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From bedside to boardroom - nursing shared governance.

Robert G Hess1

  • 1Continuing Education for Nursing Spectrum. rhess@nursingspectrum.com <rhess@nursingspectrum.com>

Online Journal of Issues in Nursing
|March 5, 2004
PubMed
Summary

Nursing shared governance empowers staff nurses by giving them control over practice and administrative decisions. This model, though challenging to implement, is revitalizing the profession amidst nursing shortages.

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Area of Science:

  • Nursing Administration
  • Healthcare Management
  • Organizational Development

Background:

  • The nursing shortage is driving renewed interest in shared governance models.
  • Shared governance offers staff nurses increased autonomy and influence in practice and administration.
  • The definition and implementation of shared governance vary significantly across organizations.

Observation:

  • Shared governance is difficult to define and implement consistently.
  • Its effectiveness and appropriateness across different healthcare settings are questioned.
  • The article examines the 25-year history and essential elements of nursing shared governance.

Findings:

  • Essential elements for successful shared governance are identified.
  • Guidance is provided for professionals implementing shared governance.
  • The status of shared governance in 2004 is described.

Implications:

  • Shared governance can potentially improve nurse retention and job satisfaction.
  • Successful implementation requires careful planning and adaptation to organizational context.
  • Further research may be needed to validate its long-term impact and scalability.

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