Date of Award
Doctor of Nursing Practice (DNP)
Theresa Pape, PhD, MSN, RN, CNOR-E, CNE
Alicia Hubbard, DNP, RN, NE-BC
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.
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.