Running head: ORGANIZATIONAL STRUCTURE AND CULTURE PAPER 1

Organizational Structure and Culture Paper

Francesca Beebe RN
NUR/492
July 13, 2014
Professor Urick












ORGANIZATIONAL STRUCTURE AND CULTURE PAPER 2

Organizational Structure and Culture Paper
All hospitals and facilities have a structure in which helps them keep order and function.
Every facility has adopted their own method or organizational that meets the needs and goals of
the facility. Organizational structure aids in the delivery of client centered care, utilization of
technology, problem solving methods, communication methods, decision-making abilities and
how structure and culture can influence care. This paper will discuss the organizational structure
of the facility that I work at and how it affects the everyday delivery of care.
The organizational structure that my facility uses is still the classical theory. The
classical theory has managers that manage and has an authority system that is followed (Hardin,
Lucas, North and Prewitt, n.d.). There is a hierarchy at my facility and they each hold a different
amount of power and authority depending on what their title is. The chain of command goes as
follows Chief executive officer (CEO), assistant CEO, director of nursing (DN), program
coordinator (PC), supervisors, charge nurse, nurse, and certified mental health techs (MHTs).
Each person in this chain of command has roles and responsibilities. For example the MHTs
should report any problems or concerns observed on the unit to the charge nurse and the charge
nurse is responsible for solving the problem and for reporting to the supervisors. If the problem
requires further evaluation the supervisors must then report it to the program coordinator and the
chain of command continues until it is resolved at the highest level possible.
The organizational structure at my facility supports client-centered care because it
supplies us each with a role that we are supposed to fulfill when taking care of our patients. On
my unit we have a treatment team that consists of the patients doctor, psychiatrist, charge nurse,
lead MHT, social worker, counselor and a certified addiction counselor. During treatment team
we each have a role that we must contribute and document during the patients treatment
planning. Each patient meets for treatment planning three times a week. Our program
supervisors, program coordinators and director of nursing review these treatment plans each
week and evaluate the work and care that is being delivered to each patient. We also are aware to
the chain of command and who to report to therefore when there are any concerns we know who
to go to in the event that we cant resolve it ourselves.