Shared governance

  1. Would you like to tell me about your experiences in shared governance? Grushenka.
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    About Grushenka

    Joined: Mar '05; Posts: 9

    9 Comments

  3. by   SmilingBluEyes
    IN reference to WHAT, exactly, Grushenka????
  4. by   Dixielee
    I'm not sure what your agenda is, but your questions are a bit too open ended to be answered in a forum such as this. Maybe you can narrow your focus a bit, and we can answer them. Nurses generally like cut and dried questions and answers, and don't have time to pontificate the number of angels on the head of a pin. Focus, focus, focus.
  5. by   Grushenka
    Quote from Dixielee
    I'm not sure what your agenda is, but your questions are a bit too open ended to be answered in a forum such as this. Maybe you can narrow your focus a bit, and we can answer them. Nurses generally like cut and dried questions and answers, and don't have time to pontificate the number of angels on the head of a pin. Focus, focus, focus.
    Thank you for focusing me. Have you ever been a staff nurse participating in so called shared governance? If so, do you have any positive experience resisting mandatory overtime or floating? What are the other issues you were trying to fight for to protect nurses and patients? In my humble opinion, the idea of a shared governance might be quite unrealistic in the existing health care system - something like "opium for the people - staff nurses". Grushenka
  6. by   RN4MERCY
    Quote from Grushenka
    Thank you for focusing me. Have you ever been a staff nurse participating in so called shared governance? If so, do you have any positive experience resisting mandatory overtime or floating? What are the other issues you were trying to fight for to protect nurses and patients? In my humble opinion, the idea of a shared governance might be quite unrealistic in the existing health care system - something like "opium for the people - staff nurses". Grushenka
    Yes, I like that, "Opium for the people." The management was shocked that their "purple haze" didn't work when we won our vote to organize with the California Nurses Association. The majority recognized the smoke and mirrors sham of Shared Governance for what it was and we opted for a written contract that prevents mandatory overtime and puts the muzzle on arbitrary floating and call-off practices. The sham of Shared Governance helped us organize around real issues and negotiate as equals, across the table from management. Power is not shared, it has to be taken.
  7. by   PEDSNURSE74
    I work at a hospital and we are going to try shared governance.
    I need some links or info on how to get started
    Thanks to all
    Last edit by sirI on Sep 14, '05
  8. by   Nancy2
    Whole-systems shared governance is the new term for a system that unites all professionals involved in the care delivery process--nurses, other clinical disciplines, physicians, and administrators--under a structure that integrates clinical, support, and organizational concerns across traditional boundaries. Dr. Tim Porter-O'Grady has written a dynamic new resource that ties together shared governance and the new integrated health care systems. Whole-Systems Shared Governance: Architecture for Integration outlines a template you can use to unite nurses, physicians, managers, administrators, board members, and other major stakeholders in planning a whole-systems approach to service delivery.
  9. by   Sherwood
    Quote from Nancy2
    Whole-systems shared governance is the new term for a system that unites all professionals involved in the care delivery process--nurses, other clinical disciplines, physicians, and administrators--under a structure that integrates clinical, support, and organizational concerns across traditional boundaries. Dr. Tim Porter-O'Grady has written a dynamic new resource that ties together shared governance and the new integrated health care systems. Whole-Systems Shared Governance: Architecture for Integration outlines a template you can use to unite nurses, physicians, managers, administrators, board members, and other major stakeholders in planning a whole-systems approach to service delivery.
    If I recall a seminar I attended a few months ago, it is the Porter-O'Grady model of Share Governance that is successfully being used in hopitals that have achieved Magnet status.
    This not only brings nurses together, it pulls all ancillary services together. Everyone working together using the same map toward excellant patient care.
  10. by   BGSRN
    governance is not shared when you have a hierarchy. an idea can be "shot down" if those in power do not agree, even if the "masses" think it is a positive change. been there, done that.
  11. by   P_RN
    We started Shared Governance in the early 90s I think it was. The VP for Nursing was very supportive. As I recall we had QI, Admin and Something else. We did our own schedule, audited charts with the QI director, and overall managed the floor.

    I enjoyed it very much. I felt I was a valued person. Then came the recession in patient numbers as Medicare got more aggressive and mergers and acquisitions of whole hospital systems, including ours, began. The first Gulf War took a lot of our staff and slowly but surely we lost any ground we gained.
    I'm sorry to say that I alt least felt no longer valued as a Nurse except as a warm body.
    I really liked Shared Governance. That's just this one Nurse's opinion.

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