Organizational Chart Assessment Think about a particular healthcare organization. How would you depict the reporting structure in this organization? What is the flow of communication and decision making between various people? Does the image in your mind match with one (or more) of the organizational structures discussed in this week’s Learning Resources? Why or why not?  For anyone working in a health care setting, looking at the organizational chart can provide useful information about the context that affects daily practice as well as the achievement of longer term goals. For managers, understanding the structure and dynamics portrayed in such a chart—as well as those that may be missing—is especially important.  For this Discussion, you analyze an organizational chart from the point of view of nursing management. To prepare: •Obtain a copy of an organizational chart which does not have a shared governance model. •Obtain a copy of an organizational chart from a magnet hospital. You can find a list of current magnet-recognized hospitals at   •Examine both organizational charts through the lens of management (i.e., think about the responsibilities and concerns that you, as a manager, may have). •Review  Marquis and Huston (2015) page 279, Display 12.5 The 14 Forces of Magnetism for Magnet Hospital Status and Learning Exercise 12.4 •Think about how the organizational charts align? •Think about how communication actually occurs at your organization.

An organizational chart is a visual representation of the reporting structure within an organization. It provides information on how departments, positions, and individuals are interconnected and how information flows within the organization. In the context of a healthcare organization, the reporting structure is crucial for understanding the flow of communication and decision making between various individuals in the organization.

When depicting the reporting structure in a healthcare organization, one must consider the different levels and departments within the organization, such as administration, nursing, medical staff, and support services. The reporting structure typically follows a hierarchical pattern, where higher-level positions have authority over lower-level positions and are responsible for making decisions that impact the organization.

In a healthcare organization, the flow of communication and decision making is a complex and interconnected process. Communication can occur vertically, from higher to lower levels and vice versa, as well as horizontally, between individuals at the same level of the organization. Decision making is often a collaborative effort, involving multiple individuals and departments.

The image of the reporting structure and the flow of communication and decision making within a healthcare organization may or may not match with one or more of the organizational structures discussed in this week’s learning resources. The organizational structures typically discussed in the context of healthcare organizations include functional, divisional, and matrix structures.

A functional structure is characterized by grouping individuals and departments based on their specialized functions, such as nursing, medical, and administrative functions. This structure ensures that individuals with similar skills and expertise are grouped together, enhancing efficiency and specialization. Communication and decision making in a functional structure often follow a top-down approach, with higher-level managers directing lower-level staff.

A divisional structure, on the other hand, groups individuals and departments based on specific products, services, or geographic locations. This structure allows for greater focus and specialization within each division, but may also lead to duplication of effort and coordination challenges. Communication and decision making in a divisional structure can be both vertical and horizontal, with divisional managers making decisions for their respective divisions.

A matrix structure combines elements of both functional and divisional structures and is often used in complex healthcare organizations. This structure allows for greater flexibility and collaboration across different functions and divisions, but can also be more challenging to manage. Communication and decision making in a matrix structure involve multiple channels, with individuals reporting to both functional managers and project managers.

When analyzing an organizational chart from the perspective of nursing management, it is important to consider the specific responsibilities and concerns that a nursing manager may have. Nursing managers are responsible for overseeing the nursing department, ensuring quality patient care, managing staff, and coordinating with other departments. They play a crucial role in communication and decision making within the organization, particularly related to nursing practice and patient care.

In the case of a healthcare organization with a shared governance model, the reporting structure and flow of communication may be different compared to organizations without a shared governance model. Shared governance models involve empowering frontline staff, including nurses, in decision making and promoting a collaborative and participatory approach to management. This may result in a more flattened reporting structure, where individuals at different levels have a voice in decision making and communication occurs more freely across the organization.

It is important to consider how the organizational charts align with the forces of magnetism for magnet hospital status. Magnet hospitals are recognized for their excellence in nursing practice and promote a culture of nursing excellence, innovation, and professional development. The 14 forces of magnetism encompass various indicators of nursing excellence, including transformational leadership, interdisciplinary relationships, and professional development opportunities. Analyzing the organizational charts in this context can provide insights into the extent to which nursing management is integrated into the overall organizational structure and decision-making processes.

Finally, when considering how communication actually occurs at an organization, it is important to compare it with the formal communication channels depicted in the organizational chart. While the organizational chart provides a visual representation of the ideal communication flow, actual communication within an organization may be influenced by informal networks and relationships, organizational culture, and individual preferences. Understanding these factors can help nursing managers navigate and enhance communication within their departments and across the organization.