Developing a collaborative professional role for the staff nurse in a shared governance model

Area of Science:

• Nursing Management
• Healthcare Administration
• Organizational Development

Background:

• Shared governance models empower nurses, fostering professional autonomy and accountability.
• Integrating total quality management (TQM) principles enhances healthcare service quality and patient outcomes.
• Effective leadership development is crucial for successful implementation of nursing governance structures.

Purpose of the Study:

• To describe the development and implementation of a shared governance model within a nursing division.
• To illustrate the application of this model in an emergency department setting.
• To outline a complementary leadership development model supporting shared governance.

Main Methods:

• A shared governance framework was designed and integrated with total quality management principles.
• The model's development process and implementation strategies were documented.
• A concurrent leadership development program was created to support the initiative.

Main Results:

• The integrated shared governance and TQM approach demonstrated positive outcomes in the nursing division.
• Successful application of the model within the emergency department setting was achieved.
• The leadership development model provided a framework for nurturing effective nursing leaders.

Conclusions:

• Shared governance, when combined with TQM, offers a viable strategy for improving nursing division performance.
• The described models provide a practical blueprint for healthcare organizations seeking to enhance nursing leadership and operational quality.
• Further research can explore the long-term impact and scalability of this integrated approach.