The medical center nurse executive tells the nurse managers that the nursing department will be instituting evidence-based management (EBM). The medical center has a history of bureaucratic management style
What should the managers consider about these two facts? 1. The history of centralized decision making in the bureaucratic organization will make EBM easier to implement.
2. Since EBM depends on all managers following rigid policies and procedures this transition should go quickly.
3. These two concepts have very little influence on one another.
4. The restrictions on decision making that are common in bureaucratic organizations will make use of EBM strategies difficult.
4
Explanation: 1. This centralized decision-making will go against the strategies of EBM. EBM calls for managers to make decisions based upon best management practice evidence. This strategy does not lend itself to centralized decision making.
2. This statement does not reflect the strategies associated with EBM. EBM calls for managers to make decisions based upon best management evidence.
3. This statement is not accurate. A bureaucratic management style will make EBM very difficult to implement.
4. EBM calls for managers to base decisions on best management evidence whenever possible. When the agency has a bureaucratic style, decision making is centralized and restricted, so use of EBM strategies may be difficult.
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