The unit-based nursing council identifies that the personal protective equipment (PPE) worn by staff has been tearing and asks their manager to support a proposal to change a safety protocol related to the equipment. The manager reviews the proposal, agrees the change is needed, and submits the proposal to the safety committee. The safety committee reviews the proposal and decides not to make the change because of budgetary constraints.

1.

What cues might the unit-based nursing council members identify?

2.

What hypothesis will the members consider based on the available information?

3.

What options does the nursing council have in response to this decision?

4.

How can the council members and the manager be effective leaders in response to this situation?