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Bureaucratic Structure In Nursing

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INTRODUCTION: Putting patients at the heart of healthcare processes and procedures is the key driver to quality of care as it enables a better emphasis on the care practice from identification, and throughout all approaches leading to healthy lifestyle maintenance (Antwi & Mryanka 2014). Nursing performances in the current healthcare systems are therefore, focused on care quality which is mostly determined through patients’ conditions, as well as the attainment of structural objectives (Bakker et al 2000, Brady Germain & Cummings 2010). Every organisation has a unique structural “finger print” (Senior & Swailes 2010), comprising of formal (visible) and informal (hidden) aspects which are intended to foster the organisation’s survival and success …show more content…

It was proposed by Max Weber –German Sociologist (Huczynski & Buchanan 2013), and also the most traditional and best known form of organisational structure (Senior & Swailes 2010). Bureaucratic structures are characterised by hierarchical arrangement of positions with a single chain of command from the top cascading down to subordinates (Pugh 1990). Power/authority is centralised in the hand of the leader/manager, with inflexible and constricted processes, strategies, and restrictions. With strict control mechanisms in place, such organisations are unwilling to change (Burley 2015, Robbins & Coulter 2009). However, bureaucracy is formally reasonable and does not permit individual feelings,frame of mind, or perceptions to get in the way of achieving its objectives (Huczynski & Buchanan 2013), but can lead to lack of creativity, little invention, low staff fulfilment, as well as reduced staff retention (Sullivan & Garland …show more content…

Culture therefore, have a considerable impact on innovation and change in organisations (Brady 2010). A study in Western Sweden by Carlstrom & Ekman (2012), which investigated the association between organisational beliefs, principles, values and the employee opposition to change, highlighted that a culture with more emphasis on communal competences reduces “routing seeking behaviours i.e predisposition to maintain steady routine and unwillingness to leave old habits. This result also suggest that a non-rigid culture with interconnection and confidence will work towards a stable and well defined framework. However, attitudes, beliefs, as well as the level of enthusiasm to give people independence, and back them in their engagements may also affect the organisation’s capacity to transform (Senior & Swailes

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He believed that as societies modernize, they become more rational and create bureaucracies and as societies grow and industrialize, bureaucracies would increase in power in regards to modern life. Weber’s process, rationalization of society, incorporated that over the course of time, many aspects of society would be under bureaucratic rule and regulation. According to Max Weber, bureaucracy is represented as an ideal type. An ideal type is described as how an organization should be operated accordingly to be successful and can be carried over to how it operates in reality. In ideal bureaucracies, goals are accomplished and no individual is deviated from any given

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The bureaucracy is a major base of power that can be difficult to control. Max Weber believed that bureaucracies shared certain characteristics: chain of command, division of labor, and impersonality. The chain of command is a form of organization characterized by a hierarchical structure of authority. In a military context, for example, the chain of command is the line of authority and responsibility along which orders are passed within a military unit and between different units. The division of labor is when work is divided among specialized workers in order to improve productivity.

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They are in a generation where they accept the logic of organizational power in short being a conformist. Even though a bureaucratic system is obvious in our government today we are still not made aware of it specially its complications and its consequences. Up to this date we still experience complications in a bureaucratic government also in a bureaucracy mandated business. A bureaucratic government isn’t all negative it has its pro’s specially being a well-organized government as well as a well-organized business organization. but in this paper were going to talk moreover on the negative or the cons of a bureaucratic government.

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The concepts that King defined within each system are not confined to those systems, but rather flow through the systems fluidly (Sampoornam, 2015). These systems all influence one another, so each system must be addressed individually, and also as a whole. The focus of the committee will always be patient (personal system) outcomes, but it also must look at transactions between nurses and patients (interpersonal system), and how these transactions effect the healthcare system (social system) as a

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The Importance of the Six Aims of Quality Patient Care (STEEEP) Since the addition of Crossing the Quality Chasm six aims of quality patient care was created by the Institute of Medicine (IOM), there has been a significant change in the effectiveness and condition of patient care. Before this report came out in 2001, health care providers did not realize that they were not providing proper care to patients in addition to disorganization and complexity of standards of care. The IOM was able to determine that, “failure of system processes, poor communication, and unhealthy work environments contribute to medical errors, ineffective delivery of care, and stress among health professionals” (Winterbottom 2012). It is essential for patients to feel

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A recent study by Griffiths (2008) showed the fundamentals of patient care may have been lost and patient focus was diminished. He explained that nursing had become too technical due to the healthcare environmental crisis and the focus was taken away from the fundamentals of patient care. Although the ward on clinical placement was evidently over stretched, the fundamentals of patient care was still upheld due to the regiment implementation of the RLT model of nursing. Initial assessment allowed nurses to plan and implement measures from early admission which inevitably made all aspects nursing care

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Sociologist Max Weber’s statement that bureaucracy is the distinctive mark of the modern era clearly describes a bureaucratic type of structure now intrinsic in public sector organizations. This type of structure which has been termed by theorist J. Donald Kingsley (1949) as a "Representative Bureaucracy", basically speaks of public workforces that are representative of the people in terms of race, ethnicity, and gender. In other words, a Representative Bureaucracy, is more or less "an assessment and reconstruction of public sector organizations for the sole purpose of ensuring that all groups in society are equally represented" (Duada, 1990). Thus, in relation to this definition and many other similar constructs, one can clearly see why that

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Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge

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The German sociologist Max Weber [3] described many ideal-typical forms of public administration, government, and business. Weber agreed that bureaucracy constitutes the most efficient and rational way in which human activity can be organized, and that thus is indispensable to the modern

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Emergent strategy When change happens, an organization changes its strategy, which in turn, changes its structure, organizational culture, recruitment standards and etc. It indicates that strategy process is part of change process. As mentioned before, most change initiatives fail, no least because not engaging all employees in the process towards change (Stanleigh, 2008). We suggest that emergent strategy is a central part of successful change. One reason for this being that the foundation of emergent strategy is to involve more people in strategy making process (Mintzberg et al., 1988).

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Bureaucracy originally comes from a French word, which literally means the rules of those who sits behind the desk, where the term has always had negative meanings through it, however, Weber believed that, to have a balanced account of bureaucracy was to highlight its strengths and weaknesses (Cooke and Philpin, 2008). Weber was influenced by Durkheim, that highlights the importance of social structure, however, he also emphasised on the importance of the meaning and perceptions in understanding the social action (Cooke and Philpin, 2008). In fact, he was very concerned to understand the ways of action in which the individuals played their role in social life (Denny and Earle, 2005). Instead of categorise the societies in terms of technology or productive systems, he pointed out the differences in the ways people view the world, whereby he concluded that people from pre-modern societies adhere to own traditions, while people in modern societies endorse to rationality where one thinks and act on the premise of present and future outcomes (Macionis and Plummer,

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It has taken almost the entire 20th century to construct robust, reliable and replicable models of bureaucratic organisation, to celebrate their merits and understand their limits. Government innovators and scholars around the world are now in the process of constructing and identifying models that address the undesirable outcomes associated with bureaucracy, while preserving and upholding its most important underlying

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Weber listed several precondititions for emergence of bureaucracy. The growth in space and population being administered, the growth in complexity of the administrative tasks being carried out, and the existence of a monetary economy requiring a more efficient administrative system. Development of communication and transportation technologies make more efficient administration possible but also in popular demand, and democratization and rationalization of culture resulted in demands that the new system treats everybody equally. Weber 's ideal-typical bureaucracy is characterized by hierarchical organization, delineated lines of authority in a fixed area of activity, action taken on the basis of and recorded in written rules, bureaucratic officials need expert training, rules are implemented by neutral officials, career advancement depends on technical qualifications judged by organization, not individuals. EXAMPLE

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This style of leadership can be advantageous in highly regulated lines of business, and it can be an efficient management style in companies that don 't require much creativity or innovation from employees. Bureaucratic leadership is one of the most prevalent forms of management today. Weber 's Ideal Bureaucracy is characterized by the following: ~Hierarchical Organization ~Delineated Lines Of Authority With Fixed Areas Of Activity ~Action

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The term bureaucracy refers to a particular type and technique of administrative organization. In the 1930s Max Weber, a German sociologist and political economist; he wanted to find out why people in organizations obeyed those in authority above them. He wrote a validation that described the bureaucratic form as being the ultimate way of organizing government agencies. Weber’s study of business was centered on understanding the need for stability and consistency in achieving competence.

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