title: Shared governance in a clinic system.
abstract: Shared governance in health care empowers nurses to share in the decision-making process, which results in decentralized management and collective accountability. Share governance practices have been present in hospitals since the late 1970s. However, shared governance in ambulatory care clinics has not been well established. The subjects of this quality project included staff and administrative nurses in a clinic system. The stakeholder committee chose what model of shared governance to implement and educated clinic staff. The Index of Professional Nursing Governance measured a shared governance score pre- and postimplementation of the Clinic Nursing Council. The Clinic Nursing Council met bimonthly for 3 months during this project to discuss issues and make decisions related to nursing staff. The Index of Professional Nursing Governance scores indicated traditional governance pre- and postimplementation of the Clinic Nursing Council, which is to be expected. The stakeholder committee was beneficial to the initial implementation process and facilitated staff nurse involvement. Shared governance is an evolutionary process that develops empowered nurses and nurse leaders.
authors.affiliation: Department of Nursing, Creighton University, Omaha, Nebraska.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Meyers
authors.forename: Cindy
authors.initials: C
authors.lastname: Costanzo
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards* / Q000639:trends; D001291:Attitude of Health Personnel; D003657:Decision Making; D005260:Female; D006801:Humans; D007857:Leadership; D009718:Nurse Administrators / Q000458:organization & administration; D009726:Nurses / Q000639:trends*; D009729:Nursing / Q000379:methods / Q000458:organization & administration / Q000639:trends; D011209:Power, Psychological