Shared Governance And Work Engagement

Joseph, M. L., & Bogue, R. (2016, July-August). A theory-based approach to nursing shared governance. Nursing Outlook, 64(4), 339-351. http://dx.doi.org/10.1016/J.OUTLOOK.2016.01.004

Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)

Caramanica, L. (2004). Shared Governance: Hartford Hospital’s Experience. The Online Journal of Issues in Nursing, Vol. 9. Retrieved from http://www.nursingworld.org/mainmenucatefories/ANAmarketplace/ANAperiodicals/OJIN/tableofcontents/volume92004/No1Jan04/HartfordHospitalsExperience.aspx

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

The Scholarly Inquiry for Nursing Practice “focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study” (Bought, n.d., p. 1).

Nurses are increasingly becoming the strong leadership in developing all aspects of health care policy and decisions. Unfortunately the shared consensus is that most nurses do not possess leadership skills adequate enough to keep up with the ever-evolving field. The IOM reports on this by stating: “Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care.” (IOM, 2010 pp.223) It is felt that nurses are depicted as people who carry out

Sanford, R. (2016). Shared Governance and Nurse Engagement. JEN: Journal Of Emergency Nursing, 42(6), 469.

“Running a health care organization is a team sport. It is very important that all members of the team-whether on the medical staff, in management or on the board-understand the role of governance and what constitutes effective governance” (Arnwine, 2002). Running a hospital is a difficult task. Several factors need to be seriously thought of and considered in every decision and undertaking. Unfortunately, all the three important factors in governing a hospital is not always in harmony. As likened to a team sport, if the three major components are not working with each other as a team, there will be tension and a great divide will be experienced. And often times, the patients will be in the middle and will be greatly impacted. This writer believes that there are several factors that contribute to the tension that usually exists among the medical staff, the board and administration. One factor is the disconnect, where each entity is not seeing each other eye to eye and their visions may be different from each other. Another factor may be the lack of communication in order to bridge the gap and to build a respectful and a relationship wherein there is trust for each end every member of the group. Often times, the medical staff is concerned with ensuring that patients are cared for in a manner that their practice is protected as well as the patients are getting the appropriate care. On the other hand, the board of trustees may be focused in ensuring that that

Hess, discusses shared governance involvement with the nursing shortage that healthcare facilities are now facing. Hess focused on the purpose of shared governance, which is to give registered nurses control over their practice. This will help ensure nurse involvement in the workplace. In expressing his struggle, Hess clearly defines shared governance with the order of structures and processes involved within each organization (Hess, 2004). However, he does agree with its purpose that nursing shared governance helps with every situation a nurse may encounter in the healthcare setting. The following article further evaluates workplace advocacy in a way that relates to shared governance.

Shared governance is a professional model for nurse management which leads to nurse autonomy, empowerment, job satisfaction and improved patient outcomes. Research show nurses want a professional, autonomous environment for practice that recognizes the value of its nurses, and allow greater control over the practice environment. Proximity to job and monetary gain was listed as less important.

This paper will discuss my organization's mission, vision, values, and goals.  I will also discuss how nurse's individualized role plays a big part in carrying out organization's goals. Each organization has a different structure, either centralized or decentralized. Then I  will discuss two positives and negatives of my organization's nursing model and how we can improve it. Lastly I will talk about and define shared governance and how it may oppose risks or benefit nursing.

Concept analysis is a method of concept development and is a component of theory development. A major portion of the nursing theories, research and concepts are borrowed from other disciplines, the validity of these concepts need to be evaluated.

Nursing leadership is also one of the very important messages of the 2010 IOM report on nursing. The IOM calls to expand opportunities for nurses to lead. It advises that nurses need to be prepared and enabled as leaders in order to advance healthcare. One of the recommendations states that “expand opportunities for nurses to lead and diffuse collaborative improvement efforts” (IOM Report, 2010). In that regards, a research article (Sherman, 2011) points out that charge nurses on frontline of acute care setting are the

The professional nurse is an asset simply because much of what drives success within an organization is the fruit of labor. In order for this continued performance to strive it is necessary that an organization be designed to allow professionals to participate in the practice and help shape the environment in which patient care occurs which ultimately brings us back to this notion of shared governance.

There are several methods of analyzing the concepts. The purpose of concept analysis is to help the nurses to identify the trends and development in patient care. In depth analysis of these trends and developments helps to formulate measures to provide holistic patient care (“Grand canyon university”2013). Walker and Avant introduced the process of concept analysis in nursing in 1983.Walker and Avant (2005). They are concept analysis; concept synthesis and concept derivation explained three different processes to analyze the concept in nursing. According to McEwen (2011) Walker and Avant use concept analysis to clarify meanings of terms and define concepts with an excepted outcome of readers and writers communicating in a common language.