At the factory managers' training on health at the workplace in Egypt we provided examples of how to give nurses more responsibility and play management roles. One factory (probably several) was uncomfortable with the idea in the first training session. A month later, they had decide to name a head nurse with managerial responsibilities in their health clinic. Also, a problem-solving exercise led to a range of new ideas by the managers themselves on how to make better use of nurses and address challenges. The broader success was developing the sense that they did not need to be "medical" experts to identify and solve problems. That said, the question will be whether these solutions are implemented superficially or a part of changing management systems and approaches.
by David Wofford