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Is governance being shared?

D S Havens1

  • 1Nursing Administration Graduate Program, Duke University School of Nursing, Durham, NC.

The Journal of Nursing Administration
|June 1, 1994
PubMed
Summary
This summary is machine-generated.

Hospital nurse executives identified top nursing units and the hierarchy levels responsible for practice decisions. Findings highlight shared governance challenges between administrators and registered nurses, impacting nursing practice.

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Area of Science:

  • Nursing Management
  • Healthcare Administration
  • Organizational Governance

Background:

  • Nursing unit innovation is crucial for quality patient care.
  • Understanding decision-making structures is key to effective nursing practice.
  • Shared governance models are increasingly adopted in healthcare.

Purpose of the Study:

  • To identify the nursing hierarchy levels involved in decisions for innovative nursing units.
  • To explore the extent of shared governance between nurse administrators and staff nurses.

Main Methods:

  • Survey distributed to chief nurse executives in acute care general hospitals.
  • Selection of the "most professional/innovative" nursing unit within each institution.
  • Analysis of responses from 220 executives regarding responsibility for practice content and context.

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Main Results:

  • Identified specific levels within the nursing hierarchy responsible for unit activities and practice decisions.
  • Data revealed varying degrees of administrative versus staff nurse involvement in governance.
  • Responses indicated complex dynamics in shared decision-making processes.

Conclusions:

  • The study raises critical questions about the current state of shared governance in nursing.
  • Effective collaboration between administrators and registered nurses is essential for optimizing nursing practice.
  • Further research is needed to understand and improve governance models for nursing units.