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Karen Weiss, RN, is the leader of the nursing department in a medical clinic. The staff members like her because she can get things done and keep things moving. Although she has a highly developed sense of order, recent dramatic changes in how care is rendered in a population-based approach are making it harder for her to stay "in control." She feels as though things are getting ahead of her now, and she is losing her touch. Others are not as satisfied with her performance as they once were.
1) What is the real issue in this case?
2) How does Karen's need for control conflict with the principles of complexity?
3) Who is accountable for decisions?
4) Should Karen change her manner of leading?
5) If so, how should she change it, and what does she need to do to change it?
6) How does Karen ensure that staff members are more involved in decisions that affect their own lives?
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