Question

By following the steps of the Bain Model or Vroom-jago decision process ,show how you will ensure that the staff on the ward where you work comply with the directive given by the Nursing Administrator to have the quality of health assessment improved in the ward within a three (3) month period, and maintained, thereafter.

Answer 1

The Vroom-Yetton-Jago Normative Decision model offers five options:

• Autocratic 1; Decide independently
• Autocratic 2: Gather basic additional information from others to inform your decision, and then decide independently.
• Consultative 1: share the details of your situation with a small number of others in order to gather high-quality opinions, and then decide independently.
• Consultative 2: Facilitate a group to generate ideas, share impressions and weigh in on the decision, and then make the decision independently.
• Collaborative: Facilitate a group toward a consensus decision without regard for our own opinions.

Using this process in nursing to imporve qualit of health in the ward:

• You are the primary administrator for your ward and you have run this administration before. You have been asked by the staff to make a decision regarding equipment.Since one could argue that neither the quality of the decision or team buy in are critical,you can use Autocratic 1 and make the decision independently.
• You have been asked to meet with your staff in order to help new staff integrate into the group and get everyone focused on the same objectives. The quality of decision and team commitment are both important. Yet you likely dont have enough information to make the decision,nor is the problem well structured. This would suggest you use either the Consultative 2 or collaborative approach to make the decision.
• You would like to make a procedural change to how your program is run and the quality of the decision is important. You would like others on your team to support what you decide,but you also know they will trust you to make the decision yourself.Using the visual guide, you learn that your best approach is Autocratic 2. You gather basic input from the two other people who will have to make adjustments to their workflow and then you make the decision on your own.
• You have thoughts about strategic changes that could be made to your colleague's program.Hold on! common sense- and this decision making model-both dictate that this is not your decision and you need to use the collaborative method (or instead, share this mode and your specific strategic idea with your colleague and let them decide).

.