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Related Experiment Videos

Shared governance: making the transition in practice and perception.

Berthenya Dunbar1, Bonnie Park, Mary Berger-Wesley

  • 1Medical Service, James A. Haley Veterans' Administration Hospital, Tampa, FL 33612, USA. bertd28@aol.com

The Journal of Nursing Administration
|April 7, 2007
PubMed
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Implementing shared governance in nursing requires more than just design; it necessitates a cultural shift for long-term success. This study outlines steps for fostering such a change in nursing culture and governance perception.

Area of Science:

  • Nursing
  • Organizational Psychology
  • Healthcare Management

Background:

  • Shared governance models are prevalent in nursing literature, yet successful implementation remains challenging.
  • A significant gap exists between the design/implementation of shared governance and achieving a cultural transformation within nursing organizations.
  • A supportive nursing culture is crucial for the sustained viability of shared governance.

Purpose of the Study:

  • To identify and detail the critical steps undertaken by a transition team to facilitate cultural change in a large nursing organization.
  • To address the gap between shared governance design/implementation and cultural integration.
  • To incorporate a sustainable maintenance plan for the new governance model.

Main Methods:

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  • A shared governance transition team was established to guide the process.
  • The team focused on changing both the governance process and the perception of shared governance.
  • A comprehensive maintenance plan was developed and integrated into the organizational strategy.

    • Main Results:

    • The transition team successfully initiated changes in the governance process.
    • Perceptions of shared governance within the nursing organization began to shift positively.
    • An actionable maintenance plan was incorporated to ensure the longevity of the changes.

    Conclusions:

    • Bridging the gap between shared governance implementation and cultural change is achievable through dedicated transition efforts.
    • A focus on both process and perception, supported by a maintenance plan, is key to successful shared governance adoption.
    • Fostering a cultural shift is essential for the enduring success of nursing shared governance models.