Identify two challenges CNOs face when working with a shared governance structure.
Discussion Question1: Shared Governance
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Week 3 – Assignment 1 Discussion Discussion Question 1: Shared Governance Structure and the CNO During the 1980s, nursing and healthcare were suffering from challenges of an acute nursing shortage, rampant nurse turnover, and issues with nurse retention. In the mid-1980s, shared governance was instituted to incentivize and empower nurses. Shared governance is an innovative organizational model promoting staff control and autonomy over nursing practice in areas that were previously controlled by managers. The concept of shared governance may be a challenge to understand because it is not uniformly applied or operationalized and because of the great diversity in shared governance models. Nurses working in organizations with shared governance models are more empowered and have higher levels of satisfaction in their roles. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Compare the roles of the CNO and nursing directors or managers in a shared governance structure. What steps can the CNO take to enable smooth operations in such a structure? Identify two challenges CNOs face when working with a shared governance structure. Compare and contrast a model of shared governance with an authoritarian or autocratic CNO. Examine the role of the CNO in working to set parameters for nurses in a shared governance structure. Comment on the postings of at least two peers. Evaluation Criteria: Compared the roles of the CNO and nursing directors or managers in a shared governance structure. Listed steps the CNO can take to enable smooth operations in such a structure. Identified two challenges CNOs face when working with a shared governance structure. Compared and contrasted a model of shared governance with an authoritarian or autocratic CNO. Examined the role of the CNO in working to set parameters for nurses in a shared governance structure. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. DQ2 Discussion Question 2: Staff Concerns and the CNO Often, gossip mills and rumors tend to circulate very quickly throughout healthcare organizations even though everything is supposed to be confidential. Good and bad news travel quickly; one of the greatest challenges the CNO or vice president for patient care services (VPPCS) faces is to control and share information with the staff members so that they receive the same message in the same way at the same time. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: What role does the CNO or VPPCS play in addressing the concerns of the entire staff in nursing town-hall meetings? Why is this role important? Provide an example of a need for the CNO or VPPCS to schedule an entire staff town-hall meeting. How can the CNO or VPPCS minimize gossip and information via the “grapevine” before an entire staff town-hall meeting? How would you craft an agenda and circulate it for a town-hall meeting? How can the CNO or VPPCS integrate the use of electronic and social media into addressing staff concerns in twenty-first-century healthcare organizations? Comment on the postings of at least two peers. Evaluation Criteria: Described the role of the CNO or VPPCS in addressing the concerns of the entire staff in nursing town-hall meetings, and explained the importance of this role. Provided an example of a need for the CNO or VPPCS to schedule an entire staff town-hall meeting. Suggested ways in which the CNO or VPPCS can minimize gossip and information via the “grapevine” before an entire staff town-hall meeting. Explained how you would craft an agenda and circulate it for a town-hall meeting. Recommended ways in which the CNO or VPCSS can integrate the use of electronic and social media into addressing staff concerns in twenty-first-century healthcare organizations. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.