Date of Award

Summer 8-6-2022

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Theresa Pape, PhD, MSN, RN, CNOR-E, CNE

Second Advisor

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.


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.

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