Shared governance and leadership in nursing organizational s…

Scenario: Riverside Medical Center is a 300-bed acute care hospital that recently shifted from a traditional hierarchical structure (with decisions flowing from administrators to directors to managers to staff) to a shared governance model intended to give bedside nurses a greater voice in decision-making. The medical-surgical unit is one of the first units piloting this model. A unit council made up of staff nurses, a charge nurse, and the nurse manager now meets monthly to discuss staffing patterns, scheduling, safety initiatives, and supply allocation. However, tension has been growing as some senior nurses feel that the council meetings are a waste of time and believe management should make decisions more quickly. Newer nurses appreciate being included in decision-making but are unsure how much authority they actually haveespecially when their suggestions conflict with physician preferences or administrative policies. Charge nurses are frustrated because they still hold accountability for staffing and safety, but feel undermined when the staff council challenges their scheduling or resource decisions. And the nurse manager is caught between encouraging staff participation and ensuring compliance with hospital policies. Recently, a scheduling conflict escalated when the council voted to change weekend rotation rules, giving nurses more consecutive weekends off. The charge nurses argued that this decision created unsafe staffing levels on Sundays. When the nurse manager sided with the charge nurse, several staff nurses felt their voices werent truly being respected. Since this change, morale has started to dip, and some nurses are openly questioning whether shared governance is just for show. In a 2-3 page paper in APA format, address the following (hint: use the bolded words as your headings). Case Analysis Identify the type of organizational structure at the hospital. Describe how power and authority are distributed between staff nurses, charge nurses, and the nurse manager. Discuss the advantages and disadvantages of shared governance in this situation. Leadership Response As the nurse manager, how would you address… Communication, including expectations and clarifying authority related to the scheduling conflict? Empowering your staff, but maintaining accountability and patient safety? What leadership style do you think is the most appropriate to manage this conflict? Why did you choose this one? Personal reflection Reflect on a current or past workplace What kind of organizational structure did it follow? How did the structure affect communication, collaboration, and leadership effectiveness? Would you prefer to work in a shared-governance or traditional hierarchy unit? Why? Formatting 2-3 pages (not including title and reference pages) in APA 7 format 2 scholarly sources Artificial Intelligence (AI) is not to be used for this assignment. AI scores will be generated through Turnitin and will be visible to the instructors only. Any AI percentage of greater than 50% will be required to meet with the instructor; if the score is 80% or greater, the student will receive a zero for this assignment.