Southwest Correctional Institute (SCI) is a medium-to-maximum security facility that houses 1200 inmates. Currently, each of the two security levels of the prison has its own medical facility located in different areas of the prison complex. The medical department handles all medical needs for the 1200 inmates at SCI in addition to outpatient treatment for 100 inmates at a nearby youth correctional facility. The department is also responsible for off-hours handling of medical emergency services to other medium-security prisons. Because of the increasing demand for healthcare services, the State Department of Corrections has decided to combine the units and build, on prison grounds, an 18-bed, full-service clinic that will be staffed by three physicians, one nurse supervisor, two head nurses, and 12 staff nurses. Previously, medical staff were divided between two locations fairly isolated from one another, but the nurses rotated from one site to the other as needed. Top-level administration has suggested that extensive changes be made to provide the needed supervision over increased activities and responsibilities. Definite plans have been made to add eight to ten nurse positions, but uncertainty exists about how quickly these positions can be filled. SCI has historically had difficulty recruiting and retaining medical personnel because of poor working conditions and the nature of the work. Among current staff, considerable bickering, game playing, and competition are present as individuals seek to gain an advantage in hope of future promotion. Further division has been caused as nurses have chosen sides between two physicians competing for the regional physician director's position. Strong assertive leadership is needed for the many changes occurring in the medical department at Upstate Correctional Institute. Chronic short staffing and difficulty hiring and retraining nurses require that care be taken in arranging/rearranging supervision of the combined units. Three nurses have expressed interest in the supervisory positions: Janet, the nurse supervisor, has been in the position for nine years. She is dependable, flexible, and has good management skills. She is close to completing a BS degree in health services administration and has 20 years of management experience. She currently supervises Kim and Barbara. Kim, the maximum-security head nurse, is relatively new to the position and has held it only one year. She is mature, well-liked, has good management skills, and has just completed a BS degree in business administration. She also has about eight years of supervisory experience from another healthcare institution. Barbara, the medium-security head nurse, has held her position for nine years solely because of her seniority. She is immature, aggressive, and not well-liked, but she is dependable, strong, and willing to learn and listen. She holds a two-year nursing degree. Who should be hired as the supervisor? Why? Who should be hired as the head nurses? Why? Your final decision might not please the staff, and if not, how would you handle the possible uprising?