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Related Experiment Videos

Beyond shared governance: restructuring care delivery for self-managing work teams

M J Perley, A Raab

    Nursing Administration Quarterly
    |January 1, 1994
    PubMed
    Summary

    Shared governance models empower nurses but struggle with daily operations. This article details a patient care redesign process to create effective self-managing teams, sharing experiences and practical advice for implementation.

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    Area of Science:

    • Nursing Management
    • Healthcare Operations
    • Organizational Development

    Background:

    • Shared governance models effectively empower nurses in professional practice.
    • Traditional shared governance has shown limitations in resolving day-to-day operational issues.
    • Patient care delivery requires adaptable and efficient operational structures.

    Purpose of the Study:

    • To discuss limitations of traditional shared governance approaches.
    • To describe a process for developing self-managing teams via patient care redesign.
    • To provide practical suggestions for transitioning to self-managing work teams.

    Main Methods:

    • Review of traditional shared governance models and their operational challenges.
    • Description of a patient care redesign process to foster self-managing teams.

    Related Experiment Videos

  • Case study illustrating milestones of self-managing team evolution over five years at Presbyterian Hospital of Dallas.

    • Main Results:

    • Shared governance excels at professional empowerment but is less effective for operational problem-solving.
    • Patient care redesign facilitated the development of self-managing teams.
    • The case study highlights key milestones and practical learnings from the transition process.

    Conclusions:

    • Self-managing teams offer a viable solution to enhance operational efficiency within nursing practice.
    • A structured patient care redesign process is crucial for successful implementation of self-managing teams.
    • Lessons learned from Presbyterian Hospital of Dallas provide a roadmap for other healthcare organizations.