Date of Award
Summer 8-6-2022
Document Type
Scholarly Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Theresa Pape, PhD, MSN, RN, CNOR-E, CNE
Second Advisor
Alicia Hubbard, DNP, RN, NE-BC
Abstract
Practice Problem: Shared governance (SG) is an organizational structure that provides healthcare professionals control over their professional practice. Lack of a unit-based council (UBC) was noted as a problem disrupting the shared decision-making and problem-solving approach.
PICOT: In an adult acute care unit lacking a UBC structure (P), what is the effect of the implementation of a SG toolkit (I) compared to no SG toolkit (C) on the establishment of a SG UBC within a period of 10-weeks (T)?
Evidence: The literature evidence suggest that SG enables nurses to engage as a partner with nursing leaders within the organization in seeking solutions to problems.
Intervention: The Evidence-Based Practice (EBP) change management project included the establishment of a UBC for SG using a SG toolkit for education, and the identification of a core group to manage the UBC. The Index of Professional Nursing Governance (IPNG) measured SG success elements pre and post intervention.
Outcome: Overall, this EBP change project was clinically significant as it enabled to establish a SG structure for the unit in the form of UBC to practice shared decision-making regarding the professional governance components of SG. The statistical results were not significant due to a small sample size and short testing period used for the EBP change project.
Conclusion: SG is needed within healthcare organizations because it promotes nurses’ shared decision-making. Ultimately, SG is the foundation for a culture of clinical and nursing excellence of top-performing healthcare organizations.
Recommended Citation
George, V. (2022). Establishment of Unit Based Council Using a Shared Governance Toolkit. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.SMLM7673
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Comments
Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.