Professional Development: Centralization versus Decentralization

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Professional Development Module 8
Organizational Design
Work Specialization
Work specialization is having each step of the work process performed b a different individual, this makes the most of efficient use of worker skills attributes and characteristics (McEwen & Wills, 2011). Concord Hospital use of work specialization is to be a charitable organization that is dedicated to serving the community (Concord Hospital, 2014).
Chain of Command
According to McEwen and Wills, (2011) the chain of command refers to formal lines of communication and authority and can usually be determined by looking at the organizational chart. However as discussed by McEwen & Wills (2011), as organizations have become progressively complicated individuals in establishments may find themselves organizationally accountable to more than one person.
Span of Control
The third element of management can also be determined from the organizational chart, however it refers to the number of employees directed by a manager (McEwen & Wills, 2011)
Authority and Responsibility
Is defined by McEwen & Wills (2011) as formal relationships in an organization. Larger organizations may have managers who are designated to top, middle or fist level managers. Top-level managers can include individuals like chief executive officers and the highest nursing administrator. Where as middle and first level managers consists of unit mangers who are basically responsible for coordinating management activities between top level and first level managers (McEwen & Wills, 2011). Middle range managers are usually involved in long-range planning and policy development that affect one or more units. First level managers are usually describes as unit managers and are responsible for th...

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...ed from http://www.massnurses.org/nursing-resources/nursing-practice/articles/six-rights
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