title: An evaluative study of the effects of the implementation of UBSG on nurses' perceptions of professional governance.
abstract: Health care reform has been a major economic and political challenge in Taiwan. Successful implementation of change in hospitals requires managers to learn new skills. Unit-based shared governance (UBSG) is one innovation used to restructure health care organizations to promote the performance of professionals and to achieve goals for organizations. This research, conducted in a 150-bed community hospital, was a quasi-experimental study designed to evaluate the effectiveness of implementing UBSG. This article describes and compares the degree of nurses' perceptions of professional governance between a UBSG group (n = 29) and a control group (n = 24). The findings of this study indicate that the majority of UBSG respondents scored at a high level of participation in decision-making and professional practice (p < .05). Nurses in the UBSG group shared more in professional governance activities (p < .05). It is suggested that decentralized UBSG within a division of nursing can empower nurses. The study provides an empirical basis for implementing UBSG.
authors.affiliation: Taichung Veterans General Hospital.
authors.forename: L C
authors.initials: LC
authors.lastname: Lee
authors.forename: K P
authors.initials: KP
authors.lastname: Yang
authors.forename: C L
authors.initials: CL
authors.lastname: Lee
authors.forename: S L
authors.initials: SL
authors.lastname: Wu
mesh_terms: D000328:Adult; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009729:Nursing / Q000458:organization & administration*; D010465:Perception