Shared Vision in Nursing: An Evolutionary Concept Analysis Revealing Dualities Within the Profession

Area of Science:

• Nursing
• Healthcare Management
• Organizational Behavior

Background:

• The concept of shared vision has been utilized in nursing for over two decades.
• Inconsistent terminology and presentation of shared vision exist within nursing literature.
• Shared vision fundamentally involves a group identifying desired future creations.

Purpose of the Study:

• To conduct a concept analysis of shared vision.
• To examine shared vision from an evolutionary nursing perspective.
• To explore shared vision within healthcare organizations.

Main Methods:

• An evolutionary concept analysis approach was employed.
• A comprehensive literature search was conducted.
• Forty-eight nursing journal articles published between 1989 and 2016 were analyzed.

Main Results:

• Shared vision is depicted as either a process or an outcome in nursing literature.
• Both top-down and bottom-up strategies are utilized in defining future healthcare.
• Nurses are active participants in visioning, while patients and families are typically passive recipients.
• Leadership plays a crucial role in establishing shared vision.

Conclusions:

• Shared vision is a dynamic concept in nursing, adaptable as a process or outcome.
• Effective implementation requires understanding the roles of nurses, leaders, and patients.
• Further research can refine the application of shared vision in healthcare settings.