title: Polarity management for quality care: self-direction and manager direction.
abstract: Polarity management is a tool for analyzing and managing competing dilemmas in a rapidly changing health care environment. The example of promoting staff autonomy while collaborating and sharing decision making accountability and responsibility with nursing administrators is analyzed.
authors.forename: M J
authors.initials: MJ
authors.lastname: Keenan
authors.forename: J B
authors.initials: JB
authors.lastname: Hurst
authors.forename: K
authors.initials: K
authors.lastname: Olnhausen
mesh_terms: D006801:Humans; D009718:Nurse Administrators; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009746:Nursing, Team / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration*