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Jan Hartman has interviewed for a nurse manager position on an oncology unit at a teaching hospital in Kansas City, Missouri. She enjoys empowering her employees and is looking for an organization that has a decentralized organizational structure. During her interview, Nurse Hartman notices that the clinical nurses take problems to the charge nurse, the nurse manager frequently contacts the director of nursing, and the physicians go directly to the charge nurse for information. Nurse Hartman reviews a copy of the organizational chart and notices that it has several levels of hierarchy.

Is the organizational structure that Nurse Hartman is evaluating decentralized or centralized? What evidence do you see to support your answer? How common do you think this structure is in the health care setting?

 

In the end, Nurse Hartman chooses to accept this position upon learning that the hospital is launching an internal campaign to decrease adverse events and medical errors by developing a risk reduction and safety program. Nurse Hartman is eager to contribute to this effort. What might such a campaign involve? What is the potential for extending this effort beyond this single teaching hospital?
SCIENCE
HEALTH SCIENCE
NURSING
NUR 4420

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