Interprofessional shared governance and relationship-based care: implementation and lessons learned.

Area of Science:

• Healthcare Management
• Nursing Practice
• Patient Engagement

Background:

• Shared decision-making is increasingly vital in modern healthcare.
• Implementing new care models requires structured approaches.
• Relationship-based care and shared governance are key components of quality improvement.

Purpose of the Study:

• To provide a practical, step-by-step guide for implementing an interprofessional shared governance and relationship-based care model.
• To detail the lessons learned during the implementation process.
• To demonstrate the long-term sustainability of such a model in a tertiary academic medical center.

Main Methods:

• A phased, 'wave' approach to implementation across inpatient and ambulatory services.
• Focus on interprofessional collaboration and relationship-based care principles.
• Systematic documentation of the implementation process and outcomes over eight years.

Main Results:

• Successful, sustained implementation of the interprofessional shared governance and relationship-based care model.
• The model was applied across diverse services within a large academic medical center.
• Valuable lessons were learned regarding the practicalities of implementation and long-term maintenance.

Conclusions:

• A structured, phased implementation is effective for integrating shared governance and relationship-based care.
• The model demonstrated sustainability over an eight-year period.
• This approach can significantly enhance shared decision-making and patient care in academic medical settings.