Which of the following conditions must be met in order to ensure the efficient and effective operation of a healthcare organization?
A) Span of control must be kept as narrow as possible.
B) The chain of command must be explicitly and clearly delineated.
C) The formal organizational structure must closely mimic the informal relationships that exist
(the "grapevine").
D) Registered nurses must occupy positions in employee, middle management, and executive
roles.
Ans: B
The effective operation of a healthcare organization requires a detailed and clear
chain of command. A narrow span of control is not always preferable to broader spans of
control and formal structure does not necessarily have to replicate informal structures, though
each should be acknowledged and recognized. It is certainly possible, and potentially beneficial,
for nurses to occupy a variety of roles in the organizational hierarchy but this is not a
precondition for successful organization.
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