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Building Excellence Through Shared Governance And Continuous Process Improvement, Deborah Reitter
Building Excellence Through Shared Governance And Continuous Process Improvement, Deborah Reitter
Doctor of Nursing Practice (DNP) Projects
Abstract
Background: Nursing shared governance in the hospital setting is a well-established structure for shared decision-making between staff nurses and nurse leaders to improve nursing practice, quality of care, and patient safety. Establishing effective, shared governance can take several years: new skills must be acquired, new behaviors accepted, and new professional commitments made. Newcomers to shared governance require support, education, and the opportunity to acquire requisite skills; otherwise, interest, commitment, and achievement of desired outcomes cannot be sustained.
Local Problem: A large hospital in California established a shared governance structure in 2018. Performance gaps between two high-performing Nursing Unit Councils …