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Related Experiment Videos

Administrative support team. A structural innovation

K M Eichelberger1, S Bebl, M L Lees

  • 1Patient Services, Saint Joseph Health Center, Kansas City, MO.

The Journal of Nursing Administration
|November 1, 1994
PubMed
Summary

An innovative nursing structure with an administrative support team was implemented to manage organizational changes. This model successfully supported five years of continuous adaptation and change within the nursing division.

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Area of Science:

  • Nursing Administration
  • Organizational Development
  • Healthcare Management

Background:

  • Societal, organizational, and leadership shifts necessitate adaptive healthcare structures.
  • Traditional nursing divisions face challenges in maintaining consistent purpose during change.
  • Need for specialized support within decentralized nursing units.

Purpose of the Study:

  • To implement and evaluate an innovative nursing organizational structure.
  • To assess the effectiveness of an administrative support team in a decentralized nursing division.
  • To determine the congruence of the new structure with existing quality and governance initiatives.

Main Methods:

  • Implementation of a flattened and decentralized nursing division.
  • Establishment of a four-role administrative support team for internal consultation.

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  • Evaluation studies conducted over a five-year period.
  • Main Results:

    • The administrative support team provided a unified organizational perspective.
    • The innovative structure aligned with nursing shared governance and total quality management.
    • The model effectively facilitated 5 years of ongoing organizational change.

    Conclusions:

    • The implemented nursing structure, supported by an administrative team, is effective in managing organizational change.
    • This model provides essential consultation and support for decentralized nursing divisions.
    • Structural innovation can successfully integrate with quality and governance frameworks.