A Practical Approach to Transform Professional Nursing Practice, Second Edition
Diana Swihart, PhD, Dmin, MSN, CS, APRN,BC
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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
- 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?
- 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
Earn 6 continuing education credits
HCPro, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center Commission on Accreditation.
This educational activity for 6 nursing contact hours is provided by HCPro, Inc.
About 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.
Faculty Disclosure Statement
HCPro Inc. has confirmed that none of the faculty/presenters, planners, contributors, or their partners/spouses have any relevant financial relationships to disclose related to the content of this educational activity.
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