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Shared governance: developing a British model

J Geoghegan, A Farrington

    British Journal of Nursing (Mark Allen Publishing)
    |July 13, 1995
    PubMed
    Summary
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    Shared governance in healthcare, a decentralized management style, offers benefits but also presents challenges. This article explores its application within a British National Health Service (NHS) trust.

    Area of Science:

    • Healthcare Management
    • Organizational Psychology
    • Nursing Administration

    Background:

    • Shared governance is a model of nursing management that empowers nurses in decision-making.
    • Decentralized management styles are increasingly explored for their potential to improve organizational outcomes.
    • Previous implementations of shared governance in the USA have shown both positive results and identified limitations.

    Purpose of the Study:

    • To examine the concept of shared governance in the context of healthcare.
    • To describe the development of a shared governance model tailored for a British National Health Service (NHS) trust.
    • To analyze the implications of shared governance for managers and staff nurses within this specific healthcare setting.

    Main Methods:

    • Conceptual analysis of shared governance principles.

    Related Experiment Videos

  • Description of a proposed shared governance model for Leicester General Hospital.
  • Discussion of potential benefits and limitations based on existing literature and the proposed model.

    • Main Results:

    • Shared governance aligns with decentralized management, impacting roles of managers and nurses.
    • Anticipated benefits mirror those observed in US healthcare settings.
    • Identified limitations require careful consideration for successful implementation in the NHS context.

    Conclusions:

    • Shared governance offers a framework for empowering nurses and improving healthcare delivery.
    • The proposed model for Leicester General Hospital necessitates a thorough understanding of its potential benefits and challenges.
    • Adaptation and careful planning are crucial for the successful integration of shared governance within the British NHS.