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"Healthcare organizations with the highest employee engagement scores report elevated patient and staff satisfaction, as well as low numbers of patient safety incidents (Gallup, 2013). Engagement can also be influenced positively once shared governance is developed and utilized throughout a nursing department. This manner of leading a team, in which frontline staff and managers work together to exhibit shared decision-making and improve their practice, is a structure that allows direct care providers the ability to own their workflow and improve patient, staff, and organizational outcomes (Porter-O'Grady, 1991). A critical care department of an inpatient facility in which employee engagement was in question and shared governance was not being utilized, reviewed the literature and began to develop and utilize such a model through the implementation of an evidence-based practice (EBP) initiative. Engagement levels were quantified before and after the introduction and usage of the structure, with the purpose of the project being to increase nursing engagement, and therefore improve outcomes for all stakeholders. In addition to multidisciplinary staff education regarding EBP, work engagement, and shared governance, as well as small group and steering committee development, the initiative was realized in the department. A discussion regarding the process for developing, implementing, and evaluating the shared governance model, as well as its positive impact on employee engagement and stakeholder outcomes, is included. Implications for advancing nursing practice through shared governance, including its impact upon policy-making and interdisciplinary collaboration, are also discussed. Keywords: nursing, engagement, shared governance, evidence-based practice." -- Abstract.
The third edition of this classic text has been expanded to feature updated and comprehensive shared governance research and the latest IPNG and IPG shared governance measurement tools. The new edition provides a framework for incorporating fresh interprofessional and interdisciplinary approaches to shared governance. Shared Governance, Third Edition, is your complete shared governance toolkit and has more than 60 helpful tools, from policies and procedures, to decision-making aids, to templates for councils. Plus, the book incorporates the most widely used and respected tools for measuring the impact of shared governance programs on the quality of care: the Index of Professional Governance and Index of Professional Nursing Governance, created by the book's coauthor-and founder of the Forum for Shared Governance-Robert G. Hess, Jr. This book will help you change your culture for the better and begin a true method of shared governance. If previous attempts at shared governance have stalled or failed, the new edition provides helpful strategies for changing course and building a truly effective model.
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Shared Governance that Works will help you design and operationalize the structures and processes necessary to achieve a highly effective and satisfying shared governance experience for all. Here's what you'll be able to do after reading this book: Choose a model of shared governance that works best for your organization and decision-making teams. Create charters, bylaws, and guidelines that provide the clarity necessary for efficient functioning. Understand and optimize the stages of council development. Develop structures and process, such as strategic planning, goal setting, and annual reports that will maximize the work of your councils. Collect, report, and analyze data to drive practice/work and improve outcomes.
The primary focus of this book is the creation of a work environment that reflects the values and professional practice behaviors articulated by nurses. Its practice-based text carries the reader through each phase of shared governance, from concept to systems integration. Special emphasis is given To The logical progression away from the traditional bureaucratic organization to a new structure that supports shared governance.
The quest for cost savings in hospitals and health systems too often prompts leaders to rush to make major cuts in the largest budget line item: staffing and labor costs. Evidence shows, though, that cutting labor expenses, especially in nursing, negatively impacts both quality of care and overall profitability. Faced with cutting costs while continuing to provide extraordinary patient care, nurses at Children’s Hospital of Philadelphia (CHOP) decided to pave a different path. In the process, they created a new model of bedside-driven fiscal responsibility. Nursing-Led Savings shows organizational leaders at all levels how to develop and implement a robust, sustainable plan that eliminates waste and streamlines processes in everyday clinical work. This strategy involves: · Educating frontline staff on the importance of financial stewardship · Using a structured improvement approach to execute cost savings at the bedside · Engaging Nursing Shared Governance councils in implementation and oversight · Prioritizing non-labor expense reduction
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.
Shared Governance Nurse Manager Training Programis the only training program targeted to nurse managers that is based entirely on the evidence in the literature and expert opinion. Designed to assist nurse managers in delivering a shared governance training program within their hospital, this book and its accompanying tools and resources provide straightforward, ongoing training. There is no "one size fits all" model for shared governance; each department must find the structure and process that work best. And while frontline management plays an essential role in the success or breakdown of shared governance, there is a lack of consistent instruction for management. Author Jeanine M. Rundquist, DNP, RN, NEA-BC, helps you provide this training with case studies and downloadable tools, allowing you to give your shared governance program the time and attention it needs to thrive. This book will give you: - Methods to assist nurse managers in delivering a shared governance training program - Guidance on sustaining a successful shared governance program - Ways to provide consistency in management training