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Total quality management and shared governance: synergistic processes

D B Gardner, C Cummings

    Nursing Administration Quarterly
    |January 1, 1994
    PubMed
    Summary

    Total quality management (TQM) and shared governance create synergistic gains in nursing. Systems thinking and understanding interdependencies are key for nursing managers to lead change effectively.

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    Area of Science:

    • Healthcare Management
    • Nursing Leadership
    • Systems Theory

    Background:

    • Total Quality Management (TQM) and shared governance are critical frameworks for organizational development in healthcare.
    • Implementing these models requires a fundamental shift in leadership approach, emphasizing systemic understanding.

    Purpose of the Study:

    • To explore the synergistic relationship between TQM and shared governance in nursing.
    • To highlight the importance of systems thinking for nursing managers.
    • To provide an example of successful implementation.

    Main Methods:

    • A systems perspective was used to analyze the integration of TQM and shared governance.
    • Case study approach detailing the National Institutes of Health nursing department's experience.

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    Main Results:

    • Synergistic development occurs when TQM and shared governance are implemented together.
    • Systems thinking and understanding interdependencies are crucial for successful change management.
    • The NIH experience demonstrates a practical application of these principles.

    Conclusions:

    • Nursing managers must develop systemic competencies to foster reciprocal development.
    • Effective leadership in nursing change initiatives relies on understanding structural interdependencies.
    • Integrating TQM and shared governance through a systems lens enhances leadership capacity.