Nursing: Shared Governance

Shared governance provides both a structure and an environment that empowers nurses. It provides our nurses a method of increasing control over their nursing practice by increasing and formalizing our nursing staff’s participation in the system. Shared governance creates a structure for shared decision making for nursing practice through councils.

Benefits:

  • Creation of an empowered nursing workforce
  • Increased professional autonomy
  • Higher nurse and Nurse Manager retention
  • Increased job satisfaction
  • More effective nurse-led innovations in clinical practice
  • Improved overall quality of patient care
  • Better financials due to cost savings

Principles of Shared Governance:

The clinical frontline nurse…

  • Elected to councils by their peers
  • Accountable for nursing practice
  • Places them central to the hospital’s mission
  • Share role on managing resources, staffing and working environment
  • Represented at executive level
  • Has voice about care delivery methods
  • Enhances skills such as delegation, participation and leading meetings

Additionally…

  • Nurse Managers share authority over key areas such as scheduling
  • By-laws or charters define the structure and operation of nursing
  • Well-delineated process for communication of issues to all nursing personnel

 

 

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