The Four Philosophies Of Shared Governance In Healthcare

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Shared Governance

The increasingly dire scarcity of professional nurses is a threatening theme in healthcare. In retort to it, more and more establishments are turning to shared governance, a concept introduced into healthcare organizations in the 1970s (Section 1) as an evidence-based system to control the shortage’s harmful effects for example, adverse patient outcomes, high cost of agency staff, and nurses sign-on bonuses to mention a few.

What is Shared Governance? In its plainest form, shared governance is shared decision-making and policymaking based on the philosophies of partnership, impartiality, responsibility, and ownership at the point of service. This management method model permits each member of the health care staff to have
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Therefore, employees, patients, the group, and the proximate societies benefit from shared governance.

Philosophies of shared governance

If shared governance is to permit a lucrative service delivery and nurse empowerment, decision-making and policy making must be shared at the point of service. Thus, to make that happen, employee partnership, equity, accountability, and ownership must ensue at the point of service. The four philosophies of shared governance are a partnership, equity, accountability, and ownership.

Partnership is vital to building relationships, includes the entire staff in decisions and developments, suggests that each staff has a significant role in accomplishing the mission and purpose of the corporation, and is critical to the healthcare system’s effectiveness.

Equity supports an emphasis on services, patients, and staff; is the footing and measure of value; and articulates that no one role is more vital than any other. Though equity does not equal equality in terms of scope of practice, knowledge, authority, or responsibility, however it does mean that every team member is indispensable to providing safe and effective
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To allow all staff members to partake, ownership describes where work is done and by whom. It compels each staff members to commit to contributing something, to own what they contribute, and to partake in devising purposes of the work. Shared governance activities may involve participatory scheduling, shared staffing decisions, and or shared unit responsibilities for instance, each nurse is trained to be “ charge nurse” of their unit possibly on an alternating schedule to attain the best patient care

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