Chapter3

Copyright © 2008 Thomson Delmar Learning

Chapter 3Chapter 3

Organizational Behavior and Magnet Hospitals


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Objectives Objectives

Upon completion of this chapter, the reader should be able to: Define organizational behavior Identify the evolution of organizational behavior and its impact on autocratic, custodial, supportive, and collegial organizational behavior

Identify the organizational characteristics that define Magnet nursing services

Discuss the historical evolution and significance of Magnet hospitals

Describe the fourteen forces of Magnetisim


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Definition of Definition of OrganizationOrganization

A coordinated and deliberately structured social entity Consists of two or more people Functions on a relatively continuous basis to achieve a predetermined set of goals

An organization’s long-term effectiveness may be determined by its ability to anticipate, manage, and respond to changes in its environment


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Changes Affecting Changes Affecting OrganizationsOrganizations

External forces Influences originating outside the organization (labor force, economy)

Stakeholders People or groups with an interest in the organization’s performance (customers, competitors, suppliers, government and regulatory agencies)


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Organizational BehaviorOrganizational Behavior

Concerned with work-related behavior Addresses:

Individuals and groups Interpersonal processes Organizational dynamics and systems

Emphasizes people skills in addition to technical skills

Involves the systematic study of the actions and attitudes people exhibit within organizations


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Attitudes of InterestAttitudes of Interest

Job satisfaction How organizational members feel about their job

Organizational commitment How committed or loyal employees feel to the goals of the organization


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Determinants of Determinants of Employee PerformanceEmployee Performance

Productivity Quantity and quality of output an employee generates

Absenteeism Rate of employee absences from work

Turnover Number of employees resigned divided by the total number of employees during the same time period


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Importance of Importance of Organizational BehaviorOrganizational Behavior Enables organizational members to better understand their own behavior as well as those of peers, superiors, and/or other subordinates

Helps individuals become more effective employees

Employees with high levels of organizational commitment are generally more satisfied with their jobs


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Organizational Organizational EffectivenessEffectiveness

An organization’s sustainable high performance to ultimately meet the needs of the organization, its members, and society

The ability to survive and thrive under conditions of uncertainty

Important contributors to the effectiveness of an organization are the quality of the workforce and their commitment to the goals and success of the organization


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Knowledge EconomyKnowledge Economy

United States has shifted from industrial focus and assembly line mentality in the 1900s to a knowledge economy in the 2000s

Requires highly educated employees for a more technologic information age

Health care workers view themselves as knowledge workers Requires organizations to be supportive and cultivate employee’s talents


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Models of Models of Organizational BehaviorOrganizational Behavior Autocratic Custodial Supportive Collegial


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High Performance High Performance OrganizationsOrganizations

Value people as human assets, respect diversity, and empower individuals to use their talents to advance personal and organizational performance

Mobilize teams that build synergy from the talents of its members

Successfully bring people and technology together

Thrive on learning Are achievement-oriented


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Magnet HospitalMagnet Hospital

Voluntary credentialing process

Health care organization that has met the rigorous nursing excellence requirement of the American Nurses Credentialing Center (ANCC), a division of the American Nurses Association (ANA)


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Goals of Magnet Goals of Magnet RecognitionRecognition

Promote quality in a milieu that supports professional nursing practice

Identify excellence in the delivery of nursing services to patients

Provide a mechanism for the dissemination of best practices in nursing services


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Characteristics of Characteristics of Magnet Nursing ServicesMagnet Nursing Services High-quality patient care Clinical autonomy and responsibility

Participatory decision making Strong nurse leaders Two-way communication with staff


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CharacteristicsCharacteristics

Community involvement Opportunity and encouragement of professional development

Effective use of staff resources

High levels of job satisfaction


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Benefits of Magnet Benefits of Magnet DesignationDesignation

Improved patient quality outcomes

Enhanced organizational culture

Improved nurse recruitment and retention

Enhanced safety outcomes Enhanced competitive advantage


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Essentials of MagnetismEssentials of Magnetism

Opportunities to work with other nurses who are clinically competent

Good nurse–physician relationships and communication

Nurse autonomy and accountability Supportive nurse manager-supervisor Control over nursing practice and practice environment

Support for education Adequate nurse staffing


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Forces of MagnetismForces of Magnetism

Quality nursing leadership Organizational structure Management style Personnel polices and programs Professional models of care Quality of care Quality improvement


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Forces of MagnetismForces of Magnetism

Consultation and resources Autonomy Community and the hospital Nurses as teachers Image of nursing Interdisciplinary relationships

Professional development


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Magnet Appraisal Magnet Appraisal ProcessProcess

Establish database to collect data on nursing-sensitive indicators (measures that reflect the outcome of nursing actions)

Benchmark Conduct gap analysis Receive written application Visit site Award decision