title: Shared Governance: The Role of Buy-in in Bringing About Change.
abstract: The term buy-in can be found in almost any article considering individuals' participation in an initiative. At the time of this writing, a Google search of buy-in resulted in 10.5 billion hits. The term buy-in seems intuitive, yet many healthcare organizations struggle to implement and sustain initiatives that depend on nursing buy-in and involvement. The purpose of this article is to identify prerequisites to buy-in and factors that facilitate buy-in which, when cultivated, may positively influence nurse engagement. In this article, the authors discuss the concept of buy-in, identify prerequisites for buy-in, consider factors to enhance buy-in, and present scenarios of what happens when buy-in happens, when it almost happens, and when it fails. They also consider future directions to facilitate buy-in by nursing staff members.
authors.forename: Matthew
authors.initials: M
authors.lastname: French-Bravo
authors.forename: Gregory
authors.initials: G
authors.lastname: Crow
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D004059:Diffusion of Innovation; D017146:Models, Organizational; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration*