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premise (what the theory is about), its salient features, criticisms (advantages and
disadvantage). Provide/discuss the usability and applicability of the theory in nursing
and give at least 1 example for each.
MATRIX OF DIFFERENT MANAGEMENT THEORIES
**CONTINGENCY THEORY**
Proponent Fred fiedler, hersey and blanchard, vroom and yetton
Main premise This theory asserts that managers make decisions based on the situation
at hand rather than a "one size fits all" method. A manager takes
appropriate action based on aspects most important to the current
situation. Managers in a university may want to utilize a leadership
approach that includes participation from workers, while a leader in the
army may want to use an autocratic approach.
Salient features 1. There is no universal or one best way to manage.
2. The design of an organizations and its subsystems must fit with the
environment.
3. Effective organizations not only have a proper fit with the environment
but also between sub-systems and;
4. The needs of an organization are better satisfied when it is properly
designed and the management style is appropriate both to the tasks
undertaken and the nature of the work group.
Contingency theory has survived over the decades as a valid and reliable
approach how to achieve effective leadership because it is grounded in
empirical research. Researchers who have followed fiedler have validated
contingency theory with their own research.
Contingency theory has broadened the scope of leadership understanding
from a focus on a single, best type of leadership (e.g., trait approach) to
emphasizing the importance of a leader's style and the demands of
different situations.
Advantages Contingency theory has also been proved to have 'predictive powers' in
determining the type of leadership that is most likely to be effective in
particular contexts.
Contingency theory suggests not to expect leaders to be equally effective
in all situations and therefore organizations should consider leaders in
optimal situations according to their leadership style.
Contingency theory supplies data on leadership styles that could be
useful to organizations in developing leadership profiles for human
resource planning.
Disadvantages 1. Inadequate literature:
Contingency approach suffers from inadequately of literature. Therefore,
it has not adequately spelled out various types of actions which can be
taken under different situations. It is not sufficient to say that ‘a
managerial action depends on the situation.’
The approach should provide ‘if this is the situation, this action can be
taken.’ unless, this is done, the approach cannot offer much assistance to
the practice of management. No doubt, researches have been conducted
in this direction but, by and large, they have not satisfied the needs of
managers.
**SYSTEMS THEORY**
Precursors
herbert spencer (1820–1903), vilfredo pareto (1848–1923), émile
durkheim (1858–1917), alexander bogdanov (1873–1928), nicolai
hartmann (1882–1950), robert maynard hutchins (1929–1951), among
others
Pioneers
1946-1953 macy conferences
Proponent 1948 norbert wiener publishes cybernetics or control and communication in
the animal and the machine
1954 ludwig von bertalanffy, anatol rapoport, ralph w. Gerard, kenneth
boulding establish society for the advancement of general systems theory, in
1956 renamed to society for general systems research.
1955 w. Ross ashby publishes introduction to cybernetics
1968 ludwig von bertalanffy publishes general system theory: foundations,
development, applications
Main premise Systems theory is an interdisciplinary theory about the nature of complex
systems in nature, society, and science, and is a framework by which one
theory y:
a more popular view of the relationship found
in the work place between managers and
workers, is explained in the concepts of
theory y. This theory assumes that people
are creative and eager to work. Workers tend
to desire more responsibility than theory x
workers, and have strong desires to
participate in the decision making process.
Theory y workers are comfortable in a
working environment which allows creativity
and the opportunity to become personally
involved in organisational planning (bittel).
Some assumptions about theory y workers
are emphasised in one of the texts, namely
that this type of worker is far more prevalent
in the work place than are theory x workers.
For instance, it is pointed out that ingenuity,
creativity, and imagination are increasingly
present throughout the ranks of the working
population. These people not only accept
responsibility, but actively seek increased
authority (lee).
According to another of the authors studied
for this project, in which the "participative"
(theory y) leadership style is discussed, a
participative leader shares decisions with the
group. Also mentioned, are subtypes to this
type of leader, namely the "democratic"
leader who allows the members of the
working group to vote on decisions, and the
"consensual" leader who encourages group
discussions and decisions which reflect the
"consensus" of the group (dubrin).
Theory x
pros
the work will get done faster because the
Advantages
managers will be micro-managing them and
keeping them on task. Work will be done like
clockwork with little room for error, because
1. Figurehead
2. Leader
3. Liaison
4. Monitor
5. Disseminator
6. Spokesperson
7. Entrepreneur
8. Disturbance Handler
9. Resource Allocator
10. Negotiator
Examples
Figurehead - As a nurse manager, a nurse should have social skills, ceremonial and legal
responsibilities. A nurse manager is expected to be a source of inspiration not only to her
subordinates but also to the patient. People may look up to you as a person with authority, and
as a figurehead.
Leader – As a Leader, he/she builds relationships with employees and communicates with,
motivates, and coaches them. Duties are at the heart of the manager-subordinate relationship
and include structuring and motivating subordinates, overseeing their progress, promoting and
encouraging their development, and balancing effectiveness. This is where a nurse manager
provides leadership to the team, department or perhaps the entire organization. As a leader,
nurses should check on the performance and responsibilities of the team or station to see to it
that they perform well to their abilities.
Liaison – Managers must communicate with internal and external contacts. A Nurse Manager
needs to be able to network effectively on behalf of your organization. Know how to communicate
to other departments for referrals and collaboration.
Monitor – In this role, a nurse regularly seek out information related to the organization and
industry, looking for relevant changes in the environment. Monitor the team, in terms of both
their productivity, and their well-being. The monitor seeks internal and external information about
issues that can affect the organization. Obligations include assessing internal actions, a
department’s success and the problems and opportunities which may rise. All the information
gained in this capacity must be stored, maintained and documented.
Entrepreneur – As a manager, he/she creates and controls change within the organization. This
means solving problems, generating new ideas, and implementing them. The entrepreneur acts
as an initiator, designer, and encourage of change and innovation. Roles encourage managers to
create improvement projects and work to delegate, empower and supervise teams in the
development process.
Resource Allocator – He/she also need to determine where organizational resources are best
applied. This involves allocating funding, as well as assigning staff and other organizational
resources. The resource allocator distributes resources of all types, including time, funding,
equipment, and human resources. Describes the responsibility of assigning and overseeing
financial, material and personnel resources.
Negotiator – Nurse Negotiator may be needed to take part in, and direct, important negotiations
within the team, department, or organization. The negotiator represents the organization in major
negotiations affecting the manager’s areas of responsibility is a specific task which is important
for the spokesman, figurehead and resource allocator roles.
Planning is generally considered the most basic management function and one
managers should spend a significant part of their time. Explain further why.
Planning is very central to every organization, team or group. Planning is also crucial for meeting
the needs during each action step with time, money, or other resources. With careful planning you
often can see if at some point you are likely to face a problem. It is much easier to adjust your plan
to avoid or smoothen a coming crisis, rather than to deal with the crisis when it comes unexpected.
We spend our time in certain ways because we choose to. There is nothing we do without choosing,
although our choices are not always careful or visible. We have the choice to work or not to work,
to write that report or not, to take the phone call or to wait. Each choice is based upon a reward
received or expected. Rewards are what you expect to gain from undertaking or postponing a
certain task. If you didn’t receive rewards, you would not continue that behavior. What rewards do
we get for managing time the way we do now? Learning to manage our time better will free up
time to do the really important things. Rewards come from good time management habits. Planning
is the most important part of the formula we call time management. Some of us say, “I don’t have
time to do any planning,” or “Things change too much to plan!” But this is a fact: research shows
that for every 1 minute you spend in planning, you will gain 10 in completing. 1 minute = 10
minutes. 10 minutes = 1 hour and 40 minutes! This may seem amazing because you may feel like
you are already doing all you can each day! If you could just gain an extra half-hour a day through
effective time management, you would have 22 more days available to you per year. Planning will
keep us on course in achieving our goals and objectives. Abraham Lincoln reportedly once said, “If
The solution is to learn to focus on the priorities of tasks and plan to accomplish them in order of
importance. If I don’t, there is a severe danger that the trivial, time-consuming activities of the day
will push the critical few entirely off the calendar.
So the dilemma is not a shortage of time—it is a problem of priorities. It’s more complex than not
having enough time or not managing your time effectively. Instead, it becomes a lesson in
managing priorities and being disciplined. There will always be more things to do than time to do
them. Sometimes you must forego something you would like to do in favor of something that has
to be done to accomplish your aims. Don’t fail to plan. If you do, plan to fail. ☺
STRENGTHS WEAKNESSES
Investments in healthcare informatics Legal cases filed, court complaints
Focus on community healthcare improvement Poor communication
projects Political or economic instability
Collaboration among healthcare organizations Understaffing
State-of-the art medical equipment
Duplication of Efforts
OPPORTUNITIES THREATS
Referrals Aging facilities
Introduction of clinical protocols to improve Increased demand for expensive medical
quality technology
Location Lack of continuity in clinical processes
Increased funding for healthcare informatics Growing uninsured population
New Health Programs supported by the
government
Community partnering to develop new
programs