Shared Governance: A Practical Approach to Reshaping Professional Nursing Practice / Edition 1

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Turn the theory of shared governance into a reality

Includes more than 30 customizable tools and forms!

Change is possible. Use the principles of shared governance to improve nursing satisfaction and patient care.

Anecdotal accounts and research studies attempt to connect shared governance with rosy outcomes. But without defining and measuring its underlying concepts, how can organizations assess it? And if shared governance isn’t defined and measured, how can it be connected to outcomes?

Change your nursing culture for the better. This book shows you how to define and measure shared governance so you can evaluate efficacy and analyze outcomes. Easy–to–implement strategies help you successfully introduce shared governance or revitalize an existing model.

Foreword written by Tim Porter–O’Grady, DM, EdD, ScD(h), APRN, FAAN, and tools and guidance from Robert Hess, PhD, RN, FAAN. Order today!


  • Get everything you need to build and sustain your shared governance model

  • Save time with easy–to–implement tools

  • Enhance nurse autonomy and increase competency and accountability of nursing staff

  • Create a collaborative environment among units and departments

  • Measure and assess outcomes to ensure continuous process improvement

What’s new:

  • Updated research and case studies

  • New benchmarking guidelines based on data from Robert Hess

  • Evidence–based strategies to help maintain your program and curb the damaging effects of staff turnover

  • More than 30 customizable tools and forms

Here’s a sampling of the customizable resources included with this book:

Unit council worksheet: Structures and processes

Unit council bylaws and charter

Nursing governance council action request form

Nursing communication policy

Coordinating council agenda or minutes template

Unit council minutes template

After action review form

Unit council discussion planner, shared decision–making tool, and quarterly report

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Product Details

  • ISBN-13: 9781578398560
  • Publisher: HCPro, Inc
  • Publication date: 9/1/2006
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 131

Meet the Author

Diana Swihart, PhD, DMin, MSN, CS, RN–BC, is a regional nurse at the Denver Office of Clinical Consultation and Compliance, Veterans Health Administration. She has served multiple terms both as an American Nurses Credentialing Center (ANCC) Magnet Recognition Program® appraiser and as Treasurer for the National Nursing Staff Development Organization. She is currently an ANCC accreditation commissioner. She provided operational leadership for the shared governance processes for the Bay Pines VA in Bay Pines, FL, and served as a liaison to help facilitate the application of evidence–based practice and nursing research.
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Table of Contents

Chapter 1: Introduction: The Construct of Shared Governance

What Is Shared Governance?

History and Development of Shared Governance

Shared Governance and Professional Nursing Practice Models

Shared Governance and Relational Partnerships

Chapter 2: Design a Structure to Support Shared Governance

Basic Requirements of All Shared Governance Systems

Structural Process Models of Shared Governance

Chapter 3: Build a Structure to Support Shared Governance

Implementing Shared Governance

Leading Strategic Change

Shared Governance Systems: Perspective and Format

Bylaws and Articles: Formalizing the Shared Governance Structure

Chapter 4: Building the Unit–Level Practice Council for Implementing Shared Governance at Point of Care

Why Is a Unit–Level Council So Important?

Dealing With Change

Servant (Transformational) Leadership

Building Relationships: Interprofessional and Interdisciplinary Teams

Building the Structure for Unit–Level Practice Councils (The Microsystem Level of Shared Governance)

Chapter 5: Implementing Shared Governance at the Organization Level

The Roles of the Stakeholders

Chapter 6: Measure Your Process and Outcomes at the Point of Care

Measurement Tools: IPNG and IPG

Research on the Evidence and Principles of Shared Governance

Research on Shared Governance in a Government Agency

Chapter 7: Case Studies: Snapshots of Shared Governance and Best Practices

Implementing Shared Governance in the U.S. and Global Communities

Chapter 8: Relationships for Excellence: ANCC Magnet Recognition Program® and ISO 9001:2008 Quality Management

The Relationship Between Shared Governance and the ANCC Magnet Recognition Program®

The Relationship Between Shared Governance and the ISO 9001:2008 Quality Management System

Chapter 9: Tips for Success

Best Practices Shared by Direct–Care Nurses, Team Leaders, and Other Organizations

Chapter 10: Conclusions and Recommendations: Where Do We Go From Here?

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