Organizational Assessment

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Organizational Assessment Harlem hospital center has a hierarchical organizational structure, which creates a vertical flow of authority. The hierarchical arrangement is reflected in each department, underscoring the clear flow of authority (Huggins, 2019). Each employee reports to an immediate senior. The flow of information is through established systems that observe lines of authority. The structure takes a form of a pyramid, with the number of employees increasing as one moves downwards. On the other hand, authority takes the form of an inverted pyramid, with those at the top enjoying immense authority over those at the bottom. The executive director is the real leader, wielding immense power over the rest of the employees. Heads of each department report to the director, underlining his huge authority and influence.

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Under the managing director, there is the chief executive officer, then chief offers-heads of the various department – in that hierarchical order. Under each chief officer, there is a chain of officers. The organizational structure is conical in shape, with those at the top wielding more power than those at the base. The executive director has overall executive authority, while the chief executive officer helps him in the daily management of the hospital (Nychealthandhospitals.Org, 2021). Below the chief executive officer, a horizontal structure of power is formed by five chief officers, each responsible for a particular department. The finance officer wields authority on matters pertaining to finance, while the chief medical officer is an authority on all matters concerning medical treatment and accompanying services.

Harlem hospital center mission and vision statement impact its organizational culture and structure. The mission of the hospital is to be the provider of choice for the community of Northern Manhattan, implying that it has to offer the best services possible (Nychealthandhospitals.Org, 2021). The entity prides itself as the best health service provider

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within the region. The employees are compelled to make it part of their culture to treat patients with the utmost dignity and be responsive to their needs in the best possible way.

Furthermore, Harlem hospital runs a residency program whose vision is to deliver efficient, compassionate, and high-quality health care services to patients. It is part of the entity’s culture to demonstrate compassion for patients (Nychealthandhospitals.Org, 2021). Most importantly, a healthcare center is a place where people seek medical treatment, implying that the hospital should offer the best comforting environment achievable.

Generational Influence Generational influence impacts how people view each other within an organization. The older generation often wields much influence in areas of experience and seniority in organizations. Young people feel the urge to respect old members of the labor force, regardless of if they hold a small office in the organization (Huggins, 2019). However, when it comes to issues such as the use of technology, young generational are more influential than older members. In essence, generational influence can impact power relations within a firm, hence an important factor in the general management of an organization.

Lines of Communication The organizational structures allow for various types of communication lines to be explored in passing information. One of the observed lines is the vertical communication lines.

Within this framework, information is communicated from top to bottom through a chain of command (Huggins, 2019). For instance, if the executive director wants to pass information to chief officers, he makes communication to the chief executive officer, who later passes it to chief officers. In this respect, the flow of information takes a vertical direction, aligning by the hierarchical ordering of the management structure.

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Moreover, there is an open line of communication and reporting within a hospital system.

Nurses explore these communication lines to regulated speak to physicians over matters pertaining to patients. An open line allows nurses to maintain a constant and close touch with their senior for proper guidance (Huggins, 2019). In case of any emergency, they can reach out to their immediate seniors for direction or assistance.

Hierarchical Structure and Nursing Nursing fits into the hierarchical organizational structures on the strength that there is a need for a clear flow of authority within the sector. Nurses are better positioned to perform if they are well managed. A proper system of management offers an explicit power structure that each employee understands his or her authority. A hierarchical structure eliminates the problem of many centers of power (Huggins, 2019). Organizations that have many centers of power have weaker controls, which compromises service delivery. For a hospital, compromising services means endangering human life. In this respect, the hierarchical organizational structure is the best suited for nursing because it establishes a clear system of authority that reduces the chances of overlapping of authority. In this respect, for the better management of nursing today and in the future, a hierarchical organizational structure is still the best.

Nurse Managers fits in the hierarchical organizational structure, which ensures that the central command is maintained. The vertical flow of authority gives the manager more power and influence on nurses, impacting their general performance (Huggins, 2019). It would be hard to properly manage nurses in a horizontal organizational structure. Nurses, regardless of their position, ought to report to a central authority. In this respect, the hierarchical organizational structure is best suited for managing nursing.

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Critical decisions are made by the top leadership in nursing, which aligns with the hierarchical organizational structure. The employees on the low levels act on directives of their seniors. In nursing, the manager decides where each one works, the type of assignment, and other issues that relates to work (Huggins, 2019). Also, the hierarchical organizational structure works well for nursing because there are various levels of management within the sector. For example, there is the top leadership of nursing in a hospital setup that is subordinated by other leaders and offices, creating a chain of command.

Moreover, a hierarchical structure supports accountability in nursing, making it the best organizational structure to apply in nursing. Accountability is critical in health organizations because they deal with human health issues (Huggins, 2019). With clarity of the organizational structure, it is very easier for a mistake to be attributed to a particular level of management or an individual. This would not be the case where the organizational structure allows for an overlap of roles and authority.

Nursing also includes groups of employees with specific skills, which allows for a creation of a system of management that ensures that each group is controlled by a higher authority to avoid a flat organizational structure. Various nurses such as Registered Nurse (RN), ER nurse, and family nurse Practitioner (FNP) work for a common agenda of serving patients.

However, all of them are subordinated to a central authority, the nurse manager. Hierarchical makes it easier for the top leadership to impact its influence and ideas on the rest of the organization. The present and future management of nursing require that a single center of power control all sections of nursing. Therefore, a hierarchical system of power remains the best suited for the present and future management in nursing.

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References Huggins, J. H. (2019). Developing an organizational decision-making model: The impact of organizational structures, decision types, and the social network. Mississippi State University.

Nychealthandhospitals.Org (2021). Facility Leadership. Nychealthandhospitals.Org. https://www.nychealthandhospitals.org/harlem/leadership/.