Effects of participative decision making in central supply department: a case study

This is an account of an effort to develop a culture of quality in a small service department of a major provincial hospital--in the belief that this could only be brought about by encouraging workers to take a larger degree of control over their work and the way in which it is carried out. The charge nurse, finding herself in a situation which amounted to a crisis in the work of the department and the lives of the staff, introduced a process which sought to establish that control. This account is derived from the journal of the charge nurse over the period of five months during which the changes occurred.