A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:
Functional structure.
Transformational leadership.
Matrix service line.
Bureaucratic.
The Correct Answer is D
Choice A reason: A functional structure is an organizational design that groups employees by their similar skills and expertise. While it involves clear roles and responsibilities, it does not necessarily imply that the majority of decisions are made by senior administrators.
Choice B reason: Transformational leadership is a style of leadership where the leader works with teams to identify needed change, creating a vision to guide the change through inspiration. This does not specifically describe an organization with clear rules and procedures.
Choice C reason: A matrix service line is a type of management system that combines a traditional departmental structure with a project-based structure. This choice does not fit the description of an organization primarily governed by strict rules and senior administrator decisions.
Choice D reason: This is the correct answer because a bureaucratic organization is characterized by formal procedures and protocols, a clear hierarchy, and decision-making authority typically residing with senior administrators. This structure is designed to ensure efficiency and consistency in operations.
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Correct Answer is D
Explanation
Choice A Reason : While communication is essential, this approach lacks transparency and direct engagement with the staff. It may not foster trust or provide an opportunity for open dialogue.
Choice B Reason : Announcing the news through a bulletin board lacks personal interaction and may not address staff concerns adequately. It does not align with transformational leadership principles.
Choice C Reason: This approach demonstrates transformational leadership. By involving a small group of staff members, you create an opportunity for open discussion, empathy, and collaborative problem-solving.
Choice D Reason : Transparency about financial constraints is essential. By engaging staff in discussions about cost-cutting measures, you empower them to contribute ideas and understand the organization's challenges.
Correct Answer is D
Explanation
Choice A reason: Accreditation standards are typically external factors set by accrediting bodies that healthcare organizations must meet to ensure quality and safety. These standards influence staffing indirectly by setting the benchmarks for care that staff must achieve, but they are not considered internal factors.
Choice B reason: State regulations are external factors imposed by government bodies. They can dictate staffing ratios, qualifications, and other requirements that healthcare organizations must follow. Like accreditation standards, they influence staffing but are not internal to the organization.
Choice C reason: The availability of agency staff is an external resource that healthcare organizations can utilize to fill staffing gaps. While their use affects the internal staffing levels, the pool of agency staff and the decision to use them are external to the organization's internal workforce management.
Choice D reason: Patient acuity refers to the level of care and attention required by patients based on the severity of their conditions. It is an internal factor because it directly impacts the number and type of staff needed on a given day or shift within the healthcare organization. Higher acuity patients will require more intensive care and more specialized staff, thus impacting staffing decisions and allocations internally.
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