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Whole systems shared governance: creating the seamless organization

T Porter-O'Grady

    Nursing Economic$
    |July 1, 1994
    PubMed
    Summary

    Shared governance in U.S. hospitals offers a flexible nursing organizational design. This model promotes accountability and seamless healthcare delivery across all organizational levels.

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    Area of Science:

    • Healthcare Management
    • Organizational Design
    • Nursing Administration

    Background:

    • Over 1,000 U.S. hospitals have adopted shared governance for nursing departments in the past decade.
    • Organizational structures are dynamic and require adaptability.

    Purpose of the Study:

    • To introduce whole systems shared governance as a transitional model.
    • To emphasize accountability at all organizational levels.
    • To create a seamless structure for community health service delivery.

    Main Methods:

    • The study proposes a conceptual model for whole systems shared governance.
    • Focuses on principles of ownership and accountability throughout the organization.

    Main Results:

    • Whole systems shared governance facilitates a transitional model for organizational ownership.
    • Enhances accountability across all levels of the nursing department.
    • Promotes a seamless structure for healthcare service provision.

    Conclusions:

    • Shared governance provides a dynamic and adaptable framework for nursing departments.
    • This model fosters accountability and improves healthcare service delivery to communities.

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