Author Question: Senior executives at Hospital A determine that the hospital will engage in a strategic planning ... (Read 152 times)

leo leo · **on:** Jul 8, 2018

Senior executives at Hospital A determine that the hospital will engage in a strategic planning process after changes in healthcare funding and concerns expressed in the community about care that is being delivered at the hospital.

The senior executives decide on a participatory process in which staff are widely consulted regarding input about the organization and the external environment and are actively invited to be part of decisions related to the mission statement, goals, and objectives. For true shared governance to be seen as part of this approach:

a. It must be evident in the outcomes of the process that staff and senior executives have partnered on the decisions.
b. Stakeholders must be assured of the value of their input even though final decisions rest with senior executives.
c. Publications must clearly outline how staff input was solicited and obtained.
d. Staff must be reassured that significant concerns will be kept in mind even if they have not been addressed in planning documents.

Question 2

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:

a. If there are no agreements, each member will make up rules about how to handle disagreements and relationships.
b. People are naturally difficult and will not work well together without such agreements.
c. People will naturally ask for agreements about how to be together.
d. A way to eliminate nonproductive team members must be available.

cdmart10 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
Shared governance demands participation in decision making. When partnership, equity, and ownership are not involved, then shared governance has not occurred, and publication and expressions of appreciation for input will not be seen as representative of shared governance.

Answer to Question 2

ANS: A
People must agree on the goals and mission with which they are involved. They have to reach some understanding of how they will exist together. Tenets or agreements such as I will respectfully speak promptly with any team member with whom I have a problem go a long way to avoid gossiping, backbiting, bickering, and misinterpreting others. Without agreement, people have implicit permission to behave in any manner they choose toward one another, including angry, hostile, hurtful, and acting-out behavior.