Shared Governance: Transforming the nursing Workforce through collective Decision Making
International Hospital Federation - IHF
| 2 years ago
Authors: Hoi Shu Yin and Liew Anni Dionne, Tan Tock Seng Hospital
ABSTRACT: This article describes a shared governance program introduced to facilitate collective decision-making within the division of nursing and concludes with strategies to achieve sustainability. The migration of nursing talent in a landscape of increasing healthcare demands affects the capacity and capability of the nursing workforce. This called for an innovative model of staff engagement to inspire and motivate our staff, leading to better retention, patient and staff satisfaction. Shared Governance (SG) was introduced into the nursing division at the organization to transform how decisions are made. The goal is to flatten the traditional hierarchical decision-making structure and give direct-care nurses a voice in defining their practice, standards, and quality of care.
Since the transformation, patient care outcomes including falls and patient satisfaction rates and staff satisfaction scores in empowerment, communication, and work relationships have trended positively from year-to-year. There is also a sequential reduction in sick leave rates since implementation. Shared Governance: Transforming the nursing Workforce through collective Decision Making (pdf 109.99kB)