Description: This book presents a model for integrating a shared governance philosophy into a total system. Previous shared governance literature has focused on nursing services and how to structure nursing care delivery around the role of nursing services. Here an interdisciplinary approach is presented which takes into account today's multidisciplinary care delivery systems and reengineering plans.
Purpose: According to the editors, the purpose is to develop a whole systems approach to change and add it to the model of health care services. It is also designed to assist the reader in becoming future oriented in health service delivery. The goal of the book is to describe a journey that integrates the care delivery system. This book is needed to help nursing executives learn the mechanics of changing the whole system in which they function. The editors' objectives are met, but they did not recognize the need to consult other references.
Audience: This book is written for healthcare executives, including administrators and nursing executives. Nursing managers and directors as well as administrative nursing executives could use the information in this book.
Features: There is an abundance of graphs and illustrations. It may actually be over illustrated as it appears that nearly every page has a highlighted quote from the text. References are current and relevant.. The table of contents and the index are adequate for the text. Generally, the appearance of the book is pleasing to the eye with a font that is large enough to read and well-marked divisions in the text. A unique feature of the book is a quotation at the beginning of each chapter. These quotations are not necessarily healthcare related, but they do offer an insight into the current state of change in today's environment. This makes for an interesting introduction into each chapter.
Assessment: Recognized as a expert in shared governance, Porter-O'Grady offers a new perspective on integrating this theory of management into an integrated system. It is an interesting concept and makes for worthwhile reading. To the novice in shared governance, this book offers an explanation of the concept and practical insights into making it work.