[The effectiveness of implementing an unit-based shared governance model]

Area of Science:

• Nursing Management
• Organizational Behavior
• Healthcare Administration

Context:

• Shared governance models are crucial for empowering healthcare professionals.
• Effective governance structures impact nurse satisfaction and organizational efficiency.
• This study addresses the need for improved nurse engagement in decision-making.

Purpose:

• To establish and evaluate a regional unit-based shared governance model in a nursing department.
• To assess the impact of shared governance on professional governance, work satisfaction, and manager-nurse partnerships.
• To determine the willingness of units to sustain the shared governance model.

Summary:

• A nonequivalent control group study implemented a shared governance model over four months.
• Data collected included perceptions of governance, organizational efficiency (using IPNG and IWS), and future sustainability.
• Statistical analysis (t-tests, chi-2) compared experimental and control groups.

Impact:

• The unit-based shared governance model significantly increased nursing professional governance and work satisfaction.
• It fostered enhanced partnerships, increased nurse autonomy, and improved communication between staff and managers.
• Findings suggest refining professional roles and expanding nurse participation through trust and delegation is vital.