...Organizational Theory – Organizational Systems Analysis Organizational Theory – Summary Paper Today’s organizations draw upon the concepts of social and cultural anthropology, political science, strategic management, and organizational behavior. To become a successful manager in today’s organizations, mangers must understand and adjust to organizational concepts, implementation and management of change within organizations, concepts of systems of theory problem solving and decision making. As a manger in my current organization, this course has taught me how to improve my managerial skills through recognizing and understanding the concepts mentioned above. The following is a complete system analysis of my company based on the Six-Box Model. Within the six-box model I will demonstrate how the following factors: (1) Boundaries and Environments; (2) Organizational Structure; (3) Formal and Informal Systems; (4) Reward Systems; (5) Power; (6) Force Field Analysis, (7) Organizational Interventions; and (8) Reactions to Proposed Changes affect a managers management style. Organizational Boundaries and Environments Boundaries in organizations can be defined as “the umbrella under which rules are implemented to shape their purpose and goals.” (Ware, 2005). Boundaries are in place to determine the sphere of influence for the internal activities of an organization and to govern the reactions to external environments...
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...FINAL EXAM: ORGANIZATION’S USAGE OF THE HUMAN RESOURCE SYSTEM MBA – 533 Final Exam Paper Saint Leo University Thomas Rothrauff, Jr. Professor Sciarini June 16, 2013 Paper Section – Discuss, in a 15-page paper, how the various parts of the human resource system used in an organization you are familiar with align and support each other. The organization I will cover in this paper is a maritime security corporation. For purposes of this paper I will call the corporation CX. CX is based in the United States but provides services worldwide. Clients of CX consist of a wide variety of U.S. companies as well as foreign corporations. The types of clients, whether foreign or domestic, range from commercial shipping corporations to gas and oil companies conducting operations including, but not limited to: gas exploration, drilling platforms, refinery operations, and floating storage and production/transfer services. Because of the vast geographical area, and the diverse cultures CX must interact with; cultural sensitivity and diversity awareness are a key component of CX operations. The cultural sensitivity with which CX must be proficient span the entire cross section of each nations population from lower level laborers to the extremely cultured ruling and governing class. CX provides not only maritime security consulting services but it also includes armed protective operations, threat based vulnerability assessment services, technology force protection applications...
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...Organizational Systems & Quality Leadership Name: Institution: Course: Tutor: Date: Organizational Systems & Quality Leadership Introduction The core objective of health care is to provide high-quality care to all patients to guarantee positive health outcomes. This principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are beside guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient...
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...Organizational Systems Task 1 Western Governors University Task 1 A. Nursing-sensitive indicators By understanding nursing sensitive indicators, the nurses in this case could improve the structure, process, and outcomes of their nursing care. The structure of nursing care is indicated by the supply of nursing staff and the skill level of the nursing staff. By the nurses having increased knowledge of the issues hip fracture patients are prone to having, such as decrease mobility, increase need for surgical intervention, and increase risk of falls, could help improve the quality of patient care. A patient with decrease mobility is at higher risk for pressure sores. The nurses in this case may have prevented the one by proper padding and repositioning every 2 hours. The nurses in this case should aim to prevent surgical complications and infection (Sauls, 2013). With proper knowledge of dementia, fall prevention, restraint prevalence could lead to improved patient safety and satisfaction. Maybe with an understanding of dementia the patient could have been reoriented, medicated, moved to a room across from the nurses desk, or had a CNA sit with the patient to prevent the need for restraints. If the patient was drowsy there is a good chance the restraints in this case were not medically indicated. Dementia patients are more prone to weight loss and inadequate nutrition which could lead to other risk. In this case the staff should have offered a variety of foods the...
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...Running Head: ORGANIZATIONAL SYSTEMSTASK 2 1 Organizational SystemsTask2 Western Governor’s University Elizabeth Shaw July 3, 2016 ORGANIZATIONAL SYSTEMSTASK 2 2 A. Root cause analysis(RCA) is a type of incident analysis that is used after an adverse event or near miss. It takes a systematic approach to determine the causes in order to identify areas of improvement in the system to prevent future adverse events(IHI, 2016). An interprofessional team should be formed that should include all levels of the organization who are knowledgeable about the process that was involved in the incident. For this RCA team members should include the LPN, RN, emergency department physician, emergency department manager. A member of the risk management and or the quality improvement team should be on the team. In many RCA it is also valuable to have a patient on the team. Once this team is formed, members should agree to fill roles on the team. These roles include team leader, advisor, recorder and team members. Once these roles are established the team should identify what happened. Team members should collect information about the event. In collecting the information, it is important to conduct interviews and review medical records. The team should describe the facts of the sentinel event. The team should consider all causative factors, hazards and errors. In this scenario...
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...Organizational Systems and Quality Leadership Organizational Systems and Quality Leadership Task 1 A. Nursing Sensitive Indicators Nurses are integral key players in multidisciplinary teams caring for patients in complex healthcare systems. Hospitals, a primary care delivery portal within the health system, are inundated with patients requiring higher acuity care. Nurses must be prepared to recognize patients’ health care needs and provide quality patient care outcomes. The knowledge of nursing sensitive indicators can be helpful in providing the care which meets quality standards. Nursing sensitive indicators rely on evidence-based practice. The American Nurses Association created a repository for implementing, developing, and storing nursing sensitive indicators in the National Database of Nursing Quality Indicators, or NDNQI. The nursing sensitive indicators are a set of standardized performance measures intended to help hospitals assess the extent to which nursing interventions have an impact on patient safety, quality, and the professional work environment (Erickson, J. 2011). Nurses directly impact these measures and when evidence-based practices are adopted, patient care improves as shown in historical outcomes data. In the scenario of Mr. J there were multiple failures to recognize and use nursing procedural sensitive measures to improve his safety, quality of care, and patient satisfaction. Although Mr. J had mild dementia, he was appropriately responsive...
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...Organizational Systems and Quality Leadership Task 2 Mark Woodard Western Governors University This paper will analyze the cause of the sentinel event which occurred to Mr. B, a sixty seven year old patient which presented to the emergency room with left leg pain. A root cause analysis will be necessary in this case to investigate the causative factors which led to Mr. B’s sentinel event. The factors in this unfortunate case weather they were errors in his care, or hazards in the system will be identified. The Change theory will be used to develop an improvement plan that will be used to decrease the chances of a reoccurrence of the sentinel event that happened to Mr. B. in the scenario. Root Cause Analysis A root cause analysis, is a system that is used to develop a plan that will identifying the causative factors of an adverse event and formulate a plan to decrease the occurrence or chances of a sentinel event. A team consisting of , a member of the hospital administration, a pharmacist, a respiratory therapist, a charge nurse or nurse manager, a physician, and a member of the family board should be brought together to perform a root cause analysis in this case. These team members would have a meeting to discuss the factors that led to Mr. B’s sentinel event. The first step would be for the team to begin interviewing the staff involved with the case to gather as much data as possible. The data that would be needed include, Mr. B’s...
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...chronic oral opioid medications. “Normally these types of medications are administered with low doses and titrated per patient’s sedation level. Patient, monitoring or sedation level weren’t assessed between doses. This event is known as a sentinel event. In any situation that causes injury, or death a root cause analysis must be completed and reported to the Joint Commission. B. To implement a change in the conscious sedation procedure a team or committee needs to be established. All staff in the emergency room can become active participants by joining a committee or subcommittee. These main categories may include patient characteristics, task factors, individual staff members, team factors, work environment, and organizational management (IHI, 2014). A cause and effect, or wishbone graph can be constructed to clarify the error and process for the team, leading up to the event. The committee then needs to develop causal statements. These statements link the cause to its effects and then back to the main event that promoted the root cause analysis. These statements link the cause to its effects and then back to the main event that...
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...A. Nursing Sensitive Indicators Nursing-sensitive indicators are broken down into three categories; structure, process, and outcome (Montalvo, 2007). Structures of indicators are the organization pieces of nursing care which may include; staffing levels, educational levels, experience level, and staffing mix. The process of nursing sensitive indicators includes; the methods of assessments, type of interventions, and methods of care. The outcomes of nursing sensitive indicators are directly relatable to the qualitative and quantitative nursing measures (Sauls, 2013). Pressure ulcers, infections rates, and patient satisfactions are examples of outcomes. Understanding nursing-sensitive indicators could assist the nurses with measures for prevention that could lead to an improved patient outcome. Nursing-sensitive indicators identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007). There are several nursing-sensitive processes and outcome indicators in this case which include; an increased risk for pressure ulcers, length of hospital stay, restraint prevalence, risk for falls, and patient satisfaction. The patient is at risk for pressure ulcers due to his decreased mobility from his hip fracture. By understanding this risk, the nurse should be more aware of the need to frequently reposition the patient. Being educated on this risk would also possibly decrease the length of hospital stay. If a pressure ulcer occurs, the patient...
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...Quality Nursing Indicators Task 1 A. Understanding Nursing Sensitive Indicators Nursing indicators are a way of measuring the quality and quantity of care that a patient is receiving. The nursing indicators are directly related to the nursing practice. (Movitalvo, 2007). The three components of the indicators are: Structural Indicators The skill, education and certification level of the current nursing staff. If the nurse feels like he or she has time to take with the patient then out comes are better. If the staffing levels are below average then the outcomes are shown to decrease. Having a good mix of nursing staff with varying levels of expertise is also an important indicator. Bachelors or Master level nursing have an increase in positive outcomes as opposed to an associate degree nurse which would have a decrease in outcomes. (Sauls, 2013). Process Indicators On the job nursing satisfaction, if the staff is happy and feel content within the job that they are doing then the outcomes of the patients have also been shown to be positive. How assessments are done and the type of interventions will increase positive outcomes. Best practices equal best outcomes for the patients.(Sauls,2013) Outcome Indicators A few outcome indicators clearly have nothing to do with the care that the nursing staff provided. These outcomes are out of the control of the Hospital yet still are part of the quality of care that is looked at and analyzed...
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...Organizational Systems and Quality Leadership Task 3 Organizational Systems and Quality Leadership Task 3 Bronagh Paladino Western Governors University 1 Organizational Systems and Quality Leadership Task 3 A1. The country that I pick to compare to the U.S. healthcare system is Great Britain. According to the PBS Frontline program, “Sick Around The World”, by T.R. Reid, Great Britain uses a government run National Health Service (NHS), which seems too close to socialism for most Americans. For about half of what the U.S. pays per person for healthcare, the NHS covers all U.K. citizens and has better health statistics. (Palfreman, Reid, 2008). According to the World Health Organization (WHO), the total expenditure on health per capita is $3,311 in the U.K., whereas in the U.S., the total expenditure on health per capita is $9,146. (WHO, n.d.). In the U.K. the NHS’s proposition is that the citizens never have to pay a medical bill, no insurance premium and no co-pay. The British pay for their healthcare out of tax revenue as the government owns the hospitals and the doctors are salary government employees. The British pay much higher taxes than the Americans to cover their healthcare. (Palfreman, Reid, 2008). The U.S. healthcare system is based on a regulated market system as it is regulated by state or federal legislation. The U.S. healthcare is paid for by a combination of public and private sources by third-party private or public insurers and out-of-pocket...
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...A influência da Cultura Organizacional na implementação de Sistemas de Gestão de Qualidade nas Organizações Prior, Ana Renataª ªUniversidade Lusófona do Porto Rua Augusto Rosa, 24, 4000 - Porto ana.prior@gmail.com Teixeira, Magalieª ªUniversidade Lusófona do Porto Rua Augusto Rosa, 24, 4000 - Porto mt_magalie@portugalmail.pt RESUMO O fenómeno da globalização acarretou consigo tremendas exigências que se impuseram, aos poucos, às organizações, exigências essas que obrigaram a que as mesmas dessem largas ao seu espirito criativo e empreendedor, levando-as a criar e a adotar mecanismos que lhes permitissem tanto destacar, como ser mais eficientes e produtivas, os seus objetivos deixaram de ser apenas a obtenção de lucro para passarem a ser os meios (processos e intervenientes) utilizados para a obtenção desse lucro, para isso, as organizações viram-se diante de exigências impostas tanto ao nível dos seus procedimentos como das suas políticas e embora a implementação de sistemas de gestão de qualidade (SGQ) não seja uma invenção recente, o fato é que apenas lhe foi atribuída maioritária importância nas últimas décadas, com a crescente exigência dos mercados, tornou-se imprescindível ser mais e melhor, apostando na inovação e no conhecimento, e como isto só se consegue através da conjugação dos diferentes recursos de uma organização, é nesse sentido que no surge este artigo, consideramos vital falar do papel do seu recurso mais importante, o recurso humano (RH), procurando...
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...Topic: Examine groupware systems including their various types and examples of organisational activities they support, and discuss how they would evolve in the future. Student number: 21819254 Introduction Nowadays, usage of IT systems in enterprise environment is growing at an incredible pace. The main purpose of it is to help groups of cooperating individuals to overcome time and spatial barriers. Enterprise systems implementation has led to the problem of cooperation between companies to reach their goals and successfully operate in the current market environment. The rising demand for collaboration software has led to the groupware market expansion. Collaborative software has influenced the expansion of enterprises by improving the effectiveness of a range of tools such as the ability to communicate over long distances. This software had a significant impact on expansion of enterprises and increased efficiency of its work, for example, the communication over long distances. Along with development of technologies, the way workers operate in organisations has completely changed. Monotonous and time consuming tasks can be easily solved using the computer. Consequently, this change led to increase in the number of “knowledge workers”, workers, whose main capital is knowledge (Davenport, Thomas, 2005). Organisations more often require employees, who have the skill and experience of working within a team. Obviously, teamwork has a significantly greater efficiency, especially in...
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...Task 1 Western Governors University Organizational Systems and Quality Leadership Task 1 Upon review of the scenario involving Mr. J, a 72 year old retired Rabbi, I can conclude that there were a number of quality nursing indicators that could be addressed to identify issues that would interfere with Mr. J’s care. Mr. J is identified as a fall risk as evidenced by his hospitalization for a fall with injury. Because of this recent fall and his dementia he is quickly labeled as a fall risk while in the hospital. Despite his dementia, Mr. J is able to answer questions appropriately. Mr. J appears to have not been given any alternative to restraints. Alternatives to restraints would include medication to help calm him, bed alarms, and distractions such as games, music, or television. Another alternative would be to offer a sitter at the bedside. Last resort would be to restrain Mr. J. In this case Mr. J appears to have not been offered any alternative to restraints. (Hinshaw, 2010) Another quality nursing indicator is the prevalence of pressure ulcers. He was found to have an area on his lower spine that was reddened and depressed, indicating the development of a possible pressure ulcer. The nurse in this case was not notified by the CNA that found the reddened area and the daughters concern was ignored by the CNA. Assessing skin, especially given Mr. J’s immobility would be a priority for the nursing staff. Developing a turn schedule and making all staff aware...
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...Organizational Systems and Quality Leadership Task 2 Jill Riccobono Western Governors University Organizational Systems and Quality Leadership Task 2 A. Root Cause Analysis A root cause analysis (RCA) looks at an event and considers what happened, why it happened what will be done to prevent it from happening again and how will we know that the changes made will improve the safety of the system. It takes into consideration causative factors, errors and hazards that led to a sentinel event. In this case it was a patient’s death. RCA should not look to place blame on people, but rather processes that need to be improved. The first step in a RCA is to identify what happened. In the scenario, presented in this task, the patient was over sedated and subsequently died. Step two is to identify why this happened. There were preventable causative factors, or errors, that led to this sentinel event. The hospital’s conscious sedation policy requires that the patient remains on continuous BP, ECG, and pulse oximeter throughout the procedure and there was no mention that this was performed at all throughout the procedure. It was not until after the procedure that Mr. B was placed on continuous BP and pulse oximeter, and at that time, the patient was left in the room, with only a family member while Nurse J attended to another patient. When the alarm is heard that the patient has low O2 sats, the LPN, enters the room and resets the alarm and repeats the B/P reading. His oxygen level...
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