One obstacle in the implementation of a shared governance model is that nurses have:
a. empowered participation in committee meetings.
b. minimal experience with building con-sensus.
c. the same basic educational foundation.
d. traditionally worked in decentralized structures.
B
Nurses traditionally have worked in strong hierarchical institutions with centralized decision making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures. This presents another obstacle in that such conditions constrain peer-based, lateral, and collegial dialogue. Nurses may not have depth of experience in attending committee meet-ings, setting agendas, developing consensus, dealing with conflict, and conducting meetings. Another obstacle is that nurses come from various educational backgrounds.
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