Application of Organization Theory to Leadership: Role of Director of Nursing
For a newly opened hospital to be effective in giving utmost healthcare care to its patients, the facility must employ a competent and responsible Director of Nursing.
The Director of Nursing is responsible for the delivery of a comprehensive, efficient and effective Nursing/Midwifery Service. This is done in collaboration with other health professionals, service managers and other agencies to achieve the service goals in the area. The director adopts a strategic approach to promote the continuous development of services and structures, embracing continuous quality improvement and the management of changes necessary to achieve organizational objectives. The role also involves the provision of strategic and clinical leadership and direction for nursing and related services which results in the delivery of effective, efficient, quality assured and patient centered nursing care. (www.careersinhealthcare.ie)
This role and the mental model (Senge, P. 1992) align with the school of organizational theory since as a Director of Nursing, he/she must reflect how to interact and collaborate well with the people within the organization; his subordinates, health professionals, service managers, and other agencies to achieve the service goals in the area of responsibility or organization. The school of organizational theory comprehends organizations like that where the Director of Nursing operates as a socio/technical systems as composed of both “hard” and “soft” factors (www2.sfasu.edu). “Hard” factors include technology, work processes, accounting systems, formal structure. The “soft” factors include human psychology, interpersonal social dynamics, group psychology informal structure, institutional culture (attitudes, values, and beliefs), and leadership capabilities. His/her skills and self-motivation uses both factors to achieve effectiveness of service to a new facility.
The different mental models are concurrent with different roles in a degree as described that having more responsibility in a role requires that an individual has to have a high personal mastery as described by Senge. People with high personal mastery “tend to be committed and exude initiative, have a broader and deeper sense of responsibility” in their work, and as Senge claims of key importance, they learn faster (Bommen, T., 2007). For the Director of Nursing, he/she not only has to deal with processes within the organization but also has to deal with people. One of his/her roles include that he/she conducts monthly meetings for the licensed personnel and supervises their work on a daily basis. A positive insight or attitude coming from within the director can influence his subordinates to do well their own duties and responsibilities.
I perceive a conflict of synergy once the director does not know what is his role in the new facility. He may know his role but in the process of effectively implementing it, he must be able to reflect leadership not only to his subordinates but also to his peers and immediate supervisor. He must be flexible enough to any situation and is tough and impeccable in decision making, since, he/she is made accountable to the residents, the families, the staff and the administration of the facility.
The role is perceived to be effective as influenced by the other roles such as the CEO if all support is made available to the Director of Nursing. There must be a positive organizational environment at all levels of the organization. Transformational leadership behaviors, perceived organizational support (POS) and quality communication had an impact on the satisfaction and quality of care for each subsequent level of manager. Working relationships between all levels of management are critical to both role effectiveness and satisfaction. (www.longwoods.com)
Bommen, T. (2007). “Management Style”. Retrieved June 21, 2009 .http://tb-kmblog.blogspot.com/2007_02_01_archive.html
“A Profile of the Structure and Impact of Nursing Management in Canadian Hospitals”. Retrieved June 21, 2009. http://www.longwoods.com/product.php?productid=19596
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