At the end of this presentation, the readers will be able to:
Define what is shared governance
Concepts of shared governance in nursing
History of shared governance
Contributing factors towards shared governance
Action towards shared governance
Growing needs in shared governance for collaboration, engagement in HealthCare Practices
Governance Models
Appreciate shared governance
Implementation of shared governance
Shared Governance: Empowering and Creating Competent and Committed Nurses ConnieVendicacion
This presentation is uploaded for information purposes and as a partial requirement of Philippine Women's University in Ph.D. class; Subject: Governance in Health Care Practice.
This PowerPoint presentation is about Achieving Nursing Excellence thru Shared Governance. This is a partial requirement for PhD in Nursing class for the subject of Governance in Health Care Practice under Philippine Women's University, Philippines.
Shared Governance in Nursing services on 18.1.23.pptxanjalatchi
he critical concept of nursing shared governance is shared decision making between the bedside nurses and nurse leaders, which includes areas such as resources, nursing research/evidence-based practice projects, new equipment purchases, and staffing.
Shared Governance: Empowering and Creating Competent and Committed Nurses ConnieVendicacion
This presentation is uploaded for information purposes and as a partial requirement of Philippine Women's University in Ph.D. class; Subject: Governance in Health Care Practice.
This PowerPoint presentation is about Achieving Nursing Excellence thru Shared Governance. This is a partial requirement for PhD in Nursing class for the subject of Governance in Health Care Practice under Philippine Women's University, Philippines.
Shared Governance in Nursing services on 18.1.23.pptxanjalatchi
he critical concept of nursing shared governance is shared decision making between the bedside nurses and nurse leaders, which includes areas such as resources, nursing research/evidence-based practice projects, new equipment purchases, and staffing.
"Leaders Make Things Happen" A valuable information drive about shared governance in nursing. Nurses can achieve organizational support through effective collaboration relationship leading to quality patient care.
This presentation aims to explore the concept of shared governance in nursing and discuss the principles and models underpinning practice. It also aims to present the obstacles to effective implementation.
These slides is uploaded for information purposes and as partial requirement of Philippine Women's University in PhD class; Subject:Governance in Health Care Practice
These slides are uploaded for information purposes and as a partial requirements of Philippine Women's University in PhD class. Subject : Governance in Health Care Practice
COLLABORATION MODELS & COLLABORATIVE ISSUES
Ms. Sucheta Panchal
OBJECTIVES
To understand the concept of collaboration in nursing.
To know about the existing models of collaboration.
To identify the benefits of collaboration in nursing academics and practice.
To encounter with the collaborative issues.
To understand their own role in collaboration
COLLABORATION
"Collaboration is the most formal inter organizational relationship involving shared authority and responsibility for planning, implementation, and evaluation of a joint effort”
Hord, 1986
COLLABORATION
" Collaboration is as a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve common goals”.
Mattessich, Murray & Monsey (2001)
COLLABORATIVE TEACHING
When two or more educators take responsibility for planning, teaching, and monitoring the success of learners in a class
TYPES OF COLLABORATION
InterdisciplinaryMultidisciplinaryTransdisciplinaryInterprofessional
NEED FOR COLLABORATION BETWEEN EDUCATION & SERVICE
NURSING SCHOOLS RUN BY HOSPITALS
BRIDGING GAP BY SIMULATION LABORATORIES, SUPERVISED CLINICAL EXPERIENCES IN THE HOSPITAL, AND SUMMER INTERNSHIPS.
COLLABORATIVE CATALYSTS
It is critical in collaboration that all existing and potential members of the collaborating group share the common vision and purpose.
A problem
A shared vision
A desired outcome
OBJECTIVES
Promotion of quality nursing care
Improved patient outcomes
Reduced length of stay
Cost savings
Increased nursing job satisfaction and retention
OBJECTIVES
Improved teamwork
Enhancement of learning climate
Promotion of spirit in enquiry & research in nursing
Well prepared & efficient nursing students
Develop interdependence of schools of nursing & organization
COLLABORATIVE MODELS
CLINICAL SCHOOL OF NURSING MODEL (1995)
Initiative: Nurses from both La Trobe and The Alfred Clinical School of Nursing University.
Establishment of the Clinical School in February, 1995.
VISION: The close and continuing link between the theory and practice of nursing at all levels
BENEFITS:
Brings academic staff to the hospital
Opportunities for exchange of ideas with clinical nurses
Increased opportunities for clinical nursing research.
Many educational openings for expert clinical nurses to involve with the university's academic program
Shared Governance in Nursing services on 18.1.23.pptxanjalatchi
The critical concept of nursing shared governance is shared decision making between the bedside nurses and nurse leaders, which includes areas such as resources, nursing research/evidence-based practice projects, new equipment purchases, and staffing
"Leaders Make Things Happen" A valuable information drive about shared governance in nursing. Nurses can achieve organizational support through effective collaboration relationship leading to quality patient care.
This presentation aims to explore the concept of shared governance in nursing and discuss the principles and models underpinning practice. It also aims to present the obstacles to effective implementation.
These slides is uploaded for information purposes and as partial requirement of Philippine Women's University in PhD class; Subject:Governance in Health Care Practice
These slides are uploaded for information purposes and as a partial requirements of Philippine Women's University in PhD class. Subject : Governance in Health Care Practice
COLLABORATION MODELS & COLLABORATIVE ISSUES
Ms. Sucheta Panchal
OBJECTIVES
To understand the concept of collaboration in nursing.
To know about the existing models of collaboration.
To identify the benefits of collaboration in nursing academics and practice.
To encounter with the collaborative issues.
To understand their own role in collaboration
COLLABORATION
"Collaboration is the most formal inter organizational relationship involving shared authority and responsibility for planning, implementation, and evaluation of a joint effort”
Hord, 1986
COLLABORATION
" Collaboration is as a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve common goals”.
Mattessich, Murray & Monsey (2001)
COLLABORATIVE TEACHING
When two or more educators take responsibility for planning, teaching, and monitoring the success of learners in a class
TYPES OF COLLABORATION
InterdisciplinaryMultidisciplinaryTransdisciplinaryInterprofessional
NEED FOR COLLABORATION BETWEEN EDUCATION & SERVICE
NURSING SCHOOLS RUN BY HOSPITALS
BRIDGING GAP BY SIMULATION LABORATORIES, SUPERVISED CLINICAL EXPERIENCES IN THE HOSPITAL, AND SUMMER INTERNSHIPS.
COLLABORATIVE CATALYSTS
It is critical in collaboration that all existing and potential members of the collaborating group share the common vision and purpose.
A problem
A shared vision
A desired outcome
OBJECTIVES
Promotion of quality nursing care
Improved patient outcomes
Reduced length of stay
Cost savings
Increased nursing job satisfaction and retention
OBJECTIVES
Improved teamwork
Enhancement of learning climate
Promotion of spirit in enquiry & research in nursing
Well prepared & efficient nursing students
Develop interdependence of schools of nursing & organization
COLLABORATIVE MODELS
CLINICAL SCHOOL OF NURSING MODEL (1995)
Initiative: Nurses from both La Trobe and The Alfred Clinical School of Nursing University.
Establishment of the Clinical School in February, 1995.
VISION: The close and continuing link between the theory and practice of nursing at all levels
BENEFITS:
Brings academic staff to the hospital
Opportunities for exchange of ideas with clinical nurses
Increased opportunities for clinical nursing research.
Many educational openings for expert clinical nurses to involve with the university's academic program
Shared Governance in Nursing services on 18.1.23.pptxanjalatchi
The critical concept of nursing shared governance is shared decision making between the bedside nurses and nurse leaders, which includes areas such as resources, nursing research/evidence-based practice projects, new equipment purchases, and staffing
Shared Governance: What is it all about?
Learn more on the basics of shared governance and its impact on the overall structure of an organization.
Will this be applicable in your own organization?
The conceptual foundation of nursing as an independent profession required that many of the structural considerations applied to like professions also be applied to nursing. Issues of professional self-direction, decision making, standard-setting, and professionalgovernance were explored through time.Initial efforts to define and design governance structures began in a number of health settings across the United States.Initial efforts considered the independence of nursing and operating models to support this began in a highly decentralized manner.
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
httpsfairplayforkids.orgReview 2–3 of the organizationsPazSilviapm
https://fairplayforkids.org/
Review 2–3 of the organization's current social action campaigns. (Note: You can locate the current campaigns on the home page listed under "The Latest" or from the home page selecting "Get Involved" followed by "Take Action.")
http://cdn-media.waldenu.edu/2dett4d/Walden/EDUC/6357/CH/mm/audio_player/index_week4.html
Click on Institutional Bias: "The Many Ways Institutionalized Bias Sends Messages to Children"
Running head: The Future of Nursing in Leadership 1
The Future of Nursing in Leadership
The Future of Nursing in Leadership
Phase 1 Planning
Student’s name: Yusleiby Castillo
Professor’s name: Nora Hernandez-Pupo
Date: May 26, 2022
Transitional Nursing
At all stages of their engagement, nurse-patient communication is critical. It is crucial in the initial stages of nurse-patient interaction because it establishes the context for why a patient has come to seek medical or health support. A nurse gets to hear from a patient about what led them to the medical center and what is wrong with them at the introduction stage. This is also the time when nurses may reassure their patients that they will provide all possible aid. Ethical considerations are crucial in the medical field.
During patient-nurse interactions, nurses have the opportunity to enlighten patients on their ethical obligations when it comes to the provision of medical services. Nurses and other health personnel also request agreement from patients at this point in order to perform specific operations or tests, as these procedures would not be possible without it (Jensen, 2015).
It is critical that nurses communicate with patients in a variety of ways. Nurses work with patients of all ages, genders, and cultures, as well as patients suffering from various illnesses. It is critical for a nurse to understand how to interact successfully with these patients in order to provide the best and most suitable nursing care. Nurses may choose to develop personal ties with their patients in order to better interact with them in certain situations, such as chronic diseases or while dealing with elderly patients. Kindness and compassion characterize personal interactions (Neese, 2015). The sort of communication that a nurse uses is determined by the patient's age and condition. The type of communication utilized with young patients differs from that used with adult patients. Patient-nurse communication is critical because it affects how a patient is treated.
The future of nursing in leadership
Nurses in the healthcare field are ...
Introduce the concept, development history, implementation mode, principles, challenges and opportunities of shared governance and the enlightenment to us
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
1. Shared Governance in Nursing:
Turning the Gears towards Excellence
Jerome G. Oquiana
A0821721
Governance in Healthcare Practice
2. DISCLOSURE STATEMENT
This lecture/presentation/speaker declares no conflict of interest
and is not associated or sponsored by
any company in discussing this topic
Shared Governance in Nursing:
Turning the Gears towards Excellence
3. Learning Objectives:
At the end of this presentation, the readers will be able to:
Define what is shared governance
Concepts of shared governance in nursing
History of shared governance
Contributing factors towards shared governance
Action towards shared governance
Growing needs in shared governance for collaboration, engagement in HealthCare Practices
Governance Models
Appreciate shared governance
Implementation of shared governance
Shared Governance in Nursing:
Turning the Gears towards Excellence
5. Shared Governance in Nursing:
Turning the Gears towards Excellence
Shared Governance
It is a model of nursing practice that is designed to integrate core valu
es and beliefs that professional practice embraces, which becomes a
means of accomplishing quality care (Anthony, 2004)
It means giving all members of the healthcare workforce a say in
decision-making, which promotes diverse and innovative feedback
that will aid the organization's business and healthcare missions.
It is a shared decision-making based on the principles of
partnership, equity, accountability and ownership at the point of
service.
6. Shared Governance in Nursing:
Turning the Gears towards Excellence
Concepts of Shared Governance
Shared governance focuses on four main principles that serve as the foundation and the
cornerstones of the concept. Collectively, when one incorporates the four principles of
shared governance
Partnership - Developing collaboration and healthy partnerships among the
healthcare team
Accountability – Achieving clear understanding of each members role and
expectations, and taking responsibility for their actions and
decisions
Equity - focusing on having an equal stake in the outcomes of the care and
quality that the team member provides
Ownership - the success of an organization depends on how well each
member of the healthcare team performs their jobs.
into a team’s behavior, one creates a professional work environment of empowerment.
7. Shared Governance in Nursing:
Turning the Gears towards Excellence
Shared Governance
Shared by Who?
It is shared decision making between the staff nurses or bedside nurses and
nurse leaders, including resources, nursing research or evidence based practice
initiatives, new equipment purchases, and staffing.
Who will benefit?
The people in the surrounding communities, our patients, the staff, and the
organization will benefit in shared governance
Who governs?
The healthcare team led by the nurse leader will be responsible for safe system
delivery of patient care, providing adequate resources. The nurse leader will be
helped by staff nurses who will be accountable for patient care outcomes.
8. Shared Governance in Nursing:
Turning the Gears towards Excellence
Brief Background
of Shared
Governance
Socrates (470–399 BC), an ancient Greek philosopher, integrated shared
governance concepts into his philosophies of education. The Socratic Method
encourages students to use reason rather than appeal to authority.
A proof that philosophy, education, religion, politics, business and
management, and healthcare have all benefited from a variety of
shared governance process models implemented in many diverse and
creative ways across generations and cultures (Swihart, 2011).
The government model for the United States was established on the concepts of
shared governance— “of the people, by the people, for the people” (from
Lincoln’s Gettysburg Address, 1863)—wherein the very citizenry is directly
responsible for the government on both state and federal levels.
9. Shared Governance in Nursing:
Turning the Gears towards Excellence
Brief Background of Shared
Governance
Eventually, organizations began to design formal structures and relationships around
their leaders and employees. Positive outcomes emphasized movement from point
of service outward shared governance found its way into the business and
management literature (Laschinger, 1996; O’May & Buchan, 1999).
In the late 1970s and early ‘80s, shared governance found its way into the
healthcare and nursing arenas as a form of participative management. It engaged
self-managed work teams and grew out of the dissatisfaction nurses were
experiencing with the institutions in which they practiced (McDonough, Rhodes,
Sharkey, & Good roe, 1989; O’May & Buchan, 1999; Porter-O’Grady, 1995).
10. Shared Governance in Nursing:
Turning the Gears towards Excellence
Contributing Factors towards Shared Governance
Shared governance has a decentered structure of power and decision
making.
Shared governance is a major departure from traditional management-
drive systems. It requires commitment and investment from all of
nursing.
Moving to shared governance affects the way in which nurses work and
relate to the organization.
Governance structures of educational institutions directly influence the
faculty members and the staff and their occupational satisfaction.
One challenge is how to engage and then supporting more junior nurses
in joining teams
11. Shared Governance in Nursing:
Turning the Gears towards Excellence
Contributing Factors towards Shared Governance
Providing various groups of people a share in key decision-making processes, often
through elected representation
Allowing certain groups to use key responsibility for specific areas of decision making.
The principle of shared governance goes down in the use of councils and committees.
These groups should be represented by motivated and capable staff nurses whose
main interest lies in the greater good.
Applying and supporting shared governance calls for a real correspondence between
management behavior and the structural imperatives of a shared decision-making
model is much needed.
Synthesis between the staff’s competence in making their own decisions about
practice, and their profession and the leader’s ability to facilitate them should be
present.
Leadership must be able to promote a safe and developmental context for both staff
and themselves so that the challenges associated with a substantial change in the old-
fashioned locus-of-control can be carefully tackled, and professional practice can justly
progress.
12. Shared Governance in Nursing:
Turning the Gears towards Excellence
Actions Towards Shared Governance
.
The action towards shared governance is the result of many studies. There
have been conclusions on poor collaboration and ineffective communication
among healthcare providers that can result in devastating medical errors.
The struggle to provide quality care in the highly stressful— and sometimes
highly charged—work environment today has resulted in limited success in
recruitment and retention of qualified nurses nationwide (Kohn, Corrigan and
Donaldson 1999; AACN 2002; Weinberg 2003).
Hence, the development of shared governance. The professional practice
environment of nursing care has shifted dramatically over the past generation
(AONE 2000; AACN 2002).
Rapid advances are occurring in • biotechnology and cyber-science • disease
prevention, patient safety, and management • relationship-based care •
patients’ roles in their healthcare
13. Shared Governance in Nursing:
Turning the Gears towards Excellence
Growing Needs in Shared Governance
.
Establishing clear lines for accountability for the roles in
nursing, and fully deploying shared governance to the point
of service became the next pivotal step in designing a system
that endorsed the staff nurse's authority, responsibility, and
accountability for her/his practice.
It was an important fundamental step to create a nursing
structure whereby the nurse manager's role changed to one
of facilitator, integrator, and coordinator of the processes
that support the work of the staff nurse - empowering that
nurse to control her/his own practice.
14. Shared Governance in Nursing:
Turning the Gears towards Excellence
Growing Needs in Shared Governance
.
Today’s as transformational relationship-based healthcare, which
is driven by technology, generates a new paradigm with
distinctive goals and objectives in an organizational learning
environment. Leaders, administrators, and employees are
learning and applying new ways of delivering care, new
technologies, and new ways of thinking and working. In the
process, they acknowledge more and more that the nurse at the
point of service is key to organizational success.
Nurses and managers must be ready for different roles, new
relationships, and latest ways of managing. Shared governance is
about stirring from a conventional hierarchical model to a
relational partnership model of nursing practice hence there is a
dire need for its adaptation in many healthcare
organizations/institutions around the world.
15. Shared Governance in Nursing:
Turning the Gears towards Excellence
Governance Models
.
The Whole-Systems Governance
Creates a transitional model for ownership across all levels of
the organization. Accountability is also reflected at each level
and creates a seamless structure directed towards he
delivery of health service to its community.
The nurses’ role in whole-systems governance is
multifaceted, occurring within the multiple levels of the
organization. This model emphasizes that all employees
have their roles in the organization, participating as part of
the organization in the directions, policies, decisions and
objectives that set the future of an organization.
16. Shared Governance in Nursing:
Turning the Gears towards Excellence
Governance Models
.
Nurse-Shared Governance
The critical concept of this type of governance is shared
decision-making between the nurse leaders and bedside
nurses.
This type of governance promotes collaboration and open
communication among the administrative leaders and
bedside nurses.
Although it promotes nurse satisfaction and positive patient
outcomes, the process of building this type of governance
and the related processes can be challenging for both leaders
and frontline nurses.
17. Shared Governance in Nursing:
Turning the Gears towards Excellence
Governance Models
.
Professional-Shared Governance
It focuses on the creation of a structural framework that is
consistent with different professions.
Professional governance distinguishes itself from
management functions with its exclusive control over the
profession’s own practice. It works as a partner with the
organizations instead of being controlled or managed by
them.
Professional shared governance brings every professional
stakeholder to the table to create a team, having the focus of
realizing goals, enhancing professionalism and improving the
delivery of services.
18. Shared Governance in Nursing:
Turning the Gears towards Excellence
Advantages of Shared Governance
.
Improved patient outcomes are the most significant clinical
impacts associated with a nursing shared governance
structure within healthcare organizations. For example,
numerous studies have found improved results for nursing-
sensitive indicators with the use of shared governance
structures and processes. Knowledge of this benefit should
aid in the desire for all nurses to be involved in this type of
initiative.
Effects of implementing a shared governance model included
improvement of care quality, creation and maintenance of
communication network between managers and
professionals, promotion of nurse leadership, more
autonomy for nurses in decision- making processes, greater
recognition and professional visibility of nurses, and reduced
care costs.
19. Shared Governance in Nursing:
Turning the Gears towards Excellence
Advantages of Shared Governance
.
Improved job satisfaction among nurses is also a positive clinical
impact for those implementing a shared governance structure.
Nurses are more engaged in policy development and revision,
which helps to give them a better overall picture of the hospital
environment. Nurses are also more satisfied when they see their
ideas at work within the various patient care improvement projects.
Giving the nurse a sense of belonging and loyalty to their healthcare
organizations, which also increases morale and performance.
Successfully shared governance programs and structures assist
healthcare organizations with internal succession planning. Bedside
nurses become actively engaged with decision making, policies, and
procedures, which helps them to see their leadership skills come to
life. Nurses move from being members to the chairperson of the
shared governance councils. Active learning occurs during this
participatory process.
20. Shared Governance in Nursing:
Turning the Gears towards Excellence
Disadvantages of Shared Governance
.
Efficiency will be limited because it lengthens the time required to
complete the critical processes such as planning and assessment.
Quality of decisions will be affected by opinions from members not
adequately qualified to speak on the issues.
The nurse managers may have additional responsibility as they may
have no previous experience in decision making rather than their
patient care assignments.
May result in a unfavorable amount of power, control, and
advantage to certain staff.
Senior and first-line managers could not adapt to or accept the
radical philosophical change and so they were unable to empower
their staff and to provide the necessary reinforcement needed to
ensure the success of shared governance.
Lowered morale in the wake of layoffs, together with union
grievances, and lack of clarity of the role to be played by union
representatives in shared governance may produce conflict and
confrontation.
21. Shared Governance in Nursing:
Turning the Gears towards Excellence
Implementation of Shared Governance
.
How can I help make Shared Governance work in my unit;
Engage
Commit
Collaborate
Deliver
Encourage (Ahmed Zinhom, 2015). Shared Governance)
Managers can play a key role in the successful implementation of shared
governance in the appropriate context of higher education institutions.
The senior or higher level managers of educational institutions can
empower themselves & their staff in participatory skills along with
providing suitable resources of work serving as a suitable model of
participation (Atashzadeh-Shoorideh et al, 2019).
22. Shared Governance in Nursing:
Turning the Gears towards Excellence
Implementation of Shared Governance
Is there a best Way?
1.Invest in shared governance facilitators. • Build an internal expert on shared
governance by carving out formal job duties within existing hours of an educator,
coordinator, or clinical nurse specialist. May consider also rotation of staff through
the hours on a periodic basis, leaving a wake of experts as the year’s progress.
2. Evaluate effectiveness of communication mechanisms with staff. • Ensure that the
communication mechanisms, such as blogs, newsletters, list serves, email chains,
and meetings, are successfully communicating the decisions, successes, and changes
that are outcomes of the shared governance.
3. Focus on middle managers for implementation • A line manager who is
knowledgeable about how important the administrator's role is to enact shared
governance can support a unit’s staff to effective levels of participation. Managers
need first an onboarding and then continuing education to learn how to facilitate,
incorporate, and manage activities in order to take ownership of leading and making
operational decisions.
23. Shared Governance in Nursing:
Turning the Gears towards Excellence
Implementation of Shared Governance
Is there a best Way?
4. Ensure shared governance is a component in every employee’s job description,
peer review, employee evaluation, and performance appraisal. • Expectations
should be well-defined to managers, the same applies to staff. Goals and behaviors
should be set for every employee in above documents. Since these said documents
and processes exist in a shared governance environment, they should be reviewed
and updated regularly to keep stride with a progressive staff and dynamic
environment.
5. Market the importance of shared governance program to staff • An empowered
staff should be able to communicate concepts and the importance of shared
governance to anyone and that includes its cost effectiveness. No need to be
concerned about promoting shared governance to staff that can already voice to its
worth.
24. Shared Governance in Nursing:
Turning the Gears towards Excellence
Implementation of Shared Governance
Your Leadership Style Also Makes a Difference
Transformational leadership facilitates working with direct care nurses to determine areas of
change & solutions for that change. In general, four characteristics help to define
transformational leadership (Lippincott Solutions,2019):
1. Idealized influence: Nurse leaders serve as role models for direct care nurses,
embodying the qualities of a professional clinician.
2. Inspirational motivation: The ability to inspire and motivate direct care nurses through
the presentation of your vision for change.
3. Individualized consideration: This is true concern for your nurses’ needs and feelings. This
component helps you develop trust among nursing staff while helping them to self-
actualize.
4. Intellectual stimulation: You challenge other nurses to be creative in challenging the
status quo. You help your nurses achieve higher levels of performance with your support
and encouragement. (Lippincott Solutions (2019). How shared governance in nursing works)
25. Shared Governance in Nursing:
Turning the Gears towards Excellence
Implementation of Shared Governance
Ten (10) essential actions for nurse leaders
1. Be clear about what shared governance is
2. Help staff members understand why shared governance is important.
3. Orient council chairpersons on the basics of planning and running
meetings
4. Cultivate a sense of ownership
5. Encourage a continuous focus on mission and vision
6. Provide council members with protected time to meet
7. Include staff in council development or redesign
8. Coach and mentor chairpersons
9. Recognize excellence
10. Study the successes (and struggles) of others (Marky Medeiros (2018).
26. Shared Governance in Nursing:
Turning the Gears towards Excellence
References
Brooks, B., (January 31, 2004). Measuring the impact of shared governance. Online Journal of Issues in Nursing. Vol.
9 No.1, Manuscript 1a. Accessed from
www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume920
04/No1Jan04/MeasuringtheImpact.aspx
Hess, R. (2019). Five tips for a thriving shared governance model in 2018. Accessed from
https://sharedgovernance.org/?page_id=2525
Flynn, M. K. (1997). Correlates of staff nurse work satisfaction in hospitals with shared governance (Order No.
9728363). Available from Nursing & Allied Health Database. (304418490). Retrieved from
https://search.proquest.com/docview/304418490?accountid=38643
HCPro, Inc (2006). Shared Governance: A practical approach to reshaping professional nursing practice. Retrieved
June 19, 2020 at http://www.strategiesfornursemanagers.com/supplemental/4428_book.pdf 4. Marky Medeiros
(2018).
McKnight H, Moore SM (2019). Nursing Shared Governance. Retrieved June 18, 2020 at
https://www.ncbi.nlm.nih.gov/books/NBK549862/
Porter-O'Grady, Tim (2001). Is Shared Governance Still Relevant? Retrieved June 07, 2020 at Journal of Nursing
Administration, 31(10), 468-473.
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=ovfte&NEWS=N&AN=00005110- 200110000-00010.
Swihart, D. (2011), Shared Governance: A Practical Approach to Transform Professional Nursing Practice, Second
Edition 2nd Edition
27. These slides is uploaded for information purposes and as partial requirement of
Philippine Women's University in PhD class; Subject: Governance in Health Care
Practice
Shared Governance in Nursing:
Turning the Gears towards Excellence