Write an answer to this and use at leat one reference but not the same that appear here. 1. Describe the organizational characteristics of the facility in which you currently have a clinical assignment. Include the following: a. Type of organization: Rehabilitation center b. Overall climate of the facility: Quality service, organized and friendly staff, optimum medical equipment. c. How the organization is structured: This center is a structure in a traditional hierarchical structure, the employee is ranked from the top to the bottom. From the nurse manager of the medical director, nurse manager, nurses, and nurse assistant. d. Formal and informal goals and processes of the organization: Formal: Every nurse will provide to their patients with excellent health care. Informal: Their pre-fill some patient records the day of admission with information that never changes diagnostic and procedures. 2. Why is the work climate of an organization important to nursing leaders and managers?  Healthy work environments have both direct and indirect impacts on patient safety. Healthy work environments have been linked to increased nurse, leader, manager, and health care worker retention, recruitment, job satisfaction and have decreased stress and burnout, which subsequently leads to safer patient practices. A healthy work environment is a productive and collaborative setting in which nurses and other health care workers are free from physical and psychosocial harm while maximizing their ability to provide safe, quality care, along with meeting personal needs and with the empowerment to promote a satisfying work experience. Work environments that are negative, demoralizing, and have unsafe work conditions are deemed “unhealthy” and have been correlated with unsafe patient practice, nursing shortages, nursing job dissatisfaction, and low productivity. The achievement of a healthy work environment is multifactorial and requires the support of the health care workers through an environment of positive communication and co-worker team efforts. Healthy work environments, guided by authentic leaders, produce superior outcomes for both staff nurses and patients. 3. What are the ways in which a nurse can enhance his or her expertise? Steps that nurse can enhance their own competence: Participate in interdisciplinary team conferences and patient-centered conferences on your units. Attend continuing education offering to enhance your expertise. Attend local regional and national conferences sponsored by relevant nursing and specialty organization. Read journals and books in your specialty area. Participate in nursing research projects related to your clinical specialty. 4. Explain “shared governance,” and describe how it can affect the power structure of a health-care organization. In share governance, staff nurses are included in the highest levels of decision making within the nursing department through representation on various councils that gov.

1. Write an answer to this and use at leat one reference but not the
same that appear here.
1. Describe the organizational characteristics of the facility in
which you currently have a clinical assignment. Include the
following:
a. Type of organization: Rehabilitation center
b. Overall climate of the facility: Quality service, organized and
friendly staff, optimum medical equipment.
c. How the organization is structured: This center is a structure
in a traditional hierarchical structure, the employee is ranked
from the top to the bottom. From the nurse manager of the
medical director, nurse manager, nurses, and nurse assistant.
d. Formal and informal goals and processes of the organization:
Formal: Every nurse will provide to their patients with excellent
health care.
Informal: Their pre-fill some patient records the day of
admission with information that never changes diagnostic and
procedures.
2. Why is the work climate of an organization important to
nursing leaders and managers?
Healthy work environments have both direct and indirect
impacts on patient safety. Healthy work environments have been
linked to increased nurse, leader, manager, and health care
worker retention, recruitment, job satisfaction and have
decreased stress and burnout, which subsequently leads to safer

2. patient practices. A healthy work environment is a productive
and collaborative setting in which nurses and other health care
workers are free from physical and psychosocial harm while
maximizing their ability to provide safe, quality care, along
with meeting personal needs and with the empowerment to
promote a satisfying work experience. Work environments that
are negative, demoralizing, and have unsafe work conditions are
deemed “unhealthy” and have been correlated with unsafe
patient practice, nursing shortages, nursing job dissatisfaction,
and low productivity. The achievement of a healthy work
environment is multifactorial and requires the support of the
health care workers through an environment of positive
communication and co-worker team efforts. Healthy work
environments, guided by authentic leaders, produce superior
outcomes for both staff nurses and patients.
3. What are the ways in which a nurse can enhance his or her
expertise?
Steps that nurse can enhance their own competence:
Participate in interdisciplinary team conferences and patient-
centered conferences on your units.
Attend continuing education offering to enhance your expertise.
Attend local regional and national conferences sponsored by
relevant nursing and specialty organization.
Read journals and books in your specialty area.
Participate in nursing research projects related to your clinical
specialty.
4. Explain “shared governance,” and describe how it can affect
the power structure of a health-care organization.

3. In share governance, staff nurses are included in the highest
levels of decision making within the nursing department through
representation on various councils that govern practice and
management issues. These councils set the standard for staffing,
promotion, and so forth. Genuine sharing of decision making is
difficult to accomplish, partly because managers are reluctant to
relinquish control or to trust their staff members to make wise
decisions. Yet genuine empowerment of the nursing staff cannot
occur without this sharing. For example, if staff members do not
control the budget for their unit, they cannot implement a
decision to replace aides with registered nurses without
approval from higher-level management. If they want increased
autonomy in decision making about the care of the individual
patients, they cannot do so if opposition by another group, such
as the physician, is given greater credence by the organization’s
administration.
5. Why is it important for a staff nurse to understand the culture
and real goals of the organization in which he or she works?
Does it matter in what type of organization you work?
Empirically, is yes. For example, the extreme value placed on
Business in hospitals, being seen doing something at all times,
leads to manager actions as floating a staff member to a busier
if she or he is found reading new research or looking up
information on the web. Even more important, a hospital with a
positive work environment is not only a better place for nurses
to work but also safer for patients. Once you have grasped the
totality of an organization in terms of its overall culture, you
are ready to analyze it in a little more detail, particularly its
goals, structure, and processes.
1. Describe your ideal organizational. Describe how the various
components would interact.

4. My ideal organization must be managed by an administrator, a
medical director, and a nursing director, physician, nurse’s
supervisor, and nurses. The people at the top management have
the authority to make a decision, spend the organization’s
money, and hire and fire people. Much of these authorities are a
delegate to the people below them, but they retain the right to
reserve a decision or regain control of these activities whenever
they deem necessary. The people at the bottom have little
authority but do have other sources of power. They usually play
no part in deciding how money is spent or who will be hired or
fired but are responsible for carrying out the directions from
people above them on the ladder. If there was no one at the
bottom then work would not get done.
2. Interview one of the staff nurses on your unit. Find out what
practices within the organization help to empower the nurses.
Compare this list of practices with those discussed in the
textbook.
The practices that help empower the nurse according to my
nursing director in my facility that apply to it are:
Reward and recognition: We have an appreciation for a job well
done; we receive a bonus for well-done work and additional
pay’s vacation day.
Reasonable work assignment.
We have consistent, the equitable treatment of all staff.
Feeling empowered includes the following: self-determination,
meaning, competence, and feeling that people listen to your
ideas that you make the difference. The opposite
disempowerment makes the inability to control one’s own
practice leads to frustration and sometimes failure. Work
overload and lack of meaning, recognition, or reward produce

5. emotional exhaustion and burnout. Nurses want to have some
power and to feel empowered. They want to be heard, to be
recognized, to be valued, and to be respected.
3. Recall the last time you walked into a hospital, clinic, or
physician office for the first time. What was your first
impression? Did you feel comfortable and welcome? Why or
why not? If you could change the first impression this facility
makes, what would you
do?
The first time I walked into a medical office, I remember a
luxury office with modern furniture an excellent first
impression related to the less important thing that we are
looking for medical attention. The first question that the
reception asks me was what insurance you do have, she doesn’t
even know it was there looking for medical attention or
applying for a job position. Sometimes in some facilities, we
forget that the principal objective that we have is the patient, to
treat the human being, not the insurance or luxurious furniture.
4. What changes could be made at a very low cost? What
changes would be expensive? Finally, discuss why it is
important for a health-care facility to make a good first
impression.
I think that it not too difficult and does not have any cost at all
demonstrate that in all health-care facility their priority is the
patient’s care, giving to the patient comfortable, transparency,
quality, and safety health care service. Making a good first
impression often ensures the patient the opportunity to referrer
more patients due to the exceptional holistically health services
offered.
Reference

6. Whitehead, D., & Weiss, S. (2010). Chapter 1. In Essentials of
nursing leadership and management (5th ed.). Philadelphia: F.A.
Davis.