Shared governance is a collaborative decision-making model in nursing where nurses and interdisciplinary teams participate in the decision-making process related to practice standards, quality improvement, professional development, and research (Winslow et al., 2015). This model is based on the principles of shared accountability, shared vision, collaborative partnerships, and a focus on outcomes leading to shared success. Shared governance aligns with hospital policies, the nursing professional practice model, organizational strategic plan, and fiscal responsibility (Brennan & Wendt, 2021).
Key Facts
- Definition: Shared governance is a working model of participatory decision-making in which nurses and the interdisciplinary team follow an organized process to make decisions about practice standards, quality improvement, professional development, and research.
- Key Elements: Shared governance includes shared accountability, shared vision, collaborative partnerships, and a focus on outcomes leading to shared success. It aligns with hospital policies, the nursing professional practice model, organizational strategic plan, and fiscal responsibility.
- Interdisciplinary Process: Shared governance is not limited to nursing; it involves various disciplines from across the healthcare organization. It encourages collaboration and input from different professionals to identify issues and determine solutions.
- Benefits: The most common benefit of shared governance is empowerment. It allows nurses and frontline teams to have a voice in decision-making, leading to increased engagement and job satisfaction. Shared governance also promotes innovation, growth, and improved patient outcomes.
- Structure: Shared governance is typically organized through unit-level councils that represent different areas of care. These councils consist of nurses and other healthcare professionals who collaborate to address specific issues and drive change. Leadership support and staff engagement are crucial for the success of shared governance.
Key Elements of Shared Governance
Shared governance involves several key elements that contribute to its effectiveness:
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Shared Accountability
Nurses and other healthcare professionals share responsibility for decision-making and outcomes. This fosters a sense of ownership and accountability among team members.
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Shared Vision
A shared vision guides the decision-making process. This vision articulates the desired future state of nursing practice and patient care.
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Collaborative Partnerships
Shared governance encourages collaboration among nurses, other healthcare professionals, and stakeholders. This collaboration leads to more comprehensive and effective decision-making.
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Focus on Outcomes
Shared governance emphasizes outcomes, particularly those related to patient care, quality, and safety. Decisions are made with the goal of improving these outcomes.
Benefits of Shared Governance
Shared governance offers several benefits to nursing practice and patient care:
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Empowerment
Shared governance empowers nurses and other healthcare professionals by giving them a voice in decision-making. This leads to increased engagement, job satisfaction, and a sense of ownership.
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Innovation
Shared governance encourages innovation and growth. Nurses and other healthcare professionals are empowered to explore new ideas and implement changes that improve patient care.
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Improved Patient Outcomes
Shared governance has been associated with improved patient outcomes, including increased patient satisfaction, better quality of care, and reduced costs.
Structure of Shared Governance
Shared governance is typically organized through unit-level councils that represent different areas of care. These councils consist of nurses and other healthcare professionals who collaborate to address specific issues and drive change. Leadership support and staff engagement are crucial for the success of shared governance (Memorial Hospital and Health Care Center, 2023).
Conclusion
Shared governance is a valuable model for participatory decision-making in nursing. It empowers nurses and other healthcare professionals, promotes innovation, and leads to improved patient outcomes. By implementing shared governance effectively, healthcare organizations can create a more engaged and empowered workforce, leading to better patient care and organizational success.
References
- Brennan, D., & Wendt, L. (2021). Increasing Quality and Patient Outcomes with Staff Engagement and Shared Governance. OJIN: The Online Journal of Issues in Nursing, 26(2). https://ojin.nursingworld.org/table-of-contents/volume-26-2021/number-2-may-2021/articles-on-previously-published-topics/increasing-quality-and-patient-outcomes/
- Memorial Hospital and Health Care Center. (2023). Shared Governance. https://www.mhhcc.org/nursing/shared-governance/
- Winslow, S., Hougan, A., DeGuzman, P., & Black, A. (2015). The Voice of the Nurse…What’s Being Said About Shared Governance? Nursing Management, 46(4), 46-51. https://doi.org/10.1097/01.NUMA.0000462366.91153.e2
FAQs
What is shared governance in nursing?
Shared governance is a collaborative decision-making model in nursing where nurses and interdisciplinary teams participate in the decision-making process related to practice standards, quality improvement, professional development, and research.
What are the key elements of shared governance?
The key elements of shared governance include shared accountability, shared vision, collaborative partnerships, and a focus on outcomes leading to shared success.
What are the benefits of shared governance?
Shared governance empowers nurses and other healthcare professionals, promotes innovation, and leads to improved patient outcomes. It also increases engagement, job satisfaction, and a sense of ownership among team members.
How is shared governance structured?
Shared governance is typically organized through unit-level councils that represent different areas of care. These councils consist of nurses and other healthcare professionals who collaborate to address specific issues and drive change.
What are some examples of shared governance in nursing?
Examples of shared governance in nursing include unit councils, hospital councils, and themed councils that address broader issues such as quality and safety, professional development, or the healing environment.
What is the role of leadership in shared governance?
Leadership support is crucial for the success of shared governance. Nurse leaders should create an environment that encourages collaboration, empowerment, and innovation. They should also provide the necessary resources and support to enable nurses and other healthcare professionals to participate effectively in shared governance.
How can nurses promote shared governance in their workplace?
Nurses can promote shared governance by actively participating in unit and hospital councils, advocating for their patients and colleagues, and collaborating with other healthcare professionals to improve patient care. They can also share their experiences and insights with nurse leaders to help shape and strengthen shared governance initiatives.
How does shared governance contribute to improved patient outcomes?
Shared governance contributes to improved patient outcomes by empowering nurses and other healthcare professionals to make decisions that directly impact patient care. It also promotes collaboration and innovation, leading to the development and implementation of evidence-based practices and improved care processes.