05 Oct Shared governance in the healthcare organization i
Shared governance in the healthcare organization is led by teamwork and promoting a work environment that supports empowerment. There must be an integration of management, education, and a view of continued quality improvements within the organization to achieve this (Swihart & Hess, 2014). Shared decision making must be part of how management and quality improvements are obtained. The Empowerment Models Structure describes three criteria needed to achieve this. The three criteria described are supportive hospital administration, transformational nursing leaders, and a formalized infrastructure (Roussel, Thomas, & Harris, 2020). The Facility I currently work in is a combination of long-term care and short-term rehab. Typically, staff are scheduled for eight-hour shifts and required to work every other weekend. The long-term care unit is consistent with nursing staff to patient ratios, nurses one to twenty on day shift with nurse’s aides one to twelve. Staff on the rehab unit depends on the census, when at full capacity nurses are one to 10 and nurses’ aides one to 12. Staffing ratios differ for other shifts with less staff present. Administration does not seem to consider patient acuity levels when scheduling, which often causes nursing staff to feel as though they are ‘working short”. Fortunately, the facility I work has an amazing team, staff always found helping each other. Reference Roussel, L., Thomas, P., & Harris, J. (2020). Management and leadership for nurse administrators. Burlington, MA: Jones & Bartlett Learning. Swihart, D., & Hess, R. J. (2014). Shared governance: a practical approach to transforming interprofessional healthcare. Danvers, MA: HCPro.
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