Nurse manager perspective of staff participation in unit level shared governance

• Published in: Journal of nursing management Vol. 25; no. 8; pp. 624 - 631
• Main Authors: Cox Sullivan, Sheila, Norris, Mitzi R., Brown, Lana M., Scott, Karen J.
• Format: Journal Article
• Language: English
• Published: England Hindawi Limited 01.11.2017
• Subjects: Adult; African Americans; Attitudes; Clinical decision making; Clinical governance; Clinical medicine; Clinical nursing; Content analysis; Decision Making; Delegation; Empowerment; Evidence-based nursing; Evidence-based practice; Female; Health care delivery; Humans; Job satisfaction; Male; Military hospitals; Motivation; Nurse Administrators - psychology; nurse leadership; nurse manager; Nurse managers; Nurses - psychology; Nurses - standards; Nursing; Nursing administration; Perception; Pilot Projects; Power (Psychology); Professional development; Professional practice; Qualitative Research; Quality management; Sampling; Self-Management; Selfmanagement; Shared governance; Teams; Veterans; United States > US; shared governance; nurse leadership; nurse manager
• ISSN: 0966-0429; 1365-2834
• DOI: 10.1111/jonm.12500

Aim To examine the nurse manager perspective surrounding implementation of unit level shared governance in one Veterans Health Administration facility. Background Nursing shared governance is a formal model allowing nursing staff decision‐making input into clinical practice, quality improvement, evidence‐based practice and staff professional development. Unit level shared governance is a management process where decision authority is delegated to nursing staff at the unit level. Methods Convenience sampling was used to recruit ten nurse managers who participated in face‐to‐face semi‐structured interviews. Data were analysed using content analysis and constant comparison techniques. Demographic data were described using descriptive statistics. Results The participants included seven female and three male nurse managers with seven Caucasian and three African American. Participant quotes were clustered to identify sub‐themes that were then grouped into four global themes to describe unit level shared governance. The global themes were: (1) motivation, (2) demotivation, (3) recommendations for success, and (4) outcomes. Conclusion These research findings resonate with previous studies that shared governance may be associated with increased nurse empowerment, self‐management, engagement, and satisfaction. Implications for Nursing Management These findings reflect the need for nurse managers to promote and recognize staff participation in unit level shared governance.