One of the major challenges with a shared governance model is _________
a. time constraints for decision making
b. hierarchical models of decision making
c. government influence in decision making
d. committees making all the decisions
a
a. Correct: In shared governance, committees that include administrators and direct care nurses focus on decisions related to the standard of nursing practice, and this committee structure operates concurrently with the hierarchical hospital and nursing administration structures. However, the rapid time frame required for many decisions can mean that these decisions are made by administration rather than through committees, because shared governance involves a longer decision-making process.
b. Incorrect: Shared governance is not a hierarchical model of decision making.
c. Incorrect: Shared governance does not involve government influence in decision making.
d. Incorrect: In shared governance, decisions are made by committees, so this is not a major challenge. The challenge is that this type of decision-making process takes time, and may not work well when there are time constraints on decision making.
You might also like to view...
The leadership team is selecting the leaders for the implementation of a clinical information system. Which skill does the informatics nurse possess that supports the implementation process?
A) Communication B) Time management C) Conflict resolution D) Usability principles
Placing the baby at mother's breast facilitates early latch and promotes successful breastfeeding. When should breastfeeding be initiated?
1. 6 to 12 hours after birth 2. Within 1 hour of birth 3. 24 hours after birth 4. 48 hours after birth
The full-time nurses on the unit and the nurse manager are discussing the use of a combination plan to schedule nurses on this unit
Which of the following statements by a nurse is most commonly applicable to the traditional 8-hour shift, 40-hour work week? 1. "I am always so tired after I work this shift. I don't know how long I can keep it up." 2. "It seems like my whole day is spent working." 3. "It seems like I'm always at work." 4. "I have a lot of free time each week."
The patient is scheduled to go home after having coronary angioplasty. The most effective way to provide discharge teaching to this patient would be to:
a. Provide him with information on health care websites b. Provide him with written information on what he has to do c. Sit and carefully explain what is required before his follow up d. Use a combination of verbal and written information