Traditionally, nurses have worked in strong, hierarchical institutions with centralized decision-making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures that have resulted in barriers to creating a shared governance system. Such barriers include:

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The Answer of Traditionally, nurses have worked in strong, hierarchical institutions with centralized decision-making and clear authority structures, rigid approval mechanisms, and extensive policies and procedures that have resulted in barriers to creating a shared governance system. Such barriers include:

Traditionally, Nurses Have Worked in Strong, Hierarchical Institutions with Centralized