A hospital is working toward becoming a Magnet hospital. The ...

[JGIBBSON]

A hospital is working toward becoming a Magnet hospital. The chief nursing officer is aware that professional nursing departments of the future will:
 
  a. Not be directed by nurses.
  b. Be virtual organizations.
  c. Be designed to maintain nursing standards of practice.
  d. Be entitled to have client care departments.

Question 2

The chief nursing officer and the dean of the School of Nursing believe that by establishing rules and regulations and controlling the environment, this partnership will:
 
  a. Promote professional medical authority, autonomy, and responsibility.
  b. Need a degree of flexibility to engender success.
  c. Be essential for self-governance.
  d. Provide for the establishment of medical committees.

[reversalruiz]

Answer to Question 1

ANS: C
Hospitals that are successful in recruiting and retaining nurses have found that the major contributing characteristic to success is a nursing department that is structured to provide nurses the opportunity to be accountable for their own practice. Accountability is guided by nursing standards of practice and thus, successful nursing departments emphasize maintenance of these standards.

Answer to Question 2

ANS: B
Bureaucratic structures have a centralized command structure (chain of command). with a clear division of labor and well-articulated and commonly accepted expectations for performance. Rules, standards, and protocols ensure uniform actions and limit individualization of services and variance in workers' performance. Although bureaucracy enhances consistency, by nature, it limits employees' autonomy and thus the potential for innovations.