Meyers Michelle M, Costanzo Cindy
Department of Nursing, Creighton University, Omaha, Nebraska.
Nurs Adm Q. 2015 Jan-Mar;39(1):51-7. doi: 10.1097/NAQ.0000000000000068.
Shared governance in health care empowers nurses to share in the decision-making process, which results in decentralized management and collective accountability. Share governance practices have been present in hospitals since the late 1970s. However, shared governance in ambulatory care clinics has not been well established. The subjects of this quality project included staff and administrative nurses in a clinic system. The stakeholder committee chose what model of shared governance to implement and educated clinic staff. The Index of Professional Nursing Governance measured a shared governance score pre- and postimplementation of the Clinic Nursing Council. The Clinic Nursing Council met bimonthly for 3 months during this project to discuss issues and make decisions related to nursing staff. The Index of Professional Nursing Governance scores indicated traditional governance pre- and postimplementation of the Clinic Nursing Council, which is to be expected. The stakeholder committee was beneficial to the initial implementation process and facilitated staff nurse involvement. Shared governance is an evolutionary process that develops empowered nurses and nurse leaders.
医疗保健中的共享治理使护士能够参与决策过程，从而实现分散管理和集体问责。自20世纪70年代末以来，共享治理实践就已存在于医院中。然而，门诊护理诊所的共享治理尚未得到很好的确立。这个质量项目的主体包括一个诊所系统中的 staff 和行政护士。利益相关者委员会选择了要实施的共享治理模式，并对诊所工作人员进行了培训。专业护理治理指数在诊所护理委员会实施前后测量了共享治理得分。在这个项目期间，诊所护理委员会每两个月召开一次会议，为期3个月，以讨论问题并就与护理人员相关的事项做出决策。专业护理治理指数得分表明，诊所护理委员会实施前后都是传统治理，这是意料之中的。利益相关者委员会对初始实施过程有益，并促进了护士员工的参与。共享治理是一个培养有权力的护士和护士领导者的演进过程。
