Introduce the concept, development history, implementation mode, principles, challenges and opportunities of shared governance and the enlightenment to us
Shared governance is an innovative management method, which can promote nursing staff to control professional practice, participate in decision-making, increase cooperation and sense of responsibility through employee authorization, maximize the professional autonomy of nursing participants, and help improve nursing staff's job satisfaction and work efficiency. Shared governance has been internationally recognized and widely used in clinical field
"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.
Shared governance is a nursing model that shifts decision making from administrators to bedside nurses through participatory governance councils. It was popularized in the 1980s and is a hallmark of Magnet hospitals. Shared governance aims to give nurses professional autonomy over practice and improve outcomes. It operates based on principles of cooperation, equity, and accountability. Benefits include empowered nurses, better quality of care, and increased satisfaction and retention. Various models distribute governance differently but commonly include unit-based and department-level councils. Values of shared governance include facilitating improvements and focusing efforts on patient needs. Successful implementation requires establishing steering committees and membership criteria.
Shared governance in nursing is a model that promotes participatory decision-making between nurses and interdisciplinary teams regarding quality improvement, practice standards, professional development, and research. It originated in the 1970s-1980s and aims to increase nurse engagement, improve patient outcomes, and boost job satisfaction. Shared governance is established by creating councils and committees with volunteer nurses to represent different units and roles. Councils are responsible for developing mission statements, bylaws, and guidelines for how issues will be presented and addressed. The goal is to give nurses more autonomy over their practice through collaborative decision-making.
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
This document discusses shared governance in nursing. It begins by outlining shared governance and defining it as a model of participatory decision making for nurses. It then discusses the history and benefits of shared governance, including better nurse engagement, job satisfaction, and patient outcomes. Some drawbacks are increased workload and potential conflicts. Common shared governance models are described along with their key principles such as ownership, accountability, and autonomy. The document concludes by providing steps to implement shared governance such as establishing councils and communication guidelines.
Shared governance is a model of nursing practice that empowers nurses in decision making around their profession. It originated in the late 1970s as nurses sought more control over their practice. The main goals of shared governance are to empower nurses, give them more control over practice through accountability, and improve their work environment.
Shared governance uses a council structure, with units based councils and specialty councils like research, quality, practice, and operations. There are several models of shared governance including councilor, administrative, congressional, and unit-based. Principles include partnership, ownership, equity, and accountability.
Implementing shared governance involves forming a steering committee, creating councils, establishing bylaws, setting a timeline, and sustaining
Shared governance is a model of nursing leadership that promotes participatory decision making between nurses and administration. It aims to empower nurses and give them more control over their practice. There are four key principles: partnership, equity, accountability, and ownership. Shared governance can be implemented through various council models and provides benefits like increased job satisfaction and patient outcomes. However, obstacles like resistance to change must be overcome through strategies like strong nurse leadership, education, and clear communication.
Shared governance is an innovative management method, which can promote nursing staff to control professional practice, participate in decision-making, increase cooperation and sense of responsibility through employee authorization, maximize the professional autonomy of nursing participants, and help improve nursing staff's job satisfaction and work efficiency. Shared governance has been internationally recognized and widely used in clinical field
"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.
Shared governance is a nursing model that shifts decision making from administrators to bedside nurses through participatory governance councils. It was popularized in the 1980s and is a hallmark of Magnet hospitals. Shared governance aims to give nurses professional autonomy over practice and improve outcomes. It operates based on principles of cooperation, equity, and accountability. Benefits include empowered nurses, better quality of care, and increased satisfaction and retention. Various models distribute governance differently but commonly include unit-based and department-level councils. Values of shared governance include facilitating improvements and focusing efforts on patient needs. Successful implementation requires establishing steering committees and membership criteria.
Shared governance in nursing is a model that promotes participatory decision-making between nurses and interdisciplinary teams regarding quality improvement, practice standards, professional development, and research. It originated in the 1970s-1980s and aims to increase nurse engagement, improve patient outcomes, and boost job satisfaction. Shared governance is established by creating councils and committees with volunteer nurses to represent different units and roles. Councils are responsible for developing mission statements, bylaws, and guidelines for how issues will be presented and addressed. The goal is to give nurses more autonomy over their practice through collaborative decision-making.
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
This document discusses shared governance in nursing. It begins by outlining shared governance and defining it as a model of participatory decision making for nurses. It then discusses the history and benefits of shared governance, including better nurse engagement, job satisfaction, and patient outcomes. Some drawbacks are increased workload and potential conflicts. Common shared governance models are described along with their key principles such as ownership, accountability, and autonomy. The document concludes by providing steps to implement shared governance such as establishing councils and communication guidelines.
Shared governance is a model of nursing practice that empowers nurses in decision making around their profession. It originated in the late 1970s as nurses sought more control over their practice. The main goals of shared governance are to empower nurses, give them more control over practice through accountability, and improve their work environment.
Shared governance uses a council structure, with units based councils and specialty councils like research, quality, practice, and operations. There are several models of shared governance including councilor, administrative, congressional, and unit-based. Principles include partnership, ownership, equity, and accountability.
Implementing shared governance involves forming a steering committee, creating councils, establishing bylaws, setting a timeline, and sustaining
Shared governance is a model of nursing leadership that promotes participatory decision making between nurses and administration. It aims to empower nurses and give them more control over their practice. There are four key principles: partnership, equity, accountability, and ownership. Shared governance can be implemented through various council models and provides benefits like increased job satisfaction and patient outcomes. However, obstacles like resistance to change must be overcome through strategies like strong nurse leadership, education, and clear communication.
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 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.
This document discusses shared governance in nursing. It defines shared governance as a model that allows for decentralized decision-making and increased empowerment. It moves from a traditional hierarchical structure to a relational partnership model. Key aspects of shared governance include responsibility, accountability, and authority. It also discusses principles like partnership, equity, accountability, and ownership. Implementation of shared governance takes 3-5 years and reflects a cultural change. There are different models of shared governance structures. While it has advantages like increased satisfaction and autonomy, it also has challenges to implement.
Shared governance is a leadership model that promotes partnership between managers and staff in decision making through structures like councils and committees. Implementing shared governance involves five steps: understanding proven approaches, identifying improvement opportunities, empowering stakeholders, accelerating implementation, and evaluating outcomes. Shared governance leads to improved patient and staff outcomes like lower infection rates and higher job satisfaction by engaging staff. Nursing shared governance specifically refers to shared decision making between nurses and leaders over areas like staffing and new equipment. It provides benefits like improved patient outcomes and nurse satisfaction.
Different models of collaboration between nursing service andTHANUJA MATHEW
This document discusses different models of collaboration between nursing education and service. It describes several models including:
1) The clinical school of nursing model which brings academic staff into hospitals to foster exchange between clinical and academic nursing.
2) The dedicated education unit which uses staff nurses as clinical instructors for students on designated hospital units.
3) Research joint appointments where researchers have roles in both educational and clinical settings to improve nursing practice through research.
The document provides details on several other models and discusses the benefits of collaborative partnerships between nursing education and healthcare services.
This document discusses shared governance in healthcare. Shared governance is a management model that empowers all members of a healthcare organization to have a voice in decision-making through shared leadership and participative decision making. It traces the evolution of shared governance from concepts in ancient Greek philosophy to its adoption in healthcare in the late 1970s. The principles and benefits of shared governance for nurses include increased job satisfaction, nurse retention, and improved patient outcomes. Barriers to implementing shared governance include perceived loss of power by managers and difficulty finding time for staff participation. Successful shared governance requires leadership support, structural changes, and reinforcing new processes of interaction.
This document discusses shared governance in nursing. It begins by defining shared governance and its focus on shared decision making between bedside nurses and nurse leaders. It then discusses the background and emergence of shared governance models from the 1970s onward. The document outlines the key principles of shared governance including equity, ownership, partnership, and accountability. It also discusses different shared governance models and the advantages and disadvantages of shared governance implementation. Overall, the document provides an overview of shared governance in nursing, its history and concepts.
This document discusses shared governance in nursing. It defines shared governance as a nursing practice model that engages frontline nurses in leading practice excellence through principles like ownership, accountability, and empowerment. Implementing shared governance requires a clear vision and framework. Benefits include improved patient and financial outcomes through nurse-driven changes. Challenges to implementation include gaining nurse buy-in due to increased time commitments. Success requires education, trust-building, and robust processes like PDSA cycles.
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
• Develop strategic and business plans
The document outlines competencies for nurse executives as defined by the American Organization of Nurse Executives (AONE). It identifies five core competency domains: communication and relationship building, knowledge of the healthcare environment, leadership, professionalism, and business skills. Within each domain, specific competencies are described to provide guidance for nurse leaders. The competencies are intended to help nurses develop skills for executive roles and guide organizations in evaluating nurse leader performance.
The document discusses the Magnet Recognition Program, which recognizes healthcare organizations for nursing excellence. It describes the five components of the Magnet model: transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Examples from Massachusetts General Hospital are provided to illustrate how the organization meets each Magnet component through programs, structures, and practices that support strong nursing.
Shared governance is a model that promotes shared decision making between management and staff in a healthcare organization. It is based on four key principles: partnership, equity, accountability, and ownership. There are several models of shared governance including congressional, councilor, and unit-based models. Implementation occurs over three phases starting with staff representatives and evolving to councils with authority. Barriers to adoption include resistance to changing roles and lack of communication. Governing boards are responsible for strategic planning, budget approval, and oversight of quality assurance. Federal requirements specify board composition for health centers.
Quality circles originated in Japan after World War II and were inspired by W. Edwards Deming. Quality circles involve voluntary small groups of 6-12 employees who meet regularly to identify improvements in their work area. In healthcare, quality circles are used to (1) identify outstanding features of care, (2) identify obstacles to change, and (3) identify the need for more research. Examples of using quality circles in healthcare include reducing hospital-acquired infections, improving job satisfaction, and enhancing communication.
Shared governance is a model of participatory decision making that organizes nurses to make decisions about clinical standards, quality improvement, professional development, and research. It involves collaboration between nurses, managers, and other healthcare professionals to improve staff satisfaction, productivity, and patient outcomes. Shared governance requires significant changes to organizational culture and leadership, shifting from a traditional hierarchical structure to a relational partnership model. It benefits organizations through improved financial performance and patient care, as well as nurses through increased autonomy, job satisfaction, and retention. While implementation presents challenges like increased stress, shared governance models have been shown to empower nurses and enhance healthcare delivery when properly established.
The document discusses shared governance in healthcare. It defines shared governance as a model where decision making power is shared between management, physicians, and nurses. This aims to empower nurses and improve the work environment. Under shared governance, councils are formed to make decisions related to areas like clinical practice, quality, education, research, and management. Barriers to implementing shared governance include resistance from managers accustomed to autocratic decision making and the significant long-term commitment required.
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
Shared governance is a nursing practice model that aims to improve patient outcomes through shared decision making. It is based on four principles: partnership, equity, accountability, and ownership. Under shared governance, bedside nurses and nurse leaders collaborate on decisions regarding resources, research, equipment, and staffing. Three common models of shared governance are the councilor, administrative, and congressional models. Implementing shared governance successfully requires structural changes, reinforcing new behaviors, and transformational leadership from nurse managers. When done correctly, shared governance can increase job satisfaction, retention, and patient satisfaction while reducing costs.
This document discusses various models of collaboration between nursing education and clinical practice. It describes 8 models: 1) the clinical school of nursing model, 2) the dedicated education unit model, 3) the research joint appointment model, 4) the practice research model, 5) the collaborative clinical education model, 6) the collaborative learning unit model, 7) the collaborative approach to nursing care model, and 8) the bridge to practice model. The models aim to improve the relationship between academic and clinical settings to better prepare nursing students and enhance patient outcomes.
Working better together: community health and primary careNHS Confederation
This slide pack captures the main points from a workshop on integrated working between primary care and community health services. The workshop was organised by the NHS Confederation Community Health Services Forum in partnership with the National Association of Primary Care, in September 2014
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
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 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.
This document discusses shared governance in nursing. It defines shared governance as a model that allows for decentralized decision-making and increased empowerment. It moves from a traditional hierarchical structure to a relational partnership model. Key aspects of shared governance include responsibility, accountability, and authority. It also discusses principles like partnership, equity, accountability, and ownership. Implementation of shared governance takes 3-5 years and reflects a cultural change. There are different models of shared governance structures. While it has advantages like increased satisfaction and autonomy, it also has challenges to implement.
Shared governance is a leadership model that promotes partnership between managers and staff in decision making through structures like councils and committees. Implementing shared governance involves five steps: understanding proven approaches, identifying improvement opportunities, empowering stakeholders, accelerating implementation, and evaluating outcomes. Shared governance leads to improved patient and staff outcomes like lower infection rates and higher job satisfaction by engaging staff. Nursing shared governance specifically refers to shared decision making between nurses and leaders over areas like staffing and new equipment. It provides benefits like improved patient outcomes and nurse satisfaction.
Different models of collaboration between nursing service andTHANUJA MATHEW
This document discusses different models of collaboration between nursing education and service. It describes several models including:
1) The clinical school of nursing model which brings academic staff into hospitals to foster exchange between clinical and academic nursing.
2) The dedicated education unit which uses staff nurses as clinical instructors for students on designated hospital units.
3) Research joint appointments where researchers have roles in both educational and clinical settings to improve nursing practice through research.
The document provides details on several other models and discusses the benefits of collaborative partnerships between nursing education and healthcare services.
This document discusses shared governance in healthcare. Shared governance is a management model that empowers all members of a healthcare organization to have a voice in decision-making through shared leadership and participative decision making. It traces the evolution of shared governance from concepts in ancient Greek philosophy to its adoption in healthcare in the late 1970s. The principles and benefits of shared governance for nurses include increased job satisfaction, nurse retention, and improved patient outcomes. Barriers to implementing shared governance include perceived loss of power by managers and difficulty finding time for staff participation. Successful shared governance requires leadership support, structural changes, and reinforcing new processes of interaction.
This document discusses shared governance in nursing. It begins by defining shared governance and its focus on shared decision making between bedside nurses and nurse leaders. It then discusses the background and emergence of shared governance models from the 1970s onward. The document outlines the key principles of shared governance including equity, ownership, partnership, and accountability. It also discusses different shared governance models and the advantages and disadvantages of shared governance implementation. Overall, the document provides an overview of shared governance in nursing, its history and concepts.
This document discusses shared governance in nursing. It defines shared governance as a nursing practice model that engages frontline nurses in leading practice excellence through principles like ownership, accountability, and empowerment. Implementing shared governance requires a clear vision and framework. Benefits include improved patient and financial outcomes through nurse-driven changes. Challenges to implementation include gaining nurse buy-in due to increased time commitments. Success requires education, trust-building, and robust processes like PDSA cycles.
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
• Develop strategic and business plans
The document outlines competencies for nurse executives as defined by the American Organization of Nurse Executives (AONE). It identifies five core competency domains: communication and relationship building, knowledge of the healthcare environment, leadership, professionalism, and business skills. Within each domain, specific competencies are described to provide guidance for nurse leaders. The competencies are intended to help nurses develop skills for executive roles and guide organizations in evaluating nurse leader performance.
The document discusses the Magnet Recognition Program, which recognizes healthcare organizations for nursing excellence. It describes the five components of the Magnet model: transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Examples from Massachusetts General Hospital are provided to illustrate how the organization meets each Magnet component through programs, structures, and practices that support strong nursing.
Shared governance is a model that promotes shared decision making between management and staff in a healthcare organization. It is based on four key principles: partnership, equity, accountability, and ownership. There are several models of shared governance including congressional, councilor, and unit-based models. Implementation occurs over three phases starting with staff representatives and evolving to councils with authority. Barriers to adoption include resistance to changing roles and lack of communication. Governing boards are responsible for strategic planning, budget approval, and oversight of quality assurance. Federal requirements specify board composition for health centers.
Quality circles originated in Japan after World War II and were inspired by W. Edwards Deming. Quality circles involve voluntary small groups of 6-12 employees who meet regularly to identify improvements in their work area. In healthcare, quality circles are used to (1) identify outstanding features of care, (2) identify obstacles to change, and (3) identify the need for more research. Examples of using quality circles in healthcare include reducing hospital-acquired infections, improving job satisfaction, and enhancing communication.
Shared governance is a model of participatory decision making that organizes nurses to make decisions about clinical standards, quality improvement, professional development, and research. It involves collaboration between nurses, managers, and other healthcare professionals to improve staff satisfaction, productivity, and patient outcomes. Shared governance requires significant changes to organizational culture and leadership, shifting from a traditional hierarchical structure to a relational partnership model. It benefits organizations through improved financial performance and patient care, as well as nurses through increased autonomy, job satisfaction, and retention. While implementation presents challenges like increased stress, shared governance models have been shown to empower nurses and enhance healthcare delivery when properly established.
The document discusses shared governance in healthcare. It defines shared governance as a model where decision making power is shared between management, physicians, and nurses. This aims to empower nurses and improve the work environment. Under shared governance, councils are formed to make decisions related to areas like clinical practice, quality, education, research, and management. Barriers to implementing shared governance include resistance from managers accustomed to autocratic decision making and the significant long-term commitment required.
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
Shared governance is a nursing practice model that aims to improve patient outcomes through shared decision making. It is based on four principles: partnership, equity, accountability, and ownership. Under shared governance, bedside nurses and nurse leaders collaborate on decisions regarding resources, research, equipment, and staffing. Three common models of shared governance are the councilor, administrative, and congressional models. Implementing shared governance successfully requires structural changes, reinforcing new behaviors, and transformational leadership from nurse managers. When done correctly, shared governance can increase job satisfaction, retention, and patient satisfaction while reducing costs.
This document discusses various models of collaboration between nursing education and clinical practice. It describes 8 models: 1) the clinical school of nursing model, 2) the dedicated education unit model, 3) the research joint appointment model, 4) the practice research model, 5) the collaborative clinical education model, 6) the collaborative learning unit model, 7) the collaborative approach to nursing care model, and 8) the bridge to practice model. The models aim to improve the relationship between academic and clinical settings to better prepare nursing students and enhance patient outcomes.
Working better together: community health and primary careNHS Confederation
This slide pack captures the main points from a workshop on integrated working between primary care and community health services. The workshop was organised by the NHS Confederation Community Health Services Forum in partnership with the National Association of Primary Care, in September 2014
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7
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This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
3. Concept
At present, researchers have not yet reached a
consensus on the definition of shared
governance. Porter-O'Grady proposed that
shared governance is a professional practice
model based on the basic principles of
cooperation, equality, responsibility, and
ownership. This in turn creates a culturally
sensitive and empowering structural framework
that provides sustainable, responsibility-based
decision support and interdisciplinary
collaboration to deliver quality patient care.
4. Concept
• The American Nurses Credentialing Center
(AN-CC) believes that shared governance is a
participatory decision-making work model in
which clinical nurses can formally participate
in clinical practice standards, quality
improvement, professional development and
research. In decision-making, it can give
nurses more professional autonomy to control
professional practice and working environment,
improve job satisfaction, and thus solve
problems such as resource utilization
constraints and nurse shortage .
5. Development course
• Shared governance originated from the
era of human resource management in
organizational theory, emphasizing
people-oriented management, that is,
treating people as the main object of
management, respecting individual values
and developing human resources.
6. History
• Porter-O’Grady’s work brought the
concept into the nursing practice
• Titled “Shared Governance” in 1978
• Popular in the 1980’s,decreased in the
1990’s, now increasing again because of a
nursing shortage
• Developed into three models
7. Why Shared Governance?
• Traditionally speaking, hospitals are places with
a strict hierarchical system, and there is often a
shortage of nurses. How to hire excellent
nurses and retain them requires changing from
a command-and-demand management model
to support and encouragement, and giving front-
line nurses more More autonomy, respect the
professionalism of nurses, make them demand
themselves according to the standards of
masters, and continuously improve their self-
management ability, professionalism and
satisfaction.
8. Aims of shared govermance
• Empowerment of individuals within the
decision making system,this
empowerment in directed at increasing
nurse’s authority &control over their
nursing practice.
• Shared governance improves staff nurses’
perception of their job & practice
environment .(Jone,&Lucas,1993;Ludema
n,&Brown.1989).
9. Goal
• To make nurses organized
• Allows nurses to have a say in planning
and decision making
• Extends roles of leadership to nurses
• Gives empowerment
• Improve nurses’work
environment,satisfaction,and retention
• Controls the practice to result in a better
patiernt outcome
10. Three models of shared
governance
01 02 03
Councilor Administrative Congressional
11. Councilor
• The councilor model is a governance
process for building employees and
managers through multiple committees,
which is mainly applicable to the overall
medical institution in order to achieve a
continuous and long-term shared
governance state.
12. Councilor
• Clavelle found that the main governance
method of magnetic hospitals is shared
governance, and the structural
authorization as the core component of
magnetic hospitals is mainly displayed
through shared governance, which further
proves the positive relationship between
shared governance and the nursing
practice environment of magnetic hospitals.
relationship.
13. Councilor
• In this model, a council integrates the
decisions made by staff. It is the most
commonly used model by magnet
organizations .
• Five areas of accountability include:
Practice
Quality Improvement
Education
Research
Management
14. Advantages :
• 1. Guarantee the participation of every
clinical nurse, and improve and enhance the
professional autonomy of nurses to a greater
extent.
• 2.Helping Nurses Adapt to Changing
Environments
• 3.It has a greater positive impact on
organizational change and has become the
most common mode of shared governance
15. Administrative
This model in a traditional bureaucratic
structure. There is either a management or a
clinical focus in this model.
• reflect executive level of coordination over
the activities of smaller councils.
16. Congressional
The congressional model is similar to the
decentralized structure of the federal
government. All nursing staff are subordinate
to and committed to the cabinet. They are
elected to form an elected parliament or
senate composed of clinical practice
representatives and management, and then
appoint committee members reporting to
parliament. Committee activities also need
to submit an application to the cabinet
17. Congressional
A democratic model , that empowers nurses
to vote as a group.
• Less frequent
• all nursing staff work in given to
cabinets.
18. Benefits
• Decreases nurse turnover
• Increase nurse satisfaction
• Improves decision making
• Decrease in nurse “burnout”
• Improves relationships between staff
• Decrease in medical errors
• Improves patient outcomes
19. For example:Kneflin et al implemented the
results of the best evidence-based practice
of chlorhexidine bathing through the
structural framework of shared governance,
which reduced the risk of acquired
bloodstream infections and finally
21. Four Parts Of Shared Governance
输入文字
Partnership
Equity
从Four Parts Of
Shared
Governance
Accountability
Ownership
22. Four Parts Of Shared
Governance
• Partnership:non-competitive,
interdisciplinary collaborative relationships
dedicated to patient-centered care and
improved patient outcomes
• Equity:emphasize the participation of all
team members, especially clinical nurses
• Accountability:having the right to make
decisions
• Ownership:value individual input or
contribution
23. Four Parts Of Shared
Governance
• These 4 parts are coordinated and
continuously integrated within the
framework provided by shared governance
application to improve the quality of
nursing care by empowering nursing staff
to become more involved in their
professional practice.
24. • In shared governance, staff nurses are
included in the highest levels of decision
making within the nursing department
through representation on various councils
that govern practice and management
issues.These councils set the standard for
staffing, promotion, and so forth. In many
cases, a change in the organizational
culture is necessary before shared
governance can work (Currie & Loftus-
Hills, 2002).
25. • Genuine sharing of decision making is
difficult to accomplish, partly because
managers are reluctant to relinquish control
or to trust their staff members to make wise
decisions. Yet genuine empowerment of the
nursing staff cannot occur without this
sharing. Having some control over one’s
work and the ability to influence decisions
are essential to empowerment (Manojlovich
&Laschinger, 2002).
26. The Enlightenment of Shared Governance
to Nursing Management
• Emphasis on the professional autonomy of
clinical nurses
• Raise caregivers' awareness of shared
governance
• Exploring the development of domestic
shared governance
• Improving the working environment for
nursing staff
• Improve the quality of nursing services
27. Conclusion
Shared governance is a dynamic process
that promotes nurses to control professional
practice, participate in decision-making, and
increase cooperation and sense of
responsibility through empowerment. Nurses
can obtain the resources, support and
information needed for work, have
opportunities for learning and development,
and fully mobilize work autonomy. sex and
agency.
28. Conclusion
• Shared governance and its good empirical
research results have gradually been
accepted and recognized by nursing staff.
Researchers should learn from the
development experience of shared
governance, further carry out research on
shared governance, and improve nursing
staff's awareness of shared governance.
29. • The characteristics of the structure Choose
different implementation models, formulate a
suitable shared governance development
strategy plan, pay attention to the cultivation of
nursing staff's professional autonomy, and
establish a scientific nursing management
mechanism, so as to improve the job
satisfaction of nursing staff, reduce the
turnover rate, and improve patient outcomes ,
with the purpose of promoting the
development and maturation of the nursing
profession.
30. summary
The characteristics of the structure Choose
different implementation models, formulate a
suitable shared governance development
strategy plan, pay attention to the cultivation of
nursing staff's professional autonomy, and
establish a scientific nursing management
mechanism, so as to improve the job
satisfaction of nursing staff, reduce the turnover
rate, and improve patient outcomes , with the
purpose of promoting the development and
maturation of the nursing profession.
THANK YOU