Either in your work setting or as a student in the clinical setting, choose three consecutive days/shifts and write your observations of how nurses and other health-care providers make decisions. Identify the decision and describe it as client-centered or workplace-centered. Describe the outcomes of the decisions and whether they were positive or negative. Offer some recommendations regarding how the process by which the decision was made could be improved.

Journal Entry Day # 1:

Observation:

Outcomes:

Recommendations:

Journal Entry Day # 2:

Observation:

Outcomes:

Recommendations:

Journal Entry Day # 3:

Observation:

Outcomes:

Recommendations:

Now read selections in Greenleaf's (1977) Servant Leadership: A Journey into the Nature of Legitimate Power and Greatness or Block's (1993) Stewardship: Choosing Service Over Self-Interest. Repeat the exercise described above. How does a perspective of stewardship affect your observations, particularly in relation to the characteristics of stewardship?

Observations Day # 1:

Impact Regarding Empowerment:

Impact Regarding Accountability to the Client:

Impact Regarding Accountability to the Group/Organization:

Impact Regarding Partnerships:

Observations Day # 2:

Impact Regarding Empowerment:

Impact Regarding Accountability to the Client:

Impact Regarding Accountability to the Group/Organization:

Impact Regarding Partnerships:

Observations Day # 3:

Impact Regarding Empowerment:

Impact Regarding Accountability to the Client:

Impact Regarding Accountability to the Group/Organization:

Impact Regarding Partnerships: