Impact of Hierarchical and Decentralized Governance Structures in the Healthcare Industry

  1. Hierarchical Governance Structure: Describe the major elements and benefits of the hierarchical governance structure.
  2. Decentralized Governance Structure: Describe the major elements and benefits of the decentralized governance structure.
  3. Governance Structure Impact on Communication and Just Culture: Compare a nurse executive leader’s communication methods, ability to implement quality initiatives, and ability to support a just culture in both hierarchical (top-down) and decentralized (servant-leader) governance structures.
  4. Governance Structure Impact on Workforce Interactions: Analyze how the governance structure of an organization can impact behaviors and interactions with staff and others.
  5. HRO Principles: Identify the HRO principles that are easier or harder to implement with these two governance structures.


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