Bureaucratic Structure In Nursing

When working within the care sector it is vital that services provide a reasonable quality of care to the individuals who require support, and to ensure that this is the case services have various policies, procedures, individuals and staff teams that must collaborate together in order produce a high quality of care and maintain it with the ability to evidence as to exactly how this is established and to whom is accountable.

The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.

The development of Bureaucracy was due to increasing citizen demand for improved government services and for the government to develop their own goals for policy. Citizens sought more government involvement, such as, regulating corporate behavior and delivering more services. Andrew Jackson’s election in 1829 also influenced the development of bureaucracy. At the height of his election, Jackson introduced a spoils system where those involved in Jackson’s campaign were rewarded with positions in government. Detailed procedures were then developed to direct new employees who lacked experience. Benefits and goods were taken from other citizens as a result of the spoils system and caused major conflict. To resolve such issues, The Civil Service

The federal bureaucracy as part of the executive branch exercises substantial independence in implementing governmental policies and programs. Most workers in the federal bureaucracy are civil-service employees who are organized under a merit system. The merit system is defined as the process of promoting and hiring government employees based on their ability to perform a job, rather than on their political connections. This system uses educational and occupational qualifications, testing, and job performance as criteria for electing, hiring and promoting civil servants. Beginning in the federal government in 1888, it was established to improve parts of the governmental work force that had previously been staffed by the political patronage

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

Changes in technology, the markets, societal values, workplace dynamics and the global economy have all contributed to creating an external environment that is constantly on the move, unpredictable and often devastating for companies that are unprepared or unable to respond accordingly. Many companies today are thus forced to either change or adapt their organisational culture to keep up. (Burnes, 2004) Furthermore, with global mergers and acquisitions at a seven-year high in 2014 (Roumeliotis, 2014) and set to increase further due to companies’ desire to outdo rivals and widespread investor support for such deals, knowing how to manage changes in organisational culture has become

The NHS is the pride of Britain being the fifth largest employer in the world. It is more than a health service provider. It is part of who we are. It never fails to hit the headlines almost every day for various achievements, underperformance or deficit. It has become every political party's agenda to have proposals of how to protect, preserve, enhance and improve performance of the NHS. The core of the NHS lies in the millions of staff working tirelessly to provide the best possible care for the patient. Like with any other large business organizations the NHS faces innumerable challenges. But what sets it apart from other businesses is the fact that the NHS core values are centered on the well being of patients. It strives to achieve the

A primary concept of nearly all nursing theories is the belief that humans are the center of nursing care. No matter what setting nurses are practicing in, the goal is to optimize patient outcomes by holistically caring for patients, families, and their environments. Imogene King took this idea, divided in into three systems: personal system, interpersonal system, and social system, and related the systems to goal attainment and specific concepts.

Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing.

Bureaucracy, Almost everyone deals with bureaucracy every day in one way or another and even if you do not personally deal with a bureaucratic official today your activities are being monitored by a bureaucratic system somewhere, but despite the fact, most people still have very little knowledge of how it works and its significance. To understand bureaucracy more it is a collection or group of official who engage in administrative and policy making duties.It is a system of government or business that has many complicated rules and ways of doing things. Bureaucracy can be considered to be a particular case of rationalization, or rationalization applied to human organization. . It’s difficult for students to engage into this topic, because they are actually living inside a bureaucracy. They are in a generation where they accept the logic of organizational power in short being a conformist.

" Leadership is the ability of a superior to influence the behavior of subordinates and persuade them to follow a particular course of action." - Chester Barnard

The German sociologist Max Weber studied the bureaucratisation of society. His critical study became one of the most enduring parts of his work. It was Weber who began the studies of bureaucracy and whose works led to the popularization of this term. According to Max Weber, bureaucracy is defined as any system of administration conducted by trained professionals according to fixed rules. Bureaucracy is a type of business structure popular among governments and public administrations. A bureaucratic organization was originally intended to have a hierarchical or pyramidal structure to help achieve the most rational and efficient operation at the lowest cost. The term bureaucracy is a combination of French and Greek words respectively. The word ‘bureau’ means desk or office and the word ‘kratos’ means rule or political power. It was first used by the French economist Jacques Claudes Marie Vincent de Gournay.

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

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. Max Weber embellished the scientific management theory with his bureaucratic management theory largely focused on dividing organizations into hierarchies, establishing strong lines of authority and control. Weber suggests that organizations develop standard

Contemporary management involves many aspects of management. These aspects include planning, leading, organising and controlling operations to achieve certain organisational goals. When comparing different management levels it is evident that at all levels emphasise the importance of using resources effective and responsibly. Managers should be able to build their own as well as their subordinates’ skills, regarding decision making, monitoring information and supervising personnel are which are essential to success. Managers have great responsibilities, these responsibilities include managing a diverse work force, maintaining a competitive edge, behaving ethically and using emerging technologies. Before one can fully understand the facet of