Shared Governance Paper


SharedGovernance Paper


Sharedgovernance is a concept that entails collaboration in all aspects ofmanaging staff such as scheduling, educating and implementingevidence based practice. In the practice of shared governance, thereare some underlying principles that guide the actualization of theconcept. These principles are equity, accountability, partnership andownership. According to Porter-O’Grady (2004), shared governance isa dynamic way of building structures and the necessary staffempowerment to conceptualize and embody the four principles in thenursing practice. Porter-O’Grady (2004) further portrays sharedgovernance as a system of governance based on accountability in orderto share control, power and decision making within the nursingprofessional practice.

Thefour Principles

Equityis the principle of shared governance that promotes fair treatment ofall employees by being fair and impartial. This is the principle thatguides the implementation of shared governance in the empowerment ofstaff and execution of the principles of the concept. Through equity,decision making process is made consultative and considers the inputsof all the employees. On the other hand, accountability is theprinciple of being responsible and accountable for the actions,decisions and tasks of every employee (Moore&amp Hutchison, 2004).In the implementation of shared governance, accountability enablespeople in the nursing practice to own up to their actions and theresults of the consequences. Shared governance further promotes jointresponsibilities for the staff as well as the leaders.

Ownershipis the principle that promotes shared governance by guiding membersof the nursing staff to own up their professional practices. Thisprovides a basis for the staff members to join in the practice in acollective effort that promotes values of service and provide qualityhealth care for all (Porter-O’Grady, 2004). Personal ownershipguides the extent at which nurse will cooperate and promoteaccountability of actions and decisions made. Therefore, theprinciple of partnership is made practical and effective. In thepractice of shared governance, partnership is the principle ofnursing staff working together with a view of achieving common goalsthrough cooperation. Therefore, shared governance is not an option inthe nursing profession it is part of the daily practice since no oneprofessional can succeed alone (Porter-O’Grady, 2004).

Benefitsand challenges of Shared Governance

SharedGovernance promotes satisfaction of the nursing staff by giving thema chance to participate in the governance of their practice. Throughshared governance, nurses are able to be heard since they areinvolved in the decision making processes. As a result, their viewsand opinions are considered in the governance of the nursingpractice. This improves their satisfaction and motivates them toperform better. In addition, shared governance provides a platformfor learning to all the members of the nursing staff. Members of thenursing staff learn how to lead and make sound decisions that developtheir management skills. This promotes the development of anempowered staff that can own up to their decisions and actions aswell as be accountable for their outcomes.

However,shared governance has challenges that relate to the implementation ofthe concepts behind the practice. One of the challenges is lack ofunderstanding of the concept of shared governance principles andpractices. While it has better results, these benefits can only beachieved if all the members of staff fully understand the principles,processes and practices of shared governance. In addition, lack ofcooperation from the members of the nursing staff is a challengeagainst the success of the practice (Marquis &amp Huston, 2014). Inaddition, the administrators may not be able to implement the sharedgovernance practice by failing to provide the right environment forthe empowerment of the employees.

SharedGovernance and staff nurse Empowerment

Sharedgovernance empowers the staff nurse by promoting a sense of teamworkand cooperative attitude. Therefore, a staff member will learn fromthe rest of the team in the practice as well as from the seniors.Through shared governance, members of the staff are able to learnproblem solving methodologies through the promotion of ownership oftheir actions and decision making processes. Therefore, a member ofstaff is able to work with those who are better performers and isempowered to improve his or her performance (Marquis &amp Huston,2014). As a staff, a nurse is able to learn new methodologies thattransform his or her work ethics and perspectives of cooperating withothers.

Empoweringthe Nurse Manager and environment

Sharedgovernance empowers a nurse manager by promoting creativity andindividuality in the work environment. By providing the rightenvironment, a staff nurse is empowered to perform the best of his orher ability. In addition, the shared governance concept provides theright motivation to work through the belief in the ability of themanager. According to Porter-O’Grady (2004), the shared governancepromotes the sense of believing in the nurse manager on the unitsthat they handle as clinical leaders.

Toachieve the shared governance environment, one of the attributes iscoordination and cooperation of the nursing staff and theadministrators. For nurses and nurse managers to promote a sharedgovernance environment, they must always come to a commonunderstanding of many aspects of the practice (Antony, 2004).Dynamism is another attribute that the staff and the stakeholders ofthe nursing practice must have to create a shared governanceenvironment. This is because the environment involves adoption ofchanges that introduce new aspects of the nursing practice (Moore&amp Hutchison, 2004).Moreover, nursing leaders should be able to formulate and share avision, implement the processes and educate the stakeholders on thepractice.

Impacton Patient Delivery

Sharedgovernance has a direct impact on healthcare on the delivery ofpatients. Due to the teamwork that is created by shared governance,the quality of service delivery to patients is high. According toPorter-O’Grady (2004), this is because administrators, managers,caregivers, physicians and nurses are all teamed up together. Inaddition, shared governance provides a platform for fast services topatients without delay since all the stakeholders concerned are inunison. Moreover, the shared governance environment enhances thecontinuity of services as patients shift from inpatient andoutpatient healthcare settings. This is because the environmentcreated reduces the processes and procedures that patients have to gothrough in the process of getting health care services.


Toeffectively enhance the shared governance concept, stakeholders andnursing practitioners should uphold the principles of equity,ownership, accountability and partnership. Through these principles,the nursing practice will actualize the benefits of the sharedgovernance environment as well as overcome the challenges involved.One of the main benefits is the creation of an empowered nursingstaff that improves their productivity and quality of servicedelivery to patients. By upholding the principles of sharedgovernance, the concept creates a cooperative environment where allstakeholders are involved in the effective and efficient provision ofhealth care services.


Anthony,M., (2004). &quotShared Governance Models: The Theory, Practice, andEvidence&quot. OnlineJournal of Issues in Nursing.Vol. 9 No. 1, Manuscript 4

Marquis,B.L., &amp Huston, C. (2014). Leadershiproles and management functions in nursing. 8th edition.Philadelphia: Lippincott Williams&ampWilki

Moore,S.C., &amp Hutchison, S.A. (2004). Developing Leaders at Every LevelAccountability and Empowerment Actualized Through Shared Governance.TheJournal Of Nursing Administration.Volume 37, Number 12, pp 564-568

Porter-O`Grady.T., (2004). &quotOverview and Summary: Shared Governance: Is It aModel for Nurses to Gain Control Over Their Practice?&quot OnlineJournal of Issues in NursingVol. 9 No. 1

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