title: Whole systems shared governance: creating the seamless organization.
abstract: In the last decade, over 1,000 U.S. hospitals implemented a shared governance organizational design for nursing departments. However, no new or existing structure is permanent. Whole systems shared governance creates a transitional model for ownership at all levels of the organization. It reflects accountability at every level and creates a seamless structure directed towards providing health service to its community.
authors.forename: T
authors.initials: T
authors.lastname: Porter-O'Grady
mesh_terms: D003659:Decision Making, Organizational; D006801:Humans; D016294:Models, Nursing; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration*