The perception of shared governance and engagement in decision‐making among nurses

Abstract

Background Shared governance is a structural framework for operationalizing nursing ownership and accountability for nursing practice. Healthcare institutions are striving to promote healthy and satisfactory work conditions to retain their qualified personnel and achieve organizational stability and high care quality. However, little is known about nurses' participation in governance in developing countries. Aim This study aims to evaluate the levels of shared governance, also known as professional governance, among nurses in Jordan. The demographics of the study participants will also be assessed. Methods The current study used a cross‐sectional design implementing an anonymous online survey technique to collect data from 111 nurses on the Index of Professional Nursing Governance (IPNG). Descriptive statistics were performed to evaluate the nurses' perception of the concept of shared governance in the domains of personnel, information, resources, participation goals and conflict resolution, and practice. Results Among the 111 nurses, 55% of the participants were females, 45.5% were affiliated with governmental hospitals, and about half of them worked in critical care units. The analysis showed that the mean score for the total IPNG was 113 (SD = 26.28). The analyses of the mean scores of IPNG domains ranged from 11.5 (SD = 4.6) for goals and conflict resolution to 23.8 (SD = 5.7) for access to information. Discussion The results revealed that nurses' average perception of professional governance demonstrated shared governance, and more specifically, in the lower level of shared governance where decisions are made primarily by management with some staff input. Analysis of the domains of governance revealed that participants' scores corresponded with shared governance in the areas of information, resources, goals and conflict, and practice, while traditional governance was prevalent in the governance of nursing personnel and participation. Conclusion There is an agreement on the need of moving the position of frontline nurses to the center of their organizations where equity, accountability, and ownership are the pillars of participative governance. Frontline nurses need further empowerment to be more actively engaged especially in the management of nursing staff and related structures and in the participation in structures connected to governance activities at different organizational levels such as in committees.

Awareness of reporting practices and barriers to incident reporting among nurses

“…The current results might be explained by the fact that bedside nurses believe that pressure ulcers incident should be reported all the times (regardless its degree) because it is a frequent and common issue in all clinical settings all over the world that is given higher priority in hospital education programs than confidentiality problems. Plus, many nurses perceive a pressure ulcer incident as an indicator of poor quality of care rather than a system failure, which requires the nurses to make quick decision-making [ 41 , 42 ]. Moreover, this result is slightly consistent with the results of AbuAlRub et al, in which they found that around 45% of the surveyed nurses believed that they should report an incident of “breach in confidentiality” at all times [ 19 ].…”

Implementação da governança compartilhada do capital humano da enfermagem

“…A utilização bem-sucedida da governança compartilhada resulta no crescimento profissional, no aumento da competência de liderança em enfermagem e na melhoria da qualidade. A ideia principal da governança compartilhada é que o uso do poder e a tomada de decisões devem ser feitos no lugar certo, na linha de frente no local de prestação de cuidados, onde os cuidados são realizados (JABER A, et al, 2022. Estudos brasileiros sobre governança em saúde e enfermagem são incipientes e não contemplam aspecto relativo à implementação da governança compartilhada como um modelo de gestão de enfermagem para as organizações de saúde (SANTOS JLG, 2014).…”