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Essay / Research Paper Abstract
A 3 page research paper that discusses this concept in relation to nursing practice. Bibliography lists 3 sources.
Page Count:
3 pages (~225 words per page)
File: KL9_khcccom.rtf
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Unformatted sample text from the term paper:
refers to an internal organizational structure that pertains to policy decisions. When problems occur, it seems to be a natural, knee-jerk reaction to want to go directly to the
highest possible level for a solution. For example , Hoch (2005) describes how parents tend to go directly to a school principal when they have concerns about a decision made by
a coach. In these cases, the parents will be politely referred to the appropriate person in the chain of command and instructed to follow it. As this suggests, when a
problem arises for a student nurse, the chain of command of a nursing school dictates that the first person who should be consulted is the nurses instructor; in a clinical
situation, the nurse should begin with the whomever is the immediate supervisor. Every school and healthcare organization is different and there will be varying numbers of administrative levels, but literature
indicates that a problem or concern should never be taken immediately to the top person in the chain of command. Nevertheless, in some cases, a concern may ultimately reach the
top level. For example, hospitals that have nursing staffing shortfalls or simply are trying to initiate cost-saving strategies have on occasion initiated policies that nurses feel put patients at
risk. For example, Mahlmeister (1996) relates a pediatric situation in which a night nurse in a small hospital was expected to work a split shift and also attend to the
needs of patients on an adult ward whenever the patient load on the pediatric ward fell below three patients. A nurse caught in one of these untenable situations was, first
of all, advised to pursue the internal chain of command at the hospital until the chain of command was exhausted. In other words, this meant not only taking the concern
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