[Solved]: reply to this post: At Ascension St

reply to this post: At Ascension St. John Hospital, the Progressive Care Unit where I work ooperates within a functional hierarchical nursing structure, where leadership flows from the Chief Nursing Officer to nurse directors, unit managers, charge nurses, and then to staff nurses. This model supports clear communication, defined roles, and standardized care protocols, which are especially important in the fast-paced, high-acuity environment like the progressive care unit. One strength of this structure is that it allows for efficient delegation and accountability, ensuring that patient care is delivered consistently and safely. However, a challenge within this model is the limited influence that bedside nurses have in decision-making processes related to workflow improvements, staffing models, and policy changes. If I had the authority to make changes, I would enhance the existing shared governance structure by creating unit-based councils within the progressive care unit especially because it seems lie my boss has way to much on her plate so things don’t run smoothly. This would give frontline nurses greater opportunities to contribute their insights and collaborate with leadership on initiatives that directly impact patient care and staff well-being.