Question Description

Discussion: Organizational Chart Assessment

Think about a particular organization. How would you depict the reporting structure in this organization? What is the flow of communication and decision making between various people? Does the image in your mind match with one (or more) of the organizational structures discussed in this week’s Learning Resources? Why or why not?

For anyone working in a health care setting, looking at the organizational chart can provide useful information about the context that affects daily practice as well as the achievement of longer term goals. For managers, understanding the structure and dynamics portrayed in such a chart—as well as those that may be missing—is especially important.

For this Discussion, you analyze an organizational chart from the point of view of nursing management.

To Prepare

  • Obtain a copy of an organizational chart which does not have a shared governance model. You can find a list of current magnet–recognized hospitals at:
  • Examine both organizational charts through the lens of management (i.e., think about the responsibilities and concerns that you, as a manager, may have).
  • Review Marquis and Huston (2017), Display 12.5 The 14 Forces of Magnetism for Magnet Hospital Status and Learning Exercise 12.4
  • Think about how the organizational charts align?
  • Think about how communication actually occurs at your organization.

Learning Resources

Note: To access this weeks’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.


Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

  • Chapter 2, “Classical Views of Leadership and Management”
  • Chapter 3, “Twenty–First Century Thinking About Leadership and Management”
  • Review Chapter 12, “Organizational Structure”
  • Chapter 19, “Organizational, Interpersonal, and Group Communication”

    Chapter 19 covers many aspects of the communication process, including group communication. As you read this chapter, focus on the stages of group development (forming, storming, norming, performing) and group dynamics (group task roles, group building and maintenance roles, problematic roles). Consider how you can apply these concepts as you engage in group work.

Faulkner, J., & Laschinger, H. (2008). The effects of structural and psychological empowerment on perceived respect in acute care nurses. Journal of Nursing Management, 16(2), 214–221.
Retrieved from the Walden Library databases.

American Association of Colleges of Nursing. (2014). Fact sheet. Creating a more highly qualified nursing workforce. Retrieved from–relations/fact–shee…

Huston, C. J. (2013, May 2013). The impact of emerging technology on nursing care: Warp speed ahead. The Online Journal of Issues in Nursing, 18(2) Manuscript 1. DOI: 10.3912/OJIN.Vol18No02Man01. Retrieved from the Walden Library databases. 

King Saud University. (n.d.). The organizational structure of nursing service department. Retrieved from… 

Kumar, S., Deshmukh, V., & Adhish, V. S. (2014). Building and Leading Teams. IndianJournal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 39(4), 208–213. doi:10.4103/0970–0218.143020 Retrieved from the Walden Library databases.

Mindtools (n.d.). Leadership skills: Become an exceptional leader. Retrieved from

University of New Mexico. (2016). Nursing organizational chart. Retrieved from…

Wong, C. A., Cummings, G. G., & Ducharme, L., (2013). The relationship between nursing leadership and patient outcomes: a systematic review update. Journal of Nursing Management, 21(5), 709–724. Retrieved from the Walden Library databases

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