Question

The "Leadership" (LD) chapter is divided ino four sections: "Leadership Structure," "Leadership Relationships,", "Hospital Culture and System Performance Expectations," and "Operations." Standards pertaining to leadership structure convey some basics precepts about leadership's role and responsibilities. Which statement below does not accurately portray the role and responsibility of leadership?

A. The governance or governing body has the ultimate authority and responsibility for establishing policy and maintaining safety and quality of care, treatment, or services. These responsibilities of the governing body are defined in writing.

B. Senior managers (including the CEO and nurse executive) and leaders of the organized medical staff work with the governing body to define their shared and unique responsibilities and accountabilities. The organized medical staff is accountable to the governing body.

C. The CEO, who is selected by the organized medical staff, manages the hospital and identifies a nurse leader at the executive level.

Answer 1

The statement that inaccurately portrays leadership responsibility is the selection of a CEO by the organized medical staff; typically, the governing body is in charge of such decisions. Leadership structures range from informal to formal and can be instrumental or expressive based on the organization's needs.

Step-by-step explanation:

The statement that does not accurately portray the role and responsibility of leadership is: "The CEO, who is selected by the organized medical staff, manages the hospital and identifies a nurse leader at the executive level." Typically, in an organizational structure, it is the governance or governing body that has the ultimate authority in policy establishment and upholding safety and quality of care, with responsibilities outlined in writing. The CEO and senior managers, such as the nurse executive, work alongside the governing body to define shared and unique responsibilities, with the organized medical staff being accountable to the governing body. The selection of a CEO is usually the purview of the governing body or board of directors and not the organized medical staff.

Leadership in various group structures can range from informal to formal with defined chains of command. In smaller, primary groups like families, leadership is often informal, without formal voting or selection processes. Conversely, in secondary groups such as military units, corporations, or healthcare organizations, leadership tends to be formalized with clear roles and a chain of command.

Additionally, leaders may be instrumental in nature, focusing on task completion, or expressive, emphasizing emotional support and cohesiveness within the group. Organizations today, however, are increasingly adopting flat structures where hierarchies are less pronounced and collaboration across levels is encouraged.