The nurses and the unit manager have been involved in shared decision-making related to the model of nursing care delivery that the unit will adopt. All individuals have participated and been involved in decision-making and implementation of changes. When issues arise during implementation, it is expected that:

Individual expertise will be utilized to provide solutions, but responsibility for the change is shared.

This will contribute to widespread skepticism among the staff about the probability of success.

Accountability resides entirely with the unit manager.

No one really has any accountability or responsibility for the changes.