One Hospitals experience with SHARED LEADERSHIP

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One Hospitals experience withSHARED LEADERSHIP

• Evidence of Excellence
• 6th Annual South Carolina Magnet Conference
• April 10-11, 2008
• Laurie Zone-Smith PhD, RN
• zonel_at_musc.edu

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Objectives

• Review the history of the MUSC Nursing Alliance
  formation
• Review other Shared Governance models
• Review a proposed new MUSC Nurse Alliance
  structure

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What am I doing here?
What is going on?
Who are we?
Who are you?
Why Me?
Where are we going with this?
Why are we doing this?
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MUSC Timeline

• Spring 03 Nurse Alliance formed/Gap analysis
  completed.
• Summer 03 In-service education
• Fall 03 Approved philosophy, vision, mission
  values structural model
• Spring 04 Nursing Unit Readiness Survey and
  Shared Leadership Retreat

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What does it look like?

• Structure at multi-levels
• Organization
• Division
• Units/clinics

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Staff Engagement

• Staff Nurse input
• - Nurse to patient ratio
• - Schedules
• - Strong voice in practice and policy
  making
• - Support professional growth
• - Support working relationships with
• physicians
• - Value professional development and
• provide ongoing opportunities

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What am I doing here?What is going on?

• We participated in
• Building a shared vision of a professional
  governance model for nursing
• Building a work environment and culture devoted
  to nursing control over practice

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Why did we do this?

• To improve
• Nurses work environment
• Nurse satisfaction
• Retention
• through staff nurse decision making and
• control over practice.

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What is Shared Governance?

• An organizational model through which nurses
  control their practice as well as influence
  administrative areas.
• (Hess, 2004)

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Types of Shared Governance

• SG Professional Practice Model
• Professional Practice Model
• Collaborative Governance
• Nursing Congress Clinical Care Congress
• Shared Decision Making
• Nursing Practice Congress
• Professional Nursing Staff Organization
• SG Professional Practice Model

• SG Models
• Patient Care Shared Governance Council
• Nursing Practice Network
• Nursing and Interdisciplinary Shared Governance
  Programs
• Unit Based Models
• Shared Decision Making Programs

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How does it work?

• Process/By-Laws
• Purpose and authority
• Membership
• Meetings and reporting
• Relationships with existing groups

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A Time to Evaluate 5 years later

• Addition of Nurse Alliance Quality Council
• Existing Committee and Council Changes
• Membership changes to NEC
• Revisioning of shared leadership model

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Citations

• Hess, R. G. (2004) From Bedside to Boardroom
  Nursing Shared Governance. ANA Periodicals OJIN
  9(1).
• Kramer, M. Schmalenberg, C.F. (2003). Magnet
  hospital staff nurses describe clinical autonomy.
  Nursing Outlook, 51(1), 13-19.
• Tonges, M.C., Baloga-Altieri, B. Atzori, M.
  (2004). Amplifying nrsings voice through a
  staff-management partnership. JONA, 34(3),
  134-139.

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Citations

• Tofino, J. (2003). Power Sharing A
  Transformational strategy for nurse retention,
  effectiveness and extra effort. Nursing
  Leadership Forum, 8(2), Winter, 2003.
• Porter-OGrady, T. (2001). Is shared governance
  still relevant? JONA, 31(10), 468-473.