Shared Governance: An Introduction to the Concept Behind Shared Governance

Transcription

1 Shared Governance: An Introduction to the Concept Behind Shared Governance Presented by: Eddie A. Romero, MSN, RN Nurse Manager, Special Care Nurseries

2 OBJECTIVES Describe the History of Shared Governance Indentify the four (4) primary principles of Shared Governance Describe the role of relational partnerships in Shared Governance

3 WHY SHARED GOVERANCE? Introduced into healthcare organizations in the 1970 s in response to critical shortage of professional nurses An evidenced-based method to curb the shortages damaging effects Negative patient outcomes High cost of agency staff RN sign-on bonuses

4 WHAT IS SHARED GOVERNANCE? It is shared decision-making based on the following principles: Partnership Equity Accountability Ownership at the point of service

5 WHAT DOES SHARED GOVERNANCE LEAD TO? Longevity of employment Increased Associate satisfaction Improved safety and healthcare Greater patient satisfaction Decrease lengths of stay

6 HISTORY of SHARED GOVERNANCE In the1950 s, Shared Governance made its way into the business and management literature. Organizations began to: Design more decentralized, interpersonal structures and relationships among their leaders and Associates Emphasized making decisions from the point of service outward instead of from the organization downward

7 HISTORY of SHARED GOVERNANCE By the1970 s/1980 s, Shared Governance made its way into the healthcare and nursing arenas. Grew out of the nurses dissatisfaction with the institutions in which they practiced Nurses started to use it as a form of participative management through use of self-managed work teams

8 HISTORY of SHARED GOVERNANCE Professional practice environment of nursing care has shifted dramatically over the years due to: Rapid advances in healthcare Economic constraints related to service reimbursement corporatism have forced healthcare systems to save money

9 FOUR (4) PRINCIPLES of SHARED GOVERNANCE 1. PARTNERSHIP 2. EQUITY 3. ACCOUNTABILITY 4. OWNERSHIP

10 #1 PARTNERSHIP Links healthcare providers and patients along all points in the system A collaborative relationship among all stakeholders and nursing required for professional empowerment

11 #2 EQUITY Best method for integrating staff roles and relationships into structures and processes to achieve positive patient outcomes Maintains focus on: Services Patients Staff Serves as a foundation and measure of value No one role is more important than any other

12 #3 ACCOUNTABILITY The CORE of shared governance It is a willingness to invest in decisionmaking and express ownership in those decisions Often used interchangeably with responsibility and allows for evaluation of role performance

13 #4 OWNERSHIP Recognition and acceptance of the importance of everyone s work The fact that an organization s success is bound to how well individual staff members perform their jobs Designates where work is done and by whom

14 #4 OWNERSHIP (cont.) It requires all staff members to: Commit to contributing something Own what they contribute Participate in devising purposes for the work

15 NURSES KEYPOINTS Empowers nurses to express and manage their practice with a greater degree of professional autonomy Personal and professional accountability are respected and supported within the organization Enables nurses to maintain quality of practice and job satisfaction

16 MANAGER S KEYPOINTS Support for bedside nurses (point-of-care) Resource managers (financial, human, and material resources) Advocates Promoters Representatives Ambassadors

17 RECRUITMENT & RETENTION Although staff nurses are key to recruiting other nurses, Nurse Managers are key to retaining them

18 POINT OF SERVICE The key provider of point of service-the staff nurse-moves from the bottom to the center of the organization Nurses are primary Associates who do the work and connect the organization to the recipient of its service

19 The only one who matters in a service-based organization is the one who provides the service

20 THANK YOU FOR ALL OF YOUR HARD WORK!!!

21 QUESTIONS??