Shared Governance

A Practical Approach to Transform Professional Nursing Practice, Second Edition

Diana Swihart, PhD, DMin, MSN, APN CS, RN-BC, CEO of AAPA

As of June 20, 2014, contact hours for nurses are no longer available with this product.

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!



Benefits:

• 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

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?

Learning objectives:

• Define the four primary principles of shared governance: partnership, equity, accountability, and ownership
• Compare two professional nursing practice models
• Identify five characteristics that shared governance structures have in common
• Discuss the basic guidelines for forming the governance bodies in shared governance
• Compare and contrast four structural process models of shared governance
• Identify four strategic changes related to implementation of shared governance
• Describe the roles and responsibilities of a design team for implementation of shared governance
• Discuss the purpose of bylaws and articles and how they are established when formalizing the shared governance structure
• Describe the importance of a unit-level council
• List three strategies to help nurses accept change when establishing and building a unit council
• Identify the first three steps in building a unit-level practice council
• Discuss the roles of the following stakeholders: leadership, union representatives, community members, nurses, and patients
• Describe how shared governance can be an integrating structure in healthcare organizations under nursing''s leadership
• Identify some of the research done on the principles of shared governance
• Discuss the research project that looked at shared governance in a government agency using the Index of Professional Nursing Governance (IPNG)
• Describe the attributes of the shared governance process of the organizations featured in the case studies
• Describe the ANCC Magnet Recognition Program® and its relationship to shared governance
• Describe the ISO 9001:2008 quality management system and its relationship to shared governance
• Describe 10 tips for success when implementing shared governance
• State four key messages from the Institute of Medicine and Robert Wood Johnson Foundation Initiative on the Future of Nursing study (2011) for advancing nursing professional practice
• Describe how the recommendations from the Initiative on the Future of Nursing study could be supported through shared governance