Related Experiment Video
Updated: Feb 26, 2026
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
System-Level Shared Governance Structures and Processes in Healthcare Systems With Magnet®-Designated Hospitals: A
Carlisa M Underwood1, Arlene N Hayne
1Author Affiliations: Part-time Faculty, College of Nursing, University of South Alabama, Mobile (Dr Underwood); and Professor, Ida V. Moffett School of Nursing, Samford University, Birmingham, Alabama (Dr Hayne).
Objective:
The purpose was to identify and describe structures and processes of best practices for system-level shared governance in healthcare systems.
Background:
Currently, more than 64.6% of US community hospitals are part of a system. System chief nurse executives (SCNEs) are challenged to establish leadership structures and processes that effectively and efficiently disseminate best practices for patients and staff across complex organizations, geographically dispersed locations, and populations.
Methods:
Eleven US healthcare SCNEs from the American Nurses Credentialing Center's repository of Magnet®-designated facilities participated in a 35-multiquestion interview based on Kanter's Theory of Organizational Empowerment.
Results:
Most SCNEs reported the presence of more than 50% of the empowerment structures and processes in system-level shared governance.
Conclusions:
Despite the difficulties and complexities of growing health systems, SCNEs have replicated empowerment characteristics of hospital shared governance structures and processes at the system level.
Related Concept Videos
00:59Hospitals-II
Nurses that work in...
01:20Integrated Healthcare System
01:28Hospitals-I
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...