Shared Governance in Nursing Homes
The concept of shared governance in nursing is not a new one, but rather has been recognized since the 1970s as a key indicator of excellence in the nursing practice and specific departments and institutions (Cherry & Jacob 2005, pp. 276-8). In a study of nursing home facilities in particular, it was determined that nursing leadership style had a great deal to do with levels of staff turnover, suggesting that shared governance ad other more open and empathetic leadership styles are conducive to more effective nursing and more satisfactory nursing practice (Donoghue & Castle 2009). There are a number of other factors that influence nursing practice, including patient loads, specific areas or specializations of practice, and a host of economic and social factors. Leadership style, however, is one of the most easily changed factors with a large degree of influence on the practice and profession of nursing, and for this reason has been selected as the focus of this brief examination.
"Shared governance" is a term that has made its way into many different industries and areas of human endeavor, and it is not always used consistently even within a single discipline. In nursing, shared governance is a basic schema of leadership and collaboration in which practicing nurses play a role in the administration of their department and institution by advising on decisions that will impact care, raising concerns in a recognized and respected manner, and responding in kind to concerns raised by administration. More a philosophy and...
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