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Related Experiment Video

Updated: Apr 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Shared governance in a clinic system.

Michelle M Meyers¹, Cindy Costanzo

¹Department of Nursing, Creighton University, Omaha, Nebraska.

Nursing Administration Quarterly

|December 5, 2014

Summary

This summary is machine-generated.

Shared governance in ambulatory care clinics empowers nurses in decision-making. Implementation of a Clinic Nursing Council showed initial traditional governance, highlighting shared governance as an evolving process.

Related Experiment Videos

Last Updated: Apr 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

Nursing Administration
Healthcare Management
Organizational Dynamics

Background:

Shared governance in healthcare allows nurses to participate in decision-making, fostering decentralized management and accountability.
While established in hospitals since the 1970s, shared governance models are less developed in ambulatory care settings.
This quality improvement project focused on implementing shared governance in a clinic system.

Purpose of the Study:

To implement and evaluate a shared governance model in an ambulatory care clinic system.
To assess the impact of a Clinic Nursing Council on nursing staff involvement and decision-making.
To measure changes in shared governance scores using the Index of Professional Nursing Governance.

Main Methods:

A stakeholder committee selected and introduced a shared governance model to clinic staff.
A Clinic Nursing Council was established, meeting bimonthly for three months to address nursing-related issues.
The Index of Professional Nursing Governance was administered before and after the intervention to measure shared governance levels.

Main Results:

The Index of Professional Nursing Governance scores indicated traditional governance both pre- and post-implementation, as anticipated.
The stakeholder committee played a crucial role in the successful initial implementation.
The project facilitated increased involvement of staff nurses in the shared governance process.

Conclusions:

Shared governance is an evolutionary process that requires time to fully develop within an organization.
Empowered nurses and nurse leaders emerge through the consistent application of shared governance principles.
Further efforts are needed to fully establish and integrate shared governance in ambulatory care settings.