Based on the scientific management theory, what are some of the routines in health care that

seem to be inefficient? What examples of participative decision making exist in your workplace?

Provide your rationale.

The scientific management theory was proposed by Frederick Taylor and was aimed at

ensuring efficiency at the workplace. The principles proposed by Taylor include the use of

efficient methods to perform tasks, assigning tasks based on capability and training workers,

performance monitoring and supervision, and allocation of work between employees and

managers. In my workplace, the procedure of oxygen administration is inefficient. Before

undertaking this procedure, nurses are expected to go through all the documentation with another

nurse. The nursing supervisor also has to verify the papers and give approval. This takes a lot of

time and could lead to the deterioration of the patients’ condition especially if they urgently need

care (Duffield, Gardner & Catling‐Paull, 2008). Another inefficient routine is the admission of

patients. Routine admission tests are performed on the patients regardless of whether the patient

had undergone the same tests recently. Therefore, redundant and unnecessary testing is done.

The scientific management theory supports formal organizational structures where

managers have unchallenged authority in order to achieve organizational control, productivity

and internal efficiency. However, too much exercising of authority by managers, for instance,

making sure that they approve every procedure such as oxygen administration can lead to

inefficiency. Moreover, designation of specific procedures for every task such as mandatory tests

and strict supervision of nurses causes inefficiency, unnecessary costs to the hospital and reduced

job satisfaction (Campbell, Fowles & Weber, 2004). Participative decision-making occurs in the

workplace when setting the procedures and policies for patient care. The nurses give their views

on the best ways to deliver patient care. They take part in making decisions that affect the scope

and nature of their practice. Involving them in decision-making is important because nurses are

directly involved in the patients’ clinical care (Weston, 2010).

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