The Impact of Shared Governance Over Time in a Small Community Hospital

Research on hospital-based shared governance: a scoping review

“…All articles selected for inclusion in the review originated from the USA and were published between 2001 and 2018. The studies were mainly survey-based and used either longitudinal (Frith and Montgomery, 2006; Brull, 2015; Allen-Gilliam et al , 2016; Ong, 2017; Di Fiore et al , 2018; Weaver, 2018) or cross-sectional designs (Howell et al , 2001; Overcash et al , 2012; Rheingans, 2012; Wilson et al , 2014; Winslow et al , 2015; Gerard et al , 2016; Giambra et al , 2018). One study employed a modified Delphi technique, (Giambra et al , 2018) and four studies utilized mixed methods (Frith and Montgomery, 2006; Winslow et al , 2015; Ong, 2017; Giambra et al , 2018).…”

“…Three studies accepted participants other than nurses, such as nurse managers and patient-care technicians (Frith and Montgomery, 2006; Wilson et al , 2014; Giambra et al , 2018). In all of the studied settings, SG had originally been established for nurses, but two of the articles examined interdisciplinary models (Allen-Gilliam et al , 2016; Giambra et al , 2018). Studies on organizations that served only the nursing profession strongly emphasized nurse managers' supporting role.…”

“…Most of the studies examined models implemented within the last five years (Howell et al , 2001; Frith and Montgomery, 2006; Rheingans, 2012; Wilson et al , 2014; Brull, 2015; Ong, 2017; Di Fiore et al , 2018) or recently redesigned models (Winslow et al , 2015; Allen-Gilliam et al , 2016; Gerard et al , 2016; Giambra et al , 2018; Weaver, 2018). The models frequently had both a unit-level structure and an organization-wide structure (Frith and Montgomery, 2006; Rheingans, 2012; Wilson et al , 2014; Winslow et al , 2015; Brull, 2015; Gerard et al , 2016; Di Fiore et al , 2018; Giambra et al , 2018; Weaver, 2018).…”

“…Nine articles described the subjects addressed by the studied organizations' SG councils. The thematic analysis of these subjects revealed five council themes as follows: education and research (Howell et al , 2001; Frith and Montgomery, 2006; Wilson et al , 2014; Brull, 2015; Allen-Gilliam et al , 2016; Weaver, 2018), professional growth and development (Howell et al , 2001; Frith and Montgomery, 2006; Brull, 2015; Winslow et al , 2015; Allen-Gilliam et al , 2016; Weaver, 2018), coordination and leadership (Howell et al , 2001; Frith and Montgomery, 2006; Winslow et al , 2015; Allen-Gilliam et al , 2016; Gerard et al , 2016; Di Fiore et al , 2018), safety and quality (Frith and Montgomery, 2006; Brull, 2015; Allen-Gilliam et al , 2016; Weaver, 2018) and professional practice (Brull, 2015; Winslow et al , 2015; Allen-Gilliam et al , 2016).…”

“…Three articles assessed outcomes of SG (4) including self-perceived caring, the safety climate and job satisfaction (Rheingans, 2012); the professional practice environment, empowerment, teamwork, risk of practice errors and EBP (Allen-Gilliam et al , 2016); and engagement and turnover (Ong, 2017). Rheingans (2012) examined a councillor model that achieved positive outcomes, but the organization-wide model studied by Allen-Gilliam et al (2016) and the unit-based model studied by Ong (2017) both had inconclusive outcomes. Shared decision-making (5) was analysed in three studies and addressed in four (Brull, 2015; Allen-Gilliam et al , 2016; Giambra et al , 2018; Weaver, 2018).…”