Shared governance: getting it started

A shared governance model has been developed and implemented in an intensive care unit of a 290-bed community hospital. This resulted from a large staff turnover due to job dissatisfaction stemming largely from lack of autonomy. Scheduling and floating were major factors. Under the unit manager's leadership, four committees of staff nurses designed an appropriate model of participative management. Surveys of 18 and 30 months indicate significant support of the shared governance system, with improved collegiality, enhanced professional growth and a turnover rate of less than 1 percent.