r e

c t u
t r u
l S
n a
ti o
i za
a n
rg
O
Prepared by: Miss Samah Ishtieh

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 1

 Organizational Structure
Organizational
Structure refers to the
way in which a group is
formed, its lines of
authority, span of
control and channels of
communication.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 2

 Organizational Structure
The typically hierarchical arrangement of lines of
authority, communications, rights and duties of an
organization.
 Organizational structure determines how the roles,
power and responsibilities are assigned, controlled,
and coordinated, and how information flows between
the different levels of management.
A structure depends on the organization's objectives
and strategy.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 3

Purposes of Organizational Structure
It reveals information about size of the nursing
service department.
It shows the different functions in the nursing
department
It shows the span of control of each manager in the
nursing department.
It shows levels and layers of supervisions, and
channels of communication
It can be used for orientation of newly hired
employees.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 4

What is organizational structure.mp4

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 5

 Types of Organizational Structure

Traditionally, nursing departments have used

one of the following structural patterns:
 Line organization,
 line- and-staff organization,
Functional organization,
Ad hoc organization,
Matrix organization.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 6

 Types of Organizational Structure

Line Organization = Bureaucracy

This type characterized by each position has

general authority over lower positions in the
hierarchy…. It relay mostly on orders.
According to this type of organization, the authority
flows from top to bottom in a concern. The line of
command is carried out from top to bottom.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 7

 Bureaucracy
Disadvantages:
Rigid and create engender
Advantages passivity and dependence
•Easy to orient new in staff members.
personnel Weak integration of
•Responsibility and different divisions.
Concentration of authority
accountability are
clearly defined at the top make employee
to refer problems to
superiors, and managers
view them as incompetent,
who perform under threat
12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 8
 Line Organizational structure
Nursing Director ND

Deputy N D Deputy N D

Nursing Supervisor

Head Nurse

12:04‫ ص‬١٤٤٢/٠٣/٢
Staff Nurse 9
Miss Samah Ishtieh
Line and Staff Organization

This pattern is originated to support the chief

executive, the specialists are to improve
management functions. It is purely advisory
(consultant , or specialist) to the liner structure
and has no authority.
Work is carried out in accordance with specialized
functions, and authority is exercised in a hierarchical
manner. In a highly centralized structure, decisions
are made by a few executives or managers and flow
downward through the enterprise.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 10

 Line and Staff Organization
Advantages Disadvantages
•Employees are This type may

less stressed produce monotony,

•Authority and which alienate
workers, ‫زل‬/‫ع‬//‫ ت‬،‫رتابة‬
responsibility are ‫ل‬//‫لعما‬//‫ا‬
clearly defined Adherence to chain
•Efficiency and of command ,
simplicity of restrict upward
relationship. communication

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 11

 Line-Staff Organizational structure

Nursing Director ND

Deputy N D Deputy N D

Nursing Supervisor Coordinators

Head Nurse

Staff Nurse
12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 12
 :Functional Organization
In this structure, staff officer are no
purely advisory but have some
command authority over line employees
for certain functions. This is frequently
done with advisory positions in areas
such as nursing education, infection
control, or hospital risk management.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 13

 :AdHoc organization

A project team or task force of a group of

diverse specialists who are temporarily joined
to perform a nonroutine task of a complex
nature and critical importance to the agency.
This type creates flexibility and cohesiveness
among workers than does line structure. This
structure’ disadvantages are decreased strength
in the chain of command and decreased
employee loyalty to the parent organization.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 14

 :Matrix Organization
This structure uses the adhoc approach
but builds the team into a fully functional
hierarchy. Under this organizational
pattern, employees clearly work for two
or more managers. It has a formal
vertical and horizontal chain of
command.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 15

 Matrix Organizational structure

Presedent

Vice P Nursing Vice P Finance Vice P Human R

Nursing Supervisor Supervisor Supervisor

Head Nurse Dep. Head Dep. Head

Staff Nurse Employee Employee

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 16

 Advantages Vs Disadvantages of
Matrix Organization
Advantages:
They
Disadvantages:
establish a dual
(‫نائي‬//‫ )ث‬focus within the
organization, which • It violates unity of
facilitates the command
acquisition and • Dual authority
development of promote power
specialized inputs. struggles
It provides flexibility.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 17

 Organizational Chart
Is a picture of an organization to depict its structure
reporting relationships and communication channels.
It helps identify roles
It defines formal relationships within the organization.
◦ Line positions: It denotes the formal relationships,
lines of communications, and authority. These lines
can be shown by either horizontal or vertical
unbroken lines (solid)
◦ Staff positions: It denotes advisory relationships, It is
represented by dotted or broken lines. They lake the
authority that accompanies it.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 18

 Types of Organizational Chart
Structural chart: Shows the various components
of the organization and outlines their basic
interrelationship
Functional Chart: Reflects the functions and
duties of the components of the organization and
indicates the interrelationships of these functions
Position Chart: Specifies the names, positions, and
titles or ranks of the personnel which fit into the
organizational structure.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 19

 Steps in drawing the
Organizational chart
Draw a chart of the present department plan, the
actual working one, not the formal.
Review the department functions and determine
what activities are needed in order to carry them
out.
Departmental activities are then expressed in
terms of positions. Each position is given a title
that broadly defines its responsibilities.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 20

Cont. Steps in drawing the
Organizational chart

Each job title is then enclosed in a box.

To place these boxes on the chart; review
relationship of the nursing department
with other hospital department
Lines of authority are symbolized by solid
and dotted lines

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 21

 Analyzing Organizational
Structure
Step 1.
Design a list of the key activities. These will
include the following:-
Results producing activities related to direct
patient care, such as nursing, storing, training,
recruiting and employment.
Support services, which may include those
related to vision or future, values and standards,
audit advice and teaching.
Hygiene and house keeping activities.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 22

 Steps of Analyzing
Organizational

Top management activities such as managing

people marketing and innovation.

Step 2. Based on the work function to be performed,

decide on the units of the organization.

Step 3. Decide on which unit or component will be

joined and which separated. Join activities that
make the same kind of contribution.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 23

 Steps of Analyzing
Organizational

Step 4. Decide on the size and shape of the units

or components.
Step 5. Decide appropriate placement and
relationship of the units and components.
Step 6. Draw or diagram the design and put it into
operation. This will result in an organization
chart or schema ((‫مخطط هيكلي‬.

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 24

 Assignment 1: (home work) on Sunday
16/2/2020
Explain the differences between Centralization
versus Decentralization system

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 25

12:04‫ ص‬١٤٤٢/٠٣/٢ Miss Samah Ishtieh 26