In most health care settings, it is unlikely that you would hear the terms ad hoc or matrix as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.
In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.
Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.
Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organizationline (or bureaucratic), ad hoc, matrix, service line, or flat? Note: It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?
What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.
Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.
To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.
By Day 3
Post a depiction of your organizations formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. Explain the influence of formal and informal leadership on decision making within this department or unit.
Read a selection of your colleagues responses.
By Day 6
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, evidence, or research.
Share an insight from having read your colleagues postings, synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 2, Classical Views of Leadership and ManagementThe information introduced through this chapter relates to this weeks Discussion, and will also be referred to in future weeks of the course.
Chapter 3, Twenty-First Century Thinking About Leadership and ManagementThis chapter examines new thinking about leadership and management and how this may influence the future of nursing.
Review Chapter 12, Organizational Structure
Allmark, P., Baxter, S., Goyder, E., Guillaume, L. & Crofton-Martin, G. (2013), Assessing the health benefits of advice services: Using research evidence and logic model methods to explore complex pathways. Health & Social Care in the Community, 21, 5968. doi:10.1111/j.1365-2524.2012.01087.x
This manuscript examines causal pathways between the provision of advice services and improvements in health. It may also be useful to commissioners and practitioners in making decisions regarding development and commissioning of advice services.
Downey, M., Parslow, S., & Smart, M. (2011). The hidden treasure in nursing leadership: Informal leaders. Journal of Nursing Management, 19(4), 517521.
Retrieved from the Walden Library databases.
Informal leaders can have a strong impact in the workplace. This article explores the value informal leaders can provide.
Discussion: Quantitative Research Designs In order to find the best information on a topic, not only should you develop a question and search for resources, but you should also know how to analyze the value of the resources that you identify. There are different ways to evaluate resources, such as using the hierarchy of evidence, which you explored in Week 4 of this course. Another way to evaluate resources is to consider the appropriateness of the research design. Understanding how research designs contribute to the quality of a study is essential for being able to analyze resources when conducting a literature review or locating evidence for practice.In this Discussion, you consider the different research designs and evaluate how these designs have been used to research a specific topic. You also consider strategies for selecting an appropriate research design. To prepare: Review the information in the course texton quantitative research designs. Focus on the information in Box 9.1, “Guidelines for Critiquing Research Designs in Quantitative Studies” located on page 210 of the course text.Select a topic from the list below and search the Walden Library to find two different quantitative research studies addressing that issue:Caregiver stressAnxiety in childrenSleep apneaDepression in college freshmenRural health care issuesPost-traumatic stress syndromeTraumatic brain injury in veteransHealth effects of environmental contaminantsBipolar disorderEnd-of-life ethical issuesAlternative medicineFor each of the sources that you select, identify the type of quantitative research design used, and evaluate whether it is the most appropriate approach to the research.Consider the ramifications of choosing an inappropriate design for a research study. Post the topic you selected, references for the two sources you identified, and the quantitative research design used in each. Critique the appropriateness of the design used and justify your comments with information from the Learning Resources. Discuss the ramifications of choosing an inappropriate design for a research study. Read a selection of your colleagues’ responses. Respond to at least two of your colleagues on two different days in one or more of the following ways:Ask a probing question, substantiated with additional background information, and evidence.Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Required Readings Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 8, “Planning a Nursing Study”This chapter focuses on the necessary steps for planning a research study. It describes different research designs and their key features and discusses how to plan for data collection. Chapter 9, “Quantitative Research Design”This chapter explores quantitative research in greater depth including the importance of experimental design and the role of randomization in conducting research. The chapter also describes quasi-experimental design and observational research.MediaLaureate Education (Producer). (2012m). Quantitative research for evidence-based practice. Baltimore, MD: Author. Note: The approximate length of this media piece is 5 minutes. In this video, Dr. Kristen Mauk explains specific quantitative research designs, methods, and considerations related to her Doctorate of Nursing Practice (DNP) project. She discusses how she developed her research design and how she used sound quantitative research methods throughout her project. Accessible player