Author Question: Traditionally, nurses have worked in strong, hierarchical institutions with centralized ... (Read 26 times)

jazziefee · **on:** Jul 8, 2018

Traditionally, nurses have worked in strong, hierarchical institutions with centralized deci-sion-making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures that have resulted in barriers to creating a

shared governance system. Such barriers include: a. role clarity.
b. lack of time management.
c. poor time management skills.
d. inexperience with conflict resolution.

Question 2

A group of managers is meeting to discuss ideas related to the successful implementation of evidence-based practice on their units. Susan has been asked by the director of care to assume leadership of these discussion groups.

After two such sessions, Susan expresses disappointment to her mentor that the group seems disinterested in her ideas and that they are listening to Ken, who has much less experience with leadership. In discussing this with Susan, the mentor under-stands that leadership: a. Is a designated role.
b. Must be earned.
c. Is more likely to be taken by someone who is more talkative.
d. Rarely is taken over by someone with less experience.

Heffejeff · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

D
Traditionally, nurses have worked in strong, hierarchical institutions with centralized deci-sion-making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures. This presents an obstacle in that such conditions constrain peer-based, lateral, and collegial dialogue. As a result, nurses may not have depth of experience in attending and conducting committee meetings, setting agendas, developing consensus, and dealing with con-flict. Additional barriers to shared governance include inadequate time for education and buy-in by the nursing staff, staff apathy, role confusion, insufficient incentives, and a lack of support and recognition.

Answer to Question 2

B
A person can have an impressive title, but title or designation does not make the person a leader. A leader must have the ability to inspire others to follow.