o There is clearly defined superior-subordinate relationship

o AR ►and power are concentrated at the top

2. Flat/Horizontal Organization

o Decentralized type
o Applicable in small organization
o Nurses become productive and directly involved in the decision making
skills
o Workers become satisfied
3. Functional Organization

o Permits a specialist to aid line position within a limited and clearly

defined scope of authority
4. Ad Hoc Organization

o Modification of bureaucratic structure

5. Matrix structure

o Focus on both product and functions

o Most complex
o Has both vertical and horizontal chain of command and line of
communication

Staffing
o Process of assigning competent people to fulfill the roles designated for
the organizational structure through recruitment, selection and
development, induction and orientation of the new staff of the goals,
vision, mission, philosophy etc.

Staffing Process
1. Preparing to Recruit – types and number of personnel
2. Attracting a Staff – formal advertisement
3. Recruiting and Selecting a Staff – interview ►induction ►orientation
►job order ►pre-employment testing ►signing of contract
Staffing Pattern – plan that articulates how many and what kind of staff are
needed/shift or per day in ►unit or in ►department.

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Two Ways of Developing a Staffing Pattern

1. Determine the # of nursing care hours needed/patient
o Generating the full time equivalents of an employee
2. Determine the nurse-patient ratio in providing nursing care

 FTE – measure of work committed of full time employee

o 1.0 FTE = works 5 days/week, 8 hours/day
o 0.5 FTE = part time employee who works 5 days/2 weeks

Considerations in Staffing Pattern