Shared governance: making the transition in practice and perception.
The shared governance literature contains numerous examples of how to design and implement nursing shared governance models. However, there is a major gap between design/implementation and a change in culture. A change in nursing culture will support viability of this governance model. The authors detail the steps taken by a shared governance transition team to help a large nursing organization make changes in governance process and perception as well as to incorporate a maintenance plan.
Dunbar
Berthenya
B
Medical Service, James A. Haley Veterans' Administration Hospital, Tampa, FL 33612, USA. bertd28@aol.com
Park
Bonnie
B
Berger-Wesley
Mary
M
Cameron
Terri
T
Lorenz
Barbara T
BT
Mayes
Diane
D
Ashby
Rosemary
R
D001291:Attitude of Health Personnel; D003659:Decision Making, Organizational; D005431:Florida; D007722:Health Knowledge, Attitudes, Practice; D006787:Hospitals, Veterans; D006801:Humans; D007588:Job Satisfaction; D007857:Leadership; D016294:Models, Nursing; D015401:Nursing Administration Research; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D015279:Organizational Culture; D009936:Organizational Innovation; D017009:Professional Autonomy; D011367:Professional Staff Committees / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation