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.
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.
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