title: Decentralization or centralization: striking a balance.
abstract: An Executive Vice President for Nursing can provide the necessary link to meet diverse clinical demands when encountering centralization--decentralization decisions. Centralized communication links hospital departments giving nurses a unified voice. Decentralization acknowledges the need for diversity and achieves the right balance of uniformity through a responsive communications network.
authors.forename: K M
authors.initials: KM
authors.lastname: Dirschel
mesh_terms: D002497:Centralized Hospital Services / Q000458:organization & administration*; D003142:Communication; D006801:Humans; D009718:Nurse Administrators; D009738:Nursing Service, Hospital / Q000458:organization & administration*