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RN Nursing · Leadership and Management in Nursing · Practice question

A nurse-manager has recently been accused of assigning work unequally. The manager has recognized the need to revise the process for assigning work to nurses. How can the manager best apply the principles of Theory Z? Gathering input from employees in order to reach a consensus

Answer & explanation

Correct: Gathering input from employees in order to reach a consensus

Theory Z, developed by William Ouchi, is a management philosophy that emphasizes a participative and collaborative approach to decision-making. It draws from Japanese management culture and stresses the importance of involving employees at all levels in the decision-making process to build consensus, trust, and long-term loyalty. Gathering input from employees in order to reach a consensus is the hallmark application of Theory Z, because it recognizes that those closest to the work often have the best insight into workflow problems and fair solutions. In this scenario, the manager who is revising the work assignment process would best apply Theory Z by soliciting staff perspectives and working toward a shared agreement. Making a decision independently and imposing it on nurses reflects an autocratic leadership style, which is the opposite of Theory Z. Making a decision based on pros and cons is more consistent with rational or classical decision-making models rather than Theory Z's consensus-building focus. Identifying as many alternatives as possible aligns more with brainstorming techniques within general decision-making frameworks. The defining feature of Theory Z is the collaborative, bottom-up involvement of employees, making consensus-building through employee input the best answer for how a manager applies this theory to resolve a workplace fairness concern.

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