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Related Experiment Videos

Unit-based shared governance can work!

G B Edwards, M Farrough, M Gardner

    Nursing Management
    |April 1, 1994
    PubMed
    Summary
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    Shared Governance implementation in a Medical Intensive Care Unit (MICU) improved nurse job autonomy and decision-making input. Staff commitment grew, leading to broader integration and consultation roles.

    Area of Science:

    • Nursing Management
    • Healthcare Administration
    • Organizational Psychology

    Background:

    • Implementing Shared Governance models is crucial for enhancing nurse engagement and autonomy.
    • Nurse Executive Councils play a key role in driving organizational change in healthcare settings.
    • Empowering frontline staff through shared decision-making can improve unit-level outcomes.

    Purpose of the Study:

    • To describe the planning and implementation of Shared Governance in a Medical Intensive Care Unit (MICU).
    • To evaluate the impact of Shared Governance on nurse satisfaction, autonomy, and decision-making.
    • To assess the sustainability and expansion of the Shared Governance model.

    Main Methods:

    • A Nurse Executive Council initiated and managed Shared Governance in a 10-bed MICU.

    Related Experiment Videos

  • Nurses were allocated paid time to participate in four dedicated councils.
  • A pilot year was conducted, followed by staff commitment affirmation and integration of support staff.

    • Main Results:

    • The pilot year demonstrated increased nurse satisfaction with job autonomy and input into decision-making.
    • Staff reaffirmed their commitment to Shared Governance, adopting it as a permanent operational model.
    • Patient care assistants and unit clerks were integrated into the councils in the second year.

    Conclusions:

    • Shared Governance can be successfully implemented in an MICU setting, fostering a positive work environment.
    • Sustained commitment and expansion of Shared Governance, including support staff, enhance its effectiveness.
    • This model promotes nurse empowerment and can serve as a blueprint for other healthcare units and institutions.