions can be made at the level where the problem occurs.

    Decision Making in Decentralized Organizations

    • Problems are solved at the level they occur.
    • Top-level hierarchy is not the primary decision-maker.
    • Communication is not limited to managers at various levels.
    • Responsibility is assigned at different practical levels.

    Grapevine Communication

    • Difficult to control or stop.
    • Not a reliable source but occurs frequently.
    • May include rumors or hearsay that are not always accurate.

    Characteristics of Grapevine Communication

    • Difficult to control.
    • Can involve verbal or face-to-face communication.
    • Not limited to a small group of people.

    Professional Specialty Certification

    • Demonstrates achievement of competencies.
    • Helps gain a new job.
    • Demonstrates advanced knowledge and skills.
    • Validates nursing expertise.

    Nursing Professional Competency Verification

    • Option methods for demonstrating advancement levels in competency:
      • Lateral transfer
      • Professional specialty certifications
      • Transfer to a new department
      • Professional registered nursing licensure.

    Career Coaching

    • The first step is observing employees to determine who would benefit most.
    • Observe employees and gather data.
    • Employees who hit the ground running quickly.
    • Employees having some hesitation to come to work.
    • Some employees might be confused, and some are ready to take on new challenges.

    Resume Construction

    • Concise and easy to read are key considerations for a nurse's resume.
    • Focus on key strengths that are relevant to the job opening.
    • Do not focus on weak points.
    • Should not be overly complicated.

    Career Development Stages

    • Promise phase (first 10 years): gaining exposure to various experiences.
    • Learning phase: gaining work experience and knowledge.

    Manager Socialization of New Nurses

    • Sharing organizational values
    • Providing organizational rules
    • Ensuring good role models exist
    • Using a preceptor.

    Nurse Manager Action for Newly Grad Nurses

    • Helping newly graduated nurses adjust to their professional role
    • Advising new nurses that the "real world" of nursing is fundamentally different from what's in textbooks.
    • Recognizing and addressing the signs and symptoms of the "shock phase"
    • Recognizing old habits from nursing school.

    Mentorship

    • Voluntary role chosen by the mentor
    • Not mandatory, and relationship lasts for several years.
    • Relationship that provides direction and support to a new nurse.

    Team Nursing Approach

    • Frequent communication is essential between team members.
    • UAP/Practical nurses may increase knowledge through education.
    • Client and family input is vital.

    Case Management Plans

    • Tailored to the individual patient's needs.
    • Should focus on individualized circumstances.

    Implementing Delivery System Changes

    • Studying the best implementation method.
    • Explaining to families the implications of changes
    • Senior registered nurse can lead during implementation.
    • Nurses who have experience in the new delivery system can be hired.

    Functional Nursing

    • Each nurse is assigned to a specific task to complete.
    • Example: administering medication to all patients on a given shift.

    Employee Engagement

    • Employee participation in hospital fundraisers.

    Job Satisfaction

    • Not all activities shown correlate to job satisfaction.

    Job Satisfaction Levels

    • Usually higher for subordinates than management staff.
    • Correlation to the degree of work-life control.

    Maslow's Hierarchy of Needs

    • People are motivated to satisfy needs from basic survival to complex psychological needs.
    • Unsatisfied lower-level needs trigger behaviors to address those needs.

    Intrinsic Motivation

    • Intrinsic motivations include career aspirations.

    Communication Types

    • Best type of communication is a combination of diverse methods.
    • Using varied forms of communication increases the chance the message will be received/seen/understood.

    Employee Performance Appraisal

    • Use of ongoing notes
    • Including good intentions and actual performance when assessing.
    • Based on clear standards.
    • Observations for the past two weeks may not be as useful in assessing overall performance and should be avoided.

    Manager and Employee communication

    • The manager should correctly provide appraisals to the employee..

    Self-Appraisals

    • Encourages reflection.
    • Improves transparency and honest assessment from the employee.
    • Helps create concrete goals.

    Improving Performance Appraisal Accuracy

    • Using written anecdotal notes helps provide more accurate reviews.
    • The notes should be consistent throughout the evaluation period.

    Annual Performance Appraisals

    • Basing appraisals on clear standards, and considering good intentions.
    • Avoiding subjective bias and personal opinions.

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    Description

    Explore the key concepts surrounding decentralized organizational structures, decision-making processes, and the implications of grapevine communication. This quiz will cover how decisions are made at practical levels and the role of informal communication in organizations. Assess your understanding of professional certification in relation to these themes.

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