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Shared governance: a literature review.
1Department of Management & Social Sciences, Queen Margaret University College, Edinburgh, UK. f.omay@mail.qmced.ac.uk
International Journal of Nursing Studies
|July 15, 1999
Summary
This review defines shared governance and analyzes its implementation literature. It identifies key themes and challenges in shared governance for healthcare professionals.
Area of Science:
- Healthcare Management
- Organizational Psychology
Background:
- Shared governance is a framework for empowering healthcare professionals.
- Effective implementation is crucial for realizing the benefits of shared governance.
Purpose of the Study:
- To define shared governance in healthcare settings.
- To analyze existing literature on shared governance implementation.
- To discuss emergent issues related to shared governance.
Main Methods:
- A comprehensive literature search was conducted using terms 'shared governance' and 'empowerment'.
- Databases included CINAHL, British Nursing Index, Medline, Social Sciences Citation Index, and FirstSearch.
- 48 relevant studies published between January 1988 and May 1998 were analyzed.
Main Results:
- The literature review identified various definitions and models of shared governance.
- Key themes in shared governance implementation include professional autonomy and decision-making.
- Challenges such as resistance to change and lack of resources were noted.
Conclusions:
- Shared governance offers a valuable model for enhancing professional practice and empowerment in healthcare.
- Further research is needed to address implementation challenges and optimize outcomes.