Shared governance: Hartford Hospital's experience.
Shared Governance is the administration and deployment of the organization's services through a partnership model of managers and staff. A system is said to "live" where it provides service. In a health care organization this is the point of service known as the patient care unit. In that arena staff nurses engaged in a partnership model of governance should be acknowledged as the rightful owner of their clinical practice and the systems that support the delivery of patient care. This manuscript describes an acute care hospital's experience in the evolution of its governance structure that enabled staff nurses to assume greater levels of autonomy and control over their practice.
Caramanica
Laura
L
Hartford Hospital, Hartford, CT, USA. Lcarama@harthosp.org
D003237:Connecticut; D003659:Decision Making, Organizational; D006284:Health Plan Implementation / Q000379:methods; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D007325:Institutional Practice / Q000639:trends*; D016294:Models, Nursing; D017146:Models, Organizational; D009718:Nurse Administrators / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D019982:Organizational Case Studies; D017009:Professional Autonomy; D012941:Social Responsibility