"Leaders Make Things Happen" A valuable information drive about shared governance in nursing. Nurses can achieve organizational support through effective collaboration relationship leading to quality patient care.

1. SHARED GOVERNANCE
IN NURSING
“ Leaders Make
Things Happen”
Ronald Tyron B. dela Rosa, MAN

2. What is Shared Governance?
• A model nursing practice,
integrating core values to achieve
quality care.
• Helps nurses in decision making
and leadership.
• Staffs are given the responsibility,
accountability and authority for
decisions.
• Independent practice.

3. Goals
• To make nurses organized
• Allows nurses in planning and
decision making.
• Gives empowerment
• Improve nurse’s working
environment, satisfaction and
retention.
• Controls nursing practice to better
patient outcome.

4. “ Be Empowered, We want
you”( video)

5. A nursing world with shared
governance
Shared governance provides
organizational support for direct-
care nurses and enables them to
become committed to quality
nursing practice within their
organizations.

6. Benefits and Impact
• Nurse satisfaction improves
• Nurses turnover decreases
• Quality of care improves
• Better financial states due to cost
savings/cost reductions
• Improves decision making
• Improves relationship with staff

7. How it all began…
• Porter –O’Grady’s work brought
the concept into the nursing
practice.
• Titled “ Shared Governance” in
1978.
• Popular in the 1980’s, shortage in
the 1990’s now increasing again
because of nursing shortage.

8. Principles of Shared
Governance

9. Partnership
Builds relationship
Links the healthcare provider to
the patient
Creates professional
empowerment through the
collaborative relationship
Implies the key value of each
member, mission and purpose
within the organization

10. Equity
Maintains a focus on services
Foundation and measure of value
Integrates roles and relationships
into the establishment of the
structures and processes needed
to achieve positive patient
outcomes

11. Accountability
Investment in decision making
Accepting ownership of decisions

12. Ownership
Recognition and acceptance of
the importance of each role
Recognition that success is
determined by how well each
individual does their job

13. Self governance vs Shared
governance

14. Hierarchy vs Relational
partnership

15. Governance Models
Whole – systems governance
 It expands as demand grows for a
sustainable structure for horizontal
and partnered systems of healthcare
delivery.
 Executive will have to apply these
newer frameworks to the delivery of
care to provide adequate support for
the clinically integrated environment.

16. Governance Models
• Shared governance is a model of
nursing practice designed to
integrate core values and beliefs
that professional practice
embraces, as a means of
achieving quality care. Shared
governance models were
introduced to improve nurses' work
environment, satisfaction, and
retention.

17. Governance Models
Professional shared governance
 It brings every professional
stakeholder to the table to create a
team, with a focus on realizing goals,
enhancing professionalism, and
improving patient care together.
“ True collaboration is the key to
success”

18. Advantages of Shared
Governance
The advantages of shared governance
are two fold:
It empowers nurses to use their
clinical knowledge and expertise to
develop, direct and sustain our own
professional practice.
It allows nurses to network with
colleagues and to collaborate among
units and departments.

19. Nursing Shared Governance:
Sample Council Structure
The Councils are decision-making bodies in which nurses (and
for some Councils, other professional disciplines), participate
in determining goals and priorities and in making decisions
affecting nursing practice and patient care or other aspects
of professional practice.

20. Disadvantages of Shared
Governance

21. Implementation of Shared Governance:
is there a BEST way?
Why is implementing shared
governance in nursing important?
It promotes evidence-based practices
Provides a framework for patient-centred care
Improved nurse retention
Increased job satisfaction
Fosters professional growth
Strengthens intraprofessional relationships

22. Empowering Nurses
Tips for implementing Shared
Governance
1. Form a Steering Committee
2. Create Councils
3. Establish Council Bylaws
4. Set a Reasonable Timeline for
Implementation
5. Reinforce & Sustain Shared
Governance

23. Let’s make it happen!!!

24. Make a Difference (video)

25. “The best leader is the one who has
sense enough to pick good [people]
to do what he/she wants done, and
self-restraint enough to keep from
meddling with them while they do
it.” —Theodore Roosevelt

26. Reference
Anthony, M., (January 31, 2004). "Shared Governance Models: The
Theory, Practice, and Evidence". Online Journal of Issues in Nursing.
Vol. 9 No. 1, Manuscript 4.
Porter –O’Grady, T. ( 2003). Researching shared governance – futility
of focus. Journal of Nursing Administration.
Porter –O'Grady and Hinshaw (2005).Shared Governance: A
Practical Approach to Reshaping Professional Nursing Practice.
HCPro, Inc.
Porter-O’Grady, T (2003a). A different age for leadership, Part 1.
Journal of Nursing Administration, 33(2), 105-110.

27. Web Sources / Links
https://eisenhowerhealth.org/health-services/other-health-
services/nursing/nursing-shared-governance
http://www.khconline.org/files/Innovative_Strategies_to_Engage
_Bedside_Providers.pdf
https://pubmed.ncbi.nlm.nih.gov/7730930/
https://www.nursingcenter.com/journalarticle?Article_ID=391681
3&Journal
https://www.ckn.org.au/content/empowering-nurses-tips-
implementing-shared-governance
NOTE: These slides are uploaded for information purposes and
as partial requirement of Philippine Women's University in PhD
class; Subject: Governance in Health Care Practice.