title: Transforming organizational culture through nursing shared governance.
abstract: Nursing shared governance (NSG) provides a framework for the professionalization of nursing, provides a broader distribution of decision making across the profession, and allocates decisions based on accountability and role expectations. Shared governance defines staff-based decisions, accountability, roles, and ownership of staff in those activities that directly affect nurses' lives and practice. Although NSG is a somewhat ambiguous concept with a vast application, examining it from the perspective of structure, process, and outcomes can more clearly outline a successful strategy for implementation and growth.
authors.affiliation: Department of Administration, Baptist Hospital East, 4000 Kresge Way, Louisville, KY 40207, USA. knewman@bhsi.com
authors.forename: Karen Profitt
authors.initials: KP
authors.lastname: Newman
mesh_terms: D019985:Benchmarking; D054976:Clinical Governance / Q000458:organization & administration*; D003142:Communication; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D016519:Hospitals, Religious; D006801:Humans; D007629:Kentucky; D007857:Leadership; D016294:Models, Nursing; D024802:Nurse's Role / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D015279:Organizational Culture; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D017009:Professional Autonomy; D011367:Professional Staff Committees; D016730:Program Development; D015397:Program Evaluation; D019984:Quality Indicators, Health Care