Jul 13, '09
Good day everyone! I'm Mitchelle. A graduate student from the Philippines. I have been assigned to present in my class about "Self governance in the Nursing profession". And for 2 weeks now I have researching about the said topic, but unfortunately I have come up with only a few resources.
To cope up with this, I decided to add in my report a survey (opinions) of nurses regarding self governance in our profession. I kindly ask for everyone's help in this matter. I welcome all opinion no matter how small it may be.
So here are the questions...
1. What do you know about the history of the Nursing profession's struggle for autonomy?
2. How would you compare the hospital organization in the past and in the present in terms of nurses' self governance?
3. What are the hindrances affecting self governance in nursing?
4. How can self governance in nursing be improved?
5. What are the repercussions of self governance of nursing in the practice?
6. What is the current status of Nurse's self governance in your institution? 7. What do you think is the future of self governance in nursing?
Thank you very much! God bless ^_^
Last edit by NRSKarenRN on Aug 15, '09
Aug 21, '09 by herring_RN
We had "shared governance", various councils, and were empowered.
When management gives you power they can take it away.
We as nurses have power already.
WE are the only people with the education, experience, and legal authority to carry out the Nursing Process.
Hospitals exist to provide NURSING CARE. We are essential.
Therefore direct care nurses need to control our practice to benefit our patients.
The best managers understand and advocate for nurses.
But all too often they are forced to nurse the budget. Whe most staff nurses document factually how lack of equipment, unsafe staffing, or ineffective policies harm patients AND recommend a solution it helps good manager do their job.
Alas some systems don't want safe effective patient care. They want "excellent" patient satisfaction surveys.
Last edit by herring_RN on Aug 30, '09
Sep 28, '09 by CASTLEGATES
I worked for 5 years at a government hospital with self governance (only on our unit) and we decided our schedule (it was in pencil and would not be printed till all the shifts were filled in by us...so if we wanted to know the schedule, we'd adjust our plugged in shifts). We had unlimited comp time (no ot) to cover for census downtime so we always had staff, never used agency once, no OT and we'd all show up for comp time, surgeries woudl drop off and some of us would go skiing for the day or take the afternoon off if all was well and get stuff done at home.
We made forms, 24 hour open door visiting policy (which resulted in less visits, less complaints) and on and on. It was the absolute best situation and I plan on putting this in place soon as I'm able where I am now.
We even evaluated each other, graded each other, etc. It all worked just fine because the unit council was rotating between reps (who would poll their people before voting). We hired, fired, interviews, approved products...we were the director. Management would only shoot down ideas that were against policy. Because we were 5 reps of 35 staff, not as many volunteered their hour or two a month (more often if interviews were happening, most meetings were voted on so we we could schedule to be on staff that day and get paid).
Eventually we got comp time for meeting so that worked nice on ski days.
We only had a couple openings in 5 years; leaving that job was the stupidest thing I've done in my life.
Last edit by CASTLEGATES on Sep 28, '09