World Health Report, (2000) noted that “health scheme is the inclusion of all the performances implemented to endorse, reinstate or maintain health” (p.5). Globally, the organization of the health scheme varies. Furthermore, this system varies after a while due to the development and modification of the health scheme to put up new health status established within the restrictions of socio-cultural and economic anticipation of the population (Hunponu, 1995, p.15).
However, the system of health care in the Kingdom of Saudi Arabia has undergone a chain of changes within a short while thereby responding to the requirement of the indigenes.
The provision of sound and qualitative health care needs for the indigenes of the kingdom of Saudi Arabia has always been the priority of the policymakers of the kingdom. Accordingly, the kingdom of Saudi Arabia has gained with effort an astonishing success in the health care sector for the provision of health care services which includes the implementation and provision of free medical care for all the citizens of the kingdom. In addition to this, the supervision of all health care issues in all the clinics and hospitals which cater to the citizens is being carried out by the country’s Ministry of Health.
However, the country has numerous medical centers both private and government-owned within the country. Furthermore, to this with the diversity of both the private and governmental health sector within the kingdom, there are various practices of administering the differential health sector and various policies governing them.
Accordingly, the aim of the various health organizations is the provision of quality health service to the citizens of the country and the public at large. Consecutively, for the attainment of the success of this goal, the implementation of good management skills is essential. Moreover, the department of nursing of the hospitals requires good leadership to run the affairs and manage the organization to the high standard required in the health sector of the country.
This focal point of this organization review will be on King Faisal specialist hospital and research center, Riyadh in the Kingdom of Saudi Arabia (KFSH & RC). By this, the discussion will be based on the organization of the hospital, inclusive of its vision, mission, and statement of values.
Organization overview of King Faisal hospital
King Faisal Specialist Hospital and Research Centre (KFSH & RC) are one of the most highly specialized of all the hospitals in the kingdom of Saudi Arabia.
The hospital is in Riyadh, the capital city of the Kingdom of Saudi Arabia, however; this health care center has a state of the art facility coming next after the second and just before the fourth in position on medical research center hence, the provision of health services to both the country and the neighboring countries.
The KFSH&RC was set up in 1975 and was named after His Majesty the late King Faisal Bin Abdul-Aziz (KFSHRC, 2008).
Accordingly, the health care centers’ main objectives of the 850-bed facility are the provision of highly developed tertiary medical care, and embarking on research on different diseases, predominantly about the surroundings and the climatic conditions of the Kingdom of Saudi Arabia.
In line with this, the services rendered in KFSH&RC are of a highly dedicated nature, thereby the provision of treatment for only referral patients (Mufti, 2000, p.13).
In addition to this KFSH&RC has all the latest medical diagnostic and therapeutic equipment, and provides advanced medical services such as open-heart surgery, kidney transplant, and several other surgeries. The health care center is also the main referral center for the treatment of cancer in the country.
The nonindigenes are also frequently treated in the hospital but it is on special arrangement under the royal order or other acceptable sponsoring (Mufti, 2000, p.13). Mufti further stated in his book that because of the quality of and the highly specialized level of treatment provided, there are usually numerous requests from out of the country for treatment in the hospital (Mufti, 2000, p.13).
Management processes of King Faisal hospital
With the recent discussion on the improvement of the health care system globally, King Faisal Specialist Hospital & Research Centre has developed a new policy in the provision of quality health care standards within the country. KFSH&RC is determined to present therapeutic services of high and specialized standard and to contribute to the progress or growth of medical research and education programs, together with educational training for postgraduate students, with the contribution of the process on how to prevent diseases. Further to this, the vision of the organization is to become a leader in the provision of an excellent and innovative health care program globally through the teamwork extended network of qualified health care professionals and nurses, who are working energetically to accomplish the goal (KFSHRC, 2008).
Organizational design of King Faisal Specialist Hospital & Research Centre
An encompassing and useful approach to organization is a general, simple system theory (Von Bertalanffy, 1968; Churchman, 1968; Miller, 1972; Kast and Rozenzweig, 1970; and Katz and Kahn, 1966). Organizational design can then be defined as the formation of an organization, through the implementation of the chain of command, the communication process of making a decision (Ellis and Hartley, 2005 p. 10).
However, structuring is an organization’s progression toward finding a solution to two basic problems which are “the division of labor into a variety of assignments to be resolved and the harmonization of these responsibilities to achieve the activity” (Lucas & Barudi, 1994, p.9). Furthermore, lay-off organizational structures that present organizational deterioration in performance or quality and guarantee of task presented in a lively environment are concurrent to risk lessening (LaPorte & Consolini, 1991, p.19). In addition to this, Davidow & Malone, (1992); Goldman, Nagel & Preiss, (1995) noted that since a lot of organizations like King Faisal Specialist Hospital & Research Centre comprise a virtual organization, thereby making the number of redundancy in them not to be foreseeable.
Nevertheless, if replica responsibilities are implemented in geographically disseminated effective scenery by the members of an organization who do not contribute to each others’ principles, or recognize the roles of one another and the responsibilities there is a high tendency of redundancy in a virtual organization which will cause difficulties. However with the implementation of all these laid down principles and the understanding of teamwork and value, King Faisal Specialist Hospital & Research Centre has been able to rise and achieve the present standard, thus meeting the aim and goals of the organization.
The diagram below illustrates the broad diversity in the system of organization structure of King Faisal Specialist Hospital & Research Centre Riyadh. Further to this with unity and an effective network of teamwork the organization has been able to expand its medical services and able to manage the broad nurses and medical staff.
The organisational chart of King Faisal Specialist Hospital & Research Centre
Schein (1992; 1996) stated that culture is a set of crucial implicit statements that are assumed to be true and from which a conclusion can be drawn about how the earth is and should be that a collection of people share; it decides their representation of what is perceived, opinion, feelings, and to some extent, their obvious behavior (p.19).
The above diagram expatiates the working network undertaken by the organization, moreover, the organization of the health care industry is standardized, and effective and efficient attention is being given to the patients by the broad nurses at hand to deliver their duties. The hospital gives the international nurses and post-graduate nursing students the chance to embark on research and also training about Saudi Arabian moral ethics, culture, and language.
In the organization, the communication between the nurse and the patient plays an important role and served as the primary focus of achieving success in health care management, and there were several factors at play some of which promoted good communication within the organizational cultural environment. The facilities provided by the hospital and the ambiance created in the wards encourage calmness during periods of anxiety and fear.
Furthermore, with the management of experienced nurses the patients will be attended to by the nurses in a perfect environment that establishes therapeutic communication. Cultural background and religious beliefs served as a strong point since both the nurse and the patient shared these aspects. Therefore cultural barriers were significantly minimized. The nurse is also experienced in dealing with patients in the ICU can anticipate certain emotional and psychological needs of the patients.
Communication channels in nursing
Current nursing theories have emphasized that the primary responsibility of a nurse is the welfare of the patient. Unlike other situations where interaction with the consumer is only limited to supply and demand, nursing is deeper because it also involves intimate and emotional aspects of the patient. Therefore the importance of communication in nursing cannot be overemphasized. According to Anderson (2009), communication provides a platform for people to share feelings, emotions, and meanings.
When patients are taken to a healthcare facility with particular illnesses, some of them are usually full of hope that soon they will be back to their normal state of health. This group of patients usually tends to cooperate with the healthcare personnel. However, other patients also go to a healthcare facility completely dejected and on the verge of losing hope of fears doubts, and anxieties.
Other patients yet still go to the healthcare facility full of hopes but soon get disillusioned when the medical care given to them doesn’t work as expected. Nonetheless, there is substantial research that indicates that patients gauge the level of satisfaction they obtain from health care in terms of the interpersonal relationship established between them and caregivers. Research also indicates that a significant percentage of the success of a health care facility is contributed by nursing. Integration of these two factors outlines the importance of the relationship established between a nurse and a patient in the provision of quality health care.
This paper substantiated the fact outlined in the introduction; the research explains the mission and vision of KFSHRC, it further explains the organizational culture and structure in the health care system of KFSH&RC, and the role of the nurses in delivering an efficient service, hence, efficient and effective management of the organization.
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