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Shared governance. From vision to reality
R A Westrope1, L Vaughn, M Bott
1Saint Luke's Hospital of Kansas City, MO, USA.
The Journal of Nursing Administration
|December 1, 1995
Summary
Implementing shared governance in nursing enhances staff commitment and retention. This model empowers clinical nurses, leading to improved job satisfaction and accountability in healthcare settings.
Area of Science:
- Nursing
- Healthcare Management
- Organizational Psychology
Background:
- Quality patient care relies on competent, committed clinical staff with long-term employment.
- Clinical nurse commitment and accountability are crucial for positive patient outcomes.
- Traditional hierarchical structures may not fully support nurse engagement.
Purpose of the Study:
- To evaluate the impact of shared governance on staff nurse commitment, job satisfaction, and retention.
- To describe the process of implementing a shared governance model in a tertiary teaching facility.
- To demonstrate how shared governance can foster accountability and improve nursing practice.
Main Methods:
- Implementation of a shared governance framework for clinical nurses.
- Empowering nurses with decision-making authority and accountability for outcomes.
- Qualitative and quantitative assessment of staff nurse perceptions and retention rates.
Main Results:
- Shared governance led to increased job satisfaction among staff nurses.
- Nurse commitment to their practice and organizational values significantly improved.
- Enhanced retention rates were observed among staff nurses participating in the shared governance model.
Conclusions:
- Shared governance is an effective framework for increasing nurse commitment, job satisfaction, and retention.
- Empowering clinical nurses through shared governance positively impacts their engagement and accountability.
- The successful implementation of shared governance can enhance the quality of patient care by fostering a committed nursing workforce.