Unit-Based Shared Governance CAN Work!

Edwards, Gwethalyn B.; Farrough, Marti; Gardner, Marilyn; Harrison, Denise; Sherman, Marcia; Simpson, Sherry

doi:10.1097/00006247-199404000-00013

Cited by 8 publications

(4 citation statements)

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“…Only early and limited attention was paid to clarifying council remits, roles and responsibilities, which is essential for effective working (Frusti 1996, Miller 1997). Unclear remits have presented problems in other council models, resulting in frustration due to lack of leadership (Edwards et al. 1994) and disillusionment (Burnhope & Edmonstone 2003).…”

Section: Discussionmentioning

confidence: 99%

“…The councillor model is by far the most popular model identified. Whilst primarily unidisciplinary (nursing), some models are multidisciplinary (Edwards et al 1994). Models should begin with nurses, because of their number and location in the patient care system, and then develop into other areas once established (Porter-O'Grady 1994b).…”

Section: Models Of Sgmentioning

confidence: 99%

“…The councillor model is by far the most popular model identified. Whilst primarily unidisciplinary (nursing), some models are multidisciplinary (Edwards et al. 1994).…”

Section: Introductionmentioning

confidence: 99%

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Work-based learning: a leadership development example from an action research study of shared governance implementation

Williamson

2005

J Nurs Manag

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Implementation of shared governance has succeeded in developing leadership capacity. Evaluation findings have led to improvements in the overall shared governance model. Action research has been found to have great utility at optimizing work-based learning. Nurse Managers need to develop their coaching and facilitating skills and recognize there is no "quick fix" for developing clinical leaders. Implications include the need to support learners in identifying and implementing changes arising from work-based learning activities, the significant resource implications and the need to optimize the organizational climate if work-based learning approaches to leadership and management development are to succeed.

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Section: Discussionmentioning

confidence: 99%

Section: Models Of Sgmentioning

confidence: 99%

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Work-based learning: a leadership development example from an action research study of shared governance implementation

Williamson

2005

J Nurs Manag

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“…Central to shared governance is the erection of structures that facilitate staff to meaningfully contribute to their organisation's corporate agenda through a process of shared decision-making. These structures are variable, but models adopted around the globe commonly comprise committees known as 'councils' of elected or appointed groups of staff representing single or multiple disciplines (Edwards et al, 1994). Nursing as a profession has welcomed shared governance as a means of harnessing staff commitment and creating a sense of ownership of the decisions made (Naish, 1995).…”

Section: Introductionmentioning

confidence: 99%

Strengthening group decision making within shared governance

Williamson¹

2008

Groupwork

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Shared governance is an approach to empowering nurses and other health care workers to have authority for decisions concerning their practice. Commonly, visible definers of shared governance are groups of workers known as 'councils' whose membership works collectively to realise a shared goal. The literature is replete with rhetoric as to the benefits of shared governance yet the evidence base concerning shared governance and especially decision-making within shared governance is scant. This paper presents a case study of group decision-making within a UK shared governance council model. The evidence which informs the case study is drawn from a doctoral action-research study to strengthen decision-making within the model. Eight key factors affecting decision-making and four supportive conditions are presented and incorporated into a conceptual model. Within the case study, presence of these factors was found to be necessary but not sufficient to enhance decision-making. Factors included having a clear issue, clear aim, fitting issue, manageable issue, size, lead person allocated, level of authority, background information, key informant/s, a mechanism for evaluation, adequately skilled members, support/guidance and sufficient/appropriate membership. Aspects of group decision-making processes are highlighted and compared with established management, shared governance and group dynamics theory.

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Shared governance: a literature review

O’May

Buchan

1999

International Journal of Nursing Studies

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Unit-Based Shared Governance CAN Work!

Cited by 8 publications

References 0 publications

Work-based learning: a leadership development example from an action research study of shared governance implementation

Work-based learning: a leadership development example from an action research study of shared governance implementation

Strengthening group decision making within shared governance

Shared governance: a literature review

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