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Shared governance: what it means to those involved
Aspen'S Advisor for Nurse Executives
|June 1, 1989
Summary
Shared governance transforms nursing culture by evolving roles and fostering accountability. Despite initial role confusion, nurses highly value this management philosophy for professional growth and organizational commitment.
Area of Science:
- Nursing Management
- Organizational Psychology
- Healthcare Administration
Background:
- Shared governance in nursing is recognized as a management philosophy and organizational structure.
- Its implementation involves an evolutionary process of role examination and learning.
Purpose of the Study:
- To explore nurses' perceptions of shared governance.
- To understand its impact on organizational culture, roles, and professional development.
Main Methods:
- Qualitative analysis of nurses' experiences with shared governance.
- Examination of perceived changes in roles, power dynamics, and organizational culture.
Main Results:
- Shared governance was perceived to change organizational culture and belief systems.
- Implementation led to role conflicts and confusion but was highly valued for enhancing commitment, accountability, and professionalism.
- Participants reported opportunities for leadership skill development.
Conclusions:
- Shared governance is a valued mechanism for enhancing nursing practice and professionalism.
- While challenges like role confusion exist, overall satisfaction and perceived benefits, including professional growth, are significant.
- The evolutionary nature of shared governance requires ongoing adaptation and support.