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Related Experiment Videos

Shared governance: innovation or imitation?

R G Hess

    Nursing Economic$
    |January 1, 1994
    PubMed
    Summary
    This summary is machine-generated.

    Nursing shared governance may be an innovation, but its true nature is debated due to similar organizational structures. Evidence suggests its implementation can drive further governance innovation in hospitals.

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    Area of Science:

    • Healthcare Management
    • Organizational Theory
    • Nursing Administration

    Background:

    • Nursing shared governance models are prevalent in healthcare.
    • The distinction between true innovation and imitation in governance structures is unclear.
    • Concepts like participation and decentralization complicate the definition of shared governance.

    Purpose of the Study:

    • To determine if nursing shared governance represents a genuine innovation or an imitation of existing organizational governance.
    • To clarify the conceptual ambiguities surrounding nursing shared governance.

    Main Methods:

    • Analysis of existing literature on organizational governance and nursing shared governance.
    • Examination of anecdotal evidence regarding the implementation of shared governance in hospitals.

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    Main Results:

    • The determination of nursing shared governance as an innovation or imitation is complex.
    • Euphemisms and overlapping concepts like participation and decentralization create confusion.
    • Anecdotal evidence indicates that implementing shared governance can foster further governance innovation.

    Conclusions:

    • Nursing shared governance is not easily categorized as purely innovative or imitative.
    • The lack of a standardized model contributes to definitional challenges.
    • Hospital-specific implementations of shared governance show potential for driving future governance advancements.