Shared governance. From vision to reality.
Quality patient care is best provided by competent clinical staff members who are committed to their work, organizational values, and goals, and who maintain employment over time. Shared governance has provided the framework for clinical nurses to become more committed to their practice through decision making and to assume accountability for the outcomes of their decisions. At a tertiary teaching facility, shared governance resulted in increased job satisfaction, commitment, and retention among staff nurses. The authors describe the journey from creation of the shared governance vision to reality, and the impact of the changes.
Saint Luke's Hospital of Kansas City, MO, USA.
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Westrope
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Vaughn
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M
Bott
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Taunton
D000328:Adult; D001291:Attitude of Health Personnel; D003659:Decision Making, Organizational; D005260:Female; D006075:Governing Board; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D008923:Missouri; D017146:Models, Organizational; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology*; D015279:Organizational Culture; D010558:Personnel Loyalty; D010563:Personnel Turnover; D011787:Quality of Health Care; D011795:Surveys and Questionnaires