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Related Experiment Videos

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
PubMed
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.

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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.

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  • 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.