As the nurse executive, discuss your vision that you would like to implement for the organizational structure at SLMC. Share your rationale. How would you incorporate aspects of the person-centred nursing framework into your vision? Using motivational theory, discuss your strategies, as the nurse executive, for creating a motivating climate and atmosphere that supports a more positive work environment.

The nurse executive of SLMC would like to see a decentralized, flatter structure. This structure will allow front-line nursing staff to take action and make decisions that are in support of person-centered care. The nursing staff would be able to take a greater role in designing and implementing the care process, which will encourage them to feel more responsible and accountable for their care.

My vision would include the integration of the person-centered nursing model. The person is at the heart of the care process, with an emphasis on their individual preferences and values. We can make sure that each patient receives the best care possible by incorporating the framework into our organizational structures.

To create a motivating climate and atmosphere that supports a positive work environment, I would use several motivational theories, including Maslow’s Hierarchy of Needs and Herzberg’s Two-Factor Theory.

Maslow’s Hierarchy of Needs suggests that people have a hierarchy of needs, ranging from basic physiological needs to self-actualization. In order to create an environment that is motivating, I will ensure nursing staff has access to all the support and resources they require to fulfill their safety and basic physiological needs. This includes adequate staffing, equipment and working conditions. In order to help nurses achieve their goals, I encourage professional development and growth.

Herzberg’s Two-Factor Theory suggests that job satisfaction is influenced by two sets of factors: hygiene factors, such as salary and working conditions, and motivators, such as recognition and growth opportunities. Both motivators and hygiene are key to creating a positive environment. Nursing staff should be fairly paid, receive benefits and are provided with a comfortable and safe environment. Also, I would reward and recognize nursing staff’s contributions as well as encourage growth and development.

My vision of the organizational structure for SLMC was to have a more flat, decentralized structure which empowers nurses to give person-centered care. To create a motivating climate and atmosphere, I would use motivational theories such as Maslow’s Hierarchy of Needs and Herzberg’s Two-Factor Theory to ensure that nursing staff have access to the resources, support, and recognition they need to deliver high-quality care and thrive in their roles.

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