دانشگاه آزاد الکترونیکی کارشناسی ارشد مدیریت بهداشت و خدمات درمانی

برخی اطلاعات مورد نیاز برای دانشجویان ورودی نیمسال اول ۹۴-۹۳

دانشگاه آزاد الکترونیکی کارشناسی ارشد مدیریت بهداشت و خدمات درمانی

برخی اطلاعات مورد نیاز برای دانشجویان ورودی نیمسال اول ۹۴-۹۳

راهنمای ارزیابی استانداردهای اعتبار بخشی بیمارستان در ایران

این مطلب توسط نویسنده‌اش رمزگذاری شده است و برای مشاهده‌ی آن احتیاج به وارد کردن رمز عبور دارید.

انگلیسی برای دانشجویان رشته کارشناسی ارشد مدیریت خدمات بهداشتی جلد 1 - درس 2ترجمه درس توسط آقای آرین پور

2ترجمه درس توسط آقای آرین پور

Organizations as Organisms

l.et’s think about organizations as if they were organisms.

We find ourselves thinking about them as living systems,

existing in a wider environment on which they depend on the

satisfaction of various needs. And as we look around the organizational

world we begin to see that it is possible to identify different species of

organization in different kinds of environment. Just as we find polar

bears in arctic regions, camels in deserts, and alligators in swamps, we

notice that certain species of organization are better “adapted” to

specific environmental conditions than others, We find that

bureaucratic organizations tend to work most effectively in

environments that are stable or protected in some way and that very

different species are found in more competitive and turbulent regions,

such as the environments of high-tech iirrns in the aerospace and

microelectronics industries.

The problems of mechanistic visions of organization have led

many organization theorists away from mechanical science and toward

biology as a source of ideas for thinking about organization. In the

process, organization theory has become a kind of biology in which the

distinctions and relations among molecules, cells, complex organisms,

species, and EC0lH@/ are paralleled in those between individuals,

groups, organizations, populations (species) of organizations, and

their social ecologl, And in pursuing this line of inquiry, organization

theorists have generated many new ideas for understanding how

organizations function, and the factors that influence their well being.

Discovering Organizational Needs Not surprisingly, organization

theory began its excursion into biology by developing the idea that

employees are people with complex needs that must be satisfied if they

are to lead full and healthy lives and to perform effectively in the

workplace. ln retrospect, this hardly appears a profound insight,


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because from a modern perspective this seems an obvious fact of life.

We all know t_hat employees work best when motivated by the tasks

they have to perform, and that the process of motivation hinges on

allowing people to achieve rewards that satisfy their personal needs.

However, in the early part of this century this idea was by no means

obvious, For many people work was a basic necessity, and those who

designed and managed early organizations treated it as such. Hence.

people like Frederick Taylor and the other classical management

theorists were able to view the design of organizations as a technical

problem, and the task of encouraging people to comply with the

requirements of the organizational machine was reduced to a problem

of “paying the right rate for thejob.” While esprit de corps was viewed

as a valuable aid to management, management was viewed primarily

as a process of controlling and directing employees in their work.

Most organization theory since the late l920s has rested in

overcoming the limitations of this perspective. We can start the story

with the Hawthome Studies. These were conducted in the 1920s a.nd

1930s under the leadership of Elton Mayo, at the Hawthorne Plant of

the Westem Electric Company in Chicago. At the outset the studies

were primarily concemed with investigating the relation between

conditions of work and the incidence of fatigue and boredom among

employees. As the research progressed, however, it left this narrow

Taylorist perspective to focus on many other aspects of the work

situation as well, including the attitudes and preoccupations of

employees and factors in the social environment outside work. The

studies are now famous for identifying the importance of social needs

in the workplace and the way work groups can satisfy these needs by

restricting output and engage in all manner of unplanned activities. In

identifying that an “informal organization” based on friendship groups

and .unplanned interactions can exist alongside the formal organization

documented in the ‘blueprints' designed by management, the studies

dealt an important blow to classical management theory, They showed

quite clearly that work activities are influenced as much by the nature

of human beings as by formal design, and that organization theorists

must pay close attention to this side of organization.

With the Hawthorne Studies, the whole question of work

motivation thus became a buming issue, as did the relations between

individuals and groups. A new theory of organization began to emerge,

built on the idea that individuals and groups, like biological organisms,

operate most effectively only when their needs are satisfied.

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Theories of motivation presented the human being as a kind of

psychological organism smuggling to satisfy its needs in a quest for full

growth and development. This theory which suggested that humans are

motivated by a hierarchy of needs progressing through the% 

ترجمه درس توسط آقای آرین پور  

سازمان به مثابه یک ارگانیسم

اجازه بدهید در مورد سازمانها ،زمانیکه آنها به عنوان ارگانیسم تلقی می شوند ،فکر کنیم.

ما افکار خودمان را درباره آنها به عنوان سیستم های زنده موجود در محیط وسیع تر ،جائیکه  آنها وابسته به بهره مندی از نیازهای متنوع هستند :پیدا کردیم همانطور که ما به پیرامون جهان سازمانی نگاه می کنیم ،شروع به   دیدن این مطلب  کردیم که شناسایی گونه های مختلف سازمان  در انواع متفاوت محیطی امکان پذیر است به طوریکه ما فرم های قطبی را در مناطق شمالی ،شتر ها را در بیابان و تمساح را در مرداب پیدا کردیم .ما متوجه شدیم که انواع معین سازمان  با شرایط محیطی مشخص نسبت به سایرین ،بهتر تطبیق می یابند.ما دریافتیم که سازمانهای بورد کراسی تمایل به فعالیت های موثرتری در محیط هایی که ثابتند  یا در برخی شیوه های محافظت شده هستند :دارند و اینکه گونه های متفاوت زیادی در نواحی آشفته و رقابتی از قبیل محیط هایی از شرکت های فنی بالا در ماورا جو و صنایع میکرو الکترونیکی پیدا شدند.

مشکلات تصورات مغناطیسی سازمان ،بسیاری از تئوری های سازمانی را که به دور از علم فنی است و به سمت بیولوژِی به عنوان منبعی از ایده ها برای فکر کردن در باره سازمان می باشد .سوق می دهد.در این پروسه تئوری سازمان ، نوعی از بیولوژی که در تمایزات وروابط بین مولکول ها،سلول ها ، ارگانیسم های پیچیده انواع و اکولوژی که در بین اشخاص ،گرو هها ، سازمان ها گونه های جمعیتی ،سازمانها و اکولوژی اجتماعی  شان برابر هستند :می باشد ودر پیگیری این خط از تحقیق    تئوری های سازمانی ،بسیاری  ایده های نو را برای فهم چگونگی عملکرد سازمان ها و فاکتور هایی که بخوبی تحت تاثیر آنها شده اند بوجود آورده است.

کشف نیاز های سازمانی : شگفت انگیز نیست که، تئوری  سازمانی ،سیر خودش را به سمت بیولوژی با توسعه ایده ای که کارمندان افرادی با نیاز های پیچیده هستند که بایستی راضی نگه داشته شوند ،اگر که آنها به سمت زندگی سالم و کامل سوق داده شوند و به طور موثرتری در محیط  کاری انجام (وظایف) می کنند .در نگاهی به گذشته ،این (تئوری) بندرت یک دیدگاه ژرف عمیق به نظر  می رسد چرا که از دیدگاه مدرن به نظر می رسد که حقیقتی آشکار از زندگی باشد.همه ما می دانیم که کارمندان ،وقتی توسط وظایفی که بایستی انجام دهند مورد تشویق واقع می شوند :بهتر کار می کنند و پروسه انگیزه منوط به اجازه افراد برای دستیابی به پاداش هایی است که نیاز های شخصی شان را براورده سازد.بهر حال در بخش اولیه این سده ، این ایده با هیچ معنای واضح و مبرهن نبود.برای بسیاری از مردم کار یک ضرورت اساسی بود و کسانی که سازمانهای اولیه را طراحی و مدیریت می کردند بدین ترتیب رفتار می کردند.بنابراین مردم، فردریک تیلور و تئوری مدیریتی کلاسیک دیگر را دوست دارند که قادر به دیدن طراحی سازمان ها به عنوان مشکل فنی می باشد و وظیفه تشویق افراد برای کامل کردن نیاز های ماشین سازمانی که مشکل پرداخت نرخ واقعی شغل را کاهش دهد در حالیکه روح رفاقت به عنوان  مساعدتی ارزشمند برای مدیریت دیده می شود .مدیریت به عنوان پروسه کنترل و هدایت کارمندان در کارشان لحاظ می شود.

بیشتر تئوری سازمان از اواخر 1920با غلبه بر محدودیت های این دیدگاه است.  ما می توانیم داستان را با مطالعات Hawthorne ، شروع کنیم .این در سال 1920و1930 تحت رهبری التان مایو در   Hawthorne plant از کمپانی  western Electric در شیکاگو ،هدایت شده بود. در مطالعات خارج از  مجموعه ،با تحقیق کردن رابطه بین شرایط کار و شواهد مبهم و کسل کننده در بین کارمندان در نظر گرفته می شود .همانطور که تحقیق پیشرفت کرد آن ، این مقاله را به عنوان دیدگاه  Taylirist برروی بسیاری از جنبه های دیگر موقعیت کاری متمرکز کرد:که شامل نگرش ها و اشتغالات قبلی کارمندان و کارخانه ها در محیط اجتماعی کار بیرونی است.اکنون مطالعات برای شناسایی اهمیت نیاز های اجتماعی در محیط کاری مهم هستند روش  گروههای کاری می تواند این نیاز ها را با محدود کردن output   و بکار گیری در همه حالت فعالیت های طراحی نشده برآورده سازند در تشخیص اینکه یک سازمان غیر رسمی بر پایه ی گروه های دوستی و تقابلات طراحی نشده می تواند در کنار سازمانهای رسمی با برنامه کاری که به وسیله مدیریت طراحی شده است ثابت شود. واین مطالعات با اهمیت (این مطلب)به سمت تئوری مدیریتی کلاسیک سر کار دارد.آنها  نشان دادند به طور واضح که فعالیت های کاری تحت تاثیر طبیعت انسانی با طرح رسمی است و تئوری سازمان بایستی توجه نزدیکتری به این جنبه از سازمان داشته باشد.

با مطالعات  Hawthorne ،پرسش کلی از انگیزش کاری همانطور که روابط بین اشخاص وگروه ها را انجام می دهد :یک مسئله حیاتی می باشد. تئوری جدید سازمان شروع به پیدایش کردو ایده ای را ساخت که اشخاص و گروهها  شبیه ارگانیسم های بیولوژیکی هستند که تنها زمانیکه نیازهایشان برآورده شود :عمل می کند. تئوری انگیزشی تلاش انسان که به عنوان یک موجود سایکولوژی برای پیشرفت و رشد کامل نیاز های خود می کند را ارائه می کند.

این تئو ری پیشنهاد می دهد که انسانها با سلسله مراتبی از نیاز های در حال رشد بواسطه ،روانشناسی ،اجتماعی و روانشناختی که مفاهیم بسیار قوی داشت .تشویق می شوند .آن پیشنهاد می دهد که سازمانها بوردکراسی بدنبال راهی برای تشویق کارمندان از طریق پول یا تنها با فراهم آوردن امنیت شغلی می باشد که توسعه انسانی برای سطوح پایین تر از سلسله مراتب نیاز ها را محدود می کند. بسیاری از تئوری های مدیریتی برای دیدن اینکه حرفه ها وروابط بین شخصی می تواند برای ایجاد شرایطی برای رشد شخصی که به طور همزمان

به سازمانها برای دستیابی به اهداف و افعال کمک کند:مجددا طراحی شدند.

توجه خاصی برروی ایده به وجود آوردن احساس مفید سودمندی و اهمیت بیشتر با دادن شغل های معنادار متمرکز شده و همچنین با دادن استقلال ،مسئولیت پذیری :و شناسایی قابلیت های آنها به عنوان عاملی برای دخیل کردن آنها در امور شغلی .ارتقائ شغلی همراه با رهبری مشارکتی ،دموکراتیک و کارمند محور ،شیوه دیگری است در مقایسه با رویکرد های باریک بینانه ،تحکم آمیز و غیر انسانی که نتیجه مدیریت علمی و تئوری مدیریت کلاسیک می باشد.

انگلیسی برای دانشجویان رشته کارشناسی ارشد مدیریت خدمات بهداشتی جلد 1 - درس 3

The Decision-making Process

The decision-making process is a systematic series of sequential steps.

The steps include

1- Recognizing the problem

2- Gathering and processing information

3- Evaluating alternatives

4- Deciding, selecting, or choosing

5- Implementing post-decision activities

The first necessary condition for a decision is a problem.

Problems exist where goals are to be attained and uncertainty exists

about an appropriate solution. A problem must also suggest more than

one alternative solution, The decision-making process is then a

sequential and reiterative series of psychological and physical activities

in which the decision-ma.ker seeks and evaluates information to

achieve the required level of confidence to reach a decision.

The process is not rigid; it allows a person to move backward or

forward or to skip stages, For example, in some instances gathering

and processing information may precede problem recognition, for

nurse administrators may be seeking information to arrive at one

decision only to learn of a need for an additional related decision, For

example, when using fomis to collect data and attempting to tabulate

information and write a quarterly or annual report, the administrator

may realize that the fomi circulated did not satisfactorily request the

needed information, The situation men requires new, Lmexpected

decisions. For organizational reasons, we will discuss decision-making

steps in their listed sequence.

Recognizing the Problem

Identifying a problem is an essential prerequisite for decision making.

Although this step at first glance appears simple, it is actually the most

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complex, for it involves a perception of the current state of affairs.

Because people view reality differently from one another, each holds a

slightly different preference about what an ideal state, situation, or

outcome should be. One might postulate that a perfect situation would

exist whenever the actual and the ideal were totally congruent, but this

seldom occurs, as both actual and ideal are in a continuous state of

flux. lncongruence between actual and ideal does not alone constitute a

problem; rather the incongruence must be of sufficient magnitude to

provoke problem recognition.

It is easy to get caught up in symptoms and never really identify

the real problem. Thus, it is helpful to state specifically what is wrong

and what improvements seem feasible. Then, the nursing administrator

can gather facts, investigate possible causes, and determine the real

problem,

Nursing administrators, who are continually faced with limited

resources, must establish priorities about the importance of various

problems, For example, a problem involving inadequate office space

may be irritating to a nursing supervisor or clinical specialist, yet it

may not be recognized or perceived as a problem by those in upper

levels of hospital administration. The nursing administrator must

therefore choose either to ignore the unsatisfactory situation or to

gather sufficient information to convince the hospital administrator that

a problem does exist. The decision will depend on the amount of time

and energy that can be devoted to the issue at a given time, after the

nursing administrator has taken other demands and priorities into

consideration.

When evaluating a problem, the decision maker needs to look at

both the problem’s priority and its potential for being solved. Nursing

administrators will occasionally encounter high-priority problems that

have limited potential for being solved. The nursing administrator

faced with high staff tumover might find, for example, that the

problem largely stems from the unusual demands of one surgeon who

insists on beginning a surgical schedule at 4 A.M. The hospital

administrator, while acknowledging the nursing problem, refuses to

intervene in the physician’s control of the hospital schedule because

the physician brings a large number of patients to the hospital. In this

case, the problem, although important to the nursing administrator,

may be unsolvable.

Faced with such situations, nursing administrators must often

establish priorities for dealing with problems. Reitz suggests three

possible ways of choosing priorities.

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 The first problem encountered is the first problem solved, In

other words, deal with problems in the order in which they

appear.

2. Problems that can be dispensed with immediately are given priority

over more time-consuming ones. That is, give the easiest problems

to solve first priority.

3. Give crisis or emergency problems priority over all others.

Once a nursing administrator has arranged problems according to

priority and degree of solvability, it is time to begin gathering and

processing information.

 

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انگلیسی برای دانشجویان رشته کارشناسی ارشد مدیریت خدمات بهداشتی جلد 1 - درس 4

Managers and Leaders-Are They

? Different

Theodore Levitt has described the essential features of a managerial

Culture with its emphasis on rationality and control:

Management consists of the rational assessment of a situation and

The systematic selection of goals and purposes (what is to be done

The systematic development of strategies to achieve these goals; the

Marshalling of the required resources; the rational design, organization,

Direction and control of the activities required to attain the selected

Purposes; and, finally, the motivating and rewarding of people to do

The work.

In other words, whether his or her energies are directed toward

Goals, resources, organization structures, or people, a manager is a

Problem solver. The manager asks himself “What problems have to be

Solved, and what are the best ways to achieve results so that people

Will continue to contribute to this organizat.ion'?” In this conception,

Leadership is a practical effort to direct affairs; and to fulfill his task, a

Manager requires that many people operate at different levels of status

And responsibility. Our democratic society is, in fact, unique in having

Solved the problem of providing well trained managers for business.

The same solution stands ready to be applied to movement,

Education, health care, and other institutions. It takes neither genius nor

Heroism to be a manager, but rather persistence, tough-mindedness,

Hard work, intelligence, analytical ability and, perhaps most important,

Tolerance and good will.

Another conception, however, attaches almost mystical beliefs to

What leadership is and assumes that only great people are worthy of the

Drama of power and politics. Here, leadership is a psychodrama in

Which, as a precondition for control of a political structure, a lonely

Person must gain control of him or herself such an expectation of

Leadership contrasts sharply with the mundane, practical, and yet

Managers and Leaders-Are They

? Different

Theodore Levitt has described the essential features of a managerial

Culture with its emphasis on rationality and control:

Management consists of the rational assessment of a situation and

The systematic selection of goals and purposes (what is to be done

The systematic development of strategies to achieve these goals; the

Marshalling of the required resources; the rational design, organization,

Direction and control of the activities required to attain the selected

Purposes; and, finally, the motivating and rewarding of people to do

The work.

In other words, whether his or her energies are directed toward

Goals, resources, organization structures, or people, a manager is a

Problem solver. The manager asks himself “What problems have to be

Solved, and what are the best ways to achieve results so that people

Will continue to contribute to this organizat.ion'?” In this conception,

Leadership is a practical effort to direct affairs; and to fulfill his task, a

Manager requires that many people operate at different levels of status

And responsibility. Our democratic society is, in fact, unique in having

Solved the problem of providing well trained managers for business.

The same solution stands ready to be applied to movement,

Education, health care, and other institutions. It takes neither genius nor

Heroism to be a manager, but rather persistence, tough-mindedness,

Hard work, intelligence, analytical ability and, perhaps most important,

Tolerance and good will.

Another conception, however, attaches almost mystical beliefs to

What leadership is and assumes that only great people are worthy of the

Drama of power and politics. Here, leadership is a psychodrama in

Which, as a precondition for control of a political structure, a lonely

Person must gain control of him or herself such an expectation of

Leadership contrasts sharply with the mundane, practical, and yet

41

organized, and taught as skills, then society’s faith in technique over

personal qualities in leadership remains the guiding conception for a

democratic society contemplating its leadership requirements. But

there are times when tinkering and trial and error prove inadequate to

the emerging problems of selecting goals, allocating resources, and

distributing wealth and opportunity. During such times, the democratic

society needs to find leaders who use themselves as the instruments of

leaming and acting, instead of managers who use their accumulation of

collective experience to get where they are going.

 

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انگلیسی برای دانشجویان رشته کارشناسی ارشد مدیریت خدمات بهداشتی جلد 1 - درس 1

 What is an Organization

An organization is a consciously coordinated social entity. with a

relatively identifiable boundary, that functions on a relatively

continuous basis to achieve a common goal or set of goals. That`s a

mouthful of words. so let us break it down into its more relevant parts,

The words consciously coordinated imply management. Social

entity means that the unit is composed of people or groups of people

who interact with each other. The interaction patterns that people

follow in an organization do not just emerge; rat_her, they are

premeditated. Therefore. because organizations are social entities, the

interaction patterns of their members must be balanced and

harmonized to minimize redundancy yet ensure that critical tasks are

being completed. The result is that our definition assumes explicitly

the need for coordinating the interaction patterns of people.

An organization has a relatively identyiable boundary. This

boundary can change over time, and it may not always be perfectly

clear. but a definable boundary must exist in order to distinguish

members from nonmembers. It tends to be achieved by explicit or

implicit contracts between members and their organizations. ln most

employment relationships, there is an implicit contract where work is

exchanged for pay. ln social or voluntary organizations, members

contribute in return for prestige, social interaction, or the satisfaction of

helping others. But every organization has a boundary that

differentiates who is and who is not part of that organization.

People in an organization have some continuing bond. This bond,

of course, does not mean lifelong membership. On the contrary,

organizations face constant change in their memberships. although

while they are members, the people in an organization participate with

some degree of regularity. For a salesperson at Sears Roebuck, that

may require being at work eight hours a day, tive days a week. At the

other extreme. someone functioning on a relatively continuous basis as

1



a member of the National Organization for Women may attend only

few meetings a year or merely pay the annua.l dues.

Finally. organizations exist to achieve something. These

"something" are goals, and they usually are either unattainable by

individuals working alone or. if attainable individually, are achieved

more efficiently through group effort. While it is not necessary for all

members to endorse the organization’s goals thlly, our definition

implies general agreement with the mission ofthe organization.

? What is Organization Structure

Our definition of organization recognizes the need for formally

coordination the interaction patterns of organization members.

Organization structure stipulates how tasks are to be allocated. who

reports to whom. and the formal coordination mechanisms and

interaction patterns that will be followed.

? What is Organization Design

Our third term, organization design. emphasizes the management side

of organization theory. Organization design is concerned with

constructing and changing an organization’s structure to achieve the

organizations goals. Constructing or changing an organization is not

unlike building or remodeling a house. Both begin with an end goal.

The designer then creates a means or plan for achieving that goal. In

house construction, that plan is a blueprint, In organization building,

the analogous document is an organization chart.

? What is Organization Theory

From our previous definitions, it is not too difficult to deduce what we

mean by the term organization theory. It is the discipline that studies

the structure and design of organizations, Organization theory refers to

both the descriptive and prescriptive aspects of the discipline. It

describes how organizations are actually stnictured and offers

suggestions on how they can be constructed to improve their

effectiveness.

? Why Study Organization Theory

Organizations are the dominant form of institutions in our society.

Organizations pervade all aspects of contemporary life-society as a


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whole, the economy, as well as our personal lives. It is not

unreasonable, then, to expect us to want to understand this

phenomenon that is so intertwined in our lives.

At a more sophisticated level, you may want to replace your

intuitive theories of organization with ones that have been derived

scientifically and systematically.

When we use the phrase systematic study, we mean looking at

relationships, attempting to attribute causes and effects, and basing our

conclusions on scientific evidence; that is, data gathered under

controlled conditions and measured and interpreted in a reasonably

rigorous manner. The objective is to replace intuition or that “gut

feeling” one has as to “why organizations are designed as they are” or

"what works best when” with scientifically based theories.

Probably the most popular reason for studying organization

theory (OT) is that you are interested in pursuing a career in

management. You want to know how organizations operate, have that

knowledge based on some scientific evidence, and then use this

knowledge for constructing and changing an organization`s structure to

achieve the organization’s goals. In other words, you expect to practice

organization design as a manager, administrator, personnel analyst,

organizational specialist or the like.

 

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