Question

A health-care organization is transitioning from a centralized staffing system to a decentralized staffing system. A nurse-manager should anticipate what outcome of this change?

1) Increased cost-effectiveness through better use of resources
2) Increased fairness to employees through consistent, objective, and impartial application
3) Increased availability of data for monitoring the effect of staffing size and composition, quality of care, and costs
4) Greater manager autonomy, resulting in an increase in self-esteem and teamwork

Answer 1

4) Greater manager autonomy, resulting in an increase in self-esteem and teamwork

A nurse-manager should anticipate greater manager autonomy and increased self-esteem and teamwork with the shift to a decentralized staffing system. This structure supports flat organizational relationships and a team-based approach to management.

Step-by-step explanation:

When a health-care organization transitions from a centralized staffing system to a decentralized staffing system, a nurse-manager should anticipate greater manager autonomy, resulting in increased self-esteem and teamwork. This move aligns with the trend towards flat organizational structures and the forming of collegial relationships within the workplace. It also encourages a team-based approach where diverse skills and experiences contribute to the organization's broader goals.

Decentralization in staffing allows nurse-managers to have more control over their units, which can facilitate immediate decision-making and more personalized management. Moreover, decentralized systems can provide teamwork opportunities and employee empowerment, which are well-suited to the dynamic nature of healthcare, where rapid response to changes can significantly impact patient care quality.