{"title":"Developing a mission, vision, and philosophy in the new context of cultural diversification.","authors":"J Young","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article is about the blending of a mission, vision, and philosophy of care by two systems of health care that are both rich in history and vision. The unique qualities of each hospital are described. The diversified cultures of each organization are discussed in terms of reaching a final decision regarding the joint vision, philosophy of care, and mission of the system that has been redesigned.</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"36-8"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cultural diversity as a strength: building symbiotic relationships.","authors":"D M Lehmann","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transforming cultural chaos.","authors":"D Schloeder","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Kotter believes that generating short-term wins is a critical component of the change and transformation process. Our short-term win-wins have allowed us to further collaborate, which consequently has given us more wins. These wins have been communicated. The communication has conveyed a sense of optimism and hope, and has empowered people to view change as a positive challenge. The challenge has become one in which all want to participate. Finally, we are at a point where the end of one way of life is truly the beginning of a new and better way of life. T.S. Eliot was right!</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"11-6"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Understanding the impact of power in organizations.","authors":"C King, A Koliner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although implementation of Shared Governance appears to have failed, it failed primarily on the surface. Many staff nurses actively involved in the Shared Governance movement not only were empowered but were dramatically affected on a professional level. Several council chairpersons were empowered to assume management roles in the transition back to the hierarchial model--a manifestation of their professional growth and development. At the unit level, several units lobbied the new leadership to allow them to continue to do peer review and unit-based council management of unit governance issues. Three councils lobbied to continue to do their work, although in a modified role, in the reestablished hierarchial structure. The three remaining councils were those of Practice, Quality, and Research. If nurse leaders at any level within the organization are to guide their departments forward while in the throes of the current chaos in health care, they must develop and use their power bases, both formal and informal, as individuals and then as leaders. Russell Coile identifies the need for more clinical expertise (expert power) on the executive team of health care organizations. He predicts that 50% of the executive team will be nurses and physicians and that only health care executives with an MBA or financial backgrounds, who also have well-developed informal power bases with skills in relationship development, facilitation, and networking, will be part of the new system. Those with a diversified informal power base will be most successful in guiding their organization to its destination. The future for nursing leaders is in the sharing of information; it is about embracing diversity and recognizing the contributions others can make that are refreshingly different; it is also about clearly defining a balance in life, because balanced leaders who have found a way to nurture and meet their own needs are better positioned to do the same for others. Ultimately, understanding the impact of power in an organization, regardless of organizational structure, begins with understanding and defining your own power base.</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cultural chaos in the trenches: staff perspectives.","authors":"P Untied","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When a hospital is acquired by a large health care organization, there are many challenges, for both the hospital and the organization. When the differences in culture are not addressed effectively by management at the time of acquisition, this can result in cultural chaos for the staff and a lengthened transition time. In this article, a staff member shares the observations, opinions, and feelings she experienced during such a time of cultural chaos between two well-respected organizations. Her opinions and observations are juxtaposed with the lives of two amalgamated fictionalized characters.</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Economic climate and cultural diversity: a merging picture.","authors":"D Schori-Ahmed, J Murray","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article explores the merging of a single nonprofit hospital with a nonprofit health care system of hospitals. It also provides the unique financial history of health care reimbursement in California that makes such merges imperative for the success of single hospitals. A unique patient-focused care model, shared governance, and the implications in the financial diversity of merging health care entities also are discussed.</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"30-5"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Organizational culture in the changing workplace: an employee assistance program perspective.","authors":"J Churchill","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rapid change experienced in the work world today results in an often dramatic change in the organizational culture. In the process of culture change, employees experience loss of identity and loss of meaning in their work. These losses will manifest themselves in the workplace in the form of withdrawal, isolation, the failure of teamwork, and a high conflict milieu. It is helpful to the effective navigation of the change process to facilitate the grieving of these losses. Only when these losses have been successfully mitigated will employees experience a resurgence of energy and commitment.</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Managing cultural diversity: when organizations merge.","authors":"D Schloeder","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Change in health care systems: one physician's perspective.","authors":"E Heffernan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Marketing culture to the community.","authors":"D Schloeder, D Schori-Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When the merging of organizational cultures comes together, a plan must be implemented to market the new organization to the community. Community, in this instance, is defined as the patients, employees, physicians, insurers, and any others who may be affected by a change in the health care system. This article focuses on a merging organizational culture and the marketing of that new culture.</p>","PeriodicalId":79376,"journal":{"name":"Seminars for nurse managers","volume":"7 1","pages":"47-9"},"PeriodicalIF":0.0,"publicationDate":"1999-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21241471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}