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Related Experiment Videos

Experiencing nursing governance: developing a post merger nursing committee structure.

K Alvarado1, S Boblin-Cummings, P Goddard

  • 1Hamilton Health Sciences Corporation.

Canadian Journal of Nursing Leadership
|October 22, 2004
PubMed
Summary

Front-line nurses developed a new governance structure, the Nursing Practice Committee (NPC), after a hospital merger dissolved traditional departments. This initiative empowered nursing staff and reshaped professional voice within the healthcare organization.

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Area of Science:

  • Healthcare Management
  • Nursing Governance
  • Organizational Change

Background:

  • A merger of two hospitals into a single corporation led to the reorganization of healthcare delivery using a program management structure.
  • This restructuring resulted in the dissolution of traditional nursing departments, necessitating a new approach to nursing professional voice.

Purpose of the Study:

  • To describe the process by which front-line nursing staff developed the Nursing Practice Committee (NPC).
  • To analyze the transformation of nursing governance through staff empowerment during the NPC's development.

Main Methods:

  • Formation of a nursing structure task force to guide the development of the NPC.
  • Conducting an environmental assessment to inform the design and implementation of the NPC structure.

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  • Utilizing Rosabeth Kanter's framework for staff empowerment to understand the governance transformation.

    • Main Results:

    • The nursing structure task force successfully designed and implemented the NPC.
    • Challenges and successes were encountered and documented during the development process.
    • The NPC provided a new governance structure and professional voice for nursing staff.

    Conclusions:

    • The development of the NPC demonstrates a successful model for nursing staff to establish professional governance post-merger.
    • Staff empowerment principles were crucial in transforming nursing governance and creating the NPC.
    • The NPC serves as a vital platform for nursing advocacy and professional practice within the reorganized healthcare corporation.