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Shared governance--nurses making a difference.

C Doherty1, W Hope

  • 1Leicester General Hospital, UK.

Journal of Nursing Management
|October 29, 2000
PubMed
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Shared governance fosters a culture where nurses feel valued, enhancing clinical practice and leadership. This model supports the nursing strategy by empowering nurses to drive positive change in healthcare.

Area of Science:

  • Nursing Management
  • Healthcare Administration
  • Organizational Psychology

Background:

  • Shared governance was adopted in 1995, establishing nurse-led councils.
  • Advocates suggest it enhances clinical practice and staff morale through devolved decision-making.
  • It requires time, persistence, and commitment to training for successful cultural change.

Purpose of the Study:

  • To describe the integration of shared governance into existing management structures.
  • To illustrate how shared governance cultivates a valued and empowered nursing culture.
  • To explore its role as a foundation for implementing nursing strategies.

Main Methods:

  • Qualitative analysis of the implementation process.
  • Case study of a large medical directorate.

Related Experiment Videos

  • Focus on cultural transformation and leadership development.

    • Main Results:

    • Successful integration of shared governance enhanced nurses' sense of importance and value.
    • It fostered a proactive culture focused on improving patient care.
    • The model developed leadership and management skills across all staff grades.

    Conclusions:

    • Shared governance is crucial for the cultural change needed to implement the national nursing strategy.
    • It empowers nurses with the skills to influence healthcare positively and lead change.
    • This approach provides a strong foundation for advancing nursing practice and patient care.