In this section, we will explore the value of shared governance within interprofessional teams and look at the impacts of shared governance on quality patient care outcomes and staff satisfaction.  We will also explore strategies to enhance professional development and continuing competence at the unit level and well as looking at the advantages and barriers to achieving a ‘just culture’

Shared Governance

Porter O’Grady (2003) defined shared governance as “a structural model through which nurses can express and manage their practice with a higher level of professional autonomy”.   Nurse leaders need a clear understanding of what shared governance is and their role in it for shared governance to be effective.

Activity #1

Please read at least five (5) articles from the list below:

1. Babiker, A., EI Husseini, M., Al Nemri, A., Al Frayh, A., AI Juryyan, N., O Faki, M., Assiri, A., AI Saadi, M., Shaikh, F., & AI Zamil, F. (2014). Health care professional development: working as a team to improve patient care. Sudan Journal of Paediatrics, 14(2), 9–16.
2. Di Vincenzo, P. (2017). Team huddles. Nursing, 47(7), 59–60.
3. Kroning, M., & Hopkins, K. (2019). Healthcare organizations thrive with shared governance. Nursing Management, 50(5), 13–15.
4. Porter-O’Grady, T. (2019). Principles for sustaining shared/professional governance in nursing. Nursing Management, 50(1), 36–41.
5. Swihart, D. (2011). Shared governance: A practical approach to transform professional nursing practice, second edition (2nd ed.). HCPro, Inc. 
6. Wilson, J., Speroni, K., Jones, R., & Daniel, M. G. (2014). Exploring how nurses and managers perceive shared governance. Nursing, 44(7), 19–22.
7. Braithwaite, J., Herkes, J., Ludlow, K., Testa, L., & Lamprell, G. (2017). Association between organisational and workplace cultures, and patient outcomes: Systematic review. BMJ Open, 7(11), e017708.
8. Paradiso, L., & Sweeney, N. (2019). Just culture. Nursing Management, 50(6), 38–45. 

Activity #2

This video emphasizes the importance of staff and patient engagement.

Video: WWL Way (4:56)

Activity #3

Reflection Exercise

Professional Development in Nursing Practice Part One: Empowering Staff Education

Activity #4

Please read at least four (4) articles from the list below:

1. AORN. (2017, September 12). Keeping it fresh: 5 creative ways to approach staff education. AORN: safe surgery together.
2. Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering education: a new model for in-service training of nursing staff. Journal of Advances in Medical Education and Professionalism, 5(1), 26–32.
3. Eddy, K., Jordan, Z., & Stephenson, M. (2014). Health professionals’ experiences of teamwork education in acute hospital settings: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 12(8), 90–105.
4. Grant, J. (2002). Learning needs assessment: Assessing the need. BMJ, 324(7330), 156–159.
5. Joseph, L., & Huber, D. L. (2015). Clinical leadership development and education for nurses: Prospects and opportunities. Journal of Healthcare Leadership, 55.
6. Lockhart, J. (2006). Creating an educational plan that meets the learning needs of nursing staff. Clinical Journal of Oncology Nursing, 10(2), 257–266.
7. Reynolds, L. (2020, January 27). Nurses as educators: creating teaching moments in practice. Nursing Times.
8. Schneider, M., & Good, S. (2018). Meeting the challenges of nursing staff education. Nursing, 48(8), 16–17. 

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